HomeMy WebLinkAboutPermit Building 2014-09-05SPRINGFIELD
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wvnv.spdngfieldocgov
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Building if Residential Permit
PERMIT NO: 811-SPR2014-01912
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfieldocgov
PROJECT STATUS: Issued ISSUED: 09/05/2014 EXPIRES: 03/03/2015
STATUS DATE: 09/05/2014 APPLIED: 09/05/2014
SITE ADDRESS: 211 S 71ST ST, Springfield, OR 97478 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1702353406204 TYPE OF STRUCTURE: Residential
roll -up door. As proposed, space could be use as sleeping room if smoke/CO alarms are
installed.
OWNER: MOON ERIC M & KATIE A Phone Number:
ADDRESS: 211 S 71ST ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor JOE ELLIS CONSTRUCTION INC CCB 186756 06/15/2015 541-543-7764
INSPECTIONS REQUIRED
Inspections
1220 Underfloor framing
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.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
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 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. c/
p �AXTENTION: Oregon law requires you to
ow i of �b,t ctor signature Date follow ru cs adopted by the Oregon Utility
0, Notification Center, Those rules are set forth
PE- MIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
1_110RIZED UNDER TFIIS PERMIT IS NOT 0020. You may obtain copies of the rules by
".110E(�NIClEnD OR IS ABANDONED FOR calling the center. (Note: the telephone
Springtiai � uil�ing-t� r9 M7iY PERIOD. 9/5/2014 9:01:05AM number for the Oregon Utility Notification 1 of 1
Center is 1-800-332.2344).
SPRINGFIELD--
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w v.spnngfieldnr.gov
TRANSACTION RECEIPT
811-SPR2014-01912
211 S 71ST ST
CITY OF SPRINGFIELD
225 FMh St
Springfield,OR 97477
541-726-3753
permitce nter@spdngfield-or.gov
RECEIPT NO: 2014001937 RECORD NO: 811-SPR2014.01912 DATE: 09/05/2014
Continuing Education Fee
224-00000-425606
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004 1099
19.94
Structural Building Permit Fee
224-00000-425602 1002
166.17
Technology fee (5% of permit total)
100-00000-425605 2099
8.31
TOTAL DUE:
196.92
JOE ELLIS CONSTRUCTION INC
2605
96.92
TOTAL PAID: 196.92
Structural Permit Application
225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 1 FAX(541)726-3689
SPRINGFIELD ` -
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OaeGON
I DEPARTMENT USE ONLY
Permit no.:
Date: T
This permit is issued tinder 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 ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
q ,.. _
Job site address: ,q/( � S e e,,
City: s ✓t 14 AdS I State: ZIP:6 7Y 7 0
Subdivision: I Lot no.: 6 20 L
Reference:
Taxlot: 1-70-435 O
PROPERTY OWNER
Name: &_i.M If )LAT. .4 IlekvD0
Address:
City:
State: ZIP:
Phone:
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION'
Business name: G- L.l t) 5J, 'A C+Z'
Address: r j v
City: t...
I State: 6 -YL ZIP: f 5
Phone. t// - 1, L-
Fax: - -
E•mail:h
CCB license no.:
Print name:
Signature:
UB- ONTRACTORINFORMATION
Name
CCB License N
Phone Number
Electrical
Plumbing
Mechanical
(a) Job description: , ,,1.,, el*e
Occupancy y Z 47
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
El new alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
0
(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]): $
(b) Fire and life safety (40%x permit fee [2a]): $
(c) Subtotal of fees above On and 3b): S
(a) Seismic fee, 1%(.01 x permit fee [2a]): $
(b) Technology fee, 5%(.05 x permit fee[2a]): $
(c) Continuing Education Fee $2.50 $2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c): S X96 'i