HomeMy WebLinkAboutPermit Building 2014-09-18.-225
Fifth Sl
iSPRINGFIELD
CITY OF SPRINGFIELD
Springfleld,OR97477
, si
Phone: 541-726-3753
OREGON
Building / Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-02024
w .spmtgfieldocgov
permitcenter@spAngfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/18/2014 EXPIRES: 03/17/2015
STATUS DATE: 09/18/2014 APPLIED: 09/18/2014
SITE ADDRESS: 660 C ST, Springfield, OR 97477 SCOPE: Dryrot
ASSESOR'S PARCEL NO: 1703352411700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Framing and dry -rot repairs- No exterior work that is subject to Historical Review is to be
performed prior to approval of TYP114.00019. Interior work may occur prior.
OWNER: THOMAS MARK EVAN Phone Number:
ADDRESS: 3783 OLD STAGE RD
CENTRAL POINT OR 97502
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor FAIR AND SQUARE BUILDERS LLC CCB 203398 06/25/2016 541-937-5327
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.
1410 Underfloor insulation
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.
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Springfield Building Permit 9/18/2014 1:19:49PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
1 '$ 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
OREGN O 541-726-3753
811-SPR2014-02024
vmnv.spnngfieldor.gov 660 C ST permRt nter@spnngfield-ocgov
RECEIPT NO: 2014002069 RECORD NO: 811-SPR2014.02024 DATE: 09/18/2014
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 19.94
Structural Building Permit Fee 224-00000-425602 1002 166.17
Technology fee (5% of permit total) 100-00000-425605 2099 8.31
TOTAL DUE: 196.92
PAYMENTTYPE PAYOR CASHIER:CCARPENTeR COMMENTS AMOUNTPAID-
Credit Card NANCIE KOEBER 196.92
791066
TOTAL PAID: 196.92
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Permit no.ly-2/+ 2�y
Dale:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of
suspended for 180 [lays.
lOCA],40VERNMENT App,RCVAL"
,•',
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
Ca E�b]tY ,QB CON3TRIiCTION ='
esidential ❑ Goverment ❑ Commercial
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Jobsiteaddress: (o
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City: Aj, 'Y j State: ZIP:4' _9 J%
Subdivision: Lot no.:
Reference: Taxlot:
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Name: [�(-11L�' •7-�L6rtl<?"
Address: '37 Z'i3 b S IED
City: Cp
State:Otr` I ZIP:Qf 7S'U
Phone:Sci [ • .3t) (• 9 3 t((
IF..: -
E-mail o�Y'C'Co4�611( Y'C
Building Owner or Owner's agent authorizing this application:
Sign here:
This installation is being made on residential or farts property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701 010.
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Business name: '1-�Ljb &AC
Address:
City: '
State: D (L ZIPP? t/0
Phone:%f - Q�7 - $327
Fax: - -
E-mail:
CCB license no.: Z
Print nanme:
Signature:
(e) Subtotal of fees above (2a through 2d):
S
Name
CCB License
Phone Number
Electrical
(c) Subtotal of fees above (3a and 3b):
S
Plumbing
(a)Seismic fee, 1% (.01 x permit fee[2a]):
Mechanics]
(b) Technology fee, 5%(.05 x permit fee[2a]):
S /
m" if work is
$CN9DULE
1 VA)O�fib)i70�'Q1ri1s»(i0h
(a) Job description: --yaw q a-
�
Occupancy IL'
Construction type: 1
Square feet:
Cost per square foot:
Other information:
Type of Heat;
Energy Path;
❑ new ieration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$ W0
`2f12dilding'�ePs, ;
(a) Permit fee (use valuation table):
$
(b) Investigative fee (equal to [2a]):
S
(c) Reinspection (S per hour):
(number of hours x fee per hour)
S
(d)Enter 12% surcharge(. 12 x[2a+2b f2c]):
S ��
(e) Subtotal of fees above (2a through 2d):
S
(a) Plan review (65%x permit fee [2a]):
S
(b) Fire and life safety (40%x permit fee 12a]):
$
(c) Subtotal of fees above (3a and 3b):
S
�, ivArseeu�eatts rse� :`
(a)Seismic fee, 1% (.01 x permit fee[2a]):
$
(b) Technology fee, 5%(.05 x permit fee[2a]):
S /
(e) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges(2e+3c+4a+4b+4e):
S K14,
6zte Cav Nast
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