HomeMy WebLinkAboutPermit Building 2014-09-10SPRINGFIELD
" OREGON
www.smingfield-ocgov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01898
PROJECT STATUS: Issued
STATUS DATE: 09/10/2014
SITE ADDRESS: 6829 E CT, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702352312000
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 641-726-3676
perm itca nter@spnngfield-or. gov
ISSUED: 09/10/2014 EXPIRES: 03/09/2015
APPLIED: 09/03/2014
SCOPE: Fire Damage
TYPE OF STRUCTURE: Residential
OWNER: JOSTMEYER-KAULBACK BERTHA B Phone Number:
ADDRESS: 6829 E COURT
SPRINGFIELD OR 97478
OWNER: KAULBACK GEORGE W JR Phone Number:
ADDRESS: 6829 E COURT
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone
General Contractor XXL INC CCB 109867 11/09/2014 541-747-5413
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
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�1---I- v a Y' \-5'= )JZlZ
Owner or Contractor Signature
THIS PERMIT ,SHALL EXPIRE IF THE WORK
Al) HIORIZED UNDER THIS PERMIT IS NOT
COi'",VOENCED OR IS ABANDONED FOR
AiVY 180 DAY PERIOD,
Date
Springfield Building Permit 9/10/2014 1:29:35PM
4
ATTENTION: Oregon la.w 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). Page 1 of 1
L_N'ELD CITY OF SPRINGFIELD
- 225 Fifth St
�„ TRANSACTION RECEIPT SprinBfield,OR97477
OREGON 541-726-3753
811-SPR2014-01898
va .sp6ngfield-ocgov 6829 E CT permits nter@spdngfield-or.gov
RECEIPT NO: 2014001987 RECORD NO: 811•SPR2014-01898 DATE: 09/10/2014
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
Structural Building Permit Fee 224-00000-425602 1002
11.10
92.52
Technology fee (5% of permit total) 100-00000-425605 2099 L63
TOTAL DUE: 110.75
'PAYMENTTYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNTPAID
10341
TOTAL PAID: 110.75