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Permit Building 2014-6-12
SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 »*.. OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02142 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/12/2014 EXPIRES: 12/08/2014 STATUS DATE: 06/12/2014 APPLIED: 09/23/2013 SITE ADDRESS: 822 F ST,Springfield,OR 97477 SCOPE: Accessory Building ASSESOR'S PARCEL NO: 1703351211800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rebuild historic two story garage.NOT for Habitable space OWNER: MELTON JACOB N Phone Number: ADDRESS: 822 F ST SPRINGFIELD OR 97477 OWNER: MELTON SARA B Phone Number: ADDRESS: 822 F ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1920 Miscellaneous Building 1020 Zoning Setbacks 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 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. 1550 Firewall Firewall: Located and constructed according to plans. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete.•NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility • Notification Center. Those rules are set AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001, COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number CenterisO1-800.32-2344).ticatioD Springfield Building Permit 6/12/2014 8:54:31AM Page 1 of 2 • SPRINGFIELD 225 Fifth St ' -;L; CITY OF SPRINGFIELD Springfield,OR 97477 ,.`L G Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02142 www.springfield-or.gov permitcenter @springfield-or.gov 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. /W 5CCR.CC— 16 Owner or Contractor Signature Date Springfield Building Permit 6/12/2014 6:54:31AM Page 2 of 2 • SPRINGFIELD CITY OF SPRINGFIELD at -.if.. 225 Fitch SI `'ft'ECOH TRANSACTION RECEIPT Springfield:OR 97477 541-726-3753 811-SPR2013-02142 www.springfield-or.gov 822 F ST permitcenter©springfield-or.gov RECEIPT NO: 2014001279 RECORD NO: 811-SPR2013-02142 DATE:06/12/2014 ii. _ ._ i . ACCOUNT CODE/TRANS CODE : __ __ ... AMOUNT,DUE ', Building Without Structural Permit Penalty 224-00000-425602 1002 162.61 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 39.02 Structural Building Permit Fee 224-00000-425602 1002 162.61 Technology fee(5%of permit total) 100-00000-425605 2099 16.26 -- --------- -- --_^-�-- ----- TOTAL DUE: 380.50 L PAYMENTJYPE .:PAYOR_,CASHIER:ccARPENTER .;; COMMENTS r 2- AMOUNT PAID Check MELTON SARA B 380.50 3374 TOTAL PAID: 380.50 l J Structural Permit Application SPRINGFIELD DEPARTMENT-USE ONLY r./CITY OF SPRINGP.IE_LD, OREGON ,r "•;I- 2 . R �t.�• Permit no.:c/ J —2/ V2 /f2 225 Filth Street•Springfield,OR 97477•P11(541)726-3753•FAX(541)726 3689 OREGON ( .J / Date: 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: (a)Job description: Garage remouti l Dr) This project has DEQ approval. I Occupancy (,1A Signature: Dale: /� ' // ,x� Zoning approval verified: ❑ Yes ❑No Construction type: 0,1/4,d %ewwe ✓e_t' Property is within flood plain: ❑Yes ❑No Square feet: 720 CATEGORY OF CONSTRUCTION - ' . : Cost per square foot: XRcsidential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Heat:�% Job site address: 1.12 r- S`/rael. Energy Path: City: Sp/jog s4/g/4 State: OR ZII':9Wl7 ❑new -alteration ❑addition Subdivision: Washburn e. I.ol no.: (h)Foundation-only permit? ❑ Yes BNu Reference: i9.-03--35--I/ T aloe /'/ $00 Total valuation: Si - a t� • ��7 PROPERTY OWNER 2. Building fees ..Name: Teob and Jar /' /-/oJi (a) Permit fee(use valuation table): $ 1&2.42[ Address: 72 rG/S-i, (b)Investigative fee(equal to 12a9: $ F•'( City: J rilljY/Clef _ State: O,Z ZI P:q'J?77 (c) Reinspeetion(S per hour): �� ��®��$ (number of hours x fee per hour) $ Phone: l n Fax: - - �_PQlitlenCKF GOK 02— I:-mail: �n„v� t (d)Enter 12%surcharge(.12 s 12a+26+2c)): $ "�l (e) Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review-fees • • ! -. (a) Plan review(65%x permit fee[2a1): $ Sign here: -�� (b)Fire and life safety(40%x permit fee 12a1) $ `This inst. ation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a me bar of my immediate family,and is exempt from licensing q,Miscellaneous fees requirements under ORS 701.010. - (a)Seismic fee, 1%(.01 x permit fee 12a1): $ CONTRACTOR INSTALLATION (b)Technology fee, x permit feel a 8 /4-cam Business name:/�`% -✓/L-t—. O- 6Y P 12 U- TOTAL fees and surcharges(2e+3c+4a+4h): 5 .ry C �/ Address: City: State: I ZIP: Phone: - - Fax: - - E-mail: CCH license no.: Print name: Signature: SUB-CONTRACTOR INFORMATION` Name CCR License# Phone Number Electrical Plumbing %lcch:m ical