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HomeMy WebLinkAboutPermit Building 2014-4-11 • • SPRINGFIELD • 225 Fifth St t `t CITY OF SPRINGFIELD Springfield,OR97477 ;(4oaEGON Phone: 541-726-3753 • Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00638 www.springfield-or.gov permitcenter @springfield-or.gov • PROJECT STATUS: Issued ISSUED: 04/11/2014 EXPIRES: 10/08/2014 STATUS DATE: 04/11/2014 APPLIED: 03/26/2014 • SITE ADDRESS: 6090 GRAYSTONE LOOP,Springfield,OR 97478 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702343302600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior remodel,add stairs to and finish bonus room into bedroom OWNER: • WARNER RICHARD&LINDA Phone Number: ADDRESS: 6090 GRAYSTONE LOOP SPRINGFIELD OR 97478 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor DAVID ZARZYCKI GENERAL CONTRACTOR INC CCB 105626 04/26/2015 541-688-0243 INSPECTIONS REQUIRED b Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 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. f Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to • - follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone DOMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification MY 180 DAY PERIOD, • Center is 1-800-332-2344). Springfield Building Permit 4/11/2014 11:06:23AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD A, 225 Fifth St cc?i TRANSACTION RECEIPT Spdngtield,OR97477 OREGON 541-726-3753 811-SPR2014-00638 www.springfeldor.gov 6090 GRAYSTONE LOOP • permitcenter @springfield-or.gov RECEIPT NO: 2014000784 RECORD NO:811•SPR2014-00638 DATE:04/11/2014 DESCRIPTION ACCOl1NTrGODE/TRdNS CODE 6g ' "AMOUNT DU State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.99 Structural Building Permit Fee 224-00000-425602 1002 183.26 Technology fee(5%of permit total) 100-00000-425605 2099 9.16 TOTAL DUE: 214.41 IPAYMENT.';TY,PEA'. s�:�PAYOF/WcaSHiea:fccnaP,eRTeR::�" ,W",I'rCOMMENTSc' IMM?-RirI,�.1WAMOUNTRAIO���;i;,+ ; Credit Card PETER EGAN 214.41 04730c TOTAL PAID: 214.41 • • • SPRINGFIELD - CITY OF SPRINGFIELD .Iit 4 si- 225 Fifth St S OREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 '' 811-SPR2014-00638 www.springfield-or gay 6090 GRAYSTONE LOOP permacentergspringfield-or goy RECEIPT NO: 2014000659 RECORD NO:811-SPR2014-00638 . DATE:03/26/2014 't,DESCRIETION.;: 1:11:1 !".: IL :"...7,.-: 1:. - . :ACC6UNT_CODE/TRANS:CODEr..,, :-. 1?-4:1,5ANIOUNtbuE141 Structural Plan Review Fee Residential 224-00000-425602 1061 119 12 TOTAL DUE: 119.12 L PAYNIENT,-beE;-K 2:2-'1".1.0(.1-6R-' '6".1711,4EciiitpEN1-EF';•47-.:-'f'COMMENTS , _:: AMOUNT PAID",•,""ri--:::?`,„„:::_c,";1 Credit Card David Zarzycki 119.12 • 09119s TOTAL PAID: 119.12 . . , . . . . . • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY CITY OF SPRINGFIELD; OREGON ` • : . _ f ..i..''A.-:u'2 �'' - - X+ Permit no.: ' El 225 Fin Street•Springfield,OR 97477•R11(541)726-3753•FAX(54 1)726-3689 oaeeorr • Date: 3/Zca// c7 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 '[his project has final land-use approval. 1. Valuation information Signature: Date: (a)Job description: y�r"�, � This project has DEQ approval. t -""� - ` cg 'y, ,s fly, . Occupancy fa 3 Signature: Date: Ern Zoning approval verified: ❑ Yes ❑ No Construction type: 1i Property is within flood plain: ❑ Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: Residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat: Job site address: ( 4,0 Ltskt P• Energy Path: City: Ae..d di State: ,/ ZIP: • I , ❑new alteration ❑ addition Suhdivisio : Lot no.: (b)Foundation-only permit? ❑ Yes ©-No Reference: )70 Z 3�/ 3s I Taxlot: 02.600 Total valuation: $ 33400 PROPERTY OWNER 2. Building fees • Name: iirda } Rte iard Wa rte ( (a) Permit fee(use valuation table): $ /3 2C Address: •. ' i G yAgl _ 'a (b)Investigative fee(equal to 12a1): $ City: t a V` • /1 .?a ZIP:C ; (c) Reinspection(S per hour): M _ (number of hours x fee per hour) $ Phone: Fax: - - �7� q E-mail: (d)Enter 12%surcharge(.12 x 12a+21)-)2e1). U: $ /9 (e) Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees (a) Plan review(65%x permit fee pal): $ 7(9 12- Sign here: (h)Fire and life safety(40%x permit fec [tap: $ ❑This installation is being a •of esidential or loan 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 4. Miscellaneous fees requirements under ORS 701.010. ° (a) Seismic fee. I%(.01 x permit fee[tap: $ CONTRACTOR INSTALLATION (b)Technology fee,5%(.05 x permit fee[2aj): $ fiC Business name: t J Id _lilt 1 ttw�of N TOTAL fees and surcharges(2e+3c+4a+4b): S cry Address: t ems/ I — _City: M LiaJEC Stat I ZII -- none"Phone: 6 4ag3 Fax4 4b( 0(4( E-mail: tillat f .e,t Y7 CCB license no.: / 4� .- Print name: DON IC Signature: SUB- ON R CTOR INFORMATION ' ` Name COI License# Phone Number Electrical Plumbing , \lechaninl rn ,w,(s N- o •