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HomeMy WebLinkAboutPermit Building 2013-11-25 • SPRINGFIELD 225 Fifth St hilite.-a— CIT Y OF SPRINGFIELD SpringfeldOR 97477 Ct Phone: 541-726-3753 ' `,OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02571 www.springfield-or.gov pennitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 11/25/2013 EXPIRES: 05/24/2014 STATUS DATE: 11/25/2013 APPLIED: 11/25/2013 SITE ADDRESS: 1075 COLE WAY,Springfield,OR 97478 SCOPE: Interior ASSESOR'S PARCEL NO: 1802052400500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fireplace chimney infill framing OWNER: POLANCO LUIS R&SUSAN B Phone Number: ADDRESS: 1075 COLE WAY SPRINGFIELD OR 97478 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor THE CABINET TREE LLC CCB 166551 09/21/2015 541-653-0043 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. y �ib, t .* d—2.5.—/� Owner or Contractor Signature Date ATTENTION: Oregon law requires you to foilow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 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 1-000 332-2344). • Springfield Building Permit 11/25/201 11:09:04AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD srs.1/4 TRANSACTION RECEIPT 225 Fifth St Springfield,OR 97477 811-SPR2013-02571 541-726-3753 • www springfield-or.gov 1075 COLE WAY ' permitcenter@springfield-or gov RECEIPT NO: 2013002562 RECORD NO:811-SPR2013-02571 DATE: 11/25/2013 fotsbikiRrioN : - , 7 ..- --;:. 72 ,. ..;,,, :,72,2..- :iy--Accipiikt eobErtikANs cooCQ n n;:, :,,,:::-AMOLNTIIUE'1'2 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 LPAYMENT TYPEt---;7,-,,,t PAYOR'- CASHIER oileat.Set---47;;K: :-COMMENTS- :-- 41:,-.17-4:>---;- . .-- ..-!:': --AMOUNT 132(19,--:--7-.7-...; ---,A-i Credit Card robert stubbs 93.60 031514 . TOTAL PAID: 93.60 • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY At CITY OFSPRINGFCELD;OREGREG ON " n ''. ;.,a�t'w 225 Fifth Street•Springfield,OR 97477•PH(54t)726-3753•FAX(541)726-3689 oaFGUN Date: /a eS///3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days f 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: Dale: Ott vv%1/� .,L 4d ( 6 (a)Job description: This project has DEQ approval. /2-3 Occupancy Signature: Date: Zoning approval verified: ❑ Yes 111 No Const coon type: V 1� Property is within flood plain: ❑ Yes ❑ No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: • ❑ Residential ❑Government ❑Commercial Other information: . JOB SITE INFORMATION AND LOCATION Type of heat: Job site address: /O L dole. Way yy Energy Path: City: Sr State: Q12 ZIP:17- S ❑new ❑alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes �i'IfJo Reference: I p t17bc2`f Taxlot: C) O IS O O Total valuation: Gam- v 9Z 1C- PROPERTY OWNER 2. Building fees Name: [41i$ .de (a) Permit fee(use valuation table): $ d S Address: /07' COIe way'7 (b)Investigative fee(equal to[2a]): $ City: $ert &Jd State: OIL. ZIP: 77" (c) Rcinspection($ per hour): L/ (number of hours.x fee per hour) $ Phone: sV �'��':L(J.3T Fax: - - G-moil: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ (c)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review"fees • (a) Plan review(65%x permit fee[2a]): $ Sign here: (b)Fire and life safety(40%x permit fee pal): $ ❑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 4.Miscellaneous fees _ requirements under ORS 701.010. u (a)Seismic fee. l%(.01 x permit fee[2a1): $ CONTRACTOR INSTALLATION (h)Technology lee.5%(.05 x permit fee[2a]): $ // Business name: J�.G Calcine* Tru. , u-[- U TOT AI.fees and surcharges(2e+3c+4a+.1b): s S Address: 36x1 Reverc►ns�-c�r. / 3 City: atgtN-q , State: CC ZIP:914#11/ Phone:S5 - 53 0o93 Fax: - - E-mail: Ike• cabinebfret€h#n,d I, con_ CCB license no.: /66 cocci Print name: Rob Gel 5+06,6.5 Signature: a ' SUB-CONTRACTOR INFORMATION , - Name CCB License# Phone Number Electrical Plumbing Mechanical