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HomeMy WebLinkAboutPermit Building 2013-4- • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 lw.._ _ Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00850 • vvrx.springfield-or.gov permitcenter @springfield-ocgov PROJECT STATUS: Issued ISSUED: 04/29/2013 EXPIRES: 10/26/2013 STATUS DATE: 04/29/2013 APPLIED: 04/29/2013 SITE ADDRESS: 1129 R ST,Springfield,OR 97477 SCOPE: Dryrot ASSESOR'S PARCEL NO: 1703261403810 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom dryrot repair OWNER: NELAPUDI JAYA P&LEELA P Phone Number: ADDRESS: 1129 R ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BEAUTY AND BEYOND LLC CCB 197323 06/29/2014 541-357-7017 . INSPECTIONS REQUIRED Inspections • 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. • 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 done 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 tha all required inspections are requested at the proper time,that each address is readable from the street, that the permit , : located at the front of the property, and the approved set of plans will remain on the site at all times during con on. ner or Contractor Signature• Date • ::;',::i.''1, law 1eQUires 1 u "W '. .. OR 0109°n e ore rth•\F•S>'t3' 0 pT. ENT10NadOPted 1:4 k" are set tc 2001-Q\F\ ON ��Q, Wow rules Dente t• through opick cotes by \ 0 ooca 01-001 . of tb ne . t\P\ (N\S OC\� N OAR 952.0 obtain 0°P the tetePnOn �,KO:.OCC $)k\S) t P$1\ . In°P.' You`rtacenter. lNote:kr`e N°ttflca j\\\a (01%. s)On 00, cOn9 tfo the(-) 0-33�-2344 . %GO� �oOP�QOR nurn centet.is 1 80 Springfield Building Permit 4/29/2013 3:12:56PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • • kk t1 225 Fifth St it TRANSACTION RECEIPT Spnngfield,OR 97477 3 <O REGON 541-726-3753 811-SPR2013-00850 wwwspringfieldor.gov 1129 R ST - permitcenter©spnngfield-or.gov RECEIPT NO: 2013000838 RECORD NO: 811-SPR2013.00850 DATE:04/29/2013 )07 ._g l _, .; - S_,n.CODU TRANS CODE 17:1:--7-L:.- AMOUNT DUEa State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.84 Structural Building Permit Fee 224-00000-425602 1002 90.33 Technology fee(5%of permit total) 100-00000-425605 2099 4.52 TOTAL DUE: 105.69 <-PAY,MENTCTYPE P.AYOR cpsxlERloBOWLSBY COMMENTS ?MOUNTIPAID . Check BEAUTY AND BEYOND LLC 105.69 12006 TOTAL PAID: 105.69 • Structural Permit Application SPI,UNGFIELD raDEPARTMENTIISE ONE CITY OF.SPRINGFIELD OREGON r �: 5/3.-a O a ,5�`O Permtno. OgS 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726 3689 OREGON Date: t//z ' �3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days f issu ce or if work is suspended for 180 days. t'Mi {. i Fl.T w...... ..............m ...>.»..v y .y. .2 'u" y�. +�. .w_.•'C 1e� ,.'. 1'?�.( ?sp; LOCALGOVERNMENTrAP,PROVAL-� z"*.3i' - ; ,,, ' FEE=BCHEDl1LE,�*�„ „t4 This project has final land-use approval. ri g7al at on nform osn .a, ..q ° -�.,� �] ,1 Signature: Date: (a)Job description: f7pt/4/2.ytn (' yL�?(� This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: ❑Yes ❑No - Construction type: s/ L� Property is within flood plain: ❑Yes ❑No Square feet: FZASw '" °,..,..w,. -r : Cost per square foot: .�i,iy-��;.a�CATEGORY OF,�CONSTRUCTIQN :v�.a.�t`v;-: p �l .0-Residential ❑Government ❑Commercial Other information: p:3, JOBISITE;rINFF )R]MATION AND°+LOCATION 'K-7,124—it-'y4 Type of Heat: Job site address: II 2.6j P. S T Energy Path: City: S'e.1 Nis ht Ltd State: CA_ ZIP: 77t(77 ❑new alteration ❑addition 111...— Subdivision: / Lot no.: (b)Foundation-only permit? ❑Yes ki o Reference: 17 O ?7 Z 61 `/ Taxlot: e') '3 17 O Total valuation: $ aS e a�„�t`� `�'.x,Rt,$i,ra ROPERT,Y�OWNER �,aagY`_..: FA Buddm es�^ai'�uM _ *Yks��y"�'.r,.r�;h?Z., Name: 4Gst LA N CLAP k�t (a)Permit fee(use valuation table): $7 Address: 11lei 12. ST (b)Investigative fee(equal to[2a]): $ City: craft,Pro.pal) State: 8{L, ZIP: (c)Reinspection($ per hour): C� (number of hours x fee per hour) Phone: SHi.72.4— 7&o Fax: - - E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $ (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3'+Plan�[eV Ni'yfeesr ep (a)Plan review(65%x permit fee[2a]): Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family and is exempt from licensin g (74. fIgfaiagaileseIVIE • c�` �„Ww requirements under ORS 701 010 �, -,_ ? ,„ r ;�._,4a „ (a) Seismic fee, 1%(.01 x permit fee[2a]): $ .1 .0 :x i r CONTRACTOR 1N$TAifffION;I;�..�+Pf ,;r.,�;' �. !; ° (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: �.t' MUD vJO/VD I+LG / AddresStpo apx �S`/ I/ TOTAL,fees and surcharges(2e+3c+4a+4b): $/o �p / City: I.u6 e v g State: 0 2 ZIP:lf 7f1o.r Phone:f/ 3$ 7. 70("7 Fax: - - E-mail: CCB license no.: 3 Tit— g6 491323 - Print name:f' C41^0..4.42_.4 Signature. ." k gli3 CONTRACTORINECRMATION -= Name CCB License# Phone Number Electrical Plumbing egt/XrE2 Mechanical