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Home My WebLink AboutPermit Miscellaneous 2013-9-17 SPRINGFIELD - 225 Fifth St • ho- �� CITY OF SPRINGFIELD Springfield,OR97477 ' v Phone: 541-726-3753 oa¢cotr Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02091 www.springfeld-or.gov permitcenter@sphngfield-ar.gov • PROJECT STATUS: Issued ISSUED: 09/17/2013 EXPIRES: 03/16/2014 STATUS DATE: 09/17/2013 APPLIED: 09/17/2013 SITE ADDRESS: 3760 MAIN ST,Springfield,OR 97478 SCOPE: Commercial Miscellaneous ASSESOR'S PARCEL NO: 1702314201201 - TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Platform and guards for rooftop exhaust fan • OWNER: WILLIAM J 8 SUZANNE I WELT FAMILY TRUST Phone Number: ADDRESS: PO BOX 220 COTTAGE GROVE OR 97424 CONTRACTOR INFORMATION J Contractor Type -Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED b 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. Owner or Contractor Signature Date . . ATTENTION: Oregon law requires you to !?EITICEEWpRK • follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF!.„, 1., I Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMITr�S,JOT in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by COB�MENCED OR IS ABANDONED FOR ,; calling the center. (Note: the telephone ANY 180 DAY PERIOD: number for the Oregon Utility Notification . Center is 1-800-332-2344). • Springfield Building Permit 9/17/2013 4:17:18PM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St eti TRANSACTION RECEIPT Spnngfield1OR97477 OREGON 541-726-3753 811-SPR2013-02091 wvrw,s994659ld-or.goy 3760 MAIN ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013002053 RECORD NO: 811-SPR2013-02091 DATE:09/17/2013 S.3*.17 Iz 3 7 S1�+* j,-ACCOUNTCODE/TRANS CODE a rt =': i o , 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 NNaa TOTAL DUE: 93.60 pePAYMElgfr PE. '' P.AYOR cZIEiffra P,EIJrER ,COMMENTS -- AMOUN-TP.AID._;' y"7ft_ " Credit Card WILLIAM J &SUZANNE I WELT FAMII - 93.60 v 017390 TRUST TOTAL PAID: 93.60 3-76 mai 1,1 sf S lOp � i2w— 1cQ.e, Vievr j I t3 J _ � 1 1 I �.. g �. o 11 2 1 X f e of,n 2,- cpo cfr 2 X 6 ?so;51-PA) c)e:5 axti Remitf,S/w At Pl yikooQ SCALE / '' I m e.. , To To It PresuL I{ecet 4 a Structural Permit Application SPRINGFIELD DEPARTMENTUSE ONL'Yr> IS 4 CITY OF SPRINGFIELD,OREGON Permit no.:• 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(54l)726-3689 OREGON Date: 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. w,gi,,d.,sd.i5LOCALsGOVERNMENT„,APPROVALRIW4W:r ^. W atrs RFEEd SCHEDULE tra This project has final land-use approval. ,_1`Valuat3ou mforma[ionrl:, ..r. �y�/'#�"„�`�, T,.�[�' Signature: Date: (a)Job description: 4tr� week w/71tI Rout Age This project has DEQ approval. Date: Occupancy yy$04 01%G�,/ Signature: � • 1 Zoning approval verified: Dyes- ❑No Construction type: L.00-0friy Property is within flood plain: ❑Yes ❑No Square feet: y,. 54 - V ` lrtigy N CATEGORY OF,)3CONSTRUCTION' ,o-ikllt`i,!}F k, Cost per square foot: n / ❑Residential ❑Government ❑Commercial Other information:Perk em &m? $ Ii 4&w `'m'„; �d INera SITEiNFORMATION AND4LOCATION`?i^'r fii'. -Type of Heat: YY"""" / ' earth) 115 Job site address: 3 be,n if nergy Path: - City: Si l (-1145�t e..'q State: 3R. I ZIP:�7�� Urnew ❑alteration ❑addition ,,mo--,tt Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes L]No Reference: Taxlot: Total valuation: 4-2)00 .- o.., - ,. .-,- n -.r ca )`r,.. ,�'�r:�u.v+.=.f•'».. :PROPERTY?�QWN`ERe',''�•�'r1�.F..;�i�r�"� +.>.-.. `�2,Budding fees��r wm��35'��vi(.,, . ,�.�' �� v.•=� Name: IA); it ( 1 t\ .QI+N (a)Permit fee(use valuation table): $ Ov( Addre/sss77:�y.r' 9J goy , ) (b)Investigative fee(equal to[2a1): $ City: Cef /e, t,�7-/0�_, State::Q ZIP.7Y� (c)Reinspection(S per hour): Syl-pY 3- _„N (number of hours x fee per hour) $ Phone: 7 Fax: - - E-mail: g I ?1 (d)Enter 12%surcharge(.12 x[2a+215+20: $ �OJ/ (e)Subtotal of fees above(2a through 2d): $ Building Owner or wner's a:ent at oriz A�.plication: £3 Plan review fees'"`^_`°a ''N� -h+1' �F' i- f -r'I°` � � .tom 3t �«�e x IL .,'i._�: (a)Plan review(65%x permit fee[2a]): $ r— Sign here: ,�,,��% (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation' be ma.- .n residen.. oii trm property owned by (c)Subtotal of fees above(3a and 3b): . $ me or a member of ediate family,and is exempt from licensing ^'4aMt's'eella eagfeesrit •hfe w Zxx w P ii` ' L�4;:.r 5 Ki _,ca requirements under ORS 701 010 n (a)Seismic fee, I%(.01 x permit fee[2a]): $ `s ? .`CONTRACTOR INSTALLATIONir tral 41:41..-14 • d --.-•=--- l” "t -- (b)Technology fee,5%(.05 x permit fee[2a]): $L - Business name:a10/1.j 7------ TOTAL fees and surcharges(2e+3c+4a+46): $e?I062 Address: City: - State: I ZIP: Phone: - - Fax: - - E-mail: CCB license no./'f W l Ljr /� .0�3 Print name: Drct CI' `ckil- Signature: tJ �,1 :1+21.1 Y-SUB,CONTRACTOR1INFORMATION ,,,,;a__` ie Name CCB License# Phone Number .^-Electrical • Plumbing Mechanical .