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Permit Building 2014-07-23
SPRINGFIELD Q a, b OREGON www. spdngfield-or.gov CITY OF SPRINGFIELD Building / Commercial Permit I»71t1INA ,I Cow-:ii`Wa:KolCISIZMCI 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@sp4ngfield-ocgov PROJECT STATUS: Issued ISSUED: 07/23/2014 EXPIRES: 01/18/2015 STATUS DATE: 07/23/2014 APPLIED: 07/03/2014 SITE ADDRESS: 1132 5TH ST, Springfield, OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703263405100 TYPE OF STRUCTURE: Commercial --PROJECT-DESCRIPTION:----- Remodelinteriorand-parking OWNER: SMITH GARY E Phone Number: 541-914-7753 ADDRESS: 2915 FIRWOOD WAY EUGENE OR 97401 OWNER: 3 DIAMOND PROPERTIES LLC Phone Number: 541-914.7753 ADDRESS: 2915 FIRWOOD WAY EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone General Contractor DEER HAVEN CONSTRUCTION INC CCB 186157 03/31/2015 541-729-3805 Plumbing Contractor T & S PLUMBING INC CCB 186903 06/01/2015 541-915-1000 Electrical Contractor DOUG PALMER CORP CCB 90725 05/03/2016 541-434-5900 INSPECTIONS REQUIRED Inspections 8999 Final Fire 1110 Footing Footing: After trenches are excavated. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor Insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. NOTICE; THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon lavv requires you to follow Pules adopted by the Oregon Utility AUTHORIZED UNDER fHlS PERMIT IS NOTter.Thoserules are set forth COMMENCED OR IS ABANDONED FOR n OAR 952-001-0010 through OAR 952-001. ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Springfield Building Permit 7/23/2014 2:04:05PM Center is 1.800-332-2344). Pagel oft SPRINGFIELD - 1 � by OaEGON vw .sprngfield-or.gov Building / Commercial Permit PERMIT NO: 811-SPR2014-01443 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov 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 Owner or Contractor Signature Ate Springfield Building Permit 7/23/2014 2:04:05PM Page 2 of 2 SPRINGFIELD "` DATE: 07/23/2014 CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 St Spn g�Id,OR97477 224-00000-425602 1002 292.44 641-726-3753 OREGON 811-SPR2014-01443 Planning - Minor Review - City w .spnngfieldor.gov 1132 5TH ST permitcenter@spdngfield-ocgov RECEIPT NO: 2014001584 RECORD NO: 811-SPR2014-01443 DATE: 07/23/2014 D p Building Permit Fee 224-00000-425602 1002 292.44 Continuing Education 224-00000-425606 2.50 Planning - Minor Review - City 100-00000-425002 1231 119.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 35.09 Technology fee (5% of permit total) 100-00000-425605 2099 14.62 TOTAL DUE: 463.65 Victor Wright 023549 TOTAL PAID: 463.65 L_IINGELDCCCY OF SPRINGFIELD 225 Fifth Sl TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2014.01443 wunv.spnngfieldongov 1132 5TH ST permitcenler@spdngfield-ocgov RECEIPT NO: 2014001442 RECORD NO: 811-SPR2014.01443 DATE: 07/03/2014 C Structural Plan Review Fee Commercial 224-00000-425602 1060 190.09 deer haven constr inc TOTAL DUE: 190.09 TOTAL PAID: 1 UUM Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY Permit no.: D I �® 225 Fifth Street 1 Springfield, OR 97477 + PH(541)726-3753 ♦ FAX(541)726-3689 OREGON Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o ssuan a or if work is 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 CATEGORY OF CONSTRUCTION-- - ❑ Residential E 10 overnment ❑ Commercial 1 JOB SITE INFORMATION, AND LOCATION Job site address: Tt rstlriee City. State:©12, I ZIP: Y 7y % Subdivision: - Lot no.: Reference: Taxlot: PROPERTY OWNER Name: Address: City: State: M I ZIP.9v Phone: - E -mail: Building Owner or Owner's a entauthorizing this application: Sign here;� ❑ This installation is being made on residential orfarm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. ".CONTRACTOR INSTALLATION:', Business name: n Address: "r limo`s r e City: State: d9— 1 ZIP: 40 Phone: Fax: - - E-mail::,,,, 2.7 QCO CCB license no.: Print name: Signature: (c) Reinspection ($ per hour): (number of hours x fee per hour) SUB -CONTRACTOR INFORMATION Name CCB License N Phone Number Electrical 1 1le^».V i81Y'flW- (a) Plan review (65%x permit fee [2a]): $ Plumbing $ (c) Subtotal of fees above (3a and 3b): Mechanical 4: Miscellaneous fees FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy Construction type: v Square feet: -- -Cost-per-square foot: ---- ---- ---- ----- Other information: Type of Heat: Energy Path: ❑ new alteration ❑ addition t-�'4N` (b) Foundation -only permit? El Yes 1O Total valuation: $ 2l Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to 12a]): $ (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): 3. Plan review fees S (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 3b): S 4: Miscellaneous fees (a) Seismic fee, 1%(.01 x permit fee 12a)): $ (b) Technology fee, 5% (05 x permit fee[2a]): $ ! y (c) Continuing Education Fee $2.50 52.50 TOTAL fees and surcharges (2e+3c+4a+46+4c): c VS1kJ E