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Home My WebLink AboutPermit Building 2014-1-15 SPRINGFIELD 225 Fifth St 31 - -'` CITY OF SPRINGFIELD Springfield,OR 97477 __`ice "' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00008 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/15/2014 EXPIRES: 07/14/2014 STATUS DATE: 01/15/2014 APPLIED: 01/03/2014 SITE ADDRESS: 526 WALNUT PL, Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703342303700 • TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install dormers OWNER: OWEN THOMAS 8 JANE Phone Number: ADDRESS: 526 WALNUT PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor DAVID ZARZVCKI GENERAL CONTRACTOR INC CCB 105626 04/26/2015 541-688-0243 INSPECTIONS-REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. • 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 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. A a 'fir_ 11 ($/14-- 'ten. regon Owner or Contracto Date follow rules adopted law requires you to by the Oregon Utility NOTICE: • Notification Center. Those rules are set forth 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 AUTHORIZED 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 1/15/2014 12:21:16PM Page 1 of 1 SPRCFlELD CITY OF SPRINGFIELD • it 4, -des... t1 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 r' tj9 541-726-3753 OREGON 811-SPR2014-00008 wwwspringfield-ar.gov .526 WALNUT PL permitcenter @springfield-or.gov RECEIPT NO: 2014000101 RECORD NO:811-SPR2014.00008 DATE:01/15/2014 DESCRIPTION • , : - --. • ' ACCOUNT CODE/TRANS CODE__.__ %_AMOUNTDUE _ State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.51 Structural Building Permit Fee 224-00000-425602 1002 162.61 Technology fee(5%of permit total) 100-00000-425605 2099 8.13 ---� — TOTAL DUE: 190.25 1 --PAYMENT TYPE PAYOR • CASHIER:CCARPENTER COMMENTS ` AMOUNTPAID . =j Credit Card DAVID ZARZYCKI GENERAL 190.25 08662S CONTRACTOR INC TOTAL PAID: 190.25 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fdth St ° OREGON TRANSACTION RECEIPT SpringfelGOR 97477 541-726-3753 811-SPR2014-00008 www.springfield-or.gov 526 WALNUT PL permitcenter @spdngfield-or.gov RECEIPT NO: 2014000007 RECORD NO:811-SPR2014-00008 DATE:01/03/2014 ol: _ ,_., _`i„ _, 3tf:22 .,;,_".:.a-,-±1 _,._,:..�.,,,r".-pCCOUNT-CODEITRANSCODE_.,,_?�1,5,�:1:AMOUNT:DUE:,_; Structural Plan Review Fee Residential 224-00000-425602 1061 105.70 TOTAL DUE: 105.70 P-AYMENTTYPE }°-PAYOR 'v CASHIER:''DBOWLSBY ,'°'`;, 'LCOMMENTS e-'; �3 .eE rye.. o Credit Card david zarzycki 105.70 07642s TOTAL PAID: 105.70 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF'SPRINGFIELD, OREGON e fi .: ;� ; Ktl,: Permit no Si 00dO 8 225 Fifth Slieet•Springfield,OR 97477•PH(541)726-3753•I AX(541)726 3689 OREGON Date: V 3 /V •This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of is uance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. I.Valuation information�� Signature: Date: (a)Job description: 'io\")0(L-N"t'ft�S This project has DEQ approval. R-3 Occupancy Signature: Date: Zoning approval verified: ❑ Yes El No Construction type: \ig Property is within flood plain: ❑ Yes ❑ No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: esidential . ❑Government ❑Commercial Other information: 'JOB SITE INFORMATION AND. LOCATION Type of Heat: Al Job site address: 52 la W \1 Pi—. Energy Path: r11 City yyr:41dd Stateee _ ZIP:V4-7[ ❑new ❑alteration addition � Subdivision: - y Lot no.: (h)Foundation-only permit? ❑ Yes ' No Reference:'703 J Li Z 3 I Taxlot: 0 37c 0 Total valuation: $ /0 4 PROPERTY OWNER 2. Building fees ( Name: 't,IV\ (a) Permit fee(use valuation table): $ f (' Address: 924; jJAL1.)t-C P L, (b)Investigative fee(equal to Pal): $ City: -5 PQ1 4 ftI� Stale: � %11g74_1 (e) Reinspection($ per hour): 2 (number of hours x fee per hour) $ Phone:---a, -J� Fax: - - E-mail: (d)Enter 12%surcharge(.12 x 12a+21)+20: $ 5( (c)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees.. .- • ' , 76 ink/. x (a)Plan review(65%x permit fee[2a I): $ e __ Sign here: (b)Fire and life safety(40%x permit fee 12a]): $ ❑This installation is ci •m de on residential or Inn property owned by (c) Subtotal of fees above(3a and 3b): $ me or a member of my i ed ate family,and is exempt from licensing 4,b1iseellaneous fees requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee Pal): $ CONTRACTOR INSTALLA' ION -_- -- -_ �!15 .-- - - (b)"technology lee.5%(.05 x permit Ieel2al): $ Business name: n;�r '\j' v. a — ..I QM , Zm S-t5 Address: R t � TOT,\I,fees and surcharges(2e+3N4a+46): S / City: k��.�C� ,` State:er , , 711I1'4711: . . Phone: - -�b$S-b-43 Fax x- ,-`itp c 4.1 2 ' E-mail: c�Nn7111e7' ac.,- , L�rie'a• anti CCB license no.: � '-J Print name: �1J li 7.6Ir7 ckA - Signature: - - SU:�i': RACTOR INFORMATION . - -- Name CCR License# Phone Number Electrical Plumbing Nice hanical .