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Home My WebLink AboutPermit Building 2013-5-28 • SPRINGFIELD - 225 Fifth Si ' - CITY OF SPRINGFIELD Springfield,OR97477 ,ir '! Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01076 www.springfieldor.gov permitcenter @springfieldor.gov PROJECT STATUS: Issued ISSUED: 05/28/2013 EXPIRES: 11/23/2013 STATUS DATE: 05/28/2013 APPLIED: 05/28/2013 SITE ADDRESS: 2554 J ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703254400600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Reframe interior staircase OWNER: JAGGERS.DANIEL J 8 KENNETH PAULA Phone Number: ADDRESS: 2554 J ST • SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone • OWNER COB 000000 08/01/2025 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 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. - am gasit3 Owner or Contrrcto)Signature Date • • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: • • Notification Center. Those rules are set forth • In OAR 952-001-0010 through OAR 952-001- • (HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by \UTHORIZED UNDER THIS PERM R IS NOT calling the center. (Note: the teleph-r.; number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 5/28/2013 2:55:20PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ' TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 OREGON 811-SPR2013-01076 www.springfield-ar.gov 2554 J ST permitcenter @spdngfield-ar.gov RECEIPT NO: 2013001042 RECORD NO:811-SPR2013-01076 DATE:05/28/2013 :,.Ait ,:?ACCOUNT CODE/TRANS CODE _frtiitiz i T1. State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 KPAYME FIri .E PAY,OR CASHIER:CCARPEMER COMMENTS '. AMOUNTMID ' Credit Card ' JAGGERS DANIEL J & KENNETH PAI 93.60 01109a TOTAL PAID: 93.60 • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY; ' CIerti )FsSPSRING FIELD OREGON tt:143 kiWilt y et° r'rStre' 7 Permit no.. /\ } OREGON St 3 —/076 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 ? Date: 12,e 11 J 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. 24 ;'_ .aOCAL GOVERNMENT APPROVAL] , , .+ ,':; ri;e „ ,. 347;:0...r FEL SCHEDULE `,,,t,,;u:; tt,..z a This project has final land-use approval. 1_yaluahon_of&rmatronht-rv.. ,_ a> .!'-_>'�+,:t,. r*' Signature: _ Date: (a)Job description: C�-�r ea (2 e twat- This This project has DEQ approval. - Occupancy X23 Oct(c Signature: Date: Zoning ap�pro�val d ❑Yes ❑No Construction type: Propertyi Ass ? nn flood plain: ❑Yes ❑No Square feet: iK{yr"3 ,CATEGORY OFZCONSTRUCTION+ ' ai' Cost per square foot: El Residential ❑Government ❑Commercial Other information: ,e sJOBt SITE=,INFORMATIONxAND LOCATION; Type of Heat: Job site address:Q S S4 7 St(eer Energy Path: City: Sp(,(12-ci it 1A State: 0(Z ZIP:ggl 4)1 ❑new alteration ❑addition Subdivision: f C Lot no.: (b)Foundation-only permit? ❑Yes Y No Reference: / i/ !� � r rot 17 O $`y-f DC1(40,j Total valuation: 2.1-(20°0 +r,°' ax•i.,,te^, .�.PROPERTYliaV1MER w.._.;_:. - ,.,Mx.Ws' 2 'Builditigfe`es,:'r ,_3gz..ua :S.i4 .at. :,r_ ,._ x^-e�: Name: 1 �QygPrs ' Pee-cm /(e jrwtO (a)Permit fee(use valuation table): ,,-.,' Address: \ynA H 014_07 S T. (b)Investigative fee(equal to[2a]): S City: sue i{"(ll State: OE ZIP:Q7y6'a (c)Reinspection($ per hour): $ Phone: - - (number of hours x fee per hour) S'tl-y?tt-433, Fax: LL (2 0 E-mail: /IQ_.c 4 be i'.i , ry 4-) (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 9 6 Ke h n tx-r'h pets t' (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3.Plan eetew fees '.[; n „s i,c. '.1 '4 .- /, p � (a)Plan review(65%x permit fee[2a1): $ Sign here: CluCX t_c4_ ...-„ __ (b)Fire and life safety(40%x permit fee[2a1): $ �y]This installation is be de 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 licensing 4'Mtscellaneous fees rla c ll f.4 y s cl e -',z requirements under ORS 701.010. _ (a)Seismic fee, 1°%(.0l x permit fee[2a]): $ a-'-vg CONTRACTOR IN$jALLATION- , r... , ° �=�='r' �-»_`-^ - (b)Technology fee,5/(.OS x permit fee[2a1): $ fop_ Business name: OL..J/UL"— 0 TOTAL fees and surcharges(2e+3c+4a+4b): S 3 Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: SU6=CONTRACititi NFORMATION ` _ • Name CCB License# Phone Number Electrical Plumbing Mechanical Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or • l/ I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. ?0,..L3\a I (11167 A) Print Name of Permit Applicant ri Signature of Pe t Applicant Date Permit#: Si7 - p7� OF O 25Sy s -s Address: r NS-MS: a SiPFuu 8n- '3'7'1 ? 7 .. "` ' Issued by: Ot� Date: g/2i//-� as% • This Copy for Permit Offices