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HomeMy WebLinkAboutPermit Building 2009-7-15 (2) Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 \.DEP ARTMENT.USEONLY" '".. .- ,~- . . - COMU>O ?-o IOs.! Penn it no.: Date: 7-/S -0 '1' This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. % {:~"~:;".1~;\.f\'4'9.GAg:.f~:QY~'BNMgNf~i~~.~RQV~~-~~~~~~~~~~~~~ This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~fJ:~;~~~"IE9Q~Yil!9F,llc,O}l~J'RlJ:CiI;IQ~1~t~i';~~~~rM Residential 0 Government 0 Commercial i!~j:#:jf(~~,l\i~QBjls)jt~...if{i;c::iRMA.tiQI{!ANqll11p.~A:ff"' "i')}~1[~~;j;8; Job sjte address: ~. , te City: Subdivision: Reference: Name: Address: City: Phone: -7 7 Fax: E-mail: This installation is being made on residential or farm property owned by me Of a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: . 'CONTRACiT:OR.A~STrAtLATI9N~, Business name: cJ... Address: City: Phone: E-mail: ZIP: "17~1 Print name: Signature: H~~:!~~ffll~1l1:r5f~~~$'(:J.(~\(;'~Nl]R~GJPRo.NF,9RlvfAT;tQl\jJt1tiJ~~~~fi~f~I Name CeB License Number Phone Number Electrical Plumbing Mechanical :;;}/ ~:~ ":' :; ~'~::?:':~'~;:'-~t,'~~;W;;f~F.~~~' ;'S9~]~tjiJll.g7'T';~t.~~ '?~'-~~;~:;~~it_!"~ ~:~ :;. ::: ~:;\:;f.; i::!':~;~.'(i~~tlo'K:(i!foi&im~~Hg>>~~t;~~4j~*~tt~~zt;iii~~~~:(~,lk\~futrY"i~1_,t;t~1l~~i.i1;: (a) Job description: Occupancy Constructi.on type: Square feet: Cost per squa.re foot: Other information: Type of Heat: Energy Path: o new D alteration (b) Foundation-only permit? Total valuation: o addition DYes DNa (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): $ ~~:},~u,~~n:~~.i~~ft~S!~5f~~!l~~]~i~~^m~~~~i!f~~i~~' (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees ahove (3a and 3b): $ (a) Seismic fee, 1 % (.01 x permit fee f2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ .. .,':" ATTENTION: Oregon law requires youto follow rules adopted by the Oregon ~~~;ih Notification Center. Those ru~e~:~ ~;2-001- . OAR 952"001-001 0 throug IOn090 You may obtain copies 01 the rules by '. (Note: the telephone calling the centoer. Utility Notification number for the regon Center is 1_800.332-2344). h ' UAT HECEIVED '1'5'.0' .lO~ Nu.CO-~o -O/~.!3' ~ h O-:';;IIPANCY GROUP L{_ h~lrr!~L.._ , ~l~f..Y:f::';::~Y LOAD ... !iI~.~.i~S , TYPfl Cn;.)~TG. ,~:~,_;~_4'..":.-,: -.If/I!:. -'"- ._~ ~~--..I_ ,.. . ......._....f_....,....~_,_r:..)~-_~ b;.:.,i,.',. DESCRIPTION f703~ '-f z.L __ O,C>.lt(J:._ l~-f;.';;i!rSs 'ff"b }!''- ~/uu..r ,l,I,...... ...:.. ,........"", Av ~,,,'~.~''':+-' , .......-....- ...- 'n.u: CONTENTS HERE ON HNlC: 8EEN RS',lIfZW'!f.Ci, '1,;"1"1: ):H..,.:,~n/..:-nONS INDICATED .oN COl..0;?t:\J :;'H~1'~.c':H... C.H...:'I1'.,,~.-< ~>;; /'.LTERATIONS MADE TO Tj-j'L /1, F'i-:'V.:O'.fH.D !"/i";'...W.\.ftl:....." (~~,. P;~:::;'.;E.CT AFTER THE DATE f.jC'! c.W SHALL r~i;: ,:i.;':'r":.'~;'I''t.;'j :,t. TH1:.', r~~l:LDING OFFICIAl... CITY OF 5Pf1'iN(;t"I~l..i:J, om':G~.:M4 APPROVED BY P~~Jc. DATE 7;i~ 'i NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. :::i <;J ~I 0-- I I + , I ! -~ : ~ o ATTIC. 'STAIRWAY ADD \""'10:<1 -ys,WHA'iflf';----u - ~.Gf4RA~E --.J.!I!i6_ W//fIEl-eDON PL. --,.;;PRII'I.~F:IEJ,..D) OR- 7If!.flo~ e:.,,: i <;1/,(.) G tT'hV ~> _~- L lA. c: ~::::SiAIKWA'( run /11iAi f II r'15'<::", /1(4)< t' '" !...A...t,.n>Jf(,j ,/:. ".,.+- .; .~:."j-::- P^ r~ ,..." f ;::: 5;.>;, ~7:".r:. ~""'..; ."t"r ,z;t f$;.[ " ~,. -..-. '_ ~.''''''', '-.. v"- . ~ :;.;", ....,;,." ...;. '!., f ~. ." f -.- "I. -, "cr;.-CrrQ''j- ruu C/I.'.r-O:J.' - ''+''. '-Tl.-n~J'n.' '---Hr.' '-"'-.I,'"_::.-/'-n.--\TJz,,,-.,';,;.,--- _".-......J...______..h_.-_.., __'''''I. .V ::='.1':''- ...LrTt"-J v_f.;1t .". ./":"t. ~ 'iV.-,l ~:tl:,7It::i'!.~Vlflt;;l'~O"_--_- r ..7;, J !JQYf<t-1tiJ""': dl/5nu lee, :;;;-fq; fJ To ~/c.. (2" 11~1[' .r/or':.J e..purl'cse,r. 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