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HomeMy WebLinkAboutPermit Building 2014-4-10 i • • SPRINGFIELD 225 Fifth St � : CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 .OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT•NO: 811-SPR2014-00770 www.spnrigfield-or.gov permitcenter(gspringfield-or.gov • . • PROJECT STATUS: issued ISSUED: 04/10/2014 EXPIRES: 10/07/2014 STATUS DATE: 04/10/2014 APPLIED: 04/10/2014 SITE ADDRESS: 5983 OBSIDIAN AVE,Springfield,OR 97478 SCOPE: Miscellaneous ASSESOR'S PARCEL NO: 1802033102100 • TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add exterior man door to garage OWNER: SANCHEZ GONZALO C Phone Number: ADDRESS: 5983 OBSIDIAN AVE SPRINGFIELD OR 97478 6 CONTRACTOR INFORMATION b Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor EMERALD VALLEY WEATHERIZATION INC COB 105404 04/10/2015 541-726-1027 INSPECTIONS REQUIRED B 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 construction. C 4,.../ y- l a —1 Li • Owner or Contractor Signature Date follo ATTENTION; Oregon-law re Notitic rules ado quires ation Centoe(); _adopted by the Ore you to In OAR 952-001- Those rules age set forth th NOTICE. 0090. You rrla 0 through OAR 95 , b _ THIS PER Si Yobtain co PERMIT SHALL EXPIRE IF THE WORK calling the center, rules s b AUTHORIZED pies of the rules y UNDER THIS PERMIT IS NOT number for the Oregon°�tilff a telephone Center is OOMf180 DAY OR IS ABANDONED FOR 1 x00_ v Notification ANY 180 DAY PERIOD. 332.2344), Springfield Building Permit 4/10/2014 11:36:05AM Page 1 of 1 • i. •SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St ` E�N° TRANSACTION RECEIPT Springfield,CR97477 541-726-3753 811-SPR2014-00770 www.spdngfleldor.gov 5983 OBSIDIAN AVE permitcenter @spdngfield-or.gov RECEIPT NO:- 2014000779 RECORD.NO:811-SPR2014-00770 DATE:04/10/2014 DESCRIPTION' `trkil rli' `.' `+llenACGOUNTICODFJTRANSICODE=Ia i :4ratn;AMOUNIDUE'."_ 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 fl m. .F„„„�.,RPE MENTS S�. 5 . 1 AMOUNT PAID°1• rrw t' r a �:.PAYMENT TYPEi �.;.,r�PAYOR '.�'cgSHleR:ccaareRTeR ,.:�. � GOMMENTS'".;�.� _.. ,1!"�s g.��:' � _ .. -.��,�.0t `6ti',as?t`3 Cash SANCHEZ GONZALO C 93.60 TOTAL PAID: 93.60 • 1 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON '� 4 ','...r.'''' - - .� Permit no.: S/'/ ! , ?P./0 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 3689 OREGON )y-7� Date: 417/0 // 7 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 This project has final land-use approval. I. Valuation information Signature: Date: (a) Job description: 44477 Pod/e.._ /_4Z C This project has DF.Q approval. y �� Occupancy Signature: Date: [� Zoning approval verified: ❑ Yes ❑No Construction type: 1 - Property is within flood plain: ❑ Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: IZ Residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND-LOCATION Type of Ilcat: Job site address: ,7C�(3 ©b Cj / 64 G.7 At/ -{ , Energy Path: City: .fiI---f j -I I e Ad State: ©p ZIP:�7Gl71 ❑ new 12-aferation ❑addition Subdivision: 'SPe r l-f/eq al? Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference: I Tax ot: Total valuation: $ 2 OpcD PROPERTY OWNER 2. Building fees Name: 1.10 024/0 C 5 66.6.4_(:' (a) Permit fee(use valuation table): $ re7 Address: 59k'3 061id`4,is fr/..7 (b)Investigative fee(equal to 12a1): $ City: spy-ii, ,c t�/C' State: pie_ ZIP:774'7g' (c) Rcinspection(S per hour): $ Phone: 11�� Pax: - - (number of hours x fee per hour) g03 -3r /09yiy (d)Enter 12%surcharge(.12 x 12a+2))+2e1): $ 9 ee E-mail (e) Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees �,/ (a) Plan review(65%x permit fee[2aD: S Sign here: �� (b)Fire and life safety(40%x permit fee 13n1): $ ❑this installation�is�beiing made on residential or Finn property owned by (c) Subtotal of fees above(3a and 3b): $ me or a member of my immediate family.and is exempt from licensing 4. Miscellaneous fees requirements under ORS 701.010. o (a) Seismic fee. I%(.01 x permit fee 12a1): $ CONTRACTOR INSTALLATION b l echnolo fee, 5% 05 x permit Ice 2 t $ %0i ) gv ( p' I-=U� Business name: �-I C9 m� � / ����� /I TOTAL fees and surcharges(2e+3c+4a+4b): $ 976d Address: 1 ,4q D ) L + 1„ S 9-t-e e 1 City: spy t yt/n_cc e /Q/ State: 0 ZIP:7 f y77 Phone: 5--iff- 7 2.6 /o 27 Fax: - - E-mail: WW/U,• t In erQ/lit er//e-f/ • Co CCI3 license no.: 1 05 I/o 14 Print name: • Signature: SUB-CONTRACTOR INFORMATION: ' Name CCII license# Phone Number Electrical Plumbing %lechanical