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HomeMy WebLinkAboutPermit Building 2013-7-19 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01640 www.springfield-or.gov perm itcenter @springtield-or.gov PROJECT STATUS: Issued ISSUED: 07/19/2013 EXPIRES: 01/14/2014 STATUS DATE: 07/19/2013 APPLIED: 07/19/2013 • SITE ADDRESS: 5234 B ST,Springfield,OR 97478 SCOPE: Kitchen ASSESOR'S PARCEL NO: 1702333103100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Header for window opening OWNER: TERRICKCO INC Phone Number: ADDRESS: 83221 BRADFORD RD CRESWELL OR 97426 L CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No tic Exp Phone Plumbing Contractor OWNER CCB 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 ce•• that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree t• en re that all required inspections are requested at the proper time, that each address is readable from the street,that the •ermit •and is located at the root of the perty, d the appr d set of plans will remain on the site at all times during onstru•tion. / (17 Owner or Contractor Signature Date ires you to • ATTENTION: Oregon law requ follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the teotification ^UTNORI EID UNDER THIS PERM TEIS NOT number for the Oregon Utility N COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 7/19/2013 1:13:42PM Page 1 of 1 SPRINGFIELD-4—, CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 1.C\(rOREGON 541-726-3753 811-SPR2013-01640 www.springfield-or gov 5234 B ST permitcenter©springfield-or.gov RECEIPT NO: 2013001581 RECORD NO: 811-SPR2013-01640 DATE:07/19/2013 DESCRIPTION- r ACCOUNT CODE/TRANS CODE, AMOUNT DUE_ 1 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 960 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 L. PAYMENT TYPE - PAYOR•t•. CASHIER:CCARPiNTER 'AMOUNT PAID I' Credit Card TERRICKCO INC 93.60 313167 TOTAL PAID: 93.60 • • SPRINGFIELD 225 Fifth St ' ' �- CITY OF SPRINGFIELD Springfield,OR 97477 `�o EGON Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01641 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 07/19/2013 EXPIRES: 01/14/2014 STATUS DATE: 07/19/2013 APPLIED: 07/19/2013 SITE ADDRESS: 5234 B ST,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702333103100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom exhaust fans • OWNER: TERRICKCO INC Phone Number: ADDRESS: 83221 BRADFORD RD CRESWELL OR 97426 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work 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 o -Tine that all required inspections are requested at the proper time,that each address is readable from the street, that the •ermlt card is located at the front • the pr••erty, a the approved set of plans will remain on the site at all times during •onstr ction. // Owner or Contractor Signature Date . Oregon lair require on Ut%by EXPIRE 1F THE ISORK ATTENTION: ted by the 'tee E t-uS p E; IT SHAEE OT follow rules ad0p h OAF g52 001' THIS PERM UNDER THIS PERMITFS N Center. Those rules are set forth AUTHORIZED ilia, FOR : 5; ; NotiiicatlDn 001 0010 throu9 ED OR IS ABAN in OAR 052 obtain copies of the rules by COMMENC 0090. You may Note: the tel uati` ANY 180 DAY PER100' calling the center. Note: Notification number for thriss 1 800-332-2344). Springfield Building Permit 7/19/2013 1:11:33PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • 225 Fifth St r.•Im-OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S PR2013-01641 www.springfield-or.gov 5234 B ST • permitcenter©springfield-or.gov RECEIPT NO: 2013001579 RECORD NO:811-SPR2013-01641 DATE:07/19/2013•iDESCRIP_TION 4 _ ��. _• ._ _ ;. ..J.;ACCOUNTCODE/TRANS CODE=__ ' AMOUNTDUE-:I First Appliance Fee 224-00000-425604 1006 80.00 Single-duct exhaust(bathrooms,toilet compartments, utility room! 224-00000-425604 1006 20.00 State of Oregon Surcharge(12% of applicable fees) 821-00000-215004 1099 12.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.00 TOTAL DUE: 117.00 LPAYMENTTYPE FAVOR CASHIER:CCARPENTER f ;s COMMENTS .r._;''"'' . • '•-: : AMOUNT PAID : I Credit Card TERRICKCO INC 117.00 313167 TOTAL PAID: 117.00 • • • • Structural Permit Application SPRINGFIELD • DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON f £ r Permit no: )/? 'lyQ 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 DaE60N Date: 71l/fr • 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. _.LOCAL .GOVERNMENT APPROVAL , !FEE SCHEDULE This project has final land-use approval. 1.Valuation information' Signature: Date: (a)Job description: , 4t-2/re -».- fz/7_ 4J/✓ .rf This project has DEQ approval. / Occupancy 111 3 Signature: Date: Construction type: vi 5 Zoning approval verified: ❑Yes ❑No Property is within flood plain: ❑Yes ❑No Square feet: ' CATEGORY OF,CONSTRUCTION t. Cost per square foot: ❑ Residential ❑Government ❑Commercial Other information: JOB"SITE_ INFORMATION AND'LOCATION Type of Heat: Job site address:,f 2 3 V 'f3 J+ Energy Path: City:vJ p-P State: OP_ ZIP:97 y?d ❑new alteration ❑addition Subdivision: Lot no.: __ (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation: $ G - PROPERTY OWNER. 2.Building fees :_ _ Name: DerrjciC S I'/bWS is i (IPRA-la-Co -l-/J/i" (a) Permit fee(use valuation table): S J Address: Z3 y 73 Si- (b)Investigative fee(equal to[2a]): S City: L''a State: OA- ZIP: 97 y7g (c)Reinspection(S per hour): $ g�-(ys (number of hours x fee per hour) Phone: 7 Fax: - - 76U -rte (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ E-mail: lQ feIC..ILCO 'C' CM/*tZ ,�UW� •/ (e)Subtotal of fees above(2a through 2d): $ Building O er or Owner's agent authorizing this application: 3.Plan review fees - (a)Plan review(65%x permit fee[2a]): $ Sign here: 0-�i^ 1 - � -L (b)Fire and life safety(40%x permit fee[2a]): $ This installationnisb^ " 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 •4,Miscellane6us fees requirements under ORS 701.010. - 1% '1 ' .. .-• _.,. - . (a)Seismic fee, 1%(.01 x permit fee[2a]): $ CONTRACTOR:INSTALLATION _ (b)Technology fee,5°/(.05 x permit fee[2a]): $ r- Business name: QW TOTAL fees and surcharges(2e+3e+4a+4b): s 6-15 Address: City: State: ZIP: Phone: - - Fax: - - E-mail: • CCB license no.: Print name: Signature: , 2 SUBiCONTRACTORINEORMATION7 F ,�- Name CCB License N Phone Number Electrical • Plumbing • / //�'� i�/�/ yrn'S Mechanical ��(\/2,- W L/` //760 lint 1 6'/,_!