HomeMy WebLinkAboutPermit Building 2013-11-19 SPRINGFIELD - 225 Fifth St Sir" ' L C 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-SPR2013-02536
www.springfield-orgov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 11/19/2013 EXPIRES: 05/18/2014
STATUS DATE: 11/19/2013 APPLIED: 11/19/2013
SITE ADDRESS: 1294 B ST,Springfield,OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1703351417500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Convert window opening to door,ext.bearing wall
OWNER: MCEACHEM JANET Phone Number:
ADDRESS: 1294 B ST
SPRINGFIELD OR 97477 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor J 8 V HOME IMPROVEMENT CONTRACTORS INC CCB 96579 02/08/2014 541-895-4722
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1430 Insulation Wall Wall Insulation: Prior to cover.
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.
/1 —/9 — /3
Ow -r o ontractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
h OAR.,52-001- NOTICE:
Notification Center. Those rules arec et fort
in OAR 952-001-0010 througs of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain cope. hone
the center. (Note. the tefep AUTHORIZED UNDER THIS PERMIT IS NOT
calling Notification COMMENCED OR IS ABANDONED FOR
numberCenteris01e 800-3312 2344)• ANY 180 DAY PERIOD.
Lflcatlon
l
1
Springfield Building Permit 11/19/201 11:37:20AM Page 1 of 1
•
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
-tk‘O:EG N 541-726-3753
811-SPR2013-02536
www springfield-or gov 1294 B ST permitcenter@springfield-or gov
RECEIPT NO: 2013002526 RECORD NO: 1311-SPR2013-02536 DATE: 11/19/2013
ibEaCRIP:TIONLI: T; '; ACdOUNT:CobE/TitASCObt-';',:[-: TAAASIOON-EouE: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
L-FsAymENj YE PAYOR-- COMMENTS_ ' t--tr;-_-.7ANIOUNT PAID
Credit Card J &V HOME IMPROVEMENT
019319 CONTRACTORS INC
TOTAL PAID: 93.60
•
•
•
Structural Permit Application SPRINGFIELD - DEPARTMENT USE ONLY
t
CITY OF SPRINGFIELD, OREGON „'L , ..2,4, L." Permit no.:
s 1
225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(54 I)726-3689 OREGON
• Date: //At/ft I
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of i suance 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: (j/i+bp1J-1
This project has DEQ approval.
Occupancy
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
,�. CATEGORY OF CONSTRUCTION Cost per square foot:
,1[1 rcesidential ❑Government ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of Ileac
lob site address: /2.9y 2 ., > /' Energy Path: .
City: S044,7-
04Ifr y -LQ State: uk ZIP9 777 ❑new alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑ No
Reference: Taxlot: Total valuation: Sizo p
PROPERTY OWNER 2. Building fees
D
Name: �,q,��p,� �f/G,�,�,�n,zi,,J (a) Permit fee(use valuation table): S P�
Address: /Z 9 7 $ /t- (b)Investigative fee(equal to I2a1): S
City: S ne,- Q// State:ef,� ZI P:97177 (c) Reinspection($ per hour): $
Phone: t78-- -00 Fax: - - (number of hours x lee per hour) —�—
E-mail: (d)Enter 12%surcharge(.12 x 12a+2b+2c1): $
(e)Subtotal of fees above(2a through 2d):' S
Building Owner or Owner's agent authorizing this application: 3. Plan review fees
(a)Plan review(65%x permit fee I2a1): $
Sign here: • (b)Fire and life safety(40%x permit fee 12aJ): $
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S
me or a member of my immediate family,and is exempt from licensing 4.Miscellaneous fees
requirements under ORS 701.010.
(a)Seismic fee. I%(.01 x permit fee[2a1): $
CONTRACTOR INSTALLATION /
-. - ,/ (b)Technology fee.5%(.05 x permit feel2a1): $ lfi
Business name: .21— 'F V Kam- / pete.„/ TOTAL Ices and surcharges(2e+3c+4a+4b): S93
Address. 7, a. eS73,X 72y
City: 4 5a..'LtO State: P/t ZIP: 97f7i
i
Phone/- 5/7 2.2.- Fax: - -
E-mail:
CCB license no.:
Print name: wry'J L,y.J
Signature: _/ .�7z
- . UB-'•NTRACTOR INFORMATION
Name CCB License It Phone Number
Electrical
Plumbing
Mechanical