HomeMy WebLinkAboutPermit Building 2014-5-8 •
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SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
�L� Phone: 541-726-3753
r,.r OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00402
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 05/08/2014 EXPIRES: 11/03/2014
STATUS DATE: 05/08/2014 APPLIED: 02/24/2014
SITE ADDRESS: 6102 Forest Ridge DR,Springfield,OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1702343403200 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: S -New Single family dwelling Lot 21 MtGate
OWNER: THOMET KURT Phone Number:
ADDRESS: 3003 W 11TH AVE 250
EUGENE OR 97402
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor ARTISAN CONTRACTING LLC CCB 180776 03/01/2016 541-343-3702
Mechanical Contractor ARTISAN CONTRACTING LLC CCB 180776 03/01/2016 541-343-3702
Electrical Contractor MAJESTIC WORKS CONTRACTING 8 ELECTRICAL LLC CCB 185982 03/19/2015 541-232-5033
Plumbing Contractor GLENN PRO INC CCB 189341 01/21/2016 541-345-2055
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks
1090 Street Trees
1110 Footing Footing: After trenches are excavated.
1118 Footing Drain
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.
1170 Post& Beam Post and Beam: Prior to floor insulation or decking.
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1410 Underfloor insulation
1420 InsulatioMR,,p�Barrier
430lnsulationllNlERf�R SHAT I EXPIRE Ir I r1VVOi3llriorto Dover. ATTENTION: Oregon law requires you to
adupteo Oy the Oregon
14401nsulaed�;e2 RIZED UNDER THIS PERNtkTl4SuNeof Prior to cover. Notification Center Tn g n Utility
o e rules are-set forth
1520 Interior Sh"eartia hICED OR IS ABAND 61'EORNairng: Before covering sheathing witlPf t i f?nlna`i 4iOQ.1-0010 throU h O
pA1' PERIOD. OC°0 You t, ay obtain copses of theru es by
1530 ExteriorlShea�
calling the center Nit
( e• tho telephone
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made 9kt696Rra(Nhilmd3,/ypsln 7l Utility Notification
board, interior and exterior are in place, but prior to plasterirfgenter is 1-800-332-2344)
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
Springfield Building Permit 5/8/2014 8:48:12AM Page 1 of 2
SPRINGFIELD 225 Fifth St
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-SPR2014-00402
www.springfield-er.gov permitcenter @springfield-or.gov
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.
"fr Owner or Contractor Signature Da e
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Springfield Building Permit 5/8/2014 8:48:12AM Page 2 of 2
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SPRINGFIELD CITY OP SPRINGFIELD
. ra. 225 Fifth St
�fo;E�oN TRANSACTION RECEIPT 5 1-72i-3753 97477
541-726-3753
811-SPR2014-00402
www.springfield-or.gov 6102 Forest Ridge DR permitcenter @springfield-or.gov
RECEIPT NO: 2014001010 RECORD NO:811-SPR2014-00402 DATE:05/08/2014
!DESCRIPTION . _G__ _ __A000UNTCODE/TRANS CODE__'_-,_:_.AMOUNT DUE _'
Address Assignment,each new or change 224-00000-425602 1020 42.00
Overwidth/Second Driveway 201-00000-428060 1144 54.00
Planning-Major Review-City 100-00000-425002 1231 211.00
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 141.60
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-Transportation SDC 447-00000-448027 1174 1,962.23
SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 2,298.12
5DC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,448.64
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 1,497.60
SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 538.41
SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 4,708.44
SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 114.41
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 1,029.85
SDC: Total MWMC Administration Fee—Local 719-00000-426604 1121 79.78
SDC:Total Sewer Administration Fee 719-00000-426604 1175 350.33
SDC:Total Storm Administration Fee 719-00000-426604 1180 126.37
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 176.56
Structural Building Permit Fee 224-00000-425602 1002 1,471.36
Technology fee(5%of permit total) 100-00000-425605 2099 81.72
Willamalane fees-Single family detached 821-00000-215023 1074 3,396.00 •
TOTAL DUE: 19,953.03
LPAYMENTTYPEE PAYOR_ CASHiER_ccARPENTER- -4 COMMENTS_. � - - AMOUNT PAID •
Check ARTISAN CONTRACTING LLC 19,953.03
• 5307
TOTAL PAID: 19,953.03
SPRINGFIELD CITY OF SPRINGFIELD •
i .+1a...: 225 Fifth St
t TRANSACTION RECEIPT Springfield,OR 97477
OREGON 541-726-3753
811-S PR2014-00402
www.springfield-or.gov 485 Mountainciate DR permitcenter @springfield-or.gov
RECEIPT NO: 2014000393 RECORD NO:811-SPR2014-00402 DATE:02/24/2014
(DESCRIPTION � - • -.
-- ACCOUNT-_CODE/TRANSCODE - -_AMOUNT DUE`ii
Structural Plan Review Fee Residential 224-00000-425602 1061 956.38
TOTAL DUE: 956.38
- - `AMOUNT PAID
PAYMENT TYPE ;PAYOR_ _CASHIER:ccARPEH7ER ':_ COMMENTS.____
Credit Card ARTISAN CONTRACTING (LC 956.38
956.38
TOTAL PAID: 956.38
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. Structural Permit Application 5PRINGFlELD DEPARTMENTUSE ONL
tut ..
CITY OF SPRINGFIELD, OREGON 4 Permit no.: ( Ii / —/�
225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 OREGON XJ
Date: 2 JJ t J/ V
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of isssu/a ce�if work is
suspended for 180 days. '
r `rte,'_.LOCALS'GOVERNM_E-NT, AFPROVA_ Er'.:''' -'`-'`' FEE_ SCHEDULE . -" rn
This project has final land-use approval. 1'?s,Vaa lurahon°,tnformatto�n� ) ;' ,r,t �,- 'x'a t. ,'.
N
Signature: Date: (a)Job description: I UW 4�
This project has DEQ approval. n.�
Date: Occupancy Vii vL
Signature: /�r,
Zoning approval verified: ❑Yes ❑No Construction type: b �/
Property is within flood plain: ❑Yes ❑No Square feet: � - 2/97/4'7 JAG)
at : 4 x0r 4 CATEGegr Y O abONR UCT0Nsll l- Cost per square foot:
Residential P Government ❑Commercial Other information:
`Pt x',9. �..��.�..-.._'. ' A .. IPM Type of Beat: / so A'
;�� JOBxSITE�INF,ORMATQN,�AND�LOCATIQN,�.�-'`".,,,.�. yp /w //��
Job site address: 6/o a Fear? it d 6.6
City 5 rrr•-)c c e\a State: Qr ZIP:ek 7'-4 73 v new ❑alteration ❑addition
Subdivision: p/\,,,t, 4n,,�a GJc Lot no.: ZS (b)Foundation-only permit? ❑Yes Ido i
Reference: 17 02 'L`1 3H Taxlot: 0 al O C) Total valuation: pre
NjaI 'I e• 'T_Pi20PERTY,{OWNEe\.33:151Kai iiiiild rig fees g"_ 'or,k` 4" -. a 4
Name: ktmelr 1 V,,s'.•__e}' (a)Permit fee(use valuation table): $
Address: 277 5 S(w-cr-e.\k- (b)Investigative fee(equal to[2a]): $
City: wy eiti¢ State: Or I ZIP: X7405 (c)Reinspection($ per hour): $
Phone: 5 'j\ - 71 4\ - cc&& Fax: - - (number of hours x fee per hour)
E-mail: (C _rut, EJ a e�4-ct L -Ceisl , co fl (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ s
L (e)Subtotal of fees above(2a through 2d): $
Building Owner or wner's ag;nt authorizing this application: k3 Plan�evm"'t w Ceest -. . ' ''=is '' " it
(a)Plan review(65%x permit fee[2a]): $TS
Sign here: sLegisisi;s6 ....._- e (40%x permit fee[2a]): $
❑This installation is being made. - (c)Subtotal of fees above(3a an• b);, $ t`\
me or a member of my immediate • ?"s, I'"`cit i"''"'XSd°ds %. 'smrt rsc
y ,;.4�:MmsceBaneous'fees�;�_ �.,x' � w`Xhrts- �.�-'. � \\
requirements under ORS 701.010.
;v, ,-,,,,,_ Y , -. , } (a)Seismic fee 1°%(.01 x permit fee[2a]) $
5p`} ..To-Ci/kl�if ACTOR],INSTALLATtifi`4 `m a-_. t (b)Technology fee,5%(.OS xpermit fee[2a]): $ S7
Business name: t-},
/ `"- �P TOTAL fees and surcharges(2e+3c+4a+4b):
Address: '�jbr (t+ 7er - S V-ec_ .- . -City I` erg State: C%._ ZIP: ei Tb_or
Phone:S'( 3143 -3-76Z Fax: - - .
E-mail: C1/4\[-e-a 1-- !io e C_Ov■c-a.s --. In-e4-. ¶ j . (c K
CCB license no.: y� 18l]770
Print name: Ag.c..aSti._ v3 k..-9- .
Signature:
Ac _ -
-at anitsowtoirottoikaiwirsiAtidiescrama
Name CCB License# Phone Number
Electrical
t\t,i5\-r'- wa..-I rs CR\ -2 t-. b 3
Plumbing
GIcv:o/N 19r0 Sk\ -Sal-aizS^
Mechanical
h \- 6 -
Ce.\ caa-.3, Sys -3 -I3 -376z