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HomeMy WebLinkAboutPermit Building 2014-4-15 SPRINGFIELD • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Lax Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00804 www.springfield-ar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/15/2014 EXPIRES: 10/12/2014 STATUS DATE: 04/15/2014 APPLIED: 04/15/2014 SITE ADDRESS: 736 4TH ST,APT#29,Springfield,OR 97477 SCOPE: Apartment Building ASSESOR'S PARCEL NO: 1703352111407 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair water-damaged apartment ceiling(rated assembly) OWNER: EBERLE-WASHBURNE 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 COB 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. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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. 1�� y/ISI fi Owner o Contractor Signature Date • NOTICE: ATTENTION: Oregon law requires Utility • THIS PERMIT SHALL EXPIRE:IFfTOE/W0fRK follow rules"adopted b. the Ore on you to AUTHORIZED UNDER THIS PERMIT;ISr,NOT in OAR 952-001-0010 through OAR n 001 Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR t 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. number for the Oregon the telephoneby gon Utility Notification Center is 1-800-332-2344) •., rl Springfield Building Permit 4/15/2014 10.10:57AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD i.1 saw 225 Fifth St =`� o ecON TRANSACTION RECEIPT Springfield,OR97477 • 541-726-3753 811-SPR2014-00804 www.springfield-or.gov 736 4TH ST. APT 29 permltcenter©springfield-or.gov RECEIPT NO: 2014000807 RECORD NO: 811-SPR2014-00804 DATE:04/15/2014 [DESCRIPTION ACCOUNT_CODE/TRANS'CODE'_ 'AMOUNT DUE . !, 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 L PAYMENT TYPE . ' PAYOR CASHIER:CCARPENTER 'COMMENTS AMOUNT PAID:. t Cash DAVIS CONSTRUCTION SERVICES I 93.60 TOTAL PAID: 93.60 • Ilik Structural Permit Application SPRINGFIELD -- DEP.�ARTM ENT;USE ONLYr . :A CITY OF SPRINGFIELD,OREGON.'" . T - Permit no.: 5/1/4 5-1,-/ 225 Fifth Street•Springfield,OR 97477■PH(541)726-3753•FAX(541)726-3689 OREGON Q(J • Date: L///y 7/ t/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. S„,,, LOCAhro-thERNiitiltAPPROVAL,, zr ;=` r[ 174'>,Z5 „<xa 44 �tEEE,,SCHEDULE gE ' , eaay; This project has final land-use approval. [`1'j aloihu a ')nfotwn y'?.?+ ,,", ,.;,, ,,, Y.] , Vflr Signature: Date: (a)lob description: TheL i (671-Jy5 F✓ L This project has DEQ approval. . Date: Occupancy�'y r v F p tV ]9 r 0-- Signature: Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: &4,;jCATEGORtio--#CONSTRUCTIOin 1,e:_`-t_ Cost per square foot: idential ❑Government atommercial Other information: . r,,, MJOB SITEI;INFORMATIONtAND}]gOCATION ,.,, *..-.4 Type of Heat: Job site address: 75(o 4-/' 5 T, a Z9 Energy Path: City: 5pci 0 State: DA_ ZIP: 97/77 ❑new emtion ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No • Reference: Taxlot Total valuation: za` r'O (' 'n7: fi 91PROP,ERTy';OWNER''.,..' 'v,-,., �e M; F, v "-.r:-.". ,-v- 2 �i x ,: ,°r�.. g.,s,.:ar.�.,;.,.:..,�,.....x �s S_ .. ..x...�. ... .r..�� �;�2 Budding:fees.....�. ___�a�z�. =.>" . rr�.�.�+a.i`z.�... s.t.x�:.s."a.� . Name: EMS ?Ago• A,..-t- (a)Permit fee(use valuation table): $ Address: 9(o (Glittv..- (b)Investigative fee(equal to[2a]): . $ City: SO`t/ State: c-t. ZIP: y 71'77 (c)Reinspection(S per hour): S Phone: (( Fax: - - (number of hours x fee per hour) ////���� • E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): s 9 G (e)Subtotal of fees above(2a through 2d): ,-. $ I Building Owner or Owner's agent authorizing this application: i3'rPlaurreview,,fees R° F,,.. rk 711-'sC x3.m• .Y.' , In (a)Plan review(65%x permit fee[2a]): $ Sign here: N 1 1` (b)Fire arid life safety(40%x permit fee[2a]): $ ❑This installation a 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 74rMtsCella4ous feesr,' '.x'.,,L ^.'"''#0 rfi�;I{_% ,.a" Ft'; • requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): $ L i v�;�CONTRACTOR, INSTALLATION:` '" F3-VR( (..� (b)Technology fee,5%(.05 x permit fee[2a]): S l Business name: 040 j /O.,,s: Sc/r`+cri /✓C / C, TOTAL fees and surcharges(2e+3c+4a+4b): $ g3 10 Address: ST 47 I S' _ i City: 5 p-/..--In State:Ot ' ZIP:cj-rk 7; Phone:CO-B4$ 4.29y Fax: - - E-mail: pia.-9 a 1 G An{-c , ca...j.. CCB license no.: 2 D 15'5-/ Print name: SL47,1- t7Aki i Signature :- - SUB C JORACTORIPIKORMATIONEIQUISMaj Name CCB License# Phone Number Electrical Plumbing Mechanical