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HomeMy WebLinkAboutPermit Building 2013-9-27 SPRINGFIELD 225 Fifth St k PhonCITY OF SPRINGFIELD Springfield,OR 97477 t `' e: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02176 www.springfield-or.gov - permitcenter©springfield-or.gov I PROJECT STATUS: Issued ISSUED: 09/27/2013 EXPIRES: 03/26/2014 STATUS DATE: 09/27/2013 APPLIED: 09/27/2013 SITE ADDRESS: 2705 G ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703361111100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Widen front door opening OWNER: BAKER ASHLEY&MICHAEL Phone Number: ADDRESS: 2705 G ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor TIMOTHY MARK FROMDAHL CCB 77831 11/07/2014 541-496-3575 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. 31245_ Owner or Co ractor Signature Date NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those,rules are set forth COMMENCED OR IS ABANDONED FOR in OAR You may obtain copies OAR 952es by 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 9/27/2013 10:43:35AM Page 1 of 1 SPRINGFIELD---- CITY OF SPRINGFIELD .1,. ..aw... 225 Fifth St ��; TRANSACTION RECEIPT Springfield.oR97477 OREGON 541-726-3753 811-SP R2013-02176 www.springfield-or.gov 2705 G ST permitcenter @springfield-ar.gov RECEIPT NO: 2013002157 RECORD NO:811-SPR2013-02176 DATE:09/27/2013 [DESCRIPTION 4 ACCOUNT CODE/TRANS_CODE AMOUNT_DUE 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 ,PAYMENT TY PAYOR_ CASHIER:CCARPENTER COMMENTS: �AMOUNT,PAID,. Credit Card BAKER ASHLEY&MICHAEL J 93.60 329852 TOTAL PAID: 93.60 3 • ,f Structural Permit Application NT USE ONLY` • CITY OF SPRINGFIELD, OREGON C / �.+ Permit no J 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 - OREGON • Date: Vg 7li 3 This permit is issued under OAR918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. f'*r' t .,r a,z s..,,...,.„,,.., IR ., ,,�n „in ex' H ,..,t e-3: ,,� 4.,.� 't ,s �+-, � J„ :: LOCAL`'��GOVERNMENT.,APPROVAL,,.�r>-�,:;. ,_�. ,.g,,;_--d,Y,,S_,,,,�� F.EE�SCHEDULE y„a5�,,,,,,;;, � . ,y K>=:r. �. This project has final land-use approval. i�l?�rUaluatton_nfora[ioo v'7_-0: ` ��;"'x Ka ,.gi Signature: Date: (a)Job description: 41 cr../ Fe 7 peva_ de2'-1"-5 This project has DEQ approval. Occupancy 3 Signature: Date: �/ Zoning approval verified: ❑Yes 0 N Construction type: VJ . Property is within flood plain: ❑Yes ❑No Square feet: "1 f CATEGORY OF;.CONSTRUCTION Fa- ' sc a Cost per square foot: Residential ❑Government ❑Commercial Other information: OB SITE=INFORMATION'ANDkOGATION&d2 Type of Heat: Job site address: 2./1�+U (1-1 Energy Path: City: Q f i r.�<Ca l d Staten ZIP: ❑new t2frieration ❑addition Subdivision: v Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlo[ Total valuation $,G 00 .',vFr "`} +"411.PROFERTYSOWNER .=.�rl..'�'.xtugk. fis, ?'=Butldi g';fees Tit..2 ..__....2. : ts „ 'snsT G+-_"g, a- - Name: Aoki., � cb 4 A;kit. 1.)YKICV� (a)Permit fee(use valuation table): $ �j�j� Address: Z7 O$” /A, 5k �! (b)Investigative fee(equal to[2a]): $ L City: 5c ,- 5 'el� State: CAL ZlP. 11y-1-1 (c)Reinspection($ per hour): (number of hours x fee per hour) Phone: Fax: - - lJ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 5' (e)Subtotal of fees above(2a through 2d): $ :°°a n� WeV a: r 47 mt=y Building Owner or Owner's agent authorizing this application F3:Planmeview,ifees_1���-�„,�,,.:3,„„ 'nn,w,t a gig, (a)Plan review(65%x permit fee[2a]): $ Sign here: %�1 _ (b)Fire and life safety(40%x permit fee[2a]): $ 0 This installation is being made on residential 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 : w rt'v 1uru,mx s. „`, 5 =s ?„ �, s- .;'4.Mtscellaneousjfees�..;< ,. „t-, , ,.:t '�f.:,.,s�:� �. :.,�s requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): r �` * ), CONTRACTOR INSTALLATION';';r° t Li' F?'q'. iry a --- (b)Technology.fee,5%(.05 x permit fee[2a]): $ Business name: 'Er c'"`^� TOTAL fees and surcharges(2e+3c+4a+4b): $ GD Address: f P SO /9 2 City:/DLC PM atatey}y_S ZIP:52“ y/ • Phone: Ve6-? S Fax: - - E-mail: • CCB license no.: 7 -7 Yi ( Print name: • Signature: _ SU6CONTRACTOR_INFORMATIQN -mac ,N„ Name CCB License# Phone Number Electrical Plumbing Mechanical