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HomeMy WebLinkAboutPermit Building 2013-8-20 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD- Springfield,OR 97477 Phone: 541-726-3753 OREGON - Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01855 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/20/2013 EXPIRES: 02/15/2014 STATUS DATE: 08/20/2013 APPLIED: 08/20/2013 SITE ADDRESS: 7179 C ST,Springfield,OR 97478 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1702353106700 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: STR-Bath/kitchen remodel OWNER: AULD MICHAEL S,4 TINA L Phone Number: 541-517-9761 ADDRESS: 755 SPYGLASS DR EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor JACK()PLUMBING INC COB 169047 03/14/2014 541-683-7535 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 con ion. gca i/goAryf Owner or Contractor Signature Date ATTENTION: Oregon bathe Oregon Utjl ty NOTICE: follow rules adopted Y THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00t- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note. the teleph.rno ANY 180 DAY PERIOD. number for the Oregon fication Springfield Budding Permit 8/20/2013 10:33:26AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD r =f t „a... 225 FiFlft St OR 97477 S TRANSACTION RECEIPT 591-726-3753 811-SPR2013-01855 www.springfield-or.gov 7179 C ST. permitcenter@springfield-or.gov RECEIPT NO: 2013001807 RECORD NO:811-SPR2013-01855 DATE:08/20/2013 :DESCRIPTION ,, . ACCOUNT CODE/TRANS:CODE� _ A MOUNT;DUE`- 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 LPAYMENT,TYPE_ PAYOR - CASHIER:JLARSON- COMMENTS ' ' " " -AMOUNT PAID . Credit Card AULD MICHAEL S&TINA L 93.60 04727C TOTAL PAID: 93.60 Structural Permit Application ppl canon SPRINGrtEL9 DEPARTMENT USE ONLY ezi `{r P' CITY OF SPRINGFIELD OREGON '* s ' 225 Fifth Sheet•Springfield,OR 97477 PH(541)726-3753 n:a ORECON Permit no.: ♦FAX(541)726-3689 M ze 1 53- Date: 8/z/f 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. e :#.&L•OCAL;GQYERNMENT APP,ROVA'L°E -+ ,,, i_ x = ' FEE-.SCHEDULE -z. 4 - ` ' This project has final land-use approval. r 1 FValuanofncmahon? l + V 4I ;, :` )x ;fs; Signature: Date: (a)Job description: This project has DEQ approval. Signature: Date: Occupancy Zoning approval verified: ❑Yes ❑No .Construction type: Property is within flood plain: ❑Yes ❑No Square feet: , 3 t ATEGORY OFZCONBTRUCTION, °"' Cost per square foot: ,siSilesidential ❑Government ❑Commercial Other information: W�^,k�+ `3' tJOB:4SITE.WFORMATION'gCXIT6:LOCATIO iiF.Pi�. .�'.'l Type of Heat: Job site address: 7/ 7 q G c5T, _ Energy Path: City Spy LA..sq-/7{/c( State: O' ZIP:i7)9, ❑new ❑alteration ❑addition Subdivision: 1 Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: I Taxlot: Total valuation: S calla e ../-u ei'PROP RTYY QWNER,ss'z^tr$`,e--`y-1,e.R.-�:.-es'a. 2'Buadrn f s a a e,-ter,- ,',ate`.*£- ;a �'! Name: //eG 2 '���(/. g .ont ,c... �` i., ar t L (a)Permit fee(use valuation table): S Address: 7� 5(94/A S5 #C _ (b)Investigative ( 4 [ ]): S ( / Investi alive fee(equal In 2a City: tL, eit. State: 02 ZIP:57 (c)Reinspection(S per hour): Phone: / 5/7 76/ Fax: - - (number of hours x fee per hour) - S E-mail: Al ra¢./d C?.COM 4 5/. 11 e"f- (d)Enter 12%surcharge(.12 x[2a+2b+2c]): S (e)Subtotal of fees above(2a through 2d): S Building 0 •- or Owner's uthorizing this application: 3'Elan review fees .gY-ms's=�-`''�'IS ". / (a)Plan review(65%x permit fee[2a]) - S S�i� /n�here: (b)Fire and life safety(40%x permit fee[2a]): S .L"i "is installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing r.. ,, , requirements under ORS 701.010. 4.`MrsceBaneous tees -#`�.° $?_v"�• ,� `*s� t y (a)Seismic fee, 1°%(.01 x permit fee[2a]): S .FZIX6- CONTRACTOR INS"CALLATION` =w 3 ' .�i , t: (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: ©Wntor TOTAL fees and surcharges(2eAddress: +3c-t4a+4b): S 9 5 City . State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: _ sr„ S/ECONTRACTORiINFORMATIO•"-N - Name CCB License# Phone Number Electrical - Plumbing • Mechanical . SPRINGFIELD 225 Fifth St ` = ., CITY OF SPRINGFIELD Springfield,OR 97477 y.-`r t'/i Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01856 www.springfield-or goy permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/20/2013 EXPIRES: 02/15/2014 • STATUS DATE: 08/20/2013 APPLIED: 08/20/2013 SITE ADDRESS: 7179 C ST,Springfield,OR 97478 SCOPE: Bathroom • ASSESOR'S PARCEL NO: 1702353106700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-Bath/kitchen remodel OWNER: AULD MICHAEL S&TINA L Phone Number: 541-517-9761 ADDRESS: 755 SPYGLASS DR EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor JACK()PLUMBING INC CCB 169047 03114/2014 541-683-7535 L 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. Widc f /3 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility T�HIISIPERMIT SHALL EXPIRE 1F THE WORK Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the teleph.dae number for the Oregon Utility Notification ANY 180 DAY PERIOD. Cenior :c. 1-'M0- 1-2344). Springfield Building Permit 8/20/2013 10:30:13AM Page 1 of 1 SPRINGFIELD 1 CITY OF SPRINGFIELD '1.t A. 225 Fifth St �N TRANSACTION RECEIPT 225Fifield,oR97477 }-`.OREGON 541-726-3753 811-S PR2013-01856 www.springtield-or.gov 7179 C ST permitcenter©springfield-or.gov RECEIPT NO: 2013001806 RECORD NO: 811-SPR2013-01856 DATE:08/20/2013 (DESCRIPTION_ ACCOUNTCODEITRANS,CODE _ -_ .AMOUNT DUE I 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 LEAYMENt TYPE '_PAYON° 'CASHIER:JLARSON. -COMMENTS',:` , ' . - AMOUNT PAID '. -.. re Cdit C ardd AULD MICHAEL S &TINA L _ __,___ _ 105.30 _ 04727C TOTAL PAID: 105.30 • • Mechanical Permit Application DEPARTMENT USE ONLY ;[ }.JY51 SPRINGPIELG G'CS 4 • ? GITV- OEjSPR ttiGEIELD OREGOI �' .din ,-- Permit no y// Zen 3 o/ �sF, dttattiha' +- �lA,t.. -•. 3 -aHI`•sP s,..i,n.�di„UCwei,....- etmF.l:-- o:.t - �y _,� 225 Fifth Street♦ Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 -,.' �/9,.d "' Date: `2272,0/-3 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. ae;; CATEGORVOF„CONSTRUCTION ri;`st;t'"t, i aRai r„'``FEE SCHEDULE,, ' ”' '�` ii "'y' a.- 2 4Cast Total -'>_ Restdenual ❑Government ❑ Commercial Resident ,,,,, c_3)4 "t Fx' rs' QtYt sea k, ", :cost =""',JOBSITE. INFORMATION},AND,=LOCATION,?ix .l ,; First Appliance $80.00 $ Job site address: '//'/ e Furnace/burner including ducts and vents /1A ! Up to 100k BTU/hr. $18.50 $ City: tr, i7�/� State: U 97971 ZIP: 5 Over 100k BTU/hr. $22.00 $ Reference: Taxlot Heaters/stoves/vents "'`:t t d T 'ilDESGRIPTIONxOF�WORK, {x` , ,{ A Unit heater $18.50 $ 401 ha_1t PC7fr., vie- Al Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ rr ' f .PROPERTY ;OWNERi0�,i its, nt+ei`r"4, absorption system Name: /1,24,,e_/ 1 h Evaporated cooler $14.50 $ Address: 7ss .s' 7/4 s5 Lf. Vent fan with one duct/appliance vent $10.00 $ Hood with exhaust and duct $14.50 $ City: 5 State: U2 ZIP: '2i f / Floor furnace including vent $80.00 $ Phone:94; 577 T y,/ Fax: -- Gas piping E-mail: /Y)✓4 a/4 t 60.0/6451 //f7 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 is exempt from licensing Air-handling units,including ducts requ rem t •r j 701.0/a.L'L^L/` Up to 10,000 CFM $12.00 $ Signature: - Over 10,000 CFM $22.00 $ `' i7 r II.:CONTRACTORJ INSTALLATIONr t't"t'ry tiat Compressor/absorption system/heat pump Up to 3 hp/100k BTU $18.50 $ Business name: OAS h Ee— Up to 15 hp/SOOk 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.: r - .: --. Commercial ru�c.,isF'tivi;tt iy"it'"r{ .x�,. t .. x";.-. `Y: Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. . $ aM15 I nB&fees a i° J) Items -Cost *, Total !* _. Ica - ,:cost.. Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ Fc a-, r gke-i CANTiUSE1 '`iwa „l (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): $ /(4-- ‘1_L...-•— SPRINGFIELD 225 Fifth St ' 4 t CITY OF SPRINGFIELD Springfield,OR 97477 P!. ‘0,..*OREGON Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01857 • www.springfield-ar.gov pemiitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/20/2013 EXPIRES: 02/15/2014 STATUS DATE: 08/20/2013 APPLIED: 08/20/2013 SITE ADDRESS: 7179 C ST,Springfield,OR 97478 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1702353106700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-Bath/kitchen remodel OWNER: AULD MICHAEL S 8 TINA L Phone Number: 541-517-9761 ADDRESS: 755 SPYGLASS DR EUGENE OR 97401 CONTRACTOR INFORMATION ll Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER COB 000000 06/01/2025 Plumbing Contractor JACKO PLUMBING INC CCB 169047 03/14/2014 541-683-7535 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. icir / A c .Z D �p/� Owner or Contractor Signature Da e • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- NQT10E� 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the teleph::: , AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR • Center is 1-600-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 8/20/2013 10:26:49AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD .i.Litaii 225 Fifth St •OREGON TRANSACTION RECEIPT S pringfield.OR 97477 ! 2 "�e/J 541-725-3753 811-SPR2013-01857 www.springfield-or.gov 7179 C ST permitcenter @springfield-or.gov RECEIPT NO: 2013001805 RECORD NO: 811-SPR2013-01857 DATE:08/20/2013 [DESCRIPTION ACCOUNT CODE/TRANS CODE L AMOUNT DUE .J Bathtub 224-00000-425603 1005 42.00 Sink/basin/lavatory 224-00000-425603 1005 63.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.64 Technology fee(5%of permit total) 100-00000-425605 2099 7.35 • Water closet 224-00000-425603 1005 42.00 TOTAL DUE: 171.99 I PAYMENT TYPE PAYOR CASHIER:JLARSON ; COMMENTS AMOUNT PAID Credit Card- -- _- OWNER - - _,. - -- - _ -. . - - - - - - --_------ 171.99 _- -- 04727C TOTAL PAID: 171.99 • • • • • • • • _ . Plumbing Permit Application . ...---:,, :-.., DEPARtMENT USEONLYIX ,-, ;(4.tn-warifzypi-t:OTVATIe'WOZMI:ZNEST)itiP:4-Mliaki•Fr•MATVi: ; • ,,, ,, kifFiGEMOESPRINGITELD. OREGON:-AlE '..,;„_ ---tii Permit no 47,/f Zor 3 01 Iltter5010btaleg:intieFFitagif.,ENti4:Aag-lan-{ ;:Y•v. W'crsi 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 'S /Ze.,/t, • 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. ;'., :;,,c, t;;*;:MOPAL'iGOVERNMENT.,'AppRovAL-4?44zigfg, IffiNta*ioof,;:q„;.zrEEIACITIEDULIEN:412:1*Agt•:: :12W:tiN Zoning approval verified? n Yes E No fitatrc‘irSalrgrkCiel r ,6c6it44: ardfahl tzt,-,4fta211,- --/taitskagii:i ,,,„N Siii:T,:c€4-4,;,,,f:":',i3O.§t1 Sanitation approval verified? 0 Yes ONO New residential FileATEGoRter:CONSTRUCTION}lil44WP. 1 bathroom/1 kitchen(includes:first 100 feet of water/sewer lines, hose IV-Residential D Government D Commercial $262.00 $ bibs, ice maker, underfloor low-point !,:ij0B'iSITEIINFORMATIOWAND.LODATIONI drains and rain drain packages) Job site address: 7/7 , c, 5/. 2 bathrooms/1 kitchen $411.00 $ 3 bathrooms/1 kitchen $483.00 $ City: 5ten; 4;:./d- State:ix ZIP: 774/717 Each additional bathroom over 3) , $104.50 $ Reference: i - Taxlot.: Each additional kitchen(over 1) $104.50 $ ,,,e0tV./..:q-SnWESCRIP-TIOWOr-YVOFOM:,71. 06N,.a Residential fire sprinklers(includes plan review) Xrenetre(e I B4 Ma 'z'A' 0 to 2,000 square feet $80.00 $ 2,001 to 3,600 square feet , $128.00 $ 77;ThWittAKI;S:141,ROP ERTY$OWNE RiCiP.Iffitlaili 3,601 to 7,200 square feet $192.00 $ Name: /42,4,c,ej /4-11 7,201 square feet and greater $255.00 $ Manufactured dwelling or pre-fab(circle one) ' Address: 7S-61- +r /e.L $ Zr Connections to building sewer and $80.00 $ City: C-LefejAe_ StateAfe ZIP: ,s7+4,/ water supply Commercial,industrial,and dwellings other than one-or Phone:544' 5V7 /74/ Fax: - - two-family E-mail: mraa.e'cl 8 [pm cad 4 e I L Minimum fee $80.00 $ Each fixture $21.00 $ This installation is being made on residential or farm property owned by me or a member of my immediate family, and is Miscellaneous fees exempt ' sing, uire ts er 0 8-695-0020. 100' storm,sewer,water line $83.50 $ Signature: L4cck3,r , Each fixture,appurtenance,and piping $21.00 $ :tl!CONTRACTOWANSTALEATION11:1.Nw:44ra..9. Storm water-retention/detention facility $21.00 $ ----, , _.,, ,0 / Business name: ,j ek c it CI /7 kes-t hes:7 Irrigation systems $21.00 $ Piping or private storm drainage Address: i , c„,/. , systems exceeding the first 100 feet $21.00 $ - City: r- 1.0 ilk 1 State: at ZIP: 7 7 Liss.- Specialty fixtures $21.00 $ Reinspection(no of hrs x fee per hr.) $80.00 $ Phone:9/) 68'5 755 5- Fax:5:171/ Pad:, 39A)._ Special requested inspections(no.of E-mail:jabk-OPtk th.6.7 4 7a/to-o . co-n-, hrs.x fee per hr) CCB license no.: BCD Each additional inspection:(1) $80.00 $ license no.: Plumbing license no RiLeTalgliTialPiiiiigNiV4tcTial Minimum fee $ Enter value of installation and equipment$ . Print name: . Enter fee based on installation and equipment value $ Signature: . traretan WO ifi c Arrowt-Egwassmst (A) Enter subtotal of above fees $ (Minimum Permit Fee$80.00) (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) , $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): S/7/ 9 7—, 440-2500-1(4/1/2013/COM)