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Home My WebLink AboutPermit Building 2014-08-07SPRINGFIELD - 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR97477 i Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01709 w .spdngfield-or.gov permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/07/2014 EXPIRES: 02/02/2015 STATUS DATE: 08/07/2014 APPLIED: 08/07/2014 SITE ADDRESS: 925 HARLOW RD, Springfield, OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703223300100 TYPE OF STRUCTURE: Commercial -PROJECT DESCRIPTION:Con erencet— rooms ceiling remodel=SELCO OWNER: SELCO COMMUNITY CREDIT UNION Phone Number: ADDRESS: PO BOX 7487 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor MCKENZIE COMMERCIAL CONTRACTORS INC CCB 45539 07/21/2015 541-343-7143 Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED Inspections 1600 Ceiling Grid Ceiling Grid: After drywall approval but prior to cover. 2920 Miscellaneous Mechanical By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safely. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature �0 fecl u1Ces °nV\ . 1a� uttlt�v Ote9°n ®Ila sgliotih p1CGN,�oScd keT11 5 10105 to oObY to\1oN 1 ev,p0j0thhIPe koxePhOne inoOA�tg52 00 0090. V0u ea�erea` �onUtility AAd'1caUo ca1Un91iOf the Ole8p0.332.23 ) pumuefOeo�et is 1 - Date tN\S PSR D F0� l\i1,1�E0 �NOEa PNOONO pll `HDR 0 OR \S Pa 1;01�1��4EN�AV pER100. IaDI\ 1b0 Springfield Building Permit 80/2014 1:19:58PM Page 1 Of 1 SPRINGFIELD -- CITY OF SPRINGFIELD I i 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 ''� OREGON 541-726-3753 811-SPR2014-01709 6 v v.sprngfieldor.gov 925 HARLOW RD permitmnter@spdngfield-ocgov RECEIPT NO: 2014001713 RECORD NO: 811-SPR2014-01709 DATE: 08/07/2014 Building Permit Fee 224-00000-425602 1002 145.13 Continuing Education 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 17.42 Technology fee (5% of permit total) 100-00000-425605 2099 7.26 Credit Card MCKENZIE COMMEF 009511. CONTRACTORS INC TOTAL DUE: 172.31 TOTAL PAID: 172.31 Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPRINGFIELD-� �f 3 O7 oaEt;aN This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 1 suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date, This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CA-TEGORY OF CONSTRUCTION ❑ Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION ' Job site address: q7-6 AartbvJ City: QI, "e State: ZIP: 7y7� Subdivi to : Lot no.: Reference: Taxlot: PROPERTY OWNER . ..Name: A CEL[.... WUm-e,_ Address: ?0 W)k, -7ki City: %j f• 1 State: ZIP:%Jr Phone: Fax: - - E-mail: c.p,or Building Owner or Owner's agent authorizing this application: Sign here: ❑ This installation is being made on residential or fano property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION & Businessname: tMtVa,y1 xgQWA:k_A f Address: &.,5 tb,5 ttKZ City:vhQ. State: ZIP:q %q OZ Phone:5tl1- 1145 Fax$E/ 3 06 E-mail: rP_ a & htGL00A - 617– CCB tic nse no.: q515,31 Print name: 6&(&N Signature: (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): SUB -CONTRACTOR INFORMATION Name CCB License K Phone Number Electrical (b) Fire and life safety (40%x permit fee [2a]): $ Plumbing $ 4. Miscellaneous fees' ' Mechanical 6�,M(;A qvp qL0 OX -Mb DEPARTMENT USE ONLY Permit no.: Date: % f� RO days of issuar ee or if work is FEE SCHEDULE_ 1. Valuation information (a) Job description: Occupancy Construction type: Square feet: —Cost -persqu are -foot: Other information: Type of Heat: Energy Path: ❑ new ❑alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: 2. Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): S 3. Plan review fees (a) Plan review (65%x permit fee [2a]): $ (b) Fire and life safety (40%x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3h): $ 4. Miscellaneous fees' ' (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Technology fee, 5%(.05 x permit fee[2a]): $ (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+46+4c): S SELCO Community Credit Union Gateway Branch Conference Rooms Ceiling Remodel 925 Harlow Rd, Springfield, OR 97477 McKenzie Commercial Contractors 865 W. Second Ave. Eugene, OR 97402 541-343-7143 Gordon Rea, superintendent, 541-729-2619, Rrea@mccmail.biz §u y 0- 3 .c \ % § c E t 2 o -0 § j 6 0 E E ¥ _ / 2 & o ■ c $ / & x '3 °'a 2 e m 2 u \ % \ u m 3 > . / o / 2 / k * E Eo k ( � -0 k e / A / x t§$ b ■ E7 > G 2 0 § E # '§ �( \ \ Q @ % @ 6 — 0 e