HomeMy WebLinkAboutPermit Building 2013-7-1 •
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
4a`J Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2013-01375
www.springfeld-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013
STATUS DATE: 07/01/2013 . APPLIED: 06/24/2013 •
SITE ADDRESS: 89 WOODLANE DR,Springfield,OR 97477 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1703262203500 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Garage Conversion
OWNER: CRAFTON MELISSA Phone Number: 541.768.2818
ADDRESS: 89 WOODLANE DR
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
L INSPECTIONS REQUIRED
Inspections
1220 Underfloor framing
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 Insulation: Prior to cover.
1440 lntEhdtt giin9 Ceilin Insulation: Prior to.cover.
TI I IS r liMIT SHALL CXrIRC IF (iK ATTENTION: Oregon law requires you to
1999 Fina uj��: After all required il�spetnwilktl v� 04t{Wt �'eg/@alItjllty
ti rI I nIL D UNDER THIS RERfa dilSV fs complete. Notification Center. Those rules are set forth
'OMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001-
By signature, t state and dy-8%lrttlrat I have carefully examined the completed appO(dn MatIctifittyre*tairtictarsitatf the rules by
information hereon is true and correct, and I further certify that any and all work perftMlietiglihitbseitterinOectdake WiIht{ie✓a,
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining Wptthewt¢1c4i3SCIG6pdgtefelrltiiild tkiatiNOation
OCCUPANCY will be made of any structure without permission of the Community Services®grjsiggl,jEutldfpg�6tey.Iifyrjer
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 th t all required inspections are r-guested at the proper time,that each address is readable from the street,that the
prmit cards at d at the front of.th- . operty, and the approved set of plans will remain on the site at all times during
l nstructi 2
-7- i 3
Owner or Contractor Signature Date
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Springfield Building Permit 7/1/2013 1:00:42PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
""° 541-726-3753
OREGON 811-SPR2013-01375
www.spnngfield-or.gov 89 WOODLANE DR permitcenter @spnngfield-ar.gov
RECEIPT NO: 2013001333 RECORD NO:811SPR2013-01375 DATE:06/24/2013
I'i*{e ;1f• if[o};1*L141 }_.` `:' 'AA-.7-1-cRill-J71 `• o , ov m CODE 3 7 t U- ..-AMOUNTDUE_",
Structural Plan Review Fee Residential 224-00000-425602 1061 72.14
TOTAL DUE: 72.14
. PAYMENTTPE .,-- =PAYORtii=CASHIER::.LaRSOR r ,, ' ,Ltie.o r July■YL'",.,,-..-:,I „diit,; Se . r_OUNT��o ._, ,. . .. _
Credit Card CRAFTON MEILISSA 72.14
062717 -
TOTAL PAID: 72.14
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
U EGON TRANSACTION RECEIPT SpnngfielQOR 97477
Lc P
541-726-3753
811-SPR2013-01375
wwwspnngfielebr.gov 89 WOODLANE DR perrnitcenter@spnngfield-or.gov
RECEIPT NO: 2013001400 RECORD NO:811SPR2013-01375 DATE:07/01/2013
D R ' i o r r,_ ,.i;. ;� - +,LA__ l t,:y - +.'tACCOUNiRCaD EFT R%1NSQCODE '. ', .; ".AMOUNT,DUE_
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.32
Structural Building Permit Fee 224-00000-425602 1002 110.98
Technology fee(5%of permit total) 100-00000-425605 2099 5.55
TOTAL DUE: 129.85
..�.......,_ ...«�., i......y v smr AMPUNT0P.AID "r3 M
P.AYMENTcTYPE� ., � P.AYO casxleR:.luRSOx, COMMENTS aM. u�v��.
Credit Card CRAFTON MELISSA 129.85
000416 -
TOTAL PAID: 129.85
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
t:dS " 'rtr :4 ,l 'Sit! w a:7? m ,.
Ct®F SPt GEIELD, OREGON s ta `�ti Permit no.:
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726- 689 OREGON p j I 1 Zo ii 037 5—
Date: (o /2 Y/ ! 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.
'l•i, ` t 'LOCAL,GOVERNMENT;APPROVAL .;r ; : 1.- -„ n _ ., ;*-F,EE, SCHEDULE
This project has final land-use approval. 1 Valuation information :'.` :`s '' , y°,n
Signature: Date:
(a)Job description: / ��'/
This project has DEQ approval. L �" ' �N`� 'r
Signature:
Date: Occupancy (n -.t-=j ,123
Zoning approval verified: ❑Yes ❑No Construction type: Ji?
Property is within flood plain: ❑Yes . ❑No Square feet:
3 ,,,' ;', CATEGORY OF,'CONSTRUCTION `\. '+ ... Cost per square foot:
Residential ❑Government • ❑Commercial Other information:
,, j' -;JOB' SSITE:INFORMATION'AND' LOCATION .;:Jil Type of Heat: tiV1q
Job site address: 89 W to J(. 02- Energy Path:
City: 5'R2 11,6 Ft ELF I State: ZIP: ?' c 7- ❑new []alteration ❑addition
Subdivision: (ie&vf OQL£, Lot no.:3 SOO (b)Foundation-only permit? ❑ Yes ❑No
Reference: air map Taxlot: Total valuation: $.
'S] as .L ,rt PROPERTY`OWNER ':;:r�tr �,i:� 4 +[� »' c at
- +� _, � t ���t �. � . .. . `2 ,Butldin`g-fees ;,'l. o. � .. r� ate_ .°�v4
Name: MELt4SA u1-ORL S (a)Permit fee(use valuation table): $ ND c°1
Address: 87 kioneAu€ a (b)Investigative fee(equal to[2a]): $
City:572 h 31F�7 State:52 ZIP: ?qt./Pt?' (c)Reinspection($ per hour): - $
Phone:t// /e8-75'& Fax -2o5 - }`JOSS (number of hours x fee per hour)
E-mail:Met;554.ere,GIfoq e ya{ter -erin (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ 6'I�
(e)Subtotal of fees above(2a through 2d): $
Buil ing Own is agent autht .:' g this application: "3 plan review fees';_« s os z ' z 4-.., ,"
(a)Plan review(65%x permit fee[2a]) $ 72 i'
Sign her (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made m residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing e-"4;MiscellaneousfeW: r,,,,Y'',I,,,`; t ,T 'f ti '" ,+ ;
requirements under ORS 701.010. (a) Seismic fee, l%(.01 x permit fee [2a]): $
s - CONTRACTOR INSTALLATION;,. P$ r ` , . (b)Technology fee,5%(.05 x permit fee[2a]): $ 5
Business name: A/c7� TOTAL fees and surcharges(2e+3c+4a+4b): S 26/ /r
Address:
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
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Print name:
Signature:
t m'` r , „' ^..SUB,CONTRACTOR INEORMATIO N? t",'h 4Mi ,».
Name CCB License#_ Phone Number ,
Electrical
"Burette 3R • l t cr 13 eYs'
o5 Syi 711127N
Plumbing
Mechanical
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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:
Mel,s 10-‘ 2-S
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 oh 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.
• V' SSGt doe•
Print - • - '••
-7- / - �3
Signature of Permit Applicant Date
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Permit#:
0 F O
Address: R 7✓`: '
F :rt:3c_wi?:
Issued by: Date: 8 59
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This Copy for Permit Offices