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HomeMy WebLinkAboutPermit Building 2013-8-26 , SPRINGFIELD_..... 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 bL , `t. ea R Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01912 www.springfeldor.gov - permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/26/2013 EXPIRES: 02/21/2014 STATUS DATE: 08/26/2013 APPLIED: 08/26/2013 SITE ADDRESS: 444 S 4TH ST,Springfield,OR 97477 SCOPE: ReRoof ASSESOR'S PARCEL NO: 1703353401200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Redeck Roof OWNER: SMITH ABNER WILSON Phone Number: ADDRESS: 444 S 4TH ST SPRINGFIELD OR 97477 OWNER: TROWER JANEAL D Phone Number: ADDRESS: 444 S 4TH ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor JEFFREY DAREN ENGEL 8 SHARON KAY DEMARCE EN( CCB 195444 11/17/2013 541-513-2716 INSPECTIONS REQUIRED Inspections 1620 Roofing Roofing: Prior to installing any roof covering. 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. • 8/z6�I3 • n: or ontractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANl' 180 DAY PERIOD. calling the center. (�lot I;,the ^le number for the Oregon Ccnt?r Springfield Building Permit 8/26/2013 1:05:31 PM Page 1 of 1 • • , SPRINGFIELD CITY OF SPRINGFIELD rl ! o OREGON TRANSACTION RECEIPT SpnngFeldtOR 97477 541-726-3753 811-SPR2013-01912 www.springtieldar.gov 444 S 4TH ST permitcenter @spdngfield-or gov RECEIPT NO: 2013001874 RECORD NO:811-SPR2013-01912 DATE:08/26/2013 jo7 YW1M Cal L :w?�ICU _ti _P� �'= { SiWI+ ACCOUNT.CODE/TRANSICODE -EMPAMOUNTIDUEZI State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 15.80 Structural Building Permit Fee 224-00000-425602 1002 131.63 Technology fee(5%of permit total) 100-00000-425605 - 2099 6.58 TOTAL DUE: 154.01 Wk ENTelTYPE WPAYOR cnsHieR:TuRSOe+:,.,�„�:-s,.�.z ,COMMENSS ;AMOUnPAID ;"-,.F Cash JEFFREY DAREN ENGEL&SHARON 154.01 KAY DEMARCE ENGEL TOTAL PAID: 154.01 Structural Permit Application SPRING RECD DEPARTMENT USE ONLY :: ` �C1TY OF SPRINGFIELD OREGONF : ,E, i. e_ F r v. Permit no.: •—4 O REGON 225 Fifth Street•Springfield,OR97477•P11(541)726-3753•FAX(S41)726-3689 O!( zef3/o/[gIZ • Date: 8/26! /3 • 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. - x '?kA y Y-a._LOCAL1 GQYER li ENT APPROVA'LAi,E' `;,,tIr ,` � FEEf;: CHEDULE "�,le ` , This project has final land-use approval. l valuahoa-.mformahon` a�t�.:,; 'i`7 "`g" `cTi: Signature: Date: "`""""''This project has DEQ approval. (a)Job description: ���/�G�R� � Signature: Date: Occupancy Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet • ' *3„.:CATEGORY OF.CONSTRUCTION ;, $, V; Cost per square foot: 4 esidenfal ❑Government ❑Commercial Other information: s^ '3JO6. SITE 4NFORMATIO Nr AND LOCATIO1411: _n_,$F j Type of Heat: Job site address: 1-.1*Li g y 'f"I'R S 4— Energy Path: City: Situkal , Sr, Id( State: (Jr ZIP:Ile-7) ❑new alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference I Taxlot Total valuation: cry./41,:�3"s��s iAtil k'PROPRTY OWNER43trtn Fla .r'.[:„"'�sq, 2=Bmld n''P e a -r,:�r -�. Ezae:-r, ,r .3r a : • Name N/ r 1 510 in. Son_74-4-1 (a)Permit fee(use valuation table): $ Address:' L'1 Li L4 d'I- - Yr (b)Investigative fee(equal to[2a]): $ City: S9$4 4 - State:0 r I ZIP: `'?'j77 (c)Reinspection(S per hour): Phone:, t((..7C-( 7 r et 2 Fax: - - (number of hours x fee per hour) s E-mail: CC (d)Enter 12%surcharge(.12 x[2a+2b+2c]): g • (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: - °rv” r r'"' `sat°'+ ra P ,� "/ °Plan revtewfees i --°.��,�,x.'+x; �..,��''�'�r�#'�i����' „�=c 'yE��r ,1 ��/� , _ '`5'(Y4 .Jy� (a)Plan review(65%x permit x fee[2a]) g Sign here: 7_AVI k%�gZ/� %A r/1�.1/V'NI (b)Fire and life safety(40%x permit fee[2a]) g ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3W: s me or a member of my immediate family,and is exempt from licensing < .-. l:;.--$at. 4.;Mrscellanedus fees �' , K°#:4 „ ° ...." ` y" .7i requirements under ORS 701.010. 'rct .,, - (a) Seismic fee, 1%(.01 x permit fee[2a1): s .�+: "" "*°z CONTRACTOR INSTAELATION i~i'o' .x .Y 4? (b)Technology fee,5%(.05 x permit fee[2a]): s Business name: Address: P 0.� o f nGf-�bit. O�iWLSK • TOTAL fees and surcharges(2e+3c+4a+4b): s (}v J City 5pr.6ini4Jo2 State:01.-- ZIP: q-74j77 Phone:get fi /3--27 fb Fax: - - . E-mail: .9J1.cierv-z- re 523 c°_ e-✓rloo . G'0`^ i CCB license no.: /9 .5 y 4 9 Print name: 1J L.#/-,c C,.....,S, ,_ I . • Signature ONTRA FrrinN3F.ORMA7IQN :- r . Name CCB License P Phone Number Electrical Plumbing Mechanical •