HomeMy WebLinkAboutPermit Building 2014-3-3 •
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SPRINGFIELD 225 Fifth St
t • CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00459
www.springfield-or.goy permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/03/2014 EXPIRES: 08/30/2014
STATUS DATE: 03/03/2014 APPLIED: 03/03/2014
SITE ADDRESS: 719 OAKDALE AVE,APT#107,Springfield,OR 97477 SCOPE: Fire Damage
ASSESOR'S PARCEL NO: 1703223400201 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Fire damage repairs
OWNER: SHEPARD INVESTMENT GROUP LLC Phone Number: 541-852-2502
ADDRESS: PO BOX 8516
COBURG OR 97408
. CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor EHLERS CONSTRUCTION INC CCB 4231 11/19/2014 541-689-6177
Mechanical Contractor EHLERS CONSTRUCTION INC CCB . 4231 11/19/2014 541-689-6177
Plumbing Contractor EHLERS CONSTRUCTION INC CCB 4231 11/19/2014 541-689-6177
INSPECTIONS REQUIRED •
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
1550 Firewall Firewall: Located and constructed according to plans.
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 i pections are requested at the proper time, that each address is readable from the street,that the
permit card is located aj'e fron the property, and the approved set of plans will remain on the site at all times during •
cot-
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requires you to
ATTENTION: Oregon law req on Utility
✓� 3�� adopted by the Oregon
n TICE.. f ;• :: ales adep
Owner or cbntr Date Notification Center. Those rules OAR 952-001
TH AUTHORIZED UNDE EXPIRE 1F THE IS NOT in OAR 952 001 0010 through
of the rules by
AUTHORIZED UNDER THIS PERMIT FOR NOT 0090. You may obtain cop telephone
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telep
ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-80
0-332-2344).
Springfield Building Permit 3/3/2014 11:53:16AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
--111::1
-�. 226 Fifth St
_______ii
` `o OREGON TRANSACTION RECEIPT Springfield,OR91477
• 541-726-3753
811-S P R2014-00459
www.springfield-or.gov 719 OAKDALE AVE. APT 107 permitcenter @springfield-or.gov
RECEIPT NO: 2014000465 RECORD NO: 811-SPR2014-00459 DATE:03/03/2014
}DESCRIPTION . - _.- ______-_ACCO.UNT CODE/TRANS_CODE_ ________AMOUNT DUE .•
Building Permit Fee 224-00000-425602 1002 - 621.72
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 74.61
Technology fee(5%of permit total) 100-00000-425605 2099 31.09
_ -._________ _- .... - . . . __ _ TOTAL DUE: 727.42
__PAYMENT TYPE PAYOR CASNIER.CCARPENTER . COMMENTS_ : ` _ AMOUNT PAID
Check EHLERS CONSTRUCTION INC 727.42
2079
TOTAL PAID: 727.42
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Structural Permit Application $pRINGFIELD - K DEPAR E T E'ONL
CITY OF SPRINGFIELD OREGON
225 Fifth Street♦Springfield,OR 97477 4 PH(541)726-3753 4 FAX(541)726-3689 'k OREGON /
Date: r3/3/)C-(
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.
TITOCAOCALGOVERNMENT APP,ROVALA",=;a3;,;, RIE.-; tar' ' FEE�S4CHEDULE - zt; Is
This project has final land-use approval. fi1Vazlnrfns a ;�" ? ,` f „J
Signature: Date: (a)Job description: /71g 4b7'/9745
This project has DEQ approval.
Occupancy
Signature:
Date:
Zoning approval verified: ❑Yes ❑No Construction type: U(
Property is within flood plain: ❑Yes ❑No Square feet:
ATEF R YIT O F�CON S TRUCTIO N ra� , "•;", Cost per square foot:
❑Residential ❑Government .'.Commercial Other information:
f OB SITE. INF,ORMATIOLNgiANyD Eye/ oisi -,?]`{ Type of Heat:
Job site address: ?f 1 pp-L.g�r-_. Energy Path:
City ,50.1 State: OC ZIP:47 47) ❑new iration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: 1 70322" Y Taxlot: ()Q?,p/ Total valuation: $
.a$ 7
wI coo
f i "' aPROPER OWN gPi l 3n N 4 tir ildees i . � s ' ,nsa2
Name: V 4 p w pYNTy /7Lt�nrteD If (a)Permit fee(use valuation table): 6P
Addre y 7374 (b)Investigative fee(equal to[2a]):
City: State:(. ZIP: ?Nod
(c)Reinspection(5. per hour):
Phone: F5-2 2...r0 7— Fax: - -
(number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2e]): $ 796/
(e)Subtotal of fees above(2a through 2d): $ !
Building Owner or Owner's agent authorizing this application:
.3��`PlanlreyewFfeesc'�,,a Ir,,,--, =°" • �'�.: �.:�°?e::•. ,
(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 y;:IFIc ell ne'ous feed/ .' ' -'*, .' j jrg* ' "fi`e',S` ,g'`
requirements under ORS 701.010.
xr �_ _, �_ Q,� (a)Seismic fee;1%(.01 x permit fee[2a]):
.,t^, CONTRACTORS INS7ALLQTION .. s"t f $ Technology fee,5/(.05 x permit fee 2a $ ���y
q( ,�ii
(b) ° ( P fee[2a]):
Business name: CAN ItaS do,gra✓r2IO • $ y2
TOTAL fees and surcharges(2e+3c+4a+4b): $'72,7
Address: (II 93 Gvl Wilen.v4
City: EJy.Lt•tc. State_ ZIP:9740x_
Phone:f11 -t(aO1-6(75 Fax: 5 14089—J9s3
E-mail: Cawv(tr [e attics/NL• N<r
CCB license no.: ID t(Z3
Print name: Mg ic
Signature: - - -
' aifigaUB.CONTRACTOKWEORMATION -:='
Name I CCB License# Phone Number
Electrical
dfa5 5/11 -3/0
floJd. It' t tr / l ✓ �3 0 cr`( — / p
Plumbing Ls(. b rn.y C?
Mechanical i — yr,
cv�-s y93/ S