HomeMy WebLinkAboutPermit Miscellaneous 2013-5-20 •
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SPRINGFIELD 225 Fifth St
— CITY OF SPRINGFIELD Springfield,OR 97477
4 Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-00996
www.springfield-or.gov permitcenter @springfield-ar.gov
PROJECT STATUS: Issued ISSUED: 05/20/2013 EXPIRES: 11/15/2013
STATUS DATE: 05/20/2013 APPLIED: 05/20/2013
SITE ADDRESS: 6801 IVY ST,Springfield,OR 97478 SCOPE: Miscellaneous
ASSESOR'S PARCEL NO: 1802031402500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Interior laundry room addition
OWNER: PADDOCK LEVI J Phone Number:
ADDRESS: 6801 IVY ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor LITTER INC CCB 123512 03/03/2014 541-688-7889
INSPECTIONS REQUIRED
Inspections
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.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover. .
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.
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. .w requires you to c�d��3
et•Owner o r ads ��dopted by the •re9� • NOTICE:
Notification Center. Those ruh BAR 952 001- Date THIS PERMIT SHALL EXPIRE IFTHE WORK
in OAR 952.001-0010 throng AUTHORIZED UNDER THIS PERMIT IS NOT are set forth
0090. You may obtain copies of the rules by .
ter. (Note: the teleph• - COMMENCED OR IS ABANDONED FOR
the center. on Utility Notification
180 DAY PERIOD.
number for the Oreg
Center is 1-800-332-2344).
Springfield Building Permit 5/20/2013 9:24:15AM Page 1 of 1
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SPRINGFIELD`°'°-, CITY OF SPRINGFIELD
}' 225 Fifth St
t� 'E�oN TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
811-SPR2013-00996
wvnv.springfield-or.gov 6801 IVY ST permitcentergspringfield-or.gov
RECEIPT NO: 2013000983 RECORD NO:811 SPR2013-00996 DATE:05/20/2013
DESCRIPTION a l= ". .> ..«,V. t _- 17-i5__ ,r- .. Lr$ACCOUNT.CODEITRANS'CODE_1::.i.l:. .. 3: ii o o (a-r;
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
PAYMENTotYP.E... PAYOR c IEF aLARSON .. COMMENTS MQUNT4PAIP
Credit Card LITTER INC 93.60
I-153029
TOTAL PAID: 93.60
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Structural Permit Application SPRINGFIELD DEPARTMENT4PSE ONLY#
rCITY OF S['RINGFIELD ORCGON, ra 411". ; ' "tIll Permit no.:
225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 (:r OREGON gf I Za (3 t? t,
Date: 5/Z0// "3
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.
„rs' w LOCAL GOVERNMENT APPROVAin ?. 7S `t'.;,. ,- ; * 4FEE SCHEDULE,,�sv'.n4s, I.,l-s,.
This project has final land-use approval. 4.5,J ,�� t
Signature: Date: (a)Job description:
This project has DEQ approval.
Occupancy
Signature:
Date:
Zoning approval verified: ❑Yes ❑No Constniction type:
Property is within flood plain: ❑Yes ❑No Square feet:
' � � CATEGORY OF.;CONSTRUCTION 'y, fl' a ' 1 Cost per square foot:
❑Residential ❑Government ❑Commercial Other information:
WItvyu' Jg6PSITEFINFORMATION`AND!iL'OCATION `�tiw�s� Type of Heat:
Job site address: '�D^at) (p y Energy Path:
City: C,p jJY�m-Y:Q.)c9 State:5 t. ZIP?)y 7< ❑new ['alteration ❑addition
Subdivision: 11111--- I Lot no.: (b)Foundation-only permit? ❑Yes ❑No J�/y,
Reference: Taxlot: Total valuation: $ 0GG 0
'�'L;'YM ?"-s ROPERTY,:OWNER;: e'"'`tys i25t " 2`.ralkiil fe,a Mier '"ilia < '-' '`3 ". 3.44,2
.r Uv E�.3^,x& a ., � sp.. �� J�� e......»'x g �3+ss �.,fa#.,..2.,.x-� • .. �r��5
Name: I A ya.AQ_ ' ,JJ_cc�. — (a)Permit fee(use valuation table): $ 70
Addre&. 1a 1 J 4 (b)Investigative fee(equal to[2a]): $
City, ( l o I State:OX(._ ZIP: 97 i,(7)/ (c)Reinspection($ per hour):
(number of hours x fee per hour) $
Phone: Of ,b _ �S� 0 Fax: - - GV
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ t3
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: aglan's`a ri w fee;" ', „ .s "sa}
(a)Plan review(65%x permit fee[2a]): $
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): $
me or a member of my immediate famil y,and is exempt from licensing —kM lsce l`sn+eogitee 13s i+ a„ T
f
requirements under ORS 701 010
x *_^ �,» r�E KS �, (a)Seismic fee, 1%(.01 x permit fee[2a]): oU
•1i , -CONTRiACTORrINSTALLATION1;o;. .44.g�= if (b)Technology fee,5% OS x permit fee 2a $ f
Business name: a to Cr
D boy t` /A� t( TOTAL fees and surcharges(2e+3c+da+4b): $ 3
Address: ,(J -1 p/
City:�2MQ State:C511 ZIIq?'l fi
Phone94 I -Q(Li &p)l0) Fax: - -
E-mail: • a Kr”( 4 Late ya.(,a.ro-
CCB license no.: J 22 lam/ Z�
Print name: co( ` i fl k.t-
Signaturep ,Mir-Ca
a g:CONTRACTgR INFORMATION `
Name CCB License# Phone Number E
Electrical
Plumbing
Mechanical