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HomeMy WebLinkAboutPermit Building 2014-2-26 SPRINGFIELD 4 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 .s._�fel Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00421 www.springfieltl-ocgov permitcenter @springfieltl-or.gov PROJECT STATUS: Issued ISSUED: 02/26/2014 EXPIRES: 08/25/2014 STATUS DATE: 02/26/2014 APPLIED: 02/26/2014 SITE ADDRESS: 3170 ORIOLE ST,Springfield,OR 97477 SCOPE: Kitchen ASSESOR'S PARCEL NO: 1703221312100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-Enlarge opening for window,relocate sink and water heater OWNER: DECKER LAURA J Phone Number: ADDRESS: 3170 ORIOLE ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 Plumbing 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 connsotru-ctiioonnn.. M / '` Owner or Contractor Signature Date ATTENTION: Oregon law he OLregon lires you Utility t0 t follow rules adopted by Notification Center. Those rules are 52-00t- NOTICE: SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952 001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER PHIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 2/26/2014 9:08:35AM Page 1 of 1 • SPRINGFIELD • CITY OF SPRINGFIELD ' 225 Fifth St hrir:7<\� E�ON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2014-00421 www.springtield-or.gov 3170 ORIOLE ST permitcenter©springfield-ar.gov RECEIPT NO: 2014000417 RECORD NO: 811-SPR2014-00421 DATE:02/26/2014 (DESCRIPTION, ;__� • _._; ACCOUNT CODE/TRANSCODE :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 LP_AYMENT_ PE PAYOR. CASHIER:CCARPENTER - COMMENTS ' - .AMOUNT PAID.. "" Check RICK TURNER 93.60 1507 TOTAL PAID: 93.60 • • Structural Permit Application SPRINGFIELD FREPArMaytTlylirci9N1■Y4 ra CITY OF SPRINGFIELD,OREGON ta.c...0 Permit no 5/4-1— (12 ' 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: 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. Mt:FLIira erad aVE RN MERITAI? -..nprk...,,proaF..Ectw!...Eti:oric.a.:.-;:..; This project has final land-use approval. WiTura.1.107WgIS:171Wra ;1/4 Signature: Date: (a)Job description: pta/v7m\-• /79)77--- This project has DEQ approval. Occupancy /2._ Signature: Date: . Zoning approval verified: 0 Yes 0 No Construction type: i/er Property is within flood plain: 0 Yes 0 No Square feet: VATRatralTorilgntril e.WirelliataTt Cost per square foot: Residential P Government 0 Commercial Other information: kat-:501aTSITET1NIQ1kMAT(51417NDIERATION the Type of Heat: Job site address: 3/ 7C) OR/OLE- s7.: Energy Path: City: so fe.lo6F irti-0 State: OA_ ZIP:9 7977 El new -Cation Daddition Subdivision: Lot no.: (b)Foundation-only permit? 0 Yes 0 No Reference: Taxlot: Total valuation: e-42e6b Et, 'Oa WO',ERVICOVN gliaarag ruj'& Wet SW 4"PaiWaragpl Name: 1-Auteit 6ff 001-1L (a)Permit fee(use valuation table): Address: 3170 Cl2-1 Ot-IL (b)Investigative fee(equal to[2a]): City:SM./AA,F/1/1-6 State00,-- ZIPg74'7 7 (c)Reinspection($ per hour): Phone:SW S 5-5-6-2_07 Fax: - - (number of hours x fee per hour) E-mail: iste.-14-+U rner 270 kii4j /1- CON (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 5) (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: ISVITirailIWWSL rettniatigialra (a)Plan review(65%x permit fee[2a]): $ Sign here: 44 J 101-4.4-2-- N (b)Fire and life safety(40%x permit fee[2a]): $ 0 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 :51-1159f4Stragiati requirements under ORS 701.010. a( )Seismic fee, 1%(.01 x permit fee[2a]): Itrarjo-OTITITAUCTIORIfiratiogtilaraSr4ff (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: in../A/fe TOTAL fees and surcharges(2e+3c+4a+4b): S 474,0 Address: City State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: - E;i.friig_EtaVPir:SHEP;•rCOb-lIHACTOHdNEORl1#ATlO.Ni#Wqitan,qil:..#:.; Name CCB License# Phone Number Electrical kiovy 9i/-42 k Plumbin0 5/ Laj Mechanical • ./ Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the • Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. • Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: • Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. • or WI will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. AC-J4 M 011240It r/L Print Name of Permit Applicant tik 2-6 /y signature of Permit Applicant " Date Permit#: SO.- 921/ q )21-1127 qF_ Address: 7/7a (Witt �➢�sa; o Si'/i o 57 v-7 :;,stn,•• Issuedbyv Date: 2(2c/// les99 • This Copy for Permit Offices