HomeMy WebLinkAboutPermit Building 2014-07-17L
ELDE
vy
OREGON
w .springlnud-or.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01544
225 Fifth Sl
Springfield,OR 97477
Phone: 641-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
penitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/17/2014 EXPIRES: 01112/2015
STATUS DATE: 07/1712014 APPLIED: 07/17/2014
SITE ADDRESS: 1095 J ST, Springfield, OR 97477 SCOPE: Dryrot
ASSESOR'S PARCEL NO: 1703351102400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:- Dryrot repair bathroom, bedroom and kitchen= The scope of work for this permit doesnot-- --
cover alterations covered by S14-01517
OWNER: ROWLAND LIVING TRUST Phone Number:
ADDRESS: 7835 RUSH ROSE DR APT 113
CARLSBAD CA 92009
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lic Exp Phone
General Contractor NAIL IT CONSTRUCTION LLC CCB 198781 01/22/2015 541-915-8327
INSPECTIONS REQUIRED
Inspections
1170 Post & Beam Post and Beam: Prior to Floor insulation or decking.
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 Slate 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.
J ____-______ 7 l7 2d/
rr-�T
Owner or Contractor Signature Date
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED COMMENCED ORDS ABER APERMIT NOT
ABANDONED FOR
ANY 180 DAY PERIOD.
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-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number
100.332
e8i2344).itcation
Centeris
Springfield Building Permit 7/17/2014 2:10:42PM Page i of 1
RECEIPT NO: 2014001545 RECORD NO: 811-SPR2014-01544 DATE: 07/17/2014
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 (6% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
'PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID !'
--Crarlil Carr)" nlAll IT C(IAiQTDI ICTVIAI i i !` AR. dd
050917
TOTAL PAID: 98.44
CITY OFSPRINGFIELD
LLD
.-....: -
TRANSACTION RECEIPT
225 Fifth Sl
Springfield,OR97477
--' OREGON
811-SPR2014-01544
641-726-3753
vi .spkggeld-or.gov
1095 J ST
permitcenter@sp6ngfield-or.gov
RECEIPT NO: 2014001545 RECORD NO: 811-SPR2014-01544 DATE: 07/17/2014
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 (6% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
'PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID !'
--Crarlil Carr)" nlAll IT C(IAiQTDI ICTVIAI i i !` AR. dd
050917
TOTAL PAID: 98.44
Structural Permit Application
225
t
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within ]
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date;
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
Residential ❑ Government ❑Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: lo!16 3 g
City: Sydyt State: w797177
Subdivision: I Lot no.:
Reference: Taxlot:
PROPERTY OWNER
Name: Q
Address: 5— � /L X(r
City•
Stated%— zlp,67 70U
Phone:
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign Isere:
❑ This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION`;`
Business name: Nol LLC
Address: 12-98 CLOLddiofv�
City: "St
State: ZIP: C/7108
Pltone:ti'II-%( - 'Z
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
$
SUB -CONTRACTOR INFORMATION
S
Name
CCB License H
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee [2a]):
$
Plumbing
$
4. Miscellaneous fees' ,
hfechanical
(a) Seismic fee, 1% (.01 x permit fee [2a]):
$
DEPARTMENT USE ONLY
Permit no. /
Date:
or if work is
"FEE SCHEDULE
1. Valuation information
(a) Job description: en4y,
Occupancy
Construction type: (�
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new ❑alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$
2. Building fees
(a) Permit fee (use valuation table):
$
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$
(e) Subtotal of fees above (2a through 2d):
S
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):
$
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4. Miscellaneous fees' ,
(a) Seismic fee, 1% (.01 x permit fee [2a]):
$
(b) Technology fee, 5%(.05 x permit fee[2a]):
$
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3e+4n+4b+4c):
S