HomeMy WebLinkAboutPermit Building 2014-6-5 SPRINGFIELD - • 225 Fifth St
CITY OF SPRINGFIELD Springfeld,OR 97477
Phone: 541-726-3753
w OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
P_ ERMIT NO: 811-SPR2014-01233
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: . Issued ISSUED: 06/05/2014 EXPIRES: 12/01/2014
STATUS DATE: 06/05/2014 APPLIED: 06/05/2014
SITE ADDRESS: 6112 MAIN ST,APT#3,Springfield,OR 97478 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1702343103503 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Partial garage conversion-two off-street parking remains for unit 3-216SF converted to
dwelling portion
OWNER: DOOLAN MALCOLM R 8 KAY J Phone Number:
ADDRESS: PO BOX 340
CHILOQUIN OR 97624
CONTRACTOR INFORMATION
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Contractor Type Contractor Name Lic Type Lic No Lic Exp • Phone
OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
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Inspections
1220 Underfloor framing
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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. •
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
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.
Ownntractor Si nature Date ATTENTION: Oregon law requires you to
or follow rules adopted by the Oregon Utility
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NOTICE: Notification Th
in OAR 952-001-0010 Center. through ose rules OAR are 952-001 set forth-
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
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COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
Springfield Building Permit' AY PERIOD. Center is 1-800-332 2344). Page 1 of 1
J 6/5/2014 2:49:32PM Pa
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SPRINGFIELD"-- CITY OF SPRINGFIELD
hi 225 Fifth St
�o E�aN TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
811-SPR2014-01233
www.springfield-or.gov 6112 MAIN ST. APT 3 permitcenter @spdngfield-ar.gov
RECEIPT NO: 2014001240 RECORD NO: 811-SPR2014-01233 DATE:06/05/2014
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DESCRIPTION ��� a.;�.�„-''�_��"���`.��5s`s��.��`."t>_i4 :ACCOUNT GODE(fRANSrCODE.'� >�-!#�W AMOUNT3DUEIa,
Continuing Education Fee . 224-00000-245606 2.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84
Structural Building Permit Fee 224-00000-425602 1002 82.00
Technology fee(5%of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44 .
PAYMENT�TYP.E . P,AY.OR. STIT rCOMMENTS . AMOUN11,PAID -
Credit Card Dewayne Smith 98.44
144890
TOTAL PAID: 98.44
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* 5EE- NOTES oN F.aa-GK- DATE: 2/11/93
SPRINGFIELD CITY OF SPRINGFIELD
6111s. te Community Services Division GARAGE
Building Safety
CONVERSION
225 N. 5th Street T O LIVING SPACE .
Snrinofield. Oregon 97477
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Structurall Permit Appldicationry CCR SPRINGFIELD T
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DEPARTMEN USE ONLY'
-:- T LD'AD t,r,t Z ,: •-q
�rC[T OF SPRINGFIELD OREGON Q -1 rVD
. eGOn Permit no.:5/C,c,231
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 a
Dater J[/( if
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ff issuance or if work is
suspended for 180 days.
'° ;'' { LOCAL ,GOVERNMENTrAPPROVAL, r.+S, ;t `S* ,q °:T#E. SCHEDULE 't l * ,
This project has final land-use approval. I Valuation iiiformatton -- t'' n , .;- '.
Signature: Date; (a)Job description: _ (211ti J ,
This project has DEQ approval.
Occupancy '�W
Signature: Date: �/�
Zoning approval verified: ❑ Yes ❑No Construction type: v Y
Property is within flood plain: ❑Yes ❑No Square feet: Y
- ti 4 'S R rF+i Cost per square foot:
,�;•�� ,t,• .CATEGOf21'sOF CONSTRUCTION p�>;„,, J� P 9
•Residential ❑Government ❑Commercial y� Other information:
k R"
„�„' i r,.JQB SITE'INFORMATION AND„LIOCATION 1,:;,`,j' Iwk=; Type of Heat
Job site address: (,I)..� ))/4-3; ✓r s4 4 .4 3 Energy Path:
City:S9(j?Mat)�4 State: OZ ZIP:9.'rfIl ❑new ❑alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: $74,C3O
+ n.!: t 1. r PROPERTY"OWNER 1'4.4::k; 4 4"s,r' °'-2 Blidding:fees ♦.-,�.,.. 4 t ;„ ; tiy.
Name:/ 2#.i,4/jx.aO dP/2 ..,m, (a)Permit fee(use valuation table): $ in
Address:f 6„A:9,e 346 Cf//•C 0 Pa d/A/ - (b)Investigative fee(equal to[2a]): $
City: State:D C ZIP:y Ackit (c)Reinspection($ per hour): $
Phone: / • S¢/ Aylity '” Fax - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2h+2c]): $ 767
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: -'[3 Plan:r`,e'view fees• ; „,`t't 'fit4 7 -?+.. ;"3i?g'"'.c",..P[F t'A
(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): S _
me or a member of my immediate family,and is exempt from licensing 114 +Miscellaneus fes r . lea ;• tyr cSile:• �M a
y
req uirements under ORS 701.010
(a) Seismic fee, 1%(.01 x permit fee[2a]): $
r` Y y,.t>T-;"! ONTRACTOR•INTALcATIO ' r 'S' e 44.;: ° /�/v
(b)Technology fee,5%(.05 x permit fee[2a]): $ 7
Business name: QhJnGr (c)Continuing Education Fee$2.50 $2.50
Address: U
City: State: ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ / ey
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
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Signature:
a;I:61 ;7 rSUB'CONTRACTOWINFORMATION 7h.raT ii
Name CCB License ft_ Phone Number
Electrical /z7[/
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Plumbing
Mechanical .
Electrical Permit Application DEPARTMENT USE Y.
SPNINGFIELD YaS'YS�".,� -
t✓'tx�'�
CITY OF SPRINGFIELD OREGON= bss 5,L( — /Z7d7'.° x n, .Pi 1 >; u ->nr-xi., &.,,, . , 'r-»- s - Permit no.:
225 Fifth Street•Springfeld,OR 97477♦PH(54l)726-3753♦FAX(541)726-3689 /
Date: -eis / ( (1
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
.4..r ` LOCALYGOYERNMENT„APPROVAL ,• .-f k_I s'. ,,, .>`s> r ' =`FEE SCHEDULE , ;4: 51 :,)
Zoning approval verified? ❑ Yes ,, t Cost A Total `,
❑ No ;Number of inspections pentem O Q y .',..-
"'93 ; , r CATEGORY-',OF CONSTRUCTION •+-+'. Residential,per unit,service included:
esidential ❑Government ❑Commercial
1,000 sq. ft. or less(4) $151.00 $
t, , _JOBMSITE:INFORMATION' ANCE LOCATIONS zt` e,
� .3 Each additional 500 sq. ft.or portion
Job site address: C21t 2, nisi Cr, S.i A J thereof $ 28.00 $
City: Sc)C]-'- /',e rd StateQL..., ZIP: 'j 7' Limited energy(2) $ 36.00 $
Reference: Q� Taxlot.: Each manufactured home or modular
>, ,, ,li i 1— DESCRIPTION AF�WORKdt ? ?r' dwelling service or feeder(2) $ 71.00 $
G[ 2L —
Services or feeders: installation,alteration, relocation
200 amps or less(2) $ 91.00 $
1. t. :' 1e,li .PROPERT.Y=OWNER i,;Q-W1V 201 to 400 amps(2) $106.00 $
Name:87,4 ' � PO0%Ap,c 401 to 600 amps(2) $178.00 $
Address: pc. 4rjyi 3 'O cem4000G✓ • ode • 601 to 1,000 amps(2) $230.00 $
City: State:(D( ZIP:Q7ci¢. Over 1,000 amps or volts(2) $527.00 $
> c9 gt-c / Reconnect only(2) $ 71.00 $
Phone:? L / • Fax:
E-mail: Temporary services or feeders: installation, alteration,relocation
This installation is being made on residential or farm property 200 amps or less(2) $ 71.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 98.00 $
property is not intended for sale, exchange, lease,or rent. OAR
479.540(1)and 479.5600). 401 to 600 amps(2) $142.00 $
Signature: ./ ,�,tey4L'UL- Over 600 amps or 1,000 volts,see services or feeders section above
.t�'f_x..}F`f,,,:CONTRACTOR;INSTALLATIONM * M>K Branch circuits:new, alteration, extension per panel
Business name: CU.-JnC f a. Fee for branch circuits with purchase of a service or feeder fee:
Address: Each branch circuit $ 7.00 $
City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: - - Fax: - - First branch circuit,(2) / $ 62.00 $/• Z
E-mail: Each additional branch circuit ( $ 7.00 $ 7
CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: Each pump or irrigation circle(2) $ 71.00 $
Print name of signing supervisor: Each sign or outline lighting(2) $ 71.00 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor: alteration,or extension(2) $ 82.00 $
Each additional inspection:(1) $82.00 $
a t w �:'g. t b r
�I��; � APPLICANT�i '�„t ,� , y �
?(tT $ ts: . +k�r r '* � ' !.USE,,--�e:5:d }J.w -Ci;".4'Misut't; '
. - (A) Enter subtotal of above fees
(Minimum Permit Fee$82.00) $ 'z„.
(B)Enter 12%surcharge(.12 x[A]) $ q el
(C)Technology Fee(5%of[A]) $ Cy/'r
(D)Continuing Education Fee$2.50 $2.50
TOTAL fees and surcharges(A through D): $ gig/e/
440-2584-i(5212014/C0M)