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HomeMy WebLinkAboutPermit Building 2013-10-31 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ^ Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02422 www.springfield-or.gov permitcenter©springtield-or.gov PROJECT STATUS: Issued ISSUED: 10/31/2013 EXPIRES: 04/29/2014 STATUS DATE: 10/31/2013 APPLIED: 10/31/2013 SITE ADDRESS: 1042 M ST,Springfield,OR 97477 SCOPE: Dryrot ASSESOR'S PARCEL NO: 1703264402500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repair OWNER: TAFF JAMES W 8 AUDEAN B Phone Number: ADDRESS: 1042 NI ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MOIR CONSTRUCTION COMPANY INC CCB 41570 02/14/2015 541-343-4396 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 f .nt of the property, -ndithe approved set of plans will remain on the site at all times during construction. dna • 76/ Owner or Contractor Signature Date • NOTICE: WORK ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE 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 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/31/201 11:36:54AM Page 1 of 1 SPRINGFIELD—, CITY OF SPRINGFIELD • � ; TRANSACTION RECEIPT Springfield,OR97477 fY ''` OREGON 225 Fifth St 541-726-3753 811-SPR2013-02422 wwwspringfield-or.gav 1042 M ST permitcenter @springfield-or.gov RECEIPT NO: 2013002393 RECORD NO: 811-SPR2013-02422 DATE: 10/31/2013 [DESCRIPTION ...- ACCOUNTCODEITRANS,_C.ODE• -- '_- •. AMOUNT_.but �s State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.51 Structural Building Permit Fee 224-00000-425602 1002 162.61 Technology fee(5%of permit total) 100-00000-425605 2099 8.13 TOTAL DUE: 190.25 _» CASH. �PAYMENT TYPE -••:PAYOR--"-,cnsRlER:ccnePeRTER =COMMENTS `,". ; � •°-- � •AMOUNT'PAID = •' • Check MOIR CONSTRUCTION COMPANY IN 190.25 5005 TOTAL PAID: 190.25 • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY hOR€GON'aCITY OF`SPRINGFIELI OREGON _t's„i Permit no.: 5,7 . 212 7 . 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: /C7 JJ 07/7 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. I. Valuation information Signature:Signature: Date: (a)Job description: /�{J7 • /47942-74-- This project has DEQ approval. Occupancy ,C3 Signature: Date: Zoning approval verified: El Yes ❑ No Construction type: j7 Property is within flood plain: ❑ Yes ❑ No Square feet: ' .CATEGORY OF CONSTRUCTION • Cost per square foot: 4(esidential ['Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of heart: Job site address: 0 C�7 s - Energy Path: s � 1tJ ,s1 City:9 i.59 hcl State:(ly, Z11q, 7, ❑new teration ❑addition Subdivi, on: / Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference: Taxlot: Total valuation: Vi> "� . 'PROPERTY/OWNER, ,$.( 2. Building fees Name: \//q,ryt.�ePS P 6,4 ,¢040 m j`1`' (a) Permit fee(use valuation table): $ l&ZF Address: JO y7 S'f' (b)Investigative fee(equal to 12a1): $ City: ,QI �! ,/f. Stated/1V Z110/97 (c) Reinspection($ per hour): $ Phone/—, y-6-3,sio Fax - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x C2a+2b+2c]): $ / 5 l (e)Subtotal of fees above(2a through 2d): 5 r Building Owner or Owner's gent• mg this application: 3. Plan review fees Sign here: (a) Plan review(65%x permit fee Pap: $ (b)Fire and life safety(40%x permit fee 12aI): $ ❑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 Ibmily,and is exempt from licensing 4. Miscellaneous fees requirements under ORS 701.010. (a) Seismic fee, I%(.01 x permit fee[2a]): $ - CONTRACTO INSTALLATION (h)Technology fee,5%(.05 x permit fce[2a]): $e3 Business name:/�yw/oiQ S� 5 l� ( `A/rte'+ / TOTAL fees and surcharges(2e+3c+4a+db): S /2Q z Address:Al O f) /�r,�7 City:f'vj 5j�//�. StatetA I Z/IIlf?yV(y Phone:AV 34 -fill Fa9f/ 7V1-Jt E-mail: SmO/R OnM(ypt-rtmie CC13 license no.: 9157 Print name: eSt v 4/0/t, Signature: c3X------r .SUB-CONTRACTOR-INFORMATION' Name CCB License N Phone Number Electrical Plumbing Mechanical