HomeMy WebLinkAboutPermit Building 2019-06-11SPRINGFIELD
OREGON
Web Address: www.springfield-or.gov
Building Permit
Commercial Structural
Permit Number: 811-19-001309-STR
IVR Number: 811039211939
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
Permit Issued: June 11, 2019
TYPE OF WORK
Category of Construction: Commercial
Type of Work: Tenant Improvement
Submitted Job Value: $7,000.00
Description of Work: Tenant Infill and bathroom upgrade "Map Chocolate"
306 SITE INFORMATION
Worksite Address
Parcel Owner: MASAKA PROPERTIES LLC
349 MAIN ST
1703353112000 Address: 1657 DELROSE AVE
Springfield, OR 97477
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
License License Number Phone
TTK CONSTRUCTION LLC -
CCB 216451 541-668-2383
Primary
PENDING INSPECTIONS
Inspection
Inspection Group Inspection Status
1999 Final Building
1999 Final Building
1260 Framing
Struct Com Pending
Struct Com Pending
Struct Com Pending
1540 Gypsum Board/Lath/Drywall Struct Com 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
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811039211939
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 6/11/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
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Structural Permit Application
225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689
SPRINGFIELD
61
oaaGaw
DEPMTMENT USE ONLY
Permit no.:
1q.
13�
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL i
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 INFORMATION AND LOCATION
Job site address: /►'� /�
City: �,d I State:,el� I ZIP:
Subdivision: I Lot no.:
Reference: [1 -03 - 5S• 31 Taxlot: MCXX)
PROPERTY OWNER
Name: ref L.iL
Address: ,S
City: 3XI9199 State: Q ZIP: f jjr f %1
Phona$'V/— 3 9.r P90 0 Fax: -
SUB -CONTRACTOR INFORMAnON
Building Owner or ner's agen • uthorizing this applicatio
Sign he
❑ This installation is bei g made on ential or farmproperty owned by
me or a member of my immediate family; and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name:
Address:
City:
State: ZIP:
Phone: - -
Fax: -
E-mail:
CCB license no.: 21404$1
Print name: 73�sdw 411,0107'r
Signature:
SUB -CONTRACTOR INFORMAnON
Name
CCB License #
Phone Number
Electrical
Total valuation:
Plumbing
2. Building fees
Mechanical
$
(b) Investigative fee (equal to [2a]):
Last edited 5-5-2017 BJones
FEE SCHEDULE
1. Valuation information
(a) Job description:-erey-H- 1'1 P 1 l
Occupancy v r G
4
Construction Type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new ❑alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
S0o C)
2. Building fees
(a) Permit fee (use valuation table):
$
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection (S 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 (65% x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4. iMf seellaneous fees
(a) Seismic fee. 1% (.01 x permit fee [2a]):
$
(b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c])
$
TOTAL fees and surcharges (2e+3r+4a+b):
$ C)
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