HomeMy WebLinkAboutPermit Building 2014-6-19 .-
SPRINGFIELD 225 Fifth St
k„,... °— :.a CITY OF SPRINGFIELD Springfield,OR 97477
-��� "tc Phone: 541-726-3753
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01330
www.springfield-or.goy permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/19/2014 EXPIRES: 12/15/2014
STATUS DATE: 06/19/2014 APPLIED: 06/19/2014
SITE ADDRESS: 751 LAKSONEN LOOP,Springfield,OR 97478 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1702352301000 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Chimney demo •
OWNER: FRANKLIN ANGILA M Phone Number:
ADDRESS: 697 S 70TH ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER COB 000000 06/01/2025
INSPECTIONS REQUIRED
Inspections
1430 Insulation Wall Wall Insulation: Prior to cover.
1530 Exterior Shearwall
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.
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 NOTICE:
E:
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK .
calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR
Center is 1-800.332-2344). . ANY 180 DAY PERIOD.
Springfield Building Permit 6/19/2014 9:20:00AM Page 1 of 1
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SPRINGFIELD - CITY OF SPRINGFIELD+t.4, -.e. 225 Fitth St
`���, TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-S P R2014-01330 •
www.springfield-or.gov 751 LAKSON EN LOOP permitcenter @springfield-or.gov
RECEIPT NO: 2014001344 RECORD NO:811-SPR2014-01330 DATE:06/19/2014
:DESCRIPTION ` .. . - . 4.. c ACCOUNT CODE/TRANSCODE,- . ...L.-. 1 ,:..,AMOUNIDUE.
Continuing Education Fee 224-00000-425606 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• a PAYOR CASHIER.CCARPENTER : ',COMMENTS ',' • .AMOUNT PAID '
Cash _.----FRANKLIN ANGIIAM ------ - ----.____- - - - ____— - ---- _-- -- 98.44 _ ..
TOTAL PAID: 98.44
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Structural Permit Application SPRiNCFIEL� DEPARTMENT USE ONLY '
- � G TY O bPRINGFIELI, OREGON q.tk- F,\ „,rce.,* Permit no.: 5 L/_ ( .c
a _v � v
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON
Date: //S/i y
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.
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LOCAL',GOVERNMENT'AP-PROVAL , k$ ' 11 F.EE,SCHEDULE a ='g , e, w°
This project has final land-use approval. 51 Valuation information 2.� °,{. r'"`' ;4 r,'t » "?`r)
Signature: Date; (a)Job description: �?/,
This project has DEQ approval. ( ) P tion: U� � W�
Signature: Date: Occupancy C5
Zoning approval verified: ❑Yes ❑No Construction type:
Property is within flood plain: ID Yes ❑No _ Square feet:
' -; , ",r,'i...FCATEGORY OF:CONSTRUCTION` ,,hM,r ?': Cost per square foot:
(Residential ❑Government ❑Commercial Other information:
f ii r JOB SITE INFORMATION 'AND LOCATION 4 i Type of Heat:
Job site address: 757 co7V �-y.. Energy Path:
City: �,10,F(_`•t " !! State: al....._ ZIP:S7�7r ❑new teration ❑addition
Subdivision: // Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation
,.: `xl* s %eL '' rPROPERTYK1OWNERy' "'ita{'t ;s t. ; , ,.n„„ ..,
, .. .. _. .. .`. `-� ..lr:) 4.We •2 Building fees ,..�.{xd�"�t. .`;.?icyiYl,y tc �:.:i4= ,4i'yiY::u�
Name: And;its Sink""n . (a)Permit fee(use valuation table): $ e 2_
Address: 15 Lc,ksonen Leo' (b)Investigative fee(equal to[2a]): $
City: 5?Tirs5Ce.ld State: Olt ZIP: 91498 (c)Reinspection($ per hour):
Phone: 5441 9('V (Jess Fax: - - (number of hours x fee per hour) $
E-mail: i cx?fiIneeSS •trank[�n @ 5m4:1.WW1 - (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ P/'
- (e) Subtotal of fees above(2a through 2d): $
Building Owner or wner's agent authorizing this application: f3 Plan'revtew feaNge.: 111: ,:"•'fii i .VV^"e'(4 ,,,;]`"k,
(a)Plan review(65%x permit fee[2a]): $
Sign here: - C 4. 47,,,,,„ pir, (b)Fire and life safety(40%x permit fee[2a]). $
T installation is be g 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 i:r a '- + 'p^:IY p ; ,v ^ '* , ti"' u'.r.
4 sMrscellaneous fees-' ,7§i �,-: ,-r_ : .
requirements under ORS 701.010. �
* ,,:, ,b,, . v (a)Seismic fee, 1%(.01 x permit fee [2a]): $
,, _, x-s,.CONTRACTOR IWSTALLATION'ei 6 a s )q y/p
p ' -�'`' �'- (b)Technology fee,5%(.05 x permit fee[2a]): $
Business name: �E.h (c)Continuing Education Fee$2.50 $2.50 -
Address: /J .
City: State: ZIP:
TOTAL fees and surcharges(2e+3c+4a+46+4c): $ 9 '
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
ni^i 'llgi- '°i, °.SUB CONTRACTOR'INEORMATION :,s; :WWI
Name CCB License# Phone Number
-Electrical
Plumbing
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Mechanical