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HomeMy WebLinkAboutPermit Building 2014-1-29 SPRINGFIELD 225 Fifth St • 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-SPR2014-00176 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 01/29/2014 EXPIRES: 07/28/2014 STATUS DATE: 01/29/2014 APPLIED: 01/29/2014 . SITE ADDRESS: 490 24TH ST,Springfield,OR 97477 SCOPE: Dryrot ASSESOR'S PARCEL NO: 1703361408200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: dry rot permit OWNER: RODRIGUEZ JOSE A&NORMA N Phone Number: ADDRESS: 490 24TH ST SPRINGFIELD OR 97477 . • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 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 construct err ( z� � t • Owner nature Date ATTENTION: Ore 9d law the requires Oregon Utility NOTICE: follow rules Center. by THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are.set forth in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone ANY M80 DAYD PERIODBANDONED FOR fer number Ce Orgon nter 1eUtility 23800-332- 44).iflcation Springfield Building Permit • 1/29/2014 10:37:41AM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD "I✓ - ,,.: 225 Fifth St TRANSACTION RECEIPT Springfeld,OR 97477 OREGON 541-726-3753 811-SPR2014-00176 www.springfieldecgov 490 24TH ST permitcenter©springfield-or.gov RECEIPT NO: 2014000184 RECORD NO:811-SPR2014-00176 DATE:01/29/2014 uk&"t'ACCOUNIPCODE/TRANS CODE:L^ ?-3' 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 /NPATMENTp1YPE' RP,AY,OR a swE°'ie:fiZr nce o COMMENTS AMOUN7PAIU"u.."&e r =,:tptc.h Credit Card RODRIGUEZ JOSE A& NORMA N 93.60 • 029555 TOTAL PAID: 93.60 • • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY —CITY OF SPRINGFIELD,;OREGON , rei Permit no.: OREGON / 225 Fifth Street•Springfield,OR 97477•PI1(541)726-3753•FAX(54I)726-3689 ( ( ( 740■3 co(�h Date: / 5)1/4 6( 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 1� Si g nature: Date: 7� \ V/z e \S' (a)Job description: T 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 IboL ❑Residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION 'Type of Heat: Job site address: if c D 2Cf 5f— Energy Path: City: S 4 7 y 111 State: ZIP:Gi7 f new ['alteration ID addition Subdivision? lot no.: (b)Foundation-only permit? ❑Yes ❑ No Reference: Ta.xlot: Total valuation: $ PROPERTY OWNER 2. Building fees • Name: .bS C 2../-A (a) Permit fee(use valuation table): $ Address: C(q 0 gs- 2q S (h)Investigative fee(equal to[2aj): $ City: l .- State: b y ZIP: q'w)e(7 (c) Rcinspection($ per hour): $ Phone: _ IS/�D !qy ._ (number of hours x lee per hour) 8-mail: Sc 4 F,. \_(.6.1 t`^Cri t .(`flw} (d)Enter 12%surcharge(.12 x[2a+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[2a1): $ Sign here: (b)Fire and life safety(40%x permit fee Pal): $ ❑This installatio r ing made on residential or farm property owned by (e)Subtotal of fees above(3a and 3b): $ me or a member of n immediate family,and is exempt from licensing 4. Miscellaneous fees requirements under ORS 701.010. u (a) Seismic fee. I%(.01 x permit fee 12a1): $ CONTRACTOR INSTALLATION (b)Technology fee,5%(.05.x permit fecl2up: $ Business name: TOTAL fees and surcharges(2e+3c+4a+46): s 9 3 _d Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: ' SUB-CONTRACTOR INFORMATION • Name CCB License# Phone Number Electrical . Plumbing Mechanical