HomeMy WebLinkAboutPermit Building 2014-3-25 SPRINGFIELD 225 Fifth St
`., - CITY OF SPRINGFIELD Springfield,OR 97477
z-.{ Phone: 541-726-3753
-- \OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00622
www.springfield-or.gov pe rm itcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03125/2014 EXPIRES: 09/21/2014
STATUS DATE: 03/25/2014 APPLIED: 03/25/2014 •
SITE ADDRESS: 7620 MCKENZIE HWY,Springfield,OR 97478 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1702354101402 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: S-Garage conversion,Bedroom and bathroom,compliance for work performed without
permits
OWNER: SOCIETY OF MARY 8 JOSEPH INC Phone Number:
ADDRESS: PO BOX 41028
EUGENE OR 97404
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
Electrical Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling 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
per it card is ocated at the front of the p p rty, and the approved set of plans will remain on the site at all times during
co str do .-
/ a 3-,QS-10/
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ATTENTION: Oregon law requires you to
Owner or Contractor Signature Date follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
NOTICE: . , 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
calling the center. (Note: the telephone
AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification
COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344).
ANY 180 DAY PERIOD.
Springfield Building Permit 3/25/2014 11:21:58AM Page 1 of 1
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SPRINGFIELD CITY 01:SPRINGFIELD
Ad -a. 225 Fifth St
TRANSACTION RECEIPT SpringfieldOR 97477
OREGON 541-726-3753
811-S P R2014-00622
www.springtield-or.gov 7620 MCKENZIE HWY permitcenter @springfieId-or.gov
RECEIPT NO: 2014000636 RECORD NO:811-SPR2014-00622 DATE:03/25/2014
tDESCRIP_TION , ,ACCOUNT_CODEITRANS CODES ` " ,ANIOUNT DUE*' '''
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60
Structural Building Permit Fee 224-00000-425602 1002 80.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.00
TOTAL DUE: 93.60
' 'AMOUNT PAID '
(,PAYMENT TYPE_„PAYOR_ CASHIER:ccnRPEN7Ers _COMMENTS __. _ � __ _......�
Credit Card Charles Kneisler 93.60
08578B
TOTAL PAID: 93.60
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Structural Permit Application SPRINGFIELD-- DEPARTMENT USE ONLY
r `. CITY OF`SPRINGFIELD, OREGON ' t' ;.'7 , 4
6,
r�- Permit no.: 9 Y �� 2
225 Fifth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726-3689 OREGON
Date: 312 5/ /i-
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. 1. Valuation information
Signature: • _ Date: (a)Job description: 47rrt.t-9 6,-,--/
Phis project has D13Q approval. 7T'
Occupancy
Signature: Date:
Zoning approval verified: ❑ Yes ❑No Construction type: Vr3
Property is within flood plain: ❑ Yes ❑No Square feet:
CATEGORY OF CONSTRUCTION Cost per square foot:
i'ciidential government ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION . Type of Ileac:
Job site a a aadddddress: / L.O e Ob Z Ix( HO J I �Q Energy Path:
City:S f 4 ji ,9Y o State:O9 HO _7Lf ❑ new tcration ❑addition
Subdiv :ion: ! 1 I.ot no.: `` (�/ (b)Foundation-only permit? ❑ Yes ❑No
Reference: I Taxlot: Total valuation: 52,303
PROgERTY OWNER 2. Building fees
Name91/rl1 1 i/ 440 C( f1 1. (a) Permit fee(use valuation table): — $ 8,302
Address - �r,�,� 4 - 1 17 (b) nvesti ative fee(equal to a $
_ O g ( 9 �2 �)
City: — e1Lra ' �) Reinspection($ per hour): •
rip Y - TO r - (number of hours x fee per hour) $
Phone: [ t' 1: J, .r ,I .
E-mail:eih jd„p{7 ropey. (d)Enter 12%surcharge(.12 x j2a+2b+2e j): $ 9
�.. (e) Subtotal of fees above(2a through 2d): S
Buildi 2 wn rlor Owner's a2en authorizi • this application: 3. Plan review fees
1� / y (a) Plan review(65%x permit fee 12a]): $
Sign,m ere: i / . (b)Fire and life safety(40%x permit fee Pap: $
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 4. Miscellaneous fees
requirements under ORS 701.010.
(a) Seismic fee, 1%(.01 x permit fee[2a1): $
CONTRACTOR INSTALLATION
(b)"technology fee,5%(.05 x permit feel2aj): $ 10--
Business name: (9'(.✓/t,ieL---- Q
TOTAL fees and surcharges(2e+3c+aa+4b): S 5yte
Address: /
City: State: ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
SUB-CONTRACTOR INFORMATION •
Name CCII License# Phone Number
Electrical 9 9 — �3 ,
Plumbing 51 , I ` 7 C-1•--
Mechanical ��� 7 l/A- 7
CIt( 2y