HomeMy WebLinkAboutPermit Building 2014-09-08SPRINGFIELD - - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
L' Phone: 541-726-3753
oaeeoN Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01489
v .sprngfieldacgov permitoenter@spdngfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/08/2014 EXPIRES: 03/06/2015
STATUS DATE: 09108/2014 APPLIED: 07/10/2014
SITE ADDRESS: 1891 PIONEER PARKWAY EAST, Springfield, OR 97477 SCOPE: Site Work Only
ASSESOR'S PARCEL NO: 1703262302302 TYPE OF STRUCTURE: Commercial
—PROUECT�DESCRIPTION: Site -accessibility -improvements -for Pioneer-Plazaparkingare
OWNER: PIONEER STATION LLC Phone Number:
ADDRESS: 11501 NORTHLAKE DR
CINCINNATI OH 45249
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor JOSEPH HUGHES CONSTRUCTION INC CCB 45645 05/12/2016 503-624-7100
INSPECTIONS REQUIRED
Inspections
1070 Parking Lot
By signature, I slate 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
contruction. C n^1
O �U�
Owner or C ntractor Signature
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those Riles 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 1-800-332-234,1).
Date
IS PI Rf1Il[[ SI lAL[ EXI)ME IF THE WORK
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Springfield Building Permit 9/8/2014 9:41:47AM Page 1 of 1
SPRINGFIELD—"
CITY OF SPRINGFIELD
'
TRANSACTION RECEIPT
225 Fffth St
hkEL0
Spnngfie1d,0R97477
541-726-3753
R E G ON
811-SPR2014-01489
w .spnn9field-or.gov
1891 PIONEER PARKWAY EAST
permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001947
RECORD NO: 811-SPR2014-01489.
DATE: 09/08/2014
Building Permit Fee
224-00000-425602
1002
166.17
Continuing Education
224-00000-425606
2.50
Planning - Minor Review - City
100-00000-425002
1231
119.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004
1099
19.94
Structural Plan Review Fee Commercial
224-00000-425602
1060
108.01
Technology fee (5% of permit total)
100-00000-425605
2099
8.31
TOTAL DUE:
423.93
Check JHC Commercial LLC
423.93
60087
TOTAL PAID: 423.93
0
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Structural Permit Application
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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 Commercial
JOB SITE I ORMATION AND LOCATIO
Job site address: p !jW
D[4U9L
City: j l
State:4 1 Z 7471
Subdivision: I Lot no.:
Reference: Taxlot: b 67
PROPERTY OWNER
Name: F(la I P$ l S 6 fi 60
Address: 01 1610VW9
City: (I State:() f f ZIP:
(b) Foundation -only permit? ❑ Yes ❑ No
Phone: ?/• `L did Fax: - -
E-mail:
Building Osvne r wrier's agent authorizing this application:
Sign here: �-
❑ 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'
Business name: 6 _
Address: ('L-'
City: 0 State: ZIP: Z(
C,
Phone: W(o Fax5b3 6p
E-mail: 4 vl (?— o C V
CCB license no.:
Print name:
Signature:
$
SUB -CONTRACTOR INFORMATION
Name
CCB License #
Phone Number
Electrical
$
4.. Miscellaneous fees;
Plumbing
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
Mechanical
$
(c) Continuing Education Fee $2.50
I DEPARTMENT USE ONLY I
Permit no.: 5/V—
I
/f/_
Date: 4�o lc/
S0 da� saanee or if wnrk is
FEE SCHEDULE
1. Valuation information.
13
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(a) Job description: 6CEI�S e
Occupancy �k'cNL.-�,Tf
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new `alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
�f
Total valuation:
$
2. Building fees
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
$ /,7
$
(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 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+4n+4b+4c):
$ y ��
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