HomeMy WebLinkAboutPermit Fire 2014-6-2 SPRINGFIELD 225 Fifth St
ht z,,1 CI TY 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-SPR2014-01194
www.springfield-or.gov permitce nter @s pri n gfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/02/2014 EXPIRES: 11/28/2014
STATUS DATE: 06/02/2014 APPLIED: 06/02/2014
SITE ADDRESS: 945 N ST,Springfield,OR 97477 SCOPE: Fire Damage
ASSESOR'S PARCEL NO: 1703264305500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Fire damage repairs
•
OWNER: CHARLES E 8 TREVA J HORINE LIVING TRUST Phone Number:
ADDRESS: 945 N ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER GCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1460 Insulation
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.
0 f�v ly
Owner or Contractor Signature Date
•
ATTENTION: Oregon law requires you to
e
follow rules adopted by the Oregon Utility
NOTICE EXPIRE IF THE WORK • Notification Center. Those ruh OAR 952-001-
THIS PERMIT SHALL EX in OAR
952-001-0010 throng
0090. You may obtain copses of the rules by
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note:I ty Notincation
COMMENCED OR IS ABANDONED FOR number for the tarn
at er el espeht
ANY 180 DAY PERIOD. Center is 1-800-332-2344).
•
Springfield Building Permit 6/2/2014 3:11:55PM Page 1 of 1
• SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
;L� ' TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-SPR2014-01194
www.springtield-or.gov 945 N ST permitcenter@springfield-or.gav
RECEIPT NO: 2014001203 RECORD NO:811-SPR2014-01194 DATE:06/02/2014
•DESCRIPTION v -. -ACCOUNT,CODEITRANS_CODE � W .:: 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
I_ PAYMENT TYPE ; –,PAYOR;.. CASHIER:COARPENTER-. . COMMENTS _ ; _ • _ ;AMOUNT PAID, __ ; '_J
Credit Card CHARLES E&TREVA J HORINE LIVI 98.44
911593 TRUST
TOTAL PAID: 98.44
•
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY,'•
' ." s!:,:,3P4 ,, x` 'ii+ Ur `:.0 a ''if s f{ * ,% f a :i t ,v.w... ,
` nzg/ ..Go OFASPRINGFIELD OREGONt Syr` r 3A ;.,t Permit no.: L� /
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Si / ` / ?`�
Date: /7
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.
C i:,LOCAL .GOVERNMENT APPROVAL x - '„v' r ` u\ i ' ` ";;FEE 7 SQ Ili EDULE g` ,- t.a ?1 �'
l
This project has final Ian d-use approval. - 1 Valuation mformation, a° ° r�ro " °�- '`
Signature: Date; ^ -
(a)Job description:fle.0 r i7t i/-j
This project has DEQ approval. 7
Signature: Date: Occupancy /)
VeS
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ❑ Yes ❑No Square feet:
',; '$ .a_;"CATEGORY OF CONSTRUCTION` ` i,r[ I Cost per square foot:
® Residential ❑Government ❑Commercial Other information:
t" ,' t,zJOB SITE'INFORMATION AND,L•OCATION o'.Wit, Type of Heat:
Job site address: / et 44,5—'5 'Al' St, Energy Path:
City: Sp r■n.3fi e Id1 State: f, ZIP: 97il 77 ❑new ❑addition
Subdivision: J Lot no.: . (b)Foundation-only permit?' ❑Yes ❑No
Reference: Taxlot Total valuation: 4-70[4
"'., . i ;a*` ✓`(pPROPERTYrOWNEa.1%lw , ri-ja,: �c-: "'2 Buildiii fees F '' _°°; i ` -t }�,+��'i fd
Name: ci_v;cD !10 r i ,e (a)Permit fee(use valuation table): $ 12,
Address: q Lis- /n�'N ' St; (b)Investigative fee(equal to[2a]): $
vv-
r;SA r t v t leD State: &Dr, ZIP: q.7q 77 (c) Reinspection($ per hour): $
f 3 (number of hours x fee per hour)
Phone: SW - ?.. I - 9158 Fax: - -
E-mail: (d)Enter 12%surcharge(.12 x[2a+26-1-2c]): $ 9' ell-
• (e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: 3 Pl° "v tew fee& ‘MiV',,W° '-54t; c
z '"Aik
n (a) Plan review(65%x permit fee[2a]): $
Sign here: `]' L.,..J/ (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made al 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 Miscelaneous feesa 4*' ;g;rr � _
'
a
requirements under ORS 701.010
,, - (a) Seismic fee, 1%(.01 x permit fee [2a]): S.
i ` 4 -h CONTRACTOR INSTALLATIONN ' at it, u
�f ,/ (b)Technology fee,5%(.05 x permit fee[2a]): $ yi
Business name: b0..V t�1C j711 r t ✓ce
(c)Continuing Education Fee$2.50 $2.50
Address: q't-6— tN' f - y
f � n�^I TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ e
City�S�fi il' 'IX State: (��, ZIP:4?477 a
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name: , �/t4 H
p a rr.',c
Signature: so,.... `_// AL.nAM,2
4N± ' '.'SUB IcONNTRA///CT"OR/]INFORMATION „cd x ,t ,-
Name CCB License if Phone Number
Electrical
Plumbing
Mechanical