HomeMy WebLinkAboutPermit Building 2014-6-26 SPRINGFIELD
225 Fifth St
-_-°;r.. CITY OF SPRINGFIELD Springfield,OR 97477
i.tf LS '``4 Phone: 541-726-3753 IV " ` OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01382
www.springtEeld-or.gov permitcenter@tspringt ield-or.gov
PROJECT STATUS: Issued ISSUED: 06/26/2014 • EXPIRES: 12/22/2014
STATUS DATE: 06/26/2014 APPLIED: 06/26/2014
SITE ADDRESS: 186 DEADMOND FERRY RD,Springfield,OR 97477 SCOPE: Fire Damage
ASSESOR'S PARCEL NO: 1703140001500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Fire damage repairs 1976 trailer home-engineering provided
OWNER: EILERS DIANA D Phone Number:
ADDRESS: 449 N 9TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
II
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
INSPECTIONS REQUIRED Il
Inspections
1260 Framing i Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
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 I•cated at the front of the property, and the approved set of plans will remain on the site at all times during
construct J
At7 /A�s� ss, 62 -
O ner or Contra ./i• ature i Date
ATTENTION: Oregon law requires you to .
follow rules adopted by the Oregon.Utility NOTICE:
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification \NY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit - - ' 6/26/2014 11:29:37AM Page 1 of 1
SPRINGFIELD --- CITY OF SPRINGFIELD
!1 225 Fifth St
���; - TRANSACTION RECEIPT s°�gsei3,oR 97477
OREGON 811-SPR2014-01382
www.springfield-or.gov 186 DEADMOND FERRY RD permitcenter @springfieid-or.gov
RECEIPT NO: 2014001382 RECORD NO: 811-SPR2014-01382 DATE:06/26/2014
DESCRIPTION _ - _ ACCOUNT CODEITRANS CODE • , _ AMOUNT DUE. '
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
PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS _ __ - AMOUNT.PAID I
Check P.J. Martinez 98.44
2638
TOTAL PAID: 98.44
•
•
Structural Permit Application DEPARTMENT USE ONLY',
pi c ,1...4;tkt. ss2 � :z r r 4}ai+r e k
�i CTr OFSPNGFED ORGON 6 , f n t
Permit no.. 57L7 y-2 oaEGOH
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54 )726-3689
Date: co7z /
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.
``` ::*LOCAU GOVERNMENT..'AP_PROVALy,.v , ":•L ,r _,:::,':_` 4 F.EE ,SHEDUL ' 3:"<:
This project has final land-use approval. . - +t Valuation information •' ? y
Signature: Date; • (a) Job description: '
1-7
This project has DEQ approval. - n l 4971,-,,i--- 6-
Occupancy !v
Signature: Date: �j -
Zoning approval verified: ❑ Yes ❑No Construction type: 71
��
Property is within flood plain: ❑Yes ❑No Square feet:
i :CATEGORY OF CONSTRUCTION - Cost per square foot: . .
❑Residential ❑Government ❑Commercial Other information:
'JOB:SIT&INFORMATION:"AND=LOCATION tt, Type of Heat:
Job site address: J6 ezeh b!/ rry aQa Energy Path:
City:`SP'OxwSE-,1a F1_b State:C L ZIP: ❑new Thtteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑No
Reference: I Taxlot: Total valuation: -$ )
PR/OP' ERTYr,OWNER j„,,�? £ c �2Bwldaig�fees ' '� `, l,
Name: Dlprlot, Gf lfPg (a)Permit fee(use valuation table): $
Address: (b)Investigative fee(equal to Pap: $
. City: State: I ZIP: (c)Reinspection($ per hour):
(number of hours x fee per hour) $
Phone: Fax: - - -.
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $5,j
(e) Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3;Plan review fees , „? tQr;''ii r ;9, .,'?,' �. ; `
(a)Plan review(65%x permit fee[2a1): $ __
Sign here: (b)Fire and life safety(40%x permit fee[24: •, $
❑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 fees w „vim iii 'v " ,.
requirements under ORS 701.010. - u
(a) Seismic fee, 1/o(.01 x permit fee[2a1) $
� ' ':..CONTRACTOR,INSTALLATION ' Kew
j (b)Technology fee, 5%(.05 x permit fee[2a1): $
Business name: Stu c...ki res eta,/ .J. Ad -11,482194
�Rt4(o Alf'f'1 e / /���l (c)Continuing Education Fee$2.50 $2.50
Address: t�f�(.-I V l 'r5/ •
City: `a , C—tlyj� tate: oP [ZIP:97g2 TOTAL fees and surcharges(2e+3c+4a+4b+4c): S p
Phone5jj-5 ry n.� Fax: - -
E-mail: tt• u . A_ 'l , „ is • • .
CCB license no.: I08-iii 7
Print name: P j ‘.Al \ L in, Av f`.
Signature:ta.j'u
;;SUB=C• T`.•' Te r'•MATION x. ,,W:i5:•
Name "(- CCB License N Phone Number
Electrical gCAY' Moit1 ,1n
Plumbing Sarre}(- P1 ,yl
Mechanical rri 1 itTf 1 j
•
;t 11 • CLIENT
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CONSTRUCTION INSPECTION W.O.
CLIENT:
STRUCTURES PLUS
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JOB LOCATION: 9'�0��' R•��G 12C�
Expires: 12-31- 2°14
186 DEADMOND FERRY ROAD
SPRINGFIELD, OREGON
97477
•
JOB DESCRIPTION:
FIRE DAMAGE REPAIR TO SW CORNER
OF MANUFACTURED HOME
DESIGN CRITERIA:
ROOF SNOW LOAD: 20 PSF
WIND SPEED: 90 MPH
EXP: B
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