HomeMy WebLinkAboutPermit Building 2014-09-11SPRINGFIELD —
OREGON
v .spdngfieldocgov
CITY OF SPRINGFIELD
Building / Commercial Permit
Ia4NIII 1ii,[•]f iIIM200*17iE11t7,&11FA
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spnngfield-orgov
PROJECT STATUS: Issued ISSUED: 09/11/2014 EXPIRES: 03/10/2015
STATUS DATE: 09/11/2014 APPLIED: 07/15/2014
SITE ADDRESS: 1095 J ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351102400
SCOPE: Commercial Miscellaneous
TYPE OF STRUCTURE: Residential
-
PROJECT DESCRIPTION: - ST - Convert carport to enclosed storage and laundryroom --- ---- - - - - ---- --
OWNER: ROWLAND LIVING TRUST Phone Number:
ADDRESS: 7835 RUSH ROSE DR APT 113
CARLSBAD CA 92009
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No
Lie Exp
Phone
RS PLUMBING CONTRACTOR INC CCB
103816
01/04/2016
541-461-4714
SUNSET HEATING &AIR INC CCB
171706
08/18/2016
541-554-2604
General Contractor NAIL IT CONSTRUCTION LLC CCB
198781
01/22/2015
541-915-8327
INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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.
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
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 limes during .
construction.
Owner or Contractor Signature Date
, I (�r".n „ r 7 I'E(j!111'eS you to
I :r: • . ,r' , r ,�e Oregon Utility
C h.
' ;i,.)C , I -.I. I ho : rule are set forth PE Rht41 F Slim I l V11'I: Iff HE Wow,
if 0,'J ; fK,.>-001-0010 through u; li 952-001- '! ;Of IZE[) ljmnl=R II;(S Pt_fifvIlT IS f�10T
Ou-O. Yoll o ty Obtain r ol)I(d of the rules by JJCEU (1R IS AI./1f�ll)O im FOR
calli ) tu. cenlur. (INuiu: the telephone � O P R li D.
nuuuxar fnr the 01('0011 Utility Notification
Center is 1-000-332 231<1).
Springfield Building Permit 9/11/2014 11:22:07AM Page 1 of 1
SPRINGFIELD
OREGON
w .spdngfieldocgov
TRANSACTION RECEIPT
811-SPR2014-01517
1095 J ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitoenter@spdngfield-ocgov
RECEIPT NO: 2014002006 RECORD NO: 811-SPR2014-01517 DATE: 09/11/2014
Building Permit Fee
224-00000-425602
1002
Continuing Education
224-00000-425606
SDC: Improvement Cost - Local Wastewater
443-00000-448025
1184
SDC: Reimbursement Cost - Local Wastewater
442-00000-448024
1183
SDC: Total Sewer Administration Fee
719-00000-426604
1175
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
Technology fee (5%of permit total)
100-00000-425605
2099
TOTAL DUE:
James Omart
052214
TOTAL PAID: 2,232.89
145.13
2.50
643.67
1,318.79
98.12
17.42
7.26
,;'-�+n-'.`?u�,�..�-3`° ��c'..v� ice. �' `�#'"•ifgk;r _a'a§pt���- f5��€.:.r * �3�`v �'� s
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:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
. CATEGORY OF CONSTRUCTION
❑ Residential
❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: lcfl5 T ksozet, "
City: i A State: �� ZIP9]
Subdivision: Lot no.:
Reference: Taxlot:
PROPERTY OWNER
Name: Al
Address: -use Dr Ae //_3
City: State: (f ZIP:q,]CO
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 1
Businessname: ALL Z
Address: 8 C[b a46r,/'L
City: ncGk, State: ZIP:97t/
Phone St -9i - Fax: - -
E-mail: C� CC`rilC`gS, . ne
CCB license no.: f,)'
Print name: , Q
Signature:`
c
$
-SUB-CONTRACTORINFORMATION .
Name
CCB License #
Phone Number
Electrical
Giu
Plumbing _/
9S' f luAA131IVGs
(b) Fire and life safety (40%x permit fee [2a]):
$
Mechanical
ugSL'r 4v A1,e_
/71 W
4. Miscellaneous fees -
V
DEPARTMENT USE ONLY
Permit no.:
Date:
or if work is
FEE SCHEDULE
1. Valuation information
(a) Job description:(~09e—r
L -
Occupancy Lf9 N/)moi t�
Construction pe: t/
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new alteration ❑ 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)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
S N
(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, 1%(.01 x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
$ r%
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
'
$/72
CITY OF SPRINGFIELD
Building / Commercial Permit
PERMIT NO: 811-SPR2014-01518
w .spnngfield-ocgov
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/11/2014 EXPIRES: 0311012015
STATUS DATE: 0911112014 APPLIED: 07/15/2014
SITE ADDRESS: 1095 J ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703351102400
SCOPE: Mechanical Only
TYPE OF STRUCTURE: Commercial
--PROJECT DESCRIPTION: -ME - Convert carport to enclosed storage and laundry room - - -- - - - - - - - ---
OWNER: ROWLAND LIVING TRUST
ADDRESS: 7835 RUSH ROSE DR APT 113
Phone Number:
CARLSBAD CA 92009
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No
Lic Exp
Phone
RS PLUMBING CONTRACTOR INC CCB
103816
01/04/2016
541A61-4714
Mechanical Contractor SUNSET HEATING &AIR INC CCB
171706
08/18/2016
541-554-2604
General Contractor NAIL IT CONSTRUCTION LLC CCB
198781
01/22/2015
541-9158327
INSPECTIONS REQUIRED
Inspections
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical Final Mechanical: When all mechanical work is complete.
By signature, I slate 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
ATTENTION: Ore{!on I�rN requires you to
follow rides adopted l
by the 01 ole t�tIorth
Notilicaiion Center. Those lul
ll
In OAI 952-001-0010 thl olt<,h OP ii 9,I Oui
0090, You may obtain alpu of IV II` I i�unr
Calling the center. "Il t
number for the OI n" Il U'Ihb/ hoUlu tion
",00 s
Center is
9 /1 2,ry _
Date
PLI�(�ill' Slhall-EX4'IM IF'(NEWORK
PIILD UIriDEft (NIS pL11MIT IS WO
GLt)01 IS hh�f1lDONI FOP,
,•.� ni f;IOp.
Springfield Building Permit 9/11/2014 11:26:29AM Page 1 of 1
RECEIPT NO: 2014002005 RECORD NO: 811-SPR2614-01518 DATE: 09/11/2014
C.1 n p
Continuing Education Fee 224-00000-425606 2.50
Mechanical Permit fee (based on value of work) 224-00000-425604 1006
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
82.00
9.84
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
dames umart
052214
TOTAL PAID: 98.44
CITY OF SPRINGFIELD
LINGFIVELD-
TRANSACTION RECEIPT
225 Fifth St
Springfield,OR97477
-
541-726-3753
oaecoN
811-SPR2014-01518
x .spdngfieldd r.gov
_ 1095 J ST
permitcenter@spdngfield-or.gov
RECEIPT NO: 2014002005 RECORD NO: 811-SPR2614-01518 DATE: 09/11/2014
C.1 n p
Continuing Education Fee 224-00000-425606 2.50
Mechanical Permit fee (based on value of work) 224-00000-425604 1006
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
82.00
9.84
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
dames umart
052214
TOTAL PAID: 98.44
Page I of 1
SET ID: 1095 J
Menu Pay Help
Set Members:
3
Terminal #:
All Fees Paid:
1
Cashier ID: CCARPENTER
Valuation:
$8,000.00
Date: 09/0912014
Total Fee Assessed:
$2,605.27
Total Fee lnvolced:
$2,605.27
Payments:
$273.94
Balance:
$2,331.33
Transactions
Date Amount
Receipt # Cashier ID Method
Status Transaction
_
.......Code
0 recordist found.
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