HomeMy WebLinkAboutPermit Building 2013-9-11 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
rfceti d Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02046
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/11/2013 EXPIRES: 03/10/2014
•
• STATUS DATE: 09/11/2013 APPLIED: 09/11/2013
SITE ADDRESS: 3667 5 E ST,Springfield,OR 97478 SCOPE: Kitchen
ASSESOR'S PARCEL NO: 1702314304005 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Kitchen remodel
OWNER: GARY 8 KAREN DAVIS REVOCABLE TRUST Phone Number:
ADDRESS: 3667 S E ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598
General Contractor RAINBOW VALLEY DESIGN&CONST INC CCB 56107 04/04/2014 541-342-4871
INSPECTIONS REQUIRED
Inspections
1110 Footing Footing: After trenches are excavated.
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.
AP
. 77/1 1-3
Owner •r •ntractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth NOTICE: • •,
In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090.ll You the center.er.( copies of the rhos by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). \NY 180 DAY PERIOD.
•
Springfield Building Permit 9/11/2013 1:23:34PM Page 1 of 1
SPRINGFIELD °, CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
- - -OREGON
541-726-3753
811-SPR2013-02046
wwv.spnngfield-or.gov 3667 S E ST permitcenter@spnngfeld-or.gov
RECEIPT NO: 2013002011 RECORD NO:811-SPR2013-02046 DATE:09/11/2013
DESCRIPTION L?'7n''{ .: tIirttn rS P t' ' `.ACCOUNT.'CODEITRANS.CODE as L2 -:7AMOUNT'DUE&".
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 42.76
Structural Building Permit Fee 224-00000-425602 1002 356.33
Technology fee(5%of permit total) 100-00000-425605 2099 17.82
TOTAL DUE: 416.91
"AVall. rrilre.«.,..,»m ".._..'_`-_. . . AMOUNT PAID
PAYMENTeT,YPE ;�iPAYOR . caswER:,ccaRPENTER- COMMENTS. - .� -: �. _�- -�..:. 46,444,7i"'-
Credit Card RAINBOW VALLEY DESIGN&CONS- 416.91
01983g INC
TOTAL PAID: 416.91
Structural Permit Application sPRINGFIELD DElMR—TMENTiU$E
CITY OF SPRINGFIELD, OREGON '° permit no.
.• •, •'OREGON c/J 2„.94:o
225 Fifth Street♦Springfield,OR 97477 4 P11(541)726-3753♦FAX(541)726-3689
, Date: 9/ / 1 ij 7
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.
'°'°""` - FEE SCHg-bill G ° .. ayiy #.
�d.f. Y:� R"' ?A'a Y .+-zai S � h'f. ...,-� -^.?r^ -'�- #e " SSr�'c.
����rf��' LOCAL;GOVERNMEN7±APP,ROVAL'�,`„"� Y�.� .-.�.��. "'� ` t _ _
This p ro J ect has final land-use approval.yal. 1pPaluafon f mahonMa Y" � tn,. mo-'i`ti
Signature: Date: (a)Job description: KjJ��� s&opc(
This project has DEQ approval. Occupancy A�'Sj�
Signature: • Date:
Zoning approval verified: 0 Yes ❑No
Construction type: t./ •
Property is within flood plain: ❑Yes ❑No Square feet
'r -, CATEG ORYt;OF,1CONS FRI-eb0N - `1 Cost per square foot:
"-iT`
[Stkesidential I ❑Government I ❑Commercial Other information:
v SI INF.,ORMATIONG�AND1wLDCATIONe Type of Heat:
=nr�. ,:JOB„ TES �...
Job site address:' 6,�e/ J. G J t Energy Path:
City. o," l et D State:{')' ZIP:Ttgi ❑new an—ration ❑addition
Subdivision: ..JJ I Lot no.: (b)Foundation-only permit? ,(' Yen ❑No w1,�
Reference: I Taxlot: Total valuation: $ 7O&d
LL`a. saSPROPERlY,frt,.OWNER.'9 w._"` -a .i t - s.., t2 Buifding'fn 's` 'zFa ` i? x j ?
Name: (11 flA Ut�j (a)Permit fee(use valuation table): S6 S'3
Address: 4 l . 4j ,4&j - (b)Investigative fee(equal to[2a]): $
City. State: I ZIP: (c)Reinspection($ per hour): $
(number of hours x fee per hour)
Phonei I Z.t - 114 it Fax: - -
E-maiL ( wilt,h lz.fr P 0.6/ • cz n . (d)Enter 12%surcharge(.12 x[2a+26+2c]): $y2 7
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: `KPIa % viw "ia�t r�" �tr A
' (a)Plan review(65%x permit fee pap-, $
Si (b)Fire and life safety(40%x permit fee[2a1) $
This' ti 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 '4 Mt ellaiieous fe "tip- Wtx t r'-tiy .ci'vu :d
requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): $
. " - ��CONTRACTOR INSTALL rlioli±ca:44.' la ±
. ?. (b)Technology fee,5%(.05 x permit fee[2a]): s/7
Business name:g4 wX40 t/,(//E1L /§/t. 1 (0+451"°ai -t TOTAL fees and surcharges(2e+3c+4a+4b): V7/4,�
Address: 7�S 64-4r.rj 1ST
City. CAMp [/�7 State: �� I ZIP:
Phonefjt -74-' 7" l I FaF7T( -J ' — 9Ss b •
E-mail: 1 kr..40 b i e rAMS 3w— v-A nei f-c. C5�'�
CCB license no.: ,56e/D1
Print name: -4014.,..._ KA4. C •
Signatt r > c
i // SU sGQ liinaDWIIRCRMATIO ,�..
Name CCB License# Phone Number
Electrical -
5YI
£- E Electra_ lo5V7s 933-2511.
Plumbing .
Mechanical