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HomeMy WebLinkAboutPermit Building 2013-6-7 SPRINGFIELD- 225 Fifth St '1 =- _ • CITY OF SPRINGFIELD Springfield,OR 97477 OREGON, Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00623 www.springfield-or.gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/07/2013 EXPIRES: 12/03/2013 STATUS DATE: 06/07/2013 APPLIED: 03/27/2013 SITE ADDRESS: 589 HARLOW RD A,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703271200900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-Second story addition OWNER: STOLSIG CHARLES A JR&MICHELLE C Phone Number: 541465-8998 ADDRESS: 589 HARLOW RD#A SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type - Lic No Lic Exp Phone General Contractor OPUS INDUSTRIES INC CCB 174552 02/24/2015 541-285-3714 INSPECTIONS REQUIRED Inspections 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall:lnaUlation: Prior to cover. 1440 Ins r I}ing on:' Prior to cover. ATTENTION: Oregon law .ei{uires you to • '°!tats [[EXPIRE IF PERMIT follow rules adopted by the Oregon Utility 1530 Exte ogs� ill SHAFR THIS PERM H • Notification Center. Those rules are set forth 1999 Final Buildiri ED yND DUt4cn Fmk In OAR 052 001 0010 through OAfi 052 001- FNCED OR IS ABAN a Building: After all required inspectobtarlrO iocbt9f lfl ar5T1fI4rld4leS by 'MrP` ,/ p[RIDD the building is complete. calling the center (Nintp• tha talaph-..gym 1540 Gypsum+Boara/tiathYD wall Drywall: Prior to taping. Lath/Plaster: T ggytn r meth*l @ttgcn i&thlttpptRotiflcation board, interior and exterior are in place, but prior teeln itg1-800-332-2344). - 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 Springfield Building Permit 6!7/2013 3:10:05PM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St t . n TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753, 811-SPR2013-00623 www.spnngfield-or.gov 589 HARLOW RD A permitcenter@spnngfieldor.gov RECEIPT NO: 2013001162 RECORD NO:811-SPR2013.00623 DATE:06/07/2013 1 . , r "'.� "w _.4_.F;. ACCOUNT CODEftRANS1CODE 'AMOUNTTDUE' DESCRIPTION �.:.3u9` '�.,�s'' s.:=� Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 - 64.00 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 508.56 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 1,041.98 SDC:Total Sewer Administration Fee 719-00000-426604 1175 77.53 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 101.66 Structural Building Permit Fee 224-00000-425602 1002 847.13 Technology fee(5%of permit total) 100-00000-425605 2099 42.36 TOTAL DUE: 2,683.22 3MAYMENT:RePE �n'i PAYOR w Cn -- a ,.,. aafr ;. n tr ''' "' 1r ij AMOUNT.PAIPEA �7.igi...e �) SHIERsJLARSON �r ��COMMENTS 5�s /,.:�'w1.r.c. .�' :.� C3. Check STOLSIG CHARLES A JR&MICHELL 2,683.22 577 TOTAL PAID: 2,683.22 SPRINGFIELD - CITY OF SPRINGFIELD ,..:: 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-00623 www.springfieldocgcv 589 HARLOW RD A permitcenter©springfield-or.gov RECEIPT NO: 2013000590 RECORD NO:811-SPR2013-00623 DATE:03/27/2013 DESCRIPTION : thEa.'-,: .1_. ua- . 2 .<a<a- .`'ACCOUNT CODEITRANS CODE t;'icrSi AMOUNT DUE `' Structural Plan Review Fee Residential 224-00000-425602 1061 550.63 TOTAL DUE: 550.63 PAYMENT RIONP.AYOR cnsR1EWocaReEM - COMMENTS-. AMOUN MID Check STOLSIG CHARLES A JR&MICHELL 550.63 5565 TOTAL PAID: 550.63 • iructural Permit Application DEPARTMENT USE ONLY svnv.anean .::� CITYOF SPRINGFIELD, OREGON r r ~- ..-r // qq 4 Permit no.: 9.3 o2/ 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 Date: 7/2. r/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. LOCAL GOVERNMENT I.APPROVAL- .,- . This project has final land-use approval. - -. - - -- - Signature: Date: FEE SCHEDULE This project has DEQ approval. 1.-Valuation information - _ - Signature: Date: (a) Job description: jilt) Svohc'4 Pc*P (n c'- Zoning approval verified: ❑ Yes ❑No Occupancy et Property is within flood plain: ❑ Yes ❑No Construction type:ft. o- z. CATEGOR -LOFcCONST.RUCTION n ,° `-`-_ Square feet: 12,177} R. Residential ❑Government ❑Commercial Cost per square foot: :JOB:, ItE INFORMATION?AND......TION " Other information: Job site address.5 q A • • i• I i Cil Pa • /'F�i 1 ii - � Z1P• r.' -1 . Type of Heat: ( n? Energy Path ( 7� Subdivi ion: Lot no.: IIMNOLigall Taxlot: 00?tics ❑ new ❑ alteration rialition (b)Foundation-only permit? ❑ Yes Q-No PROPERTY OWNER • C) valuation s/ If D/721-- 'lif��Jw�[�1R�7 12;,Builatng fees s aF Address: . • rl Le • • '� City:3 a State:C ZIP t. (a) Permit fee(use valuation table): $ /7 / 5 S F 1_3 '�� (b)Investigative fee(equal to[2a]): $ Phone:` Fax - "r77. - -(c) Reinspection($ per hour): E-mail: (number of hours x fee per hour) $ - This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+26+21): $(�j( _ me or a member of my immediate family, and is exempt from licensing requirements under ORS 7001.010. �/�1 1 (e) Subtotal of fees above(2a through 2d): $ ��, yyy���,,,... AAJ l 1 t;O:?'Planizreneygiees ,, it.4 :::: .,, y-'en a- `a:'-'! Sign here df1I p G n /, -, IOL (a) Plan review(65%x permit fee[2a]): + $550 GpNTRACTOR INSTALLATION; . Business name: r I n� � e (b)Fire and life safety(40%x permit fee[2a]) $ tOp� (c) Subtotal of fees above(3a and 3b): S Address: ��� 4-;Misellaneous fees : ' .. City:6 LA.Q,QXla State:LJr ZIP: , t --��' (a) Seismic fee, 1%(.01 x permit fee[2a]) $ Phone; I- ,25� Fax: - - �/ n E-mail: TOTAL fees and surcharges(2e+3c+4a): $icy/ CCB license no.: UV S3-2— • Print name: Signature: SUB coNTRACT•OR INFORMATiION '', {t =r``' . Name I CCB License Number Phone Number Electrical I - Plumbing Mechanical I I .