HomeMy WebLinkAboutPermit Building 2014-6-25 SPRINGFIELD 225 Fifth St
' CITY 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-SPR2014-01365
www.sprtngfieldor.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/25/2014 EXPIRES: 12/21/2014
STATUS DATE: 06/25/2014 APPLIED: 06/25/2014
SITE ADDRESS: 2458 17TH PL,Springfield,OR 97477 SCOPE: Bathroom '
ASSESOR'S PARCEL NO: 1703243400338 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New opening for relight window above tub-glazing shall be min 60"above drain inlet or
tempered safety glazing
OWNER: SVEJCAR JEFF T&JONI L Phone Number:
ADDRESS: 2458 N 17TH PL
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Ex') Phone
General Contractor STEPHENS INC COB 169357 03/28/2016 541-914-8120
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LINSPECTIONS REQUIRED II
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.
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.
,--'''....'1.---- ...v.----------tfft 0 5--/Y .
Owner or Contractor Signature Date• •
NOTfCE: '°
I you t9 . , ,.,�., '.
ATTENTION Oreg^^ THIS PERMIT SHALL EXPIRE IF THE WORK
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on ttort AUTHORIZED UNDER THIS PERMIT IS NOT•
follow rules Cent, 3 set forte COMMENCED OR IS ABANDONED FOR
Notification Cent 95?-001:
In OAR 952-001-
e, rules by ANY 180 DAY PERIOD.
0090. You me' phone
calling the , „ficatiorn
number for ,n.
Cr -
Springfield Building Permit 6/25/2014 10:55:17AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
�A- - 225 Fifth St
to OREGON TRANSACTION RECEIPT Springfield,OR97477
541-725-3753
811-SPR2014-01365
www.springeeld-or.gov 2458 17TH PL permitcentergspringfield-or.gov
RECEIPT NO: 2014001371 RECORD NO:811 SPR2014-01365 DATE:06/25/2014
II • - .. O s4 -N.-ft ;: ,LL -"_ -Lz-'.` _ ,;,...'ACCOUNT'GODEIi.RANS:CODE _": AMOUNTr1tJ4.aa
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 -
PAYMENTaTYPE P.AY,OR CASRIER?CCtou-Tg TER OOMMENTS -. AMOUNTiFlAID
Credit Card SVEJCAR JEFF T&JONI L 98.44
06235c
TOTAL PAID: 98.44
L
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Structural Permit Application SPRINGFIELD ..DEPARTMENT USE ONLY
r, i 1 OF,SPRINGF.Pj1 OREG949Ig s W4.111 t }
Permit no.: .J J( iry3
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 t)AEG OH
Date: ,,/e2S j(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.
;11,0 L GOVERNMENT,APPROVA.:0 , .,
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Thisprojecthasfinalland-use approval. . - l Valuattogmformation �t . ^t7JI
Signature: Date; (a)Job description: /vIl,[�1n� �i ent,
This project has DEQ approval. N D
Occupancy pt-3
Signature: Date:
Zoning approval verified: ❑Yes ❑No Construction type: 07
Property is within flood plain: ❑Yes ❑No Square feet:
CATEGORYOF, CONSTRUCTION ,` a+- , Cost per square foot:
Residential ❑Government ❑Commercial Other information:
JOB;SITE INF.,ORMATION'"AND•LOCATION g ; , Type of Heat:
Job site address: 2t Se )3 S p). Energy Path:
City: j Pr.v, .Lt& State: 01— ZIP: 1tY}}- ❑new alteration - ❑ addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑No
Reference: Taxlot: Total valuation: $GU J
.: PROPERTY&OWNER -.?` -' fa s}_Zs
Name: Cra- -- '$ ;=7ins S edClr-T (a)Permit fee(use valuation table): $
Address: 245 s3 17 p` .91 . (b)Investigative fee(equal to[2a]): $
City: 5e r.v c ( -4 d State: cat ZIP: 69tr (c)Reinspection($ per hour):
Phone: 51y/-9-2.6 -I0$ 4 Fax: - - (number of hours x fee per hour) ,�/
E-mail: (d)Enter 12%surcharge(.12 x[2a+26-12c]): $ 5'e
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3'Plan
(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 m 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
requirements under ORS 701.010. - - - a
(a) Seismic fee, 1/n(.ol x permit fee[2a]): $
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:CONTRACTOR INSTALLATION,.?
" ' • (b)Technology fee, 5%(.05 x permit fee[2a]): $ �.
Business name: 7'5cnt 3 N+ I
(c)Continuing Education Fee$2.50 $2.50
Address: pug 5 I -L r 34, c/
City: 9)Aail State: d� ZIP:g 9T/Z_ TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ 9
Phone:554-4M- $12o Fax: - -
E-mail:
CCB license no.: /(o? 357- "
Print name: T;/ • S#Ji e-A t
Signature:
*- iSU6-CONTRACTOR;INFORMATION, STZi ,_,
Name CCB License ft Phone Number
Electrical
Plumbing
Mechanical