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Home My WebLink AboutPermit Building 2013-10-28 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 i .17(C.422) Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02198 www.springfield-or.gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/2812013 EXPIRES: 04/26/2014 STATUS DATE: 10/28/2013 APPLIED: 10/01/2013 SITE ADDRESS: 233 9TH ST,Springfield,OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703354200800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ST-Move exterior bathroom wall out 18 inches-requires historic review. OWNER: CHAFFIN-BRITT LORI Phone Number: ADDRESS: 233 N 9TH ST SPRINGFIELD OR 97477 • L. CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor TONY VICTOR DENN CCB 153447 11/13/2014 541-954-4012 L INSPECTIONS REQUIRED Inspections 1110 Footing Footing: After trenches are excavated. 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 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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 located at the front of the property, and the approved set of plans will remain on the site at all times during construction. n Al I tl`J I IUN: Oregon law requires you to r cohtr ctor Signature Date follow rules adopted by the Ore on Utility THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 902 -001 0010 through OAR 952 00th AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. .: number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 10/28/201 10:15:26AM Page 1 of 1 SPRINGFIELD - ______it OF SPRINGFIELD .Caw 225 Fifth St \t OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S P R2013-02198 www.springfield-or.gov 233 9TH ST permitcenter@springfield-ar.gov RECEIPT NO: 2013002369 RECORD NO:811-SPR2013-02198 DATE: 10/28/2013 [DESCRIPTIO■ - - - ACCOUNT CODE/TRANS,CODE _ -.74 ' ' ?AMOUNT DUE-' 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 zI=PAYMENT TYPE- - PAYOR CASHIER:CCARPENTER ,COMMENTS - - '. `AMOUNT PAID.:- _ ''•,i Check TONY VICTOR DENN _ !93.60 1902 TOTAL PAID: 93.60 • Structural Permit Application SPRINGFIELD - DEPARTMENT USE ONLY CITY OF SPRINGFIELD; OREGON :�N Permit no.: e� ..225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726 3689 .OREGON ��— Date: Mi/ // 3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of ssua�ce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. 1. Valuation information • Signature: ° rt Date: (a)Job description:�(Z✓fJx_ �-,��D� � � x� 7�p This project has DEQ approval. n �t Occupancy A Signature: Date: 1 / Zoning approval verified: ❑ Yes ❑No Construction type: V r3 Property is within flood plain: ❑ Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: • _IN.Residential ❑Government ❑Commercial Other infonnation: JOB SITE INFORMATION AND LOCATION 'Type of heat: Job site address: g33 R 04 sr Energy Path: City: 5 p1Z_//`ICf,ew State:04- ZIP:97Y-7? ❑new ['alteration addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Ycs ❑No � Reference: , I Taxlot: Total valuation: $C.2c��yy--J - • PROPERTY OWNER • 2. Building fees Name: 7A P4 Cr- Do"I”.1 «y (a) Permit fee(use valuation table): $ tOl9CJ i Address: a 3 11* S F (b)Investigative fee(equal to[2a]): $ City: 5P,e t Cr f/6L13 State: old ZIP:17 (c) Reinspection($ per hour): $ Phone: S'f/-57'4 t 2 6 Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2e1): $ 9 (c)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees . 1 (a) Plan review(65%x permit fee[gal): $ Sign here: _^ J (h)Fire and life safety(40%x permit fee 12a)): $ ❑This installation is being n5/ade on residential or farm property owned by (c)Subtotal of Pees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing 4. Miscellaneous fees requirements under ORS 701.010. (a) Seismic fee. I%(.01 x permit fee[tap: $ CONTRACTOR INSTALLATION (b)Technology fee,5%(.05 x permit Ice[2a I): $ 0i 0 Business name: 3NY O CAN 'IOTA I.fees and surcharges(2e+3e+4a+4b): $ y Address: 266 wea 4ccAr3c13 04, City: 64.46.04C State: a e ZIP: '71011 Phone�Y(-I'- y-6/2, Fax: - - r E-mail: 7 o/.[YVOEPIN & his AI.C&' C -] Iri/3-6t)"( CCB license no.:( c3 ip-i-7 J Print name/ 3N/�-Y DE/s1/4 Signature:`/ �-7 SUB-CONTRACTOR INFORMATION. . Name CC13 License# Phone Number Electrical Plumbing ,� do, pt_u -1aer.16._ i6pn;5 c /-2C67440 -- j 3 219V Nice hanical • • SPRINGFIELD- a S 225 Fifth St `� CITY OF SPRINGFIELD Springfield,OR 97477 i Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02394 www.springfield-or.gov permitcenter@springfield-or.gay PROJECT STATUS: Issued ISSUED: 10128/2013 EXPIRES: 04/26/2014 STATUS DATE: 10/28/2013 APPLIED: 10/28/2013 SITE ADDRESS: 233 9TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703354200800 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: PL-Move exterior bathroom wall out 18 inches-requires historic review. OWNER: CHAFFIN-BRITT LORI Phone Number: ADDRESS: 233 N 9TH ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor TONY VICTOR DENN GCB 153447 11/13/2014 541-954-4012 C 8 R PLUMBING LLC (PB)Plumbing Col PB69 07/01/2014 541-206-7611 INSPECTIONS REQUIRED Inspections 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3315 Water Line 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 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. /^L v. " ` 3 c -i— ga ( 3 Owner or C»(ntractor Signature Date ATTENTION: Oregon law requires you to • NOTICE: _ 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- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • • Springfield Building Permit 10/28/201 10:13:31AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD if TRANSACTION RECEIPT spsmgfield! � OR 97477 Fifth S �. 541-726-3753 OREGON 811-5 PR2013-02394 www.springfield-or.gov 233 9TH ST permitcenler @springfield-or.gov RECEIPT NO: 2013002370 RECORD NO:811-SPR2013-02394 DATE: 10/28/2013 DESCRIPTION -= - ACCOUNT CODE/TRANS CODE ' �AMOUNTDUE Bathtub _-_-_�.�u.�w 224-00000-425603 1005 21.00 Replace in-building water supply line 224-00000-425603 1005 83.50 . Sink/basin/lavatory 224-00000-425603 1005 42.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 27.60 Technology fee(5%of permit total) 100-00000-425605 2099 11.50 Water Line 224-00000-425603 1005 83.50 TOTAL DUE: 269.10 _ . _ . 'AMOUNT PAID - TONY- -�-'"PAYOR-- cnsNlEa:'ccARPENrER ��, '; . 'COMMENTS •;j'. • "- ' Check TONY VICTOR DENN 269.10 1902 TOTAL PAID: 269.10 • • • • I i I"; eri 0 0: • qa, J, 11 i 11; Nr, 1 0 7i Z • al lei. • 1/.11 'el 2: • 3-i I Q r U. 6 grii • Oi (tfr • ti• tc5; (1.1 !- I i 1 -11 II z s . ' lilt ; t i 1111 A , ss AZ i / t� 7 s H , 1 ' : R tilt I E E i 9 1 t , a NE 91/1 1 1 € , E1 ! � t Id E 4 : } dsiB Y !: 1 „. i 111111111 1 - . , •-„ , •. .4. ! Q.; x , , i „ ,4, , ,, „ , , . --„, , , , • z ... i 1 1 ii 1 , i ' , , E , � , 1 ,11 i, 1 ii I, , i j H I .w . . ...._ J III I 1 1RIOhII! • ' . . . '.x.-, : Z . , • . , -...-s• le 0; ; . . . . . r . • la dg 1.1 t,' • • ia'' 12 ,i "2 . 4 - :.—•• er ... • 2 l'i ta 4 • . . I i • , i . . . ......_.. .-- • . . . . • . . . • . . . .-. . I . • . ! • • • 1 • . . . . 1 • . ! . . . . I • .,.. r ,.., . . . . . - 7 . et: . . . .' i . . ... : . a 1 42, — . S. - C 4 • -' I -L1 -s- _,-.. . ;-4 . • . . 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