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HomeMy WebLinkAboutPermit Building 2014-08-22SPRINGFIELD 225 Fifth St ' CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 -=-oaeeoN Building / Commercial Permit Inspection Phone: 641-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01588 w .springfield-or.gov permilcenler@spdngreld-orgov, PROJECT STATUS: Issued ISSUED: 08/22/2014 EXPIRES: 02/1712015 STATUS DATE: 08/2212014 APPLIED: 07/23/2014 SITE ADDRESS: 3100 E 17TH AVE, Eugene, OR 97403 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703334400300 TYPE OF STRUCTURE: Public -PROJEOT-D ESGRIP-AON'. --New-fee-booth OWNER: LANE COUNTY OWNED LANDS DEPT Phone Number: ADDRESS: 125 E 8TH AVE EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 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. 1 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. \xv z Owner or 6nlKlor Signature ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are setforth in OAR 952-001-0010 through OAR 952.001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). V" Date I;I l)TI C E; 1 ITIS PERMIT SHALL EXPIRE IF THE WORK UTIIORIZED UNDER THIS PERMIT IS NOT C`'MENCED OR IS ABANDONED FOR �" qO DAY PERIOD. Springfield Building Permit 6/22/2014 11:15:22AM Page 1 of 1 L�NGF,IELD '- CITY OF SPRINGFIELD , a 225 Fifth St . TRANSACTION RECEIPT Sp ngrield,OR 97477 OREGON 547-726-3753 811-S PR2014-01588 m"v.spdngFleld-or.gov 3100 E 17TH AVE permitconter@spdngfield-ocgov RECEIPT NO: 2014001856 RECORD NO: 811-SPR2014-01588 DATE: 08/22/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 113.57 Continuing Education 224-00000-425606 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 2.50 13.63 Technology fee (5% of permit total) 100-00000-425605 2099 5.68 TOTAL DUE: 135.38 PAYMENT TYPE PAYOR CASHIER: DBOWLSBY COMMENTS AMOUNT PAID LC - LANE COUNTY 080490 TOTAL PAID: 135.38 SPRINGFIELD -- Cll'Y OF SPRINGFIELD 226 Fdth Sl TRANSACTION RECEIPT Spdngfield,OR97477 ai '1 OREGON 541-726-3763 811-SPR2014.01588 %mv.springfield-ocgov 3100 E 17Th AVE permits nter@spdngfield-ocgov RECEIPT NO: 2014001585 RECORD NO: 811-SPR2014.01588 DATE: 07/23/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Structural Plan Review Fee Commercial 224-00000-425602 1060 73.82 TOTAL DUE: 73.82 PAYMENT TYPE PAYOR CASHIEROCCARPENTER COMMENTS AMOUNT PAID Credit Card LANE COUNTY 73.82 007255 TOTAL PAID: 73.82 Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 $PRIM#fl�aecan DEPARTMENT USE LY P This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 da34 of 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 ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 3 % 0 & / tc e_ City: '/' State: O/�_ ZIP? )YO..9 Subdivision: V I Lot no.: Reference: 3 L( Lt I Taxlot PROPERTY OWNER Name: LeG Address: 4A_'4_ City: State: t9k ZIP:-77yd Phone: SVS Yc9l 306-2 Fax: - E-mail: S%s ku, mal Y CJ c a t v cd „�Ga.R • aV • r/S Buildin Owner or caner' agent gpuu orizing this application: Sign le/,X7 v�\`v-\ ❑ This installation is being made of 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" Business name: OkpAdl^ Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: SUB -CONTRACTOR INFORMATION Name CCB License # Phone Number Electrical ,�q/irno- $ 4. Miseellaneous feesi Plumbing N q - (a) Seismic fee, 1%(.01 x permit fee [2a]): $ Mechanical N9 $ (c) Continuing Education Fee $2.50 is FEE SCHEDULE 1. Valuation information (a) Job description:- Occupancy Construction type: Square feet: '722 -S -7`-e fG• Cost per square foot: Pyo 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. Plan1•eview 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. Miseellaneous feesi (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): S yi-W -W d C eX. m�(f-r-Cv � ti," 17-, 01IL4. 6t.0fiie� c, e.t t�t:t,/—s cv-Yl/ ryp&« 'SA44