HomeMy WebLinkAboutPermit Building 2014-6-24 4.
SPRINGFIELD 225 Fifth St
4^ CITY OF SPRINGFIELD Springfeld,OR 97477
- Phone: 541-726-3753 •
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
I PERMIT NO: 811-SPR2014-01352
www.springfieldocgov permitcenter @springfieldor.gov
PROJECT STATUS: Issued ISSUED: 06/24/2014 EXPIRES: 12/20/2014
STATUS DATE: 06/24/2014 APPLIED: 06/24/2014
SITE ADDRESS: 1945 17TH ST,Springfield,OR 97477 SCOPE: Garage/Carport
ASSESOR'S PARCEL NO: 1703252404001 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Carport to garage conversion,BWOP by tenant/renter-Refernce COD14-00390 •
OWNER: PROPP FAMILY TRUST Phone Number:
ADDRESS: PO BOX 9299 .
N HOLLYWOOD CA 91609
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
OWNER CCB 000000 08/01/2025
• INSPECTIONS REQUIRED II
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
44(....-7 1, 1. —.4.4�v ) —ill— ?bait' .
Owner or Contractor Signature _ . Date . •
• ATTENTION: Oregon law the Oregon Utito
follow rules adopted by
Notification Center. Those rules h OAR 952 001- s IGE:l In OAR952-001-0010throug S PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain center. co e: t of the phos by LiIS PERMIT
UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone
number for the Oregon Utility Notification . OR IS ABANDONED FOR
Center is 1-800-332-2344). ,,NY 180 DAY PERIOD.
•
Springfield Building Permit 6/24/2014 10:04:44AM Page 1 of 1
SPRINGFIELD -- - CITY OF SPRINGFIELD
t - ... 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
- 541-726-3753
OREGON 811-SPR2014-01352
www.spnngfield-er.gov 1945 17TH ST permitcenter @springfield-or.gov
RECEIPT NO: 2014001362 RECORD NO: 811-SPR2014-01352 DATE:06/24/2014
`Is_"" =,uL2at.. ..,.a-s.,>Cil-. 1,31:7.;rtAC000NTCODEfIiRi4NSrCODE ::; ,..I:4S--AMOUNTnUUE'
• Continuing Education Fee 224-00000-425606 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
P.AYMENTaTYP.E. P_AYOR cASetErccARPENTERigl COMMETh C QMODgrAAID
Check PROPP, GLORIA 98.44
2804
TOTAL PAID: 98.44
•
• Structural Permit Application SPRI GFIELO DEPARTMENT USE ONLY".
r ,i C•IT} OE SPR[NGt [EL'D OREGON is z Permit no.: 51c{ /3 C Z
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OaErdH I /� J
Date: 2.1// % _
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 t ,w:,: ,,,,, , .1a, „ a ;;.'FEE SCHEDULE it.; x r `, :
This project has final land-use approval. r ii * 'Z' `
P 1 Pe kl Valuation information ,� ._�� ,, ��,,,„��., ,,,
Signature: Date; (a)lob description:~,./47,4 eiCt �v/LT 7?
This project has DEQ approval , A
Signature: Date: Occupancy vl li/frzAc r GJ/VVeYt5/�v
Zoning approval verified: ❑Yes ❑No Construction type: ✓ `77
Property is within flood plain: ❑Yes ❑No Square feet: f
ti ', kt ;CATEGORY OFabONSTRUCTION' _, Yom. g.'• Cost per square foot:
❑Residential I ❑Government I ❑Commercial Other information:
C” r;iJOB SITE 1 INFORMATION``AND�LrOCATION _„' ' ' Type of Heat:
Job site address: /q Ai S / 7 Sy- Energy Path:
City: S p rt in Y-‘1 e I ci I State: U-2. I ZIP: 9j*g77 ❑new alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: I Taxlot: Total valuation: I S".2-416 )
- .. ...p x- �1 t r- ' ;:2 Buildin,.fees '' a "�f3u4 i4 4X a,s.'=TM
�:,.;� .�- <.PROPERTY-UWNER.�^�-,§ '?..�.: 8 .�;_" -rte:�� F ,�.�.,.
<.'� to -T7
Name: !'j-'TT ,�,1 1, 1 r 5 4- c2�o n a 'Tiro ley (a)Permit fee(use valuation table): S Y2i•
Address:To 73,F. 9a.9 9 (b)Investigative fee(equal to pap: S
City: Aft ylw [10/i w'o e State:6/4 I ZIP9/4.09 (c)Reinspection(S per hour): S
Phone: the 76.6,-0 07 7 Fax: - -
(number of hours x fee per hour)
E-mail
(d)Enter 12%surcharge(.12 x[2a+2b+21): S (9 It/
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: >13 aPlan review fees '-°,+,.;` t`tt >)Yy1' a "f` -a`�"�'d`r' r' 1< ":
(a)Plan review(65%x permit fee 12a]): S
_Sign here: t ti 1777 l //Lr <e (b)Fire and life safety(40%x permit fee[2a]): S
❑This insta ation is being made m residential or faun 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 '4 iMiscellaneous fees'l'i " r'''`v :'X'`� ; ` +S`
requirements under ORS 701.010. a _ x4„fir::- �. .-. «,I;�n .„::?.
(a)Seismic fee, 1/u(.01 x permit fee[2a]): S
? ` " 'tft:oNTRACjOR INSTALLATIONIZ•., arV ,yam + (b)Technology fee,5%(.05 x permit fee 2a S r U
Busyness name:
(57.t/l1t- ( ) gY u n. perm' fee[2111):
(c)Continuing Education Fee S2.50 $2S0
Address: - ` -,-
City: State: • I ZIP: TOTAL fees and surcharges(20-3c+4a+4b+4c): S 9.ff-1f
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name: -
Signature:
_yu;,iMie$,u 3 SUB=CQNTRACTORIN_IORMATION Ea
Name CCB License II Phone Number
Electrical
Plumbing
Mechanical