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HomeMy WebLinkAboutPermit Building 2013-8-28 SPRINGFIELD 225 Fifth St • • ,A.A CITY OF SPRINGFIELD Springfield,OR 97477 ;Nita Phone: 541-726-3753 .OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01750 www.springfeld-or.gov permitcenter @spnngfeld-or.gov PROJECT STATUS: Issued ISSUED: 08/28/2013 EXPIRES: 02/23/2014 STATUS DATE: 08/28/2013 APPLIED: . 08/05/2013 SITE ADDRESS: 5107 E ST,Springfield,OR 97478 SCOPE: Bedroom ASSESOR'S PARCEL NO: 1702332403100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bedroom expansion:addition OWNER: BOSSHARDT GLENN P&ANNETTE K Phone Number: 541-747-8199 ADDRESS: 5107 E ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED - Inspections 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1460 Insulation •1530 Exterior ShearWall • 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 tATOH1'aleffingfleldand the/Laws.ofithe;Statdmr Oregon pertaining to the work described herein,and that NO OCCUPANCY!will-be matb:ScrlidnyAStrtiCtu5etivithObtepsurii4jitsrf the Community Services Division, Building Safety. I further certify that oglgfdgijgactofs l dempleyeeg wjlglareauGompl(agip1 with ORS 701.0°r used on this project. I further agree , to ensure thatra Diaguired2'utspecdoUPt;yelr�eAp�egtced{�{thh ggctime,that each addrrd adable from the street,that the permit card iSplet Bdvattlhplfmrlf otttgm pjgpgrty,epd-tpgergotgtd set of plans will irer8aId[cR Tsi liAlittirEPEfEdF THE WORK construction. calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number fort e Oregon Utility Notification COMMENCED OR IS ABANDONED FOR •O4i Ce j-,r is �00-..• ,-2344). g7—t9AY-)1A DAY PERIOD. Owner or Contractor Signature Date • Springfield Building Permit 8/28/2013 1:43:01PM Page 1 of 1 SPRINGFIELD- —, CITY OF SPRINGFIELD A A, „„ ,g ; , TRANSACTION RECEIPT 225 Fifth St Springfield,OR97477 OREGON 541-726-3753 81 1-S PR201 3-01 7 50 www.springfield-cr.gcv 5107 E ST permitcenter @springfield-cr.gov RECEIPT NO: 2013001911 RECORD NO: 811-SPR2013-01750 DATE:08/28/2013 I'rgra b lra iii” '� ttiM„ri ' >i ma=r ACCOUNT CODE/TRANS"CODE!ffir. AMOUNT DUE. Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 2.10 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 97.73 SDC: Reimbursement Cost-Storm Drainage - 441-00000-448029 1177 67.21 SDC:Total Storm Administration Fee - 719-00000-426604 1180 8.25 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.32 Structural Building Permit Fee 224-00000-425602 1002 110.98 Technology fee(5%of permit total) 100-00000-425605 2099 5.55 TOTAL DUE: 305.14 mPAMNTdYPPAYOR cast.eR. Aa.o � �x n COMMENT Sc. miten, . ., . . , R' ` Credit Card BOSSHARDT GLENN P&ANNETTE I 305.14 07269Z TOTAL PAID: 305.14 • • • • SPRINGFIELD CITY OF SPRINGFIELD 1 225 Fifth St Aoigli " ` TRANSACTION RECEIPT SpnngfielgOR97477 OREGON 541-726-3753 811-SPR2013-01750 www.springfield or goy 5107 E ST permitcenter @spnngfleld-or.gov RECEIPT NO: 2013001701 RECORD NO:811-SPR2013-01750 DATE:08/05/2013 DESCRIPTION ^'�-° r "'` " - __...,.�L�.._�-:�i_ • r r�1=e,.AgiTACCOUNTCODEIPRANSsCODEe raAMOUNTOP;'i Structural Plan Review Fee Residential 224-00000-425602 1061 72.14 TOTAL DUE:• 72.14 'L.-PAYMENT TYPE IIatt-s PAYOR`cs ..4.;" ,_' tCOMMENTS -. -_``.a T'3,_--hF-3/4.—- Holo '�-�1�1` ';. l;Ci Credit Card BOSSHARDT GLENN P&ANNETTE I 72.14 00818a TOTAL PAID: 72.14 • Structural Permit Application SPRINGFIELD - DEPARTMENT U SE ONLY".:; i r CITYIOF SPRINGFIEED OREGON Y .,t. :3&ice. Permit no.:cc 3 -77sa 225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753♦FAX(541)726-3689 OREGON Date: -?-7:5- / 7 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. . w. , LOCALGOVERNMEN7;APPROVAL i'--4.W „M .�4. -. FEECSCHEODLE r` ; `�+^T :s '�'::n- x .fir Tits project has final land-use approval. lig luahontinformah6u. .rckr E y` Slai s , Signature: Date: (a)Job description: E-627.10453rJ m_ This project has DEQ approval. • n AR/�1"n/J Tf7� Signature: Date: Occupancy ,` Zoning approval verified: ❑Yes ❑No Construction type: v(j Property is within flood plain: ❑Yes ❑No Square feet: ti ti ;. tilt7 CATEGORY OE.CONSTRUCTIONraMMV Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: ?s'.P 4 'JOB,SITE`INEORMATIOu A iniq,LOCATION's a`';„ 9 Type of Heat - Job site address: S70 7 65 / Energy Path: City -S-- n� l p 7d State: O®� ZIP:q 72(78 ❑new ❑alteration Caddition Subdivision: / Lot no.: (b)Foundation-only permit? ❑Yes E'40 Reference: 76133 ZLfl Taxlot b 3 to O Total valuation $ gill9 `1 :::" rn ,,.PROPERTY OVNNE i ,�TLII'1 a.'la^ ri; ilnel ? atitar W xs' r :. Name: Gee ill a<Annti fQ CD.SAa call (a)Pewit fee(use valuation table): sffi / (o-?-€ Address:5 y 6•7 r S'!{2 e,e 74 (b)Investigative fee(equal to[2a]): $ City: S -311._///,a•'cm�?/fl State: � I ZIP: q?217$' (c)Reinspection($ per hour): 4/J 78/7 b /9g Fax: (number of hours x fee per hour) $ Phone: - _ E-mail: c'/ocifw /13 L1 �Mt /.E,el�1 (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ 1 `� ✓ 1 (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Elan i view:fees E >t*W •x 5`-�r�'�- •+ .'s' ���� � /� (a)Plan review(65%x permit fee[2a1): $ 72?L Sign here: �w f�J�irrtgwc/5...!/, (b)Fire and life safety(40%x permit fee[2a]): $ ❑This 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 a atgr} .Ii Yj, �..A �.i 4.1VJascellaii`eoiis fees " ",S z' requirements under ORS 701.010. -ns ; ,,, (a) Seismic fee, 1%(.01 x permit fee[2a]): $ „.°.'w ,,,. -;CONT. ACOR INSTALLATION t;^; : ;,_:.' 5 �_ - (b)Technology fee,5%(.OS x permit fee[2a]): $ Business name: �Z.1 A/(_ Srs Address: TOTAL fees and surcharges(2e+3c+4a+4b): S 9,6 1 City State: ZIP: Phone: - - Fax: - - E-mail: 1 CCB license no.: Print name: Signature: . Sf DI0� P/qh { I ATTENTION. Oregon law requires you to follow I rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001- 0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the center (Note: the telephone number for the Oregon Utility Notification Center is 1=800-332-2344). I jI NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHC RIZED UNDER THIS PERMIT IS NOT COMM -LACED OR IS ABANDONED FOR �I ANY 11 0 DAY PERIOD. j !� RECEIVED .JOB No,50 *017` o { ZONE Lry%L , OCCUPANCY GRoaff L17 TFIE COAJTENTS PERE OhJ FIAtIE BEEN RE`✓1F`-.'✓EG, VI,L, ALTERATIONS INDICATED GN COLOP.EG PEIdlCIL. C(-iAi'1� OR ALTERATIONS RADE TO THE APPF:O'VED DRA VINGSO PROJECT AFTER THE DATE BELOW SHALL BE APPROVED THE BUILDING OFFICIAL. PPR61/ED P jif nmS