HomeMy WebLinkAboutPermit Building 2014-6-16 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
b.a Phone: 541-726-3753
:\ OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01298
www.springfield-or.gov permitcenterespringfield-ar.gov
PROJECT STATUS: Issued ISSUED: 06/16/2014 EXPIRES: 12/12/2014
STATUS DATE: 06/16/2014 APPLIED: 06/16/2014
SITE ADDRESS: 734 54TH ST,Springfield,OR 97478 SCOPE: Garage/Carport
ASSESOR'S PARCEL NO: 1702332100602 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Wall off garage door: Garage was converted to shop space by prior owner-approved use
still limited to non-habitable, non-conditioned storage space.Two off-street(driveway)
parking spaces to remain.
OWNER: GRAY WILLIAM GLEN Phone Number:
ADDRESS: 734 54TH ST •
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 06/01/2025
I, INSPECTIONS REQUIRED
• Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
AL _ i X00
Owner or Contractor Signature Date
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 forth
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 for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 6/16/2014 1:31:45PM Page 1 of 1
Structural Permit Application SPRINGFIELD DEPARTMENTUSE ONLY t
`44 £' TY Y3i(jw 'F La: -, T 3kk!. i a>[ 't til ' -.fir_ _ _, ONLY,
4;1"4-14-13:1.' CIT4OF.SPRINGFFEED OREGONr,;" rata 'r. '` { ( ,A}
;•. Fifth Street* 1)726- 75 ' 6-3689 t� "3a 0 tGO$ Permit no.: (/U_/may.r
225 Fifth Springfield,OR 97477•PH(54I)726 3753•FAX(541)726-3689
- ✓ I L70
Date: 07/9"
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.
t, :LOCAL .GOVERNMENT' P,PROYAL " ' , . [, '; FEE"SCHEDULE.4 ,r a�r .,.x,} s
,y
This project has final land-use approval. :1 Valuation mfontahon ' - q1.) '%i :'' sr :-:
Signature: Date; (a)Job description: /7,a,�,�/Cp j / va_
This project has DEQ approval. GJ/"""y 'l/'�
Occupancy A- 0
Signature: Date:
Zoning approval verified: ❑ Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
Y,z1,q„ sf' "CATEGORY OF CONSTRUCTION 4` `` ''<; Cost per square foot:
Residential ❑Government ❑Commercial Other information:
I`Ub
,,,,� j,^JOB SITE-INFORMATION iAND;LOCATION' -'a , ,.• Type of Heat:
Job site address: L co Li �p Energy Path:
City: C\■ p\A State: Cri ZIP:gt /7,i ❑ new alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: I Taxlot: Total valuation: a
x K ft. '4`r9it ''-:PROPERTYEOWNER "- rse ;gkgir*. ' .. :;:2 sBwldiiig fees ,,t M rdit" ik a IS.:.,? =i;
Name: 55'S . (a)Permit fee(use valuation table): $
Address: S Cc�y x''- (b)Investigative fee(equal to[2a]): $
City: ke\d M State: ZIPS'7y ' (c)Reinspection($ per hour):
Phone: f c_py5 / Fax: - - (number of hours x fee per hour) $
E-mail: V V C' SKellQ e.-U(1 r,COry] (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 9,1Y` (e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3' PIan4�vre v fees, .'s tq`-,N.. ;N^ _ r `= f tek"-!'S.' „ti'sO
�� -(� (� (a) Plan review(65%x permit fee[2a]): $
Sign here: 1�-Ii/. r.. 11,1 \�C\ / % a (b)Fire and life safety(40%x permit fee[2a]): $
,'his installation is being made an residential or farm prope y owned by (c) Subtotal of fees above�(+3a and 3b): $
me or a member of my immediate family,and is exempt from licensing °4.gvtii Cllaneous fees''^c�t"q'' 'J jell ktir f 4., ;yf''Irq Rn 5
requirements under ORS 701.010. (a) Seismic fee, 1%(.01 x permit fee[2a]): $
Yjf4 $1t.,4*,CONTRACTOR INSTALLATION YWic `, '�'*.,K ;` o /0
(b)Technology fee,5%(.05 x permit fee[2a]): $ y
Business name: ou.Th,--ver- (c)Continuing Education Fee$2.50 52.50
Address:
City: State: ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+ �/4c): $9�7
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
'_ wio SUB'-CONTRACTOR',INFORMATION IF nf T ;
Name - CCB License# Phone Number
Electrical •
Plumbing
Mechanical