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HomeMy WebLinkAboutPermit Building 2014-5-16 SPRINGFIELD - _ 225 Fifth St =-' . k _c CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 \ OREGON BUIIC�111g I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00941 www.springfield-or.gov permitcenter @springfield-or.gav PROJECT STATUS: Issued ISSUED: 05/16/2014 EXPIRES: 11/11/2014 STATUS DATE: 05/16/2014 APPLIED: 04/29/2014 SITE ADDRESS: 2322 10TH PL,Springfield,OR 97477 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1703261203700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Garage conversion and interior remodel,adding bathroom OWNER: MUSSACK STEVEN E IRA FBO Phone Number: 541-953-8751 ADDRESS: 4988 CHANCELLOR LN EUGENE OR 97405 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 I. INSPECTIONS REQUIRED 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. 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. i / ce r _. //6//6( Owner or Contractor Signature Date ATT=ENTION: Oregon law requires you to follow ruins adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth 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 eity ification ANY 180 DAY PERIOD. . . ' ' Center for the is Or 1-800-332gon Util- 344)Not. Springfield Building Permit 5/16/2014 11:09:22AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 OREGON 811-SPR2014-00941 www.springfeld-or.gov 2322 10TH PL permitcenter©springfield-orgov RECEIPT NO: 2014000950 RECORD NO: B11-SPR2014-00941 DATE:04/29/2014 :DESCRIPTION- _ _ N . . - . ;;-- _ • - ,_ ACCOUT CODE/TRANS CODES : _'. ,__ :AMOUNT DUE .; Structural Plan Review Fee Residential 224-00000-425602 1061 256.85 - - - ----— -- -- ----'----------- — - ---- - — ' - — - TOTAL DUE: 256.85 r' - C! . . . PAYMENTTYPE ' �- PAYR dAsRiER:ccnRPeRTER - COMMENTS :AMOUNT PAID"a � ,._ •.. Check Sutten Real Estate 256.85 2018 TOTAL PAID: 256.85 SPRINGFIELD - CITY OF SPRINGFIELD Lt: A. 225 Frfth St `` E60N TRANSACTION RECEIPT SpringfielQOR 97477 541-726-3753 811-S PR2014-00941 www.springfield-or.gov 2322 10TH PL permitcenter@springfield-or.gov RECEIPT NO: . 2014001079 RECORD NO:811-SPR2014-00941 DATE:05/16/2014 (,DESCRIPTION_- M ACCOUNT CODE/TRANS CODE _ AMOUNT DUE: • Planning-Minor Review-City 100-00000-425002 1231 . 119.00 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 487.48 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 998.76 SDC:Total Sewer Administration Fee 719-00000-426604 1175 74.31 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 47.42 Structural Building Permit Fee 224-00000-425602 1002 395,16 Technology fee(5%of permit total) 100-00000-425605 2099 19.76 ---- — — ----- ---- TOTAL DUE: 2,141.89 PAYMENTJTYPE „_ PAYOR cnsHIER:CCARPENTER .:_ COMMENTS __- _ - `AMOUNT PAID ` ` " ' k Check Matthew Sutton 2,141.89 1001 TOTAL PAID: 2,141.89 • Structural Permit Application 5eRtNGffELD DEPARTMENT USE ONLY 'ti�15s x ..s$` n 5 a ''St+ ri'..,li ,a{i!;ii..Xa $`{r'• n r ' •,, „,„CITyOF.SPRMGFIELD,OREGON,�:" *,Zekh4 ' .,. `t^, Permit no.:Sly0 ( 225 Filth Street•Springfield.OR 97477•PI f(5-t 1)72_6-3753•FAS(5 4 117 2 6-3 659 ozeGON • Date: y129 i ( V This permit is issued under OAR 918-460-0030. Permits expire if wort: is not started within 180(lays of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. I. Valuation information Signature: Date: 00 Joh description: ilea, am....4,fr7t-.9/e/✓ I This project has DIE()approval. Occupancy Signature: Date: Zoning approval verified: ❑ Yes ❑ No Construction type:Ur Property is within flood plain: ❑ Yes ill NO Square feet: V CATEGORY OF CONSTRUCTION Cost per square loot: &Residential ❑Government ❑Commercial Other intornnaion: JOB SITE INFORMATION AND LOCATION Type of Heat: Joh site address: 022).a ,ur 76 17f Energy Path: . City:Sor_ i7y 4 7c State: Q,,c. ZII':q 7Q 7,7 ❑ new p4reration ❑ addition Subdivision: Lot no.: �7 (h)Foundation-only permit? ❑ Yes ❑ No -7 Reference: 1 703 7 6 (z J Ta.xlot: 03 /O0 Total valuation: S .S �Cjd PROPERTY OWNER 2. Building fees Name: cep oer, /4C,4$'',fa cf.(. (a) Permit Ice(use valuation table): I s35 <-72 Address: L_ C 'g- cm*,-, e Heir_ Cr, IN Inveslie:uive lee(equal to 12a1): I S City: Etitsorne Suite: Qic Z111/271.40c (el Reinspeetion(S per boon: ' a-ZeD gs)—$-7S� (number of hours s tic per hour) S I hone Fax: - - l'.-mail: /''ic_&g c C(-s_oZ, c) can(r 02,1-i (J) Patter I?Yh surcharge(.I?.v' ?a.;.?b;?ca): 5 �, y (e) Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent autho zing this application: 3. Plan review fees �,e",//�J (a) Plan review(65%x permit ice I2a1): S 25(p a l Sign here:�d��� �'�� 6 to i (h) Fire and life safety(40th x permit ice pall: S ❑This installation is being made t t residential or Farm property owned by (c) Subtotal of fees above(3a and 3b): S Me or a member of nap immediate Gamily.and is exempt from licensing 4. Miscellaneous fees requirements under ORS 701.010. (a) Seismic lee. 1%(.01 x permit lee Pal): S 1 CONTRACTOR INSTALLATION (h)Technology tee. 5%(.05 x permit teeI2uj): S %7 Business name:%!39 ,5- TOl•AI. fees and surcharges(2e+3c+4a+4h): I s79/ Address: / City: State: ZIP: Phone: - - Fax: - - ./c fi-* t �,FS-re"—_ E-mar I: �" CC13 license no.: At r, $ oo - Print name: Signature: 1 SUB-CONTRACTOR INFORMATION :Name CCtJ License# Phone Number Electrical Plumbing r - PleCilr MAIM—Ai Nlechaniral `�zi/ F2- / 2 FL t-