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HomeMy WebLinkAboutPermit Building 2013-5-21 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 `! Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00771 vrxw.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/21/2013 EXPIRES: 11116/2013 STATUS DATE: 05/21/2013 APPLIED: 04/16/2013 SITE ADDRESS: 1256 FAIRVIEW DR,Springfield,OR 97477 SCOPE: Deck ASSESOR'S PARCEL NO: 1703273101102 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Deck cover and ramp for manufactured home OWNER: JILL M HOYENGA LIVING TRUST Phone Number: ADDRESS: 1256 W FAIRVIEW DR SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION ` Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MOIR CONSTRUCTION COMPANY INC CCB 41570 02/14/2015 541-343-4396 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 .1 the proper time,that each address is readable from the street, that the permit card is located , the front of the propert = d the approved set of plans will remain on the site at all times during construction. / Nor Owner or Contractor Signatur- Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IFTHE WORK in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telep',..c , COMMENCED OR IS ABANDONED FOR number for t he Oregon Utility Notification ANY 180 DAY PERIOD. (- nter is 1- 00 332_t?3:4). • Springfield Building Permit 5/21/2013 8:27:20AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 't � 225 Fifth St � TRANSACTION RECEIPT Springfield,OR97477 •� '` OREGON 541-726-3753 811-SPR2013-00771 www.springfield-or.gov 1256 FAIRVIEW DR perrnitcenter @springtield-or.gov RECEIPT NO: 2013000997 RECORD NO:811-SPR2013.00771 DATE:05/21/2013 [DESCRIPTION ACCOUNT CODEITRANSCODE AMOUNT_DUEyt SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 27.34 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 18.76 SDC:Total Storm Administration Fee 719-00000-426604 1180 2.30 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 21.99 Structural Building Permit Fee 224-00000-425602 1002 183.26 Technology fee(5%of permit total) 100-00000-425605 2099 9.16 TOTAL DUE: 262.81 . '' PAYMENT TYPE PAYOR_,-CASHIER:aLARSOR_^__ , COMMENTS - ; _" : AMOUNT PAID � " -I Credit Card MOIR CONSTRUCTION COMPANY I■ 262.81 400093 TOTAL PAID: 262.81 • SPRINGFIELD --.., CITY OF SPRINGFIELD h4, a. _,,,, : 225 Fifth St ( TRANSACTION RECEIPT SpringfleId•OR 97477 ..r\`:AF 541-726-3753 OREGON 811-S PR2013-00771 www.springfield-or.gov 1256 FAIRVIEW DR permitcenter©springfield-or.gov RECEIPT NO: 2013000753 RECORD NO:811-SPR2013-00771 DATE:04/16/2013 tt ESCRIPTION . '- ACCOUNT CODE/TRANS OÔDE '.. aAMOUNLDUE- ' Structural Plan Review Fee Residential • 224-00000-425602 1061 119.12 TOTAL DUE: 119.12 ii.PAYMENT TYPE _ =,,PAYOR__CASRIER:,ccARPENTER'_-_____: COMMENTS-__ _.. ` ' AMOUNT PAID I• ": Check--— -. -- -Moir Const. - _- - _- . -- _ -- - - . _ 119.12 -- -- 4993 TOTAL PAID: 119.12 • • k ., , . . , .., . Structural Permit Application SPRINGFIELD--- DEPARTMENT USE ONLY'; 6IW ®FESPRINGF[ELD,(OREGONP °p,`= a.1 . � ^r 9ar Permit no 513 _ 77/ o.: 225 Fifth Street♦Springfield,OR 97477 4 PH(541)726-3753♦FAX(541)726-3689 'Oit`GON Date: VI ] & /1 j This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of ssuanhe or if work is suspended for 180 days. ,,Ikci LOCAL GOYERNMENTLAPPROVAL `.,* ,,, _ ` `,ur i,t`EtEt SCHEDULE , r'g;., w ,p> ';: i . This project has final land-use approval. Valuation information ,,, T .',N,a-at 'n!':. ,•b Signature: Date: (a)Job description: 84/7 This project has DEQ approval. 2-/ � � Occupancy g� t Signature: Date: mp//�q - !0 Zoning approval verified: ❑ Yes ❑No Construction rypit`{Y(yq4✓LL- Jp Fk `/ Property is within flood plain: ❑ Yes ❑No Square feet: wi;:i ,t `ii ZicATEGORYrOF,CONSTRUCTION ' , ;'.ti. , ,`',;: Cost per square foot: Residential El Government ❑Commercial Other information: 'o , 'y +,Y, , JOBySITE`INFORMATION;AND, LOCATION _ fl; ii,,% Type of Heat: Job site address: . i t °' /„?� J"/�j./;_✓/?�r./J . . Energy Path: ,,--,,�� City: ' Stat 1'c� ZIPV7 y,7 ['new ['alteration �aadition Subdi'Zion://-.0� -, j—?` Lot no.: (b)Foundation-only permit? ❑ Yes [ No Reference: 170 3 Z737TaxloO/J 0'2, Total valuation: $ /( 9c)7 t `,'.0n .`--t ` PROPERTY.OWN `` � .ti' °"� : z;2 ButldingYees� ; z=� ,_' s, '_*- c i Name: tTh f /./J-z]y.'f p1 ti/ o,L•'�.. (a)Permit fee(use valuation table) $/if `b Address: /23--, 57%t(//'f' MI (b)Investigative fee(equal to[2a]): - $ City: ) _ State:Q ZIP;:, 92) (c)Reinspection($ per hour): $ / 1'1)7 (number of hours x fee per hour) Phone: , o-C-� O �I Fax: - - E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): ' $ Z,`i - (e)Subtotal of fees above(2a through 2d): s Building Owner or Owner's agent authorizing this application: '_3 Plan review fees`; • %4"s U�' m« 'F !n? a___ (a)Plan review(65%x permit fee[2a]): $795 Sign here: (b)Fire and life safety(40%x permit fee[2a]): $ ❑This installation is being made al residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing 1. t. °4 Miscellaneous fees', _ ?� t ;"�„,y,: , requirements under ORS 701.010. (a)Seismic fee, l%(.01 x permit fee[2a]): $ i 'rr'CONTRACTOR iiNSTALLATION, } '�,4: S• o r � /f T (b)Technology fee, 5/o(.05 x permit fee[2a]): $�/� Business name:/95,2/' �7�A4 j2 yC!'dip..) a roc._ TOTAL fees and surcharges(2e+3c+4a+46):' $ Address: /3?004 CGD2r1/F City: 5j it_. Stat,OILQ/ I ZI19790 V Phone:5 7, _YJ Ll Fa�J7`/79/--/G Cs . E-mail: Si91 b/Q.2..a:COM CAi.s /jJ�_ CCB license no.: trio? , Print name: /J _'/V . de)IA Signature: 7 `,W,, ,i ESUB:CONTRACTOR+INFORMATION „t';^ ?a'-'` Name CCB License# Phone Number Electrical, % e y Plumbing Mechanical