HomeMy WebLinkAboutPermit Building 2014-1-6 SPRINGFIELD 225 Fifth St
" ' CITY OF SPRINGFIELD Springfield,OR 97477
t;a� Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00021
www.springfield-or.gov pe rmitce nter@sp ringfield-or.gay
PROJECT STATUS: Issued ISSUED: 01/06/2014 EXPIRES: 07/05/2014
STATUS DATE: 01/06/2014 APPLIED: 01/06/2014
SITE ADDRESS: 658 33RD ST,Springfield,OR 97478 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1702312405300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Minimum permits to complete expired permit COM2008-00633
OWNER: HOGI LEGACY PROPERTIES LLC Phone Number:
ADDRESS: 743 ASCOT DR
EUGENE OR 97401
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED i
Inspections
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.
— /6//y
caner or Contractor Signature ate .
ATTENTION: Oregon law requires you to HOME:
follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK
Notification Center. Those rules are set forth AUTHOP,I7_ED UNDER THIS PERMIT IS NOT
in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR
0090. You may obtain copies of the rules by ANY 180 DAY PERIOD.
. calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 1/6/2014 2:37:28PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
it.t 225 Fifth St
e (i% TRANSACTION RECEIPT Springfield,OR 97477
2.. -\ OREGON 541-726-3753
811-SPR2014-00021
www.springfield-ar.gov 658 33RD ST permitcenter @springtield-or.gov
RECEIPT NO: 2014000017 RECORD NO:811-SPR2014-00021 DATE:01/06/2014
;DESCRIPTION . •
- • ACCOUNT C.ODE/TRANSCODE__:._-v __AMOUNT.DUE-_
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
LE.A.YmENTTY0 E -.. PAYOR CASHIE_R:`CCARPENTER' - COMMENTS .. AMOUNT PAID I
T
Credit Card Donald Bragg 93.60
02033c
TOTAL PAID: 93.60
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Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
_CITY OF:SPRINGFIELD, OREGON = r- w\tti Permit no.: S/y "
225 Fifth Street•Springfield,OR 97477•P1.1(541)726-3753•FAX(541)726-3689 OREGON vZ�
. Date:-/7/ /�47
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of iss ance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
This project has final land-use approval. I. Valuation information •
Signature: Date: (a)Job description: /MS/ t t7f y/Lt-- /"ja-'—
This project has DEQ approval.
Occupancy Com 2e0).---6 J
Signature: Date:
Zoning approval verified: ❑ Yes ❑ No Construction type:
Property is within flood plain: ❑ Yes ❑ No Square feel: ,
CATEGORY OF CONSTRUCTION Cost per square foot:
❑ Residential ❑Government ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of Heat:
Job site address: 46 9ja6( $-}1.- Energy Path:
City: -cer,ks-PLe.�(� State:O,, ZIP()7y77 1:1 new alteration ❑addition
Subdivision:�J Lot no.: (b)Foundation-only permit? ❑ Yes ❑ No
Reference: 'faxlot: Total valuation: $41
PROPERTY OWNER 2. Building fees
Name: yp ��--}�"q!pct (a) Permit fee(use valuation table): $ FP
Address: g Utr p[„ (b) Investigative fee(equal to 12a1): $
City: ( u StateQa- ZIP:g7Lf' (c) Reinspection($ per hour): $
Phone: Syr 3iry-q e(9 7 Fax: - - (number of hours x fee per hour) •
(d)Enter 12%surcharge(.12 x 12»+215+2c1): $ Gj
U
E-mail:
(c) 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 12a]): $
Sign here � (b)Fire and life fees a above(x permit fee 12a1): $
❑'this in a on is bein ade on residential or faun 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 tee 12a1): $
CONTRACTOR INSTALLATION ' /O0
(b)Technology fee. 5%(.05 x permit fee12a1): $ L
Business name: ?
65 3 3 TOTAL.fees and surcharges(2e+3c+4a+4b): S J b
Address: -. rc d
City: ...56o/-01. 'Cita/ State:0 r- /_I P:R7Zf
Phone: /- -- b Fax: - -.
E-mail:(fizzy cm-u, ...d b ® 61.✓W I ,G'cf v-r-∎
CC13 license no.: /6 D- 3
Print name: /D6h 5
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Signature: ./ [ _ _----7-------
VV
YrSUUB-COON/TRACTOR INFORMATION. .
Name CCB License# Phone Number
Electrical
Plumbing
Cis 3 /6n-235 g//5)3 -ME
Mechanical
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