HomeMy WebLinkAboutPermit Building 2014-08-12SPRINGFIELD
i 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
1 Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01521
mvwspdngfield-acgov permitcenter@sp6ngfield-ocgov
PROJECT STATUS: Issued ISSUED: 08/12/2014 EXPIRES: 02/07/2015
STATUS DATE: 08/12/2014 APPLIED: 07/15/2014
SITE ADDRESS: 335 MAIN ST, Springfield, OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703353112100 TYPE OF STRUCTURE: Commercial
-PROJECT-DESCRIPION. 6evered-entry-sterefront-improvement
OWNER: 341 MAIN STREET LLC Phone Number:
ADDRESS: 341 MAIN ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor ARBOR SOUTH CONSTRUCTION INC CCB 59993 04/28/2016 541-344-3332
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 ' ted at a front of the property, and the approved set of plans will remain on the site at all times during
con cti /
gl �2K-
Owner or Co ractor Signature Date
ATTENTION: Oregon law requires you is
follow rides adopted by the Oregon Utility
Notification Center. Those ruh OAR 952.001 -
in OAR 952-001-0010 throug
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)•
"i'l'" SHALL EXPIRE IF THE WORK
ZED UNDER FHIS PERMIT IS NOT
(:LD OR IS ABANDONED FOR
0 DAY PERIOD.
Springfield Building Permit 8/12/2014 2:23:33PM Page 1 of 1
Wu
NGFIELD CITY OF SPRINGFIELD
; Fifth St
TRANSACTION RECEIPT sP5 ggeld,OR 97477
OREGON 541-726-3753
811-SPR2014-01521
w .spdngfield-or.gov 335 MAIN ST permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001747
RECORD NO: 811-SPR2014.01621
DATE: 08/12/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Building Permit Fee
224-00000-425602
1002
364.00
Continuing Education
224-00000-425606
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
43.68
Structural Plan Review Fee Commercial
224-00000-425602
1060
0.60
Technology fee (5% of permit total)
100-00000-425605
2099
18.20
TOTAL DUE:
Credit Card Arbor South Construction Face lift 428.98
07253J
TOTAL PAID: 428.98
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LCITY OF SPRINGFIELD
,:-.. 225 Fifth St
TRANSACTION RECEIPT Spdngfield,OR97477
*' OREGON 541-726-3753
811-SPR2014-01521
wvnv.spnngfeld-or.gov 335 MAIN ST permitcenler@spnngfield-or.gov
RECEIPT NO: 2014001520 RECORD NO: 811-SPR2014-01521 DATE: 07/15/2014
DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE
Structural Plan Review Fee Commercial 224-00000-425602 1060 236.00
TOTAL DUE: 236.00
` PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID
Credit Card ARBOR SOUTH CONSTRUCTION IN( 236.00
04604g
TOTAL PAID: 236.00
Structural Permit Application
225 Fifth Street f Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689
L
rIELO - f rl�
OREGON
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 WCommercial
JOB SITE INFORMATION :AND LOCATION
Job site address: 1,3`;,C—
,3`;.SCity:
City:State: Olt- ZIP9-I4_-'('
Subdivision: I Lot no.: '—
Reference: 35 Taxlot: y to
PROPERTY OWNER
Name: '5'
Address: ✓ T 1- e_
City: State: ZIP:
I
Phone: Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application: -
Sign her
❑ ' stalladon is 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
1
Business name: �c-xJ'�l�x LCA✓lgt-- yvG
Address: 7bo I_ttnce>lvv Vit°
City: -�,t1�
Slate:6lL ZIP:`?7
Phone. -l3 fyt>lco
Fass7(-- I S )7
E-mail: C6,G. -
CCB license no.: - �[
Print name: [
Signature:
(e) Reinspection ($ per hour):
(number of hours x fee per hour)
$
IS-CONTRACTORINFORMAT
Name
CCB License N
Phone Number
Electrical
(a) Plan review (65% x permit fee [2a]):
Plumbing
(b) Fire and life safety (40%x permit fee [2a]):
$
Mechanical
$
4. Miscellaneous fees
DEPARTMENT USE ONLY
Permit no.: c(/ _/ S
Date:
nr if wnrlr i°
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 Iteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$ o ebC
2 - Building
(a) Permit fee (use valuation table):
$ �'
(b) investigative fee (equal to [2a]):
$
(e) 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):
S
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]):
$
(e) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
S -��✓