HomeMy WebLinkAboutPermit Building 2014-4-9 SPRINGFIELD-- 225 Fifth St
'^ CITY OF SPRINGFIELD Springfield,OR97477
LL'='\`OREGON Phone: 541-726-3753
Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00729
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 04/09/2014 EXPIRES: 10/06/2014
STATUS DATE: 04/09/2014 APPLIED: 04/04/2014
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SITE ADDRESS: 875 57TH ST,Springfield,OR 97478 SCOPE: Bathroom
ASSESOR'S PARCEL NO: . 1702331100700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: S -Permits for addition built by prior owner without permits
OWNER: SMITH JUDITH L Phone Number: 541-337-4600
ADDRESS: 875 57TH ST
SPRINGFIELD OR 97478 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor REVOLUTION ELECTRIC INC CCB 179066 10/30/2015 541-505-8351
General Contractor KAMINSKI CONSTRUCTION LLC CCB 181022 03/22/2016 541-554-9465
Mechanical Contractor KAMINSKI CONSTRUCTION LLC CCB 181022 03/22/2016 541-554-9465
Plumbing Contractor DUSTIN JACK DAWSON CCB 194394 06/28/2015 541-953-8760
INSPECTIONS REQUIRED .
Inspections '
1220 Underfloor framing .
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1410 Underfloor insulation
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1420 Insulation Vapor Barrier
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
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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
constr ction.
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-� 2 9 ' ' 16- ION: Oregon law requires you to
Owner or C r Signature. .: _ . Da - q ow ru es adopted by the Oregon Utility
I�P6`i �E, otification 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 0090.11 You may obtain copies of the rules by
calling the center. (Note: the telephone
COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notificatiprage 1 of,
Springfield e�'"t'Y'Pfri O DAY PERIOD. 4/9/2014 11:09:21AM Center is 1-800-332-2344),
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SPRINGFIELD CITY OF SPRINGFIELD
4 .aa�. ' 225 Fifth St
irk t TRANSACTION RECEIPT 225
R97477
OREGON 541-726-3753
811-S P R2014-00729
www.springfield-or gov 875 57TH ST permitcenter @Springfield-ar.gov
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RECEIPT NO: 2014000766 RECORD NO:811-SPR2014-00729 DATE:04/09/2014
lIDESCRIPTION ACCOUNTCODE/TRANS�CODE __ AMOUNT DUE__
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 4.80
SDC: Improvement Cost- Local Wastewater 443-00000-448025 1184 417.84
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 35.04
SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 856.08
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 24.10
SDC:Total Sewer Administration Fee 719-00000-426604 1175 63.70
SDC: Total Storm Administration Fee 719-00000-426604 1180 2.96
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.51
Structural Building Permit Fee 224-00000-425602 1002 162.61
Technology fee(5%of permit total) 100-00000-425605 2099 8.13
_--_»_.----TOTAL DUE: 1,594.77
(-,_PAYMENT TYPE_ . ' PAYORL. CASHIER:CCARPENTErs. . COMMENTS ..,___. AM_OUNT'PAID J
Credit Card KAMINSKI CONSTRUCTION LLC 1,594.77~
T
05366j
TOTAL PAID: 1,594.77
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87432 Halderson Rd.4
1 '4 Eugene,OR 97402
(541)554-9465 Fax:(541)935-5844
E-Mail:cflores @kaminskiconstrucrion.com
KAMINSKI
CONSTRUCTION LLC
Date: April 3rd,2014
Judy Smith
875 57th St
Springfield, OR 97478
To whom it May concern,
The above referenced property has been inspected by Kaminski Construction LLC. Kaminski Construction inspected the
master bedroom/bathroom addition that was accessible and visible. Pioneer Engineering made recommendations and
Kaminski Construction addressed all recommendations. It is Kaminski Constructions opinion that this addition now meets
code requirements.
If you have any questions, please feel free to contact me.
Sincerely,
Jason A. Kaminski
Kaminski Construction LLC
(541)554-9465
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Page I of I
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
j ikta4OFSPRINGFIK4Qt2RbG,ONFPlit„a�rn�W r..., , i t x lei Permit no _City 7�9
225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726 3689 '"" OREGON
Date: Li /pjilL
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: ADD/ not ( 2,41, S. Y elebny -
'fhis project has DEQ approval. Occupancy f5 ,attA//v7e�-)
Signature: Date:
Zoning approval verified: ❑ Yes ❑No
Construction types
Property is within flood plain: ❑ Yes ❑No Square feet. 96
CATEGORY OF CONSTRUCTION Cost per square foot:
la Residential ❑Government ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of Heat:
Job site address: g75 57' ' Sd. Energy Path:
City: 5,,,,,„5,4,a State: 0/4 ZIP: `j7VO 9 new ['alteration (addition
Subdivision. I Lot no.: (h)Foundation-only permit? ❑ Yes ❑No
Reference: //0 Z ai Taxlot: CO 70 0 Total valuation: YdQn
- PROPERTY OWNER - 2. Building fees
Name: __\...4 S,n,Y (a) Permit fee(use valuation table): $ i/j 7iC
Address: /S'7S 57 'Lk Si-. (h) Investigative fee(equal to 12a]): $
City: 5pp/�,� gig0 State:Q� I ZIP:9 Vy$ (c) Reinspection($ per hour):
$
p (number of hours x fee per hour)
Phone: v /- 3 - i, Fax: - -
(d)Enter 12%surcharge(.12 x]2a+2b+2c ): $ I ,S//
E-mail: j(Sn,,'7 Sgt .la/�r
(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[2a]): $
Sign here: ��% (b)Fire and life safety(40%x permit fee f2a]): $
❑Thinstallation is being made on residential or farm 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 ° t
/ (b)Technology fee.5%(.05 x permit teef2ap: $
Business name: �jw,n,,C/t.� ans�� en lit— L�
7 y3�' //1j•-�� TOTAL fees and surcharges(2e+3c+4a+4b): S Aro
Address: a%e»�
City: .ra�,�rir
.- ' State:04 I Z_IP:q'(7YO n
P•one:SNt S%C 9yL Fax:Syt -93-S3VY / aQvt/i/}�T
E-mai • -.". " / iz/en + snnQq.ria.lecc n, / i_i
CCB license no.: /B/pa,y `gl
Print name: _ i
Signature: ��
' SUB-CONTRACTOR INFORMATION
Name CCB License 4 Phone Number
Electrical
4 00 L k, f/eJ,;c. /79o46 59/sos-ms5/
Plumbing
,R,510^ IL Sion Phan 19439y 5f11-553- 81foo
Mechanical
Xn//j i l t/ C/1/M
/7/OZZ SY/-$y-9yIr