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HomeMy WebLinkAboutPermit Building 2014-5-5 1 SPRINGFIELD _ 225 Fifth St ` ' —cos.- CITY OF SPRINGFIELD Springfield,OR 97477 °'`� Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00985 www.springfield-orgov r permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/05/2014 EXPIRES: 11/01/2014 STATUS DATE: 05/05/2014 APPLIED: 05/05/2014 SITE ADDRESS: 138 MAIN ST,STE#A,Springfield, OR 97477 SCOPE: Dryrot ASSESOR'S PARCEL NO: 1703353204500 TYPE OF STRUCTURE: Public PROJECT DESCRIPTION: Dryrot repairs OWNER: SPRINGFIELD ECONOMIC DEVELOPMENT AGENCY Phone Number: ADDRESS: 225 5TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ll Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 L 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. . 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 re• ' -d i :•ecti.'.- are requested at the proper time,that each address is readable from the street,that the permit card is I.-- -c at e front he property, and the approved set of plans will remain on the site at all times during constructio•. dar at —C---- y ---71 - Ow-er or Contractor Si•nature Date ATTENTION: Oregon law requires you to NOTICE: fo;iow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344)• • Springfield Building Permit 5/5/2014 9:10:14AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD t ?.: 225 Fifth St t ; TRANSACTION RECEIPT springfield,oR97477 C�� 541-726-3753 OREGON 811-S PR2014-00985 www.springfield-or.gav 138 MAIN ST. STE A permitcenter @springfield-or.gov RECEIPT NO: 2014000984 RECORD NO:811-SPR2014-00985 DATE:05/05/2014 IDESCRIPTIONw._,_ ACCOUNTDODE/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 PAYMENT TYRE-.. _; PAYOR CASHIER:CCARPEN7ER - _-.COMMENTS - AMOUNT PAID Credit Card Jim Po'lston CofS 93.60 022965 TOTAL PAID: 93.60 • • r . Structural Permit Application - SPRINGFIELD kiDEPARTMENTIJSE ONLV0A CITY OF SPRINGFIELD, OREGON C C1i Permit no.: S//i7 5 I 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3669 OREGON . Date: 57f//e/ This permit is issued under OAR 918460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ,,:..»_ _,.isiE ._.r..�..,.. F �v°. Sit FEE SCHEDULE .'� `4n 4r z l ,� , aL�OCAL-GOVERNMENT, APP,ROVO.LO�,�,+fi.�. ;.„„ ,i �c'�'],st'�.', awri.' ' ' �,_..'`t� ' i�;C°� .�;�k,�'1 This project has final land-use approval. LiTVa1 atio¢iiiforutation vv n Signature: Date: (a)Job description Le_p/q Ce "T/Icj I j)�v t ` p-71/ This project has DEQ approval. Occupancy t Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: -�(cA.Mi Property is within flood plain: ❑Yes ❑No Square feet: IWAI- `} CATEGORdQFCONSTRUCTIOtJ ` as.'•_�a Cost per square foot: ❑Residential ❑Government Commercial Other information: ,z a,= JOB SITE. I FN oRMAiIONYANb)'i'L• �TIONe '?t; Type of Heat: Job site address: t2 /� 4 1 t'- Energy Path: _ 4. City See 1(-)6ft-e/,,,( State:Oe ZIP: 17972 ❑new ❑alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No , o G Reference: I Taxlot: Total valuation s2 sr1 act- PROPERTY OWNER/, w:�' ..a4f;i: x t:2,'BuilRdi-n fig,f es �s 'r , :+r-. -r. , Name: C(X CC ....... -12...j�C'FI-e i (a)Permit fee(use valuation table): $ FO6' Address: - sr{- S7`gf / (b)Investigative fee(equal to[2a]): $ City: .�1r. - t Q I d State:OP I ZIP:7'2,2 (c)Reinspection($ per hour): Phone: _5y/ .,21,4—WS d.... Faze/ -),16 J le (number of hours x fee per hour) $ E-mail: I S*A (Q 5/34.t e(Cip I," —6(�� (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ l-1'G� 66 — i (e)Subtotal of fees above(2a through 2d): $ Building Owner or 0 's age. mg this application: 17SINn;`r v ew f ee s ,r ''' ^7fi-a`5 `u` F:. 'N S (a)Plan review(65%x permit fee[2a]): $ Sign her . 7 Oa — - (b)Fire and life safety(40%x permit fee[2a]): $ ❑This llation is 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 ,:v iertii '`��" '"'`*yeti c s +g ea^'+s,"n°s '�^x i w i l „4:Miscellaneous,fees•,, • ...�„�'is',-e„��'��"�`"?*� requirements under ORS 701.010. a (a)Seismic fee, 1%(.01 x permit fee[2a]): $ P ''uel"'COACTR�NS _ALI ". R A t 4{, (b)Technology fee,5%(OS x pemiit fee[2a]):• $ /am Business name: 8 f✓a/ — TOTAL fees and surcharges(2e+3c+4a+4b): I qc(oj Address: City. State: ZIP: Phone: - - Fax: - - E-mail: . CCB license no.: Print name: Signature: - 'pS06 CORTRACTOR[fNFLORMATIONS't°° r= F7( ',. . Name CCB License# Phone Number w Electrical Plumbing Mechanical • •