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Permit Building 2019-11-04
SPRINGFIELD City of Springfield Development and Public Works 225 Fifth Street f Springfield, OR 97477 OREGON Building Permit 541-726-3753 Commercial Structural Permit Number: 811-19-002469-STR IVR Number: 811046663324 Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov Permit Issued: November 04, 2019 I TYPE OF WORK Category of Construction: Commercial Type of Work: Alteration Submitted Job Value: $1,000.00 Description of Work: Remove one interior wall 308 SITE INFORMATION Worksite Address Parcel Owner: LANE TRANSIT DISTRICT 3500 E 17TH AVE 1703343400301 Address: PO BOX 7070 Eugene, OR 97403 SPRINGFIELD, OR 97475 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone 1996 LLC - Primary CCB 114258 541-687-9445 PENDING INSPECTIONS Inspection 1999 Final Building 1999 Final Building Inspection Group Struct Com Struct Com Inspection Status Pending Pending 1260 Framing 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: 811046663324 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) 232-1967. 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: 11/4/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-002469-STR PERMIT FEES Fee Description Technology Fee Structural building permit fee State of Oregon Surcharge - Bldg (12% of applicable fees) Page 2 of 2 Quantity Fee Amount $5.10 $102.00 $12.24 Total Fees: $119.34 Printed on: 11/4/19 Page 2 of 2 C:\myReports/reports//production/01 STANDARD I wmpG3 �o # � - ■ # dk(�/ �% cli� .a O G Eo a ;_; £§0r,5 ¥4k V� 10 -0N0M IL _\ L) c / E U t \ { o 0/ k J S 2 \ CD ■ = 3 E - $ .a Q LL \ / / co CD co 41 LO to U) S/ / / S S S 2 CL � - § 7 4) 2 $ § C-4 U w C4 00 R @ $ .. c � ■ ■ a § D $ § u $ 2CL U > @ \ v- 2 ooB % 7 co§ W � § e { m w W \ $ E2 $ L S > a a 5\ »t 0 0 77 o f CD 6- E S & o e m _ e • : N � 2 § / ■ k / I w cc w < \ f w q § �k o 0 . 3 / § > S% o GS o �©) U a k < � / m § 2 ) f % 2 .CL2 7 « = f ) /CL CL 3 Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPRINGFIELD OREGON This permit is issued under OAR 918460-0030. Permits expire if work is not started within suspended for 180 days. LOCAL GOVERNMENT APPROVAL 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 1 ❑ Government I J21 Commercial JOB SITE INFORMATION AND LOCATION Job site address:`] ] , &,,o— iV� City: City: State: o ,Q ZIP: Subdivisio . I Lot no.: Reference: Taxlot: PROPERTY OWNER Name: I- S��- Address: 32p E City: . V State: ZIP: Phone: - % Fax: - - E-mail: Nn) - STA -ac), N &(Eg C, t— 4 G Building Owner Owner's agent a onzing this a plication: Sign here: ` - — ❑ This insta ation 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: City: State: ZIP: Phone: - - Fax: - - E -snail: CCB license no.: Print name: Signature: SUB -CONTRACTOR INFORMATION 1 Name I CCB License # i Phone 1 Mechanical Last edited 5-5-2019 BJones �/3 53 DEPARTMENT USE ONLY Permit no.: Date: 180 days of issuance or if work is FEE SCHEDULE 1. Valuation information (a) Job description: , r ' ' ,C 1 ; In & Occupancy 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: $ 2. Building fees (a) Pennit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ 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. Miscellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ DOTAL fees and surcharges (2e+3c+4a+b): 0 AAV Apm rTOBtASK.BWDDD EUGENE. OR OF p m A IN r.VOTS FIRST FLOOR PLAN LTD .ADMIN BUILDING- FLOOR PLAN LTD ADMIN BUILDING 3500 E. 17TH AVE, EUGENE, OR 97403 ❑ ❑ I: I SHT #: A01 09/30/19