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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 • 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 • 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 • • . • • • - Structural Permit Application SPRINGFIELD ;_tzflpgm-rmaNB.y.!g.:g.NM reynexc... .w.,:exiwiiftsve--ww.42wwwa4vi. . sagAentyioFispRisciFAEhRyfoREconitq4x- v-t*aa. 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: • 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 • • • • •