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Home My WebLink AboutPermit Building 2014-2-4 SPRINGFIELD 225 Fifth St lir'° CITY OF SPRINGFIELD Springfield,OR 97477 { t Phone: 541-726-3753 \OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00223 . www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/04/2014 EXPIRES: 08/03/2014 STATUS DATE: 02/04/2014 APPLIED: 02/04/2014 SITE ADDRESS: 5839 G ST,Springfield,OR 97478 SCOPE: Interior ASSESOR'S PARCEL NO: 1702342200414 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom and kitchen remodel OWNER: FRIEZE SHERRYL LYNN Phone Number: ADDRESS: 5839 G ST SPRINGFIELD OR 97478 _ 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 Electrical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1430 Insulation Wall Wall 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. Ig> - . gA1/4 t-( • , Owner or Contractor Signature Date - ' TICE: ATT€NTION: Oregon law requires you to PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility 40RIZED UNDER THIS PERMIT 15 NOT Notification Center. Those rules are set forh MENCED OR IS ABANDONED FOR in 90. You may obtain copies OAR 952-001-by 180 DAY PERIOD, 00 calling the cl�btain copies of the rules by Springfield Building Permit 2/4/2014 3:12:42PM g center. (Note: the teleph,?a9e 1 of 1 • number for the Oregon Utility Notification Center is 1-800-332-2344). . • SPRINGFIELD "- CITY OF SPRINGFIELD s:,...; 225 Flfth St TRANSACTION RECEIPT Spnngfield,OR97477 4.1 oaf 541-726-3753 " OREGON 811-SPR2014-00223 www.springfield-or.gov 5839 G ST permitcenter@spnngfield-or.gov RECEIPT NO: 2014000228 RECORD NO:811-SPR2014.00223 DATE:02/04/2014 3e7 thlkilir ' 'I -,; ' {i _ k i:ACCOUNP r o o A ' : . 'CODE: s_: AMOUNT;DUSEI State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 14.56 Structural Building Permit Fee 224-00000-425602 1002 121.30 Technology fee(5%of permit total) 100-00000-425605 2099 6.07 TOTAL DUE: 141.93 PAYMENTy PTMq E . PAYOR' E SxIER:iRliERTER . 'M COMMENTS NIQUNT4PAIP „ Credit Card CHELSEA QUESADA 141.93 03510b TOTAL PAID: 141.93 • • • • • • . Property Owner Statement • • Regarding Construction 'Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or 5.1 I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. • ..� JSe) • Print Name of Permit Applicant /0 CW4 ' 2��{ gal Signature of Permit Applicant Date • Permit#: 0F_ • • re • Address: �� Gt r�.�'M. �_� a G Issued by: Date: rA9 This Copy for Permit Offices Structural Permit Application D�EIARTMET 9 E o v €fl4 ea. CITY OF SPRINGFIELD,OREGON Permit no.5/ / 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•F iR'"2s OREGON 2 `1 22.5 AX(541)726-3689 Date: 2/`r/7/,-,- 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. f' 9'LOCALmGOVERNMENT APPROVAL 'vu's, "x>`' "r " ' '"? YBk FEv SCiEDUa tr"w ° 4 This project has final land-use approval. (1Vl"u ag ma[tuu � 71'� w ; ,11 Signature: Date: (a)Job description: 1j77f/ � D/, This project has DEQ approval. Date: Occupancy 2/ Signature: /! Zoning approval verified: 0 Yes ❑No Construction type: • Property is within flood plain: ❑Yes ❑No Square feet: I% "�, "`=$CATEGoRY,2OF tcoNSTRuc Tawas y Cost per square foot: ..IV/Residential ❑Government ❑Commercial Other information: o-.....�. ...,,... tn. m.�t na,. t _�.JOB�"SITE;;INFORMATION�AND„LOCATION„' �!, Type of Heat: Job site address: siii 6 S4. Energy Path: City (t4bf �� State: 02 ZIP:Gf'147^i ❑new - alteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference:� Taxlot: Total valuation: s -j!J - ,�� te,3 PROPERT's$,OWNER. at . 'ct":::9741 1t?`Buildyfe_"ex `t{=x ';; .tii, -rw;''"-`."r � -. : ° Name: \:10-106 a G tea: ft Q JES0Vt'A (a)Permit fee(use valuation table): $ /2i 7--Q- Address: GJ j C,D Vl7e-at'rit t f- -7Q (b)Investigative fee(equal to[2a]): $ City: EPgj (■ (a-E t.elp State: (a_ - ZIP:in (c)Reinspection($ per hour): i CJ J l_k&j� (number of hours x fee per hour) s Phone: Fax: - - - E-mail:Vtt.C[uec aJ4 e hb4-rnd.i\ •fpm (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ ! �� 1- (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing is's .• lication: V3tPlanr�` rte”evt w feestr"', , a4M,r ''.+',.:,,'cr.,+ .:'*. /� (a)Plan review(65%x permit fee[2a]): $ Sign here:) V1 t, I $ ' (b)Fire and life safety(40%x permit fee[2a]): S J3 a -This installation being made on residential 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 '?-` ._, ,' ” - e i`G �4.hMtscellan eous fees ,� ,,,� �� ;,�,,;�;._,r ,.�,;e; requirements under ORS 701.010. u .-�z�,,x ,� s sg s z; x s �ya vt (a)Seismic fee, 1%(.OI x permit fee[2a]): $ r,.yCONTRACTOR IN$TALLATIONt}ha xs - ;.4�'rerx:,.: (b)Technology fee,5%(.05 z permit fee[2a]): Sal Business name: t-LO/(jl� v TOTAL fees and surcharges(2e+3c+4a+4b): S/11/45-/L/% Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: - t411 11611SUB:7'CONTRACTORINEORMATION SIV „e,,, Name CCB License# Phone Number Electrical S i /,( 1-U y • Plumbing / / Co Mechanical D 3 / it -2 2 pi ll��b