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Home My WebLink AboutPermit Building 2013-5-17 1 r SPRINGFIELD h`" 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Ahaerf Phone: 541-726-3753 oueeoN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00809 www.springfield-or.gov permitcenter @springlield-or.gov PROJECT STATUS: Issued ISSUED: 05/17/2013 EXPIRES: 11/12/2013 STATUS DATE: 05/17/2013 APPLIED: 04/22/2013 SITE ADDRESS: 1165 6TH ST,Springfield,OR 97477 SCOPE: Garage/Carport ASSESOR'S PARCEL NO: 1703264311700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New detached garage OWNER: • WILLS JACK FRANCIS&DONNA MARIE Phone Number: ADDRESS: 1165 6TH ST SPRINGFIELD OR 97477 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 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. 1350 Masonry Construction Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to City Building Inspector. 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. y /7/L A °°,`.i e ; �qou-F�r�eouires you to �-x. ow 8ru�t�efgg a sa e by the Oregon Utility Date Owner�b llOdllOfl lilenter. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- NOTICE: 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK naming for the Oregon on Utility the Notification AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification Center is 1-800-332-2344). COMMENCED OR IS ABANDONED FOR 1NY 180 DAY PERIOD. Springfield Building Permit 5/17/2013 9:10:47AM Page 1 of 1 'r SPRINGFIELD CITY OF SPRINGFIELD ' 't' - 225 FMh St ��R'E�oR TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-S PR2013-00809 www.springfield-or.gov 1165 6TH ST permitcenter @springfield-ocgov RECEIPT NO: 2013000971 RECORD NO: 811-SPR2013-00809 DATE:05/17/2013 tDESCRIPTION,w,._:„ . ,. , 'ACCOUNTTCODEITRANS CODE . ` :;:AMOUNT DUE_J Garage Carport 224-00000-425602 1030 488.35 Planning-Minor Review-City 100-00000-425002 1231 119.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 57.80 SDC: Improvement Cost-Storm Drainage ' 440-00000-448028 1176 206.79 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 141.96 SDC:Total Storm Administration Fee 719-00000-426604 1180 17.44 State of Oregon Surcharge(12%of applicable fees) - 821-00000-215004 1099 58.60 Technology fee(5%of permit total) 100-00000-425605 2099 24.42 -- ----_- - — __- ---- - -- ------ TOTAL DUE: 1,114.36 _ PAYMENT-TYPE .,__.._..PAYOR CASHIER::JLARSON • . „COMMENTS_*_ - s..w M AOUNTPAID Check WILLS JACK FRANCIS& DONNA MAI 1,114.36 5656 ' TOTAL PAID: 1,114.36 SPRINGFIELD CITY OF SPRINGFIELD 6-- 22 Fih TRANSACTION RECEIPT Springtteld.OR 97477 OREGON 541-726-3753 811-S PR2013-00809 wwwspringfield-or.gov 1165 6TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013000800 RECORD NO:811-SPR2013-00809 DATE:04/22/2013 tDESCRIPTION_- _. -�'_ACCOUNT CODE/TRANS_CODES AMOUNT_DUE J Structural Plan Review Fee Residential 224-00000-425602 1061 w s 317.43 TOTAL DUE: 317.43 4, _PAYMENT TYPE...... PAY9R . CASHIER:CCARPENTER_ _ _COMMENTS _ " AMOUNT PAID " •-:1 Check ~WILLS JACK FRANCIS&DONNA MAI 317.43 5652 TOTAL PAID: 317.43 Structural Permit Application SPRINGFIELD ... ._ °'yDEPARTMENTU,SE ONLY} CITY OF SPRINGFIELD OREGON • • • t Permit no S(3—Cad• 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: V.22//.3 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. ,';,- Ntl LOCA ago VERNMENT^tAPP1:11War ;''`g ,,, TZ24 , EE SC EDOLE 6 ai, ? T ' This project has final land-use approval. F1 aluato m o°r`trit on s'Ej it in;„ ,: `,guy# s;i Signature: Date: (a)Job description: Ank I'riltei L L 6/40-7- 6- This project has DEQ approval. Occupancy (A Signature: Date: �� Zoning approval verified: ❑Yes ❑No Construction type: V J� Property is within flood plain: ❑Yes ❑No Square feet: A c E7.-4.17',..'i: "-• °'._.. `""-"°""S'` -nom Cost per square foot: . ;' CATEGO RYbOF.�CONSTRUCTION}„�,-,°�;,;,�� ' .,d�, P �1 • `aJZesidential ❑Government ❑Commercial Other information: e- r z......,. «....,..e �.a,�#t�««„t"t" �10 SITE IN,FORMATIONS'AND+3LOCATIONsirr��K1 Type of Heat: Job site address: A.T- _ Energy Path: City- rjL_rr(�La State: Sr_ ZIP:p7977 2<ew ['alteration ❑addition Subdivision: Lot no.: (b)(b)Foundation-only permit? ❑Yes ❑No G f/ Reference: 1'7 5 0 22yi_ Taxlot: 11 7O0 Total valuation: $q 9So,7z h S� -'.4 '.**# '^s�z z P R'O P E R T Y�,Q W N E k l i f a?t n a`'_�-.. ` Z f g"i" gifee ",,•,r', t' Lt '_ ' r.t,I? s' wit Name:c �i7 i,..t/`.S (a)Permit fee(use valuation table): $taa-sc Address: /./[Q &?&,.- 7 (b)Investigative fee(equal to 12a]): $ City:S,2"}/ /r..z...,'h State:O2 ZIP979.72 (c)Reinspection($ per hour): • �6,D ?D?t' (number of hours x fee per hour) $ Phone aLLw Fax;.--r E-mail: c /LLa 471. �d k4C 7q/0j --Cj (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $5X---Q- (e) Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3lPIanvwe Ort,.:;; I '.,- YJ a.:` a i P 7 _ (a)Plan review(65%x permit fee[2a]): $ J/7 1/3 Sign here: f ?/.1,4c.•Si (b)Fire and life safety(40%x permit fee[2a]): $ Zit 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 gf�,Miscellaueous fees. 3d gt' .t16,ftt•,,.,i. ':' requirements under ORS 701.010. _.,-•� ____ „_ rR.n ;�,..� (a)Seismic fee, 1%(.01 x permit fee[2a]): $ •; 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 tik, 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 Name of Permit Applicant Jr-ate �LG<C idd:X 74 /3 Signature of Permit Applicant Date Permit#: S/3 - 216 OF • Address: 4 •=�� t Issued by: �C=_ Date: 5-7/'Vi This Copy for Permit Offices