Loading...
HomeMy WebLinkAboutPermit Building 2013-4-13 , ,I" SPRINGFIELD 225 Fifth St kw "° CITY OF SPRINGFIELD Springfield,OR 97477 !\i Phone: 541-726-3753 "` OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00536 www.springtield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/12/2013 EXPIRES: 10/09/2013 STATUS DATE: 04/12/2013 APPLIED: 03/15/2013 SITE ADDRESS: 3572 CHEROKEE DR,Springfield,OR 97478 SCOPE: Shop ASSESOR'S PARCEL NO: 1802062105400 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Shop OWNER: CHRISTOFFERSON EDMUND&K M Phone Number: 541-747-6540 ADDRESS: 3572 CHEROKEE DR SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall 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. • TE TION: 0-2 0 n law requires you to - • - fo • r r... •. by the Oregon Utility t • - • .. • . • ... es are set forth 3 / / 4. . .,,r, IT SHALL EXPIRE IFTHEWORK Owner or Core&r iaS4�r obtain copies of the rules by Date 1UTfi0RIZED UNDER THIS PERMIT IS NOT callin•the center. (Note: the telephone OMMENCED OR IS ABANDONED FOR • number for the Oregon Utility Notification 'V 130 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 4/12/2013 1:22:59PM Page 1 of 1 SPRINGFIELD - - CITY OF SPRINGFIELD kitta.... 225 Frfth St �O EGON TRANSACTION RECEIPT Springfield,OR 97477 ;.c 541-726-3753 811-SPR2013-00536 www.springfield-ocgov 3572 CHEROKEE DR permitcenter©springfield-or.gav RECEIPT NO: 2013000731 RECORD NO:811-SPR2013-00536 DATE:04/12/2013 (DESCRIPTION - _It_ :1 4 _..« - .,.ACCOUNT CODE/TRANS_CODE- _ ,1__ :_.AMOUNT'DUEL Planning-Minor Review-City 100-00000-425002 1231 119.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 22.00 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 89.82 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 61.66 SDC:Total Storm Administration Fee 719-00000-426604 1180 7.57 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.51 Structural Building Permit Fee 224-00000-425602 1002 204.25 Technology fee(5%of permit total) 100-00000-425605 2099 10.21 TOTAL DUE: 539.02 ,,,PAYMENT TYPE 0AYORwb-caswEa:,ILARRSON :' . ' ,COMMENTS -�-' " ' .-;-, AMOUNT.PAID' - . '•J Credit Card CHRISTOFFERSON EDMUND&K M 539.02 221789 TOTAL PAID: 539.02 SPRINGFIELD CITY OF SPRINGFIELD ht r ----: r 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 'N OREGON 811-SPR2013-00536 541-726-3753 www springfield-or gov 3572 CHEROKEE DR permdcenter@springfield-or gov RECEIPT NO: 2013000513 RECORD NO:811-SPR2013-00536 DATE:03/15/2013 !DESCRIPTION . ' , :-----,-,‘„f - : ` ACCOUNTCODE/TRANS_CODE11; - c AMOUNTLDUE_.i Structural Plan Review Fee Residential 224-00000-425602 1061 132.76 TOTAL DUE: 132.76 LPAYMENT TyPE„ ..,' 'PAY012;`. CASHIER:c0A0PEtirili,,,z-.• ' COMMENTS_ 2: -;- ,., . ,_,,' AMOUNT PAID Credit Card CHRISTOFFERSON EDMUND& KM 132.76 013699 TOTAL PAID: 132.76 Structural Permit Application DEPARTMENT USE ONLY SPRINGFIELD Cr-na-,t3 t_F-tat,a p .t 225 Fifth Street+Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 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: FEE SCHEDULE This project has DEQ approval. 1. Valuation inforihatiohSignature: Date: (a) Job description/40 6„.„006r Zoning approval verified: 0 Yes 0 No Occupancy a Property is within flood plain: grYes 0 No Construction type: yg Square feet 1,1 21D %Residential 0 Government 0 Commercial Cost per square pot: . JOB SITE INFORMATION AND, LOCATION Other information: Job site address: _35.7Z. effEsZoltEE DR- Type of Heat: City: 5? Id State:0 R. ZIP:51 cps Energy Path: Subdivision: Lot no.: 21.-Jiew fl alteration 0 addition Reference: / Z.06 Taxlot: S-'1037 (b)Foundation-only permit? 0 Yes 0 No PROPERTY OWNER Total valuation: Si2POD Name:Ecil-AL•14 ri T. 14)re-A CI-1-V5rofcersavt_ , , Address:35'7Z_ tat eo ILES Da (a.) Permit fee(use valuation table): - $ 297'Ll • City: 5? IA State:6 R ap:9-7(478 Phone: 71{7 F : (b)Investigative fee(equal to[2a]): - - - -- 4,„Slid ax (c)Reinspection($ per hour): E-mail: (number of hours x fee per hour) This installation is being made on residential or farm property owned by (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $ 7. Y; 3 5 4- me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. (e) Subtotal of fees above(2a through 2d): 5 Sign here: P;S:q".i349M;f4WCIWalli!OV§taW4.00:44;474055ltii CONTRACTOR INSTALLATION: , • (a) Plan review(65%x permit fee [2a]): $ )3 2 rP- (b)Fire and life safety(40%x permit fee[2a]): Business name: Ot//lie-(L. (c) Subtotal of fees above(3a and 3b): Address: 4 Miscellaneous fees , . 0:• City: State: ZIP: (a) Seismic fee, 1%(.01 x permit fee[2a]):Phone: - - Fax: - - TOTAL fees and surcharges(2e-4-3c+4a): S 771_0 E-mail: CCB license no.: Print name: Signature: Name CCB License Number Phone Number Electrical . Plumbing Mechanical • • • Property Owner Statement Regarding Construction 'Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name ccB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I Will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. • I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. MYNC UU42.1STof?6RS0 vl Print Name of Permit Applicant • 03 f i.s"//3 Signature of Permit Ap c nt Date Permit#: '5�3 _S C pF /• 3S 7ZC�?7LcX ; " ?E, Address: F arskp -i,,agcliaa 1)0 CiPF—O cu , /7g71 t Issued by: 02b--- Date: V/////3 is s9 This Copy for Permit Offices .� J 13 L V 1. �-��'�-t `�r� ��u r~,15i'oa;rN: Orae,^c�r Pasro 2gdiires j��:u 3;; u'ollow .:; act. ut,4. � by t: �= Orayor. U*i?ity !yctification �4er. Yhose yu9�s ere sof torth In OAR 952-001- 00'!O througtM OAR 952-001-0090. You mey obtain coules of -the rules by calling the center (Note: the teiap�hone number for the Oregon UUllty Notification Ca ear is t -600 -332 -?344). L THE f".uhJTEP__,!�n ILP. L; Oiil Fti�.VE GEEP7 AEVi E1VL., WITH p,�YEr:ATiG7S iNTi1�/1TEi) GH GQLOR`.D FEtCIL. HAblGES GR ALl i TIC. -� I �E 1"O 7 -IC FPPRO'•/tD DRAYV NGS OR Fc;OJ `,L.1 i�l. i.... `Cl-,- D�?'�- E 1.0 'a SHALL EE RPPP VED Li'( fHE HUELD:r4G G FiGI T.L. �f 1 � �� j13 ®� E�Oi�l l L1 4 ';HALL EXPIRE IE THE WORK �, _ .. , a iiNDER TH15 PERMIT iv NOT I;O14'Rvit LACED OR IS AE.ANUGNL-D FOR ANY 180 DAY PERIOD. Iv�7 MINIMUM SETBACKS -INTERIOR LOTS All measurements are from Pro a Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Reaz yazd to House or Garage 10 feet P.U.E. MAy C'�ANGE SETBACKS f�El//E�R/ED F®�3 G!>�DE GQMPL/BINGE