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HomeMy WebLinkAboutPermit Building 2013-10-23 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 et '' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02349 www.springfield-or.gov pe rmitcenter @springfield-or,gov PROJECT STATUS: Issued ISSUED: 10/23/2013 EXPIRES: 04121/2014 STATUS DATE: 10/23/2013 APPLIED: 10/22/2013 SITE ADDRESS: 544 S 51ST PL,Springfield,OR 97478 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702333302015 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Roof mount solar panel installation OWNER: HAZEN REBECCA L Phone Number: ADDRESS: • 3432 5TH AVE S GREAT FALLS MT 59405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor SOLAR ASSIST INC CCB 198660 01/04/2015 541-338-4957 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 lo ed at the front of the property, and the approved set of plans will remain on the site at all times during construction 23-/3 Owner or Contractor Sign re Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 10/23/201 10:42:54AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St �c�• TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-02349 www.springfield-or.gov 544 S 51ST PL permitcenter©springfield-or.gov . RECEIPT NO: 2013002327 RECORD NO:811-SPR2013-02349 DATE: 10/23/2013 DESCRIPTION " ACCOUNT CODE/.T;RANSaCODE °- AMOUNT DUE`m 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 ' - AMOUNT PAID L PAYMENT W.,. FAYOR CASHIER:.ILARSON ' - -COMMENTS . - ..J Check SOLAR ASSIST INC 93.60 1253 TOTAL PAID: 93.60 • • Sti uctui-al Permit Application SPRINGFIELD - DEPARTMENT-USE ONLY:` ter w t - .400 CTY<OIMg,t.g-Vitt kg9 tl � t permit no.SI3 ' O Z 399 oa¢GoH r 225 Fifth Street•Springfield OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: telz 5// 2.2 This permit is issued under OAR 913-460-0030.Pmalts expire if work is not started within 180 daps of issuance or if work is suspended for 180 days. , ,,: LOCAL GOVERNMENT APPROVAL '. ,'j, ";,_ '_ „ ,,,,(FEE,SCHEDULE, a _Iu'_ ! :I._.. This project has final land-use approval. .1. Valu tiourinfoimntioii'm , „ , , , ,- , . _ _ Signahre: Date: v Tub descii hon: �/ rt X014 . 0) p elooF ynouvh r E I e_c-frk- Thus project has DEQ apps oval. /J Date: Occupancy F- . Signature: Zoning approval verified: ❑Yes ❑No Conshuction aqua VIM Property is within flood plain: ❑Yes ❑No - Square feet: ',,€ ° CATEGORY OF,CONSTRUCTION + :)„,• Cost per square foot: laResid enhal ❑Oovenunent I ❑Conune ial Other information: F . �'JOB°SITE`-INFORMATION AND.LOCATION Type dHeat: Nr A Job site address: Gam' `-] LI 5 - -51 Si r i_ Energy Path: ka City: SPr 0 State:02 _ ZIP:91-135 ❑new ❑alteration ❑addition Subdivision: " Lot no.: (b)Foundation-roily permit? ❑Yes .- No Reference: I 7e) .2., 3 -S 3 3 Ta xlo O e 0[r Total valuation $filII• ' ,T ___1 PRORY V`OWNER\=;g'':'-'1::::4',. ,,. . ;i,,"Buildnig`fees}7.`c.,,..� , .r Ys .,..,.x._ ). a Nance: .E.13(3ECCA [-\-A LE (a)Permit fee(use valuation table): $ V C3 Address 54C) tic_ 5 ] ST Sr (b)Investigative fee(equal to[2a1): $ C City- 3PF-J> State: O& ZIP:`144 (c)Reinsp tenon($ per hour): S 1 (number of hours x fee per hour) /D Phone: 54I ?_.76 28C)Z Fax: - - ia' E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): 5 /' (e)Subtotal of fees above(2a through 2d) $ Building Owner or Owner's agent autho izing this application: '3:jFl u I esiewlfe`est f^. > :i;--c ,2-*y;ax (a)Plan review(65^ x permit fee[21): $ Sip.litre: c If Fire and life safety 40%x ne nit fee 2a S t ❑This installation is being made onre dential or farm piopalyowned by (c)Subtotal of fees above(3a and 3b) S me or a member of myinmeriate frailly.midis exempt from Homing a,`-1" neousfees'b w;` requirements under ORS 701.010. - . . .. .4"--7, t: P (a)Seismic fee,1 (Ol x penult fee[2a]): S -', CONTRACTOR'INSTALLATION.- _ -- — ° `— Q,)Tedmologyfee,5%(.05x permit fee[2a]): S Y d Business name: 5 oL-A a— Assisi-- TOTAL fees and surcharges(2e+3ef4a+4b): S 73 Address 1395 c.,Co5S 5T 2_\ City- EUG Lk, L - I State:D2 - ZIP:11-402—, Phone:SHI 3r33B-LI 1 5 I Fax: - - E-mail: Su p pc,r t—t'1010,rCks51 S3 - v.a CCB license no: \riS (p(p 0 Pint name: $C o ,j CiZa.to F.v v 1"h Signature: 2 e_ r4_ _ , ..1SUIS„CONTRACTORINFORMATION_; „.'”, I Name CCB License F Phone Number Elechical / O2 3) O c I L7,, ,,3 £LFr 4C SSN . 52_gtj Plumbing Mechanical