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Home My WebLink AboutPermit Building 2014-6-10 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 Phone: 541-726-3753•'OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01254 wvnv.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/10/2014 EXPIRES: 12/06/2014 STATUS DATE: 06/10/2014 • APPLIED: 06/10/2014 SITE ADDRESS: 499 34TH ST,Springfield,OR 97478 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1702312410702 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: S-Convert garage to living room,incl prior bedroom conversion. OWNER: OSTERHOFF JEFFERY SD&TINA M Phone Number: ADDRESS: 499 34TH 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 Electrical Contractor OWNER CCB 000000 08/01/2025 ' INSPECTIONS REQUIRED Inspections • 1220 Underfloor framing 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 j 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. • gl•rfcr3 .. � •� Oreyun b°J�Pirt9eSign�t Date NOTICE: • • .. Notification Center. Those rules OAR 952-a 1� in OAR 952-001-0o10throug -THIS PERMIT SHALL-EXPIRE IF THE WORK 0090. You may obtain copies of the rules b� AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (ontUtilhy NotiScatiuit COMMENCED OR IS ABANDONED FOR number for the Oreg ANY 180 DAY PERIOD. (�m�ter is 1-800- 332-G344) Springfield Building gm ter 10:41:47AM- Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St `OREGON TRANSACTION RECEIPT SpdngFleld,OR 97477 '541-726-3753 811-SPR2014-01254 www.springfield-or.gay 499 34TH ST permitcenter @spdngfield-or.gov RECEIPT NO: 2014001261 RECORD NO: 811SPR2014-01254 DATE:06/10/2014 ) 1Z:[o�•JYJIiI[a]�f ,Ty �. �§:- __ 1,.�('` �`_f .� t''ACCOUNT.GODE/TRANSrCODE -�. �-;-'.AMOUNT:lu111 4=m, Continuing Education Fee 224-00000-245606 2.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 • 11.10 Structural Building Permit Fee 224-00000-425602 1002 92.52 Technology fee(5%of permit total) 100-00000-425605 2099 4.63 TOTAL DUE: 110.75 M;PAYMENT TYPE Y=-PAYOR = _ __F_:.=-"; COMMENTS .• - Credit Card OSTERHOFF JEFFERY SD&TINA M 110.75 05286b TOTAL PAID: 110.75 • • • 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 . 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. /(,,.c. , (Zs fer 'PE- Print Name of Permit Applicant /l. •iaik (/ - 10- K-) gRlture of Permit Applicant v Date Permit •#: (I— / 25i 9, ,5 G Address: 777 7 1/ ST V::-1717(. Issued by: Date: U \I8 5�9 . This Copy for Permit Offices Structural Permit Application SPRINGFIELD .='DEPARTMENT USE ONLY =` I CITY OE SPRIN F.T.PE rOREGON ri� f� y, c= ,+O ' Ce >.. ,r 'St a. ;€t.. ..€ r Permit no.: S�L(, /2-5 f 225 Fifth Street*Springfield,OR 97477•PH(541)726-3753•FAX(54l)726-3689 ±--. oREGoti Date: (P//p//t 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. 7:t, s,= !LOCAL GOVERNMENT,APPROVAL±,,,,>.,} , , ;,F,EE, $CHEDULE ,,, r; This project has final land-use approval. -1 Valuation information? I),I Ef' ' "' ; t R' Signature: Date; (a)Job description: Gpe .sit4 e 6:19V4 . This project has DEQ approval. Occupancy g_i Signature: Date: Zoning approval verified: ❑ Yes ❑No Construction type: [4 Property is within flood plain: ❑ Yes. ❑No Square feet: ;;(' r,5 5 ='CATEGORY OP coNSTRUCTloN'- -a n7 { 1W.=`• Cost per square foot: "Csidential ❑Government ❑Commercial Other information:• 3t,'u 's.p. JOB'SITE INFORM?A-tibk. NDL.LOCATION ,:'' "`�, Z' Type of Heat: lob site address: 4"9�j / 7 S'j Energy Path: City: `�Y PiM I State://7 _ I ZIP: 9210er ❑ new alteration ❑ addition Subdivision: I Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference: / 702 Y2'( Taxlot: /p 70 2 Total valuation: $ v I°Artuw T, t' ,+PROPERTY OWNERxl;ti"- 'a°'f! -0 t `i` tr a - •-..e r x �4,c ss * e Y+t=-'`tt .erg. >...u.'Tr� r... .. .,'-..ti _ �,n4 :.f r_.' I=2 BUIIdInQ fees .,.?A"b.� �i'--,r...t�h+` ,a�ss'4-�..z-.,S:?st"c�e 2"r n.ri Name: --)e k C�� W A-cr h o -4— `�' [I;Ng Q -�','s(-I(a)Permit fee(use valuation table): $ y2 3y?- Address: (-e E` ,V4 S t- (b)Investigative fee(equal to[2a]): $ City: 51o0 [, fyi � State: �� _ ZIP: (c)Reinspection($ per hour): v -r �� U vl (number of hours x fee per hour) $ Phone: Fjy �-r`7rt4l'E 1 Fax - //\� - E-mail: l� 05+V' h , ."_ C�.J q ytna t . (bit\ (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ I) c-- Q (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3 Plan review fees.IIIi 'v r5 air :9?QS7tn,.`,i )'tk Jn'a , � (a)Plan review(65%x permit fee[2a]): $ Sign here: �V, (1 {1`547}— (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): $ me or a member of my immediate family,and is exempt from licensing 't 4' Miscllanous ees e t ; s . zr . " ; requirements under ORS 701.010. (a) Seismic fee, 1%(.01 x permit fee[2a]): $ gl';i 5 ,,j°,,, CONTRACTOR INSTALLATION`;..s ck,.,' "`,t.'- 'y,+s (b)Technology fee,5%(.05 x permit fee[2a]): $ '7 t! Business name: C)(�Y\Q/i_. (c)Continuing Education Fee$2.50 $2.50 Address: City: State: 1 ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ /o Phone: - - Fax: - - E-mail: CCB license no.: Print name: Je_4eru n5-♦-esNu) G( Signature: /Is - ' rniV IAII r;,, ?''.;p.SUB=CONTRACTORINFORMATION.,fr„ r•:,)'�.`,i ;),sil Name CCB License fl Phone Number Electrical 6.......0 l /vl� S/ L( / 2`�S Plumbing � I Mechanical