HomeMy WebLinkAboutPermit Building 2013-10-11 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
"'riN`OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02289
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www.springfield-or.gov permitcenter(ojspringfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/11/2013 EXPIRES: 04/09/2014
STATUS DATE: 10/11/2013 APPLIED: 10/11/2013
SITE ADDRESS: 857 S 67TH ST,Springfield,OR 97478 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1802031105400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Partial Garage conversion-168 SF converted to habitable dwelling space-"cadet"wall
heat.Not reviwed or approved as a sleeping room,living space only.
OWNER: MCKINNIS PHILIP A&HAFEEZA Phone Number:
ADDRESS: 857 S 67TH 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
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1420 Insulation Vapor Barrier
1460 Insulation
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
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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 locat at he fro of the property, and the approved set of plans will remain on the site at all times during
construction.
I0 -11 M3
. Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to •
• follow rules adopted by the Oregon Utility
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Notification Center. Those rules are set forth NOTICE: •
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by 1UTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification ANY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 10/11/201 3:09:50PM Page 1 of 1
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. • SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
'k O OREGON 541-726-3753
811-SPR2013-02289
www.springfield-or.gov 857 S 67TH ST permitcenter @springfleld-or.gov
RECEIPT NO: 2013002271 RECORD NO:811-SPR2013-02289 DATE: 10/11/2013
I L.1..g dkii. C -SA te, . s .r a _:2_1._., ACCOUNTTCODEIPRANSFCODE "' 4 =_.` AMOUNT DUE i.i
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Structural Building Permit Fee 224-00000-425602 1002 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
WAYMENT.TYPE ,P.AYOR tASTi R du a ! d COMMENTS AMOUNTj,P.AID
Credit Card MCKINNIS PHILIP A&HAFEEZA 93.60
711131
TOTAL PAID: 93.60
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Structural Permit Application DEPARTMEriigi E oNL f
CITY OF SPRINGFIELD,OREGON S;s� `' Permit no.
225 Fifth Street•Springfield,OR 97477 F PH(541)726-3753•FAX(541)726-3689 OREGON et( 2e2(3 o z2 9f1
Date: ,,A,h,
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.
= i"r :rli ; LOC)ZL'GOVERNMENT APPROVAL r ,ALiMt
F h. , F :E,SCHE giangt SPi Krim
This project has final land-use approval. }1 Valuatton(info?matiouWi z? rr 77« a ;1",,",]-S)
Signature: Date: (a)Job description:
This project has DEQ approval. Occupancy
Signature: Date:
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Zoning approval verified: ID Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No - Square feet:
a at 5.`�?t;ACATEGORY OF;EONSTRUCTION ' Cost per square foot:
., Residential 0 Government ❑Commercial Other information:
g,.,,_v-, f'JOB SITE`,INFORMATION ANDaEOCATION_r '';�, " 1�.'." Type of Heat:
Job site address: F -7 5-. (,7 S Energy Path:
City: cp( , r....,,, State: Op I ziP. 7 p - ❑new ['alteration ❑addition
Subdivision: I Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: I Taxlot: Total valuation: zcco S
n m'- n x
.��".�v:"°_71.�]�wx.H�,n'�:`.,. .PROPERTY,�OWNER _.tj:"I��"t+t..'�Rx`: .nS.;� ;2�Buddmg fees�'`,i_��;;�..-'.:. T, t.[-.' ",and,`��;a`.a�,*��" um
Name: I kAAGIC/n,I,/I S (a)Permit fee(use valuation table): $
Address: Zr, (7� i 67t ry f r (b)Investigative fee(equal to[2a]): $
City: (r B v(10 State: OR, ZIP:244/0? (c)Reinspection($ per hour):
�� (number of hours x fee per hour) $
Phone: C�ia v6/y-74 Far - - .
E-mail: vii Ckt p/l jr" c/1,844-1,,.-y ric•C fled-
7 (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
(e)Subtotal of fees above(2a through 2d): $
Building Owner o is .gent' thorizing this application lantreview fees?;`f.i $ `b' :7:erf: ;'i -W4i-_
_ (a)Plan review(65%x permit fee[2a]): $
Sign here: �� • (b)Fire'and life safety(40%x permit fee[2a]): $
❑This insta ation 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 s45 ii4 ellane`ous'fees -,.,,-r :ffi r'S'r.��_ :., n ti cs; `,
requirements under ORS 701.010. 0
(a)Seismic fee; 1%(.Ol x permit fee[2a]): $
Lal"j _j ,i CONTRACTOR INSTALLATION:.:.,;:,-,71-.2,t43 `.;,, , '""' o
(b)Technology fee,5%(.05 x permit fee[2a]): S
Business name: d
TOTAL fees and surcharges(2e+3c+4a+*ib): $ ?q 7)
Address:
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
1,dj,L,,ignP" igHtt`CONTRACTOR:INFORMATION r' 1
Name CCB License# Phone Number
Electrical .
Plumbing
Mechanical