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HomeMy WebLinkAboutPermit Building 2013-7-18 • i SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 -r\eb Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01629 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014 STATUS DATE: 07118/2013 APPLIED: 07118/2013 SITE ADDRESS: 2551 17TH ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703243400127 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: ST-Enlarge window opening(bearing wall), romove on wall and shorten another wall. Relocated plumbing and electrical under associated permits.On toilet and one shower to be removed.Sink and clothes washer relocated. OWNER: STERN MARK J&LORI A Phone Number: ADDRESS: 2551 17TH ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor PERRY CHARLES SWARRINGIM CCB 108833 10/15/2014 541-741-6027 _ INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 co /t✓_ ILA, - 7-11- 20/3 Owner o ontractor Signatu i Date NOTICE: ATTENTION Oregon latar requiresOregon you Utility to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD, calling the center. (Note: the telephr;:rr .. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/18/2013 1:29:26PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD I `t a— 225 Fifth St ;, ‘N TRANSACTION RECEIPT Springfield,OR97477 1.5t4 k OREGON 541-726-3753 811-SPR2013-01629 www.springfield-or.gov 2551 17TH ST permitcenter @springfield-or gov RECEIPT NO: 2013001564 RECORD NO:811-SPR2013-01629 DATE:07/18/2013 iDESCRIPTION _ ___ _ _ ' __m.__ ___.._..;.__ J_ -,.ACCO,UNTCODE/TRANS_CODE;.._'- _AMOUNT DUE: ,- State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 s PAYMENT TYPE- PAYOR "CASHIER:CCARPENTER ;COMMENTS, = `AMOUNT PAID - .4.- Credit Card PERRY CHARLES SWARRINGIM _ 93.60 06295a TOTAL PAID: 93.60 • Structural Permit Application SPRINGFIELD DEPARTMENT USE.ONLY ■ CITY OF SPRINGFIELD, OREGON -r tom a+ Permit no. >(r...-/677' 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: 7 /)1//3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of is ance hr.if work is suspended for 180 days. ' "' - LOCAL'GOVERNMENT APPROVAL _ _-.. . FEE, SCHEDULE This project has final land-use approval. '1.,Valuation information ; - . Signature: Date: g (a)Job description:AN/04a( Atka-anfacuzi 4. Ot"mb &tTA This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: CATEGORY OF CONSTRUCTION - Cost per square foot: '<esidential ❑Government ❑Commercial Other information: - ' r .: JOB SITE INFORMATION AND LOCATION Type of Heat: Job site address: 74-5/ /77-i/ -57- Energy Path: City: Size/ t(t-F/a) State ZIP: 9�7 7 ❑new ❑alteration ❑addition Subdivision: - L t� of no.: (b)Foundation-only permit? ❑Yes ❑No Reference: 1 7513 2�.7 Taxlot: CO/ Z 7 Total valuation: S�O0 PROPERTY OWNER_'. _ 2:.Buildingfees. Name: 4IMk t togi srex,A (a)Permit fee(use valuation table): 5 Address: 2c)' /771/ cT (b)Investigative fee(equal to[2a]): $ City: S/f1,/ieti State: a. ZIP: 97977 (c)Reinspection(S per hour): $ (number of hours x fee per hour) Phone:ing) Fax: - - C,d E-mail: /4757F28 16V AVT.f,,f/- .('dM (d)Enter 12%surcharge(.12 x[2a+26+2c]): S (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: ' 3.•Plan review fees - (a)Plan review(65%x permit fee[2a]): $ ign here: (b)Fire and life safety(40%x permit fee[2a]): $ QThis installation is being made on 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 q;Miscellaneous:fees requirements under ORS 701.010. ° __ _ - (a)Seismic fee, 1%(.01 x permit fee[2a]): $ ��J CONTRACTOR ,INSTALLATION (b)Technology fee,5%(.05 x permit fee 2a S `l"� O gy ( p fee[2a]):Business name: RtSJtj(,e /j ST/(-f/¢ Ce,e-74/CT/d� c2y O TOTAL fees and surcharges(2c+3c+4a+4b): $ _/ L`� Address:/4/69 ScQf/OUa- City: Srff,9 �iEu SState:0, ZIP97f77 Phone:77/74f/- 60Z'7 Fax: .�,,-D /�- /n1 E-mail: C. z C/�y/yI Q4[,0141 CCB license no.: /Use ./ '....------.._7 Printnam-. "t/ WAit i24.W(r-IA4 • Sign.. /./iiti. . . t ,5• -=CONTRACi a R INFORMATION _ y - . Name CCB License# Phone Number . Electrical /6 ZN 6f71 2 7g9S 44gS cza re( Plumbing WSJ tbrne/47 /g9579 S/V -2/27 Mechanical • i . SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 r t Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01630 www.springfield-or.gov pe rmitcenter@spring field-or.gov PROJECT STATUS: Issued ISSUED: 07/18/2013 EXPIRES: 01/13/2014 STATUS DATE: 07/18/2013 APPLIED: 07/18/2013 SITE ADDRESS: 2551 17TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703243400127 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-Enlarge window opening(bearing wall), romove on wall and shorten another wall. Relocated plumbing and electrical under associated permits.On toilet and one shower to be removed.Sink and clothes washer relocated. OWNER: STERN MARK J&LORI A Phone Number: ADDRESS: 2551 17TH ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor SNIDERS PLUMBING 8 DRAIN CLEANING LLC CCB 184589 11/12/2014 541-461-0166 INSPECTIONS REQUIRED Inspections 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. /.i J .i ..,des 7- /5-- 20 /3 Own-r • Contractor Sign- re Date NOTICE. . . ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 Center. Those rules are set forth 0 - in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090.ing the may (Note: the of by ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/18/2013 1:28:24PM Page 1 of 1 I • 1 __tali SPRINGFIELD CITY OF SPRINGFIELD I r 225 Fifth St �`o EGON TRANSACTION RECEIPT Springfield,oR97477 541-725-3753 811-SPR2013-01630 www.springfield-ar.gov 2551 17TH ST perrnitcenter©springfield-or.gov RECEIPT NO: 2013001565 RECORD NO:811-SPR2013-01630 DATE:07/18/2013 ;DESCRIPTION , , . ' .u,A000UNTC.ODE/TRANS.CODE : =--AMOUNT DUE -3 Minimum Plumbing Fee(Three or Fewer Fixtures) 224-00000-425603 1057 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 L PAYMENT TYPE PAYOR CASHIER:CCARPENTER. „ COMMENTS__ - _. -AMOUNT PAID "-. " "ji Credit Card SWARRINGTON 93.60 06295a TOTAL PAID: 93.60 • • Plumbing Permit Application . ,:-,--DEPARTMENT USE ONLY'- '- ,..te.fo.:,..;?.T.MILV,;1"?;. 1112."4;4.0ggii-51:::FZiliV,8;:f;:::_if:s24:Y.;-:?;;;: -SgriP.1 4 •• ..•.-,....' ...i.;:,:..,2.1.1€1,110, tiDE SPRINGFIE 11Yrkt_HURE G ON eLt;7. :"'" ' _ L t,...,:i.:4:4 Permit no.: S7 .3*--go_ra 4:;: -,0: 5,-;;, 0,;.,,,,•;‘,,,z,:r,,,,..4S%][4.-Ti <4"11rt ,..,es<„,1 ,...„..._.......,raki,lot.0::ic .: _ , my 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 7/// ?)7'/. ? 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. , :':S::::t--;'2::LOCAL,',,G OVE RN M ENT':APPROVALVAI: lig 5naiii.11;;;n4,7;; FEE/SPH EDU LIE EAWY,InaiNa Zoning approval verified? 0 Yes III No Cliferafrictrentr:l'i!..•-nia,T5c$J,1 76-1171:,[VIC-6-(g ,?`:'.54.-.6-.ti. 1.9 ihxretr-t4st&gtreairxiiregAtf.*, ,,,,,:,...Eitt;.,..„„..,:z.11ritrW, t,:c cost Sanitation approval verified? LI Yes 111 No New residential {PATEGC$13Y,14.1lir1CONSTRUCTION:•1:11A-;WP,,F). 1 bathroom/1 kitchen(includes:first _ . 100 feet of water/sewer lines, Erltesidential El)Government 111 Commercial esose 2.0 6$2 0 $ bibs, ice maker, underfloor low-point 1:••:i'1•11:',::-.1013SITE fINFORMATION ANCi LOCATION,zigg:4 drains and rain-drain packages) Job site address: 2-S-3-( /7741.1--S 2 bathrooms/1 kitchen $411.00 $ '") 3 bathrooms/1 kitchen $483.00 $ City:cr-r r---L.,o state cf-L-- , zIP:C799 7 Each additional bathroom(over 3) $104.50 $ Reference: /703 7/3 5/ Taxlot.Off 77 7 Each additional kitchen(over 1) $104.50 $ -,1••111•111:•1DESCRIPTION7 OF.1)NORK,?•:111i-,;111441V111A1 Residential fire sprinklers(includes plan review) ge140-176- 7P/Le7 _Qin je-72 MOVE rt,ve 0 to 2,000 square feet $80.00 $ ( t 2,001 to 3,600 square feet $128.00 $ Alv 0 6z-0/77-717--.7 kinV7744.7--- - - 3 601 to 7 200 square feet VW14-1":&[14;PF.ZOPERTNI.OWNER11:7615:4gMeigi ' ' q $lum $ Name 7,201 square feet and greater $255.00 $ : 14-7;r1_,.1 Manufactured dwelling or pre-fab(circle one) Address: 22 -s 1 / 7 'ac Connections to building sewer and $80.00 $ City: cc'C PLZN 'State: cit.-cit.- water supply ZIP: ?3 )(-( 7 ) Commercial,industrial,and dwellings other than one-or Phone: - - Fax: - - two-family E-mail: Minimum fee $so.00 $ PThi. _ Each fixture 1 $21.00 $ This installation is being made on reside. .. e .1 property owned by me or • ••---: •. y immediate family, and is Miscellaneous fees exec o• a) mensin• -• irements under OAR 918-695-0020. 100 storm,sewer,water line $83.50 $ C • ..0•0 Aft' - cdtr--- ..-- __- Signature: _ph „64.0•44,074a-z-I-_, Each fixture, appurtenance,and piping $21.00 $ l-CONT''',C, '..: NSTALLAXON`:et'3.AZiNM Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Business name:SA/-1f C Irrigation Piping or private storm drainage Address: 3 WI a niin c1.5m-1 systems exceeding the first 100 feet $21.00 $ City: &j 4 I State: OA- ZIP: )tio 2 Specialty fixtures 1 $21.00 $ Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone:- - Fax: - - Special requested inspections(no.of $ E-mail: hrs.x fee per hr.) 80.00 $ • CCB license no.: 7:,---/-7/7, BCD license no.: Each additional inspection:(1) $80.00 $ Plumbing license no.: 1,114.edicalias!mpingd-ftt,,,Pr,tflc;1.:;;; ;-,: Minimum fee $ Print name: Enter value of installation and equipment$ Enter fee based on installation and equipment value. $ Signature: 4aling3E- 1AO:P,LI CASSErnasoffom (A) Enter subtotal of above fees (Minimum Permit Fee$80.00) $ -.Y (B)Investigative fee(equal to[A]) $ r (C)Enter 12%surcharge(.12 x[A+B]) $ th'e7 (D)Technology Fee(5%of[A]) $ l'ac) TOTAL fees and surcharges(A through D): $ qico 440-2500-J(4/1/2013/COM)