HomeMy WebLinkAboutPermit Building 2014-2-20 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
!, A s— Phone: 541-726-3753
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00379
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/20/2014 EXPIRES: 08/19/2014
STATUS DATE: 02/20/2014 APPLIED: 02/20/2014
SITE ADDRESS: 4390 SMITH WAY,Springfield,OR 97478 SCOPE: Fire Damage
ASSESOR'S PARCEL NO: 1702322401400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Repair of fire-damage floor framing
OWNER: LONG DAVID F Phone Number:
ADDRESS: 4390 SMITH WAY
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor EDEL DESIGNS INC COB 181938 04/07/2014 541-812-7605
. INSPECTIONS REQUIRED
Inspections
1220 Underfloor framing
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.
Owner or Contractor Signature tr ate
/ ATTENTION: Oregon law requires you to
; follow rules adopted by the Oregon Utility
�� Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
1 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
NOTICE: number for the Oregon Utility Notification
THIS PERMIT SHALL EXPIRE IF THE WORK Center is 1-800-332-2344).
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Spdngfie4BI1�(I��/dirl-lg`f#r tAY PERIOD. 2/20/2014 10:53:29AM Page 1 of 1
•
SPRINGFIELD.,......_ CITY OF SPRINGFIELD
r+"`> 225 Fifth Sl
TRANSACTION RECEIPT Spdngfield,OR97477
541-726-3753
OREGON 811-SPR2014-00379
www.springfield-or.gav 4390 SMITH WAY - permitcenter @springtield-or.gov
RECEIPT NO: 2014000364 RECORD NO:811SPR2014-00379 DATE:02/20/2014
DESCRIPTION ACCOUNT CODE/TRANSCODE' AMOUNT
State of Oregon Surcharge(12%of applicable fees) _ 821-00000-215004 1099 10.84
•
Structural Building Permit Fee 224-00000-425602 1002 90.33
Technology fee(5%of permit total) 100-00000-425605 2099 4.52
TOTAL DUE: 105.69
PAYMENT TYPE_;_ _LPAYOR CASHIER:cCARPENTER COM MENTS 4 AMOUNT PAID: - - - j
Credit Card ROD EDEL 105.69
022144
TOTAL PAID: 105.69
•
•
•
• . . .
...•
----
I
Structural Permit Application DEPARTMENT USE ONLY
...a...a,.
. . Wiesklen?"‘".Aract...:#24TaatiSt7M-.`itC.&:- F $
.....
225 Fifth Stcyct I Sp iitgireld,OR 97477•P145411726-3751•FANC0102636.5! !1/2.;;;S, 0. .,
Date:
lids permit is issued under 04 It 918-460-01130.Permits expire if work is not slatted within NO days of issuance or i idint is
suspended for ISO days.
LOCAL GOVERNMENT APPROVAL
This project Inns tine land-use upraot-al.
Signature: Daw: 1
i FEE SCHEDULE
min!mutt(has DEO approval. 1 I.Valuation information--
Signature: Doe: IN)Job desctiorion:Rassa_frakta",465-
Zoning appro‘al vended: 0 Yes 0 No Occupancy SU.St S.6ThIlfri.
Property is within flood plain: 0 Yes 0 No Constru'LtiOn IYK egigth,-nyhti ei., gerelitsil-...
CATEGORY OF CONSTRUCTION _ StarawyetaL/to
C Residential I D Goverronew I 0 Commercial — Cost per Stpl3ler0(11:
JOB SITE INFORMATION AND LOCATION Orbs.intolou in:
Job sire IldliMSS: 1/3/0 5,4 rr4 WAY Tvpri(lint
. Cit245.P.L.L.5that.a.b I State: 02_, 1%PIN 77 r '
SulyiY.-isiont I o nu.:
rhos:- w SEOSSion Dodthtion
I Itckrence: I TOO: —
-- 1(by Foundation.naly permit? 0 Yes 0 Na
PROPERTY OWNER
; Total.aluation: J S3603,00
143,m:tilt)/ Lek& 2.Building fees
I Address:4.31D_Sac_rikt_____
I Cit2: 3-8424e2P-10 b 1 suite op_ I ziplyn D)Penni!Et tow valuation tablc):
(b)Investigulke tee(equal to[lap: S
PlIone541 ii5i.1813 I t-an: - - ---
I (4kt:inspection(S pet hoot)
. I E-mail. 1 (manlier of hours x fee per hour) 1 .
This installminn is being made.on residential or tbrin[Imports'iy.vned by [—(WEI,er I 2,surchnrge(.12,Iza,2.h+2,31:
I ancar a mentber ot no unmedrate laird>.and is cKernpt front(lei:mans. '
requhernents under ORS%IN W. (e)Subtotal or fees alum!(2.th roligh 2d):
,3.Plan review fees
Sigh here:
1 S .
1 CONTRACTOR INSTALLATION Lial Han review(65%x permit fee DAY
I(h)Fire and lire caftdy(40%x nerntii fec Pal): 1
I Bast,nalnelri ki Okeni_LEITPL21.019 _
(c)Subivial of fers Anse(3s and 3t)l S
Address: 4,2.4> 34..1 Otx.t Aili - ----
_
&ate:ota_ I zan22. 4.Miscellaneous lees
r— (a)Seismic fix,1'4(.01 a penult fee I2d1);
I rh.:941 oz. 740G . 541 -Pa- )1_6 1 ?
Elilail: VICAL e AI.55,102E6CfaPat.C ,._,PiS.-al__Aa.- • 1 10141.Res and surehArges(1e+30-101.rifj) (4.
_S /291 _,-----
CCII license no.: C/93 g___
PSI nuns,: A aii4- k.M.--/Nly'IA:ti.......,_.................... •
SignattlEt".
r■-
_ _ _ ___jll
7— Sim-CONTRACTOR INFORMATION
amt CCU Lactose Number 1 Plume Number .
pietism
I 1
Plumbing --I
Meeb I anical
' . •
e