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HomeMy WebLinkAboutPermit Building 2013-9-4 SPRINGFIELD 225 Fifth St L'° _ CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 'k OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01994 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: . Issued ISSUED: 09/04/2013 EXPIRES: 03/0212014 STATUS DATE: 09/04/2013 APPLIED: 09/04/2013 SITE ADDRESS: 1804 14TH ST,Springfield,OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703252301710 TYPE OF STRUCTURE: PROJECT DESCRIPTION: Ceiling Support 1804/1806 14th OWNER: TIME MANAGEMENT COMPANY LLC Phone Number: ADDRESS: PO BOX 70185 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor SIZEMORE ROOFING&CONSTRUCTION CO CCB 189901 03/11/2014 541-895-4288 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. 'a � — 9- v—/S owner or Coe.?or Si. a e Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: .. Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK 0 OAR You may obtain through copis OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-600-332-2344). Springfield Building Permit 9/4/2013 4•20:24PM Page 1 Of 1 . SPRINGFIELD CITY OF SPRINGFIELD _`-7t «; TRANSACTION RECEIPT S 22 Fifth S priingfieldtOR 97477 OREGON 541-726-3753 811-S P R2013-01994 • www.springfield-or.gav • 1804 14TH ST permitcenter©springfield-or.gov RECEIPT NO: 2013001959 RECORD NO: 811-SPR2013-01994 DATE:09/04/2013 LDESCRIPTION ;___ ' . __ _. _ ACCOUNT CODEITRANS_CODE___, ':;w_LAMOUNTDUE_.j State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.08 Structural Building Permit Fee 224-00000-425602 1002 100.65 Technology fee(5%of permit total) 100-00000-425605 2099 . 5.03 • TOTAL DUE: 117.76 • PAYMENT TYPE_ _PAYOR • CASHIER:JLARSON -. : COMMENTS �,.: _ - -AMOUNT PAID.^^ _ _,-I Check SIZEMORE ROOFING &CONSTRUC 117.76 — - 1533 CO TOTAL PAID: 117.76 • • • • I Structural Permit Application SPRINGFIELD xDEPARTMENT(USE Y EP, ONLY, ;CITY OFSPRINGFIELD OREGON > ` a` -yam 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 -` oaason Permit n0.'T l_r l Le,[Z 0Z'1 t' Date: ) 7/L,/f 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. , ire CAL.1GOVERNMENT APPROVAL ,a „° 'aak$FEE=,SCHEDLILE tMTInil '7s1 This project has final land-use approval. ilT a ua'"[t n informattoq't_,l.t "{r S: ` USTI Signature: Date: (a)Job description: This project has DEQ approval. - �Piser�G �c�'P/aieT • Signature: Date: Occupancy Zoning approval verified: ❑Yes ❑No Construction type: $3-7c& na pryer' Property is within flood plain: ❑Yes ❑No Square feet: affe TEGORY OF, CONSTRUCTION; .r_ ", ".E''" Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: tni„v,}- -;:xJO8a51TE??INFs,ORMATIONANDCOCATION ,s.-r, Type of Heat Job site address: /ler- k�P /file-- Energy Path: City:S3ehrien'ut) State: ere ZIP: 97577 ❑new ['alteration ID addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot Total valuation: Ca a- ..t.. til OPERTsY,i„,QWNER-iv. i ku $= - .c F^2.55,-Bui ding fees%;,, ..qp r$1,t,.,-1. °,mot# ''s«.;aty ?% Name: 7707£ 4 3t-'996.,m.e/%- /L C . • (a)Permit fee(use valuation table): S Address:/77 170 bN sr g n.._ /OG (b)Investigative fee(equal to[2a]): $ City: E c'!fl£N& - State19, ZIP:97y°/ (c)Reinspection(S per hour): Phone: 59/-3'• V-eg S 7 Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: I'" a=rrtee»^:wa 'ffi F+ n°x .a-, f3 Plan°revewgfees � �" r-?�`�4,,,� ,1"��` WsN[4th • / (a)Plan review(65%x permit fee[2a]). $ Sign here: / `�� �,� ...4-c----c" (b)Fire and life safety(40%x permit fee[2a1): S ❑This installation is be' de on nal 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 "4g`Mtscellane"'r'ous fee `7 -"x """5t'�" `f°'4 - °i°"t requirements under ORS 701.010. '.*'- s7i--.' -^+;y* -,_. =�7 "±=CONTRAC7:ORyINSTA aitiON i�' 3 (a)Seismic fee, 1%(.Ol x permit fee[2a]): $ (b)Technology fee,5%(.05 x permit fee[2a1): S Business name:S,aentm '•51/6 ,` (224-41)-,Frr+c77nr-1 Address:P.O. BX /D)7 TOTAL fees and surcharges(2e+3c+4a+46): S (17 �L'—' • City: CeEss<^Lz4 State: c e' ZIP: 92Y24 Phone: Syf f9S-rift Fax: - - E-mail: Szen-ten-°rMFj;tcC tn I/• cew, CCB license no.: /2:9,-90/ Print name: 4#c- fe S7zsnores • Signature �/}� �� t S,.,NTRAC INFORM ITA QNT Jf"°v""r Name CCB License# Phone Number Electrical Plumbing Mechanical •