HomeMy WebLinkAboutPermit Building 2014-7-3 Y SPRINGFIELD- -- 225 Fifth St
' -, CITY OF SPRINGFIELD Springfeld,OR 97477
,._S Phone: 541-726-3753
oaecotr Building / Residential Permit Inspection Phone: 541-726-3769
. Fax: 541-726-3676.
PERMIT NO: 811-SPR2014-01444 •
www.springfield-cr.gov pormilcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/03/2014 EXPIRES: 12/29/2014
STATUS DATE: 07/03/2014 APPLIED: 07/03/2014
SITE ADDRESS: 490 24TH ST,Springfield,OR 97477 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1703361408200 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Garage conversion -open for inspections
OWNER: RODRIGUEZ JOSE A&NORMA N Phone Number:
ADDRESS: 490 24TH 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
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1460 Insulation
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 r-• ired inspections are requested at the proper time, that each address is readable from the street, that the
permit card i- e fro�e property, and the approved set of plans will remain on the site at all times during
construction.
afrAlls '--77 //g
.,—
Owne j i• •lure-- Date
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK 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 1 S0 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility Notification
• Center is 1-800-332-2344).
Springfield Building Permit 7/3/2014 12:22:24PM Page 1 of 1
•
1 SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT, spdngtield,oR97477
541-726-3753
811-SPR2014-01444
www.springfield-orgov 490 24TH ST permitcenter @springfield-or gov
RECEIPT NO: 2014001443 RECORD NO:811-SPR2014-01444 DATE:07/03/2014
11). Illl'Aggia 72 ,`,n �o,r„A,EJ4,.. d..ns rt,r r° ,:_ =ACCOUNT CODEITRANS'CODE xF.'. 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
COMMENTS x F_.'-"'=�_�.L�`..y:L AMOUNT FA ID-a„r&i
Check RODRIGUEZ JOSE A&NORMA N 98.44
537
TOTAL PAID: 98.44
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•
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Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY ?
t
11 ivi F at v'k * Yd ( 'ice *tat i,� r 17150 t°e w u;,7 .
CITY OF SPRINGFIELD OREGON r2 ; �a ' , 3 , -.4. Y�
' � v t,.,- m , _. y.v°., - iPras m-v..J +rs 'eRr.-tip .+ Permit n0.: ��` 7 /
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 `°i"'' o.teGOn
Date: 7� if
4 3
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of ssua ce or if work is
suspended for 180 days.
l'LOCAV GOVERNKII0eAPPROYAL `. + r .: ?FEE SCHEDULE =, > '?..
This project has final land-use approval. J1.Valuation mformation -'
Signature: Date; (a) Job description: (r4}Q„dkrEr (A. vent it,...
This project has DEQ approval. ^
Occupancy
Signature: - _ Date:
Zoning approval verified: ❑ Yes ❑No Construction type: 4 ir
Property is within flood plain: ❑ Yes ❑No Square feet:
,e?;"• t :`iCATEGORY.=OF';CONSTRUCTION w ,_ r t aye; Cost per square foot:
Residential ❑Government ❑ Commercial Other information:
, - JOB!]SITE INFORMATION-!AND'LOCATION M Type of Beat: ,
Job site address: L-1/ . ! '2-t{5�— Energy Path:
City: .5�py-j ro(41-1 4 1 4 State: �- ZIP: ' -1 y7q ❑ new alteration ❑addition
Subdivision: Lot no.: 1 (b)Foundation-only permit? ❑ Yes 'No
Reference: I 76 )36 (y Taxlot: 0net% Total valuation: $ Z1 rG
" [. .. .. .PROPERTY,-OWNER , , X. e---., .1- •2i Buildtng;fees ., ,- ,. < ; ...,4 ?
Name: -3 0 S-9 0-� rt fjt/E 'Z. (a)Permit fee(use valuation table): - S te °
Address:2D 3l Wl /W A )QS.01—at (� (b)Investigative fee(equal to[2a]): S
City: 2 u em-/C_ State: p r ZIP: 4 7 ceo 7 (c)Reinspection($ per hour): $
Phone: S i — 5/O 9CygcFax: - - (number of hours x fee per hour)
E-mail: J o S. Q- q (La eI �O 1 IAA q t (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
CGS (e) Subtotal of fees above(2a through 2d): S
•Building Ow • Owner's agent authorizing this application: ,j`.Plan review fees -`- 3t '` -s ', - A
(a)Plan review(65%x permit fee[2a]): $
Sign here: 'C— i (b)Fire and life safety(40%x permit fee[2a]): $
❑This installation/i.emg made on residential orfarm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member o ,y immediate family,and is exempt from licensing , i"4 ?_
O ( P [ r~
4 Miscellaneous fees "`
requirements under ORS 701.010. ( °
a Seismic fee, 1/o O] x permit fee 2a]): $
CONTRACTORINSTALLATION . j (b)Technology fee, 5°/0 05 x permit fee2a $
Business name: OW/If e (c)Continuing Education Fee$2.50 $2.50
Address: - - - - - - - - -City: State: ZIP: TOTAL fees and surcharges(2e+3c+4a+4b+4c): $ die (If
Phone: - - Fax: - - /
E-mail: AKA' Z 3 b I S •-
CCB license no.: F SC T Y
Print name: '
Signature:
l ,'SUB-CONTRACTOR'INFORMATIQN ,`'.+ ?r
_ Name CCB License# Phone Number
Electrical
Plumbing
Mechanical