HomeMy WebLinkAboutPermit Building 2014-08-12LSPRINGFIELD
OREGON
w v.spnngfield-er.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01596
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/12/2014 EXPIRES: 02/07/2015
STATUS DATE: 08/12/2014 APPLIED: 07/24/2014
SITE ADDRESS: 5755 OBSIDIAN AVE, Springfield, OR 97478 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1802033207300 TYPE OF STRUCTURE: Residential
OWNER: JAMES KARI B & ADAM S Phone Number:
ADDRESS: 5755 OBSIDIAN AVE
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor BOOHER BUILDERS INC CCB 9226 09/18/2014 541-895-3404
Inspections
INSPECTIONS REQUIRED
1020 Zoning Setbacks
follow rules ado1-4 is
1110 Footing
Footing: After trenches are excavated.
1118 Footing Drain
inOAR 952-001-00: i1, .,y
You may
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
approved.
1410 Underfloor insulation
Centel i`'
1420 Insulation Vapor Barrier
8/12r2014 3:08:41PM
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.
`?0TICE:
PHIS PERMIT SHALL EXPIRE IF THE WORK
�1 t0
ATTENTION: Orr'.r7`' tin
U)THORIZED UNDER THIS PERMIT IS NOT
follow rules ado1-4 is
01,41NIENCED OR IS ABANDONED FOR
Notification'30001.
"INY 180 DAY PERIOD.
inOAR 952-001-00: i1, .,y
You may
0090.
catlincd the ceni' A—ion
number for the
Centel i`'
Springfield Building Permit
8/12r2014 3:08:41PM
Page 1 of 2
SPRINGFIELD
"OREGON
w .spdngfieldocgov
Building / Residential Permit
PERMIT NO: 811-SPR2014-01596
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@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 Slate 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
e-- C
Owner or Contractor Signature Date
Springfield Building Permit 8/12/2014 3:08:41PM Page 2 of 2
SPRINGFIELD--
CITY OF SPRINGFIELD
"
TRANSACTION
RECEIPT
225 Fifth St
Spnngfie1d,0R97477
OREGON
811-SPR2014-01596
541-726-3753
w .spnngfield-ar.gov
5755 OBSIDIAN AVE
permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001752
RECORD NO: 811-SPR2014.01696
DATE: 08/12/2014
ROOMk
StCzOD A OLN=L"
= E
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
14.00
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
120.75
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
83.08
SDC: Total Storm Administration Fee
719-00000-426604
1180
10.19
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004
1099
44.64
Structural Building Permit Fee
224-00000-425602
1002
372.00
Technology fee (5% of permit total)
100-00000-425605
2099
18.60
TOTAL DUE:
784.76
PA n NE ; _ s
a�;tt fio�r.
-
Credit Card weston Booher
5755 Obsidian
784.76
09089G
TOTAL PAID: 784.76
LRIGFIELD ' CITY OF SPRINGFIELD
-- A' 225 Fifth St
, TRANSACTION RECEIPT Sprang eId,OR97477
ONEGON 541-726-3753
811-SPR2014-01596
vn"v.springfield-or.gov 5755 OBSIDIAN AVE permitcenter@spnngfield-or.gov
RECEIPT NO: 2014001592 RECORD NO: 811-SPR2014-01596 DATE: 07/24/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 241.80
TOTAL DUE: 241.80
PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID
Credit Card Weston Booher 241.80
017249
TOTAL PAID: 241.80
Structural Permit Application
225 Fifth Street 0 Springfield, OR 97477 ♦ PH(541)726-3753 e FAX(541)726.3689
Wi
GFIELD
'' OAE60N
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 i Plumbing
DEPARTMENT USE ONLY
Permit no.:5�y_
Date: 242—V-1
80 days at issuan a or if work is
FEE SCHEDULE
1, Valuation information
(a)Jobdescri�" (�Q�}Vr` q'1'�-c2t7J1w
Occupancy --___...----------
Construction type: r
Square feel:
Cost per square foot: `
Other information:
Type of Heat:
❑ new ❑altemtimt [� addition
17iis project has final land -use approval.
Signature:
Date:
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within Hood plain: Yes ❑ No
CATEGORY OF CONSTRUCTION
Co Residential ❑ Government ❑Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 7 C�Si • rN
City: State: ? ZB':,�';7�
Subdivision: Lot no.:
Reference: ® _ 6:5-3z Taxiot: 7-30(1-:1
PROPERTY OWNER
Name,:
Address: — % , ,•
City:
Phone: — % — Fax: - -
E-mail: o �
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is being made on residential or farm property owned by
ore or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name:
Address:
City: cam,/ /
State: ZIP:
Phone - —
Fax f/ - — �S—
E-mail: G h G
CCB license no.:
Print name:
TOTAL fees and surcharges (2e+3e+4a+4b):
SUB -CONTRACTOR INFORMATION
Name
CCB License # Phone Number
Electrical
DEPARTMENT USE ONLY
Permit no.:5�y_
Date: 242—V-1
80 days at issuan a or if work is
FEE SCHEDULE
1, Valuation information
(a)Jobdescri�" (�Q�}Vr` q'1'�-c2t7J1w
Occupancy --___...----------
Construction type: r
Square feel:
Cost per square foot: `
Other information:
Type of Heat:
❑ new ❑altemtimt [� addition
(b) Foundation -only permit? ❑ Yes No
Total valuation:
2. Building fees
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
S
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
t ,
(d) Enter 12% surcharge(.12 x [2a+2b+2c]):
g G%
(e) Subtotal of fees above (2a through 2d):
S
3. Plan review fees
(a) Plan review (65% x permit fee [2a]):
§ W
(b) Fire and life safety (40%x permit fee [2a]):
S
(c) Subtotal of fees above (3a and 3b):
$
4. Miscellaneous fees
(a) Seismic fee, 1% (01 x permit fee [2a]):
$
(b) Technology fee, 5%(.05 xpermit fee[2a]):
S
TOTAL fees and surcharges (2e+3e+4a+4b):
i�<J/,A
7 1.)-L) DO /11
,*J- 4 Sr, z(04"' t�
225 Fifth Si
SPR�_;-%OaeGot4
i
CITY OF SPRINGFIELD Springfield,OR97477
Phone:541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01730
wvnv.springfield-or.gov permitcenter@spdngfield-ocgov
PROJECT STATUS: Issued ISSUED: 08/12/2014 EXPIRES: 02/07/2015
STATUS DATE: 08/12/2014 APPLIED: 08/11/2014
SITE ADDRESS: 5755 OBSIDIAN AVE, Springfield, OR 97478 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1802033207300 TYPE OF STRUCTURE: Residential
-P-ROJECLDESC RI P -TION *P -Bed ro o ma n d -playroom -addition -(rel ocate-hose-b ibb{
OWNER: JAMES KART B & ADAM S Phone Number:
ADDRESS: 5755 OBSIDIAN AVE
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
Plumbing Contractor OWNER CCB 000000 08/01/2025
General Contractor BOOHER BUILDERS INC CCB 9226 09/18/2014 541-895-3404
INSPECTIONS REQUIRED
Inspections
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
3999 Final Plumbing Final Plumbing: When all plumbing work 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.
Owner or Contractor Signature Dale
ATTENTION: Oregon taw requires you to
follow rules adopted
by the Oregon Utility
Notification Center,
in OAThoso rules are set forth
R 952-001.0010
through OAR 952.001-
0090, YOU may obtain copies
of the rules by
calling the center.
(Note: the telephone
nurnber for the Oregon
Utility Notification
Center Is 1-800.332.2344),
pringrield Building Permit 8/12/2014 3:06:09PM Page 1 of 1
k
-GfIELD --
wo
OREGON
w .spdngfieldor.gov
TRANSACTION RECEIPT
811-SPR2014-01730
5755 OBSIDIAN AVE
CITY OF SPRINGFIELD
225 Fifth Sl
Springfield,OR 97477
541-726-3753
permitcenter@spdngfield-ocgov
RECEIPT NO: 2014001751 RECORD NO: 811-SPR2014-01730 DATE: 08/12/2014
Continuing Education Fee 224-00000-425606 2.50
Minimum Plumbing Fee (Three or Fewer Fixtures) 224-00000-425603 1057 82.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
Weston Booher
09089G
TOTAL PAID: 98.44