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Home My WebLink AboutPermit Building 2014-07-21V FIELD`J - OREGON N+ m.sprfi gfield-orgov PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2014-01565 Issued ISSUED: 07/2112014 07/21/2014 APPLIED: 07/21/2014 SITE ADDRESS: 285 S 52ND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333401100 PROJECT DESCRIPTION: ---Relocate OWNER: WJF LLC ADDRESS: 11948 E GOLD DUST AVE 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@springfield-or.gov EXPIRES: 01/16/2015 SCOPE: Single Family Residence TYPE OF STRUCTURE: Residential Phone Number: SCOTTSDALE AZ 85259 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor NICK DALE TOLBERT CCB 200919 09/16/2015 541-246-4366 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been 1430 Insulation Wall Wall 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. .-;�'^2/,� / Ll Owner or Contraor Signature Date AT'i`CNTION: 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 for the Oregon Utility Notification Center is 1-800-332-2344). I`•,'011CF: TRIS PERMIT SHALL. EXPIRE IF THE WORK AU THORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 7/21/2014 10:53:31AM Page 1 of 1 SPRINGFIELD CITY OP SPRINGFIELD { TRANSACTION RECEIPT 225 Fdlh St Spnngfield,OR97477 OREGON 811-SPR2014-01565 541-726-3753 m Y.spnngfield-or.9ov 285 S 52ND ST permits nter@spnngfield-or.gov RECEIPT NO: 2014001566 RECORD NO: 811-SPR2014-01565 DATE: 07/21/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Slate 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 CASHIER:CCARPEN7ER COMMENTS AMOUNT PAID 't Credit Card NICK DALE TOLBERT 025253 TOTAL PAID: 98.44 JAS Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPRttJGilELO OREGON DEPARTMENT USE ONLY Permit no.: /(G�/�� S Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of 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 k Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION ' Job site address: c11 -5.1 City: -S" State: 0.- ZIPq-2q ,S Subdivision: I Lot no.: Reference: Taxlot: PROPERTY OWNER Name: L Address:�t✓-- City: State: /Q Z ZIP�oS2S Phone: Fax: - - E-mail: Building Owner or Owner's agent authorizing this application: Sign here: ❑ This installation is being made on residential orfarm 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: /U i g, fL -7—o J3 ER-% C,�ii'0,,.S Address:93 •'ac /a- .19"c— 19vGCity: City:C'O �%f%(/ State: B/ ZIP: of %v,?[ Phon6_1J/ ZY{ - 3Z. Fax: - E-mail: CCB license no.: 2Dd Print name: Signature: S _ SUB -CONT ACTOR INFORMATION Name CCB License # Phone Number Electrical $ (c) Subtotal of fees above (3a and 3b): Plumbing 4. Miscellaneous fees Mechanical $ (b) Technology fee, 5% (.05 x permit fee[2a]): or if work is FEE SCHEDULE 1. Valuation information (a) Job description: d ✓� I7 S''r� L Occupancy Q d Construction type: pZ_ SCostSquare feet: 0-5-- Costper square foot: Z r_o Q' 7`4711 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): S (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]): $ J (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): S _> u