HomeMy WebLinkAboutPermit Building 2013-11-12 •
SPRINGFIELD 225 Fifth St
• — CITY OF SPRINGFIELD Springfield,OR 97477
�.ecor+ Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02489
www.springfieldor.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 11/12/2013 EXPIRES: 05/11/2014
STATUS DATE: 11/12/2013 APPLIED: 11/12/2013•
SITE ADDRESS: 1034 4TH ST,Springfield,OR 97477 SCOPE: Dryrot
ASSESOR'S PARCEL NO: 1703352104000 TYPE OF STRUCTURE: Residential •
PROJECT DESCRIPTION: Dry rot repair-bathroom
OWNER: STERUP CHRISTOPHER&POPPIE Phone Number:
ADDRESS: 1034 4TH ST
•
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone
General Contractor J&V HOME IMPROVEMENT CONTRACTORS INC CCB 96579 02/06/2014 541-895-4722
INSPECTIONS REQUIRED
Inspections
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
1220 Underfloor framing
1410 Underfloor insulation
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.
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NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
^,UTHORIZED UNDER THIS PERMIT IS NOT
Notification Center. Those rules are set forth
OMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
130 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility Notification
• Center is 1-800-332-2344).
Springfield Building Permit 11/12/201 9:55:16AM Page 1 of 1
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SPRINGFIELD-4. CITY OF SPRINGFIELD
225 Fifth St
E�oN TRANSACTION RECEIPT Spnngfeld,OR 97477
541-726-3753
811-SPR2013-02489
www.spnngfield-or.gov 1034 4TH ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2013002477 RECORD NO: 811-SPR2013-02489 DATE: 11/12/2013
8e7 .thi:dAIe7: 't;, `* ro'iti ._,;„M.`5j 1^..w,l.,�,�4vi.'It l.VACCOUNT.CODE/TRANS`.CODE. iftqatICAMOUNT DUE ',:a
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,T,Y,PETMPAYORca siiE'R` :it' RSOR'�G,J !., ;k,,COMMENTSM ,', i �_ +AMOUNIRAID! .' _
Cash STERUP CHRISTOPHER&POPPIE 93.60
TOTAL PAID: 93.60
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-Structural Permit Application • SPRINGFIELD DEPARTMENT USE ONLY
CITY OF SPRINGFIELD OREGON ...-s. < <, '< N Permit no.:G/f 201-5 Ygrl
225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 OREGON
Date: /71/2 0,4-3
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. 1.Valuation information -
Signature: Date: (a)Job description: bAf* osc
This project has DEQ approval. Occupancy
Signature: Date:
• Zoning approval verified: ❑ Yes ❑No Construction type:
Property is within flood plain: ❑ Yes ❑No Square feet:
.11 CATEGORY OF CONSTRUCTION Cost per square fool:
• Residential ❑Government ❑Commercial Other information:
/ JOB SITE INFOR7M/AT N AN LOCATION Type of Beal:
Job site address: Jo3 V '7 5 �¢y Energy Path:
City: Jr2 j�]J, LL State: C/6( ZIP: 77 ❑new yilteration ❑addition
Subdivision: I Lot no.: (b)Foundation-only permit? ❑ Yes ❑No
Reference: Taxlot: Total valuation: S
PROPE TY OWNER ' ; 2. Building fees
Name: b ��e Aph4 -� 4 /e (a)Permit fee(use valuation table): $
Address: V ���!l16666 (b)Investigative fee(equal to[2a]): _ $
City: 7 State: _ (e) Rcinspeetion($ per hour):
(number of hours x fee per hour) $
Phone: Pax: - .
Email: (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's age ••uthorizing this application: 3f Plan review fees it- (a) Plan review(65%x permit fee Pal): $
Sign here/� (b)Fire and life safety(40%x permit fee I2a1): $
❑This in d l4Ilaation is being mad o residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S
me or a member of my immediat family,and is exempt from licensing •4.Miscellaneous fees
requirements under ORS 701.010.
(a) Seismic fee. I%(.01 x permit fee[2a1): $
CONTRA TOR INSTALLATION (b)'I echnology fee.5%(.05 x permit fee12aD): $
^
Business namc: .t)-t' //tWhS t" 6m
TOTAL fees and surcharges(2e+}c+Ja+4b): S 73--65.—
Address: - - .
City: State: 1 ZIP:
Phone: - - Fax: - -
li-mail:
CCB license no.:y5-72,
Print name] I ;Vy (foils
Signature:
• , SUB-CONTRACTOR INFORMATION;
Name CCB License# Phone Nunt ber
Electrical
Plumbing 94564
Mechanical