HomeMy WebLinkAboutPermit Building 2018-11-27SPRINGTIELD
,b Building Permit
Commercial Structural
Permit Number: 81 1-18{02743-5TR
IVR Number: 81 10791790 12
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-7 26-37 53
Email Address: permitcenter@sprinqfield-o..9ov
OREGON
Permit lssued: November 27. 2018
TYPE OF WORK
Category oI Construction: Commercial
Submitted Job Value: $40,000.00
Description of Work: Upgrade fire barriers for Cornbread Cafe
Type ot Work: Alleration
JOB SITE INFORMATION
Workgite address
338 MAIN ST
Springfield, OR 97477
Parcel
1703353107100
Owner:
Address:
MASAKA PROPERTIES
LLC
1657 OELROSE AVE
SPRINGFIELD. OR 97477
LICENSED PROFESSIONAL INFORMATION
Business name
MCKENZIE COMMERCIAL
CONTRACTORS INC - Primary
License number
45539
Phone
541 -343-7't 43
PENDING INSPECTIONS
lnspection
1999 Final Building
'1999 Final Building
1550 Firewall
1 560 Firestop Assemblies
lnspection group
Struct Com
Struct Com
Struct Com
Struct Com
lnspection status
Pending
Pending
Pendtng
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work Contact the issurng
jurisdiction indicated on the permit to determine required inspections for this project
Schedule or track inspections at www.buildingpermits.oregon'gov
Schedule by phone call 1-888-299-2821 use IVR numberr 811079179012
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Permits must be posted in cloar view on the worksite. Permits expire if work is not started within 180 Days ot issuance or i[ work is
suspendeal for'l80 Days or longer dep€nding on the issuing agency'9 policy'
A provisions ot laws and ordinances governing this type of work will be complied with whethGr spgcifiod herein or not Granting of
a permit does not presume to give authority to Jiol"t" o,. ""n""1 th" Provisions ot any other slate or local law regulating construction
or the pgrformance o, construction.
ATTENT|oN - CALL BEFoRE yOU otG: Oregon taw requires you to follow rules adopted by th€ oregon Utility Notification center'
Those rules are set fonh in oAR 952-00t{0;o through oAR 952-oo1-oo9o. You may obtain coPies of the rules by calling the center at
(877) 668-4001 or dial S11.
AllpersonsorentitiespertormingwolkunderthispermitalerequiredtobelicensedunlessexemptedbyoRsT0l.0l0
{structurauMechanical), ORS 479.540 (Electrical), and ORS 693 010-020 (Plumbing)'
Pnnted on 11/27118 Page 1 ol2
Web Address: www.springfield-or.9ov
License
CCB
srd_BurldrngPerm -Pr
Permit Number: 81'l -1 8.002743.STR Page 2 ol2
Fee Description
Technoloqy Fee
Structural building permit fee
State of Oregon Surcharge - Bldg (12ok of applicable fees)
Pnn@d on 11/27ha
Quantity
Total Feesi
Fee Amount
$26.73
$534.66
$64.16
$62s. s s
Page 2 ot 2 std_EuildingPermit_pr
PERMIT FEES
SPRINGfIETD
tt
OR€GON
www.springfield-or gov
Worksite address: 338 MAIN ST, Springfield, OR 97477
Parcel:'1703353107'100
Development and Public Works
225 Fifth Street
Sprangfield. OR 97477
541-? 26-37 53
permitcenter@springfield-or. gov
Transaction Receipt
811-18-002743-STR
Receipt Number: 468686
Receipt Date: 11/27118
Clty of Springfield
Fees Paid
Transaction date
11t27 t18
Units
1.00 Ea
Description
Structural building permit fee
State ol Oregon Surcharge - Bldg (12% of
applicable fees)
Fee amount
$534.66
Paid amount
$534 66
11/27 /18
11t27118
100Ea
1 00 Automatic Technology Fee
82'1-00000-215004-0000
1 00-00000-425605-0000 $26.73
$64 16
$26 73
Payment Methodr Credat card authorization
084141
Payer: mckenzie commercial Payment Amount:$62s 55
Cashier: Katrina Anderson Receipt Total:$625.5s
Ptin\ed 11127l1A 2.11 pm FIN_TransactionReceipt-pr
Account code
224-00000425602-1030
$64 16
Crry oF SpRINcFIELD. oREGoN
Structural Permit Application
225 Fifth SEect . Sprinetreld, OR 97477 . pH(541)726-j753 . FAX(54] )726_1689
Permit no.: !F-21 ix_
is permit is issued uDder oAR 918-460-0030. permits expire if work is not started withitr 160 da.'s Issua ce or if work is
suspeuded for 160 dal s
This project has DEQ approval
Signatulei Occupanc)
Construction l\?e
Square feet:
Cost per square foot:
- Residenlial n Govemment Otier informarion
T] pe of Heat
Job site address 3 {Aar ->l
,f,(rtr't€LD
ffi_{
Th
Zoning approval verified: E Yes E lo
Propenl is within flood plain: ! \'es E ln
Taxlot
PROPERW OWNER
a5e
Date
Loi nc
(-(+
Slsij-: e)Q-ztP
Cirr': 5
\ame
Address
Ciq': 5
E neo Ealreration I addition
(b) Foundation-only permit? E V". D No
(al Permit fee (use vaiuation lable)
Reinspection ($ per hour)
(number ofhours x fee per hour)
(d) Enter 12% sucharge (.12 x [2a-2br2c])
(e) SubtoEl of fees above (la through 2d):
(a) PIan revie\r'(55'/; x permr! fee [2a])
(b) Frre and iife salel f659; x permir fee [2a])
(c) Subtotal of fees above (3s and 3b):
ial or farm propem o*'ned bl
is exempr from licensing
'?-
CCB License #Phone Number
s
€LD (c)
S
s
Buildin8 Owner-orqwner',, agent aurhonzing this application
sign tere: z'-\ )- fr ZtA$:t.ci'@,,. o. ",uo#.- 6l rnt immedrare tamirl. Jd
rcquirements under ORS 701.010.
CONTRACTOR IXSTALLATION
Business name €mevcfie
Address P
+r-qz-
(b) Tech fee. 5% (.05 x pemir fee[2a]-PR fee l3cl)
JOTAL lees aEd surchar8es (2er3ef4r+b):
(a) Seismic fee, I% (.01 x permh fee [2a])
tlt*sl*-
s
s
!
S
E-mail: IG @ (Y1C-C- (nAtr. ,-7-
CCB liceme no.: LISS 3
Print name
@5 v-r
Phone:t
Sr gnatur€
SUB.CONTRACTOR IN
\am e
Electrical
PluInbing
@
DEPARTMENT USE ONLY
Dale
LOCAL GOVERNMENT APPROVAL
This project hai 6na1 land-use approvai
Sl
FEE SCHEDULE
1. Valuatiotr itrformation
(a) Job descriplion t^!* v-f (ErLtxt4 uPorzn D<:
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
S:*rla: CV--l .jZIP
Referencc
Phone J{1. ttE-qnao l t*
E-mail
Energt Prth
Total valuatiotr:sto
2. Building fees
(b) Investigative fee (equal to [2a])
S
:
3. Phn reviet fe€s
4. Miscellaneous fees
SraleCr\':C- zrY: Q
l.,asl ed[ed 5-5-20ii Biones
a ,-!\
Dare
Subdivision:
P/-:.ftranc-j
s
I
Fa)i: