HomeMy WebLinkAboutPermit Building 2013-6-5 •
SPRINGFIELD 225 Fifth St
t t CITY OF SPRINGFIELD Springfield,OR 97477
Lea Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-00408
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/0512013 EXPIRES: 12/01/2013
STATUS DATE: 0 610 5/2 01 3 APPLIED: 02/2712013
SITE ADDRESS: 317 30TH ST,APT#121 B,Springfield,OR 97478 SCOPE: Apartment Building
ASSESOR'S PARCEL NO: 1702310004700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: installing water shout off valve in fire wall
Unit numbers 105-b,105-d, 119-b,
119-d,121-b,121-d,123-b,123-c,131-b,131-d,142-b,143-d,146-a,146-c,147-a,147-c,162-b,162-d,1
OWNER: BRENTWOOD ESTATES LLC Phone Number:
ADDRESS: 317 30TH ST STE 116
SPRINGFIELD OR 97478
•
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
`O DUSTIN JACK DAWSON CCB 194394 06/28/2013 541-206-0961
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1560 Firestop Assemblies
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.
•
-� � (o [S ■3
Owner or Contractor S lure Date
•
wires you to EXPIRE IF THE WORK
ATTENTION: Oregon law requires
Utility DGE' 1T is
NOY
ted by the Oregon IIS PERMIT SHALL THIS PERM
follow rules adze h OAR 952-001-et IZED UNDER BANDONEp OR
Notification Center. Those rules are set forth UTI;OR O OR IS A
obtain copies of the rules by omMENOE
in OAR 952-001-0010 throng OAY PERIOD.
0090. You may Note: the telent.ta> N,f 8D
calling the center Ion Utility Notification
ber for
num the Oreg
Springfield Building Permit Center is 1-800-332-2344).
6/5/2013 11.07:00AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Finn St
4,.* TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
OREGON
811-SPR2013-00408
www.springfield-ar.gov 317 30TH ST. APT 121B perrnacenter @springfield-or.gov
RECEIPT NO: 2013001120 RECORD NO:811-SPR2013-00408 DATE:06/05/2013
tDESCRIPTION _ •.� ACCOUNT C.ODEITRANSCODE , t .: ,d AMOUNT.DUE,...:.J
Building Permit Fee 224-00000-425602 1002 136.00
Inspections- Hourly Building 224-00000-425602 1044 348.00
Overpayment-Refunds 821-215043 821-215043 0.17
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 58.08
Technology fee(5%of permit total) 100-00000-425605 2099 24.20
�.....----- _-_.------------- --...._._.._.._--
TOTAL DUE: 566.45
LPAYMENT TYPE .`2PAYOR CASHIER:CCARPENTER COMMENTS - . . -``-.. ,; AMOUNT PAID:;'It
Check Norris&Stevens 566.45
001840
TOTAL PAID: 566.45
•
Plumbing Permit Application --- DEPARTMENT USE ONLY
SPRINGFIELD '
",...e- i .c L''t': ` .x� .474:71 vri .i :e �t+,6-tie ,. {�� p _ 'lln,' S/Z —0 v 113 S
koci CITYOF SPRINGFIELD'�OREGON :Y4 ` ' 1 Permit no.:
saw `'�+s ' rii t ; a,a4t H. 4w hIi. r
225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726 3689 Date:
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
LOCAL;GOVERNMENT APPROVAL"" >° a c'> FEESCHEDULE .F?+zr
Zoning approval verified? ❑ Yes ❑No Descrl tlonIVI „` ,,: Qty �.,,.eas. I. _ cosf
Sanitation approval verified? ❑ Yes ❑ No New residential
CATEGORY OF CONSTRUCTION I bathroom/I kitchen(includes:first
100 feet of water/sewer lines, hose
❑ Residential ❑Government ❑Comm rcial bibs, ice maker, underfloor low-point $238.00 $
;"• OB SITE INFORMATION"ANDr.L%OCQT t drains and rain-drain packages)
Job site address: 3(7 '3of-L` sr Ceg`krrips S p 2 bathrooms/I kitchen , $374.00 , $
City: S Pf°-t� State:011 ZIP: 97t{7O 3 bathrooms/1 kitchen' $439.00 , $
Each additional bathroom(over 3) $95.00 $
Reference: 170z -3( 00 Taxlot.:Q1{700 Each additional kitchen(over I) $95.00 $
_ ":DESCRIPTION 'OF4WORK ` ' °,;,, 1. ':l Residential fire sprinklers(includes plan review)
igen oP17Tirve- aeons iv /c/9-/tit OfC7vj 0 to 2,000 square feet $58.00 $
6t11vtFA. /gigTc72 i-/Egret *lig Mg Ad/ edx.r. 2,001 to 3;600 square feet $116.00 $
-PROPERTY:.OWNER ,r .:',c x,,. ; ; 3,601 to 7,200 square feet $174.00 $
Name: 6f 6N'�✓L*OP E3 T7E-S ; tt.C . 7.201 square feet and greater $232.00 $
Manufactured dwelling or pre-fab(circle one)
Address: 3/7 - So h. $i. 5* 114, ,Connections to building sewer and
S)2 �, water supply $58.00 $
City: i v il y
.vtGiELD State: O ZIP: 97 '7o
/ Commercial,industrial,and dwellings other than one-or
Phone:$/- 10 ?VP 3 Fax:.'/- 7/'// 7113 / two-family
bresch,,oDsL es Q is a ,i i r Minimum fee $58.00 $
E-mail: /p �CYPt
This installation is being made on residential or farm property/ Each fixture $19.00 $
owned by me or a member of my immediate family, and is / Miscellaneous fees
exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line $76.00 $
Signature: Each fixture,appurtenance,and piping $19.00 $
CONTRACTOR.INSTALLATION ,, / Storm water retention/detention facility $19.00 $
r Irrigation systems $19.00 $
Business name: 13A E tti rt", rra ‘..7-f 7-74-77E5
/ ' Piping or private storm drainage $19.00 $
Address: 3/ 7��- 36 S"�- * //c. / systems exceeding the first 100 feet
City: S,I i+9Tr State: A/L /ZIP: 97t/7Pj Specialty fixtures $19.00 $
.1 Reinspection(no.of hrs.x fee per hr.) $58.00 $
Phone:$/-7l% /Vol Fax: //-7y 7723 Special requested inspections(no.of
E-mail. s 9 ce,F,. hrs. x fee per hr.) $58.00 $
. e4,11 fU.t'L✓�(. Cshx./Pr.4r>< � )hLt+�
CCB license no.: I BCD license no.: Each additional inspection: (1) $58.00 $
( r Minimum fee $
Plumbing license no.: ,Medical gas�pipmg ,: a .r,,;.r: -.r
Enter value of installation and equipment$_ `
Print name: 44 ark I rrn J.,u/D
Enter fee based on installation and equipment value. $
Signature: \ \ L sil ` � , + APPLCANTa'Utt g 'r ?
(A) Enter subtotal of above fees $
(Minimum Permit Fee$58.00)
(B)Investigative fee(equal to [A]) $
/ (C)Enter 12%surcharge(.12 x[A+B]) $
(D)Technology Fee(5%of[A]) $
TOTAL fees and surcharges(A through D): $
440-2500-1(I 1/08/COM)
�f/