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Home My WebLink AboutPermit Miscellaneous 2013-8-13 • SPRINGFIELD 225 Fifth St • ' ' CITY OF SPRINGFIELD Springfield,OR 97477 a... __a:4i `C�"r Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01804 www.springfield-or.gov permitcenter @springfield-or.gay PROJECT STATUS: Issued • ISSUED: 08/13/2013 EXPIRES: 02/08/2014 STATUS DATE: 08/13/2013 APPLIED: 08/13/2013 SITE ADDRESS: 440 MAIN ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1703353107800 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Facade Reskin OWNER: SETERA CAROLYN Phone Number: ADDRESS: 2788 CASTLE RD SPRINGFIELD OR 97477 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ANDY HALVORSON INC CCB 125532 05/07/2014 L INSPECTIONS REQUIRED Inspections 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 _ -.21 '—/3- I ----S Owner or Contractor Signature Date NOTICE:€ ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility 'UTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth -"AMENDED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- 'n n. n4Y PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephupt number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 8/13/2013 2:22:49PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St `I TRANSACTION RECEIPT Springfield,OR97477 lr: OREGON 541-726-3753 811-SPR2013-01804 www.springfieid-or.gov 440 MAIN ST permitcenter @springfield-or.gov RECEIPT NO: 2013001758 RECORD NO:811-SPR2013-01804 DATE:08/13/2013 [DESCRIPTION ' ACCOUNTLCODE/TRANS CODE; - .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 `PAYMENT TYPE PAYOR CASHIER:JLARSON COMMENTS • = -,' - ; AMOUNT PAID ' • _ I Check ANDY HALVORSON INC 93.60 6741 • TOTAL PAID: 93.60 • • i i 'Structural Permit Application SPRING FIEL�D ` DEPARTMENT U S E ONLY,_ _' f t CI y OF SPRINCrFIFi ) OREGON ;�;^ S =?} ?_. Permit no.:.B \Z o l5 O(X 225 Fifth Street♦Springfield,OR 97477•P8(541)726-3753♦FAX(541)726-3689 oaeeo:. Date: g A's /y/ 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. r," W LOCAL.;GOYERNMENT'APPROVA ' ' T.,: ' y ii `;31 T t FEE)SCHDUL k ]A x "xThis project has final land-use approval. ,1 Vlu`atin ix nforl'ahouri, l . v+ fk .. Signature: Date: (a)Job description:6t D/V-] N This project has DEQ approval. S ��I�t� ��(J t ( 5 Signature: Date: Occupancy '(/f� Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: MI,a3.14Mia-orTibalk3ittoZeTallirgift:tralzrEi14442h,Meritill Cost per square foot ❑Residential ❑Government ❑Commercial Other information: rtaalQBsSITE:INFORMATION(('' ANDt'LOCATION1fTa: '. Type of Heat: Job site address: emir) /�jfyY,s} ,,..// � Energy Path: City , .p Ice./;:/ - State:p(L ZIP:97y77- ❑new aajteration ❑addition Subdivision: / Lot no.: (b)Foundation-only permit? ❑Yes ❑No C Reference: Taxlo[ Total valuation k'"="tf`;^"t Tr'*' `z.'PROPERTY OWNER4 M n `",<" ". 12:Burldrri `rfe',sxi;maw r:;° t T, git -IAI MAC Name: 01041 �-t....9 (a)Permit fee(use valuation table): $ 039.92- Address: 22p 1-3 (k4)--%' C R / (b)Investigative fee(equal to[2a]): g 7A City: C , ti er State: (X`. I ZIP:97177- (c)Reinspection(S per hour): Phone: Fax: - - (number of hours x fee per hour) S E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): S Cj (e)Subtotal of fees above(2a through 2d): S / Building Owner or Owner's agent authorizing this application: _F '�?i='£ �-'. V` tR. 3:-_Plan revrew;tees `�- �+��r" �_� may-'.[ (a)Plan review(65%x permit fee[2a1): S Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made 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 -aec-�+w ywt x t a,.i ie requirements under ORS 701.010. .4.:Mtscellageous fees tt<„ t r .fir 4f ,.LL': - a�:.. I ,..54 msp- .,.T^,i (a) Seismic fee, 1%(.01 x permit fee[2a1): $ ,cv`i qik-ibtiNTRACTOINTALLATION ';["," a w. ;- ,t: _, /_/9�o-� - / 'ciiF (b)Technology fee,5%(.05 x permit fee[2a]): $ L(6v Business name: / / r/�`LeT 71 1 TOTAL fees and surcharges(2e+3c+40-4b): $ / a— Address �Q 6-0..,r l /l City (2e,S ti l/ State:pig_ ZP97cit. Phone:722/- S`7/ 7 Fax: - - E-mail: tiz.voi2So z o.t l yA/L7 g nlSvl, ro ..y CO3 license no: /&5 S5 Z Prim name: 9, /1/441,19 O n Signalize: - " UB`'CONRACTOR•INyORMATlO.: .t�r�" ---'= Name CCB License# Phone Number Electrical Plumbing Mechanical .