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HomeMy WebLinkAboutPermit Building 2014-3-20 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 C r-4 - Phone: 541-726-3753 OREGON • Building / Residential Permit Inspection Phone: 541-726-3769 • • Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00436 ww v.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 03/20/2014 EXPIRES: 09/16/2014 • STATUS DATE: 03/20/2014 APPLIED: 02/27/2014 SITE ADDRESS: 3333 HAYDEN BRIDGE RD,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702193100201 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to SFD OWNER: RICE PHYLIS Phone Number: ADDRESS: 3333 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 • L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MATTHEW R CLEARWATERS CCB 135711 06/16/2015 541-968-8163 INSPECTIONS REQUIRED • Inspections • 1110 Footing Footing: After trenches are excavated. • 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1260 Framing Framing Inspection:- Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterip([gtR N: Oregon law requires y utility 1540 Gypslf?�lgp`�aFSf�ea} Li tie d by tho ()rearm Y NotirlCatlOrl l elllf Those rules�tYt f0ttflto taping. Lath/Plaster: To be made after all lathing and gypsum t OAR 2 2 001 0010 thrnilgh OPS�SIt001L-and exterior are in place, but prior to plastering. 1999 Fina klidln U, SYOU may obtain copies ofttlT61 0411 113. After all required inspections have been requested and approved and calling the.center. (Note: the 4tti1lll s complete. NOTICE: hher f r the Oregon Utility.Notification 77 I, P R IT SHALL EXPIRE 1F THE WORK By signaturenPsI ?e gr ttiag rati /examined the completed applicati�i r1 h r,l 1, lJ �� .P R IT IS NOT information hereon is rue and correct, and I further certify that any and all work performBd�Sppaa�I�1 r FOR Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining tothe; v la{1E&ittahleSeAl3�i� s - OCCUPANCY will be made of any structure without permission of the Community SeiMspitjts&TvilpgiftMety. 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. 1r1� Sr �y Owner or Contractor Signature Date Springfield Building Permit 3/20/2014 12:15:09PM Page 1 of 1 SPRINGFIELD --- CITY OF SPRINGFIELD 1 225 Fifth St ( . TRANSACTION RECEIPT Spdngfteld,OR 97477 \F OR EGON 541-726-3753 00. 811-SPR2014-00436 www.springfeld-or,gav 3333 HAYDEN BRIDGE RD permitcenter©springfeld-or.gov RECEIPT NO: 2014000598 RECORD NO:811-SPR2014-00436 DATE:03/20/2014 Iii .itil tioth`I'si flir=yani3 it _Ffil4nr i ai` 1;ACC OUNTCODEILRANSICODE '; F.-_J`a'AMOUNT-DUE Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 102.90 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 223.38 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 153.61 SDC:Total Storm Administration Fee 719-00000-426604 1180 18.85 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 123.48 Structural Building Permit Fee 224-00000-425602 1002 1,028.98 Technology fee(5%of permit total) 100-00000-425605 2099 51.45 TOTAL DUE: 1,702.65 WIFFATENT7IWPESSWETKCiaKINIFAIMMTMeitalleirCalMETIffSaiMinMOLINTO3AIDMIIMMINA Credit Card MATTHEW R CLEARWATERS 1,702.65 08940Z TOTAL PAID: 1,702.65 • SPRINGFIELD- - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00436 www.springfeld-or.goy 3333 HAYDEN BRIDGE RD permitcenter@springfield-or.gov RECEIPT NO: 2014000433 RECORD NO:811-SPR2014-00436 DATE:02/27/2014 • DESCRIPTION a2 }' � T� t d a'%ACCOUNT CODE/TRANS CODEr4Ni;t1q- AMOUNTTDUE R Structural Plan Review Fee Residential 224-00000-425602 1061 668.84 TOTAL DUE: 668.84 PAYMENTs1YPE FAVOR- GASHIER:.CA-I ENTeR w COMMENTS7W" 9e1�0�'1 AMOUNTIIPAID Credit Card MATTHEW CLEARWATERS 668.84 01590z TOTAL PAID: 668.84 • • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY 1 CITY OF SPRINGFIELD, OREGON f & Permit no.:Slt7--`i 3 � 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 \OREGON Date: 2,/ .2 7 /7 if 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 Plumbing This project has final land-use approval. Signature: Date: Mechanical This project has DEQ approval. Signature: Date: Zoning approval verified: ❑Yes ❑No FEE SCHEDULE Property is within flood plain: ❑Yes ❑No L Valuation information CATEGORY OF CONSTRUCTION (a)Job description: fix, n ow iv 'r(7 .aResidential ❑Government ❑Commercial Occupancy Al JOB SITE INFORMATION AND LOCATION Construction type: V 3 Job site address: 3333 14n4DE.J 3(LtO(,e 120F1...0. Square feet: City: 992.Nt f I&A State: OC ZIP:97978 Cost per square foot: Subdivision: Lot no.: Other information: Reference: 1701. q I / S il Taxlot: do GC ' Type of Heat: PROPERTY OWNER Energy Path: Name: O-I-ALi 5 'Z Ice= 3 3 H' QC+V 321 Dee- leort0 El new ['alteration ❑ tion Address: 33 � [�—r..�O (b)Foundation-only permit? ❑Yes ❑No City:St eal N6 Ft S Co State: Ca_ ZIP:e . r I O Total valuation: I $./a( CIO( Phone: Fax: - - 2.Building fees E-mail: APIA ` t�cr - - (a)Permit fee(use valuation table): $ /m.2_ Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): $ (c)Reinspection($ per hour): (number of hours x fee per hour) $ Sign here: - - (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $/15 t/ZZ ❑This installation is being made on residential or farm property owned by (e)Subtotal of fees above(2a through 2d): $ me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. 3.Plan review fees CONTRACTOR INSTALLATION (a)Plan review(65%x permit fee[2a]): $ 6ey FV. Business name: CH 2.0 X3(/1(..05-2.5 -t QC/6t)ba+JP (b)Fire and life safety(40%x permit fee[2a]): $ Address: Z.I9 22C.K/L/ICoe COO (c)Subtotal of fees above(3a and 3b): S City: 6/(,6NE State: Oa- ZIP:.37VOr 4.Miscellaneous fees _Phone:$`{l'-CipS (a)Seismic fee, 1%(.01 x permit fee[2a]): $ 8'[6 3 Fax: - - _ E-mail: [f 4 -f&jeay(pk'ftYS e N+5Q• cow N (b)Technology fee,5%(.05 x permit fee[2aJ): $ � S CCB license no.: TOTAL fees and surcharges((2c-1-3c+42+41)):(2c-1-3c+42+41)): ` 1Q72): $ 7fT 1'775 -11 Print name: L.ytmttty /VV 6[eovwatrv-s v Signature: LAVA* P 130 Q K A _ _- SUB-CONTRACTOR INFORMATION • Name CCB License# Phone Number_ r fy Electrical [I/ —1//J &Je.a t- 8/2oS •