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HomeMy WebLinkAboutPermit Building 2014-5-27 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 C C Phone: 541-726-3753 \OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01145 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/27/2014 EXPIRES: 11/22/2014 STATUS DATE: 05/27/2014 APPLIED: 05/27/2014 SITE ADDRESS: 308 S 4TH ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703353400400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-Final inspections to complete Combo Permit COM2007-00548 Electrical is completed/finaled OWNER: WILLIAMS JOSEPH&SUZIE Phone Number: . ADDRESS: 86158 GARDEN VALLEY RD • EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General 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 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 construcytio�nn. Gf t V v , , !=l►,I 5 -a7 - fly Owner or Contractor Signature Date • • • ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility• THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800.332-2344). Springfield Building Permit 5/27/2014 1:19:26PM Page 1 of 1 • • SPRINGFIELD—. CITY OF SPRINGFIELD a.r. _„p,.. 225 Flfth St Se EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S PR2014-01145 www.springfield-ar.gov 308 S 4TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014001145 RECORD NO: 811-SPR2014-01145 DATE:05/27/2014 DESCRIPTION: .;_ ;� _ __ _ - __ �-,.-.,� .AC.000NT_CODE/TRANS CODE_ _ __, v_AMOUNT:DUE Continuing Education Fee 224-00000-245606 2.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84 Structural Building Permit Fee 224-00000-425602 1002 82.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENT TYPE PAYOR_L CASHIER:CCARPENTER 1. COMMENTS_4„ .,` -...vw AMOUNT PAIDA.Y____ Cash Amy Davie 98.44 TOTAL PAID: 98.44 Structural Permit Application sp inc IELn DEPARTMENT USE ONLY.. :i`f�,V�P�. �adr�.•.ts.F' J �-wr� �,�L�k,r?'<� '� 'tu�, r G'7 T` � 9 �%u+� �3» �... „ � LL CITY,OE SPR[NGF[ELD [OREGON � � u s t Permit no.: S� 7 OREGON , 41) 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 / 7 • Date: // n 7 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of i suance or if work is suspended for 180 days. • This project has final land-use approval. -1 Valuation information Signature: Date; (a)Job description: e ,O(tT UU This project has DEQ approval. �� ���I�[� Signature: Date: Occupancya_3 Zoning approval verified: ❑ Yes ❑No Construction type: \/(3 Property is within flood plain: ❑ Yes ❑No Square feet: i-= 4• CATEGORY OF;CONSTRUCTION ?tt.,.' )1 Cost per square foot: [gResidential ❑Government ❑Commercial Other information: SITE f INFORMATIONaAND„LOCATION ^,`'n 3 Type of Heat: Job site address: 30 a 5 . Lin” 5+•• - Energy Path: City:Sp cor rti d_ State: Q R ZIPS-7 47-7 ❑new teration ❑ addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: 17ey 3 y Taxlot U() Total valuation: `$ �v 2 4 1. ' ..P_ROPERTY4OINNER ' Name: ZOr 1.A) if I ✓)''1S (a)Permit fee(use valuation table): $ '3 Address:VD(5 2 (-c4rJe✓1 Ole y [Qb a a (b)Investigative fee(equal to[2a]): $ City: J C- Stater g ZIPS 7966 (c)Reinspection($ per hour): Phone:�j tlen a a'- 5500 Fax: - . (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): _ $ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: (a)Plan review(65%x permit fee[2a]): $ Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation 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 £4 Miscellaneous fee's_`i~ r � �, , sY 4,'�J_ tr ,• _ �-_ requirements under ORS 701.010 is (a) Seismic fee, 1%(.01 x permit fee [2a]): $ �. ° CONTRACTOR INSTALLATION" `x** - —-- __ - --. �7c"''" v' (b)Technology fee, 5%(.05 x permit fee[2a]): $ �j Business name: RA Ai floCpJC-. evict cow -I h Address: a 4 3J 17 1-h l (q CR (c)Continuing Education Fee$2.50 $2.50 City:/ (c-k State: Q� ZIA7 417-7 TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ �� Phor f ��7cq 0 F.691 71/7- q&70 E-mail: CCB license no.: 1 5930 Print name: 13)C (G H em rek-- Signature: iSUByCONTRACTORIINFORMATION.r +(..3;1t.,=„,;ga,`J`x: Name CCB License# Phone Number Electrical 0)-14"->gLtz-. 59 0)71,-‘.2,6 o7 - Plumbing /(1( Mechanical SI /(6(‘°.