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HomeMy WebLinkAboutPermit Building 2013-9-23 .r ! SPRINGFIELD- — 225 Fifth St t, CITY OF SPRINGFIELD Springfield,OR 97477 colt. s Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01840 www.spdngfield-cr.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/23/2013 EXPIRES: 03/22/2014 STATUS DATE: 09/23/2013 APPLIED: 08/16/2013 SITE ADDRESS: 1233 M ST,Springfield,OR 97477 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1703264404200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Garage conversion and new bathroom addition OWNER: MORIN VERONIKA Phone Number: ADDRESS: PO-1661F-415 /X33 St NOTFOR-97461 ov fLt2j D °I,. tPvY? (SW) 6S 3-7370 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 General Contractor TURNBO CONSTRUCTION INC CCB 166319 09/06/2013 541-554-4223 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. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall . 1999 Final Building - Final Building: After all required inspections have been requested and approved and • the building is complete. By signature,A3tktjlOSO) PO llhatdlM2v ecprefullyEe3caMiDlitthe completed application and do hereby certify that all information It nd fltyrtthe1.ge fy b Ipny and all work performed shall be done in accordance with the Ordinancestpf a&Jtycofl SpaigatipldpnndSthEt k p dtl ,sjaMEtAr Oregon pertainin..2 to the work described herein,and that NO OCCUPANcroyAllFbm adezigl ui irNclureyvfttt opypermisti9rl of the Commun TrliCµ&y�D�ivision, Building Safety.I further • certify that o�iyjentrac rista �emplgyees lwhaarel5 cor pliance with ORS 70�10�' fjCt51Yl �� I�f1 ykoRK to ensure thatuaallreAyltedleires ec�pnsaretrequestedlat np€gper time, that each ��FFgg�� �jJ'[r' � { thrat 1heVV permit card i$Iocatedratd�lelfre rl5ofUyelproperty and thenapproved set of plans/Ull'a-MU e'MPBITt r�le�6 ��IIT IS NOT construction. Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR n// ANY 180 DAY PERIOD. • !U(wm 4.12 7- 23- 2613 Owner or Contractor Signature Date • Springfield Building Permit 9/23/2013 8:24:29AM Page 1 of 1 • SPRINGFIELD _, CITY OF SPRINGFIELD TRANSACTION RECEIPT Springfield,OR 97477 ` 225 Fifth St ,..1 541-726-3753 OREGON 811-SPR2013-01840 www.springfield-or.gov 1233 M ST perrnitcenter©springgeld-or.gov RECEIPT NO: 2013002110 RECORD NO:811-SPR2013-01840 DATE:09/23/2013 le] Y�:II htl[o]'1..'.15 '}-ri, „ `i:;Aws? hY ' f u_: a:r'r ACCOUNT'CODEffRANSrCODE` =_eLS?AMOUNT DUE i SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 626.76 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 21.90 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 1,284.12 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 15.06 SDC:Total Sewer Administration Fee 719-00000-426604 1175 95.54 SDC:Total Storm Administration Fee 719-00000-426604 1180 1.85 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 38.10 Structural Building Permit Fee 224-00000-425602 1002 317.50 Technology fee(5%of permit total) 100-00000-425605 2099 15.88 TOTAL DUE: 2,416.71 Prr PAYMENTsYPE AYO c"sivaso COMME MOUNTjRAIDy Check MORIN VERONIKA 2,416.71 1129 TOTAL PAID: 2,416.71 • • • . Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Applicant 11 � (I✓i,._. 7 - 13 - 2013 Signature of Permit Applicant Date Permit#: F Address: �� sa: C-iii-� v:.: 0 arum ; 9 Issued by: Date: 59 This Copy for Permit Offices Structural Permit Application PP SPRINGriELD ' DEPARTMENT:USEONLY-- PTY OF SPRESZFIELD�OREGONr , 'l-'`p ;til s }r _ Permit no.: S 13 /?-i 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3589 OREGON / 00 �f�U Date: X2jW/3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days o issu rice or if work is suspended for 180 days. gi ' ' r,. LOCAL.GQYERNMENT'APPROVA'L'tr i -n' _ > .,, ' .x r EE;SCHDULE - .4.-7 .,u.:_- This project has final land-use approval. '1?valuatiom-mformabdn'a�'" "�' `L-° 's` '-r Signature: Date: "" ' "` This project has DEQ approval. (a)Job description: Li .Jv y�,!- �pA/ Occupancy . //��/ Signature: Date: f`� Zoning approval verified: ❑Yes ❑No .Construction type: ' Property is within flood plain: ❑Yes ❑No Square feet: i rl CATEGORY OFcCONSTRUCTIONt .2 $ Cost per square foot: K Residential I Q Government ❑Commercial Other information: ,a,.' %a,lia :;SITE 1NFQRMATIONS'AND)LOCATIOM'i,`,':l50 Type of Heat: Job site address: i Z-33 Si", ,,//�� Energy Path: City c5p✓r i : a - State: QIL. ZIP: 97kf7 ❑new alteration dition Subdivision: �J Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: Taxlot: Total valuation: $Z O 41t Y�,s, ,,t'Mw. 1 a F i1+'+$.v„ `i"''s' sc : �i . gi ari + v i o<-.� w ,,,1-I.r PROPERTY,OWNERn t-�� -p�'v....-_�>. 2.Buddmg fees���,°; 3')�.Lk.� �" t =�j�y��. ±'}}r Name: U R.fb vv 1V-0-- /Va WI r.r iv.. (a)Permit fee(use valuation table): $ ?/7. - Address: 1,.3c t . NI ilt.b o A VL' t (b)Investigative fee(equal to[2a]): $ City: E Q,Q State: Ore_ Z113:97,102._ (c)Reinspection(S per hour): $ Phone: (S-t}1 (o$$_og I c,n Fax: - - (number of hours x fee per hour) E-mail: at.I yyt0 sr h y,0..(n-0 D , LO 1W (d)Enter 12%surcharge(.12 x(2a+2b+2cD: $ S� (i V (e)Subtotal of fees above(2a through 2d): g Building Owner or Owner's agent authorizing this application: '�` "'�°"r g+ ''ia r, i L°r Nk xs;- "l 3`Plaa review;:fees; .`+�,g,,,,y3; tri„' .: r �3r: (a)Plan review(65%x permit fee[2a]): $ 20S Sign here: Fire and life safety(40%x permit fee 2a (b) ty( P [ ]) S ❑This 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 q,Miscellaneous'feesf.iarai it g x' q'v`'+t t R°r.° requirements under ORS 701.010. -- -w y v y (a)Seismic fee, 1%(.01 x permit fee[2a1): S �".±xf,`� a:".0--'-,CONTf2ACt°i°INSTALLATIO/N ., l::i,t ,,. 2�:[t_.' Business name:T/,0/Z/VC� 6ouSf (b)Technology fee,5%(.05 x permit fee[2a]): s 'S .lJ� Cr TOTAL fees and surcharges(2e+30+42+413): 5 51 Address: tY ' !0 T City .retie fjy State:p IL z>P97117 Phone:54/f 5-3-y- 9223 ae 5Wf- 7. 1-83139 E-mail: ' (t( 77€141/80 fo V(0--72<fc . e0117 CCB license no.: f/p 6 '7 f 9 Print name: rifCM/YQS -27-c n,so Signature. 16, .-F 3LI6 CONTRAICTOR fNFORMATIO ,, '� = _ Name CCB License# Phone Number Electrical ,Plumbing Mechanical A • 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-SPR2013-02052 ww v.springfieldor.gov - permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/23/2013 EXPIRES: 03/22/2014 • STATUS DATE: 09/23/2013 APPLIED: 09/12/2013 SITE ADDRESS: 1233 M ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703264404200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-Garage conversion and new bathroom addition • OWNER: .MORIN VERONIKA Phone Number: ADDRESS: -PO-BO4E419- t2..%3 VVt S+ CS4-0 (.c3-72j7t .NOTV-OR-Ji4O4 Spr,:�f,Jd oe_ T14n CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor OWNER CCB 000000 08/01/2025 • General Contractor TURNBO CONSTRUCTION INC CCB 166319 09/06/2013 541-554-4223 INSPECTIONS REQUIRED - Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 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 70,1.005 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. q Owner or Contractor Signature Date follow ATTENTION: Ileos adopted by the requires regon Utility • NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMITIS NOT in OAR 952-001-0010 through oAR 952-oo1- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by • NY 180 DAY PERIOD. number foe the ye Notification Center is 14800-332-2344). •• • • Springfield Building Permit • 9/23/2013 8:19:41AM Page 1 of 1 SNRINGFIELDS CITY OF SPRINGFIELD 225 Fifth St tit E�oN TRANSACTION RECEIPT Springfield,OR 97477 if 541-726-3753 811-SPR2013-02052 www.springfieldor.gov 1233 M ST permitcenter©springfieldor.gov RECEIPT NO: 2013002109 RECORD NO:811 SPR2013-02052. DATE:09/23/2013 DESCRIP ION 3:437-2.1 .^ i ,' , °_rnit + ACCOUNTCODETRANS.CODE, ma° :AMOUNTIDUE'w" Clothes washer 224-00000-425603 1005 - 21.00 Shower/Shower pan 224-00000-425603 1005 21.00 Sink/basin/lavatory 224-00000-425603 1005 21.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.60 Technology fee(5%of permit total) 100-00000-425605 2099 5.25 _ Water closet 224-00000-425603 1005 21.00 Water heater 224-00000-425603 1005 21.00 TOTAL DUE: 122.85 PAYMENT 3-Wag ei AY,3Mal aiir RSON. a COMMEN75 :' N'27,7r-x-t-allagrAmourtiVIAIDMWMINA Check MORIN VERONIKA 122.85 1129 TOTAL PAID: 122.85 • '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-SPR2013-02051 www.springfield-ar.gov permitcenter @springfieid-or.gov PROJECT STATUS: Issued ISSUED: 09/23/2013 EXPIRES: 03/22/2014 STATUS DATE: 09/23/2013 APPLIED: 09/12/2013 SITE ADDRESS: 1233 M ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703264404200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ME-Garage conversion and new bathroom addition OWNER: MORIN VERONIKA - Phone Number: ADDRESS: rO BOX 415 12_33 Ink SI-. @I3 GS-3-7370 140-T1-0R-97481 Sportful-Li r Ole 97477 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone OWNER CCB 000000 08/01/2025 General Contractor TURNBO CONSTRUCTION INC CCB 166319 09/06/2013 541-554-4223 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. 4Vov q -23 - z0/ 3 Owner or Contractor Signature Date • NOTICE ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- nMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by •SO DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 9/23/2013 8:22:05AM Page 1 of 1 • SPRINGFIELD _. CITY OF SPRINGFIELD ft TRANSACTION RECEIPT Springft St R97477 541-726-3753 oaecor+ 225 Fih St 811-SPR2013-02051 www.spnngfleldar.gov 1233 M ST permitcentergspdngfield-ar.gov RECEIPT NO: 2013002108 RECORD NO: 811SPR2013-02051 DATE:09/23/2013 •o]43e4.4l:hfoaB„t 0:11?,9,_,„ '__`-1 -ACCOUNT CODE/TRANStCODE First Appliance Fee 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 1I��r TOTAL DUE: 93.60 WA'Y,MENiETYPE.- PAY,ORgicaiiiii uasDR COMMENTS - AMOUNTIFAID M `r,,l�'81,., Check MORIN VERONIKA 93.60 1129 TOTAL PAID: 93.60 g reQ¢o .._,,max t�'i,r s�-_ I _.,A ppp,,pp pp- PP _r. pp } -. I LL I �4- j 3 ,_..=- ___ v.. tee. ppa -- - - - - I 1 ---_ _ o �� - - - -jr - - �'- �.pp- p9p_f3/4 i im a It m�=_�sYeirgr Wpma Lpp 4 i�eu� _ _ - - .+ r k d5 N eI -90 1900 dvtic„ q 6- fj 101141 pq r, °e 1 vfe �t66f ls.roGr.T - ► - - _ "F- vta'Lr5 f S eT-✓O CA4b8pP44 Vel&d"l s��ltt-t CEIVED /1 //Y / JOB NO 3C �3 �/ 'F�!`�� .-. (l!` IIPANr-V GROUP✓ THE CONTEh i- R E N FjAVF. CEEP1 REV FD WITH _TEn^r.TICr '� TED O I + CI O%tED Pl � i C 1ANGES ILYA�PJS � ^DE TO THE A, PRCVED [:p-A.WINGS OR i 'OJ ECT AFTER THE MATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL, CI`iY C)F sP, /qLD, DFZ41GDN APPROVED BY DATE o / s4TTENTIANn Oregon iaw� rec;uires you t+a folla�r..-- rules ad©pted by the Oregon Utility r+1?4111cation Center. Those rules are set foilh Ii% _,:AR 952-001 Ob10 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 +✓enter Is 1-800-332-2344). ,