HomeMy WebLinkAboutPermit Building 2013-8-29 I
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
%,.r` Phone: 541-726-3753
1- OREGON
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR20 1 3-01 943
www.springfield-or.gov permitcenter @springfield-or.gav
PROJECT STATUS: Issued ISSUED: 08/29/2013 EXPIRES: 02/24/2014
STATUS DATE: 08/29/2013 APPLIED: 08/28/2013
SITE ADDRESS: 2515 31ST ST,Springfield,OR 97477 SCOPE: Garage/Carport
ASSESOR'S PARCEL NO: 1702193400400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Convert existing carport to enclosed garage. .
OWNER: BRANDT B J Phone Number:
ADDRESS: PO BOX 1312
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION .
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor DORMAN CONSTRUCTION INC COB 68801 08/31/2014 541-984-0012
_ INSPECTIONS REQUIRED
Inspections
1110 Footing Footing: After trenches are excavated.
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
. approved.
1530 Exterior Shearwall
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
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 loc-ted at the front of the property,and the approved set of plans will remain on the site at all times during
construction
A Qrw pon a —quires you to g(
ow-!'�'�hiecfff °fiaPufeThos saresetforth Date i�OTICE: `"' `
in OAR 952-0101-0010 through OAR 952-001- ' THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
the
calling the Oregon(Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the reeon Utility Notification
.ter is 1-800-332-2344). ANY 180 DAY PERIOD.
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Springfield Building Permit 8/29/2013 10:47:45AM Page 1 of 1
SPRINGFIELD- CITY OF SPRINGFIELD
' ' at 225 Fifty St
�o OREGON TRANSACTION RECEIPT Spnngfield,OR97477
541-726-3753
811-SPR2013-01943
wwwspringfield-or.gov 2515 31ST ST permitcenter @spnngfield-ar.gov
RECEIPT NO: 2013001920 RECORD NO:811-SPR2013-01943 DATE:08/29/2013
DESCRIPTION , . F ''a. -A*-1V _"=:'A:tcaniFACCOUNT CODE/TRANSiCODE ''4'Ci,r -'
... _AMOUNT `_:a
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 42.76
Structural Building Permit Fee 224-00000-425602 1002 356.33
Structural Plan Review Fee Residential 224-00000-425602 1061 231.61
Technology fee(5%of permit total) 100-00000-425605 2099 17.82
�L,.��.-. TOTAL DUE: 648.52
p1gPANMENTiyTYPE is •PAY iiiWaswert'iara`x COMMENTS, AMOUNT1{PdID
Check BRANDT B.1 648.52
13302
TOTAL PAID: 648.52
Structural Permit Application SPRINGFIELD -- ° DEPARTMENT USE ONLY
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Permit no 5 t 3 . j 5 4.1"3
225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 ORESOH
Date: y/2 fr-71
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.
';�� -- LOCAL GQVERNMEN_T APPROVAL ';;
=7'.Wr: `6^t FEE_ CHEWO1(1.14 -r ' x x
i
This project has final land-use approval. ,1-_Paluannmfrmahn; ", a ; i?
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Signature: Date: (a)Job descnption:: ,-ra/'ort T raj �e 2
This project has DEQ approval. v
Signature: Date: Occupancy
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Zoning approval verified: ❑Yes ❑No Construction type: VC/
• Property is within flood plain: ❑Yes ❑No Square feet:
.-{',;S 3 ,., -CATEGORY NOF CONSTRIJCTION.°r3,_;i tt `.''z '-' Cost per square foot:
Q"Residential ❑Government ❑Commercial Other information: •
y-r €JOB SITE INFORMATION";AND `LOCATIONWTr.,-',`°`n Type of Heat:
Job site address: ZS7 S ST- S i Energy Path:
City Sly ELF State: 62- ZIP:57 y77 ❑new alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference /")FfZ /5 J( Taxlo[ 000'7 Total valuation
TM ',,`..."„._r:, g:NI OPERTY OWNERi.f.C '�v�'".:fai 1:':Butldrng:fees �a.,?s� '*`ai 4,.«.^.*.t.ttli,,. 'l'ztrf:` 'e`trs '''_
e a:"
. Name: _ (a)Permit fee(use valuation table): g •'-SZ S
Address: /39 r - 3e / 3 (b)Investigative fee(equal to [2a]): $
City: � -C(.t) State: t--/1".---! ZIP:5 74/7y (c)Reinspection($ per hour): $
Phone: Fax: - -
/ (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+26+21): $ 4./I1
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: .,3 P1 nxrevt fees.t. , fi e r't" a"
(a)Plan review(65%x permit fee[2a]): $ Z3( it
Sign here:
(b)Fire and life safety(40%x permit fee[2aj): $
❑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 45;1131sceli`ane S fees''a' .$'T.,.a"sue -+� ` se,� k`°° T"1) °..*°,,,r.,
requirements under ORS 701.010. - """ ^°�` `A 'sue '��"
(a) Seismic fee, 1°%(.01 x permit fee[2a1): $
(b)Technology fee,5%(.05 x permit fee[2a1): $ I-1 n
Business name: IDoG2,IA>`uvt�Q Co /�c 2_
�� S. TOTAL fees and surcharges(2e+3c+4a+46): $V l 0
Address: s,
city .SNR Lc?rca_o State: Qe ZIP:
Phone:5c(f(„S3-0(OR/ - Fax: - -
E-mail: St kkr DDSA,& 4 '- oAtcCOWV
CCB license no.: er, gng01
Print name: S L e_
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Signature: f -ei •
=SUB CONTRACTOR=FNF,ORMATION---.
Name CCB License# Phone Number
Electrical
,Plumbing
Mechanical
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