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Home My WebLink AboutPermit Building 2013-7-22 • SPRINGFIELD 225 Fifth St ` = CITY OF SPRINGFIELD Springfeld,OR 97477• OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01656 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/22/2013 EXPIRES: 01/17/2014 STATUS DATE: 07/22/2013 APPLIED: 07/22/2013 SITE ADDRESS: 1820 G ST,Springfield,OR 97477 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1703362111701 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Partial garage conversion to unheated craft/art studio space. • OWNER: HEISLER DAVID E Phone Number: ADDRESS: PO BOX 1985 EUGENE OR 97440 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone • • 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 Insulation Ceiling Ceiling Insulation: Prior to cover. 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. ItT17f0f . Icyu,� ,,.,rrc -ires ,^'1tD 7/n�il` ' ICE. Owner or �l^� �< Q"d ted by the Oregon Utility Date THIS PERMIT SHALL EXPIRE IF:WE,WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph:&.; ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/22/2013 8:46:16AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-01656 www.springfield-cr.gov 1820 G ST permitcenter @springtield-or.gov RECEIPT NO: 2013001591 RECORD NO:811-SPR2013-01656 DATE:07/22/2013 1). 1_ . cfplioligil4k `2t3k >1 }. T—`` ' -.Ch-kLCi :5L; %ACCOUNT=CODE/TRANS CODE. ,.h >•-1AMOUNT _±I 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 PEETIAYMENTeTrYBE ITSl cnsHiFx:;�u ai COMMENT5W W AMOUNTiEAID^ Check HEISLER DAVID E 93.60 4354 • TOTAL PAID: 93.60 • Structural Permit Application SPRINGFIELD DEPARTMENT'USE ONLY CITY OF SPRINGFIELD,OREGON \oAEG ON l Permit no.:5f'j�/� 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: ..7/'2/Z ( \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-APPROVAL `' FEE: SCHEDULE - This project has final land-use approval. I.Valuinformation - - - _ Signature: Date: (a)Job description: /ij s-- opty, This project has DEQ approval. Occupancy ( _ t23 Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: V3 Property is within flood plain: ❑Yes ❑ No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: JOB'SITE INFORMATION AND LOCATION ,i`r.: ' Type of Heat: Job site address: I BRA") G 51,.A,.(ut Energy Path: City: see 1\\ (a/(y State: GQ– ZIP:q t�1) ❑new teration ❑addition Subdivision: J� Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference:/703 216 27i Taxlot: 7/2O/ Total valuation: $G-� PROPERTY OWNER. .. 2.Building,fees - - Name: 0 e J 'eV-3 („„„lit 5 Ck._../ (a)Permit fee(use valuation table): S n°s_ Address: 3 C1111 ( �� (b)Investigative fee(equal to[2a]): S City: xcR(vc_ State ZIP:011 (c)Reinspection(S per hour): Phone:$1.I\-t E3S— Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $�4° (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]): Sign here: 1(� (b)Fire and life safety(40%x permit fee[2a]): ❑This installation is being nude 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 4.Miscellaneous fees - requirements under ORS 701.010. a _ -] (a)Seismic fee, 1%(.01 x permit fee[2a]): $ . CONTRACTOR INSTALLATION (b)Technology fee,5%(.05 x permit fee[2a]): S BU,O Business name: CY 1JJ TOTAL fees and surcharges(2e+3c+4a+46): $ 97 Address: City: Slate: ZIP: Phone: - - Fax: - - E-mail: • CCB license no.: Print name: Signature: • u 11;,,4;,_.","SUB CONSR;4CTORIINFORMATION !„,„=s s,2, Name CCB License# Phone Number Electrical Plumbing Mechanical 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 '1f�1 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. Prin Na e of Permit Applicant 1 Signature of Permit Applicant Date • Permit ce 3 -/6s-G 74931 oF_ Address: • - 44 • PF-7 q 7 J7 g- m:**411%': Issued by: Gen--- Date: 7/2.2-1 7.3 859 This Copy for Permit Offices