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Home My WebLink AboutPermit Building 2014-1-22 • SPRINGFIELD 225 Fifth St ' CITY OF SPRINGFIELD Springfield OR 97477 �f�c� '� Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00136 www.springtield-or.gov pe rmitce nter @sprin gtield-or.gov PROJECT STATUS: Issued ISSUED: 01/22/2014 EXPIRES: 07/21/2014 STATUS DATE: 01122/2014 APPLIED: 01/22/2014 SITE ADDRESS: 650 HARLOW RD,APT#128,Springfield,OR 97477 SCOPE: Interior • ASSESOR'S PARCEL NO: 1703224302100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire separation and floor framing repairs OWNER: SITOWSKI KIMBERLY A Phone Number: ADDRESS: 650 HARLOW RD#128 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor DALE DICK CONSTRUCTION INC CCB 160359 06/15/2014 541-995-6117 Electrical Contractor 360 ELECTRIC INC CCB 197365 07/20/2014 541-514-8028 _ INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. . 1550 Firewall Firewall: Located and constructed according to plans. 1560 Firestop Assemblies 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 .tlhe property, and the approved set of plans will remain on the site at all times during construction. . i s?;". . . /19.77 �y it icvv fequlres you tit Owner or Contractor Signature rules adopted by the Oregon UtiiDate Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- '0011:Bd AVG 08 - AN" 0090. You may obtain copies of the rules by ap j 03NOONdBt/ SI a0 033N31NW0:' calling the center. (Note: the telephone number for the Oregon Utility Notification ION SI 11Wb3d SIH1 a30N(1 03ZI�i0H_l( 1 •Center is 1-600-332-2344). )MOM 3H1 dl 31:1IdX3 1111HS llWN: :33a3d 91SIu1: Springfield Building Permit 1/22/2014 9:21:36AM Page 1 of I • SPRINGFIELD'' - CITY OF SPRINGFIELD 4 -a.— 225 Fthh St `��, TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00136 www.springfield-or.gov 650 HARLOW RD, APT 128 pennitcenter @springfield-or.gov RECEIPT NO: 2014000133 RECORD NO:811-SPR2014-00136 DATE:01/22/2014 •DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Building Permit Fee 224-00000-425602 1002 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 • Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 -PAYOR, CASHIER_CCARPENTER COMMENTS,: - - AMOUNLPAID .T -} I PAYMENT TYPE _ Check DALE DICK CONSTRUCTION INC 93.60 5352 TOTAL PAID: 93.60 • • • • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD OREGON . _ ' t / it /7 / 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON / 1 Date: //2Z / / t/ 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: Date: p •r i/174, 'D/7o� (a) Job description: rL/ ) f7�� This project has DEQ approval. . •, C Occupancy �/'"T/�7 /� ),(1-79/4-(2-5- Signature: Date: Zoning approval verified: ❑ Yes ❑No Construction type:a/ Property is within flood plain: ❑ Yes ❑No Square feet: • CATEGORY OF CONSTRUCTION Cost per square foot: lE Residential ❑ Government 'Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Job site address: A7,57 �/k��/ , /�� Energy Path: City:s/,ei/r��i'�� State: ,..1 ZII':g7y_- ❑ new Ili3lleration ❑ addition Subdivision: 1 Lot no.: (b)Foundation-only permit? ❑ Yes ❑ No Reference: 7-70y20‘l3 I Taxlot:O2/610 Total valuation: $./.20 PROPERTY OWNER 2. Building fees Name: 45 5i /f/S,..e,• (a) Permit fee(use valuation table): $ X62 a Address: b,6'p - e,b1 ' (b) Investigative fee(equal to 12a1): $ City:_6/g e �� State:47...•^(7 ZIP:: 97 (c) Reinspection(S per hour): $ Phone: -3 7—fl 9ci ' Fax: - - (number of hours x fee per hour) E-mail: q (d)Enter 12%surcharge(.12 x 12a+2b+2c]): $ (c) Subtotal of fees above(2a through 2d): S Building Owner or Ow� eat authori: .-• his applic ion: 3. Nan review fees -- (a) Plan review(65%x permit fee[2a1): $ Sign here: (b)Fire and life safety(40%x permit fee 12a]): $ ❑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 12a1): $ CONTRACTOR INSTALLATION (b)Technology fie, 5%(.OS x permit fee I2a . $ If 6° Business name:%/e Cp . ,/pjG - - (� TOTA I,fees and surcharges(2e+3c+4a+4b): 8g3� Address: Cit j,seie e/e State:Q I ZIP: PhoneSy-99c� //7 Fax: - - E-mail: CCB license no.: ,/4095-27 Print name: E� ��'� Signature: �7 • SUB•CONTRACTOR;INFORMATION - Name CCI3 License# Phone Number Electrical — 5/L( - 1262 Plumbing > ■lechanleal �.5I'( '/2Z e0 0 a o rrr° r FIRE-RATED Fire-Rated Recessed Light Enclosure 0 0 Architects, specifiers and installers can easily maintain the integrity of fire-rated 1 ceilings for one-hour by using the �. y te — 4 a o 0 e.z. barrier enclosure for recessed lights. _ "' ,. v. j 9 With the e.z.barrier one-hour fire-rated enclosure, recessed lights can be installed in a fraction of the Recessed Light Enclosure Model #ezb 16-24-9 time that it would take to hand-build an enclosure. 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