HomeMy WebLinkAboutPermit Building 2013-10-1 • -- --
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SPRINGFIELD 225 Fifth St
'' CITY OF SPRINGFIELD Springfield,OR 97477
ncit'}_-;:.`�� Phone: 541-726-3753
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2013-01985
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/01/2013 EXPIRES: 03/30/2014
STATUS DATE: 10/01/2013 APPLIED: 09/03/2013
SITE ADDRESS: 2309 DON ST,Springfield,OR 97477 SCOPE: Family Room
ASSESOR'S PARCEL NO: 1703272102600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Living room expansion
OWNER: BOOTHE ALICIA HELENA Phone Number:
ADDRESS: 2309 DON ST
SPRINGFIELD OR 97477
OWNER: BOOTHE IVAN SHANE Phone Number:
ADDRESS: 2309 DON ST
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 00/01/2025
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks
1110 Footing Footing: After trenches are excavated.
1118 Footing Drain
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
1220 Underfloor framing
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.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth ,-',-
in OAR 952-001-0010 through OAR 952-001- WORK
0090. You may obtain copies of the rules by NOTICE: EXPIRE IF THE
calling the center. (Note: the telephone TI-IIS PERMIT SHAtI THIS PERMIT IS NOT
number for the Oregon Utility Notification muTH0RIZED ORE ABANDONED FOR ,'':''.--
Center is 1-800-332-2344). COMMENCED
Springfield Building Permit • 10/1/2013 10:51:31AM ANA/ 180 DAY PERIOD' Page 1 of 2
SPRINGFIELD -- 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON
Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01985
www.springfield-or.gov permitcenter @springfield-or.gav
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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.
10—Corr— /G— Z —
Owner or Contractor Signature Date
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Springfield Building Permit 10/1/2013 10:51:31AM Page 2 of 2
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
``O
OREGON TRANSACTION RECEIPT Springfield,OR 97477
((\\
541-726-3753
811-S PR2013-01985
www.springtield-or.gov 2309 DON ST permitcenter @springfield-or.gov
RECEIPT NO: 2013002182 RECORD NO:811-SPR2013-01985 DATE: 10/01/2013
DESCRIPTION_ _ _______ ___ _ ACCOUNT CODE/TRANSCODE,______AMOUNT DUE__ }
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 12.00
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 117.90
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 81.07
SDC:Total Storm Administration Fee 719-00000-426604 1180 9.95
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.90
Structural Building Permit Fee 224-00000-425602 1002 265.87
Structural Plan Review Fee Residential 224-00000-425602 1061 172.82
Technology fee(5%of permit total) 100-00000-425605 2099 13.29
TOTAL DUE: 704.80
,_.PAYMENT TYPE PAYOR CASHIER:CCARPENTER.-• —COMMENTS • _ AMOUNT PAID
Credit Card BOOTHE IVAN SHANE 704.80
05462P
TOTAL PAID: 704.80
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Structural Permit Application SPRINGFIELD 5 DEPARTMENTy USE ONLY t,
is g
;CITY orSPRINGFIE it OREGON hiOGON ( C�225 Fifth Street♦Springfield,OR97477♦PH(541)726-3753♦FAX(54l)726 0689
Date: 970 g
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.
p _x- rv-�.q ..-..��ernfss
sz„' ,a-.e.,�i re CAL 00VERNMENS APP,ROVALr-.y^ ",; 'ettlY . ±ry Z,4FEEkSCHEDULE iNgEtt" '`-r+""-=1,
,. - .air ua.
This project has final land-use approval. 1 Va a hon mt;i=Wiuo 'a "'4 3?'^'x �- ""-p'
,.A>b.� ut, zy t*,.u?-a:�c u.6.r,-E.'sr�e,:i"
Signature: Date: (a)Job description: 1,1011--kb Pau t,Q9l)lala
This project has DEQ approval.
Signature: Date: Occupancy
Zoning approval verified: ❑Yes ❑No Construction type: �^� •
Property is within flood plain: ❑Yes ❑No Square feet: AO
v J
�,�,��z�S� CATEGORYiOF„_ONSTRUCT,ION2�� Cost per square foot $S Cc)}.s,zk
e residential ❑Government ❑Commercial Other information:
ratI JOBl SITE!INF"-,ORMAT10NTANElgiaCATION� '�
.k'' -. 'fir. Type of Heat:
Job site address: (1-3139 1)i h4 51 . • ' _ Energy Path:
City: SYYIP[lsh fj) J . State: f ZIP: ( A-� ❑new
❑alteration .addition
Subdivision: "�27 Lot no.: (b)Foundation-only permit? ID Yes o
Reference: 70'3 Z72// Taxlot oZ 6Q
Total valuation:
`, - xs . P.ROPER T. �.O.W RMOD,f� "$ a �2�Bt"drmur^rec WZ
naR .LV-Vate ��
Name: S H •N F BO['lit.
(a)Permit fee(use valuation table): $ 4o S $j
Address: =)1 9 ¶o t �T, (b)Investigative fee(equal to[2a]): $
City: `DI?- HtftR.D State:Off- ZIP:'57(4')1 (c)Reinspection(S per hour):
Phone: Fax: - - / (number of hours x fee per hour) $
E-mail: _KU f-ni@toi11 QtQS�`(n,L-µl (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $ Zh
J (e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing s application: \ 4`3T?Plrlit view fe ail t �Kz,,f T�?`lliar¢'}
Sign fl/4n�����"„ r 4) 513 �59� (a)Plan review(65%x permit fee[2a]): $/72 1L
Sin here: '�'"
(b)Fire and life safety(40%x permit fee[2a1): s
❑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 seen ou es "" `s s ar requirements under ORS 701.010.
Es". v-, ^- ,Pt„ (a)Seismic fee, 1%(.01 x permit fee[2a]): $
me rg CONTRAC ORttINSTALLATIONa ,7r'' rt„ey,
O�N:�_ (b)Technology fee,5%(.05 x permit fee[2aj): s /?�4
Business name: C/....
Address: TOTAL fees and surcharges(2e+3c+4a+4b): S `ig3Eir.
City: State: ZIP:
Phone: - - _ Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
P .,3SU6 CONTRACTOR INFORRATIONi,,-> ,',I '
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical .
. s
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