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Permit Building 2014-1-17
SPRINGFIELD'- 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-SPR2014-00048 www.springfield-or.gov permitcenter @springfield-or.gav PROJECT STATUS: Issued ISSUED: 01/17/2014 EXPIRES: 07/16/2014 STATUS DATE: 01/17/2014 APPLIED: 01/09/2014 SITE ADDRESS: 933 A ST,Springfield,OR 97477 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1703354203900 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: ST-Attic conversion to bed/bath/living space OWNER: FRITZ FREDERICK JOE 8 BARBARA Phone Number: 541-206-7492 ADDRESS: 933 A ST • SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections cvJI_O 1260 Framing Framing Inspection: Prior to cover and after all rough in inspe ctions hvb eeir approved. ,ce 1410 Underfloor insulation \a`. e— '�' g S"' 1420 Insulation Vapor Barrier cY v. 0 0`P \``` cv 1.(4) c r\er? 1430 Insulation Wall Wall Insulation: Prior to cover. N�.,�O �epse�G10�n OOP;\ �OM1� 1440 Insulation Ceiling •• p Q Ceiling Insulation: Prior to cover. �\t'`J r\0° OOv Ob�� ��V �l� 20~ 1540 Gypsum Board/Lath/Drywall t✓ ...c2 QDrywall: Prior to taping. Lath/Plaster: Tolbn m ade P a.fteia-l 9a and gypsum t;• v�r, e.. ti t•Fboard, interior and exterior are in place;but,prior.to.plastenng:. 1999 Final Building �tZ�., Final Building: After all required inspect ni;t ve-be t uested and approved and L•ki Q 0� the building is complete. na co 0 By signature, I state and agree,fhat`ltlave carefully examined the completed application and do hereby certify that all information hereon is true and 49.?r1, d I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Sprit fief an; thV Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made obanns>jucttl�without permission of the Community Services Division, Building Safety. I further certify that only contractor4ndemp?o ee s who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all regdired�n pecti0ns requested at the proper time,that each address is readable from the street,that the permit card is located;at ihe,fro f thy property,and the approved set of plans will remain on the site at all times during construction. :9 c0 . 4 • co- Owner or Contractor Signature Date • Springfield Building Permit 1/17/2014 9:50:00AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD _, k- i. `„ TRANSACTION RECEIPT Springfield.OR 97477 ��� 225 Fifth St 541-726-3753 OREGON 811-S PR2014-00048 www.springfield-or.gov 933 A ST permitcenter @springfield-or.gov RECEIPT NO: 2014000118 RECORD NO:811-SPR2014-00048 DATE:01/17/2014 DESCRIPTION .: „:- -: ' ' -- .- ACCOUNT_C.ODE/TRANSCODE_ AMOUNT DUE,_-, SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 278.56 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 570.72 SDC:Total Sewer Administration Fee 719-00000-426604 1175 42.46 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.04 Structural Building Permit Fee 224-00000-425602 1002 141.96 Technology fee(5%of permit total) 100-00000-425605 2099 7.10 TOTAL DUE: 1,057.84 L._PAYMENT TYPE __ PAYOR_CASNIER_OCARPENTER_ _. _ COMMENTS - AMOUNT PAID . Check FRITZ FREDERICK JOE& BARBARA 1,057.84 2741 TOTAL PAID: 1,057.84 i: • Seo� otiop A es�ro C' . C' tir eQ a' r • s'-' . �\``aa\ • V' �, SPRINGFIELD CITY OI SPRINGFIELD 14 -(rte.- 225 Frfih St t TRANSACTION RECEIPT Springfield OR 97477 OREGON 541-726-3753 811-S P R2014-00048 www.springfie1d-or.gov 933 A ST permitcenter©springfield-or.gay RECEIPT NO: 2014000043 RECORD NO:811-SPR2014-00048 DATE:01/09/2014 (DESCRIPTION ACCOUNTCODE/TRANS CODE _AMOUNT DUE-..:' Structural Plan Review Fee Residential 224-00000-425602 1061 92.27 TOTAL DUE: 92.27 j._PAYMENT TYPEy__PAYOR - CASHIER:CCARPENTER COMMENTS. AMOUNT PAID' `;4 Check FRITZ FREDERICK JOE& BARBARA 92.27 2737 TOTAL PAID: 92.27 • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY•n°"', 46ITY OF,'SPRINGFIELp, OREGON j"' t:h' 4^ ‘`.-ay 6: Permit no.: 225 Firth Street•Springfield.OR 97477•PI1(541)726 3753•FAX(541)726-3689 0aFGON 5��/ �Q�y� Date: //q//c-( 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. I. Valuation information Signature: Date: �!* -Y& e),vven_(/0N (a)Job description: 11 �r LPJ This project has DLQ approval. ? Occupancy Signature: Date: Zoning approval verified: ❑ Yes ❑ No Construction type:03 - Property is within flood plain: ❑ Yes ❑ No Square feet: CATEGORY OF CONSTRUCTION Cost per square loot: /residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Job site address: q'Jj -5 A S .EET Energy Path: City:3_ft 11,1:1A lies t State: or. ZIP: 971,77 ❑ new alteration ❑ addition Subdivis on: U Lot no.: (h) Foundation-only permit? ❑ Yes ❑No Reference: 17)33 94 ?1,„,,,t, 6 _S (Q 0 d Total valuation: 2060 PROPERTY �O^WNER /Q� ���� 2. Building fees Name:r tpAcIZ 'OF, i e_r cp ( 61 \o3 ) (a) Permit fee(use valuation table): $ /L0 t-"f,f4 Address: �33 QL (b) Investigative fee(equal to leap: • $ City: e�Jp Stat¢ Off 7_1117.4 r77 (e) Reinspeetion($ per hour): $ Phone: S ill- eVQj `7-_ cz, Fax: 4JG2/JE.. (number of hours x fee per hour) E-mail: x) I tZ 876 3 ® A-02 . tt r.-_L (d)linter 12%surcharge(.12 x 1211+2b+2CI): $/7L"r (e) Subtotal of fees above(2a through 2d): S Building Owner or vncr'§ agent authorizing this application: 3. Plan review fees _ ( (a) Plan review(65%x permit fee R.*: $q2 G7 Sign here: r n n- g /i-e���y (b)Pire and life safety(40%x permit fee 1_al): $ ❑This install,lion is being made on r• '<ential 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 4. Miscellaneous fees requirements under ORS 701.010. (a) Seismic fee, 1%(.01 x permit fee pal): $ CONTRACTOR INSTALLATION b 'fechnolo g y fee, 5/ (.05 x permit fee 12t : $ Le:- Business name: /,,97tc2/`" - ) �(..�' ' TOTAL fees and surcharges(2e+3c+411+4b): S ::,;31 Address: , City: State: ZIP: Phone: - - Fax: - - E-mail: CCU license no.: Print name: • Signature: SUB-CONTRACTOR INFORMATION ' Name CCI3 License# Phone Number k\` 1-Electrical x Plumbing N f tte., Sig - 0009) Mechanical elWltkAV — SIu-ceo'-/