HomeMy WebLinkAboutPermit Building 2014-07-30SPEEZA
225 Fifth Sl
CITY OF SPRINGFIELD
Springfield,OR97477
Phone: 541-726-3753
OREGON
Building if Commercial Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01621
www.spnngfleld-or,gov
permitoenter@spnngfield-or.gov
PROJECT STATUS:
Issued ISSUED: 07/30/2014
EXPIRES: 01/25/2015
STATUS DATE:
07/30/2014 APPLIED: 07/29/2014
SITE ADDRESS: 3255 GATEWAY ST, Springfield, OR 97477
SCOPE: Apartment Building
ASSESOR'S PARCEL NO:
1703222002200 TYPE OF STRUCTURE:
Residential
-PROJECT -DESCRIP-TION:
Replace -stairs -at -units -21,-22,-213,-219
OWNER: G VILLAGE LLC
Phone Number:
ADDRESS: 16771 NE 80TH ST STE 208
REDMOND WA 98052
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lic Type
Lie No Lie Exp Phone
--
General Contractor
LARRY BEAN BROWN CCB
167860 01/0312016 503 -364 -8441
INSPECTIONS REQUIRED
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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 properly, and the approved set of plans will remain on the site at all times during
construction.
Owner or Contractor Signature Date
FtH I ICC:
1l HS PERMIT SHALL EXPIRE IF THE WORK
11IIIORIZED UNDER PHIS PERMIT IS NOT
ir
til
CNCED OR IS ABANDONED FOR
1-1 P"'), PERIOD.
A iv ra( . :Oregon I- ro requires
foflo adopted 1)j,
Notilicrltion Center the O1e You to
in 0' . r �rhose rules argon u a� forth
0000. 1001-0010 through OAR 0set 52 -
You may obtai11 copies of the 52-0 by
calling (he center. (Note: the telephone
number for the Oreoon Utility Netilicati
Confer is 1-800-332-2344), on
Springfield Building Permit 7/30/2014 10:26:13AM Page 1 of 1
Lt—"'
ELD -' CITY OF SPRINGFIELD
225 Fifth St,, TRANSACTION RECEIPT 225 Fifth St R87477
OREGON 541-726-3753
811-SPR2014-01621
mm.spnngfieldocgov 3265 GATEWAY ST Permitcenter@sp6n9field-oc9ov
RECEIPT NO: 2014001635 RECORD NO: 811-SPR2014-01621 DATE: 07/30/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 166.17
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 19.94
Technology fee (5% of permit total) 100-00000-425605 2099 8.31
TOTAL DUE: 196.92
Credit Card Preferd Customer Patricia Perterson 196.92
002346
TOTAL PAID: 196.92
SPRINGFIELD - CITY OF SPRINGFIELD
1 225 Fdth SI
TRANSACTION RECEIPT Spnngfield,OR97477
- OREGON 541-726-3753
811-SPR2014-01621
mwi.sp6ngfield-or.gov 3255 GATEWAY ST permitcenter@sp6ngfield-or.gov
RECEIPT NO: 2014001627 RECORD NO: 811-SPR2014.01621 DATE: 07/29/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE `
Structural Plan Review Fee Commercial 224-00000-425602 1060 108.01
TOTAL DUE: 108.01
PAYMENT TYPE 'PAYOR CASHIER: ccANPENTER COMMENTS iAMOUNT PAID
Cash G VILLAGE LLC 108.01
TOTAL PAID: 108.01
�f ��,ITV OF mS,'PRINCrF1ELb; O1�CiODi � � �,� �v� ��
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./��//C/
Signature:
Date;
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CpStSTRUCT1ON
❑ Residential ❑Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 3a SS 6-aS�-
City: SA, -".q.4 field State: D /e ZIP: 474f7
Subdivision: I Lot no.:
Reference: Taxlot:/7'03-.2.1 -O A00
PROPERTY OWNER
Name:. 11&4e
Address: /677/ A6* 86fn 6E. der O
City:
State: W/9-
ZIP:980Sa
Phone: 7/ V Sv
I Fax: 74q - 784- gyl3
E-mail: 6144 5 1,4.5 C G MA I /. C o rn
Building Owner or Owner's agent authorizing this application:
Sign here: GGthGf�L�.J (/�Q�
❑ This installation 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 INSTALLATION t
Business name: tffL
Address:)06' Q 9VKT
City: Istat6 ZIP.
Phone: ax: - -
E-mail:
CCB license no.:
Print name: /lEJ7tii(/
Signature:
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
SUB -CONTRACTOR INFORMATION',
Name
CCB License #
Phone Number
Electrical
(a) Plan review (65%x permit fee [2a]):
$ ��
Plumbing
$
(c) Subtotal of fees above (3a and 3b):
Mechanical
4. Miscellaneous fees%
DEPARTMENT USE ONLY
Permit no.: 51q -16Z(
Date:
nr if wnrlr is
FEE SCHEDULE
1. Valuation information
(a) lob description:
Occupancy y
Construction type: 1
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]):
$ �!
(e) Subtotal of fees above (2a through 2d):
$
3. Plan reviewSees
(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]):
$ WTI—
(c) Continuing Education Fee $2.50
$2,50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
_1,6�
S Lf l
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Gateway Village Community
3255 Gateway Street Office #OFC
Springfield, OR 97477
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