HomeMy WebLinkAboutPermit Building 2014-2-21 .
SPRINGFIELD 225 Fifth Sf
4 a.. CITY OF SPRINGFIELD Springfield,OR 97477
I '-��"' OREGON Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00391
www.springfield-or.gov permitcenter @springtield-or.gov
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PROJECT STATUS: Issued _ ISSUED: 02/21/2014 EXPIRES: 08/20/2014
STATUS DATE: 02121/2014 APPLIED: 02/21/2014
SITE ADDRESS: 650 HARLOW RD,APT#243,Springfield,OR 97477 SCOPE: Deck
ASSESOR'S PARCEL NO: 1703223402300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Deck repairs-fire-resistive design attached.
OWNER: STEARNS TERESA Phone Number:
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ADDRESS: 1070 NW PHILLIPS RD
GASTON OR 97119
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor ACTION CONSTRUCTION&PAINTING INC GCB 91969 06/25/2014 541-914-4656
INSPECTIONS REQUIRED
Inspections •
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1540 Gypsum Board/Lath/Drywall ' Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
1999 Final Building Final Building: After all required inspections have been requested and approved and
• the building is complete.
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
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.
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2-21 - 11
Ownelr_ Contractor Signature Date
ATTENTION: Oregon law requires you to
• OOla3d lN0 081 AN'
Notification Center. Those the rules are set forth
1103 03NOONHBv SI 80 030N3WW09 in OAR 952-001-0010
ION SI 11Wa3d SIH1. H3ONO 03ZIWOHIgV
0090. may obtain iCopies oft e rules b
0090. You ma
)IHOM 3H1 dl BUIdX31111HS 11Wl13d SIR"
calling the center. (Note: the telephone by
.3110 number for the Oregon Utility Notification
Center is t-800-332-2344).
Springfield Building Permit 2/21/2014 2:32:01PM Page 1 of 1
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SPRINGFIELD, 225 Fifth St
- CITY OF kSPRINGFIELD
4<i ..ra.�.
c E�oR TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S P R2014-00391
www.springfield-or.gov i 650 HARLOW RD. APT 243 permitcenter @springfield-or.gov
RECEIPT NO: 2014000383 RECORD NO:811-SPR2014-00391 DATE:02/21/2014
IDESCRIP_TION_ • _ _S_ACCOUNT CODE/TRANS CODE AMOUNT DUE_
Building Permit Fee • 224-00000-425602 1002 90.33
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.84
Technology fee(5%of permit total) 100-00000-425605 2099 4.52
. TOTAL DUE: 105.69
LPAYMENT TYPE_ PAYOR. CASHIER:CCARPENTER COMMENTS__,-__-_ AMOUNT.PAID `_1
Credit Card DAVID HORTON 105.69
06740c
TOTAL PAID: 105.69
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. Structural Permit Application SPRINGFIELD tDEPARTMENT.USE ONL
CITY OF SPRINGFIELD, OREGON �,. Permit no.: 5/y.--n'(.
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON 2/ , //
. Date: fir 7 C.
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuad -/
ce or if work is
suspended for 180 days.
x LOCALtGQVERNMENT, ■PPROVAL � «ai �_�Hsa FEE SCHEDULE • --" • � "el
a•.-..girt-.ar •xm•arae
This project has final land-use approval. - '�1�`rr,VlaluaUOnginformatione-�tt ;;M5', Ir°,y4
Signature: Date: (a)Job description: . /' L rePa r7 /LS
This project has DEQ approval. Occupancy ��
Signature: Date: -
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
s CATEGORY OF CONSTRUCTION Cost per square foot:
XResidential ❑Government ❑Commercial Other information:
FFF JOEL SITEt;IWFORMATIQN AND41LOCATION-4-, mt, Type of Heat:
Job site address: p,70 No r(o t.J j .c .21 3/ Energy Path:
City Sp(`t/]. (.Q ' State:OR ZIP: & r?_ ❑new Oelleration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No l ,�}�^
Reference: 770 3 Vre,7, (/Taxlot: (1„),2-.7667 Total valuation $ i�Cpl,
TY - - �,
[;.• a:4. ^.-. � .^PROPER , aryOV1INER, r'� �.... r.`!2�Bu�din`�Tg f es t�;-..r'' �2s,ra ' r�. _�s% " .�, ,: yw
. Name: Ytrescl S`t'ern S (a)Permit fee(use valuation table): $ Co >
Address: C' sl f tr/t!O t.0 A cif {{2. 13 (b)Investigative fee(equal to[2a]): $ /
City: 5,(t (Q State:O" ZIP:Y7"t7-� (c)Reinspection($ per hour):
L1 I Q- f_ (number of hours x fee per hour) $
Phone: ,JJJ7 099 ��� Fax: - - �,`�
E (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ l/� 0 i
. (e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: r3_1PIa� e'vIRfeeswyrk'�••`. ,.rsv`t = ` Sw, 1"' '. ,; ,, t2 ;l
(a)Plan review(65%x permit fee[2a]): $
Sign here: - (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 family,and is exempt from licensing q`sMJ Cellar tiusafee '$ +° a ltA -" _it2i1
requirements under ORS 701.010. °
y Nz _ ,°,_. 5,_,_„_ $ , �, (a)Seismic fee, 1%(.01 x permit fee[2a]): $ 7
,,y „ _ CONTRACTOR /INSTALLATIO late' 9nca` `. b Technology fee,5% 05 x emtit fee 2a $ ({S L
Business name: h-efilo n to nit// Q TOTAL fees and surcharges(2e+3c+4a+46): $/Q-7-P.,
Address: /a( ,So. reE*t 7 S I - [ �J
City 5f r',/r /t /J State: Q P- Z1P:Y 4r'�j
Phone: 5--1 Q)f-16Se Fax: - -
E-mail: q ct-t•pn.I nc Y3 oJ4NlvI 1 # CO 07
CCB license no.: Cf 1C( 6 9
Print name: 0 a V:d 110(`b n
Signature:41Z L
areSU B'-•CONTRACTQRFNFORMATION ' :_'�f - .
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical