HomeMy WebLinkAboutPermit Building 2013-8-28 SPRINGFIELD 225 Fifth St
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,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
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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
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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
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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
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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
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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
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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
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