HomeMy WebLinkAboutPermit Building 2014-4-30 ,3;
SPRINGFIELD 225 Fifth St
• 1' - --m- CITY OF SPRINGFIELD Springfield,OR 97477•
46 t "' Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00951 .
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 04/30/2014 EXPIRES: 10/27/2014
STATUS DATE: 04/30/2014 APPLIED: 04/30/2014
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SITE ADDRESS: 1390 M ST,Springfield,OR 97477 SCOPE: Bathroom
ASSESOR'S PARCEL NO: 1703253302100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Bathroom addition-under existing roofed area,no roof expansion
OWNER: TRUST AGREEMENT DATED JUNE 28,2007 Phone Number:
ADDRESS: PO BOX 622
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor NYE BUILDING CO LLC CCB 152683 10/18/2014 541-520-5257
L INSPECTIONS REQUIRED
• Inspections
1110 Footing Footing: After trenches are excavated.
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
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1220 Underfloor framing
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
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
constructs
a Ca ,la / . y 38 -/4
Owner r cA9rfr &iltf8gorllaw requires you to Date
folio rules adopted by the Oregon Utility •
Notification Center. Those rules are set forth NOTICE:
In OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification
Springfield Building Perrtrenter is 1-800-332-2344). 4,30r2014 1:50:2ePMNY 180 DAY PERIOD. Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
-i.. 225 Fifth St
- TRANSACTION RECEIPT Springfield,OR 97477
-`" OREGON 541-726-3753
811-SPR2014-00951
www.springfield-or.gov 1390 M ST permitcenter @springfield-or.gav
RECEIPT NO: 2014000957 RECORD NO:811-SPR2014-00951 DATE:04/30/2014
;_DESCRIPTION ' , ' - ' ' ACCOUNT CODE/TRANS CODE �_,_ v AMOUNT DUE"._,
SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 417.84
SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 856.08
SDC:Total Sewer Administration Fee 719-00000-426604 1175 63.70
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.71
Structural Building Permit Fee 224-00000-425602 1002 214.24
Technology fee(5%of permit total) . 100-00000-425605 2099 10.71
..— °— — - ----- ---------- - —i--- T TOTAL DUE: 1,588.28
i^ PAYMENT TYPE_ '.PAYOR_ CASHIER:CCARPENTER - = COMMENTS AMOUNT PAID y
Credit Card NYE BUILDING CO LLC 1,588.28
063774 •
TOTAL PAID: 1,588.28
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Structural Permit Application sPRJNGF1ELD so P r,RTnMENT;gu E o
t. a
CITY OF SPRINGFIELD,OREGON
%• Permit no.:574/-9 s�
225 Fifth Street♦Springfield,OR97477♦PH(541)726-3753♦FAX(541)726-3689 OREGON
Date: Gg70/w/
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.
a 0 AL GOVERNMENS, ,APPROVAL ''*:7 w a' f lw-; ;:FEE'1xSCHEDULE ,. ._.."s: ;[
This project has final land-use approval uaiWillform ti n "amaze'
Si Date:
Signature: Dt
(a)Job description:tifinfttih_ *bp
This project has DEQ approval. P y A l
Occu anc
Signature: Date: - ✓�
Zoning approval verified: El Yes 1:1 No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
:)ez� � .�CATEGORYaCONSTRUC1lON ."�atYa Cost per square foot:
[Residential ❑Government ❑Commercial Other information:
r' OBTSITEyINFORMATIbiN ANDIL CATION di Type of Heat:
Job site address: ( 90 1- S - ,1` Energy Path:
N6?)
Gity: �P` elb V
State: R- ZIP: 748-7 ❑new ['alteration riaddition
Subdivision: - Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: I Taxlot: • Total valuation: Si Pre
Mbliiiir ngtfees •..r. - ,s ' -a_.sue'
Name: (Q( S)4 -11\14 `COY (a)Permit fee(use valuation table): $
Address: (S90 11- }�T- (b)Investigative fee(equal to[2a]):
c _ $
City: .P RI H(- F I E L State: 0 IQ, I ZIP: (c)Reinspection($ per hour):
Phone: 51 I 729- ?(ok Fax: - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3'.1Plant�evi'
(a)Plan review(65%x permit fee[2a]): $
Sign here: (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing a-r : e—am icieW^ " <r ,m r iliviW
g4:Mtscellaneousifees ' °;„ j ,. ,.'; {
requirements under ORS 701.010.
`. (a)Seismic fee, 1%(.01 x permit fee[2a]): $
.nCONTRACTOR„INS7ALLATION +4r �'�-.i?:..:.-7351.Y. (b)Technology fee,5%(.05 x permit fee 2a $
A1 p O gy ( P [ ]):
Business name: ly,(E e,o tL-bIN[, Ca -
Address,: ,,�1577 1gOLF CAcEK 33• �i�7--� TOTAL fees and surcharges(2e+3c+4a+4b): $
City: 1/ N ETA State:()Q, I ZIP:9r / n f
Phone: 51 / -520 -(5257 Fax: - -
E-mail: CI 1 WILD e Og _ n FT-
CCB license no.: %S"-. 0 g 3
Print name: CA(\' t( r - E
Signature: Jj/}i C; iI'
TRACiOR
Name CCB License 4 Phone Number
Electrical
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Plumbing
Mechanical