HomeMy WebLinkAboutPermit Building 2013-5-15 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone:541-726-3753
.OREGON Building / Residential. Permit Inspection Phone: 541-7263769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2013-00964
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/15/2013 EXPIRES: 11/10/2013 .
STATUS DATE: 05/15/2013 APPLIED: 05/15/2013
SITE ADDRESS: 1024 PLEASANT ST,Springfield,OR 97477 SCOPE: Dryrot
ASSESOR'S PARCEL NO: 1703264104800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Dry Rot Repair-Kitchen
OWNER: SHAW CHRISTINA M Phone Number
ADDRESS: 1024 PLEASANT ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION 1
Contractor Type • Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor DAVIS BROS GENERAL CONTRACTORS INC COB 63275 04/06/2014 541-501-0877
INSPECTIONS REQUIRED 1
Inspections
1170 Post&Beam Post and Beam: Prior to floor insulation or decking.
1220 Underfloor framing
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 that all required inspections are requested at the proper time, that each address is readable from the street,that the
permit card is located at the front of the property,and the approved set of plans will remain on the site at all times during
construction.
Ow /1_2,
rontractor Signature Date
•
ATTENTION: Oregon law requires you to .
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth NOTICE: •
In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IFTHE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification
Center is 1-800-332-2344). •NY 180 DAY PERIOD.
•
Springfield Building Permit 5/15/2013 8:43:10AM Page 1 of 1
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SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
OREGON TRANSACTION RECEIPT Spnngfield,OR 97477
541-726-3753
811-SPR2013-00964
www.spdngfield-ar.gov 1024 PLEASANT ST permitcenter @spnngfield-ar.gav
RECEIPT NO: 2013000949 RECORD NO: 811SPR2013-00964 DATE:05/15/2013
lef�.'To ili2 cll! k . Ua—L Z Th; a,y__-+AC000NT.CODETTRANS'CODEr :II
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.08
Structural Building Permit Fee 224-00000-425602 1002 100.65
Technology fee(5%of permit total) 100-00000-425605 2099 5.03
TOTAL DUE: 117.76
' PAYMENTTTrYPE P,AY.OR cgsNtFJCJ RLA soN :=`.^ COMMENWOOnleargaPSIWMPUNTiPAIDNIOMMUSI
Check DAVIS BROS GENERAL CONTRACT( 117.76
5557 INC
TOTAL PAID: 117.76
• Structural Permit Application SPRINGFIELD IDEPARTMENTLUSE"ONLY
•CITY OF SPRINGFIELD 'OREGON 'x r Jai "l} Permit no.: ®� I - "/3°"3'&L(
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON
Date: C//S//73
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.
"°-n, ., itilOCA GOVERNMTE,,PROVALTEPMS w`•x ?nV .a3'-` ;�
r# - a FEE',',=SCHED(1LE,.
This project has final land-use approval. "- ["on'"f '`a ation ''L, ' !,-gratia
Signature: Date: (a)Job description: .. i ,f„.
This project has DEQ approval.
Occupancy
Signature:
Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
'CA rid ORY,iOFCONSTRUCTIONg��rx„Y",_r, ;? Cost per square foot:
El Residential El Government ❑Commercial Other information:
Na1C.,,Ja'9,OB SITEIINF,ORMATION AND LOCATIONT: y', M Type of Heat:
Job site address: /02 Li Pie AT Energy Path:
City: SD rcS I State: (Nit ZIP:9`t117 ❑new ['alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: '2,5-00 $
'n }ia7 °rr�a,,`sr' 'p ROP,ERTYTOWNERIS7'w£ta..s lfa< t21Buddmgf esint{ a
Name: ant j< ?e .y1 (a)Permit fee(use valuation table): $
Address: /( 2f-j V fetCo h1 g (b)Investigative fee(equal to[2a]): $
City: SP T. State:OK ZIP:q11q10 (c)Reinspection($ per hour): $
Phone: /1j/-4 Fax: - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: °m'3lanreviewife %_•. ,..".. } �.E`e,+ ,
/n'� ' (a)Plan review(65%x permit fee[2a]): $
Sign here: IoJ� (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): $
me or a member of my immediate family,and is exempt from licensing rergi'rigoie''^" �-7. 'x'l
4kM(scellaneous�fees'.--- �-t3r-,�� � „,,;��� n,
requirements under ORS 701.010. 1%
3p'°ry`at (a)Seismic fee, 1%(.01 x permit fee[2a]): $
CONTRACTOR;INSTALLATION '"-�'' `+t
" `- t- /�'��°-J` "''5' (b)Technology fee,5%(.05 x permit fee[2a]): $
Business name: u,S �eG15 &Ol t-C '1
TOTAL fees and surcharges(2e+3c+4a+4b): $
Address P t\ ei 700
city: SP t-D State:Of._ I ZIP:g14t>s
Phone:SL}I —C1,) — O9'77 Fax - -
E-mail: (Los b d"]I,erc Me C4 Ai
CCB license no.: 6'SZ1 C
Print name: C L,.t t [7;,0.),J
Signature: /
�.r, a SU6 CQNT MATIQN -- -4
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical