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HomeMy WebLinkAboutPermit Building 2013-6-21 SPRINGFIELD 225 Fifth St C ITY OF SPRINGFIELD Springfield,OR 97477 ht.H. ;�t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01350 www.springfield-or.gov pernitcenter@springfield-or.gov • PROJECT STATUS: Issued ISSUED: 06/21/2013 EXPIRES: 12/17/2013 • STATUS DATE: 06/21/2013 APPLIED: 06/21/2013 SITE ADDRESS: 1137 M ST,Springfield,OR 97477 SCOPE: Dryrot ASSESOR'S PARCEL NO: 1703264404900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repairs, new roof framing,interior repairs OWNER: GOOD FAITH MANAGEMENT LLC Phone Number: ADDRESS: PO BOX 41212 • EUGENE OR 97404 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 06/01/2025 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall 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. ("---- e. al-A-.7,----ert., 4,2_____,/c— /.___ 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- 0090.cal You ay obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT • • COMMENCED OR IS ABANDONED FOR calling the e center. (Note: the teleph:sa number for the Oregon Utility Notification ANY 180 DAY PERIOD. , Center is 1-800-332-2344). Springfield Building Permit 6/21/2013 9:55:12AM Page 1 of 1 SPRINGFIELD- 225 Fifth St kit CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 ` oRe6oN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR201 3-01 3 51 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued • ISSUED: 06/21/2013 EXPIRES: 12/17/2013 STATUS DATE: 06121/2013 APPLIED: 06/21/2013 SITE ADDRESS: 1137 M ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703264404900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repairs, new roof framing, interior repairs OWNER: GOOD FAITH MANAGEMENT LLC Phone Number: ADDRESS: PO BOX 41212 EUGENE OR 97404 CONTRACTOR INFORMATION J Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08101/2025 Plumbing Contractor OWNER CCB 000000 08101/2025 Mechanical Contractor OWNER CCB 000000 08101/2025 INSPECTIONS REQUIRED 1 . Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work 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. Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to "' follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK -.- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS,v, PERMIT IS NOT calling the center. (Note: the telepho number for the Oregon Utility Notification COMMENCED OR ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERI OD. Springfield Building Permit 6/21/2013 9:54:05AM Page 1 of 1 SPRINGFIELD 225 Fifth St _-° CITY OF SPRINGFIELD Springfield,OR 97477 '`�l Phone: 541-726-3753 oReeorr Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01352 www.springfield-or.gov perm itcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/21/2013 EXPIRES: 12/17/2013 STATUS DATE: 06/21/2013 APPLIED: 06/21/2013 SITE ADDRESS: 1137 M ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703264404900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repairs, new roof framing,interior repairs OWNER: GOOD FAITH MANAGEMENT LLC Phone Number: ADDRESS: PO BOX 41212 EUGENE OR 97404 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone . General Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3315 Water Line 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing work 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. Owner or Contractor Signatur- Date ATTENTION: Oregon law requires you to follow rules ado Notification Centerted by the Ore in OAR 952- Those rules a e set to th 0090. 001-0010 through OAR 952-001- S PERMIT You the ce obtain copies of the rules by HIS PERMIT SHALL EXPIRE 1F THE wOR caber foe center. (Note: the teleph,:;; number for the Ore o IUTHORIZED UNDER THIS PERMIT FOR NO Center is 1-oo Utility Notification COMMENCED OR IS ABANDONED FOR 332-2344), ANY 180 DAY PERIOD. Springfield Building Permit 6/21/2013 9:52:42AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD it,L .i 225 Fdth St • -"``O EGON TRANSACTION RECEIPT S pringfield,OR 97477 541-726-3753 811-SPR2013-01352 . www.springfield-or.gov 1137 M ST permitcenter @springfield-ar.gov RECEIPT NO: 2013001306 RECORD NO:811-SPR2013-01352 DATE:06/21/2013 (DESCRIPTION _ AC.COUNT CODE/TRANS_CODE , AMOUNT DUE 1 Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.58 Technology fee(5%of permit total) 100-00000-425605 2099 7.33 Water Line 224-00000-425603 1005 83.50 Water closet 224-00000-425603 1005 21.00 — _—_ — —._ ---- — — TOTAL DUE: 171.41 , PAYMENT TYPE _ PAYOR CASHIER:CCARPENTER_( , COMMENTS _ -- ' — - AMOUNTPAID .� Check Berglund _ 171.41 _. _ . __. 4090 TOTAL PAID: 171.41 • • • SPRINGFIELD CITY OF SPRINGFIELD '-t 1, 225 Fifth St -' `OREGON TRANSACTION RECEIPT Springfielc1OR 97477 541-726-3753 811-S P R2013-01351 www.springfield-or gov 1137 M ST permitcenter@springfield-or.goy RECEIPT NO: 2013001305 RECORD NO: 811-SPR2013-01351 DATE:06/21/2013 [DESCRIPTION :, - ACCOUNT CODEITRANSCODE.: ° - ., ,: .'AMOUNT_.DUE:LI First Appliance Fee 224-00000-425604 1006 80.00 Single-duct exhaust(bathrooms, toilet compartments, utility room! 224-00000-425604 1006 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.20 Technology fee(5%of permit total) 100-00000-425605 2099 5.50 TOTAL DUE: 128.70 _' AMOUNT PAID ' .•.PAYMENT TYPE,.;_--`PAYOR_ ____cAPHIER:CC_____eR ____,„. ., TS_____,.,�_ .__.2„,„_;;,,_....._.,v---.u_ - �I Check Berglund 128.70 4090 TOTAL PAID: 128.70 • SPRINGFIELD CITY OF SPRINGFIELD a1 _sn - 225 Fah St V_kc : TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S PR2013-01350 wb w.springfield-or.gov 1137 M ST permitcenter©springfield-or.gov RECEIPT NO: 2013001307 RECORD NO: 811-SPR2013.01350 DATE:06/21/2013 [DESCRIPTION _ :_;__,_-q ,;s,;Y -AC000NT;CODEITRQNSC,ODE _ -'AMOUNT-DUE SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 416.79 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 203.42 SDC:Total Sewer Administration Fee 719-00000-426604 1175 31.01 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 64.40 Structural Building Permit Fee 224-00000-425602 1002 536.66 Technology fee(5%of permit total) 100-00000-425605 2099 26.83 TOTAL DUE: 1,279.11 I PAYMENT TYPE' PAYOR' CASHIER:ccARPENIER COMMENTS -_. .-, ...AMOUNT PAID.,- ' a Check Berglund --_-� - - ---_--- --- 1,279.11 ---- 4090 TOTAL PAID: 1,279.11 • • Property Owner Statement Regarding Construction 'Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. • Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: • Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. • Print Name of Permit Applicant Q -. Signature of Permit Applicant Date • Permit#: S(3--13 So /35-/' /712_ • o f o 7 3 7 I /mot Cr F Address: a:ia. Issued by: CA ` Date: 6/7+// 3 g59 • This Copy for Permit Offices Structural Permit Application SPRINGFIELD DEPARTMENTGUSE ONLY] 'CITY OF SPRINGF[ELD,:OREGONr 450-0 Pe ut no s/ 3— /3 U 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 oaEGaH t /// Date: /L� / 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. 1 _.,_ 6 F3LOCAL,;,GOVERNMENT,1APPROVAL " �,r'. d';.,,�x � OK7tEr EOlakiE SCHENULE r' "�7`^nf.S"=). _.. �.. nd S.3r_xt m?<....... This project has final land-use approval. ''-_1`�Valuadoamfo[matioti; a!- „L-�.4, XM' _t_ ry,�r Signature: Date: (a)Job description: J7/Z t-ozor/X -nt,,v( /2670.47.-ad, This project has DEQ approval. J Occupancy Nett) ZOO�= Signature: Date: Xp� Zoning approval verified: ❑Yes ❑No Construction type: V v Property is within flood plain: ❑Yes ❑No Square feet: is a si NCATEGORYa&E rONSTRUCTION ,Gg-,, Y 'S, Cost per square foot: ['Residential ❑Government ❑Commercial Other information: t.,TP;,r,34:'JOBgSITE''INFORMATIONY'AND'TL'OCATION .,,:,? •$"' ': Type of Heat: Job site address: r// 7`/t( S7 Energy Path: i^ft/q/ State: t y ZIP97177 ❑new aatteration ❑addition Subdivision: / Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlon Total valuation: $ 55-300 „ xi't .`4I. �aTA„_.,1FROPERIY']OWNER`ie.:s kJ,i .. 5. rt,r� ,.. .:,-.sax ,,^ s � �r ;^w- 3. t'� s: a`"Y,•. r rr' �.,:�r a �2 Buildiu fees � �r x � , �/� Name: . e2%�Y,�("_✓Cj�4iL�/ (a)Permit fee(use valuation table): Address: /,3. '70y—// // (b)Investigative fee(equal to[2a]): $ City:in'N i G State: Or ZIP/77.77 (c)Reinspection($ per hour): �,7 , ' j! 72 ZIP/7777/ (number of hours it fee per hour) Phon . rf c 6 Fax: -�- E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this a..lication: 3 Pla nei-tvew f e . 1 i: Rig (136 -g , ///2 (a)Plan review(65%x permit fee[2a]): $ Sign here: 'Z( � t - �'] (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made on re5i .dal or farm property ned by (c)Subtotal of fees above(3a and 3b): me or a member of my immediate family,and is exempt from licensing (N FMrscellan ou9 fewer `Ml;n Yas”s requirements under ORS 701.010. s-r '�aCONTRACTOR3TNSTALL:4TION i"',�'ia "_T... 'p? (a)Seismic fee, l%(.01 x permit fee[2a]): $ "' -' s s `'°' (b)Technology fee,5%(.05 x permit fee[2a]): $ Business names, I"- by t TOTAL fees and surcharges(2e+3c+4a+4b): $ Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: 1 SUB!CONTRACT°ONFORMATI0I Name CCB License# Phone Number Electrical Plumbing Mechanical • Mechanical Permit Application K DEPARTMENT,USE ONLY ,: Irf �t4 � ��1 '" i &} +&N 2 Sr'kgW, SPRINGFIELD -,b / � 1 t i CI i OF SPRINGFIELIYUREGO �j ` i -T Permit no.: ,s 3` �.�" ',.. 225 Fifth Street• Springfield,OR 97477 • PH(541)726-5753 • FAX(541)726-3689 `A' K Date: ./'2 ///? This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ;CATEGOfjV.OF CONSTRUCTION , . . , 3;.,iz „ ,Fr_ { „" ,`FEE SCHEDULE 'r"jir „ ,v .R a+ F_ k r u Q z•Castr Total[ xsidential ❑Government ❑ Commercial iResldentla 41. ty yr ?=kilbe SITE INFORM-7ATION�AND =LO/CATIOIt • ,; k First Appliance $80.00 $ Job site address: I /3/ J/ Furnace/burner including ducts and vents City: , l�L 1 ) State: 0)___ ZIP: ?c2 �, Up to 100k BTU/hr. $18.50 $ Over I00k BTU/hr. $22.00 $ Reference: Taxlot < i; ' t'l�DESCRIPTIONEOF WORKr r` Heaters/stoves/vents .,mss H v._ .-- �. :r -s 3.11 Unit heater $18.50 $ > --)'LVrr- M E6-/d St-(S%.- )I t S Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/' r ,• refrigeration unit or r cooling system/ $80.00 $ t 4S} 6t «+A PROPERTY ;O NE ys , „ .x absorption system Name`r/f / 7t ,ce- / ms f? Evaporated cooler $14.50 $ Vent fan with one duct/appliance vent 3 $10.00 $ 3o Address: ,A3 7/ 67 Ff77 Hood with exhaust and duct / $14.50 $ iY 5=J City: fir}-jjj i�ii State: C9 ZIPF? q 7 Floor furnace including vent $80.00 $ Phone: - . /4 Vf Fax: -�- Gas piping E-mail: One to four outlets $7.50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 $ member of my immediate family, and is exempt om licensing Air-handling units,including ducts requirements der ,RSA 701.010. / Up to 10,000 CFM $12.00 $ Signature, de .'jQ Over 10,000 CFM $22.00 $ T r' rffl74 GONT5124-/A-76-&—RA, f ORfi , _TALLATIONti-4 , yt ' Compressor/absorption system/heat pump Business name: Up to 3 hp/100k BTU $18.50 $ Up to 15 hp/500k BTU $32.00 $ Address: Up to 30 hp/1,000 BTU $47.50 $ City: State: ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCB license no aCommee-c al w a �a Ygn;a f�V.,10:45.f ; I? Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. $ r " - r r ".16^exsl i r t 'Cost ` Total '?''. MISCe11217�eous jpe,Sq+fr R, .fit, Items s}4 !ilea 1cost-1t Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ ta'_ ,"=x" ingI PL CANT USE,l 4 ] . (A)Enter subtotal of above fees(or enter set minimum fee of $80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ •