HomeMy WebLinkAboutPermit Building 2014-4-16 •
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SPR;NGFIELD 225 Fifth St
hrCITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
`t OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00828
• www.springfield-or.gov pennitcenteraspringfield-or.gov
PROJECT STATUS: Issued ISSUED: 04/16/2014 EXPIRES: 10/13/2014
STATUS DATE: 04/16/2014 APPLIED: 04/16/2014
SITE ADDRESS: 650 SWAN CT,Springfield,OR 97477 SCOPE: Interior
ASSESOR'S PARCEL NO: 1703221309500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ST Enlarge opening in interior bearing wall
OWNER: MICHEL AARON J Phone Number:
ADDRESS: 650 SWAN CRT
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
. Electrical Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
Mechanical Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
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.
1110 Footing Footing: After trenches are excavated.
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.
.4'i
Owner or Contractor Signature late
ATTENTION: Oregon law requires you to
foilow ittss adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
NOTICE: 0090. You may obtain copies of the rules by
•THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone
number for the Oregon Utility Notification
AUTHORIZED UNDER THIS PERMIT IS NOT Center is 1-800-332-2344). •
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 4/16/2014 2:19:45PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
OREGON 541-726-3753
811-S P R2014-00828
wwuv.springfield-or.gov 650 SWAN CT permitcenter @springfield-ar.gov
RECEIPT NO: 2014000832 RECORD NO:811-5PR2014-00828 DATE:04/16/2014
[DESCRIPTION - • � .ACCOUNT CODE/TRANS,CODE: .,AMOUNT DUE
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
1—PAYMENT TYPE •PAYOR • CASHIER:CCARPENTER i__COMMENTS -` • AMOUNT PAID ..."•
Credit Card MICHEL AARON J 93.60
091117
TOTAL PAID: 93.60
Structural Permit Application SPRINGFIELD 'DEPARTMENT USE ONLY
. . . . _
Crrt' OF SPRINGFIELD. OREGON �i
` Perinino.: _ I(ft7Z 225 Efth Street a Springfield,OR 97477 a P13(541)726-3753 a FAX(541)726-3689 EGOu
Date: C/7/�j /
This permit is issued under OAR 918-460-0030.Permits expire if work is not started militias 180 days of uutce or if wait is
. suspended for 1S0 dim-N.
LOCAL GOVERNMENT APPROVAL :FEE SCHEDULErv' '
This project has lrnallad-use approval :1.Vahtafion information
Sionnre: Date: (a)Job description: c� (' i.�
This project Iris DEO approval �V �� n/ ��f" t "r�
Date: Occupancy I
Siynnre: _ 'I - -
Zonir approval verified: ❑Yes 0 N CmWnw-titu t)pe:��
Property's within flood p hit: ❑ its ❑No Square fret:
�,/ CATEGORY OF CONSTRUCTION Cost pa square foot:
cResiintia1 I ❑Oovennnnt I ❑Commercial Other ialbnnation:
- .JOB SITE-IINFORMATION-AND LOCATION -` Type d Heat:
Job sic address:6'5 j�}//�I//j i �f" Finn P:trlr
d y: S�/'ir-p /O!�' I State: a? I ZIP:97,7j ❑new LaCcmk ❑addfnn
• Subditsmn: / I Lot no.: (b)Fot datao-onk pain}? ❑Yes ❑No
Reference: I Taxlnt: Total valuation: I QJLJ
.PR OPE RTY.OWNE
Name: /_4 _ / / l e &/
(a)Permit fee(tee colationtabk): S /J c''P
Address: 5 /s�'u�y L� e (lb)hnestyatnvc tee(edpnito[?a[): S ry
City: /r/,✓ (h�e/ //O , State: 4i� I ZIP:I7f'7 (c)Reinpection(S per hon):
Plwne: 7 29/1-ne%I t 2 Fax - - hauler ofhotrs x he pet lour)
$ .
(d)Enter 1'%sndvnt(.12 x[2a+2b+2c[): S O
Email s4 Z J'sa.,4-,✓„CD5607.4 oo.Cosh
(e)Subtotal of fees above(2a through 2d): S
Ruilii2Owner or Ottner's aseett autinrizvtuths application: 3.Plait review fees
(a)Plan review(65%xpena9 Sc[24: $
Sign here: j1 sV6 07! �� (b)Fire and life safely(40%x permit Se[231): S
,This installation is being made on residential or firmproperty owned by (c)Subtotal offers above(3a and 3b): $
me cc a member ofmy immediate family,and is exempt from licensing •:1.Miscellaneous fees
requirements under ORS 701.010.
(a)Seismic he,1%(.01 x permit fee[2a[l: S
CONTRACTOR INSTALLATION ' - - - df
���� (b)Tcdnok�t-fee.5%(.05 xpermit hc[2a[): $ /
Etsitess inure:
TOTAL fees and surcharges(2e+3eNa+-16): $ q-3 'o
•Address:
C'ey: State: I ZIP:
Phone: - - Fax: - -
E-neria
CCB license no.:
. hit inane:
Siecnhne:
SUB-CONTRACTOR INFORMATION
Name eft License tz Phone Number
Electrical 5/(-/ ! /2-9
Plumbing Sii-t- 8T /
Nleclydniral _ /L/ F? c)
•