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HomeMy WebLinkAboutPermit Building 2013-4-26 SPRINGFIELD 225 Fifth St a, CITY OF SPRINGFIELD Springfield,OR 97477 CJ�'`ri Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00831 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: • Issued ISSUED: 04/26/2013 EXPIRES: 10/23/2013 STATUS DATE: 04126/2013 APPLIED: 04/24/2013 SITE ADDRESS: 1323 COTTONWOOD AVE,Springfield,OR 97477 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1703273307000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Enclose carport,Convert to workshop utility space OWNER: POLICHA TOBIAS J Phone Number: ADDRESS: 1323 COTTONWOOD AVE SPRINGFIELD OR 97477 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1110 Footing Footing: After trenches are excavated. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1530 Exterior Shearwall 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center, (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 4/26/2013 4:08:31PM Page 1 of 1 . . .. se_ .._ : : 6. SPRINGFIELD._ . • • CITTj.�,,y'�•�PJLINt'J1E11) : . ` E�oN TRANSACTION RECEIPT Spnngfi lcLOR97477 • 541-726-3753 811-SPR2013-00831 .• •••• 1323 COTTONWOOD AVE • •• •• viwwspringfeldar.gov pera c.nterge ringfir-or.2C,: • • ' • ' • • •• RECEIPT NO: 2013000821 RECORD NO:811SPR2013-00831 DATE:04/24/2013 DESCRIPTION E?._= _i = r ' ._.:. ;:mod o m a • . m m .np R_ rrmAliiiiefab 11 Structural Pla}1 Review Fee Residential 224-00000-425602 1061 • • _ ••52.08. TOTArL DM •• • woe KRAymENTinTECNIaggiENTHISMIMINEMILAPAP.uviEvonsinnsur Credit Card POLICHA TOBIAS J 52.00 185733 TOTAL PAID: 52.00 ,,SPRINGFIELD CITY OF SPRINGFIELD hr ;i1I Jet225 Fifth St � TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-00831 www.springfield-or.gov 1323 COTTONWOOD AVE permitcenter©springfield-or.gov RECEIPT NO: 2013000830 RECORD NO: 811-SPR2013-00831 DATE:04/26/2013 DESCRIPTION '•t '' ' '' '- ACCOUNT,-.CODEITRANS.CODE .___,_._AMOUNT DUE. 1 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 f` PAYMENT TYPE -PAYOR. CASHIER:&LARSON ' COMMENTS- -..' >'. AMOUNT PAID I Credit Card Tobias Policha 93.60 394158 TOTAL PAID: 93.60 • Structural Permit Application SPRINGFIELD ,DEPARTMENT USE ONLY CITY OF SPRINGFIELD OREGON " ✓ii C Q _�9 s `r} _ - . t ,_K .x Permit no.: ,J J o 3 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 OREGON Date: c� /2 i/7,� This permit is issued under OAR 918,460-0030. Permits expire if work is not started within 180 days of is uance or If work is suspended for 180 days. ,_,..o.,. - x;-� a. -.,�...;fi •erg bea - L w -le �'cLOCA�GOVERNMENTvAP,P,ROyAL"�`,1,,Ir �, �{; ��4, g:z,ht„�4FEEtSCHEDULE�sa ��m.'�"_ ,„��f;. This project has final land-use approval _ �LLValuahon.�uformatiout�n3ua�iiod �:�__n Signature: Date: (a)Job description: (O/V4/&14--7— Cr2yz/00L-r This project has DEQ approval. • p y LZ7y c i4-tt— Occu anc �I 7D My/ / Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: J f7 Property is within flood plain: ❑Yes ❑No Square feet: ?„, VgCATEGORYCONSTRUCyOF TION ' - ; Cost per square foot: p(Residential ❑Government ❑Commercial Other information: 0i'i,,.�Sli'E INFORMATII�ONvANDJ+LOCATION„�"*u?v; r�,•.a, Type of Heat Job site address: I ��- C6 9 tbh vtr 04 1 Energy Pa,--t-h-,,:�� City: S f...r f,e( State: OR ZIP: q t{77 ❑new Ualtemtion ❑addition Subdivisiod: / Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: / ?Olt Z73.Taxlot 700b Total valuation: $2,QD x riYaVtR,PROPERITY; OWNEREwv's� ri: `7 `'x;__ x2.Buddin'if sat r=44 4._ValaralrieS Name: rl 0 t9 i c.-5 Qo l 1 Cr— (a)Permit fee(use valuation table): $ Address: $ 1:5 _.' Co 1- t1ti.ni a o 2- 0.✓-e - (b)Investigative fee(equal to[2a]): $ City: co F, Pre., I) State: O2 ZIP: 7`t77 (c)Reinspection(S per hour): S ( c 6� - - (number of hours x fee per hour) Phone: 6 / Fax: 00�; © (n fnn (d)Enter 12%surcharge(.12 x[2a+2b+2c]): 1) ,.J (e)Subtotal of fees above(2a through 2d): $ Building Owner or 0 er's agent authorizing this application: 3''PI o evie'wxfees °,: -"„'t„�.(i;r; ;sS-,-,` " _ ` f 4 %,p� (a)Plan review(65%x permit fee[2a]): $ SL ' Sign here: � (b)Fire and life safety(40%x permit fee[2a]) $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing ;4IMt ells uus fee97Nti x¢NI 'p3 P requirements under ORS 701.010 (a)Seismic fee, 1%(.01 x permit fee[2a]): u. .' '«TM CONTRACTOR WSTALL4TIONk ti't a,1 DO (b)Technology fee,5%(.05 x permit fee[2a]): $ C/./ Business name: 0,41 /7- V' "� TOTAL fees and surcharges(2e+3c+4a+4b): $ /1-(5-60 . Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: -- SUB-CONT,RACTORtINFORMATION Name CCB License# Phone Number Electrical Plumbing Mechanical i ((. ti��.I s f'-f Sol yni , -'i rOF 71 01 _ 4D X T_U.,. n m D OlJ rnm, - m�C7n C rl m ky ✓'r: v CF :t ,.- rC1 o_' rmT ri7 U_mn m < TE.; m' mAZ („ mom= KAcns i ((. ti��.I s