HomeMy WebLinkAboutPermit Building 2013-9-19 SPRINGFIELD - 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477 EcoN Phone: 541-726-3753
• Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02111
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/19/2013 EXPIRES: 03/18/2014
STATUS DATE: 09/19/2013 APPLIED: 09/19/2013 •
SITE ADDRESS: 5305 LEOTA ST,Springfield,OR.97478 SCOPE: Interior
ASSESOR'S PARCEL NO: 1702333105800 TYPE OF STRUCTURE: Residential .
PROJECT DESCRIPTION: Wall removal
OWNER: WEDLAKE LORETTE M Phone Number:
ADDRESS: 5305 LEOTA ST
SPRINGFIELD OR 97478
L. CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor NOTTAGE COTTAGE CONSTRUCTION LLC CCB 166633 10/19/2013 541-913-8700
• 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.
i
Own- . Contract.-s ignature ate
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone
"NY 1S0 DAY PERIOf?. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 9/19/2013 1:32:19PM Page 1 of 1
•
SPRINGFIELD CITY OF SPRINGFIELD
kr^' 225 FiNh St
TRANSACTION RECEIPT Spnngfield,OR 97477
a.;.
OREGON 541-726-3753
811-SPR2013-02111
www.springfeld-or.gov 5305 LEOTA ST permitcenter @springfield-or.gov
RECEIPT NO: 2013002085 RECORD NO: 811-SPR2013-02111 DATE:09/19/2013
DESCRIPTION a;11l`I if y° ` '`._'n._ "aw. 'ACCOUNT CODE/TRANS CODE al;';'"-t.:. AMOUNT DUE-'x
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Structural Building Permit Fee 224-00000-425602 1002 - 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
P,AY,MEisit a -1 PAYOR eriiii"7,i5u'°RSOR a ntCOMMENTSk ,"v g. AMOU_NTr',Pi41U 1>
Check James T. Nottage 93.60
5734
TOTAL PAID: 93.60
'4 . Structural Permit Application SPRI GFIELD vDEPARTMENi USE ONLY,3;
Llx -�.:.. _... ...
. CITY OF SPRINGFIELD, OREGON .t% Permit no.:
225 Fifth Street•Springfield,OR 97477•P11(541)726-3753 £3/1(541)726-3753♦FAX(54 I)726-3669 OREGON �1 Zot 3 OZ I 1 1
Date: ?/,/r 2
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.
r'- N115CA ckatiVERNIu gist AFFROVAL ,Y,tyy a ;r2r _ ; x r,7_1FEE 136140ULE„-,,,; ' il;
This project has final land-use approval. - tl Va luah o yin fo r a op . i, .- a .�.�� .
r,
Signature: Date: (a)Job description:
This project has DEQ approval.
Signature:
Date: Occupancy
•
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
a
��`` '"s� � ,m ,'�`,,CATEGORY�,OF�.„CONSTRUCT'IQN ,y.,"�"�: ,'�`f,,'{; Cost per square foot
.: Residential II Government ❑Commercial Other information:
rt .tea1aJOB,.'SITE;INFORMAIIDW74 D±?eLOCATIOWarn; Type of Heat:
Job site address: 53' 05 1 £.dtg\ ✓t Energy Path:
Cite C) hi tj P t d State: a C' ZIP:Q747 ❑new ❑alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: $' (}----
1 _ is PROPERTY aO.W NERR: 2:2I_ a ai f2>Bu°dnge erggi Vl.... , „__ : .VSI �, S;x
• Name: ! )0- Eire (t)e c I L k
C- (a)Permit fee(use valuation table): $
Address: C2)0 c n I,: .O A . (b)Investigative fee(equal to[2a]): $
City )f R`A State: ZIP:Cf7I4.7 (c)Reinspection($ per hour): $
rr j 3143 (number of hours x fee per hour)
Phone: -49),7j — � ,t71� Fax \ (�/��.
E-mail://p7tf yf e eedfap t'/p' ¢2(Lb'jloy\- c•0m. (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
l l (� ,f
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: ;3Planrreiw fes? '� a n a#
t s ”
(a)Plan review(65%x permit fee[2a]): $
Sign here: - ///-/
(b)Fire and life safety(40%x permit fee[2a]): $
❑This in • ".don is being made on ree)....••. or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me. member of my immediat . ly,and is exempt from licensing
74:1M iscell aeons fees r x->.. `rs z �' -'--',.j
�rements under ORS 71 .110.
__ _,_-„_ (a)Seismic fee, 1%(.0l x permit f e e $ -
,.. . .,, . CONTRAICTOR,IN$TALI:4TION'' ,.;.4'- �,�_y-,i
-``i�� .- nn (b)Technology fee,5%(.05 x permit fee[2a])i $
Business name: �p!/Gfpe co st P 1.S
I !�3 40 I TOTAL fees and surcharges(2e+3c+4a+4b): $ 3
Address: t/X / � CJ
City:gEve
State-' I ZIP:97q-az
Phone:
913 11-( DC Fax: /J
E-mail: `/ r/ 'P C07/? Pte” aP aft . Gales - cps Err
CCB license no.: / /666 3 - J 1
Print name: �/ ))+■ rW �:c
Signature: �e"
sear
SACTORS'INFORMAT_IONEW"L J- k?}
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