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HomeMy WebLinkAboutPermit Building 2014-6-2 SPRINGFIELD 225 Fifth St Via.— CITY OF SPRINGFIELD Springfield,OR97477 .0 Phone: 541-726-3753 ` OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00883 www.springfield-orgov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/02/2014 EXPIRES: 11/28/2014 STATUS DATE: 06/02/2014 APPLIED: 04/23/2014 SITE ADDRESS: 780 S 57TH ST,Springfield,OR 97478 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1802041109000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Kitchen/bathroom expansion OWNER: HORTON REVOCABLE LIVING TRUST Phone Number: ADDRESS: 780 S 57TH ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED Inspections . 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall 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 OCCUPANC w o n t of the Community Services Division, Building Safety. I further certify that o � At � i®���r�,186 r�0�1ce with ORS 701.005 will be used on this project. I further agree to ensure thiP RF'S At PR Li taT g r time,that each ad res cedable from the street,that,the; :_;,-, permit cconstr ctio4n OAR 952-001-0010 f o g n-A 952-�Q'ed set of plans will rTH IS PERMIT SHALL SHALL EXPIR% IF THE WORK 0090- You may obtain o•ies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT ailing the center. (co-7.1e telep one I otification w 0MENCED OR IS ABANDONED FOR Own ontractor STgeafere1S 1-aU§-332 2344). D-te •• SAY PERIOD. Springfield Building Permit 6/2/2014 12:09:21PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St `O EGOW TRANSACTION RECEIPT Springtield,OR 97477 541-726-3753 811-S P R2014-00883 wvni springtield-or.gov 780 S 57TH ST permitcenter©springfield-or.gov RECEIPT NO: 2014000895 RECORD NO: 811-SPR2014-00883 DATE:04/23/2014 DESCRIPTION_ -_ _1..;-A000UNTCODE/TRANS•CODE__-. - AMOUNT,DUE;: -e Structural Plan Review Fee Residential 224-00000-425602 1061 132.54 TOTAL DUE: 132.54 PAYMENT TYPE. PAYORCASHIER:CCARPENTER - ,R COMMENTS. :_ -, AMOUNT PAID ' Check _ NORTON REVOCABLE LIVING TRUS 132.54 1.123 TOTAL PAID: 132.54 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St «. TRANSACTION RECEIPT Springtield.OR 97477 OREGON 541-726-3753 ` 811-5 P R2014-00883 www.springfield-or.gov 780 S 57TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014001199 RECORD NO:811-SPR2014-00883 DATE:06/02/2014 [DESCRIPTION : __ : a a -ACCOUNT CODE/TRANS CODE ,__ SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 45.99 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 31.63 SDC:Total Storm Administration Fee 719-00000-426604 1180 3.88 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.47 Structural Building Permit Fee 224-00000-425602 1002 203.91 Technology fee(5%of permit total) 100-00000-425605 2099 10.20 TOTAL DUE: 320.08 1 PAYMENT TYPE PAYOR. .CASHIER:JLARSON COMMENTS' .AMOUNT PAID • .; Credit Card Don M. Horton • 320.08 020556 TOTAL PAID: 320.08 Structural Permit Application SPRINGFIELD—, DEPARTMENT USE ONLY CITY'OF SPRINGFIELD, OREGON Sly(— n7 OI Permit no.: 225 Filth Street•Springfield,OR 97477•PH(54I)72G 3753•I AX(541)72G 3689 OREGON Date: 11/231 �( 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE . This project has final land-use approval. I. Valuation information Signature: Date: t ft T/ *,L �/^_ , (a)Job description: /T C'Kfy(/A/ef� This project has DEQ approval. Occupancy Signature: Date: j Zoning approval verified: ❑ Yes El No Construction type: \' Property is within flood plain: ❑ Yes 10 No Square feet: ( 2 t CATEGORY OF CONSTRUCTION • Cost per square foot: .0'iesidential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Typo of lleat: • Job site address: 1/I I81OIf so .5 7 ,�intt Energy Path: City: S;JtraC` .eici . State: O}? ZIP:77y7S ❑ new Dalteration addition Subdivision: JJ Lot no.: (b)Foundation-only permit? ❑ Yes 'o Reference: I (p ZQ y/f Taxloe `C etO 00 Total valuation: ) 76 PROPERTY OWNER 2. Building fees Name: l 'r fl � " .�}.- (a) Permit fee(use valuation table): $ 9/ Address: `j A0 Sc�+ Si Tm s k reL (b)Investigative fee(equal to IN): $ City: r, rte State: O R ZIP:97 11 9 (c) Reinspection($ per hour): $ 577-30.67 (number of hours x fee per hour) Phone: 5't1 1 .{- Fax: - - � /�� E-mail: don wi r 1oY - ey Grm&IL . CO hi (d)Enter 12%surcharge(.12 x I2a+2b+2cp: S �!'1 (e) Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees • Sign here: (a) Plan review(65%x permit fee j 2aD): $ in (b).r- (b)Firc and life safety(40%x permit fee PQ): S ❑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 4. Miscellaneous fees requirements under ORS 701.010. (a) Seismic fee. 1%(.01 x permit fee pal): S _ • CONTRACTOR INSTALLATION O- — (h)Technology fee.5%(.OS x permit fee�2aj): S Business name: 7, "T Z OTAL fees and surcharges(2e*3c+4a+4b): S, Address: - - City: State: ZIP: Phone: - - Fax: - - E-mail: CCI3 license no.: _ • Print name: • Signature: • SUB-CONTRACTOR INFORMATION • Name CCI3 License q Phone Number Electrical Plumbing N leehanical • •