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Home My WebLink AboutPermit Building 2019-11-14OREGON web Address: www.springfield-or.9ov Building Permit Commercial Structural Permit Number: 811-19-OO257O-STR IVR Number: 81 1039604929 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD # Permit Issued: November 14,2OL9 TYPE OF WORK Category of Construction: Commercial Type of Work: Tenant Improvement Submitted Job Value: $28,298.00 Description of Work: TI Eyecare Focus and Specialties (fixture count =2 fewer lavs) JOB SITE INFORMATION Worksite Address 3783 INTERNATIONAL CT Springfield, OR 97477 Parcel t703153200202 Owner: Address: CHAMBERS DEV CORP 8OO WILLAMETTE ST STE 750 EUGENE, OR 97401 LICET{SED PROFESSIONAL INFORMATION Business Name MCKENZIE COMMERCIAI CONTRACTORS INC - Primary License CCB License Number 45539 Phone 541-343-7r43 PENDING INSPECTIONS Inspection 1999 Final Building 1999 Final Building 1260 Framing 1540 Gypsum Board/Lath/Drywall Inspection Group Struct Com Struct Com Struct Com Struct Com Inspection Status Pending Pending Pending Pending SCH EDULI NG 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: 811039604929 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 ofa permit does not presume to give authority to violate or cancel the provisions ofany 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-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/ilechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O2O (Plumbing). Printed on: 11/14119 page 1 of 2 C :\myReports/reports//production/0 1 STANDARD \r"^. Permit Number: 81 1-19-OO257O-STR Page 2 of 2 Fee Description Technology Fee Structural building permit fee State of Oregon Surcharge - Bldg (l2o/o of applicable fees) Printed on: LUL4lL9 Page 2 of 2 Quantity Fee Amount $22.t3 $442,s8 $s3. 1 1 $5t7.82Total Fees: C:\myReports/reports//production/01 STANDARD PERMTT FEES SPRINGFIELD 'b Transaction Receipt 8t I -1 9-002570-STR Receipt Number: 472997 Receipt Date= 11114119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri n gfield -or. gov OREGON www. sp ri n g fi eld-or. gov Worksite address: 3783 INTERNATIONAL CT, Springfield, OR97477 Parcel: 1 7031 53200202 Fees Paid Transaction date 11t14119 11t14t19 1',t t14t19 Units 1.00 Ea '1.00 Ea 1.00 Automatic Technology Fee Description Structural building permit fee State of Oregon Surcharge - Bldg (12% of applicable fees) Account code 224-00000425602-1 030 821 -00000-2 1 5004-0000 204-00000-425605-0000 Fee amount v42.s8 $53.1 1 $22.13 Paid amount $442.58 $s3.1 1 $22.13 Payment Method: Credit card authorization 0061 56 Payer: GMA Arch Payment Amount:$517.82 Cashier: Katrina Anderson Receipt Total:$517.82 Printed: 11/14/19 2:29 pm Page 1 of 1 Fl N_TransactionReceipt_pr Ir Structural Permit Application 225 Fifth Street . Springfi eld, OR 97 477 . PH(541)726-3753 . FAX(54 I )7 26-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature:Date: This project has DEQ approval. Signature:Date: Zoningapproval verified: E Yes E No Property is within flood plain: I Yes n Uo E Residential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address c ciry:S?FlNQtftuA State:@p ^P,11qttSubdivisionLot no. Reference rax rot : 1 0 Zt€zz1.OO I tz PROPERTY OWNER Name Address: C State: O?-np:tl14Ol Phone: 60 Fax E-mail Building 's agent authorizing this application: Sign here: ! fnis installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name Address: Ob< tr] /nl A,rfa city: h)OtLNL State: 2$zrp:cllLltZ Phone:Fax E-mail C)ot2- CCB license no. Print name Signature ru-ffi Name (lCB License #Phone Number Erecrricar )gelnttac ftt b0-'ealo PrumbinsTf 0[1ffi-( Trrutt9tt'fla llbuz 5tltl6 - Mechanical Lt]#ff,t 6l{(1 14.tt' 6[00 permitno.:11_00aS ZfuS Date: \\\'{rq I (a) Job description :tlyyg6.;f, Occupancy Construction type Square feet: Cost per square foot:I C)ther information Type of Hcat: Energy Path: E new figlte.ation E addition o(b) Foundation-onty permit? [ Yes Total valuation $23,2q8 2. Building fees (a) Permit fee (use valuation table):$ (b) Investigative fee (equal to [2a])$ (c) Reinspection ($ per hour) (number ofhours x fee per hour)$ (d) Enter I 20% surcharge (.12 x [2a+2b+2c)):$ (e) Subtotal offees above (2a through 2d): (a) Plan review (657o x permit fee [2a]): $ rew (b) Fire and lifb safety (65% x permit fee [2a])$ (c) Subtotal of fees above (3a and 3b)$ 4. Miscellaneous fees (a) Seismic fte, 1% (.01 x permit fee [2a]):$ $(b) Tech fee,5o/o (.05 x permit fee[2a]+PR fee [3c]) ;'OTAL fees and surcharges (2e+3c+4a+b)s51,ga l-.rst edited 5-5-2017 BJones CATEGORY OF CONSTRUCTION 7 l'%l FEE SCHEDULE $ SU B.CONTRACTOR I NFORMATION DEPARTMENT USE ONLY