HomeMy WebLinkAboutPermit Building 2013-8-8 •
SPRINGFIELD 225 Fifth St
kPht CITY OF SPRINGFIELD
Springfield,OR 97477
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one: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01776.
www.springfield-or.gov permitcenter @spnngfield-ar.gov
PROJECT STATUS: Issued ISSUED: • 08/08/2013 EXPIRES: 02/03/2014
STATUS DATE: 08/08/2013 APPLIED: 08/08/2013 •
SITE ADDRESS: 7305 MAIN ST,Springfield,OR 97478 SCOPE: Dryrot
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ASSESOR'S PARCEL NO: 1702350004100 TYPE OF STRUCTURE: Commercial .
PROJECT DESCRIPTION: Dryrot repair
OWNER: SPRINGFIELD CEMETERY ACQUISITION LLC Phone Number:
ADDRESS: 1152 OLIVE ST
EUGENE OR 97401
CONTRACTOR INFORMATION 1
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor HERITAGE CONSTRUCTION INC CCB 111640 02/05/2015 541-461-9522
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. nA
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Owner or Contractor Si•nature Date
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ATTENTION: Oregon law requires you t y
``"'t;:. follow rules adopted b the Oregon Utility
NOTICE: pIRE IF THE WORK Notification Center. Those rules AR 9 set for t-
THIS PERMIT SHALL EX in OAR 952-001-obta n copses of the rules by
0090. You may (Note: the telephc
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. son Utility Notification
COMMENCED OR IS ABANDONED FOR number for the Oregon
,,NlY 180 DAY PERIOD. Center is 1.800332.2344)i
Springfield Building Permit 8/8/2013 2:25:26PM Page 1 of 1
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SPRINGFIELD '— CITY OF SPRINGFIELD
k 225 Fih St
"" TRANSACTION RECEIPT Springfield,Oft 97477
`OR 541-726-3753
.OREGON 811-SP R2013-01776
www.springfeld-or.gov 7305 MAIN ST permilcenter @springfield-or gov
RECEIPT NO: 2013001731 RECORD NO: 811-SPR2013-01776 DATE:08/08/2013
Io1�. lil' al cal .ari>ata ..ti,"_>t ::= %1CCOUNTSCODE/TRANS o a Lsc. ai-. AMOUNT-DUE.:._?,
Building Permit Fee 224-00000-425602 1002 80.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
1PAYMENTeIYPE ITRAYOR ,casNIER OCARaENTER ;COMMENTS_ AMOUNT PAID., ._
Credit Card HERITAGE CONSTRUCTION INC 93.60
15343c
TOTAL PAID: 93.60
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Structural Permit Application SPRINGFIELD - DEPARTMENT USE ONLY
H" f <OREGON Permit no.: S�5/_y_// 76
225 Street•Springfield.OR 97477•PI II541)726-3753•FAX154 I)726-3689
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Date: XZ /5
This permit is issued under OAR 918-460-0030. Permits expire if worlds not started within 180 days of issuance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL Plumbing
This project has final land-use approval.
Signature: Date:
Mechanical
This project has DEQ approval.
Signature: Date:
Zoning approval verified: ❑ Yes ID No FEE. SCHEDULE
Property is within flood plain: ❑Yes ❑No I.Valuation information
CATEGORY OF CONSTRUCTION (a)Job description: boyee0 r
❑Residential CI Government ,.Commercial Occupancy /
JOB.SITE INFORMATION AND LOCATION Construction type:
Job site address: 730S "yle,r 5/ Square feet:
City: 5))„m �," I StatC 0/t ZIP:49vo7 Cost per square foot:
Subdivision: Lot no.: Other information:
Reference: /?OZ 3 J Taxlot:0 Vro 0 'fvpe of Heat:
'.PROPERTY OWNER ' - ..
Energy Path:
Name: e . I//_ .a° a/&"eji. A
❑new gerCiat ion ❑addition
Address. 7 rASIMIEI
!� (b)Foundation-only permit? ❑ Yes ❑No
City: ��,,../9g �l State: U� ZIP:7 yie�
Total valuation: $7 �
Phonc:rw 74, •S.3// Fax: - -
2.Building.fees '
E-mail: -
(a)Permit fee(use valuation table): S yo t o
Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): S `�
(e) Reinspection(S per hour):
Sign here:
(number of hours x fee per hour) S
(d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 0�
❑This installation is being made on residential o rm property owned by
me or a member of my immediate family.and is exempt from licensing (e)Subtotal of fees above(2a through 2d): S
requirements under ORS 701.010. 3. Plan review fees
CONTRACTOR INSTALLATION (a) Plan review(65%x permit fee[2a1): S
Business name: i/t .•4g., Co-�./ u o...��L (h)Fire and life safety(40%x permit Ice[2a])- g
Address: ,$9 9 T (c)Subtotal of fees above(3a and 3b): S
Vitt' (/ie—.J
City:� .cirY State: CI0C ZIP. S'7S% 4.Miscellaneous fees
Plum eSS/f$[/p .39pp Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a1): $ .
E-mail:ma��C O Ae -V^_ .0 o 'J „��e jnr a (b)Technology fee.5%(.05 x permit (ee[2a]): $ y,�
CCB license no.: yyj/6, va / G TOTAL fees and surcharges(2e+3c+4a+4b): S �'�'3
COO
Print nammej(�,4— 'a_ /
c.-.-�c mac!Jw,
Signatu . �, ' .4-472 /� �C / r
. - SUB-CONTRACTOR INFORMATION ,
Name CCB License# Phone Number
Electrical