HomeMy WebLinkAboutPermit Building 2014-10-06LRINELb - 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
aH Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-02175
v arnngffeld�r.gov permitcenter@spdngrieid-ocgov
PROJECT STATUS:
STATUS DATE:
Issued ISSUED: 10/06/2014 EXPIRES: 04/04/2015
10/06/2014 APPLIED: 10/06/2014
SITE ADDRESS: 904 6TH ST, Springfield, OR 97477 SCOPE: Garage Conversion
ASSESOR'S PARCEL NO: 1703352101100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Garage conversion to sleeping room
OWNER: MULKINS JOSIE E Phone Number:
ADDRESS: 904 6TH ST
SPRINGFIELD OR 97477
Contractor Type
CONTRACTOR INFORMATION
Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor
OWNER CCB 000000 08101/2025 -
Inspections
INSPECTIONS REQUIRED
1110 Footing
Footing: After trenches are excavated.
1120 Foundation
Foundation: After forms are erected but prior to concrete placement.
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.
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 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
construction.
Oh
caner gr,Co��gtor Signature
i
I I IIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER 'rHIS PERMIT IS NOT
COi:1MENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Date
Springfield Building Permit 10/6/2014 2:22:01PM
At I ENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAII 952-001.0010 through OAR 952-001-
0090. You may obtain copies of tl/e rules by
calling the center. (Note: the telephonyage 1 of 1
number for the Oregon Utility Notification
Center is 1-800.332.2344).
SPRINGFIELD -- CITY OF SPRINGFIELD
225 Fifth St
L TRANSACTION RECEIPT Spdngfield,OR97477
- OREGON
811-SPR2014-02175 541-726-3753
w ,.spdngfieldacgov 904 6TH ST permHcenler@spdngfield-or.gov
RECEIPT NO: 2014002205 RECORD NO: 811-SPR2014.02175 DATE: 10/0612014
Continuing Education Fee 224-00000-425606 2.50
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
Structural Building Permit Fee 224-00000-425602 1002
9.84
82.00
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
MULKINS JOSIE E
022350
TOTAL PAID: 98.44
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CITY OF SPRINGFIELD
Community Services Division
Building Safety
225 N. 5th Street
Snringfield. Oregon 97477
DATE:
GARAGE
• •t
TO LIVING SPACE
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within
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: ElYes ElNo
Property is within flood plain: ❑ Yes ElNo
CATEGORY OF CONSTRUCTION
Construction type:
esidential ❑ Government
ElCommercial
JOB SITE INFORMATION AND LOCATION
Job site address: q 091-1.t
si-
City: i e- Id I State: ZIP:
Subdivision: I Lot no.:
Reference:
Taxlot:
PROPERTY OWNER
Name: fLULVUS
Address: 0 h
City:
`t,y\' 0, State: OK I ZIP -.97q
Phone:
1`7-6Fax: - -
E-mail: Iowl Q,yvl n OCA ;. ¢Ylti
Building Owner or Owner's agentauthorizing this application:
Sign here:
This installation is being made on residential or farm property owned by
re or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name:
Address:
City:
Slate: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
3. Plan review fees
SUB -CONTRACTOR INFORMATION
(a) Plan review (65%x permit fee [2a]):
Name
CCB License #
Phone Number
Electrical
$
'4. Miscellaneous fees -°
Plumbing
(a)Seismicfee,]%(.0lxpermitfee[2a]):
$
Mechanical
$ L4f.--
(c) Continuing Education Fee $2.50
DEPARTMENT USE ONLY
Permit no.:
Date: 0 / y
180 days of iduand or if work is
FEE SCHEDULE
1. Valuation information
(a) Job description:_� ry
�ip�
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new kE alteration El addition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$ ?>
2. Building fees
(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):
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):
$
'4. Miscellaneous fees -°
(a)Seismicfee,]%(.0lxpermitfee[2a]):
$
(b) Technology fee, 5%(.05 x permit fee[2a]):
$ L4f.--
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
$ y