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HomeMy WebLinkAboutPermit Building 2013-12-11 SPRINGFIELD 225 Fifth St li CITY OF SPRINGFIELD Springfeld,OR97477 #`''-� ti Phone' 541-726-3753 OREGON Building 1 Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02651 www.springfield-or gov permdcenter @springheld-or.gov PROJECT STATUS: Issued ISSUED: 12/11/2013 EXPIRES: 06/09/2014 STATUS DATE: 12/11/2013 APPLIED: 12/11/2013 SITE ADDRESS: 2355 F ST, Springfield,OR 97477 SCOPE: Fire Damage ASSESOR'S PARCEL NO: 1703361114300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration OWNER: LOUIE JACK Phone Number: ADDRESS: PO BOX 2617 EUGENE OR 97402 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARTISAN CONTRACTING LLC CCb 180776 03/01/2014 541-343-3702 Mechanical Contractor ARTISAN CONTRACTING LLC CC6 180776 03/01/2014 541-343-3702 Plumbing Contractor ARTISAN CONTRACTING LLC 26 180776 03/01/2014 541-343-3702 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 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, 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 prs'•erty. and the approved set of plans will remain on the site at all times during const I• -,„ . ,././ .I.A._ -Owner or Contractor Signature Date Springfield Building Permit 12/11/201 3:05 35PM Page 1 et 1 SPRINGFIELD CITY OF SPRINGFIELD ' 225 Frfth St TRANSACTION RECEIPT Spnngfield.OR97477 1tEGON 541-726-3?53 811-SPR2013-02651 www spnngteld-or gov 2355 F ST permittenter@spnngfield-or gov RECEIPT NO: 2013002647 RECORD NO: 811-SPR2013-02651 DATE: 12/11/2013 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 47.42 Structural Building Permit Fee 224-00000-425602 1002 395.16 Technology fee (5% of permit totall 100-00000-425605 2099 19 76 TOTAL DUE: 462.34 PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Check ARTISAN CONTRACTING LLC 462.34 5119 TOTAL PAID: 462.34 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFINI.1). ()RI,GON air Permit no.:Si OREGON 225 Fifth Street•Springfield,OR 97477•P11(541)726-3753 a FAX(541)726-3689 3 �`� I Date: (2/(( / ( 3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issi ancetor if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. 1.Valuation information Signature: Date: (a)Job description: This project has DEQ approval. " �� f `��� Occupancy 7 Signature: Date: �"/ Zoning approval verified: ❑Yes ❑No Construction type:V Property is within flood plain: ❑ Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: lalt.�idential ❑Government I ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Job site address: ' ?j 5.--s' 5'J)" Energy Path: City: r 0 I State: 04e-- I ZIP:97Y?? ❑new Eateration ❑addition Subdivision: I Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: i/ e93 J f( I Taxlot:r L,y j Total valuation: I T= ( 1 PROPERTY OWNER 2. Building fees ,�,, Name: 1, L it /Q(,(j/3 (a)Permit fee(use valuation table): $ps- Address: 'C) f bi -24 (b)Investigative fee(equal to[2a1): S City: 6,(5/51,t4 State: O e- I ZIP:72'y0 Z (c)Reinspection(S per hour): (number of hours x fee per hour) S Phone: Fax: - - E-mail: ? tt q�,� ,v, (d)Enter 12%surcharge(.12 x[2a+2b+2cJ): 5 �� G'TY r°'g � / ! ` 3 6e-am.,G ssi.-r Rl[ (e)Subtotal of fees above(2a through 2d): S Building Owner Owner's agent aitilitihoio �'- application: 3.Plan review fees 04t1M (a) Plan review(65%x permit fee Pal): $ Sign ere- (b)Fire and life safety(40%x permit fee 12a]): $ IMPF ❑This instal ation is being made on residential 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 4.Miscellaneous fees requirements under ORS 701.010. o (a)Seismic fee, 1%(.0I x permit fee[2a]): $ CONTRACTOR INSTALLATION '. 1.4C.- (b)Technology fee.5%(.05 x permit fee[2a]): S Il9� -Business name: I�.s fn) a rijh I TOTAL fees and surcharges(2e+3c+4a+4b): $ [j Address: 26 ry /4 I' owl - IV 7 City: i F�'ui State: (}p2 ZIP: � 0�' Phone:Sy 7,75' Fax: "frt. . E-mail: ' f CCB license no.: /90 g 4 i 1 Print name. -,e../1 f Y Signature " `� SUB-CONTRACTOR INFORMATION Name CCB License 4 Phone Number Electrical 5/3 , 25- Y 3 Plumbing i .1e1.\) Piro?1,04 ,1 1g /3 Y1 s�/i—35 zo�S S' 3'24151 Mechanical 5/3-2G S-3 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR97477 ....L....aiiiiiiii III r . Phone: 541-726-3753 OKEGON Building / Residential Permit Inspection Phone. 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02652 www spnngfield-or gov permrtcenter @springfield-or gov PROJECT STATUS: Issued ISSUED: 1211112013 EXPIRES: 06109/2014 STATUS DATE: 12/11/2013 APPLIED: 12/11/2013 SITE ADDRESS: 2355 F ST,Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703361114300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration OWNER: LOUIE JACK Phone Number: ADDRESS: PO BOX 2617 EUGENE OR 97402 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARTISAN CONTRACTING LLC CCB 180776 03/01/2014 541-343-3702 Plumbing Contractor ARTISAN CONTRACTING LLC CCB 180776 03/0112014 541-343-3702 Mechanical Contractor ARTISAN CONTRACTING LLC CCB 180778 03/01/2014 541-343-3702 Plumbing Contractor GLENN PRO INC CCB 189341 01/21/2016 541-345-2055 INSPECTIONS REQUIRED II 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 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 ,roperty,and the approved set of plans will remain on the site at all times during constructio•. / ,,..1- Al ""( _ ,A ir,____- Owner or Contractor Signature Date IS PERMIT SHALL EXPIRE IF THE WORK ...I-HOPI/ED UNDER THIS PERMIT IS NOT :c: .1ENCED OR IS ABANDONED FOR "' " nn r„AY PF flV ). Springfield Building Permit 12/11/201 3.01:53PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 1 225 Filth St TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 ONEGON 811-SPR2413-02652 www springfield-or gov 2355 F ST permitcentergsanngheld-or gov RECEIPT NO: 2013002646 RECORD NO: 811-SPR2013-02652 DATE: 12/11/2013 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Bathtub 224-00000-425603 1005 42.00 Clothes washer 224-00000-425603 1005 21.00 Dishwasher 224-00000-425603 1005 21.00 Hose bibb 224-00000-425603 1005 42.00 Shower/Shower pan 224-00000-425603 1005 63.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 30.24 Technology fee(5%of permit total) 100-00000-425605 2099 12.60 Water closet 224-00000-425603 1005 42.00 Water heater 224-00000-425603 1005 21 00 TOTAL DUE: 294.84 PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Check ARTISAN CONTRACTING LLC 294.84 5119 TOTAL PAID: 294.84 5NRINGFIELD 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-SPR2013-02653 www.springfield-or.gov permitcenteri$spnngtield-or gov PROJECT STATUS: Issued ISSUED: 12/11/2013 EXPIRES: 06/09/2014 STATUS DATE: 12/11/2013 APPLIED: 12/11/2013 SITE ADDRESS: 2355 F ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703361114300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration OWNER: LOUIE JACK Phone Number: ADDRESS: PO BOX 2617 EUGENE OR 97402 CONTRACTOR INFORMATION J Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ARTISAN CONTRACTING LLC COB 180776 03/01/2014 541-343-3702 Mechanical Contractor ARTISAN CONTRACTING LLC CCB 180776 03/01/2014 541-343-3702 Plumbing Contractor ARTISAN CONTRACTING LLC CCB 180776 03!01/2014 541-343-3702 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 re.uested at the proper time,that each address is readable from the street. that the permit card is located at the f I nt oft • opert ,and the approved set of plans will remain on the site at all times during consnnn�rubfla�r ■.? wner or Contractor Signature Date Springfield Building Permit 12/11/201 2 59 55PM Page 1 of 1 • SPRINGFIELD ci rY OF SPRINGFIELD lidg � TRANSACTION RECEIPT 225 Fdth S1 Springfield,OR97477 541-726-3753 OREGON 811-SPR2013-02653 www springfield-or gov 2355 F ST permttcenter @springtield-or gov RECEIPT NO: 2013002645 RECORD NO: 811-SPR2013-02653 DATE: 12/11/2013 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE First Appliance Fee 224-00000-425604 1006 80 00 Single-duct exhaust(bathrooms, toilet compartments, utility room! 224-00000-425604 1006 30_00 State of Oregon Surcharge(12% of applicable fees) 821-00000-215004 1099 13 20 Technology fee(5%of permit total) 100-00000-425605 2099 5 50 TOTAL DUE: 128.70 PAYMENT TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID Check ARTISAN CONTRACTING LLC 128.70 5119 TOTAL PAID: 128.70