HomeMy WebLinkAboutPermit Building 2014-07-23SPRINGFIELD
225 Fifth St
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CITY OF SPRINGFIELD
Springfield,OR97477
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Phone: 541-726-3753
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Building / Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01327
% w .spdnglield-ocgov
permiloenter@spdngneld-or.gov
PROJECT STATUS:
Issued ISSUED: 07/23/2014
EXPIRES: 01/18/2015
STATUS DATE:
07/23/2014 APPLIED: 06/18/2014
SITE ADDRESS: 1900 SCOTT RD, Springfield, OR 97477
SCOPE: Bedroom
ASSESOR'S PARCEL NO:
1703253400700 TYPE OF STRUCTURE: Residential
---PROJECT-DESCRIPTION:---Bedroomaddition
OWNER: LOPEZ CATALINA L
ADDRESS: 1900 SCOTT RD
Phone Number: 541.913.9477
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks
1110 Footing Footing: After trenches are excavated.
1120 Foundation Foundation: After forms are erected but prior to concrete placement.
1170 Post & Beam Post and Beam: Prior to floor insulation or decking.
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall Wall Insulation: Prior to cover. asynn to
iuiutf.,., ,
1440 Insulation Ceiling Ceiling Insulation: Prior to cover. ATTENTION: 0101on,.., laW t ty
.t,xr the OrecJon U4llt-.a
1530 Exterior Shearwall
follow rule`; onu,—,-hose rules
1999 F!!'���� ll4 g al �: After all required�n 19t1`932)01b9A1t� ub — P1PV:�'d`a
I\1 t�� obtain co �p
THIS PERMIT SHAM EXPIRE
PERMIMMM is complete. 0000. You may Note: the telephone .;,
hn11r� RR the center. ( y NOtificatiofl
By sign���lt�;ll�®�T ��FLLy5 h'�t,�1 g��1��$$l�{Ifj[ pined the completed applic�tF�llln f(A'll$f0�1Y � ttihZgrt,o .
iniormatM (���5EAD W d�rL�Y d"liurther certify that any and all work perl�i � s 8Ap,4drSelnQuQ- with the
Ordinal, l��c,t� ICY gef WWDD.and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUP"6' E d"rh'ade 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.
9�� 11923 2�/�'
Owner or Contractor Signature Date
Springfield Building Permit 7/23/2014 2:56:42PM Page 1 of 1
EIN-7
GFIELD -- CITY OF SPRINGFIELD
Fgth St
TRANSACTION RECEIPT Spriingfeld,OR 97477
OREGON 541-72G3763
811-SPR2014-01327
w v.spnngfield-acgov 1900 SCOTT RD permilcenler@spnngfield-or.gov
RECEIPT NO: 2014001586
RECORD NO: 811-SPR2014.01327
DATE: 07/23/2014
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
20.00
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
189.00
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
130.03
SDC: Total Storm Administration Fee
719-00000-426604
1180
15.95
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A9i-MMn-giEnnd
1nQQ
F717...
Structural Building Permit Fee
Technology fee (5% of permit total)
PAYMENTTYPE "PAYOR 'CASHIER: CCARPENTER.
Cash LOPEZ CATALINA L
224-00000-425602 1002
100-00000-425605 2099
TOTAL PAID:
476.00
23.80
AL DUE: 1,033.40
MOUNT PAID
1,033.40
1,033.40
LlGFIELD CITY OF SPRINGFIELD
--- - 225 fifth St
TRANSACTION RECEIPT Springfield,OR97477
ONEGON 541-728-3753
811-SPR2014-01327
w i.spdngfield-or.gov 1900 SCOTT RD pormitcenter@springfield-ocgov
RECEIPT NO: 2014001352 RECORD NO: 811-SPR2014-01327 DATE: 06/20/2014
DESCRIPTION ACCOUNTCODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 309.40
TOTAL DUE: 309.40
'PAYMENTTYPE PAYOR CASHIER;CCARPENTER COMMENTS AMOUNT PAID
Cash LOPEZ CATALINA L
309.40
TOTAL PAID: 309.40
i � <'�C�1TYtO�gS�'RINGRILI�D;OREGON�`c r,y �r ���3t��T' '
n: i"`t,"L..
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 1
suspended for 180 days.
LOCAL GOVERNMENT. APPROVAL
This project has final land -use approval.
Signature:
Date:
This project has DEQ approval.
Signature: I
Date:
Zoning approvat verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes - ❑ No
` ; ;:;CATEGORY OF CONSTRUCTION
❑ Residential
❑ Government ❑ Commercial
- .JOB ',SITE tINFORMATION �AND {LOGATION: •� "'• '`
Job site address:
City: State: 9N 72
+ Subdivision: Lot no.:
�f,r
Reference:. ® bfaxlot: pv
.'`q6
( Name: ES G ,�
Address: goo$ p\
City: `p
State: ZIP: (171
Phone: I 9r Z ci W 7 Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is being made on residential or Rilm property owned by
me or a member of my immediate family, and is exempt from licencing
requirements under ORS 701.010.
";- ,, , t • , -- - CONTRACTOR ,INSTALLATION
Business name:7�—
Address:
City:
State: ZIP:
Phone: --
E-mail:
CCB license no.:
Print name:
Signature:
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
�_ SUB-CON_T:RACTOR
INFORMATION
= _=
Name
CCBLicense#
Phone Number
Electrical
$
Plumbing
(a) Plan review (65%x permit fee [2a]):.
$ UJ
Mechanical
$
(c) Subtotal of fees above (3a and 3b):
Permit no.: PY
- /327
Date:
or if work is
_ FEE:SSCHEDULE
,'`}a ,
1. Valuahonhilr rmation`,
(a) Job description:
Occupancy /0j
Construction type:
Square feet:--
--
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new ❑alteration addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$ OV'U
2:''Building-
(a) Permit fee (use valuation table):
$
(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):
$
(a) Plan review (65%x permit fee [2a]):.
$ UJ
(b) Fire and life safety (40% x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4iMrsce11aneous fees 4 t
✓`'
(a) Seismic fee, 1%(.01 x pemjt fee [2a]):
$ '
(b) Technology fee, 5% (.05 x permit fee[2a]):
$
TOTAL fees and surcharges (2e+3c+4a+4b): $ g�