HomeMy WebLinkAboutPermit Building 2014-3-18 •
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SPRINGFIELD ^. 225 Fifth St
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: 811SPR2014-00570
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/18/2014 EXPIRES: 09/14/2014
STATUS DATE: 03/18/2014 APPLIED: 03/18/2014
SITE ADDRESS: 229 S 2ND ST,APT#10,Springfield,OR 97477 SCOPE: Interior
ASSESOR'S PARCEL NO: 1703353207400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Water damage repairs to ceiling
OWNER: EBERLE-RIVERVIEW LLC Phone Number:
ADDRESS: PO BOX 41103
EUGENE OR 97404 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type • Lic No Lic Exp Phone
General Contractor DAVIS CONSTRUCTION SERVICES INC CCB 201551 01/01/2016 541-868-6294
_ INSPECTIONS REQUIRED
Inspections •
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.
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.
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 gnature Date
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ATTENTION: Oreg d ba he Oregon Utility
NOTICE: follow rules adop Y
THIS PERMIT SHALL EXPIRE IF THE WORK Notification OAR tio2-001 0010 through
I re set OAR 952 001h
AUTHORIZED UNDER THIS PERMIT IS NOT 0090- You may obtain copies of the rules by In
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit - 3/18/2014 11:40:57AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
J1R a 225 Fifth St
c& TRANSACTION RECEIPT Spnngfield,OR 97477
OREGON 541-726-3753
811-SPR2014-00570
vmw.springfieldor.gov 229 S 2ND ST. APT 10 permitcenter @spnngfield-or.gav
RECEIPT NO: 2014000581 RECORD NO:811-SPR2014-00570 DATE:03/18/2014
DESCRIPTION cr:`'?: c#° `r d S.1* ` `-`_ -ACCOUNTyCODE TRANS=CODE Vie=" ? AMOUNT DUE12.
• Building Permit Fee 224-00000-425602 1002 80.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
P PAYMENTTYBE PAYOR CASHIER CCARF inr g 'COMMENTS w . AMOUNTIRAID j
Credit Card DAVIS CONSTRUCTION SERVICES I 93.60
06537d
TOTAL PAID: 93.60
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Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
CITY OF SPRINGFIELD, QREdoN +- °;,+ ;j, ;15\:tilt Permit no.:c/� .S7v
225 Fifth Street•Springfield,OR 97477•P I Ii(541)726-3753• AX(541)726-3689 -OREGON
Date: V/77/V
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o issu nce or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
This project has final land-use approval. 1. Valuation information •
Signature: Date: (a)Job description: wr9-'TEZ- DA.vt 42, t- Rico_
This project has DEQ approval. p
Occupancy t�
Signature: Date: .
Zoning approval verified: ❑Yes ❑ No Construction typeVZ
Property is within flood plain: ❑ Yes ❑No Square feet:
CATEGORY OF CONSTRUCTION Cost per square foot:
❑ Residential ❑ Governmenttmmercial Other information:
JOB SITE INFORMATION AND LOCATION Type oflleat:
Job site address: ZZ°r 5 -, z VNt)— E rb Energy Path:
City: cpc-f-A State: 61.c ZIP: I-sy ye ['new , a teration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑ No
i
Reference: i7O55S L Taxloe(9'feci Total valuation: $ 9Sild
PROPERTY OWNER 2. Building fees
Name: O7 ffgc/e.0 y (a) Permit fee(use valuation table): S 21 4757-
Address: Pa Sok/ iii/O,3 �7 (b) Investigative fee(equal to 12aI): $
City: ta State: CAL--- ZlI'; 79fr' (c) Reinspection(S per hour): $
Phone: Pits. - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x(2a+2b+2e1): $
(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 12aO: $
Sign here: ti* El - (b)Fire and life safety(40%.x permit fee[2aD): S
❑This installation i-being mi e on residential or farm property owned by (c) Subtotal of fees above(3a and 3b): S
me or a member of y immediate family.and is exempt from licensing 4. Miscellaneous fees
requirements under ORS 701.010. --- -
- - (a) Seismic fee. I%(.01 x permit fee 12aI): S
CONTRACTOR INSTALLATION
(b)Technology fee, 5%(.05 x permit fee[2a1): $ 4(i
Business name: OA VIS eoPS7`2°rro..-4 SER IA r I rr TOTAL fees and surcharges(2e+3c+4a+4b): Scree-
Address: S3L-7 T ST.
City: PFf_0 - State: Olt ZIP:I7177
Phone: - - Fax: - -
E-mail: PAvt5co Z e ANK , ea,'vt
CCB license no.:
Print name: j&r DAvJ
Signature: 1i-' L
SUB-CONTRACTOR INFORMATION
Name CCII license H Phone Number
Electrical
Plumbing
Mechanical
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