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Home My WebLink AboutPermit Miscellaneous 2011-1-31 S:t~.H~ W~(~ ""';~;.T"^ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/31/2011 11/29/2010 EXPIRES: VALUE: 10/22/2011 $250,000.00 01/31/2011 SITE ADDRESS: 3266 GATEWAY ST, Springfield. OR 97477-1035 ASSES OR'S PARCEL NO: 1703222002102 PROJECT DESCRIPTION: OWNER: ADDRESS: SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Phone Number: Tenant infill - Five Guys restaurant. 2,400 5.1. A-2 occupancy in approx. 5,600 5.1. existing Type VB, non-sprinkJered, non-alarmed, buildingj 2-hour fire~resistance-rated Separation required between A,2 and 3,200 5.1. BI M occupancie5. TEMPORARY OCCUPANCY. VALID FOR THIRTY DAYS ENDING MAY 26, 2011. SPRINGFIELD V LLC 1420 FIFTH AVE STE 2200 SEATTLE WA 98101 Contractor Type General Contractor Low Voltage Electric Electrical Contractor Plumbing Contractor CONTRACTOR INFORMATION Contractor Name MARK DORMAN CONSTRUCTION LLC OPTIONS FOR LIFE LLC ROGUE ELECTRIC LLC MCDONNELL AND ASSOCIATES ARCHITECTS NWS PLUMBING LLC Lic Type CCB . CCB CCB ARCHITECT PLUMBING # of Units: Construction Type Occupancy Type Occupancy Comments # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION ATTENTld~ ~~J'Q'IlPi'~llw requires you to follow rule!1'!l6t,~[a,~'!)y the Oregon Utility Notification Sjj)fi\~~rif9rt:Se rules are set forth in OAR 952-sqFM"thGrlhrough QAR 952-001- 0090. You ~'t$\il!y\c;ra'd\9S %the rules by . . . . calling the center. (Note: the telephone Electrical Specially Code EditIOn: number for the Oregon Utility Notification Springfield Fire Code Edition: €Q)I1~ter is 1-600-332-2344). Mechanical Specially Code Edition: 2010 Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Type VB A-2 1.1.: 2.400 s.f. A-2 occupancy in approx. 5,600 s.f. existing Type VB, non-sprinklered, non~alarmed, building; 2-hour fire-resistance-rated Separation required between A-2 and Bf M occupancies. # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 1 14 No Lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: ",' "" No No 2010 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: 'Soils Report Required: Springfield Building Permit I NOTICE: E IF THE WORK THIS PERMIT SHJ.I.~~ ~~~ PERMIT IS NOT J.l.UTHORIZED UONRD1S J.l.BJ.l.NDONED FOR COMMENCED ANY i 80 DAY PERIOD Site Information 4/26/2011 9:17:01AM Page 1 of? www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 Issued 01/31/2011 ISSUED: APPLIED: 01/31/2011 11/29/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us EXPIRES: VALUE: 10/22/2011 $250,000.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial Tenant infill - Five Guys restaurant. 2,400 s.1. A-2 occupancy in approx. 5,600 s.1. existing Type VB, non-sprinklered, non-alarmed, building; 2-hour fire-resistance-rated Separation required between A-2 and 3,200 s.t. BI M occupancies. TEMPORARY OCCUPANCY VALID FOR THIRTY DAYS ENDING MAY 26, 2011. I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description Bid Springfield Building Permit PUBLIC IMPROVEMENTS I Valuation Description Tvpe of Construction NA Unit Amount Unit Tvpe 250,000.00 Bid 4/26/2011 9:17:01AM Sidewalk Type: DownspoutJDrains: ~ Unit Cost 1.00 Value 250,000.00 250,000.00 Page 2 of 7 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 WWW.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 01/31/2011 11/29/2010 EXPIRES: VALUE: 10/22/2011 $250,000.00 01/31/2011 SITE ADDRESS: 3266 GATEWAY ST, Spri~gfield, OR 97477-1035 ASSES OR'S PARCEL NO: 1703222002102 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill . Five Guys restaurant. 2,400 s.f. A-2 occupancy in approx. 5,600 s.f. existing Type VB, non-sprinklered, non-alarmed, building; 2-hour fire-resistance-rated Separation required between A-2 and 3,200 s.t. B/ M occupancies. TEMPORARY OCCUPANCY VALID FOR THIRTY DAYS ENDING MAY 26, 2011. I FEES PAID ~ DescriDtion Structural Plan Review Fee Commercial Floor drain/floor sink/hub State of Oregon Surcharge (12% of applicable fees) SDC: Total Sewer Administration Fee SD~mprov~ment Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater Sanitary sewer Deferred Submittal Fire, Ufe, Safety Plan Review Dishwasher __'0 .. Technology fee (5% of permit total) Ice maker ~terceptor/grease trap __ Sink/basin/lavatory Building Permit Fee Backflow preventer Admin fee (10% of applicable fees) Water closet Water heater Technology fee (5% of permit total) ~~te of Oregon Surcharge (12% of applicable fees) Services 200 amps or less Branch circuits with service or feeder each circuit - ,._.,_..~._"- Technology fee (5% of permit total) Plan Review per hour _ State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Mechanical Permit fee (based on value of work) Plan Revie~~per hour ~c;!1nology fee (5% of permit total)._ State of Oregon Surcharge (12% of applicable fees) Othe( Limited Ene;gy -~--~ Temp Cert. of Occupancy - Remodel Commercial/lndustri Temp Ceri. of Occupancy - Remodel Commercialllndustri ~?,~,i"~,,,~e_e (~~~ of .~pE!i+cable f!e~ .~~.__~~~,__,,~___ ~~_ Amount Paid $857.51 $228.00 $226.71 ---"-- $147.01 $964.34 $1,975.77 $76.00 $456.00 $527.70 $19.00 $117.26 $19.00 $19.00 $133.00 $1,319.25 $19.00 $45.60 $38.00 $19.00 $19.05 $45.72 $81.00 $300.00 $5.80 $58.00 $32.88 $16.60 $274.00 $116.00 $3.15 $7.56 $63.00 $45.60 $80.40 $12.60 Date Paid ReciDt # 11/29/2010 2010.000929 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 --- 01/31/2011 2011000189 01/31/2011 2M00189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 0113112011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 01/31/2011 2011000189 02/02/2011 2011000211 02/02/2011 2011000211 02102/2011 2011000211 02/02/2011 2011000211 03/14/2011 2011000474 03/14/2011 2011000474 03/14/2011 2011000474 0311412011 2011000474 >.___._____.~_..._..__w_.,,_ 03/14/2011 2011000474 03/14/2011 2011000474 03/24/2011 2011000545 ,.,.---- 03/24/2011 2011000545 ---. 03/24/2011 2011000545 04/26/2011 2011000189 04/2612011 2011000798 04/26/2011 2011000798 Springfield Building Permit 4/26/2011 9:17:01AM Page 3 of7 SP~~N~L~ ~~ ,'''', <fi'>''''OREGON CITY OF SPRINGFIELD Building I Commercial Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 permitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/31/2011 ISSUED: APPLIED: 01/31/2011 11/29/2010 EXPIRES: VALUE: 10/22/2011 $250,000.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Tenanllnfill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill - Five Guys restaurant. 2,400 s.f. A.2 occupancy in approx. 5,600 5.1. existing Type VB, non-sprinklered, non-alarmed, building; 2~hour fire-resistance~rated Separation required between A-2 and 3,200 s.t. B/ M occupancies. TEMPORARY OCCUPANCY VALID FOR THIRTY DAYS ENDING MAY 26, 2011. Total Amount Paid $8,368.51 Plan Review ~ Deoartment Received Due Date ComDleted Result Reviewer Planning Review 12/0212010 12/0212010 12/02/2010 Add'llnfo Required Liz Miller Comments: Received from building on 12/2/10. Waiting for review of Final MDS submittal and then applicant signing of Development ~greement. Routed to PW with request to return to Planning when fin,ish~d. rEnergy Code;~yie~-~ .':. ~''''"12102/201 O'f~, 12/02/201 0:-:;12102i201o~, '7Ada'l.lnfo'Required.' 8, <Ja'ck"Foster _' irP~'., ,",';":>';""""', 'f",': '~:'. ';;, ,..", ~', t',:','i":,',', ~,t,,:,~, '. ~p:jr,"~",' ,'c':-," ,i'" d,' t' l~~m"ment~~ ' ~~~om~llec~~d?C~~"e'~J~tion, pr"6Y[d~q,)yi~(P.t~Ds~su~m'it!~L,,,C~y,;.iS ,tEl,A~~%s~cjJ2"~Yt~,;h<,lye .,~~,is:i'~h)rmatj?f')'pr6~!d~~f- "::;:.,,;::: "^,:,>t~.).2~~ Initial Review 12/02/2010 12/02/2010 12/02/2010 Approved Kip Kaufman Electrical Review 12/02/2010 12/02/2010 12/08/2010 Add:llnfo Required KiP. Kaufman Structural ;Review'~J:.,'-' ;'''''fr'''';' "C . ,~_, "Y 'f~. 12/02/2010 12/02/2010 12/09/2010 Approved Jack Foster Energy Code Review ,~';~~',----r--o;--,~~' ,"'" '" . ~, ". ' '. "',~ ,~ ,',., ".'.', ",. l~ireRey'~w~ ;',\~\ ". ~<12/?2/2919.12(02l2010. , 12/2!12,91 0 )i"-;~pr~V~d<c,:':;"'t:'! It::, Comments'::,,'''SeE{attached'documentJ6"r:Fir8'(Oepaitmen1'f?1ans Rev{ew.C6mmfmts~t~ ".;:-~~":.;, , ".....- ""';""N;""'-";',';;;;'-""~'''''''~'-'''''~'';'''';;'l!f:__=''')''''~0Y"^~i:5f,,,^-='''''-"':--~-'''-''--.''''"''-'' j';' '''-''', , '. '. Public Works Review 12/0212010 12102/2010 12/29/2010 Approved G'lb"rt~G-rd" ,~.. "". '"._-, '- --::-'!~] ":' J e'- 0 on ,'trt'y '.''..-"'----,.~<?~.__0..,",.'4':'" "_""_ ""~~~ ~',~i;~:%~:~1:::~:,:: . '~~~.' :....,~~;.T.,..~,"'3:;,~.'::~~.:~' ,. "', ":;:~~~ T McEachern Structural Review 12/02/2010 12/0212010 12/29/2010 Approved Kip Kaufman ~anningR"Vlew~';~: ',""12/02/2010' ',1210212010' -;12i30/20fo":;AJlproveo':::--;::*,c' lIz ~iller'", _. .~:.~ ~oTtJl~n;~':;/fl~is:e~~~'1I~&~~Y'LI~lJJ~'d:i6r'"Ff~a\~~!!;~0~R~Erion:p'~ro~r..to: ~~nal:~,U)I~i~~i.l~f~~~h7~i'~~1it26;~784'~':,:' ~ >: % Permit Issuance 12/30/2010 12/30/2010 01/31/2011 Issued Kip Kaufman - ",'-- ;,'"".' ,.--:=1 ~' J ,,,;,1 '. .""" /; 11;' ':__:~. Jlnsp.ect!~.n0~,"_ '_"". "--;r-'-'e:OjI}1~2Qll' "'0'1i3il?0~11r" 02{Q4/2011 'In Process -, "'-,' zROb..'.er!'C._astil,~. ': ' ~~. '.,~. ~~_ ~:~~~ L 'cod"Tterit~: ~'in;ped;on'irl"p'r~'C;e~s'~ .'~:':, ....~ ~, <~<._ ,-;:".....!'.. .~~.,' ...,,',-._..h;......~.:-' -."~.., :.',~.i::[.:~~..~.'.~.~<. .~.. -- 'I ,:'~T,.. -- .:~~. -- ., rF!.,].:. .,' ~. _._~~.'_.._.'.. ~_._' {I. L.~~":':'.":,,~~_~----::~", . "T"';i,J,.':f;"" - :,i '___.___. _ ,__,_ -;;;:,.:.:...' 7 .'~ _~m___.'_'-' ", '';;~_____-=---':'_m~ Temp Certificate of Occupancy 01/31/2011 01/31/2011 04/25/2011 Approved Chris Carpenter Comments: Accesible detectable warnings, Planning final site inspection. trash enclosure, air balancing. egress lighting report to be completed for final occupancy. Springfield Building Permit 4/26/2011 9:17:01AM Page4of7 SP:I.N.G.....: E.L~ ~- : t"" ;;~''''0 ". OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/31/2011 ISSUED: APPLIED: 01/31/2011 11/29/2010 EXPIRES: VALUE: 10/22/2011 $250,000.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Tenantlnfill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill - Five Guys restaurant. 2,400 s.f. A-2 occupancy in approx. 5,600 s.f. existing Type VB, non-sprinklered, non-alarmed, building; 2-hour fire-resistance-rated Separation required between A-2 and 3,200 s.t. BI M occupancies. TEMPORARY OCCUPANCY VALID FOR THIRTY DAYS ENDING MAY 26, 2011. I INSPECTIONS REQUIRED I Inspections 9009 SUB Ceilin9 Grid 9012 SUB Final 1540 Gypsum Board/lathlDrywall 1550 Firewall SUB Ceiling Grid: Interior lighting SUB Final: After all required energy inspections have been requested and approved. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. 1800 Emergency Egress Lighting 1999 Final Buildin9 Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2300 Rough Mechanical 2310 Rough Gas 2530 Kitchen ExhausVCommercial Hood 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3150 Underslab Plumbing 3500 Rough Plumbing 3610 Grease Trap Interceptor 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Grease Trap: Prior to Cover. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 6799 Final Site Development Inspection 8330 Hood Suppression 8910 Suppression Trip Test 8999 Final Fire 2995 Final Gas 1600 Ceiling Grid 1996 Final Inspection - Planning Final Gas: When all gas work is complete. Ceiling Grid: After drywall approval but prior to cover. Springfield Building Permit 4/26/2011 9:17:01AM Page 5 of 7 S.rR~N~ FIE~.~ ~_\,.., ~,.~ 1;~,.~1I !}~ OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 pe rmitcenter@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 01/31/2011 ISSUED: APPLIED: 01/31/2011 11/29/2010 EXPIRES: VALUE: 10/22/2011 $250,000.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT OESCRIPTION: Tenant infill ~ Five Guys restaurant. 2,400 s.f. A-2 occupancy in approx. 5,600 s.f. existing Type VB, non-sprinklered, non-alarmed, building; 2-hour fire-resistance-rated Separation required between A-2 and 3,200 sJ. BI M occupancies. TEMPORARY OCCUPANCY VALID FOR THIRTY DAYS ENDING MAY 26, 2011. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. 1540 Gypsum Board/Lath/Drywall 1550 Firewall 4225 Service or Feeder 4500 Rough Electrical 3500 Rough Plumbing 4500 Rough Electrical 2250 Gas Piping 2260 Gas Service Rough Electric: Prior to Cover Rough Plumbing: Prior to cover and including required testing. Rough Electric: Prior to Cover Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 4550 Limited Energy 1540 Gypsum Board/LathlDrywall Drywall: Prior to taping, Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. 1550 Firewall 1540 Gypsum Board/Lath/Drywall 1550 Firewall 1540 Gypsum Board/Lath/Drywall 1550 Firewall 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. Underslab Plumbing: Prior to filling the trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Rough Electric: Prior to Cover Ceiling Grid: After drywall approval but prior to cover. Rough Mechanical: Prior to Cover 3150 Underslab Plumbing 3200 Sanitary Sewer 3500 Rough Plumbing 4500 Rough Electrical 1600 Ceiling Grid 2300 Rough Mechanical 2920 Miscellaneous Mechanical Springfield Building Permit 4/26/2011 9:17:01AM Page 6 of 7 SPt.~N.:...__.F IEL~ ~"'~.,,'''' Fi;"r'..~ ;<::,~...:.,~ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00794 IVR Number: 811189235063 225 Fifth St Springfield,OR 97477 Phone. 541-726-3753 Inspection Phone. 541-726-3769 Fax. 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 01/31/2011 ISSUED: APPLIED: 01/31/2011 11/29/2010 EXPIRES: VALUE: 10/22/2011 $250,000.00 SITE ADDRESS: 3266 GATEWAY ST, Springfield, OR 97477-1035 ASSESOR'S PARCEL NO: 1703222002102 SCOPE: Tenant Infill WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant infill . Five Guys restaurant. 2,400 s.f. A-2 occupancy in approx. 5,600 s.f. existing Type VB, non-sprinklered, non-alarmed, building; 2-hour fire-resistance-rated Separation required between A-2 and 3,200 sJ. 61 M occupancies. TEMPORARY OCCUPANCY VALID FOR THIRTY DAYS ENDING MAY 26, 2011. 4500 Rough Electrical 1110 Footing 1150 Slab/Flatwork 4999 Final Electrical Rough Electric: Prior to Cover Footing: After trenches are excavated. Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Final Electric: When all electrical work is complete. Backflow Device: Pri~r to covering and provide a copy of the test report on site at the time of inspection. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 3620 Backflow Device 3999 Final Plumbing 1999 Final Building 2995 Final Gas 2999 Final Mechanical By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be don.e in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections ar d at the proper time, that each address is readable from the street, that the permit card is located at the front of th property, a the approved set of plans will remain on the site at all times during construction. 4 ,2.(, , \ \ Owner or Date Springfield Building Permit 4/26/2011 9:17:01AM Page 7 of 7 S&~:~.~_.FIEL~ ~~...~ ....~ ~~, ORfGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541~726-3753 www.ci.springfield.or.us 811-SPR2010-00794 3266 GATEWAY ST permitcenter@ci,springfield.or.us RECEIPT NO: 2011000798 RECORD NO: 811-SPR2010-00794 lbES"CRIIWClN; '. '<~"',., i,:i -, '!. j'~!~~':::',,~t~""-'b:~""'~;'i,cCOUN'r~c6bE+1ii4~~~ ' Admin fee (10% of applicable fees) 224-00000-426605 Temp Cert. of Occupancy - Remodel Commercial/Industrial Buill 224-00000-425602 TOTAL DUE: [, .... ....'........ t2f.A YMI~:r TXPI Credit Card 01503d ~A,2PAY9R~"~",^{ 'cAsIiIE~R;ccARPENTER;:: :f,:~~ft~;'\,'c6MMl:NT~$~j.,,;.:7:- >~:~~;i01'&:'y:;:>; Merle Garges DATE: 04/26/2011 :S::"''''AMOUNT.DUE" "'~ _ '1 12.60 ~ /2-G:,.Dc:;I - ~ /3'(f ~ c::Js<= -AMOUNT PAID; .' ,'. . d 138,60 TOTAL PAID: 138.60