HomeMy WebLinkAboutPermit Building 2014-09-04SPRINGFIELD `- 225 Fifth St
Ay
' CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
" OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01578
v .spdngfield-ecgov permilcenter@spdngfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/04/2014 EXPIRES: 03/0212015
STATUS DATE: 09/04/2014 APPLIED: 07/22/2014
SITE ADDRESS: 1100 SHELLEY ST, Springfield, OR 97477 SCOPE: Commercial Miscellaneous
ASSESOR'S PARCEL NO: 1703270000902 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Create temporary-mil opening to allow replacment of-process equipment
OWNER: MCKAY COMMERCIAL PROPERTIES LLC Phone Number:
ADDRESS: 76 CENTENNIAL LOOP STE D
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor ORDELL CONSTRUCTION LLC CCB 177132 07/05/2015 541-747-8734
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1829 Special Inspection
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
1430 Insulation Wall Wall Insulation: Prior to cover.
1155 CMU Wall
1829 Special Inspection
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.
``
Owner or Contractor Signature Date
vATTERTIbq:,b'fJgQrwaw requires you to
l
by the Oregon Utility
follow rules adopted
Notification Center. Those rules are set forth jI E,F
5I IAL EXPIRE IF THE WORT
in OAR 952.001.0010 through OAR 952.001- 1111S PERMIT
THIS PERMIT NOT
oo9o. You may obtain copies of the rules by j Ul I IORIZED UNDER
ABANDONED FO
calling the center, (Note: the telephone t;ti,}p11ENCEp OR IS
b f r the Oregon Utility Notification PERIOD.
num er o AI IY } d0 D
enter is 1.600.332-2344).
Springfield Building Per it 9/4/2014 11:51:08AM Page 1 Of 1
SPRINGFIELD -
CITY OF SPRINGFIELD
*kt
TRANSACTION RECEIPT
225 Fifth St
8pdngfie1d,0R97477
OREGON
811-SPR2014-01578
541-726-3753
mm.spdngfield-or.gov
1100 SHELLEY ST
permits nter@spdngtield-or.gov
RECEIPT NO: 2014001931 RECORD NO: 811-SPR2014-01578 DATE: 09/04/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Planning - Minor Review - City 100-00000-425002 1231 119.00
TOTAL DUE: 119.00
PAYMENT TYPE PAYOR CASHIER: RHOLMAN COMMENTS AMOUNT PAID
Credit Card Dennis Wigham / Turtlemountian LLC 119.00
003628
TOTAL PAID: 119.00
JP121NGFIELD CITY OF SPRINGFIELD
I 4 225 Fah St
TRANSACTION RECEIPT Sp ngfeld,OR97477
` OREGON 541-726-3753
811-SPR2014-01578
www. spring geld-ocgov 1100 SHELLEY ST permitcenter@springrield-or.gov
RECEIPT NO: 2014001579 RECORD NO: 811-SPR2014-01578 DATE: 07/22/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 145.13
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 17.42
Technology fee (5% of permit total) 100-00000-425605 2099 7.26
TOTAL DUE: 172.31
21810
TOTAL PAID: 172,31
Structural Permit Application
223 Pidh Street 4 Spdnsfidd, OR 97477 a PH(341)726-3753 s FAx(341)716J689
'chis permit Is Issued under OAR 918.460.0030. Permits expire If work is not slatted within 1
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has Anti land -use approval.
Si nature:
Dale:
This projeel has DHQ approval.
Signature:
to:
Zoning approval vedOeJ: Q eYa Q- o
Property Is within Rood plain: D Yes ❑ No
CATEOORY OF CONSTRUCTION
❑ Residential I❑ Oovemmenl commercial
JOB 817E INFORMATION AND LOCATION
)obslleaddress: 1100 Shell Sl.
City: fi '2i 8006:0 ZIP: i47
Subdivision: Lot no.:
Ra4brenee: -03-J'7-0 -0 TWO:
PROPERTY OWNER
Namo: tjj<a6mmes-C'Al.E .e
Adarea: 7 Cen enNin 1006 D _
ci : Eu /It.
State:0 ZIP. 7r/G
Phone:S91- -7[02
rax:G4(.Y4y_71o3
E-mail•alle0on e A 0. Cf) M
Thishot Is being made a rosidenlial or farm property owned by
me or a member of my immediate family, and Is exempt from licensing
requirements under ORS 701.010.
Stan herer
CONTRACTOR INSTALLATION___
Businessname: �Y ei
--tr3/s5}Yuc,+lOri—
Address: 'd 77 Erl Rq d
cit : u, art
st.ro: o R zIP:974o
Phonos`11- q7. 873y
Pax: —
R -mall: ONTr- 01.41&.'Ar c7Av. t
CCD lima" M: % 2
Print name:a-
Signature: .
3
SUBCONTRACTOR INFORMATION
Name I CCH1.1censellurubtrl Phone Number
Blealekal
Nunbin
_
Meehaeltal
DEPARTMENT USE ONLY
Permit no.: j' 1 _ Sri
Date, 7ha
80 days of ilsuance 6r If work Is
FEE SCHEDULE
I. Valuation Information
(a)7otidescdptlon: �(7ertri3 in A1or¢h W !1
construction type:
Square feel:
Cost per square feel:
other inrormallon:
'type of Iftalr
Rnergy Paths
new a temlion ❑ addition
(b) Poundallon•only permit? ❑ YesNo
Total valuallox:
S(.�
2, Building fees
(a) Permit Its (use vatuatlon (able):
S
(b) Investigative fee(equal to (2ej):
$
(c) Rein, ellon ($ per hour):
(number or hours x fee per hour)
$
(d) Enter 12%surcharge (.12 x [2a+2b+2a)):
3
(e) Sublets of fees above (Is Through 2d):
S
3. Plan review fees
(a) Plan review (08%x permit to [2a]):
3
(b) Igre and life safety (40%x pemdl fee [2a]):
3
(e) sublet At or fees above (3a and 36):
3
4. Miscellaneous fees
:moi
(a) Seismio fee, 1%(.01 x permit to [2a]):
S
TOTAL fees and surcharges (2e+3c+4a):
3
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