HomeMy WebLinkAboutPermit Building 2014-07-18PROJECT STATUS: Issued ISSUED: 07/18/2014 EXPIRES: 01/13/2015
STATUS DATE: 07/18/2014 APPLIED: 06/26/2014
SITE ADDRESS: 418 A ST, Springfield, OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703353102700 TYPE OF STRUCTURE: Commercial
-----PROJECT-
OWNER: NEIGHBORHOOD ECONOMIC DEVELOPMENT CORP Phone Number:
ADDRESS: 212 MAIN ST
225 Flfih St
SPRINGFIELD
CITY OF SPRINGFIELD
Springfield,OR97477
(�'ir
Contractor Type
Phone: 541-726-3753
-` OREGON
Building / Commercial Permit
Inspection Phone: 541-726-3769
INSPECTIONS REQUIRED
Inspections
Fax: 541-726-3676
1110 Footing
PERMIT NO: 811-SPR2014-01388
1150 Slab/Flatwork
t w .springfield-ocgov
permitmnter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/18/2014 EXPIRES: 01/13/2015
STATUS DATE: 07/18/2014 APPLIED: 06/26/2014
SITE ADDRESS: 418 A ST, Springfield, OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703353102700 TYPE OF STRUCTURE: Commercial
-----PROJECT-
OWNER: NEIGHBORHOOD ECONOMIC DEVELOPMENT CORP Phone Number:
ADDRESS: 212 MAIN ST
SPRINGFIELD
OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor
FELIX BROS CONSTRUCTION INC CCB 194314 06/2012015 541-337-1143
INSPECTIONS REQUIRED
Inspections
1110 Footing
Footing: After trenches are excavated.
1150 Slab/Flatwork
Slab: To be made after all inslab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
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
perrcard i ocated at the front of the properly, and the approved set of plans will remain on the site at all times during
cons ruction.
5
Owner or Contras or g re Date
ATTENT1aNt Oregon law rerptires you to
follow rules adopted by "''' U''"roti Utility
Notification Center. Thocca r ll''s are set forth
in OAR952•001 obtainlcopi," of the rut s by
0090. You may Not;; the telephone
Calling the Center.
numbe lot the 1-8oil
NO. TIaSICEPERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 7/18/2014 3:59:15PM Page 1 of i
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$PRINGFIELD - CITY OF SPRINGFIELD
! 225 Fffth St
� � TRANSACTION RECEIPT Spdngfie1d,0R97477
OREGON 541-7283759
811-S P R2014.01388
w .spdngfield-ocgov 418 A ST permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001558
RECORD NO: 811-SPR2014-01388
DATE: 07/18/2014
DESCRIPTION
ACCOUNT CODEITRANS CODE
AMOUNT DUE
Building Permit Fee
224-00000-425602
1002
549.50
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
65.94
Technology fee (5% of permit total)
100-00000-425605
2099
27.48
TOTAL DUE: 764.42
...�..�...:...- ......, .. s.. ,. .....�....,.
.........r�
AMd11NT PAM
Credit Card Elizabeth Price 764.42
718145
TOTAL PAID: 764.42
SPRINGFIELD CITY OF SPRINGFIELD
t 1 c.. - 225 Fifth Sl
�,,, TRANSACTION RECEIPT 541-72 -3753 97477
OREGON 541-726-3753
811-SPR2014-01388
wvnv.springfield-ocgov 418 A ST permitmnter@spdngfieid-or.gov
RECEIPT NO:
2014001389 RECORD NO: 811-SPR2014.01388
DATE: 06/26/2014
DESCRIPTION
ACCOUNT CODEITRANS CODE
i ANIOUNTWE
Structural Plan Review Fee Commercial
224-00000-425602 1060
357.18
TOTAL DUE: 357.18
PAYMENTTYPE
PAYOR CASHIER:JLARSON
COMMENTS
AMOUNTPAIP -)-.
Credit Card
NEIGHBORHOOD ECONOMIC
357.18
616291
DEVELOPMENT CORP
TOTAL PAID: 357.18
Structural Permit Application
225 Fifth Street 4 Springfield, OR97477 t• PH(541)726-3753 ♦ FAX(541)726-3689
SPRINGFIELD
Y�
�� �' L NrEiidH
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within
suspended for 180 days.
ARTMENT USE ONLY
180
LOCAL GOVERNMENT APPROVAL
1. Valuation information
This project has final land -use approval.
Signature:
Date;
days of issunnc
This project has DEQ approval
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
❑ Residential ❑ Government ❑ ommercial
JOB SITE INFORMATION AND LOCATION
Job site address:- 4 f e
Other information:
.City: f5t%ol State:
ZIP:g7'7
Subdivision: I Lot no.:
Reference: It f6:5 3 .�� Taxlot:
PROPERTY O_ WNER
Name:�p�� o 0 0 Ico va
Address:
City: State: ZIP: Q 717 7
Phone:S q I q S^ 1 0 b Fax: 5 t11 - S tl S -'q 58 q
E-mail:
Bur ldingOwner o Owner's agent authorizing this application:
Sign here:
❑ This ins ta anon is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INS_ TALLATION.`
Business name:
Address:
City: tate: ZIP:
Phone: Fax: -
E-mail:
CCB license no.:
Print name:
Signature:
(e) Subtotal of fees above (2a through 2d):
SUB -CONTRACTOR 'iNFORMATION
Name
CCB License #1
Phone Number
Electrical L\pt wire- `cQf �c
(b) Fire and life safety (40%x permit fee [2a]):
W-3 1- %old'
5�/i- Sal-78�p
Plumbing
$
4.Miscrllaneous fees -
Mechanical
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
ARTMENT USE ONLY
180
t no.
L
1. Valuation information
Z
/
days of issunnc
or i work is
FEE SCHEDULE
1. Valuation information
(a) Job description: e -,Of.t•--
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ newYeration ❑ addition
(b) Foundation -only permit? ❑ Ye5 ❑ No
Total valuation:
,.,Buildlog 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):
$
an 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 3b):
$
4.Miscrllaneous 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
52.50
TOTAL fees and surcharges (2e+3c+4a+46+4e):
7fto.ljf177>'� 77-C
'3q) '77067
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