HomeMy WebLinkAboutPermit Building 2014-07-22ELD
225 Fifth St
ISI
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CITY OF SPRINGFIELD
Springfleld,OR 97477
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Phone: 541-726-3753
OREGON
Building / Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01395
www.springfield-or.gov
permitcenter@springneld-or.gov
PROJECT STATUS:
Issued ISSUED: 07/2212014
EXPIRES: 01/17/2015
STATUS DATE:
07/22/2014 APPLIED: 06/27/2014
SITE ADDRESS: 29 SHADY LOOP, Springfield, OR 97477
SCOPE: Family Room
ASSESOR'S PARCEL NO:
1703262300617 TYPE OF STRUCTURE:
Residential
-PROJECT DESCRIPTION:
Family -room -addition
OWNER: STARR DEAN A & TINA R
Phone Number:
ADDRESS: 29 SHADY LP
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type
Lie No Lie Exp Phone
General Contractor
THOMAS LANE CARROLL CCB
191213 06/30/2016 541-915-1617
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks
1110 Footing
Footing: After trenches are excavated.
1118 Footing Drain
1120 Foundation
Foundation: After forms are erected but prior to concrete placement.
1220 Underfloor framing
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall
Wall Insulation: Prior to cover.
1440 Insulation Ceiling
Ceiling Insulation: Prior to cover.
1530 Exterior Shearwall
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
THII
SPERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
h OAR 952.001-
Notification Center. Those rules are set fort
In OAR 952 001 o�`a nlcopies of the rhone y
0090. You may Note: the telephone
calling the center. (on Utility Notification
number for the Oreg
center is 1-800.332 2344).
Springfield Building Permit 7/22/2014 9:14:57AM Page 1 of 2
SPRINGFIELNO
1e O
mm.spnngfield-or.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01395
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcanter@spdngField-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
Owner or Contractor Signature
Date
07 2' / 4—'—
Spnngfield Building Permit 7/2212014 9:14:57AM Page 2 of 2
is
CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spdngfield,OR97477
811-SPR2014-01395 541-726-3753
v Y.springfield-orgov 29 SHADY LOOP permits nler@springrield-orgov
RECEIPT NO: 2014001574
RECORD NO: 811-SPR2014-01395
DATE: 07/22/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Continuing Education Fee
224-00000-425606
2.50
Planning - Minor Review - City
100-00000-425002
1231
119.00
Residential Fire (.05 Per Sq Foot)
100-00000-424005
9111
36.00
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
290.63
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
199.95
SDC: Total Storm Administration Fee
719-00000-426604
1180
24.53
State of Oregon Surcharge (12% of applicable fees)
Structural Building Permit Fee
Technology fee (5% of permit total)
PAYMENTTYPE PAYOR 'CASHIER:CCARPENTER
Check THOMAS LANE CARROLL
1180
821-00000-215004 1099 43.68
224-00000-425602 1002 364.00
100-00000-425605 2099 18.20
TOTAL DUE: 1,098.49
COMMENTS :''AMOUNT PAID
1,098.49
TOTAL PAID: 1,098.49
SPRINGFIELD - CITY Oh SPRINGFIELD
I Fifth St
TRANSACTION RECEIPT Springfield,OR 97477
` OREOON 541-728-3753
811-SPR2014-01395
www.spnngfield-orcgov 29 SHADY LOOP permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001394 RECORD NO: 611-SPR2014-01395 DATE: 06/27/2014
DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE "
Structural Plan Review Fee Residential 224-00000-425602 1061 236.60
TOTAL DUE: 236.60
'PAYMENT.TYPE PAYOR CASHIER:CCARPENTER COMMENTS AMOUNT PAID'
Credit Card Thomas Carroll 236.60
199660
TOTAL PAID: 236.60
Structural Permit Application
225 Fifth Street t Springfield, OR 97477 4 PH(541)726-3753 ♦ FAX(541)726-3689
SPRINGFIELD --
7 4}r
daEGON
DEPARTMENT USE ONLY
Permit no.:s�(/® ® / -7 9
Date: 6 ' 2 7 — ( 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.
SUB -CONTRACTOR INFORMATION
Name CCB License H Phone Number
Electrical
Plumbing
Mechanical
FEE SCHEDULE
1. Valuation information
(a) Job description: /fJ�Q/ QOM
Occupancy 437
Construction type:
Square feet: 6
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new, ❑alterationition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
S
i2. Building;fees
(a) Permit fee (use valuation table):
$ 'g
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x. [2a+2b+2c]):
$
(e) Subtotal of fees above (2a through 2d):
S
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
S
4. Miscellaneous fees
(a) Seismic fee, I%(.01 x permit fee [2a]):
$
(b) Technology fee, 5%(.05 x permit fee[2a]):
$' ^--
(c) Continuing Education Fee $2.50
52.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
S 49 / l
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0010 through OAR 852.0010080. You may ot#ain � ���!����� ��
copies of the rules by calllnq the center (Nvlec the
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