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Permit Building 2014-4-21
• SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 - -`tom "} Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00866 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 04/21/2014 EXPIRES: 10/18/2014 STATUS DATE: 04/21/2014 APPLIED: 04/21/2014 SITE ADDRESS: 999 S 71ST ST,Springfield,OR 97478 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802022600300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Tree damage repairs OWNER: SOWA AMY LOREE 8 FRED Phone Number: ADDRESS: 999 S 71ST ST SPRINGFIELD OR 97478 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor EHLERS CONSTRUCTION INC COB 4231 11/19/2014 541-689-6177 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. 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. r�lZi� M y Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules 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 n THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT umber for the Oregon Utility Notification Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 4/21/2014 145.55PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St eit TRANSACTION RECEIPT Springfield OR 97477 I.. y-- OREGON 541-726-3753 811-S PR2014-00866 www.springfield-or,gov 999 S 71ST ST permitcenter©springfiele-or.gov RECEIPT NO: 2014000874 RECORD NO:811-SPR2014-00866 DATE:04/21/2014 ;DESCRIPTION- -- ^ ACCOUNT;CODE/TRANS CODE _.___, AMOUNTDUE State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.90 Structural Building Permit Fee 224-00000-425602 1002 265.87 Technology fee(5%of permit total) 100-00000-425605 2099 13.29 ---------- — ------------ --------------- TOTAL DUE: 311.06 PAYMENT TYPE...„„�PAYOR^CASHIER:ccarzPeNrerz ,4'_ COMMENTS �,� � �_ AMOUNT.PAID AMOUNT ._.._ _... .= � Check EHLERS CONSTRUCTION INC 311.06 2131 TOTAL PAID: 311.06 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON , _. ..,;�: Permit no S/L/— 225 Filth Street•Springfield,OR 97477•P11(541)726-3753•I AX(541)726 3689 OREGON Date: t/j2/ //9' 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. 1. Valuation information Signature: - Date: (a)Job description: ?oaf 4f141/2-/ / p,y"4 This project has DF.Q approval. Occupancy t-� • Signature: Date: Zoning approval verified: ❑ Yes ❑No Construction type:Ve Property is within flood plain: ❑ Yes ❑ No • Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: Residential .0 Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of heat: Job site address: 199 S -7/ 57- Energy l'ath: City: ceirtf/JG a-/6L10 State: O/L ZIP: 1-yyd--- ❑ new [alteration ❑ addition Subdivision: Lot no.: (b) Foundation-only permit? ❑ Yes ❑No Reference: /Z2-.-- 6224 Taxlot: Total valuation: $2,70) PROPERTY OWNER 2. Building fees Name: F7Lkc .Sp,,.J,R+, (a) Permit fee(use valuation table): $ 2,577 Address: S16,„✓± (b)Investigative fee(equal to 12ap: - $- City: ,ry/ - 7y)--y9,;2.- State: /,IP: (c) Reinspection($ per hour): Phone: Fax: (number of hours x fee per hour) c&c S`4/ -?/.?-s-7o6 - - E-mail: (d)Enter 12%surcharge(.12 x 12a+2b+2c]): SP 90 • (e) Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees chit,6,1--5 6.z (a) Plan review(65%x permit fee pal): S Sign here: - C//,z/ (b)Fire and life safety(40%x permit fee Pa)): $ ❑This installation is being 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. CONTRACTOR INSTALLATION (a) Seismic fee, 1%(.01 x permit fee 1261): $ / (b)Technology fee. 5%(.05 x permit fee[2aD): $ Business name. eivttn-S .-+S7-Ku c,r7 Pvu TOTAL fees and surcharges(2e+3c+4a+4b): Slyll Address:/otr ,414 /n-4 S?- J City: Fcw.6E.v6 State:62- ZII':97Yt Phone:fY/-tl 6/'77 // Fax: - - E-mail: eAt/ter Q -4/err .,-,2-, n9 t CCI3 license no.: ft y Z p7/ Print name: C/ )S /JCv r Signature: ( f� • SUB-CONTRACTOR INFORMATION, Name CCB License# Phone Number Electrical uit.“.4 /5a. S. Plumbing • Mechanical