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HomeMy WebLinkAboutPermit Building 2014-4-4 $ , • SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 • ;;kt Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00524 r. www.springfield-ogait - permitcenter@springfield-or.gov PROJECT STATUS: • Issued ISSUED: 04/04/2014 EXPIRES: 10/01/2014 STATUS DATE: 04/04/2014 APPLIED: 03/11/2014 SITE ADDRESS: 975 6TH ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1703351204500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rebuild existing cottage connected to main house-no range. OWNER: RINEHOLD NAOMI Phone Number: ADDRESS: PO BOX 1146 CAVE JUNCTION OR 97523 OWNER: SAMUEL HOBBS Phone Number: 458-205-1766 ADDRESS: 975 6th Street 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 . 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 Exterior Shearwall • 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. T -P N: Oregon law requires you to IT!CS ��c����o��� nu.., .1 .241m,tod by the Oregon Utility IS PE�(raFt?P li JErIHE WORK othLotification Center. Those rules are set forth THORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- MMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by Y 180 DAY PERIOD. calling the center. (Note: the telephone number for the.Oregon Utility Notification Springfield Building Permit 4/4/2014 1:55:11PM. Center is 1-800-332-2344). Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD AA - 225 Fifth St OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-S PR2014-00524 www.springfield-or.gov 975 6TH ST permitcenter©springfield-or.gov RECEIPT NO: 2014000739 RECORD NO:811-SPR2014-00524 DATE:04/04/2014 IDESCRIPTION_ " .` ' ACCOUNT CODE/TRANS CODE-.. ,_ AMOUNTTDUE, SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 474.67 SDC Reimbursement Cost-Local Wastewater 442-00000-446024 1183 972.51 SDC: Total Sewer Administration Fee 719-00000-426604 1175 72.36 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 28.19 Structural Building Permit Fee 224-00000-425602 1002 .234.89 Technology fee(5%of permit total) 100-00000-425605 2099 11.74 TOTAL DUE: 1,794.36 LPAYMENT TYPE - :'PAYOR CASHIER:CCARPENTER . =COMMENTS� ? AMOUNT Check SAMUEL HOBBS 1,794.36 1051 TOTAL PAID: 1,794.36 NI TF, AG CC AN SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St K. OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2014-00524 nww.springfield-or.gov - 975 6TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014000536 RECORD NO: 811-SPR2014-00524 DATE:03/11/2014 jACCOUNT'CODE/TRANSiCODE -tc- . — .=fAMOUNTIWU .-1 Structural Plan Review Fee Residential 224-00000-425602 1061 152.68 TOTAL DUE: 152.68 P,AY,MEN iTTYPE - P.AXOR cpSNIER:;oeowLSev,. COMMENTi Sc SIAMOUNTRAID;. , 5' Check samuel a hobbs 152.68 1087 TOTAL PAID: 152.68 • • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD OREGON '' ' 'z. `:% Permit no.: stgro0 S Z. U 225 Fifth Street♦Springfield,OR 97477•P11(541)726 3753•1 AX(54I)726-3689 oaEGON Date: y11/I q T his permit is issued under OAR 918-460-0030. Permits expire.if work is not started within 180 days onc f 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: fie,40 ///'t%4// ,c iuc�-t This project has DFQ approval �� Occupancy Signature: Date: Zoning approval verified: ❑ Yes ❑ No Construction type: V Q Property is within flood plain: ❑ Yes ❑ No . Square feel: 2 co CATEGORY OF CONSTRUCTION Cost per square foot ®Residential ❑ Crovernrrient ❑Commercial Other information: / JOB SITE INFORMATION AND LOCATION Type of Heat: e/eale t'c' Job site address: f..5- 6f q if Energy Path: (4.2/4/9/rer�sa/ City:,��ie' iteti State: Off ZIP:g7777 ..yew ❑alteration ❑ addition Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes . ❑ No Reference:j "0 33 r J'Z Taxlol: 09 rcr15 Total valuation: A /6 77 00-444_ $ 70a, PROPERTY OWNER 2. Building fees t ��� �9. Name:y�q�-ry �p�i�if (a) Permit fee(use valuation table)) $7,�7 � _ Address: f r/1 6f�4/J f/ (b)Investigative fee(equal to 12a1): $ City: fp r, �74't7 State:(7ff zip:?79n- (c) Reinspection($ per hour): Y�- ZO5� �� (number of hours x tee per hour) $ Phone: - Fax - - E-mail:/ C7S-5 t 'befe- b c , eelH (d)Enter 12%surcharge(.12 x 12a+2b+2c1): $ L (e)Subtotal of fees above(2a through 2d): • S Building Owner or Owner's agent authorizing this application: 3. Plan review fees - G a (a) Plan review(65%x permit fee 1241): $i 57 �— Sign here �?Z ke�r%: (b)Fire and life safety(40%x permit lee 12a0: 5 9 This installation is being made on residential or Cann properly owned by (c) Subtotal of fees above(3a and 3b): $ nn:or a member of my immediate family,and is exempt from licensing 4. Miscellaneous fees requirements under ORS 701.010. o 4 (a) Seismic fee. I%(.01 x permit Ice 124 : $ • CONTRACTOR INSTALLATION ,-4 (b)Technology lee.5%(.05 x permit fee[2a1): $ Business name: C$t.✓'V Fr/` ' TOTAL fees and surcharges(2e+3c+4a+4b): 5 LflJ/ --�'— Address: �{/ City: State: ZIP: Phone: - - Fax: - - 1L- 1° PM el E-mail: (�'f t' rs CC13 license no.: E.°‘ f Ait Print name: obti V" Signature: . ' SUB-CONTRACTOR INFORMATION Name CCII license# Phone Number Electrical • Plumbing . \lechanical • 4