HomeMy WebLinkAboutPermit Building 2014-07-21SPRINGFIELD
I 1 CITY OF SPRINGFIELD
OREGON Building If Commercial Permit
PERMIT NO: 811-SPR2014-01566
mm.spnngfield-acgov
225 Fifth St
Springfeld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/21/2014 EXPIRES: 01/16/2015
STATUS DATE: 07/21/2014 APPLIED: 07/21/2014
SITE ADDRESS: 2090 OLYMPIC ST A, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703254201501
---PROJECT-DESCRIPTION:---- ADAimprovements
OWNER: MCKAY COMMERCIAL PROPERTIES LLC
ADDRESS: 76 CENTENNIAL LOOP STE D
SCOPE: Commercial Miscellaneous
TYPE OF STRUCTURE: Commercial
Phone Number:
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone
General Contractor ORDELL CONSTRUCTION LLC CCB 177132 07/05/2015 541-747-8734
INSPECTIONS REQUIRED
Inspections
1070 Parking Lot
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 Contractor Signature
A7T
.N ION. Oregon law requires you to
follow rules adopted by the Oregon Utility
In OAR 952-001
Notification Center. Those rules are set fort
in OAR 952 001'®btain copes of the rules by
0090. You may hone
Calling the Center. (on UYlity Notifp'tcation
number for the S , 800-332-2344).
Center is 1
Date
NOTICE:
T HIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Spnngfield Building Permit 7/21/2014 11:05:56AM Page i of 1
SPRINGFIELD - CITY OF SPRINGFIELD
_,� 225 Fifth St
t`�,�; TRANSACTION RECEIPT Sp ngfeld,OR 97477
' OREGON 541-726-3753
811-S PR2014-01566
wmv.sp4ngheld-ocgov 2090 OLYMPIC ST A permitcenler@spdng(eld-ocgov
RECEIPT NO: 2014001567 RECORD NO: 811-SPR2014-01566 DATE: 07/21/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE'
Building Permit Fee 224-00000-425602 1002 103.04
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 12.36
Technology fee (5% of permit total) 100-00000-425605 2099 5.15
TOTAL DUE: 123.05
Credit Card
021890
PROPERTIES
TOTAL PAID: 123.05
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This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final Ian d -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 CKCommercial
JOB SITE INFORMATION AND LOCATION
Job site address: Zo 4/ 6
City: ° /�' -e. t State: Q %2 ZIP:
Subdivision: Lot no.:
Reference: Taxlot:
PROPERTY OWNER
Name:�0
Address:
City: W Stater;')
ZIP: � 7
P`
Phone: ,�j — yly 10 Fax: 5 - �j� —710�
E-mail: Go 141
Building Owner or Owner's agent authorizing 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:
Address: 2y7 / G i
City: � •
State: Q ZB': y7��
Phone: -,'� ` 7 7"V73
Pax: 601
E-mail:
CCB license no.:
Print name: e
Signature:
$ s
"SUB -CONTRACTOR ;I NFORMATION
Name
CCB License #
Phone Number
Electrical
$
(b) Fire and life safety (40%x permit fee [2a]):
Plumbing
(c) Subtotal of fees above (3a and 3b):
$
Mechanical
(a) Seismic fee, 1%(.01 x permit fee [2a]):
DEPARTMENT USE ONLY
Permit no.: S//7/_ /JC
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+2c]):
$ s
(e) Subtotal of fees above (2a through 2d):
$
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 3b):
$
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+4b+4c):
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