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HomeMy WebLinkAboutPermit Building 2014-2-11 La_ SPRINGFIELD 225 Fifth St II ' - - CITY OF SPRINGFIELD Springfield,OR 97477 •t ,Phone: 541-726-3753 _ OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00281 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 02/11/2014 EXPIRES: 08/10/2014 STATUS DATE: 02/11/2014 APPLIED: 02/11/2014 SITE ADDRESS: 3594 RIVER HEIGHTS DR,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1702301200600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-Finish basement and add sink,vent fan and wall heaters OWNER: BREEDEN BROS INC Phone Number: ADDRESS: 366 E 40TH AVE STE 250 EUGENE OR 97405 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431 Plumbing Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431 Mechanical Contractor BREEDEN BROS INC CCB 27 12104/2014 541-686-9431 _ INSPECTIONS REQUIRED • 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. • 2111 /VI Ow er or Contractor Signature Date follow ATTENTION: Oregon law requires you to Notification Center. Those Those the ul sr a�e set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain co of rules by AUTHORIZED UNDER THIS PERMIT IS NOT ; calling the center. (Note:ethetthe COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 2/11/2014 10:42:36AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD ,i1.4 A. 225 Fifth St -{ta TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00281 www.springfield-or.gov 3594 RIVER HEIGHTS DR permitcenter @springfield-or.gov RECEIPT NO: 2014000267 RECORD NO:811-SPR2014-00281 DATE:02/11/2014 (DESCRIPTION_ ' _ e 'ACCOUNT CODE/TRANS,CODE_: r ,:LAMOUNT 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 • • Lr_PAYMENT TYPE_.�_PAYOR CASHIER:ccartPENTE& - COMMENTS .AMOUNT PAID- .i Credit Card BREEDEN BROS INC 93.60 04580b • TOTAL PAID: 93.60 • • • N Tf • AU CO AN1 • . , Structural Permit Application DEFiRTMETU o xF L _ CITY OF SPRINGFIELD, OREGON " Permit no tai v ' OREGON �I/ —2/1/ 225 Fifth Street•Springfield,OR 97477•PFI(541)726-3753•FAX(541)726-3689 /// • Date: 2/l' / // L( 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. Fa°'' -.-L'OCGOVERNMEN7, "tAP,._FROVAL '; *: "k' a € FEE ,SCHEDULE '�::: . . This project has final land-use approval. 41§Aluatt n'•nforma'Lon i`l" `' Ti " .i` F ir V Signature: Date: (a)Job description: lJ SN R FC-1)a\(,At-, (n/ Ua plJ5N t' D This project has DEQ approval. Occupancy fig rwrius t OdM Signature: Date: 1 Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: g:145;3/ +C ATE GORY OF CONSTRUCTION, -�"a'a` Cost per square foot: ge Residential ❑Government ❑Commercial Other information: '(k+ ed+,y, jQB SITE INF,ORMATIQN ThigliOCATIo40,1':iiJa,`[. Type of Heat:t-LECVRIC WAIL HEATERS. Job site address: 3£ l 1 1'JtTh HTS Energy Path: City SQ2l Nc RE\-.fl State: OZ ZIP: ' ❑new [T�'alteration ❑addition Subdivision: pi ttEY 14tlq ld-'75 Lot no.: I \ (b)Foundation-only permit? ❑Yes ❑No Reference: /?D2„,_ 32)/Z— Taxlot: 4:2e) Total valuation S 230:L ?e`Pie14 m,Y? PROPERTaOOWNER ;21101,fr';i1, ll l`et rtS ea l.. y7rsc .n"•x'NNy + .. Name: Bi?j ppJ Ilpt-1ES (a)Permit fee(use valuation table): S r)69 Address: E_10731 Alit i Sy iTE 250 (b)Investigative fee(equal to[2a]): $ City: (="U 4 ENC State: OZ. ZIP: 97405 (c)Reinspection($ per hour): Phone: (number of hours x fee per hour) S 5C- 68(,- 9431 Fax:541-645 U91?) E-mail: KA--r j2lap, @ 132taoizni 1{oMES. CCep\ (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ q e? (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: f3°LP ameve Efees '-''°' &'- i „4-7.\ (a)Plan review(65%x permit fee[2a]): $ Sign here: (b)Fire and life safety(40%x permit fee[2a]): S ❑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 `w ' *""a^'+r* '- '^,�x r )r- �, , 'vt 4j ;4�:MlsceOaneous fees,, ' ,� .�,r�:,�,�---��t�;�;�.,���, requirements under ORS 701 010. (a)Seismic fee, 1%(.01 x permit fee[2a]): $ a4# CONTRACTOR INSTALLATION °.''-'"-- v Technology fee,5 5%(.05 x permit fee 2a $ ro)___ gy (. p [ D `1 Business name: 54 M$ ,4-S py)j t ll�'R TOTAL fees and surcharges(2e+3c+4a+4b): $97 Go_ - Address: - City State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: 7 7 Print name:C �'l�msf—(�}VT�[g.1t,(m FSQ tJ Signature: L]+Il] - 1 ""W„.t,„ SUB CONTRACTOR INFORMATION ,.y. .,:, Name CCB License# Phone Number Electrical Iuaennokl LIECtR.1C I ((P327 S�t(-2 Plumbing Mechanical 17 "k— 27 Sr ii '21