HomeMy WebLinkAboutPermit Building 2014-7-8 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
'7,:'PIN Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01466
vrxw.springfield-or,gov pennitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/08/2014 EXPIRES: 01103/2015
STATUS DATE: 07/08/2014 APPLIED: 07/08/2014
• SITE ADDRESS: 103 S 21ST ST,Springfield,OR 97477 SCOPE: Dryrot
ASSESOR'S PARCEL NO: 1703364203600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Dryrot repairs-Ref#14-01315
•
OWNER: MILLER MICHAEL P Phone Number:
ADDRESS: 3330 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor DAVIS BROS GENERAL CONTRACTORS INC CCB 63275 04/06/2016 541-501-0877
INSPECTIONS 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/j. 0.^.---"? -7 r 0--- (11
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
In OAR 952-001-0010 through OAR 952-001- r®TI CE:
0090. You may obtain copies of the rules by HIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note: the telephone 'JTHORIZED UNDER THIS PERMIT IS NOT -
number for the Oregon Utility Notification 9MMENCED OR IS ABANDONED FOR
Center is 1-800-332-2344). -
, JY 180 DAY PERIOD.
Springfield Building Permit 7/8/2014 10:38:32AM Page 1 of 1
•
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
���EGO TRANSACTION RECEIPT 541-726-3753
97477
541-726-3753
811—SPR2014-01466
www.springfield-or.gov 103 S 21ST ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001469 RECORD NO:811-SPR2014-01466 DATE:07/08/2014
DESCRIPTION., „_m , ,ACCOUNT CODE/TRANS:CODE; , .AMOUNT DUE _'
Building Permit Fee 224-00000-425602 1002 82.00
Continuing Education 224-00000-425606 2.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84
Technology fee(5%of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
s PAYMENT TYPE PAYOR .CASHIER cCARPENTER_ ± _COMMENTS_,_ ::-. �, ' AMOUNT
Check DAVIS BROS GENERAL CONTRACT( 98.44
5419 INC
TOTAL PAID: 98.44
. •
. . • . . ..
' Structural Permit Application • SPRINGFIELD— DEPARTMENT USE ONLY
*Ncalt:::?:Atig.t:i:ncte-I.(::;,4a.-:Ii1.0-2:tiA;sAM2.::;i:;.ttettiatt5atoTiniekgat, ,,,,....--..—.....gi
Ot`Atag:S-JD-1.9.tiPIIM9FHLP,.+9,K9,9.blii&Firatta.t.r.(.ftUtiVe44 't..._,.t 6.7 permit no.: yi y —/C.(6,4
6,
, ..„.'-'6‘ OREGON
225 Fifth Street•Springfield,OR 97477•PH(54I)726-3753+pAX(541)726-3689
Date: 7p//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.
This project has final land-use approval. . I-I2Valitatibn itiformation•.:, t. ...,-=--..•,-:?•:•,,.-,‘, ,, ..;....,--
Signature: Date; (a) Job description: Doty ,. of „25f t v__s.
This project has DEQ approval.
Occupancy E
Signature: Date:
tigZoning approval verified: D Yes D No Construction type:
Property is within flood plain: D Yes 0 No Square feet:
V.bATEGORY.;I:DE:;t0NTRUCTiOrsilli--.-Y'14,-1: Cost per square foot:
ii Residential 0 Government tiree-mmercial Other information: •
7,"•F.I•j'.•'..,IJ:-"JoEcaitElInrbaiiiktioW-:rAnti:f,irCiakfibitiaXVI, Type of Heat:
Job site address: 110 S 1 satzci- Energy Path:
City: cprh State: 0 fl ZIP:9-7:172 D new -Bilieration 0 addition
Subdivision: Lot no.: (b)Foundation-only permit? -D Yes D No
Reference: Taxlot: Total valuation: $
<cpyS6PERtY1,oilltsiak :',.1f11;,:„0:1.ti-.1:; le2 kiitiiditillica''1-:::?::Ki53:1MVZ17::4:'Th51; R7. 3";;.;
Name: "utter_ (a)Permit fee(use valuation table): $ 82_,
Address: _.?7-3 c) hitybs...— 067Z, 10 1 – (b)Investigative fee(equal to[2a]): $
City: Sera) State:-n.,_ ZIP:97717,/ (c)Reinspection($ per hour):
$
(number of hours x fee per hour)
' Phone: Fax: - -
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): 9a-V
(e) Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: review 7.iiii-c.: -;--j•,,t
(a)Plan review(65%x permit fee[2a]): $
Sign here: (b)Fire and life safety(40%x permit fee[2a]): • $
III This installation is being made m residential or farm property on by (c) Subtotal of fees above(3a and 3b): S
me or a member of my immediate family,and is exempt from licensing '4:Miscellanenus,fees..,-.:., -:4, in....,‘1,,-„v41/4.,...„ ....,,,-;7.:• ---,....,.... :
requirements under ORS 701.010.
(a) Seismic fee, 1%(.01 x permit fee[2a]): $
c-•'1'-."''IT.OONTRAdroR ii■itTALLAtiak '"? :,:, :, - „ _
' '' :t4',Th'''', ' ' ' (b)Technology fee,54(05 x permit fee[2a]): $41/6'
Business name: botti l•s Bios 4 DI c„,,,,r
(c)Continuing Education Fee$2.50 52.50
Address: '10,1 A, gol -700#?z
City: c pr.:_n State:OR ZIP:COLO c TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ ,eiqj
Phone:514/-5D) –()A-77 Fax: /Vote_
E-mail: de.A of 5+//Chet e.rfint to0)11
CCB license no.:
Print name: r. At,i r
Signature: item:: Cap.1.4
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Name CCB License it Phone Number
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