HomeMy WebLinkAboutPermit Building 2014-7-14 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
vat "^ Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01507
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/14/2014 EXPIRES: 01/09/2015
STATUS DATE: 07/14/2014 APPLIED: 07/14/2014
SITE ADDRESS: 602 KELLY BLVD,Springfield,OR 97477 SCOPE: Duplex
ASSESOR'S PARCEL NO: 1703341400900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New exterior stairs
OWNER: SHERMAN RONALD M Phone Number:
ADDRESS: 2312 S 38TH AVE
YAKIMA WA 98903
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.
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.
07- 14-1C
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
NOTICE: .> ..:: ,- follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth .
in OAR 952-001-0010 through OAR 952-001•
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note:the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344). •
•
Springfield Building Permit 7/14/2014 8:20:15AM Page 1 of 1
SPRINGFIELD CFI Y Op SPRINGFIELD
1 ?,v 225 Fifth St
TRANSACTION RECEIPT Springfield.OR97477
eta
OREGON 541-726-3753
811-SPR2014-01507
www.springfield-or.gov 602 KELLY BLVD permitcenter @springfield-or.gov
RECEIPT NO: 2014001507 RECORD NO: 811-SPR2014-01507 DATE:07/14/2014
:DESCRIPTION ;, _ = _ `,ACCOUNT CODE/TRANS 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
PAYMENTTYPE,„ �PAYOR-r>CASHIER CCARPENTER -T COMMENTS •: ' ' AMOUNT PAID : 1
Cash SHERMAN RONALD M 98.44
TOTAL PAID: 98.44
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•
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Structural Permit Application SPRINGFIELD—• ' .'DEPARTMENTUSE ONLY;:
V^i v W'nj) y yt'. "a§ ' .'t: . - ."3" .s '° v `•q?rcuh. .C,A:i' • ..�._.
fi' (CITY IF,3PRINGF[ELD7OREGON� � `r r,,, . .,!E' dt'r `
....:> .. .�Pr � 4 Permit no.:�/ �5^77�
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Oai60N ( V
Date: AV/G/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.
' '; "' ''LOCAL*`GOVERNMENT APPROyAL, •;is
w+ xv.4.. r �, .r a'a? v ;.•,< i n he r I;;F,EE,SCHEDULE r ,ry �,-
This project has final land-use approval. al Valuation in i! ` 3f !` s' .j -
Signature: Date; (a)Job description:
This project has DEQ approval.
Signature:
Date: Occupancy
Zoning approval verified: ❑Yes El No Construction type:
Property is within flood plain: ❑ Yes ❑No Square feet:
"'t. ; y _•+CATEGORY, OF tok YliUCTION ,w�.�-"<5':- Cost per square foot:
❑ Residential ❑Government ❑Commercial Other information:
., .L r..,n .,.
�'"'„o 7 :JQ67§1 it INFORMAl'ION ANDLOCA1TION ,„.,',�� ��= Type of Heat:
Job site address: (ZZ//,t4 2/hi /gild. Energy Path:
City: CoFid State: Ore. ZIP:9'74-77 ❑new ['alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑No
Reference: Taxlot: Total valuation: $
," s”t r i,Z1 tgi.;PROPERTY OWNER ' 'y`t. F'?` ii `a,.,. 2,Bwlding fees .,. :` Fniit.lwi r_fait„;C ' .,:.X r -
Name: 1),...0111_ .Skier lvtLfv■ (a)Permit fee(use valuation table): $ U,Y'L
Address: 13 .5 . Cl A (b)Investigative fee(equal to[2a]): $
City: y ak.i WI vA, State:“AA- ZIP:4r€,L (c)Reinspection($ per hour): $
Phone: -6 c4, %O Fax - -
(number of hours x fee per hour) . t
E-mail: CCr_Y peK`2Y 6 d-i&rkr, Vie (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 9
(e)Subtotal of fees above(2a through 2d): $
k fit:.^ ) $ '- }y.
Building Owner or Owner's agent authorizing this application: ; +Plan,rgvrew�feeshi<��„'24t�j�i'!;� � J,.iy',-�' +� ei� �'"„z,}
(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 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 5,4;M(scellaueous fee{'M>* ,t`,r Y` ',`;, r 1,f, ,r , 6 -`;, - {wy
requirements under ORS 701.010.
.`_ r µ, ,. (a) Seismic fee, 1%(.0l xpermit fee [2a]): $
;,�y.; f;">,,; .�.COIJTR/1CTORINSTAL(ATION;, fir„ , „) ;', ; c;"- o /D
(b)Technology fee,5%(.05 x permit fee[2a]): $
Business name: 0 0-11-1 ale—
(c)Continuing Education Fee$2.50 $2.50
Address: 92-4.
City: State: ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+4c): $
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
t; pr, FA.ISUBCONT RACTOR INFORMATION i,,Y' „ G ?*„wa •
Name I CCB License# Phone Number
Electrical
Plumbing
Mechanical