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HomeMy WebLinkAboutPermit Building 2013-8-14 SPRINGFIELD - 225 Fifth St • ' CITY OF SPRINGFIELD Springfield,OR 97477 :,�v : Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01551 www.springfield-or.gov pe rmitce nter @s pringfieltl-or.gov PROJECT STATUS: Issued ISSUED: 08/14/2013 EXPIRES: 02/09/2014 STATUS DATE: 08114/2013 APPLIED: 07/08/2013 SITE ADDRESS: 4980 D ST,Springfield,OR 97478 SCOPE: Family Room ASSESOR'S PARCEL NO: 1702332304100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-Living and laundry room addition, removing carportlbwop living space and rebuilding on same footprint OWNER: LONG WILLIS 8 KAY Phone Number: ADDRESS: 38401 OLD PENGRA RD • FALL CREEK OR 97438 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ROY HAROLD HAUGLAND GCB 138110 1026/2013 541-343-9030 _ INSPECTIONS REQUIRED •Inspections • 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. ' 1220 Underfloor framing Framing Inspection: Prior to cover and after all rough in inspections have been 1260 Framing NOTICE: approved. • 1410 Underfloor iialR&MIT SHALL EXPIRE IF THE WORK ATTENTION• Arannn /star renuires vnu t0 Vap r ar UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility 1420 Insulation Va or" ar """"C"!CED OR IS ABANDONED (OR Nulificatlun Centei. Those toles e,e set futth 1430 Insulation Wall - n Ay PFR inn Wall Insulation: Prior to cover. hi OAR 952-001-0010 through OAR 952-001- 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 0090. You may obtain copies of the rules by Cdlli tc the ue,rt�o�1l. (Nuia. C,c t�h Nf,,..;,-J 1999 Final Building Final Building: After all required inspections ha�re�eanafen efilml�pirecil mradlflcation the building is complete. ItIJ ''U Center is 1-800-332-2344). . 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 locate at the front of the property, and the approved set of plans will remain on the site.at all times during constru on. O ner ,L. ontractor S" nature Date Springfield Building Permit 8/14/2013 10:28:05AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fdlh St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-S PR2013-01551 wwws61-m91ield-or.gov 4980 D ST permitcenter @springfield-or.gov RECEIPT NO: 2013001766 RECORD NO: 811-SPR2013-01551 DATE:08/14/2013 DESCRIPTION ,m ', ,. W _ `d .?, 'A000UNT.CODE/TRANLCODE_ _ t-r „'_AMOUNT.DUE`„ Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 16.25 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 47.42 Structural Building Permit Fee 224-00000-425602 1002 395.16 Technology fee(5%of permit total) 100-00000-425605 2099 19.76 __ m._._.,.._e..._.__._._.__,..._...,._._.._._..� _ TOTAL DUE: 478.59 I �. . .`» ^ .' AMOUNT PAID ,_:P_AY,MENT TYPE.�„,�_ PAYOR�.cnsHIER�u±a50N ,� ..COMMENTS,,,_,.„,_ ,.1 mow_ - . _ '.„.11- Check ROY HAROLD HAUGLAND 478.59 0207 TOTAL PAID: 478.59 • SPRINGFIELD -- CITY OF SPRINGFIELD .�iw::,� "•-�.. 225 Fifth St `OR OREGON EGON TRANSACTION RECEIPT 225 Fifield,OR 87477 541-726-3753 811-SP R2013-01551 www.springfield-or.gov 4980 D ST pennitcenter©springfield-or.gov RECEIPT NO: 2013001458 RECORD NO:811-SPR2013-01551 DATE:07/08/2013 (DESCRIPTION, _ ACCOUNTCODEJTRANS_CODE _ AMOUNT DUE_ t Structural Plan Review Fee Residential 224-00000-425602 1061 256.85 TOTAL DUE: 256.85 j_PAYMENT TYPE >'PAYOR 'CASHIER:CCARPENTER COMMENTS �.' AMOUNT PAID_Y__ Check ROY HAROLD HAUGLAND Y 256.85 6988 TOTAL PAID: 256.85 • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY' CITY OF SPRINGFIELD, OREGON --( Otis. Permit no:9 —/Sly 225 Fifth Street•Springfield,OR 97477•P14(541)726-3753•FAX(541)726-3689 OREGON Date: 7/ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of is's` once or if work is suspended for 180 days. • 'LOCAL L.GOVERNMENT APPROVAL . FEE SCHEDULE, This project has final land-use approval. " 1.Valuation,information ],(- - Signature: Date: (a)Job description: L(7jt le vl / .iVo�y oq-f)p7Xi- This project has DEQ approval. p y p Signature: Date: Occu anc Z Zoning approval verified: El Yes ❑No Construction type: lj 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' _ Type of Heat: Job site address: I/7W ST Energy Path: �A-1__ / City: S?R/%)\ State: QR ZIP�74/7 7 ❑new ❑alteration addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: l7 0Z 3 723 I Taxlot: 07'r. Total valuation: $ 3 5-250z/ . PROPERTY:OWNER .. _ _ _ _: '2..Building-fees ` , Name: 1/1/2/I/5 +Kjr y Lp 1A)(p oo ( (a)Permit fee(use valuation table): $39 Slid- Address: �if� / Ot.}) EN 6 <A el (b)Investigative fee(equal to[2a]): , $ City: c 4 — e ' . State: v 2 ZIP.' 7 3. (c)Reinspection(S . per hour): S Phone: Fax: - - (number of hours x fee per hour) •E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): S z(2 <1\111111 (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's ag�suthorizing this application: .3.Plan teview fees -_. (a)Plan review(65%x permit fee[2a]): S 05-6 e5' Sign here: (b)Fire and life safety(40%x permit fee[2a]): S ❑This installation is eing 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 4.M iscellaneous fees ' _ . .. - ' requirements under ORS 701.010. _ - - (a)Seismic fee,1%(.01 x permit fee[2a]): $ .CONTRACTOR'INSTALLATION (b)Technology fee,5%(.05 x permit fee 2a $ /rj '74° Business name: /1/4}pf&C_ /Q,AJL -h S O S TOTAL fees and surcharges(2e+3c+4a+4b): $ 7/5'/_2 Address: A. O. 3ty 1 cj/ City: SPA(A _ State: OIL ZIP: 17 y7) l �[ r� .P(,4nl 0 Phone:5y/- �JS?° �6 Fax: - - it, L E-mail: ..JJJ(t It CCB license no.: /3 K/ / U Print name: R 0/ /V c vart,-J(\ - Signature T _ZSUB ONTRACTOR':INFORMATIONr ' + :» .k . Name CCB License it Phone Number Electrical S/3 '2 Plumbing • tl3—/s9` ✓'3ta/S • .1 . SPRINGFIELD - 1.t .4t..... 225 Fifth St ________Ai CITY OF SPRINGFIELD .Springfield,OR 97477 I"';' Ott Phone: 541-726-3753 ` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01553 www.springfield-or.gov permitcenter @springtield-or.gov PROJECT STATUS: Issued ISSUED: 08/14/2013 EXPIRES: 02/09/2014 STATUS DATE: 08114/2013 APPLIED: 07/08/2013 SITE ADDRESS: 4980 D ST,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702332304100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-Living and laundry room addition,removing carportibwop living space and rebuilding on same footprint OWNER: LONG WILLIS&KAY Phone Number: ADDRESS: 38401 OLD PENGRA RD FALL CREEK OR 97438 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ROY HAROLD HAUGLAND CCB 138110 10/26/2013 541-343-9030 _ INSPECTIONS REQUIRED 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 C. tractor ••nature Date NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to fellow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT . • Notification Center. Those rules are set forth ' 'OMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- R'Y I,^,n DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telepho o number for the Oregon Utility Notification • Center is 1-800-332-2344). Springfield Building Permit - 8/14/2013 10:35:27AM Page 1 of 1 • • • r SPRINGFIELD CITY OF SPRINGFIELD • Min... 225 Fifth St cp.!'"OREGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SP R2013-01553 www.springfield-ar.gov 4980 D ST permitcenter@springfield-or.gov RECEIPT NO: 2013001765 RECORD NO: 811-SPR2013-01553 DATE:08/14/2013 LDESCRIPTION - - - r ACCOUNT CODEITRANS_CODE w :AMOUNT DUE 1 First Appliance Fee 224-00000-425604 1006 80.00 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 10.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80 Technology fee(5%of permit total) 100-00000-425605 2099 4.50 TOTAL DUE: 105.30 L.PAYMENT TYPE PAYOR_ cASNIER:JLARSON -: COMMENTS :tmay.;; I - AMOUNT PAID_' ] Check ROY HAROLD HAUGLAND 105.30 0207 • TOTAL PAID: 105.30 • • SPRINGFIELD 225 Fifth St it .-<�-, " CITY OF SPRINGFIELD Springfield,OR 97477 \ice Phone: 541-726-3753 •OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01554 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/14/2013 EXPIRES: 02/09/2014 STATUS DATE: 08/14/2013 APPLIED: 07/08/2013 SITE ADDRESS: 4980 D ST,Springfield,OR 97478 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702332304100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-Living and laundry room addition,removing carport/bwop living space and rebuilding on same footprint • OWNER: LONG WILLIS 8 KAY Phone Number: ADDRESS: 38401 OLD PENGRA RD FALL CREEK OR 97438 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ROY HAROLD HAUGLAND CCB 138110 10/26/2013 541-343-9030 L INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. • 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 the front of the property, and the approved set of plans will remain on the site at all times during construction. / c- /Y13 Own or ontractor Sign ure Date ATTENTION: Oregon law requires you to 'NOTICE: follow rules adopted by the Oregon Utility HIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth ITHORIZED UNDER THIS PERMIT IS NOT r'nr `I in OAR 952-001-0010 through OAR 952-001- EI CED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the teleph:mo ' 'l'-Y PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 8/14/2013 10:32:23AM Page 1 of 1 SPRINSPRINGFIELD CITY OF SPRINGFIELD GFIELD 225 Fifth St TRANSACTION RECEIPT - SpringTeld.oR97477 541-726-3753 811-S P R2013-01554 • www.springfield-or.gov 4980 D ST permitcenter @springfield-or.gov RECEIPT NO: 2013001764 RECORD NO:811-SPR2013-01554 DATE:08/14/2013 (DESCRIPTION• - .- - • ACCOUNTCODE/TRANSCODE.• ' AMOUNT DUE__ Balance of Minimum Plumbing Permit Fees 224-00000-425603 1005 59.00 Clothes washer 224-00000-425603 1005 21.00 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 PAYMENT TYPE:- _ _,PAYOR .CASHIER:duRSON_ _ COMMENTS _-____ ___ •__,AMOUNT PAID- Check ROY HAROLD HAUGLAND 93.60 0207 TOTAL PAID: 93.60 • • •