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Home My WebLink AboutPermit Building 2014-4-22 • SPRINGFIELD 225 Fifth St 4a. CITY OF SPRINGFIELD Springfield,OR 97477 •-• Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-00663 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/22/2014 EXPIRES: 10/19/2014 STATUS DATE: 04/22/2014 APPLIED: 03/28/2014 SITE ADDRESS: 5717 Peridot WAY,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: ' 1802041401206 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-New single family residence Morning View Subd Lot 6 OWNER: HAGEMAN GORDON R&COURTNEY LYNNE Phone Number: ADDRESS: 6019 GRAYSTONE LOOP • SPRINGFIELD OR 97478 • CONTRACTOR INFORMATION . Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor PHANTOM INC CCB 109864 01/14/2015 541-688-2549 Plumbing Contractor DON LEWIS PLUMBING SERVICE LLC CCB 167921 01/06/2016 541-688-1931 • General Contractor TOWN 8 COUNTRY HOMES LLC CCB 171258 07/21/2014 541321-8412 COMFORT FLOW HEATING CO (J CCB 460 06/27/2015 541-726-0100 INSPECTIONS REQUIRED • Inspections 1020 Zoning Setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1220 Underfloor framing 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 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum ATTFnIT10ff: O Q board, interior and exterior are in place, but prior to plastering. isstotlinei Nu r yuf I law requires Yngihta9Building: After all required inspections have been requested and approved and �t!991dopted by the Oregon Gl ebrryilding is complete. Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- ' NOTICE: 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE 1F THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR Springfield Building Permit 4/22/2014 8:28:31AM ANY 180 DAY PERIOD. Page 1 of 2 SPRINGFIELD CITY OF SPRINGFIELD k-` 225 Fiflh St REGON TRANSACTION RECEIPT Spdngreld.oR97477 541-726-3753 8I1-SPR2014-00663 www.springfeld-or.gov 5717 Peridot WAY permitcenter @springfield-or.gov RECEIPT NO: 2014000878 RECORD NO:811-SPR2014-00663 DATE:04/22/2014 t!�_ `5 P '_E ''_ g:::1- 11-2 ACCOUNT CODE/TRANS CODE _a Writ'"AMOUNTJoIII SDC: Improvement-Transportation SDC 447-00000-448027 1174 1,962.23 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 868.18 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 1,434.82 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 538.41 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 3,709.68 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 986.68 TOTAL DUE: 9,500.00 6PAY. ENT M E ATOR, riTh MMETS AMOUNTiPAID Credit Card HAGEMAN GORDON R&COURTNE 9,500.00 06873G LYNNE TOTAL PAID: 9,500.00 • SPRINGFIELD CITY OF SPRINGFIELD • -^. � ; O 225 Fifth St TRANSACTION RECEIPT spdngfteld,ORS7477 OREGON 541-726-3753 811-SPR2014-00663 • • www.springfieldor.gov 5717 Peridot WAY permitcenter®spnngfield-ar.gov RECEIPT NO: 2014000882 RECORD NO:811SPR2014-00663 • DATE:04/22/2014 ,AC60UNTiCODE1TRi4NS?CODE _a a_,_d AMOUNT: `aw:,' Address Assignment,each new or change 224-00000-425602 1020. , 42.00 Curb Cut/Driveway 1st Cut 201-00000-428060 1141 102.00 Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 120.45 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.58 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 942.46 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,448.64 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 114.41 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 79.78 SDC: Total Sewer Administration Fee 719-00000-426604 1175 276.02 SDC:Total Storm Administration Fee 719-00000-426604 1180 121.07 ' SDC:Total Transportation Administration Fee 719-00000-426604 . 1190 125.03 Second Permit Discount 201-00000-428060 1148 67.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 154.49 Structural Building Permit Fee 224-00000-425602 1002 . 1,287.40 Technology fee(5%of permit total) 100-00000-425605 2099 74.92 Willamalane fees-Single family detached 821-00000-215023 1074 3,396.00 TOTAL DUE: 8,595.25 PAYMENRaTYPE PAYOR cASNIER�'� �nox_. COMMENTS Q_MOUNT�PAID� Check HAGEMAN GORDON R&COURTNE 8,595.25 • 2062 LYNNE TOTAL PAID: 8,595.25 • • • • Structural Permit Application SPRINGFIELD - DEPARTMENT USE ONLY .CITY'OF SPRINGFIELD, OREGON _ ` 1• Lag Permit no.: • 225 Filth th Street•Springfield,OR 97477•M(541)726-3753•FAX(541)726-3689 '- OREGON ��'��•� Date: •-;/2 Q jc/ 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: Duty. (a)Job description: 41 t1 cr„s €ie .€40........L &S�' This project has I>EQ approval. p R3/- / 7 Occupancy Signature: Date: Zoning approval verified: ❑ Yes ❑ No Construction type: 1/J73 Property is within flood plain: ❑ Yes ❑No Square feet: /833 / 3-7 6 CATEGORY OF CONSTRUCTION Cost per square foot: / -V f�K'Csidential ❑Government ❑Commercial Other information: -, JOB SITE INFORMATION AND LOCATION • Type of Ileac Job site address: 5 7/2 Pr r`Jot W 147 y,Energy Path: City: p„...) ,,, e ( 1 State:(()! ZIP:9777t —ty new ❑alteration ❑addition Subdivistion:/'1 ,..(‘:At Ve:v.) Lot no.: (.• (b) Foundation-only permit? ❑ Yes No Reference:/pot ce7!/ Taxloe D (20E, Total valuation: $21767y74 PROPERTY OWNER 2. Building fees Name: -1-0t,3 /.f f- C0✓((.fr. dm c / [C- (a) Permit fee(use valuation table): . $ /727 4e Address: /O()/�l G(`a 9 rf,),,e l• et (b)Investigative fee(equal to 12aj): $ City: c f N5 rick State: 0 k ZIP: 92y2t (c) Reinspection($ per hour): �� (number of hours x fee per hour) $ Phone: >y/- 37)-5737 l'ax. - - ! E-mail: (d)Enter 12%surcharge(.12 x 12a+2b+2cj): s/>r (e) Subtotal of fees above(2a through 2d): S Building Own•r or Owner's agent authorizing this application: 3. Plan review fees 65 i q�� (a) Plan review(65%x permit fee 12a1): $Oa Sign here: caYr-P--� /w,,,,,yt,-.� (b)Fire and life safety(40%x permit 1'cc 12x1): $ ❑This in. lation is being made on reside(}iial or fann property ontied 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, 1%(.01 x permit fee 12aj): $ ...0T7 CONTRACTOR INSTALLATION • ' (b)Technology lee, (.OS x permit fee I : $ q07 Business name:-Tqn l�)N .t.(;�1{r,{fgml. / LG TOTAL fees and surcharges(2e+3c+4a+4b): S23 Yl�- Address: �00/( I" (QrG cis- Jr L City: S rik f:rla State: @re_ I ZIP: °I7f7P Phone:4(-5 )- f43- I Fax: - - E-nail: Gcnur-(tt e 17urkar. ('Out CCB license no.: / 7f f f7 GPrint name: C O r IC- Ho fret a Signature �p�(� i a____�— . t, "( JJJ ddd°°° . . SUB-CONTRACTOR I FORMATION, - 1 Name CCB License# Phone Number r \ E ectrical p„( t A+ ak- T i l l ( 1 6 qt6 v S vl— so i- fYYr Plumbing Deti\L-/a) S LAac4 5y/-16p 1-Gep 2.- Mechanical • •