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HomeMy WebLinkAboutPermit Building 2014-4-17 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 . PERMIT NO: 811-SPR2014-00837 www.springfield-or.gov perm itcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/17/2014 EXPIRES: 10/14/2014 STATUS DATE: 04/17/2014 APPLIED: 04/17/2014 SITE ADDRESS: 1455 S 58TH ST,Springfield,OR 97478 SCOPE: Fire Damage ASSESOR'S PARCEL NO: 1802033200900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration OWNER: WHITNEY MICHAEL M JR&SAREN L Phone Number: ADDRESS: 1455 S 58TH ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor PACIFIC FIRE&FLOOD INC CCB • 173615 12/28/2014 541-726-5896 INSPECTIONS REQUIRED Il Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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. 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 -eytri "-I? P-fil Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: in OAR 952-001-0010 hough OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT 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 4/17/2014 9:37:26AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St OREGON TRANSACTION RECEIPT Springfiem,oR97477 541-726-3753 811-S PR2014-00837 www.springfield-or.gov 1455 S 58TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014000841 RECORD NO:811-SPR2014-00837 DATE:04/17/2014 tDESCRIPTION __ __:_ _��_. , _r__� ,._. _,_ACCOUNT-CODE/TRAN&CODE _ ' AMOUNT DUE State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 63.20 Structural Building Permit Fee 224-00000-425602 1002 526.66 Technology fee (5%of permit total) 100-00000-425605 2099 26.33 TOTAL DUE: 616.19 LFAYMENT TYPE_^PAYOR„,_CASHIER CCARPENTER COMMENTS. ' ,° j ; AMOUNTPAID. Check PACIFIC FIRE& FLOOD INC 616.19 1251 TOTAL PAID: 616.19 • • Staucturi al Permit Application SPRINGFIELD-- DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON 'F ti 't,j' s;C '�% Permit no 5t'- '7 225 Fifth Street•Springfield,OR 97477•1111541)726-3753•FAX(541)726-3689 OREGON Date: 44//7//il This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of i 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: n Date: (a)Job description: /LE , ^.- ir`-77 07.--• 'this project has DEQ approval. _ 72..Occupancy Signature: Date: Zoning approval verified: ❑ Yes ❑No Construction type: Property is within flood plain: ❑ Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: • 71,2esidential ❑Government ❑Commercial Other information: ' JOB SITE INFORMATION AND LOCATION Type of Ileac Job site address: I4 SS c 4% Energy Path: City: Spn.r- 4 State: ce ZIP:'/7ry7.- ❑ new ❑alt ir fm ❑addition Subdivisioln: �^ Lot no.: (b)Foundation-only permit? ❑ Yes ❑ No Reference: /po2 01572-4iixIoe 09500 Total valuation: $5-- Q,Yy PROPERTY OWNER - 2. Building fees Name: �'7ikze C01,10.n.e7 (a) Permit fee(use valuation table): S (p Address: 7I'ISS S t'?4+ (b) Investigative fee(equal to Pal): $ City: 9pr (� State: O,O ZIP:7fl (c) Reinspection(S per hour): $ Phone: 00 Pas: - - (number of hours x fee per hour) (s'n) La- `fs{So • E-mail: (d)Enter 12%surcharge(.12 x j2a+2b+2c]): $ / Z (e) Subtotal of fees above(2a through 2d): S Ott'' Building Owner or Owner's agent authorizing this application: 3. Plan review fees (a) Plan review(65%x permit fee I2a]): $ Sign here: - - —" (h)Fire and life safety(40%x permit fee[2a)): $ i ['This installation is eing 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. o (a) Seismic fee, I%(.01 x permit fee[2a]): $ . CONTRACTOR INSTALLATION o y�l p p (b)Technology fee,5/u(.05 x permit fee[2aj): $ _Business name: •Frye/42.. /4-,..--r a-,..1 Peer, / I TOTAL fees and surcharges(2e+3c+4a+4b): S / ........_--- Address: Hy c)4, 5- City: 5/0 / CC ZIP: ?7y97 Phone:5w-724- -.616 Fax: - - E-mail: 57-y&tee€i it ii.,-.0.,,,,,e/c.c./.. e.Airy, CCB license no.: )73675 Print-name: L-,.,,,+ , /a s A Signature: 6 � eC SUB-CONTRACTOR INFORMATION Name CCB License# Phone Number Electrical Plumbing :Mechanical