Loading...
HomeMy WebLinkAboutPermit Building 2014-2-24 SPRINGFIELD-..- 225 Fifth St • lit CITY OF SPRINGFIELD • Springeeld,OR 97477 Net Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00400 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 02/24/2014 EXPIRES: 08/23/2014 STATUS DATE: 02/24/2014 APPLIED: 02/24/2014 SITE ADDRESS: 503 WALNUT PL,Springfield,OR 97477 SCOPE: Bedroom . ASSESOR'S PARCEL NO: 1703342304900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Finish attic bonus room to sleeping room(By prior owner) OWNER: LANDY FAMILY 1992 REVOCABLE LIVING TRUST . Phone Number: ADDRESS: 503 WALNUT PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 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. a':4112C-1 )— .s6C--<--' ( Le Owner or Contractor Signature Date ATTENTION: Oregon law requires you to • NOTICE: • - follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth . in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 2/24/2014 10:47:43AM Page 1 of 1 • SPRINGFIELD - CITY OF SPRINGFIELD•:+a. 225 Fifth St <«; TRANSACTION RECEIPT Springfield,OR97477 OREGON 591-725-3753 811-SPR2014-00400 • www.springfield-or.gov 503 WALNUT PL permitcenter©springfield-or.gov RECEIPT NO: 2014000392 RECORD NO:811-SPR2014.00400 DATE:02/24/2014 [DESCRIPTION : 11 _ _ _ ACCOUNT CODE/TRANS CODE';; AMOUNT.DUE_i State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.84 . Structural Building Permit Fee , . 224-00000-425602 1002 90.33 Technology fee(5%of permit total) 100-00000-425605 2099 4.52 TOTAL DUE: 105.69 i . - .AMOUNT PAID - -.PAYMENT TYPEPAYOR. CASHIER:ccnRPENrER _ �OOMMENTS____ _ - ___._ __ - i Credit Card ALVIN LANDY 105.69 04108C TOTAL PAID: 105.69 • ■ • . Structural Permit Application SPRINGFIELD DEPARTMENT USE ON v CITY OF SPRINGFIELD, OREGON °— :' Permit no.:S, / 225 Fifth Street♦Springfield,OR 97477♦P1E541)726-3753♦FAX(541)726-3689 OREGON / oo Date: 2 2_9 l 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. C �T ..r q . ,..,,u�,t�.:..Vigi.isIM.-.�..- ,Y...7.... ''. `t' ' E' FEE{S'CHEDU E t r.: 'f"^ 'y -H ,,., v.��,;10CALwGOVERtJMEN7° APP,ROVAL� �_ ,,.,.�,.,,��la This project has final land-use approval. L_V la uatibn inform tbn , ' lx , . M;�` r.�. .`{,�i Date: (a) description: (,'aidesc.r vhrn c/6ovlcs C Pa) Signature: a Job descri lion: This project has DEQ approval. Occupancy Signature: Date: � /� Zoning approval verified: El Yes ❑No Construction type: V U Property is within flood plain: ❑Yes ❑No - Square feet: �"`?'' .r e ir'a CATEGORY OF`CONSTRUCTIONMEWLee' Cost per square foot: ❑'Residential ❑Government ❑Commercial Other information: .O. n.,.».,m "',,.JOB;SIT/E i1JF.OR'M�\ATION ANDS:L'OOATION';", ,r.�` Type of Heat: • Job site address: `7 0-3 LA) C-tJ(a.-`>" P1. Energy Path: .,, /� City: •Fia(L State:Q V i ZIPq- -ri) ❑new teration ❑addition Subdivision: / Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference:/76 3 ,�12 Taxlot ()1/9 d& Total valuation $.\-.2)/A.)/A.) 4: Pi20PER!1WNER' _ 2 3iai g f O :4' Name: (gM . I J '$ , '� P On- 4fr 3 . . Aka (a)Permit fee(use valuation table): $ c3�33 Address: SA 4LIe (b)Investigative fee(equal to[2a]): $ City: CA-0....e / State: ZIP: (c)Reinspecfion($ per hour): Phone:5j 4((^is(- 6 6 ( 9 Fax: - - (number of hours x fee per hour) - $ E-mail: &c Sc Vc Q e_o 1-4crosT; tJ'Z'c (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ /() 1r4 (e)Subtotal of fees above(2a through 2d): $ - Building Owner or Owner's agent auth ing this application: s3.'Plan i view fees "' 7{[ - p (a)Plan review(65%x permit fee[2a]): $ Sign here: ! G�ipermit(b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing a- �4 = `+i•-� , *"revs i ,` B' N Mrscellaneousfeese i= �,r,;ry .;tNi.# ~ requirements under ORS 701.010 (a)Seismic fee, l%(.01 x permit fee[2a]): $ j,. .y,,},CONT04604-301-.--4±,CTOR INSTALLATION '„st1 Y l ''i,2�_—_,', - (b)Technology fee,5%(.05 x permit fee[2a]): $ S� Business name: TOTAL fees and surcharges(2e+3c+4a+4b): $ /0 5- Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: A-Ce�-tt't (a [-i, 4r pot-2-44q J� C4f�y Signature: C (y.- Get-. :)1 (_ - . .LL SLI ONTRACTORIINFOR__MllAT10N� s, Name CCB License N Phone Number Electrical Plumbing Mechanical