HomeMy WebLinkAboutPermit Building 2014-08-08SPRINGFIELD
225 Fifth St
'
CITY OF SPRINGFIELD
Springfield,OR97477
Phone: 541-726-3753
oa6coN
Building / Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01563
v v.spnngfield-orgov
permitcenter@spdngfield-or.gov
PROJECT STATUS:
Issued ISSUED: 08/08/2014
EXPIRES: 02/03/2015
STATUS DATE:
08/08/2014 APPLIED: 07/21/2014
SITE ADDRESS: 1133 5TH ST, Springfield, OR 97477
SCOPE: Single Family Residence
ASSESOR'S PARCEL NO:
1703263402600 TYPE OF STRUCTURE:
Residential
PROJECT DESCRIPTION:
Addition to existing singte_f_a.mily residence
OWNER: WATTS BECKY JOY
Phone Number:
ADDRESS: 1133 STH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type
Lie No Lie Exp Phone
Electrical Contractor
RS ELECTRIC LLC CCB
149509 11/02/2015 541-359-1192
_ _
Mechanical Contractor
._-__._._.,_..__._-..........__.....-..__.__
MARSHALLS INC CCB
_�_.._--_.7—__
25790 12/23/2015 541-747-7445
General Contractor
STEVEN JOEY GAYLES CCB
27216 01/25/2016 541 345-9978
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.
HOTICE: ICE:
THIS PERMIT SHALL EXPIRE IF THE WORT(
AUTHORIZED UNDER THIS PERMIT IS NOT
COMWENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 8/8/2014 2:41:55PM
r'- !TICV: 01 air/ requires you to
G::oty rules adopted by the Oregon Utility
ivutification Center. Those rules aro set forth
in OAR 052.-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800.332-2344), Page i of 2
LPIRNGFIELD
'� ,
ai
OREGON
www.springfield-ocgov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01563
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@sp6ngfield-ocgov
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
Springfield Building Permit 8/8/2014 2:41:55PM Page 2 of 2
SPRINGFIELD '"- CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
OREGON 541-726-3753
811-SPR2014-01563
%w .spnngfield�r.gov 1133 5TH ST permiteenter@spnngfield-or.gov
RECEIPT NO: 2014001564 RECORD NO: 811-SPR2014-01563 DATE: 07/21/2014
1(3 U=
Structural Plan Review Fee Residential 224-00000-425602 1061 t 463.26
TOTAL DUE: 463.26
steven gayles
021675
TOTAL PAID:
463.26
LPRGFIELDi '
" OREGON
wv .springfeld-ocgov
CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfeld,OR 87477
541-726-3753
811-SPR2014-01563
1133 5TH ST permits nter@springfeld-ocgov
RECEIPT NO: 2014001723
RECORD NO: 811-SPR2014.01563
1177
DATE: 08/08/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNTOUE
Continuing Education Fee
224-00000-425606
719-00000-426604
2.50
Planning - Minor Review - City
100-00000-425002
1231
119.00
Residential Fire (.05 Per Sq Foot)
100-00000-424005
9111
39.90
SDC: Improvement Cost - Local Wastewater
443-00000-448025
1184
500.64
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
421.13
SDC: Reimbursement Cost - Local Wastewater
442-00000-448024
1183
1,025.71
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
289.73
SDC: Total Sewer Administration Fee
719-00000-426604
1175
76.32
SDC: Total Storm Administration Fee
719-00000-426604
1180
35.54
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
85.52
Structural Building Permit Fee
224-00000-425602
1002
712.70
Technology fee (5% of permit total)
100-00000-425605
2099
35.64
TOTAL DUE: 3,344.33
PAYMENT,TYPE (PAYOR CASHIER:CCARPENTER
: COMMENTS
AMOUNT PAID.-
Credit Card STEVEN JOEY GAYLES
3,344.33
035661
TOTAL PAID: 3,344.33
Structural Permit Application
225 Fifth Street + Springfield, OR 97477 ♦ PH(541)726-3753 1 FAX(541)726-3669
SP GING e'l GLD
OREGON
DEPARTMENT USE ONLY
Permit no.:s///�v�&— el�
Date:
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.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date,
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
Residential I ❑ Government I ❑ Commercial
JOB SITE INFORMATION AND LOCATION '
Job site address:
City: G(py-t A A State: /Z. ZIP: 9 7 %
Subdivision. I Lot no.:
Reference: Taxlot: U Z 6
PROPERTY OWNER
Name:
Address:
City: ^ State: CA"
ZIP:
Phone: c 5 i nj I Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installatio Bing made on residential or farm property owned by
me or a memberf my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: 5
Address: (-�- v 5
City: (7t,,..
State: BVI. Zp
Phone:�C - 7 p 7
Fax: - -
E-mail: (7
CCB license no.: '7 2 f
Print name:
Signature:
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
SU-CONTRACTO_ R'INFORMATION
Name
CCB License 4
Phone Number
Electrical
(a) Plan review (65%x permit fee [2a]):
$
Plumbing
Gt Nof rr
(c) Subtotal of fees above (3a and 3b):
✓al
Mechanic
6A;d1,,I of
4. Miscellaneous fees --
FEE SCHEDULE
1. Valuation information
(a) Job description: U V m ow
Occupancy 1>
Construction type: V/
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new ❑alteration addition
(b) Foundation -only permit? ❑ Yes No
Total valuation:
S
2. Building Tees
(a) Permit fee (use valuation table):
$7� 7
(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
(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 x permit fee[2a]):
$ J
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3(!+4a+4b+4c):
$ y'
Y
SPRINGFIELD -
225 Fifth St
` - CITY OF SPRINGFIELD
Springfleld,OR 97477
ilt�t ��
Phone: 541-726-3753
OREGON
Building /Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01696
wmv.springfield-ocgov
permucamer@springfield-ocgov
PROJECT STATUS: Issued ISSUED: 08/0812014
EXPIRES: 02/03/2015
STATUS DATE: 08/08/2014 APPLIED: 08/07/2014
SITE ADDRESS: 1133 5TH ST, Springfield, OR 97477
SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703263402600 TYPE OF STRUCTURE: Residential
-RROJECTDESCRIPT10N —M-oddition-t"xisting-singlelamily_residenc
OWNER: WATTS BECKY JOY
Phone Number:
ADDRESS: 1133 STH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type
Lic No Lic Exp Phone
Electrical Contractor RS ELECTRIC LLC CCB
149509 11/02/2015 541-359-1192
__._... -_. __.--__,_.___..___, _-..__.v. _.___,__—________ ______..__ _.__.-__
Mechanical Contractor MARSHALLS INC CCB
_-.._.._.___-.1-20-___ __.-.-._.._
25790 12/23/2015 547-747-7445
General Contractor STEVEN JOEY GAYLES CCB
_ __.-_76 —_
.._.._._-.__01/25/2016 ---6-4-1-3-4'5`-9g'7-6--
27215 541 345-99
INSPECTIONS REQUIRED
Inspections
2140 Pellet, Gas, Fireplace or Wood Wood Stove: After Installation,
Stove
2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or
decking and including required testing.
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical
Final Mechanical: When all mechanical 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 Safely. 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 .ontractor Signature
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Date
ATTENTION: Oregon law requires you t0
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001•
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800-332-2344).
Springfield Building Permit 8/8/2014 2:39:34PM Page t of 1
SPRINGFIELD
CITY OF SPRINGFIELD
t
TRANSACTION RECEIPT
Fifth St
Spfingfeld,OR 97477
Continuing Education Fee
224-00000-425606
541-726-3753
eREe ON
811-S P R2014-01696
224-00000-425604
wv .spnngfeld-ocgov
1133 5TH ST
permitcenter@spnngneld-or.gov
RECEIPT NO: 2014001721 RECORD NO: 811-SPR2014-01696
DATE: 08/08/2014
DESCRIPTION
ACCOUNT CODEITRANS'CODE
AMOUNT DUE
Continuing Education Fee
224-00000-425606
2.50
First Appliance Fee
224-00000-425604
1006
82.00
Single -duct exhaust (bathrooms, toilet compartments, utility room:
224-00000-425604
1006
20.00
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
12.24
Technology fee (5% of permit total)
100-00000-425605
2099
5.10
Credit Card STEVEN JOEY GAYLES
035661
TOTAL DUE: 121.84
1 AMOUNTPAI
121.84
TOTAL PAID: 121.84
SPRINGFIELD -
225 Fifth St
' -r-
CITY OF SPRINGFIELD
Springfield,OR 97417
��
Phone: 541-726-3753
- oae60H
Building / Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01697
w .springfield-or.gov
permitcenler@springfield-or.gov
PROJECT STATUS:
Issued ISSUED: 08/08/2014
EXPIRES: 02/03/2015
STATUS DATE:
08/08/2014 APPLIED: 08/07/2014
SITE ADDRESS: 1133 STH ST, Springfield, OR 97477
SCOPE: Plumbing Only
ASSESOR'S PARCEL NO:
1703263402600 TYPE OF STRUCTURE:
Residential
PROJECT DESCRIPTION:
P -Addition to existing single family residence
OWNER: WATTS BECKY JOY
Phone Number:
ADDRESS: 11335TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type
Lie No Lie Exp Phone
Electrical Contractor
RS ELECTRIC LLC CCB
149509 11/02/2015 541-359-1192
_
Mechanical Contractor �"�-� � '
_
m'MARSHALLS INC � CC6
_..--__ .
25790 12/23/2015 541-7474445
General Contractor
STEVEN JOEY GAYLES CCB
27215 01/25/2016 547-345-8978
INSPECTIONS REQUIRED
Inspections
3170 Underfloor Plumbing
Underfloor Plumbing: Prior to insulation or decking.
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.
Z�L._/ it_
Owner or ontractorSignatu�
°NICE:
';IS PERMIT SHALL EXPIRE IF THE WORK
011 iORIZED UNDER THIS PERMIT IS NOT
ul/iMENCED OR IS ABANDONED FOR
,,64Y 180 DAY PERIOD.
Date
ATTENTION: Oregon lata requires you to
follow rtlles adopted by the Or Utility
Notilii,afion Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You play obtain Copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Centel is 1-800-332-2344).
Springfield Building Permit 8/8/2014 2:36:67PM Page 1 of 1
SPRINGFAE!
CITY OF SPRINGFIELD
{ 1
TRANSACTION RECEIPT
225 Fifth St
Spdnggeld,OR 97477
541-726-3753
ON
811-S P R2014-01697
mm.springfield-ocgov
1133 STH ST
permitcenler@springfield-ocgov
RECEIPT NO: 2014001722
RECORD NO: 811-SPR2014-01697
DATE: 08/08/2014
DESCRIPTION
ACCOUNT CODEffRANS CODE AMOUNT DUE
Clothes washer
224-00000-425603
1005
21.00
Continuing Education Fee
224-00000-425606
2.50
Shower/Showerpan
224-00000-425603
1005
21.00
Sink/basin/lavatory
224-00000-425603
1005
42.00
Slate of Oregon Surcharge (12% of applicable
fees) 821-00000-215004
1099
12.60
Technology fee (5% of permit total)
100-00000-425605
2099
5.25
Nater -closet
224--00000--425603
100
1:0
TOTAL DUE:
125.35
PAYMENT TYPE PAYOR CASHIER: CCARPENTER ` COMMENTS
AMOUNT PAID
Credit Card STEVEN JOEY GAYLES
125.35
035661
TOTAL PAID: 125.35