HomeMy WebLinkAboutPermit Building 2018-12-28OR EGON
Web Address: www,springfi eld-or.gov
Building Permit
Commercial Structural
Permit Number: 81 1 -1 8-003003-STR
IVR Number: 81 1 080729663
City of Springfield
Development and Public Works
225 Fifth Street
Sprinqfield, OR 97477
54t-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGFIELO
,gn
Permit lssued: December 28. 2018
TYPE OF WORK
Category of Construction: Commercial
Submitted Job Value: $8,000.00
Description of Work: Partial demo of non]oading bearing partition walls
Type of Work: Demolition
JOB.SITE INFORMATION
Worksite address
1075 INTERNATIONAL WAY
Springfield, OR 97477
Parcel
1703153300801
Owner:
Address:
LARGE CENT LLC
PO BOX 26125
EUGENE, OR 97402
LICENSED NFORMATI ON
Business nama
ILO CONSTRUCTION LLC - Primary
License
ccB
License number
210139
Phone
541-521 -O1 14
PENDING INSPECTIONS
lnspection
1999 Final Building
1999 Final Building
lnspection group
Struct Com
Struct Com
lnspection status
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing
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 number: 811080729663
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMTT FEES
Fee Description
Technology Fee
Structural building permit fee
State of Oregon Surcharge - Bldg (l2o/o of applicable fees)
Quantity
Total Fees:
Fee Amount
$8.77
$175.32
$21.o4
$20s.13
Permits must bs posted in clear vaew on the wo*site. Permils 6xpire it woak is not started within 180 Days of issuanco or it work is
suspsndqd for ,80 Oays or longor depending on the issuing agoncy's policy.
All provlsions ot laws and ordlnances governlng this type of work will bo compliod with whether specitiod herein or not. Granting of
a permlt does not presume to glvs authority to vlolate or cancol the provlslons of any othor state o. local law regulatlng constructlon
or ths peaformance ot conslructlon.
ATTENTION - CALL BEFORE YOU DIG: Oregon law rsquirss you to tollow rulos adoptod by the Orogon Utility Notification Cente,.
Thoss rules aro s€t forth ln OAR 952-001.O010 through OAR 952{01{090. You may obtaln copies ol tho rules by calling the Centsr at
(E77) 668.4001 or dial 811.
All porsons or ontltles performing work und6r thls permit aro requlred to bo llcensed unless oxempted by ORS 701.010
(St.uctural/Mechanical), ORS 479.t10 (Electrlcal), and ORS 693,0t0.020 (Plumbing).
Printed on: 12128118 Page 1 of 1 std_BuildingPermrllr.
3*.
SPRINGFIELD
tt
OREGON
www.springlleld-or. gov
Worksite address: 1075 INTERNATIONAL WAY, Springfield , OR 97477
Parcel: 1703153300801
Transaction Receipt
8t 1 -.t 8-003004-PLM
Receipt Number: 468982
Receipt Date:'12128118
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfield-or.gov
Fees Paid
Transaction date
12t28t18
Units Descriptlon
8.00 Oty Other - plumbing
Fee Notes: Plumbing fixture caps
'1.00 Ea
1.00 Automatic Technology Fee
State of Oregon Surcharge - Plumb (12% of
applicable fees)
821-00000-215004-0000
'1 00-00000-425605-0000
Account code
224-00000-425603-1 034
Fee amounl
$192.00
Paid amount
$192.00
12t24t18
12t28/18
$23.04
$9.60
$23.04
$9.60
Payment Method Credit card authorization
09095C
Payer: Richard Aiello Payment Amount $224.64
Cashier: Thayne Smith Receipt Total:$224.G4
Pnnted 12,2a118 2:O4 9n Page 1 of 1 FIN_TransactionRecerpu)r
City of Springfield
Crrv or SpnrNcrmlo. oREGoN
Structural Permit Application ffi
E Residenlial ! Govemment Commercial
E This installation is bein8 made on residential or farm propert] owned b]
me or a member ofm\ immediaE famil). and is exempr liom Iicensing
req uirements under ORS 701.010
Busuress name zo $a.va< z. c
(c) Subiotel of fees above (3a end 3b):
125 Fifih Steet. Springlield. OR 97477 . PH(sal)726-3753 . F.{X(54 1 )726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is Dot started withitr 180 days ofissua[ce or if work is
suspended for 160 days.
FEE SCHEDULE
1. Veluatior hformalion lloat &€/.At,o€
(a) Job description .cg /r,r:-€/Ua ry
Consmrction rype: //-A alvtzi/-ry I
Square feet '7tf7
Cost per square fool
Other informarion
Type of Heat:
Energ\ Path
E ne" lalteration ! addition
Totrl vallrstioDi S I6crb
2. Builditrg fees
ls
(b) Investigarive fee (equal ro [2a])S
(c) Reinspection ($ per hour)
(number ofhours x fee per hour)
(d) Enter 12% sulcharge (.12 x [2a+2b+2c])js
(e) Sublotal of fees above (2a tbrough 2d):s
3. Plan revien fes
(a) Plan ,evie (65% x pemil fee [2a])
(b) Fire and life safer_'-, (65% x permh fee [2a])$
4. Miscellaneous fees
(b) Tech fee. 5% (.05 x pemit fee[2a]+PR fee [3c])s
rOTAL fees and surcharges (2ef3c+4r+b):S
Occupanc)vo .- *tl.,,,c F
ZoninS approval verified: E Yes fl Xo
Ciry: j
i P.inr na-.
] s,gnu..., Z,A.r,/
Ehctrical
/7o uN /vS €t€d6€
Plumbing
C * a- lt u.*.bt^,C
Mechanical
,e6//52 State
2,o ^/)Ea<4
s
s
CCB License I Phone Number
t7? )f(lvt - ef/Gi72
o S-S1
LOCAL GOVERNMENT APPROVAL
This project has linal land-use approval
Sigaature:Date
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
Job sile address ./tt )Vr- lr Af)cJ
Srae: OL5lt/.,E-e
Taxlo!
Subdivision
Reference 6?o t
Lot no-: i7 'o)
PROPERry OWNER
Name: ZAL 6E C €1,7- aLe
AddEss: Z a64 Za /a1-
Ci$': lue a*€SEte: a 8-ztP: 17 /Ol'.,Phone:5rl'7/y-C7t/Fa)i:
E-mai1
Building Owner or Owner's agenlaulhorizing lhrs apphcarion
Sigoheret z2t4$a ("144
CONTRACTOR INSTALLATION
€r'/.r.,,,tA L 8;.-DAddress/7
ZPFr''77
Phone: {/t' t/l O / ,/ /Fa)i
z.o a-O e*t:< dr sf-
SUB-CONTRACTOR INFORMATION
I-asl edited 5-5-2017 Bjones
7e'2 ot{;'yt - ,29 -a;r.
DEPARTMENT USE ONLY
Permit no,:f n-/L6 /t6
I This project has DEQ approval
I si-u*r",lDare:
I Propenl is within flood plarn: ! Yes f] lo ]
1 Q) Foundation-only permit? EYes Elo
I (a) Permil fee (use valuation rable)l
I
I
(a) Seismic fee, lolo (.01 x permit fee [2a]):
S
E-mail:
CCB license no.: