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HomeMy WebLinkAboutPermit Building 2013-5-2 I SPRINGFIELD : kj 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 kt Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00756 www.springfield-or.gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/02/2013 EXPIRES: 10/29/2013 STATUS DATE: 05/02/2013 APPLIED: 04/15/2013 SITE ADDRESS: 527 PARK ST,Springfield,OR 97477 SCOPE: Carport ASSESOR'S PARCEL NO: 1703353405600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace and expand existing carport OWNER: SMITH A WILSON Phone Number: ADDRESS: 527 PARK ST SPRINGFIELD OR 97477 OWNER: SMITH WESLEY GRAHAM Phone Number: ADDRESS: 527 PARK ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 L INSPECTIONS REQUIRED Inspections 1110 Footing Footing: After trenches are excavated. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Owner or Contractor Signature Date N ICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by NY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit • 5/2/2013 9:19:22AM Page 1 of 1 • r SPRINGFIELD CITY OF SPRINGFIELD t�= 225 Fifth St � , TRANSACTION RECEIPT Springfield,OR97477 a. .OREGON 541-726-3753 811-SPR2013-00756 www.springfield-ocgov 527 PARK ST pennitcenter©springfield-or.gov RECEIPT NO: 2013000862 RECORD NO:811-SPR2013-00756 DATE:05/02/2013 IDESCRIPTION_ —_.�,;.. _ .A000UNTCODEITRANS.CODE `_,_:. .._AMOUNT,DUEI:, Garage Carport 224-00000-425602 1030 203.91 Planning-Minor Review-City 100-00000-425002 1231 119.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 36.30 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 57.69 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 39.60 SDC:Total Storm Administration Fee 719-00000-426604 1180 4.86 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 24.47 Technology fee(5%of permit total) 100-00000-425605 2099 10.20 TOTAL DUE: 496.03 ;-' PAYMENT TYPE____PAYOR CASHIER_JIARSON .. „ ";;COMMENTS .AMOUNT PAID_ _ `E Check --- --- SMITH A WILSON ---- - -----= -- '-- -.---------- v- - - —496.03=-- 8308 TOTAL PAID: 496.03 • . 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. . • Print -nt Name of Permit Applicant Signature of Permit Applicant Date Permit#: - 7S-00 of Address: 52_7 19,62-1 C sr • SPFL D g71/7 Issued by: Date: eye This Copy for Permit Offices SPRINGFIELD--- CITY OF SPRINGFIELD TRANSACTION RECEIPT Spnngfieldtcft97477 OREGON 541-726-3753 811-SPR2013-00756 www.spnngfield-er.gov 527 PARK ST permitcenteragspdngfield-or.gov RECEIPT NO: 2013000739 RECORD NO:811-SPR2013-00756 DATE:04/15/2013 1eIZ.YN:1 ellLi 1,k 3a_'= 4� s ;* I ,n „�; - , ;'` xACCOUNT&CODEITRANS AMOU T DUE Slj Structural Plan Review Fee Residential 224-00000-425602 1061 132.54 TOTAL DUE: 132.54 PAYM FIliYP-E lP,AYOR- cnsliiER:.cc�rR-Ptrt:a .COMMENTS AMgUNT1FAID _ Check SMITH A WILSON 132.54 8295 TOTAL PAID: 132.54 Structural Permit Application SPRING7IELo DEPARTMENT USE ONLY gs9„ ;��--:VX^: 'C'c'"eS'5 s+ `y,::x s i ., a LI:le . ,gds 41° CI:' 'ORSPRIN,GF[ELB, OREGON, i (:) Permit K225 Fifth Street•Springfield,OR 97477•PH(541)726 3753•FAX(541)726-3689 OdEGON Sl 3. 7 Date: 1/15//i)' This permit is issued under OAR 918-460-0030. Permits expire if work is not started within.180 days o�fl(issua ce or if work is suspended for 180 days. • ,t x , lbc'AL GOVERNMENT APPROVAL „M 4 ;, : „ " ,, ';q`:FEE SCHEDULE `X` ' ti ° This project has final land-use approval: 4 Valuation information ° t3 • r=V- Signature: Date: (a)Job description: 784-iti) Ex t f 774/S e o z,ebet This project has DEQ approval. Occupancy Signature: Date: `/ Zoning approval verified: ❑Yes ❑No Construction type: X Property is within flood plain: ❑ Yes ❑No Square feet:. & ,' ;.CATEGORY 'OF•CONSTRUCTION ' CC'''. „ , Cost per square foot: Residential ❑Government ❑Commercial Other information: „ ., DOB SITE`INFORMATION`AND' LOCATION a*., .t !!' Type of Heat: Job site address: 5-19- '7 � '\ ...c-4-) Energy Path: • City: -5 R,p/c/. State: 0/^ ZIP: 77i/-r! ❑ new ['alteration addition Subdivision: 4.f f e ,'/g- vl Lot no.: (b)Foundation only permit? ❑Yes ❑No Reference: ) 703X 539 Taxlot: O 376 6 0 Total valuation: $ ,� . tr rt . . P,ROPERTY.OWNER t $�;..�, , ,�p „ .:^. x-= i2 Burldmgfes�i,, r ='i . .';,�tt. ,_' ,G"rn"OM .,._ ;�: Name: Y" ,c. /r ti' :::::,:m / � (a)Permit fee(use valuation table): $ 7e 9� Address: ,S ..r` ' S' (b)Investigative fee(equal to[2a]): $ City: G�C I c!. �i State:O r ZI PQ'7(�77' (c)Reinspection($ per hour): Phone: -1/-(q6�- 7 ry[O Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+26+2c]): $ 7 WS (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: s,..; a . ., ro z '3 Plan�revlew fees !*� ,. r ,"uAltg. , s,,;4,,, ' Z- ji ' (a)Plan review(65%x permit fee[2a]): S '.1'2,$a Sign here: L a y 'I t - 4 (b)Fire and life safety(40%x permit fee[2a]): - $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing 4 Miscellaneous fees, 3 Sri a_ ' -,.! g : ." ,, requirements under ORS 701.010. _ (a)Seismic fee, 1%(.01 x permit fee [2a]): $ tr`„;:;CONTRACTORxINSTALLATION;-j 'a '- '• (b)Technology fee;5%(.05 x permit fee 2a $ /A 2� tipi O gY ( P fee[2a]): '2.r Business name: TOTAL fees and surcharges(2e+3c+4a+46): S • ) Address: City: State: ZIP: Phone: - Fax: - - E-mail: it j i,r ^ CCB license no.: G((/ -10-1-C- I��/(/ \ - Print name: - /J 0 ,/� . Signature: _ r//w Cv maµ 1rr T ,.;SUB=CO,NTRACTOR`INFORMATION. , `”_{ Name CCB License# Phone Number Electrical Plumbing Mechanical f�p�1 E: THIS PERMIT SHALL FXPIRE IF THE WORK AUTHO,91ZED UNDER THIS PERMIT IS NOT OOMIVIEIMCED UR IS ABANDONED FOR ANY 1130 DAY PERIOD. 1! loo DATE RECEy JOB NO 513 u007S �IV ED iy Ttf% a '•I'. kp �y�qn ZONE 1 l OCCUPANCY GROUP �'eQ-3i^"r �` UNIT(S) OCCUPANCY LOAD }. pp,(j We,(" �I V*QC Ie, STORIES TYPE CONSTRUCTION VU ,4 ! LEGAL DESCRIPTION 17037�3L( aS6o0 ADDRESS L77 PA�IIFL P �x OWNER _ THE CONTENTS HERE ON HAVE SEEN REVIEWED, WITH 1 ALTERATIONS INDICATED ON COLORED PENCIL CHANGES . ! OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR (� + Qrto^' PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL, parr -Ca w I `� � LnCt STl t`-� c�"��c' f Z.lo.. 1pl s CLrYf�'G 913 ,i G Pv7 GK( " "l // 1=Xl�+TI A rRo en F • DAT Lex►�, , ,cepflEylEvzo Fofl ) � COOECOWL L�4►lf�Ct� ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those roies are set forth In JAR 952-001- 6 0010 through OAR 952-001-0090. You may obtain z copies of•the rules by calling the center (Note: the .`` � A •# t telephone number for the Oregon Utility Notification --• Center is 1-800-332-2344).