HomeMy WebLinkAboutPermit Building 2013-7-2 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
-48 Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01523
www.springfeld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/02/2013 EXPIRES: 12/28/2013
STATUS DATE: 07/02/2013 APPLIED: 07/02/2013
SITE ADDRESS: 1033 F ST,Springfield,OR 97477 SCOPE: Dryrot
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ASSESOR'S PARCEL NO: 1703351402100 - TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Roof repairs/reroof
OWNER: LANE COUNTY Phone Number:
ADDRESS: PROPERTY MANAGEMENT
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone
General Contractor RONALD SCOTT CLEVERLY CCB 193937 05/09/2015 541-935-9609
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.
Owner or Contractor 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 IF THE WORK 0090. You may obtain copies of the rules by
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephc no
COMMENCED OR IS ABANDONED FOR numbeC Center Oregon-800 Utility Notification
Center is 1-800-332-2344
ANY 180 DAY PERIOD.
Springfield Building Permit 7/2/2013 1:34:53PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
1 .....A, 225 Fifth St
,'tr OREGON TRANSACTION RECEIPT Sp ngfield,OR 87477
541-726-3753
811-SP R2013-01523
v.vw.springfeldor.gov 1033 F ST permitcenter @springfield-ar.gov
RECEIPT NO: 2013001429 RECORD NO:811-SPR2013-01523 DATE:07/02/2013
• I) S - E. • ' wf_ .';;;;._day ra--x; i .F PaACCOUNT'CODE/TRANSCODE„ "t ^
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
P.AYMENT.IYPE PAY,OR casHle�accdRr,ENrEa COMMENTS AMOUNTdFAID;:.:Ir e 0r• "th:,.n,
Credit Card David Evanson 93.60
512083
TOTAL PAID: 93.60
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• - Structural Permit Application SPRINGFIELD ;_tzflpgm-rmaNB.y.!g.:g.NM
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vat• gi. ,al..0REGott Permit no.:5/3 s25
225 Fifth Street*Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3639
Date: yo/ g
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o issuance or if work is
suspended for 180 days.
40iatiiexediliVgki4Mlie4.40gat1 g#SPN qifilWWW0011Thttiie.0*07ggg.SWgra&
This project has final land-use approvai. • 1%ValuaGeMn lAfiitcontt 2& ' t1
Signature: Date: . (a)Job description: /4)0? pg.1/42,377 72erni
This project has DEQ approval:
Occupancy (2_3
Signature: Date: •
/73
Zoning approval verified: 0Yes 0 No : Consauction type:
Property is within flood plain: 0 YeS 0 No Square feet
it CATEGORY OF CONSTRUG1iONk C4' ? Cost per square foot:
Residential 0 Government 0 Commercial Other information:
7gPai.55-Mait6JRrokidAtibWAgaiT156AfilAYNIJAX Type of Heat:
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Job site address: it 0.3.4 - ..s-/ reed Energy Path: •
City:49.5,',..r 6-1,c;1e td '• • State: ZIP:579 7 7 Stew DetCation 0 addition
Subdivision: • Lot no.: (b)Foundation-only permit? 0 Yes 0 No
Reference: Taxlot • Total valuation:
l;:ggKAM*Mii4jidOti07051;04kkIffi?4kgiMan P2tBiladregOligialg4a4OVArgNigarqg'ii
Nathe: Di4 Etia./a-re.".) (a)Permit fee(use valuation table): $ )fo
Address:426'4542 a; up (k (b)Investigative fee(equal to[2a]):
City: E j6erve State:OE_ ZIP: p790i (c)Reinspecfion($ per hour):
(number of hours x fee per hour)
Phone:5W WS 71/526 7 7Y--3
(d)Enter 12%surcharge(.12 x[2a+2b+21): S •
E-mail: Etie-44,1-to.v€ .44/art e•0 -
(e)Subtotal of fees above(2a through 2d): $ •
Building Ovitter or Owners agent authorizing this application: tlr'''iia'AciAvWRE:::nWitiltMaha:).01tHi. •
(a)Plan review(65%x permit fee[22/Di S
Sign here: ..,L2-ttei (b)Fire and life safety(40%x permit fee[221): $ . •,/
11 This installation is being nude on rsidmfial or farm property owned by (c)Subtotal of fees above(3a and 3b): S
me or a member of nay immediate family,and is exempt from licensing i'-'45ifiriii°;Wi;Igan4W114gRi1e3Riggifg1Tragt
requirements under ORS 701.010.
(a)Seismic fee, 1%(.01 x permit fee[2a]): $
40 •
(b)Technology fee,5%(.05 x permit fee[2a]) S •
Business name: GA 42-02 Car,sr.
TOTAL fees and surcharges(2e+3c+4a+4b): S 4:141
Address: 2S72 a VALI(s•(-4 P' kO
City State: 012, ZIP:
phone:n/1_135796,T Fax: —42—
E-mail:ea pc.* niso-con,
CO3 license no.: /9393 •
1 Print name: ea)“,„if S. Ctc
Signature4
-7ra3B.ceefald1WEtilakeRMAWON-}a116a54S.
Name - CCB License# Phone Number •
Electrical
Plumbing
Mechanical •
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