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HomeMy WebLinkAboutPermit Building 2014-2-5 SPRINGFIELD 225 Fifth St 'tl .4tH44. CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 • OREGON Building / Residential Permit Inspection Phone: 541-726-3769 - Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00230 www.springfieid-or.gov permacenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/05/2014 EXPIRES: 08/04/2014 STATUS DATE: 02/05/2014 APPLIED: 02/05/2014 SITE ADDRESS: 912 SUMMIT BLVD,Springfield,OR 97477 SCOPE: Deck ASSESOR'S PARCEL NO: 1703341106307 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair elevated deck OWNER: PRINDIVILLE JUDY ARVADA TE Phone Number: ADDRESS: PO BOX 72251 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor THOMAS LANE CARROLL CCB 191213 06/30/2014 541-915-1617 INSPECTIONS REQUIRED j 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. — / 4 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth R 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010.obtain copses of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR Corthr is 1-800-332-2344). ANY 180 DAY PERIOD. number for the Oregon Utility Notification Springfield Building Permit 2/5/2014 11:35:47AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 4 *' .-.4.;'^t 225 Fifth St w ,....4„ N TRANSACTION RECEIPT Springfiel tl,OR 97477 OREGON 541-726-3753 811-SPR2014-00230 www Spr19091d-or.gov 912 SUMMIT BLVD permitcenter©springtield-or.gov RECEIPT NO: 2014000233 RECORD NO:811-SPR2014-00230 DATE:02/05/2014 ;DESCRIPTION = ACCOUNT c0DEITRANS CODE,, _� -1,,L- ; State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.99 Structural Building Permit Fee 224-00000-425602 1002 183.26 Technology fee(5%of permit total) 100-00000-425605 2099 9.16 TOTAL DUE: 214.41 PAYMENT TYPE,„ - ::PAYOR '( CASHIER DeowLSeY ,' ' "` COMMENTS , . AMOUNT PAID `-1 Credit Card THOMAS LANE CARROLL - 214.41 101527 TOTAL PAID: 214.41 . Structural Permit Application SPRINGRELD DEP, ARTMENTaUSE ONLY CITY OF SPRINGFIELD, OREGON Iii & Permit no.: 5/1/'-'OO Z3 U 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 - "OREGON Date: .2 _ 3 - I # 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. IfM LrOCAL GOVERNMEN7,APPROVAL x '74 liwX1:4 Lii i= alFE_E70SCHEDl1LE ANAIV S This project has final land-use approval. LI?Valuatwn_ =infoc tation !„-g x '" . .. ': '`.Kr r• 7-' Signature: Date: (a)Job description: This project has DEQ approval. R�r ry �t rS Signature: Date: Occupancy U1/4- Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: d"s�/, , CATEGORYioF ONSTRUCTION ? . ' Cost per square foot: L—N R/ 1 esidential ❑Government ❑Commercial Other information: l..i k °JO SITE IN Oak/NT ION DILOGATION,�,,. .,, `+i`'+_ Type of Beat: •Iob site address: 9 I a S;,rn m:4- Z LV 0 Energy Path: City 5 f 7 ► State: Ogc_ ZIP: 9 7 92c ❑new ❑alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: I)G 33 q I I Taxlot: 0 6.JO ( Total valuation $ WOO r t'a i :'atPROPER71*- ,OWNER-�. _$1%).11m.SR N'2 Buid n"fees ;" " ,b ' W?aNti`x'a re( rya Name: (5 t. c-c0/ -L ((J iC/Co ER- (a)Permit fee(use valuation table): $ / et Address: 9p�/L S r IMd4 i/- .0.5Z.-VD (b)Investigative fee(equal to[2a]): $ City: S ETD State: (A2Q_ ZIP:Me, (c)Reinspection($ per hour): $ Phone:54j- 513/- S 4 Fax: - - (number of hours x fee per hour) +� Q- E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ `� (e)Subtotal of fees above(2a through 2d): . $ Building Owner or Owner's agent authorizing this application: 3 +PIao r'evi wrfe"es r ,�.'i ;?,-,';;-° 'p ' i;x„, ` 11,-1 (a)Plan review(65%x permit fee[2a]): $ Sign here: �. t (b)Fire and life safety(40%x permit fee[2a]): _ $ ❑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 famil x and is exempt from licensing fi4M frail a.a'u*"o'u"feagatitff+actpVo A. requirements under ORS 701.010. ° * ,,,$ Y+ �4 x,„ yNr (a)Seismic fee, 1/o(.01-x permit fee[2a]): $ 3' v', ; ,lCONTR.4CTOR IR§TALLATIQN ,,, ,, w,' ' , ,f4 /� // 4-2. (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: 7lpnin/i A. trot,// a ., �/ Address: �(� p X 7/7- TOTAL fees and surcharges(2e+3c+4a+4b): $ f.V City: Cnjµrt// State: oat_ ZIP:974-1f (' �/ Phone:52H-9/rte-/G/27 Fax: -�'- E-mail: �r e l Mm S teN '�—C errni//ce y N k c v r IOW- CCB license no: I c y / Z_/ 3 Print name: T ben- As 1--( " L G.,rro// Signature: `-re�� gi .__=SUB„ejetiMACTOR'.IINFORMATIONga nat. Name CCB License# Phone Number Electrical �Or-5 /uo► Pe°L�/ Plumbing r / Mechanical -