HomeMy WebLinkAboutPermit Building 2013-12-11 SPRINGFIELD 225 Fifth St
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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