HomeMy WebLinkAboutPermit Building 2014-07-18SPRI�01R
225 Fifth St
°CITY
OF SPRINGFIELD
Springfield,OR97477
Phone: 541-726-3753
EGON
Building / Commercial Permit
Inspection Phone: 541-726-3769
Fax: 641-726-3676
PERMIT NO: 811-SPR2014-01356
www.springfield-or.gov
parmitcenter@springfield-or.gov
PROJECT STATUS:
Issued ISSUED: 07/18/2014
EXPIRES: 01/13/2015
STATUS DATE:
07/18/2014 APPLIED: 06/24/2014
SITE ADDRESS: 1401 MARKET ST, Springfield, OR 97477
SCOPE: Tenant Infill
ASSESOR'S PARCEL NO:
1703253310004 TYPE OF STRUCTURE:
Commercial
--PROJECT-DESCRIPTION:-------Tenant infill ford
OWNER: BES LLC
ADDRESS: 2105 NW 135TH AVE
PORTLAND OR 97229
OWNER: BROWN PATRICK F
ADDRESS: 2105 NW 135TH AVE
Phone Number:
Phone Number:
PORTLAND OR 97229
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone
General Contractor SILVER FOX CONSTRUCTION COMPANY CCB 172417 10/09/2014 541-6218708
INSPECTIONS REQUIRED
Inspections
1996 Final Inspection — Planning
8999 Final Fire
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
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.
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 Safety. 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 Co tractor Signature Date
Springfield Building Permit 7/10/2014 1:39:31PM Page 1 of 1
SPRINGFIELD
rR' OREGON
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811-SPR2014-01356
1401 MARKET ST
Cl I'Y OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permits nter@spdngfield-ocgov
RECEIPT NO: 2014001553
RECORD NO: 811-SPR2014.01356
DATE: 07/18/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Building Permit Fee
224-00000-425602
1002
113.57
Continuing Education
224-00000-425606
2.50
SDC: Improvement - Transportation SDC
447-00000-448027
1174
711.89
SDC: Reimbursement - Transportation SDC
446-00000-448026
1173
195.32
SDC: Total Transportation Administration Fee
719-00000-426604
1190
45.36
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
13.63
Technology fee (5% of permit total)
100-00000-425605
2099
5.68
TOTAL
DUE: 1.087.95
Credit Card Brent M Kenyon
703359
1,087.95
TOTAL PAID: 1,087.95
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LLNFIELD CITY OP SPRINGFIELD-_`- 225 FHIh St
TRANSACTION RECEIPT Spdngfield,OR97477
" OREGtlN 541-726-3753
811 -SP R2014-01356
ww .spdngfield-or.gov 1401 MARKET ST permitoenter@spdngfield-ocgov
RECEIPT NO: 2014001365 RECORD NO: 811-SPR2014-01356 DATE: 06/24/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Commercial 224-00000-425602 1060 73.82
TOTAL DUE: 73.82
PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID
Check Grateful Meds LLC 73.82
5033
TOTAL PAID: 73.82
Structural Permit Application
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
CATEGORY OF CONSTRUCTION __
❑ Residential ❑ Government El Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: ST -
City:
I State: ZIP. L`1-1
Subdivis on: Lot no.:
q
Reference: of Taxlot:
PROPERTY OWNER
Name: E... i_....
AddresNW IZ
City:
State: 0 ZIP:
Phone: - 7 t
E-mail: r
Building Own or wner whorizing this application:
Sign here: 20 '
If
❑ This installation is bein made on residential or faun property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION'
Businessname:
Address: I('3 e -V L fOU 1) V2 --
City: , s State:ZIP: TS
Phone: -
E -mail:
CCB license no.:
Print name:
Signature:
(e) Subtotal of fees above (2a through 2d):
' SUB:CONTRACTOR INFORMATION
Name
CCB License #
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee 12a]):
$
Plumbing
$
4 -Miscellaneous fees' ,
Mechanical
(a) Seismic fee, I% (.0I x permit fee [2a]):
$
DEPARTMENT USE ONLY
Permit no.:,0W
Date:
or if work is -
FEE SCHEDULE
1. Valuation information
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square 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+2e)):
$
(e) Subtotal of fees above (2a through 2d):
$
3. Plan reytew fees
(a) Plan review (65%x permit fee [2a]):
$
(b) Fire and life safety (40%x permit fee 12a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4 -Miscellaneous fees' ,
(a) Seismic fee, I% (.0I 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+4b+4c):
S%
Ct.