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Home My WebLink AboutPermit Building 2019-10-03OREGON Web Address: www.springfield-or.gov Building Permit Commercial Structural Permit Number: 811-19-002194-STR IVR Number: 811069541397 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or,9ov SPRINGFIELO tb Permat Issued: October 03, 2019 Category of Constructionr Commercial Submitted Job Value: $2,300.00 Description of Work: Partition wall - Suite A Type of Work: Tenant Improvement Worksite Address 1815 MAIN ST Springfield, OR 97477 Parcel 1703363 10740 1 Owner: Address: KIT & KAREN CHAN FAMILY LLC 3BB1 MEADOW VIEW DR EUGENE, OR 97408 Busaness Name BRIDGEWATER CONSTRUCTION INC - Primary License CCB License Number 18576 1 Phone 54r-554-3t67 Inspection 1999 Final Building 1999 Final Building 1260 Framing 1540 Gypsum Board/Lath/Drywall Inspectaon Group Struct Com Struct Com Struct Com Struct Com Inspection Status Pending Pending Pending Pending 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: 811069541397 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 18O 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-OO1-0O1O through OAR 952-001-O09O. You may obtain copies of the rules by calling the Center at (5O3) 232-L947, All persons or entities performing work under this permat are required to be licensed unless exemPted by ORS 701.010 (Structural/Mechanacal), ORS 479.54O (Electrical), and ORS 693.O1O-O20 (Plumbing). Printed on: 1O/i 3/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATIOI{ LICENSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 811-19-OO2l94-STR Page 2 of 2 Fee Descraption Technology Fee Structural building permit fee Structural plan review fee State of Oregon Surcharge - Bldg (tZo/o of applicable fees) Printed on: 10/3/19 Quantity Tota! Fees: Fee Amount $9. s0 $115,10 $74.82 $ 13.81 $2r3.23 Page 2 ol 2 C : \myReports/reporLs//production/0 1 STANDARD PERMIT FEES SPruNGTIELD "{*u4, Transaction Receipt 81 1 -19-0021 94-STR Receipt Number: 472582 Receipt Date: 10/3/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541,-726-3753 perm itcenter@ springfield -or. g ov 0nrG0il www. sp ri ngfield-or. gov Worksite address: 1815 MAIN ST, Springfield, OR97477 Parcel l703363107401 Fees Paid Transaction date 1013t19 10t3t19 10t3t19 10t3t19 Units 1.00 Ea '1.00 Ea 1.00 Ea 1.00 Automatic Technology Fee Description Structural building permit fee Structural plan review fee State of Oregon Surcharge - Bldg (12% of applicable fees) Account code 224-00000-425602-1 030 224-00000425602-1 030 82 1 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $1 15.10 $74 82 $13.81 $9.50 Paid amount $115.10 $74.82 $13.81 $9.50 Payment Method: Cash Payer: Kit Wah Chan Payment Amount:$213.23 Cashier: Katrina Anderson Receipt Total:$213.23 Printed: 10/3/19'l:21 pm Page 1 of 1 Fl N_TransactionReceipt_pr CIry or SpRnqcFIELD, oREGON Structural Permit Application 225 Fifth Street. SprinSfield,OR9'147'l .PH(541)'726-3753 o FAX(541)726-3589 DEPARTMENT USE ONLY Permitno.: l47r+!i.l\ Date:4 7b tq ffi 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. Lv 1 -+ Ut^*d- *'S.-"'rr L,,/d ok - 57Are LOCAL GOVERNMENT APPROVAL Date: This project has final land-use approval Signature: Date: This project has DEQ approval. Signature: Zoning approval verified: ! Yes f] No Property is within flood plain: ! Yes E No CATEGORY OF CONSTRUCTION E Residential ! Govemment Commercial JOB SITE INFORMATION AND LOCATION Job site address:\ ciry: sPntw\B€ lcl State: $p.ZrP:Q14' Subdivision:Lot no. Taxlot:Reference: PROPERTY OWNER Name: Address: 3Bg t $C\€ACID, \ /rtrd df citv: QN4tt{-State:f[-zPqv( Phone: SL.{\' qWY -Yon ?-Fax E-mail: agent authorizing this applicationBuildingor Owner's ! fi[ inrty'"tion is being made on residential or farm property owned by me oVrember of my immcdiatc family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLAT]ON Business name:t Address:'?.D. flOx \511 State:NFL zP:C1'1cclty: Oll6Art\\ Fax:Phone3,lt-5S4- 3\Lf) E-mail: hNfxn\zbo\qt,t. € ^0\. /,rrrr CCB license no.: \ YS-ltl r Print name: Signature: FEE SCHEDULE d l. Valuation information (a) Job description: Occupancy Construction type:rS f€xJr+r<-:t Square feet: Cost per square foot Other information: Type of Heat: Energy Path: ! addition (b) Foundation-only permit? E Yes E No Total valuation:$ LAO 2. Building fees $(a) Permit fee (use valuation table) (b) Investigative fee (equal to [2a]):$ $ (c) Reinspection ($ per hour): (number ofhours x fee per hour) (d) Enter 127o 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])$ s(b) Fire and life safety (65% x permit fee [2a]): $(c) Subtotal of fees above (3a and 3b): 4. Miscellaneous fees $(a) Seismic fee, lo/o (.01 x permit fee [2a]): s(b) Tech fee,5%o (.05 x pennit fee[2a]+PR fee [3c]) $e\b.4I'OTAL fees and surcharges (2e+3c+4a+b): SUB-CONTRACTOR INFORMAT]ON Name CCB License #Phone Electricalf6 Plumbing l\l echrnical h5Suraawcl Last cditcd 5-5-2019 BJones nr^.r^ '^rr\ E new