HomeMy WebLinkAboutPermit Building 2013-6-14 SPRINGFIELD 225 Fifth St
' -`hmax CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2013-01266
www.springfieldacgov permitcenter @spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/14/2013 EXPIRES: 12/10/2013
STATUS DATE: 06/14/2013 APPLIED: 06/12/2013 •
SITE ADDRESS: 143 38TH ST,Springfield,OR 97478 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1702314200800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Garage conversion -acceptance permit
OWNER: OGRADY RYAN Phone Number:
ADDRESS: 143 38TH ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
General Contractor RYAN W HANEY CCB 198020 01/08/2015 541-554-1291
Electrical Contractor FULL SERVICE ELECTRIC INC COB 198359 11/19/2014 541-998-2299
INSPECTIONS REQUIRED
Inspections
•
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 ontractor Si nature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
NOTICE: 0090. You may obtain copies of the rules by
THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephc::1
'UTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification
',WENDED OR IS ABANDONED FOR Center is 1-800 332-2344).
n4Y PERIOD.
Springfield Building Permit 6/14/2013 1:21:55PM Page 1 of 1
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Structural Permit Application SPRINGFIELD DEPARTMENT-=',
CITY OFaSERINGFIELD OREGON'r a ;a° 1 s<
225 Fifth Street♦Springfield,OR 97477 4 PH(541)726-3753♦FAX(541)726-3669 oaesoN
Date:
• 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_';APPROVAL 1:, nIKE, a.:.+ ' Strl HDULE! i es M4. sftfi ',k
Thisprojecthasfinalland-use approval - 1 Valuahoafnformation:= -'' S,;sa `zra A 'A,y4 '
Signature: Date:
(a)Job description: /
This project has DEQ approval.
( ) p G(4��2 [,r1/tT/Q�f/or,
Occupancy
Signature: - Date:
'Zoning approval verified: ❑Yes ❑No Construction type: gene{ems\
Property is within flood plain: ❑Yes ❑No Square feet: 30e)
ii ,,,f"s,CATEGORY OF, CONSTROCTION; `='F Cost per square foot:
Cs 'Residential ❑Government ❑Commercial Other information:
.s'zz„s. ,JOB)SITE;INFORMATION''AND"LOCATION n ']` Type of Heat: tfrtiG`,
Job site address: 1q3 384b 5+ Energy Path: ,
City: Syr sY1S-IP�d State:0(2 . ZIP:ei'�yl) El new 'alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
I '
Reference 70 I Z Taxlot: 00 44 •• Total valuation: $
..... z' /'1-PROPERTYJ0WNER:et:;r._"..?Fn:3; _, ' - F 2:�Buddmgfees',tvXA i6ii_ {F-1 'Ye..:'sy�ti ig: itg".
Name: R?f,‘1-\ 0 t 41 (a)Permit fee(use valuation table): __ S
Address: fJ�9-3 ^`r S'i (b)Investigative fee(equal to[2nD: - $
City f , , , State:Qt- ZIP:g7 ! (c)Reinspection($ per hour):
Phone: 46 I I� Fax: - -
-(number of hours x fee per hour) $
E-mail: Il4 CKV it Sh Y-2@ yo V4 • t-0'fh (d)Enter 12%surcharge(.12 x[2a+26+2c]): S.
J (e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: 3 Plan rCVlew;';fees",-1 .0 i;, ''"'i g„-Jtt „qz r i M .,.'-"t r,..,
(a)Plan review(65%x permit fee[2a]): S y•tp.
Sign here: A (b)Fire and life safety(40%x permit fee[2a]) $ V.
❑This ' eing made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S "i
me or a member of my immediate family,and is exempt from licensing 4 MtsceBaneot s fees ` ,- ,,,� rR-�>:' 44.!wra,".?,re „"vi.u-k to ,
requirements under ORS 701.010 - , -
(a)Seismic fee, I%(.Olx permit fee[2a]): $ P7y
cy}^' ,.`:.CONTRACTOR JNSTALI.ATION _,. LL-£ -,.:e 3: (h)Technology fee,5%(.OS x permit fee[2a]): S ` �j'
Business name: U f riot G2nefo\ ati (Ac11o7: 19
/ TOTAL fees and surcharges(2e+3c+4a+4b): S w1
Address: Po ok c 5 ��"
City V P lle'4/ State:Ott I ZIP:G7 f)
Phoner541-%1-l 2-9 Fax: - -
E-mail: r -c->10„, c C e
CCB license no.: 19 07-0
Print name: 14644 Hcavler
Signature: ( iw g772„f" .
"SUB CON- RACTOR?INFORMAT[ON am.
Name CCB License ti Phone Number
Electrical
Plumbing
Mechanical