HomeMy WebLinkAboutPermit Building 2014-09-09SPRINGFIELD --
n, CITY OF SPRINGFIELD
s
°RECON Building /Commercial Permit
PERMIT NO: 811-SPR2014-01945
wvnv. spdngfield-ocgov
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nler@spdngfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/09/2014 EXPIRES: 03/0712015
STATUS DATE: 09/09/2014 APPLIED: 09/09/2014
SITE ADDRESS: 303 S STH ST, STE# 112, Springfield, OR 97477
SCOPE: Interior
ASSESOR'S PARCEL NO: 1703350000307 TYPE OF STRUCTURE: Public
PROJECT .DESCRIPTION: .........Install .partial . height wall and relocation ofbathroom. door _...
OWNER: CITY OF SPRINGFIELD
ADDRESS: 225 N 5TH ST
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
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 require lnspectio re re Bested at the proper time, that each address is readable from the street, that the
permit card is tocatg t the fron f theme rty, and the approved set of plans will remain on the site at all times during
construction. � y /
Owner Contractor Signature Date
I?O' Icr-:
11 IIS PERMIT SHALL EXPIRE IF THE WORK
AUDI IORIZED UNDER THIS PERMIT IS NOT
COi'd1114ENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
`I; I I'+ r`nUiles You t0
lig'. Oregon Utility
� Cant(1. Those ruleS are set forth
m t )AR 952-001-0010 through OAR 052-001-
0000. YOU rnay obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800.332-2344).
Springfield Building Permit 9/9/2014 1:13:00PM Page 1 of 1
lT Q) SPR GIUE
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
CONSTRUCTION —
CATEGORY OF -CONSTRUCTION-------
Residential
Residential
❑Government Commercial
JOB SITE INFORMATION AND tOCAfION
Job site address: j
City: a State: ZIP:
Subdivision: I Lot no.:
Reference: Taxlot:
PROPERTY OWNER
Name:.'
Address: - n -
City:
State:'CDf JZIP:
Phone:
16
E-mail, i 114S -1 A —eD ^d
Building Owner or t er's ag t auth ing this application:
Sign her •/(✓i��
❑ This ins ation is being made on residential or farm prope y owned by
me or a in nber of my immediate family, and is exempt from licensing
requirem under ORS 701.010.
CONTRACTOR
nINSTALLATION
Business name: t_r
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
$ i
SUB -CONTRACTOR INFORMATION ,
Name
CCB License N
Phone Number
Electrical
$
(b) Fire and life safety (40%x permit fee [2a]):
Plumbing
(c) Subtotal of tees above (3a and 3b):
S
Mechanical
(a) Seismic fee, 1%(.01 x permit fee [2a]):
DEPARTMENT USE ONLY
Permit no.: V
Date:
80 days of IssuaAce or if work is
–FEE SCHEDULE
1. Valuation information
(a) Job description: h rt 1 G�
'
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new ❑atteration ddition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation: J a 3 iJ L">
$
2. Building fees
(a) Permit fee (use valuation table):
$ �—
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of (tours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$ i
(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 tees above (3a and 3b):
S
4. Miscellimeous fees
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
$ (('6 5
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
S r14) 7 5
19
SPRINGFIELD CITY OF SPRINGFIELD
225 Filth St
t t w TRANSACTION RECEIPT Spnngfield,OR97477
OREGON 541-726-3753
811-SPR2014-01945
w .springfield-or.gov 303 S 5TH ST. STE 112 permitcenter@spnngfield-ocgov
RECEIPT NO: 2014001972 RECORD NO: 811•SPR2014.01945 DATE: 09/09/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Building Permit Fee 224-00000-425602 1002 92.52
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 11.10
Technology fee (5% of permit total) 100-00000-425605 2099 4.63
TOTAL DUE: 110.76
Credit Card
034476
:..110.76 _.... _.1
TOTAL PAID: 110.76
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