HomeMy WebLinkAboutPermit Building 2014-08-27SPRINGFIELD
1 w
vnvw.springfield-or.gov
CITY OF SPRINGFIELD
Building / Commercial Permit
PERMIT NO: 811-SPR2013-02180
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3763
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenter@spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/27/2014 EXPIRES: 02/22/2015
STATUS DATE: 08/27/2014 APPLIED: 09/27/2013
SITE ADDRESS: 851 52ND ST, Springfield, OR 97478 SCOPE: Storage Building
ASSESOR'S PARCEL NO:
1702332101219 TYPE OF STRUCTURE: Commercial
–PROJECT _DESCRIPTION,
FinaLthree-storage_buildings—Nolurther_extensions _ to be_issued-after _9L22t14_without
Minor Mod to SPR due to expired timelines.
OWNER: 1-105 SECURE STORAGE LLC Phone Number:
ADDRESS: 35379 MCKENZIE VIEW DR
SPRINGFIELD OR 97478 '
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor
RICHARD A TRICKEY INC CCB 52320 01/07/2016 541-954-2014
INSPECTIONS REQUIRED
Inspections
1996 Final Inspection – Planning
1020 Zoning/setbacks
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.
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 property, and the approved set of plans will remain on the site at all times during
construction
Ow
TTFNTION; reoon law Ietlunca yuu rd
tiollow ertqd I( H`T)y the Oregon Utility
Notification Center. Those rules are set forth
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).
Date
�0 r ICE;
I ITIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COIdIMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 8/27/2014 10:52:41AM Page 1 of 1
SPRINGFIELD -
RECORD NO: 811-SPR2013-02180
Cl FY OF SPRINGFIELD
1 -:
TRANSACTION RECEIPT
225I'M St
Springfield,OR97477
OREGON
811-SPR2013-02180
541-726-3763
wwwspringfield-or.gov
851 52ND ST
permitcenter@spdngfield-ocgov
RECEIPT NO: 2014001887
RECORD NO: 811-SPR2013-02180
DATE: 08/27/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Building Permit Fee
224-00000-425602
1002
6,206.14
Commercial Fire (.10 Per Sq Foot)
100-00000-424005
9112
4,000.00
State of Oregon Surcharge (12% of applicable
fees) 821-00000-215004
1099
744.74
Technology fee (5% of permit total)
100-00000-425605
2099
310.31
TOTAL DUE:
11,261.19
PAYMENTTYPE 'PAYOR CASHIER:RHOLMAN ;'COMMENTS AMUUNI VAID
CheC�I--TO6-SECURESTORAGE-LEC---- 1161:19
2669
TOTAL PAID: 11,261.19
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SPRINGFIELD --
CITY OF SPRINGFIELD
t r
TRANSACTION RECEIPT
225 Fifth St
Spdngfield,OR 97477
OREGON
811-S PR2013-02180
541-726-3753
www.springfield-or.gov
851 52ND ST
permitcenler@springfield-or.gov
RECEIPT NO: 2013002161 RECORD NO: 811-SPR2013-02180 DATE: 09/27/2013
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Commercial 224-00000-425602 1060 4,033.99
TOTAL DUE: 4,033.99
Credit Card R TRICKEY 4,033.99
617262
TOTAL PAID: 4,033.99
Structural Permit Application
225 Fifth Street 1 Springfield, OR 97477 ♦ PH(541)726-3753 4 FAX(541)726-3689
SPRINGFIELD-'"
3 {
OREGON
Permit no.: `/ 2-- `fir
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 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
Pro erty is within Flood plain: ❑ Yes ❑ No
" CATEGORY UF, CONSTRUCTION '
C] Residential 0 Government xConarnercial
" 'JOB SITE INFORMATION A D LO¢. TION '
Job site address: z Q
City:,$ [ State: 0/L• ZIP: 47%V`18
Subdivision: I Lot no.:
Reference: j> j Taxlot:
_ PROPERTY OWNER' ;:
Name: S6i R�e�
Address: ffSl ,3'0?'�'b $r
City: /�,(/ {/ELQ
State: Q• ZIP. 'jrr,
Phone: ,S� - aQ
Fax:Sff ' E'S•' 0985
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here•�fX
❑ This installation is being made on residential or farm4loperty owned by
me or a member of my irmnediate family, and is exempt from licensing
requirements under ORS 701.010.
=`CONTRACTOR INSTALLATION`.
Business name:,?/&*W A 7XIeleA-1INe—
Address: / X)
City:,s eZ
State: tl!ot I ZIP. Q 7%
Phoneg-j// 19gV dolAl
Fax: t
E-mail:
CCBlicenseno.: p?
Print name: Xgo
Signature:
(e) Subtotal of fees above (2a through 2d):
SUB CONTRACT_ORL11 RMATION
3.iPlan review fees � `-
Name
CCB License #
Phone Number
Electrical
S
(c) Subtotal of fees above (3a and 3b):
Plumbing
4. Wit seell aneous fees, --
Mechanical
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
or if work is
FEE SCHEDULE
1. \'aluationifnfarmation -
(a) Job descripti :3 r
!J
Drennan cy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
ew Dalteration ❑ addition
(b) Foundation -only permit? ❑ Yes o
Total valuation:
Zhl0 OA
(a) Permit fee (use valuation table):
S '
(b) Investigative fee (equal to [2a)):
S
(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):
S
3.iPlan review fees � `-
(a) Plan review (65%x permit
(b) Fire and life safety (40% x permit fee [2a]):
S
(c) Subtotal of fees above (3a and 3b):
S
4. Wit seell aneous fees, --
(a) Seismic fee, l% (.0l x permit fee [2aJ):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
S
TOTAL fees and surcharges (2e+3c+4a+4b):
$
Structural Permit Application SPRINGFIELD -
a
225 Fifth Street 1 Springfield, OR 97477 ♦ PH(541)726-37531 FAX(541)726-3689 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
t :;CATEGORY OF'.CONSTRUCTION _
F) Residential ❑Government Commercial
SITE.:INFORMATIONA D,CO ' TION
Job site address: Z
City: �$ State: a/L ZIP: Qi 7
Subdivision: I Lot no.:
Reference: Taxlot:
., PROPERTY' OWNER, ,
Name: SCC' ,et.f7 E
Address: of -ow AAO $7'
City:/ f /E(Q
State: d' ZIP. 'f 'j�
Phone: S' ^ o'lO
Fax:S�{ ' $r- 0'?Or
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here•
❑ This installation is being made on residential or perry owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
- ,-KCONTRACTOR IN§TALL'ATION.;��--.
Business name:Adow A. reeieleAY INe—
Address: 11A, D
City:s '6416
State: Q ZIPd71
Phone: o/
Fax: Q g
E-mail:
CCB license no.: p�
Print name:
Signature:
(e) Subtotal of fees above (2a through 2d):
--�—SW�CONIRAGTOR
INFORINATLO�_
�_
Name
CCBLicense#
Phone Number
Electrical
(e) Subtotal of fees above (3a and 3b):
S
Plumbing
(a) Seismic fee, 1% (.01 xpernit fee [2a]):
ff
Mechanical
S
TOTAL fees and surcharges (2e+3c+4a+4b):
Permit no.: `+ �— 2(
Date:
or If work i<
:FEE_SCHEDULE
1:`- *a toriiinformalto n` ---
(a) Job descnpti .3
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Beat.
Energy Path:
Wow ❑alteration ❑ addition
(b) Foundation-onlypemilt7 ❑ Yes o
Total valuation:
a do od
2. Buildmg fees ,
(a) Permit fee (use valuation table):
S '
(b) Investigative fee (equal to [2a]):
S
(c) Reinspection (S per hour):
(number of hours x fee per hour)
S
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
S
(e) Subtotal of fees above (2a through 2d):
S
=3a�'lan revlew:fees� j"� -
-
(a) Plan review (65%x permit fee [2a]);
I S o -?j,
(b) Fire and life safety (40%x permit fee [2a]):
$
(e) Subtotal of fees above (3a and 3b):
S
,4:Yltscellanegnsfees, -_- _
(a) Seismic fee, 1% (.01 xpernit fee [2a]):
ff
(b) Technology fee, 5% (.05 x permit fee[2a]):
S
TOTAL fees and surcharges (2e+3c+4a+4b):
S