HomeMy WebLinkAboutPermit Building 2013-9-9 SPRINGFIELD 225 Fifth St
t .mt.-. = CITY OF SPRINGFIELD Springfield,OR 97477
• ,51 °r Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02026
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/09/2013 EXPIRES: 03/07/2014
STATUS DATE: 09/0912013 APPLIED: 09/09/2013
SITE ADDRESS: 3033 GATEWAY ST,APT#2,Springfield,OR 97477 SCOPE: Deck
ASSESOR'S PARCEL NO: 1703222003600 TYPE OF STRUCTURE: Residential
. PROJECT DESCRIPTION: Replace deck
OWNER: KKMH PROPERTIES LLC Phone Number:
ADDRESS: PO BOX 8099
PORTLAND OR 97207
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp , Phone
General Contractor DANIEL L JOURNEY . GCB 31199 02/19/2014 541-589-3515
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.
al t 9- 9-/,5
Owner or Contractor Signature • Date
•
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth :OTI CE:
In OAR 952-001-0010 through OAR 952-001- IS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone UTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR :_.,;,..
Center is 1.800-332-2344). ANY 180 DAY PERIOD.
Springfield Building Permit 9/9/2013 10:2529AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
`.I pa,. 225 Fifth St
� et, TRANSACTION RECEIPT Spdngfleld,OR97477
I, "N. OREGON 541-726-3753
811-SPR2013-02026
www.springfield-or,gov 3033 GATEWAY ST. APT 2 permitcenter @springfield-or.gov
RECEIPT NO: 2013001986 RECORD NO:811-5PR2013-02026 DATE:09/09/2013
[DESCRIPTION_ ,_- _ ACCOUNT,CODE/TRANS_CODE ': AMOUNT DUE I
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
L PAYMENT TYPE _PAYORCASHIER:CGARPENTER ,___-- C O M M E N T S ' L 1
Cash KKMH PROPERTIES LLC 93.60
TOTAL PAID: 93.60
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Structural Permit Application S1NGFIELO DEPARTMENT MENT USE ONLY
C I tY Of SP -ORGON _20
225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726 3689 OREGON
Date: q/ / / S
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issu /neee 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 ❑No FEE SCHEDULE
Property is within flood plain: ❑Yes ❑No I.Valuation information
CATEGORY OF CONSTRUCTION (a)Job description: (_y}L,er DI7.--t-
❑Residential I ❑Government I 2-Commercial Occupancy(2.--9--
JOB SITE INFORMATION AND LOCATION Construction type:
Job site address: j_033 (?ale,w,1, se.- -i$, Square feet:
City: LJ[h^)e9.r/toot I State: £I' I ZIP: 97e"7 Cost per square foot:
Subdivision: / Lot no.: Other information:
Reference: I Taxlot:
Type of Heat:
. PROPERTY OWNER
r/ V F.narp Path:
Name: �4�f�y..p(��e W) ;iiG Q pf5- 1 afilIFV 1 gel& 111 new alteration ❑addition
Address: J T 3 G cj file J (b)Foundation-only permit? ❑Yes ❑No
City: Siding P' PCt State: ( -2 I ZIP:R7171
Total valuation: $/ROO`
Phone: ,L I-/
id&- S Fax5YJ-9Lfi- 3Igo 3
2.Building fees
p
E-mail: l4 �/
Q. IAeJj ek,h°awl n
`J [ 7 (a)Permit fee(use valuation table): $ YC.pr
Building Owner or Owner's agent authorizing this application: (h)Investigative fee(equal to pal): $
(e)Reinspection($ per hour):
(number of hours x fee per hour) $
Sign here: 4zae. ` ��� U
(d)Enter 12%surcharge(.12 x[2a+26+2eD: $ /
❑This installation is being made on residential or farm property owned by
me or a member of my immediate family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): $
requirements under ORS 701.010. 3.Plan review fees
CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[tap: $
(b)Fire and life safety(40%x permit fee 12aD: $
Business name: DA&el "so krl)PL1 Cetitytag`srr
1 (c) Subtotal of fees above(3a and 3h): S
Address: e at) 7,G5S L a 4 Miscellaneous fees
City: S i r�y iCi4.kI State: Ole I ZIP: .
e...� q (a) Seismic fee, 1%(.01 x permit fee[2a1): $
Phone,y..t[-594-3515 � Fax541- '741 - 34G--•Z [�j DJ
E-mail: (h)Technology fee,5%(.05 x permit fee[2aJ): $
(3rrr#manStl e- hot-me / r Cern
CCB license no.: 3i l j'i TOTAL fees and surcharges(2e+3c+4a+4b): $q l)O
Print name: \ EL IA\ . 44,u"-HA .r 1 l/`t-A r7r
Signature: '
SUB-CONTRACT'"RINFORMATION `' ? .
Name CCB license# Phone Number
'Electrical