HomeMy WebLinkAboutPermit Building 2014-09-19SPRINGFIELD
-
225 Fifth St
09/19/2014 APPLIED: 09/19/2014
CITY OF SPRINGFIELD
Springfield,OR97477
6nREGON
PROJECT DESCRIPTION:
Phone: 641-726-3753
Building / Residential Permit
Inspection Phone: 541-726-3769
SPRINGFIELD OR 97477
Fax: 541-726-3676
Contractor Type
PERMIT NO: 811-SPR2014-02039
General Contractor
w .springfield-ocgov
permitwnter@spdngfield-orgov
PROJECT STATUS:
Issued ISSUED: 09/19/2014 EXPIRES: 03/18/2015
STATUS DATE:
09/19/2014 APPLIED: 09/19/2014
SITE ADDRESS: 749 SUMMIT BLVD, Springfield, OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO:
1703341407800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Add windows to dwelling
OWNER: ALDERMAN THOMAS O & IRENE C Phone Number:
ADDRESS: PO BOX 718
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor
EDWARD JAMES RAWUNSON CCB 103841 01/06/2016 541-935-0427
INSPECTIONS REQUIRED
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
1420 Insulation Vapor Barrier
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.
Owner or Contractor Signature
THIS PERMIT SHALL EXPIRE IF THE WORK
AU(HORIZED UNDER THIS PERMIT IS NOT
CO(:/iMENCE-D OR IS ABANDONED FOR
AidY 1$0 DAY PERIOD.
Date
f 1_;,,1 ION: Orecion Jrwl requires you to
it 'otv rt:i z, adopted by the Oregon Utility
Nulificetion Centor. Those rules are set forth
in OAH 952-001-0010 through OAR 952.001-
0090. Yon 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).
Springfield Building Permit 9/19/2014 11:05:23AM Page 1 of 1
SPRINGFIELD-- CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spdngfield,OR97477
OREGON 541-726-3753
811-SPR2014-02039
w .spnngfieldar.gov 749 SUMMIT BLVD permitcenter@spdngfield-ocgov
RECEIPT NO: 2014002087 RECORD
NO: 811-SPR2014.02039
DATE: 09/19/2014
P,
Continuing Education Fee
224-00000-425606,
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099 11.10
Structural Building Permit Fee
224-00000-425602
1002 92.52
Technology fee (5% of permit total)
100-00000-425605
2099 4.63
TOTAL DUE: 110.75
5690
TOTAL PAID: 110.75
CONTRACTOR I OWNER/S-� J❑B S
�d�9',
ED RAVLINSDN 541-915-2516 ALDERMAN 'SUMMIT BLVD
Springfield 9777
-XISTING 6X8 1/2'
]PEN BEAM
EXISTING
9X8BEAw
iIMPSON ST18 EACH
'OST BOTH SIDES
/—EXIST FRAMING
(7) 2x4's GANG NAILED
�- 1/2'X4'x8' CDX
SHEAR PANEL
THE INFORMATION CONTAINED ON THESE DRAWINGS IS THE SOLE
PROPERTY OF RODERICK PEARSON, DBA RODERICK PEARSON CON-
STRUCTION LLC. UNAUTHORIZED USE OF THESE DRAWINGS EITHER
IN WHOLE OR IN PART IS PROHIBITED AND MAY BE IN VIOLATION
PAGEOF COPY RIGHT LAWS. SCALE CONDITIONS, DIMENSIONS, DETAILS, ETC. ETC. ANDUSERS RNOTIFY E TO VERIFY
YJOBL
FOREMAN/CONSTRUCTION SUPERVISOR OF ANY DISCREPANCIES PRIOR
1/4' = V-0' TO PROCEEDING WITH ANY WORK. RODERICK PEARSON AND/OR
RODERICK PEARSON CONSTRUCTION LLC ASSUMES NO LIBILITY FOR
ANY ERRORS CONTAINED WITHIN THESE DRAWINGS OTHER THAN
TO REVISE THE DRAWING.
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I
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: -7rr t,.y /3
City: f State: ZIP:
Subdivision: I Lot no.:
Reference: Taxlot:
PROPERTY OWNER'
Name: l.bef` '[ W
Address: fh .v1/0/7—
Energy Path:
City: .J ?, 6V - f6'l State: � 14D ZIP:`"(
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: 4,v 6 Ll 2 1) <5iO4� et
Address: 2C ;,sad
city: e-- - State: U ZIP:
Phone: /;' ? ey' / Fax: - -
E-mail:
CCB license no.: /0,?
Print name. ,1." / .,., i �c
Signature: t
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
SU,B- ONTRACTOR INFORMATION ,
Name
CCB License #
Phone Number
Electrical
(a) Plan review (55%x permit fee [2a]):
$
Plumbing
S
(c) Subtotal of fees above (3a and 3b):
Mechanical
4: Miscellaneous fees '-
Permit no.:
Date:
ONLY
or if work is
FEE SCHEDULE
1.'Valuation information
(a) Job description: / / P&j f
Occupancy 2
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new [;al eration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
2. Building fees
(a) Permit fee (use valuation table):
$ 2
(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):
$
3. Plan review fees
(a) Plan review (55%x permit fee [2a]):
$
(b) Fire and life safety (40%x permit fee [2a]):
S
(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/
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
$ //0 7S—