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HomeMy WebLinkAboutPermit Building 2014-3-26 SPRINGFIELD .. - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 . : ; 1� - Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00634 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 03/2612014 • EXPIRES: 09/22/2014 STATUS DATE: 03/26/2014 APPLIED: 0312612014 . SITE ADDRESS: 7253 HOLLY ST,Springfield,OR 97478 SCOPE: Deck ASSESOR'S PARCEL NO: 1802021203500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair deck and awning OWNER: WHIDDON LANA S Phone Number: 541-525-4666 ADDRESS: 7253 HOLLY ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BELFOR USA GROUP INC CCB 146973 02/16/2015 541-726-9905 L INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 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 construction. /-------_,_____ 7/29/2-01 I Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ,10 i ICE; •-- Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by 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 3/26/2014 121 40PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 .` 541-726-3753 OIt EG 0;:f4 811-S PR2014-00634 www.springfield-or.gov 7253 HOLLY ST permitcenter©springfield-or.gov RECEIPT NO: 2014000653 RECORD NO:811-SPR2014-00634 DATE:03/26/2014 jDES.CRIPTION � _.�ACCO.UNTCODE/TRANSCODE-_: ,AMOUNLDUE -_} State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.51 Structural Building Permit Fee 224-00000-425602 1002 162.61 Technology fee(5%of permit total) 100-00000-425605 2099 8.13 TOTAL DUE: 190.25 -` ��_pAYMENT TYPE'�:PAYOR CASHIER:ccnRagNTeR °COMMENTS„_ AMOUNT _ �,_, :. ,; „PAID Check Johnson Broderick Engineering 190.25 8355 TOTAL PAID: 190.25 • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY tr �. L;I_TY;OR,SPRINGFIEI?D, OREGON �t , xi' ( / Permit no.: ,S/C/ 225 Fifth Street♦Springfield,OR 97177•PI1(541)726-3753•FAX(541)726 3689 OREGON Date: /Z(o// !� 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE '[his project has final land-use approval. 1. Valuation information Signature: Date: (a) Job description: /}�-y A�� 5 This project has DEQ approval. 'e^ Occupancy • Signature: Date: fl_h3 Zoning approval verified: ❑ Yes ❑ No Construction type: Property is within flood plain: ❑ Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: }Residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION 'type of!teat: Job site address: 7)-53 Holly 41— Energy Path: City: 5P(N■n3 -LI State: 0P- ZIP: 971/7 ❑ new 1211Cration ❑ addition Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑ No Reference:1gb z ozl 2.— Taslot: 115010)-12,0. Total valuation: S (QOOa PROPERTY OWNER 2. Building fees Name: I aS,v3Lk_ DJ 11 )p n (a) Permit fee(use valuation table): $ /a2Gf Address: 7 2-,S 3 I o)1 j S"r (h) Investigative fee(equal to 12a1): $ City: S p(-, n 3.0eic p� State: P-_ ZIP:17/77 (e) Reinspection(S per hour): Phone: (_5 51.5- 4 b W Fax: - - • (number of hours x fee per hour) I'�mail: (d)Enter 12%surcharge(.12 x 12a+2b+2c $ 79 a (e) Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees (a) Plan review(65%x permit fee 12a1): $ Sign here: / - (b)Fire and life safety(40%x permit fee(2a1): . $ ❑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 4. Miscellaneous fees requirements under ORS 701.010. n (a) Seismic tee, I%(.01 x permit fee )tap: S CONTRACTOR INSTALLATION - n (b)'I ethnology fee.5%(.05 x permit fee)_aj): $4r-/-2 Business name: &LIFO r Pr'OPer'b L yt-er6A.l0 ,,,JJJ "f0"1'.V, fees and surcharges(2e+3c+4a+qb): S (Cfb 2S Address: 5 8 711 • 5k cfl ) S r +n City: SPrp rs`•61 L� State: b R._ ZIP: 9 7Y7, Phone: - - Fax: - - L E-mail: Jw"re> . c 1;eede_ 0- CCB license no.: I be( 73 Print name: C-5 bj `✓LC(c_ Signature: SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical Plumbing Mechanical