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Home My WebLink AboutPermit Building 2014-5-20 •r i. SPRINGFIELD 225 Fifth St hPhon..'A. CITY OF SPRINGFIELD Springfield,OR 97477 Cy e: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01102 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/20/2014 EXPIRES: 11/15/2014 STATUS DATE: 05/20/2014 APPLIED: 05/20/2014 SITE ADDRESS: 2600 WAYSIDE LN,Springfield,OR 97477 SCOPE: Bathroom ASSESOR'S PARCEL NO: 1703224402600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-Bathroom remodel OWNER:• ADRIANCE WALTER M Phone Number: ' ADDRESS: 2600 WAYSIDE LN SPRINGFIELD OR 97477 . OWNER: WALL RUNGRAWE Phone Number: ADDRESS: 2600 WAYSIDE LN SPRINGFIELD OR 97477 • L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER COB 000000 08/01/2025 - Electrical Contractor OWNER COB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED Inspections 1220 Underfloor framing 1260 Framing • Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. . • ,/� , d°,(,1, ---- 2Q ON: Oregon law requires you to Owner Contractor Signature /follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NONCE:ICE: 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 mU�r1NDER THIS PERMIT IS NOT calling the center. (Note: the telephone Spbngfi niVIEI EED V R IS ABANDONED FOR 5/20/2014 10:02:41AM number for the Oregon Utility NotificRtiuni of 1 ANY 180 DAY PERIOD. • Center is 1-800-332-2344). • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT SpdngfieId,OR97477 541-726-3753 811-SPR2014-01102 www.springfield-or.gov 2600 WAYSIDE LN permltcenter @spdngtield-or.gov RECEIPT NO: 2014001096 RECORD NO: 811SPR2014-01102 DATE:05/20/2014 DESCRIPTION ._ �_ 3Lifefar T__Lx'-`ACCOUNTCODE/TRANSCODEWi^ 'AMOUNT ,`n 5 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 P,AYMENTiTYR ECM PAYO-R',' .3747ER:CCgaeeal COMMENTS _ .MOUN7jPAID Credit Card ADRIANCE WALTER M 93.60 224266 TOTAL PAID: 93.60 • • • . . . Structural Permit Application ctitgAiiiiirifilieowiri CITY OF SPRINGFIELD, OREGON Permit no C/ (../.... //oz. 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: 572,0//7 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. . Cif .Crs;o:'71:706-KIIIrd1WEIRRialli47TrAWR6CIAL:ta ::e":"77:C r: trc11-4,:..„ 4TggeliTitifiOace...;:i t''' This project has final land-use approval. gliglintifirnlitrfaatTaralrareSi.: 04c Signature: Date: . (a)Job description: 4,04._,„-Qcv,, 4,,,,o/cr, / This project has DEQ approval. Occupancy Signature: Date: Zoning approval verified: 0.Yes 0 No Construction type: Property is within flood plain: 0 Yes 0 No Square feet: , :47....:),-:z% 4i1:14•7•,CATEGORY-tet1151.1-STIIIICTIOICIZI;17W*. "; Cost per square foot: 4 Residential 0 Government 0 Conmiercial Other information: }rjanicaBraTWI Wei 11I1 ATIONTA1 an-sail 0 NWIrl• Type of Heat: Job site address: $(1414c '2460 (14L1757 P Cii" Energy Path: City C pgr, 0 State: el- ZIP: 97 q V fl new Ea-Iteration E addition Subdivision: Lot no.: (b)Foundation-only permit? D Yes 0 No • Reference: / 703' 2 2,%' Taxlot: 7400 Total valuation: $ 290 L.) mpin.12.00EktyzrovAwtornitanimet itiinci-iiiwerfem:(*aflivarearceqg Name: 14../M ,4 p,... , ,,,,...,) „L. (a)Permit fee(use valuation table): $ S--6- _ Address: 74.-9 t ,3-r:L. /-) (b)Investigative fee(equal to[2a]): $. 4-0 State: 0 V ZIP: Wy7.2 (c)Reinspection($ per hour): $ Phone: 53/41 '2 I.... ci/ g. Fax: - - (number of hours x fee per hour) (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 9"6 6) E-mail: (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: FligialiteTaW;tea22 *".. 1aQraltra;:-:44,-.....44 t-- (a)Plan review(65%x permit fee[2a]): S Sign here: Wtill (b)Fire and life safety(40%x permit fee[2a]): $ 0 This installation is b g 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 nirCEMUTIlnairits_KWW.gar rt 4e-A requirements under ORS 701.010. W (a)Seismic fee, 1%COI x permit fee[2a]): - $ aingtiiiskakdfcittinnigatictin:MSIMai,:,1 --- Ly tic) (b)Technology fee,5%(.05 x permit fee[2a]): $ Business name: TOTAL fees and surcharges(2e+3c+4a+4b): $ 9.769 ----- Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: :.-fra-WeIW-Srl Efirde hiThatir.0104-B.ORMAtlifiRWESSaig Name CCB License# Phone Number Electrical $ /(4- //o3 ..._ Plumbing Mechanical • Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or • 1 I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. — MOIL/ PdremiEe Print Name f Permit Applicant J yozo/y s2 Sign ure of Permit Applicant Date! Permit#: .S7%'7ID 2 - S o f o Address: 2600 (r/4-1-1s/e a (44/'c varg .t SPKv 0 F7 y7 � : Issued by: Cate: 772–c// // Is e This Copy for Permit Offices