HomeMy WebLinkAboutPermit Building 2014-6-30 SPRINGFIELD 225 Fifth St
k 4 CITY OF SPRINGFIELD Springfield,OR 97477
r ;.t Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01413
www.springfield-or.gov pe rm itcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/30/2014 EXPIRES: 12/26/2014
STATUS DATE: 06/30/2014 APPLIED: 06/30/2014
SITE ADDRESS: 360 21ST ST,Springfield,OR 97477 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1703361306900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Enclose carport-use remains as storage
OWNER: CONSTANTINO,RICARDO Phone Number: 541-653-5992
ADDRESS: 360 21st.St
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
-
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
L INSPECTIONS REQUIRED
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 incompliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requester • he proper time, that each address is readable from the street,that the
permit card is located at the front of the • . •nd'fhe approved set of plans will remain on the site at all times during •
construction.
p 0 noractor Signature Date
ATTENTION: Oregon law requires you to
f:;!aw rules adopted by the Oregon Utility •
NOTICE: Idutiiication Center. Those rules are set forth .
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952.001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344).
Springfield Building Permit 6/30/2014 2:24:22PM Page 1 of 1
•
SPRINGFIELD CITY OF SPRINGFIELD
I i CCsf_, 225 Fifth St
OREGON TRANSACTION RECEIPT Springfield,OR 97477
541-726-3753
811-S PR2014-01413
www,springfield-ar.gav 360 21ST ST permitcenter @springfield-or.gov •
RECEIPT NO: 2014001422 • RECORD NO:811-SPR2014-01413 DATE:06/30/2014
:DESCRIPTION, :__ ___ A000UNTCODE/TRANSCODE_ AMOUNT DUE
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
PAYMENT TYPE__ _-PAYOR, CASHIER:CCARPENTER . COMMENTS • AMOUNT PAID
Cash CONSTANTINO, RICARDO 98.44
TOTAL PAID: 98.44
Structural Permit Application SPRINGFIELD .:DEPARTMENT USE ONLY:
t - s. 4°S'a.: e
?'a1,a2 CITY^OF SPRNGF[ELO'OREGON ` z t-,,,,4 . Permit no.:
225 Fifth Street♦Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON j/(F_/V/
Date: 0/roAf-
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.
i , - '; LOCAL GOVERNMENT APPROVAL `, _,,. L' . ;F.EE SCHEDULE ,' {
This project has final land-use approval.
Signature: Date; (a)Job description: C/t/GLOS d CeljezeOTt-'7"
This project has DEQ approval.
Date: Occupancy vat
Signature: '�°�
Zoning approval verified: ❑Yes ❑No Construction type:[��
Property is within flood plain: ❑Yes ❑No Square feet:
rCATEGORY;OF CQNSTRUCTION u '*a Cost per square foot:
Residential ❑Government ❑Commercial Other information:
tam ;._JOBSITE INEORMATIONFAND LOCATION `''' Type of Heat:
Job site address: 36 6 /1/ Zf S¢ Energy Path:
City: Sf'r rn y p n State: 0,-7 ZIP: ?7 y7; El new alteration ❑addition
Subdivision: Lot no.: / (b)Foundation-only permit? ❑ Yes ❑No
Reference: Taxlot: Total valuation: $ e)ar Cl
i ; , >`,34'l'`, ,FPROPERTY-''OWNER} , n.1ri x, At S' Z Btnlding fees :.g°i ; ;_;; r " i i : *,y=5
Name: aye*brie,{ J e �y...., (a)Permit fee(use valuation table): $
Address: '?Gc N 7/' (b)Investigative fee(equal to[2a]): $
City: 'rat-Irv/I State: U-! ZIP: /7y?7 (c) Reinspection($ per hour): $
Phonelseg 1 6 5-5 S7 7 2- Fax: - - (number of hours x fee per hour)
E-mail: / (d)Enter 12%surcharge(.12 x[2a+2b+2c]):
(e)Subtotal of fees above(2a through 2d): $
Building Owner or • ner's agent authorizing this application: „3 +Plan revtewEfees '=m„4fl;C "rr „Yi; }ti''f r=f z .
�.. / (a) Plan review(65%x permit fee[2a]): $
Sign It e: (b)Fire and life safety(40%x permit fee[2a]): $
❑1stallatron is being made en 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 j"4` Miscellaneous fees t ,1,; 3. I' 1:1 Mrrr '
requirements under ORS 701.010. " �" `'
-a -;} rx o e. (a) Seismic fee, 1%(.01\x permit fee [2a]): $
pt x,�ti ' ONTRACTOR INSTALLATION., _<,,;�? e
'"'""- -' - '` (b)Technology fee,5%(.05 x permit fee[2a]): $ tic
e)
name: /7 U/v`��� (c)Continuing Education Fee$2.50 $2.50
Address: v J
City: State: ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ 6 /1
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
= z',*.r T1 , SUB=CONTRACTORINFORMATION _ :t'y r4V a',M
Name CCB License# Phone Number
Electrical
Plumbing
Mechanical