HomeMy WebLinkAboutPermit Building 2013-8-23 SPRINGFIELD i 225 Fifth St
` CITY OF SPRINGFIELD Springfeld,OR 97477
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Phone: 541-726-3753•,( eel
OREGON
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01891
www.springfield-or.gov parmitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/23/2013 EXPIRES: 02/18/2014
STATUS DATE: 08/23/2013 APPLIED: 08/23/2013
SITE ADDRESS: 1249 PARKER ST,Springfield,OR 97477 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1703264416600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Garage Conversion
OWNER: BAILEY BARBARA L Phone Number: •
ADDRESS: 4226 SCOTTDALE ST
EUGENE OR 97404
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Il
Inspections -
1920 Miscellaneous Building
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.
Owner or Contractor ature / • Date
+i i
ATTENTION: Oregon law requires you to NOTICE:
follow rules adopted by the Oregon Utility TA PERMIT IS EXPE IF THE WORK
Notification Center. Those rules are set forth AUTHORIZED U NH AD THIS IR PER MR 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 telephbao ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 8/23/2013 8:22:04AM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
225 Fifth St
t TRANSACTION RECEIPT Springfield.OR97477
OREGON 541-726-3753
811-SPR2013-01891
www.springfield-or.gav 1249 PARKER ST • permitcenter@springtield-or.gov
RECEIPT NO: 2013001848 RECORD NO: 811-SPR2013-01891 DATE:08/23/2013
!DESCRIPTION „ACCOUNT CODE/TRANS CODE1` _AMOUNT_DUE• - 1
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
--v-- - ----------- ------ _ -- -- TOTAL DUE: 93.60-.-
L;PAYMENT TYPE _PAYOR CASHIER:RCnsnLE COMMENTS _AMOUNT-PAID v
Credit Card BAILEY BARBARA L 93.60
082715
TOTAL PAID: 93.60
•
i. .
Structural Permit Application SPRINGFIELD - ,11:1DERARTMENr.US E ONEYL,
t"---
"*'4-1tIr"'7-4GITY:OFNPRINGFIEL1/110ItEGOIte:,Qvaa,,;.r:,,---'-icgi:,,f:r-.5:e ---7-1 ,-›;
%,-,04EG01.1 Perimtno
225 Fifth Street•Springfield,0R97477•H4(541)726-3753•FAX(541)726-3689 ei k -zok-3 olpyu
Date: etz_sh,
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.
::::Wi-'151 -4ifOLE-A1W6i161191961YAOPAOVATAkMisa5:::
This project project has final land-use approval. :16:14113n1;11f'afti" tiii6filliT4nitRW2gt74±,c,Jef-147,k
Signature: Date:
_ (a)Job description:
This project has DEQ approval.
Occupancy
Signature: Date:
Zoning approval verified: 0 Yes D No Construction type:
Property is within flood plain: 0 Yes 0 No Square feet:
11-iatanZtg64400kWaO'leeifigtli§firet IERWIan Cost per square foot:
A11)11 Residential E Government 0 Commercial Other information:
V;it4t AbliatiftglYa7iliOtiiiiiiMioN7A1;1124:6bAria,07lin Type of Beat:
Job site address: j,./c-fi) rb.p-i-Ar's Energy Path:
City: 59 flip. State: cAt apiq 7Q 77 D new Oalteration 0 addition
Subdivision: Lot no.: (b)Foundation-only permit? D Yes 0 No
Reference: Taxlot: Total valuation: 2C2:2C2 ---- $
fi:325-St-Vii5-5P`FIdelafirlailiArkiqi-treittrzTSV, :E211filialifeta2fateaaHele,a,
Name: 3an VICAnr- I%Ci Ire' (a)Permit fee(use valuation table): $
Address: ?a-&.0 s coi-Id _s\t, (b)Investigative fee(equal to[2a3): $
City: FA ken AI rt-.4).--
State: Oitt, ZIP: 7-7 Y4/ (c)Reinspection($ per hour):
(number of hours x fee per hour) $
Phone: 60-7-s 5-,.... Fax: - -
E-mail: 'hi—k cult ea ■in,Jho.. •Cfri-n (d)Enter 12%surcharge(.12 x[2a+2b+2cD: $
1 (e)Subtotal of fees above(2a through 2a): $
Building Owner or Owner's agent authorizing this application: 'AriligretileigritINIT Irt47,:i.(a)Plan review(65%x permit fee[2aD: $
Sign here: enfrd/Sett_ee4 (b)Fire and life safety(40%x permit fee[2aj): $
0 This installation is being ma on residential or farmiroperty owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing '.1l-cilli4iRerfirelilirj-Teirreiktiktaiata-ty,-anfayna:
requirements under ORS 701.010.
_ .,_ .,„,, , (a)Seismic fee, 1%(.01 x permit fee[2nD: $
CiOlfZiiNtire-6147FWA-C:tbal'ilthEnikrileirM4fal&ajilit
(b)Technology fee,5%(.05
x permit fee[2aj): $
Business name:
TOTAL fees and surcharges(2e+3c+4a+41)): s 7; 6,--
Address:
City: • State: ZIP:
Phone: - - • Fax: - -
E-mail:
CCB license no.:
Print name:
•
Signature:
E--niatSCIBcCPNTIFEACifiFelhlEC/RIIAATITIOLSIIS,
Name CCB License# Phone Number
Electrical
Plumbing
•
Mechanical