HomeMy WebLinkAboutPermit Building 2013-5-29 SPRINGFIELD 225 Fifth St.
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-SPR2013-00802
www.springfield-ar.gov permitcenter@springfield-or.gov
• PROJECT STATUS: Issued ISSUED: 05/29/2013 EXPIRES: 11/24/2013
STATUS DATE: 05/29/2013 APPLIED: 04/19/2013
SITE ADDRESS: 1864 9TH ST,Springfield,OR 97477 SCOPE: Garage I Carport
ASSESOR'S PARCEL NO: 1703261304600 TYPE OF STRUCTURE: Residential
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PROJECT DESCRIPTION: New detached shop
OWNER: DUTTON DAVID L&MICHELE Phone Number: 541-5564874
ADDRESS: 1864 9TH 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
INSPECTIONS REQUIRED I
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.
s � y/3
Owner or Contractor Signature Date •
ATTENTION: Oregon law the Oregon Utility •
follow rules adopted by NOTICE:
Notification Center. Those rules are setforth EXPIRE IFTHEWORK
In OAR 952-001-0010 through O THIS PERMIT SHALL
AR 952-001-
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telepc::tio COMMENCED OR IS ABANDONED FOR
spdngfield Building Perm 344)for the Oregon Utility Notifs zvzoo3 2:31•57PM ANY 180 DAY PERIOD. Page 1 of 1
Center is 1-800-332-2344).
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SPRINGFIELD
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CITY OF SPRINGFIELD
225 Fifth S
TRANSACTION RECEIPT SpdngfieldtOR97477
541-726-3753
OREGON 811-SPR2013-00802
www.springfield-or.gov 1864 9TH ST permitcenter @springfield-or.gov
RECEIPT NO: 2013001054 RECORD NO:811-SPR2013-00802 DATE:05/29/2013
DESCRIPTION r `,,- A nf_i�d # '!.t't 3:.MACCOUNTTCODE/TRANS CODE"S: i - 4TAMOUNT DUE
Garage Carport 224-00000-425602 1030 317.50
Planning-Minor Review-City 100-00000-425002 1231 119.00
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 29.40
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 124.96
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 85.78
SDC:Total Storm Administration Fee 719-00000-426604 1180 10.54
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 38.10
Technology fee(5%of permit total) 100-00000-425605 2099 15.88
TOTAL DUE: 741.16
P.AYMENTnTYP.E. PAYOR casNlERtrDI6owLSSr COMMENTS - —__.— AMOUNTLPAID _.._
Credit Card david dutton 741.16
02732b
TOTAL PAID: 741.16
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SPRINGFIELD CITY OF SPRINGFIELD
hL l St
it
TRANSACTION RECEIPT 225 Fifth Spr ngft SOR97477
OREGON 541-726-3753
811—SPR2013-00802
www.spnngfeld-or.gov 1864 9TH ST permitcenter @springfield-ar.gov
RECEIPT NO: 2013000792 RECORD NO:811-SPR2013-00802 DATE:04/19/2013
jol43ol;11• [ol:E 1;:t?�'":_.,�-+ t' i" 1. . _'„„,. 1•< `1'' °:.'ACCOUNTCODE/TRANS CODE c'+"pj°Itcramourvir ° s
Structural Plan Review Fee Residential 224-00000-425602 1061 206.38
{�. TOTAL DUE: 206.38
I PAMENTMTiYP.E .PAYORtieASRiER:�ccARPERrER COMMENTS AMOUNTaPAID
Credit Card DUTTON DAVID L&MICHELE 206.38
00037b
. TOTAL PAID: 206.38
Structural Permit Application SPRir G71Et o
,"x•1;,7,-+ - tb� -`` r .3..3. "s'L ' -"yr:r.Tr 4 a ; r?...g
+DEPARTMENT USE ONLY
3 .sr'..� ThY2OFiSPNGFE pipmGONpis mr E •�_ e, ` Petmtt no.: 5( 3— gb Z
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 oxe�ori
Date: L/// % /�J
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.
' ' OCALiGOVERNMENT APPROVAL ,,,•. `,. t, a't ,MF.EE'SHEDULE -,
This project has final land-use approval -1.Naluatioh information -- i ,. r -4,--I--
Signature: Date: (a)Job description: ra) 4fe 1ttt ,,[-/p
This project has DEQ approval.
Signature:
Date: Occupancy 1A
Zoning approval verified: ❑ Yes ❑No Construction type: J
Property is within flood plain: ❑ Yes ❑No ' Square feet:
,' '• • ;CATEGORY;'OF CONSTRUCTION r i; "+'';, kt", Cost per square foot:
p-Residential ❑ Government ['Commercial Other information:
JOB:SITE
y) INFORMATION'AND' LOCATION ;$-6r}_::. Type of Heat:
Job site address: I U&,14 q C) • Energy Path: - -
City: () , State:U` R ZIP:�� -74 mew ['alteration ❑addition
Subdrvtsio / Lot no.: (b)Foundation-only permit? ID Yes ❑-1do
Reference: /7032 /3 Taxlot: r
D 7 0V Total valuation: - $2€1 J 2Y--•-;t'. i t.. ra,,; ' r.P,ROPERTY4-- -.. - .'+.'F. .a,„;:1,A� -`2 Buildtng.,ees,,,,=,.?.;G', ,'; f,`:' :,,' , a =,t' .,.-:4'2;4:tt4. rsr'},
Name: s J Jt d v R■cia.ele (a)Permit fee(use valuation table): $7/7 5
Address: I p(.k O t?i S-I- - (b)Investigative fee(equal to[2a]): $
City: ;$,-1c- I R State:( ZII77 (c)Reinspection($ per hour): $
Phone: I -_' a —L��C(t Fax: - -
(number of hours x fee per hour)
E-mailjY];eh 2i 2.. a
Km- erril I a))'1 (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 3K1Q-
(e)Subtotal of fees above(2a through 2d): S
Building Owner or Owner's agent authorizing this application: '3 Plan review fees 4'`2 '.r ,.? '... .-; _c”1 '"
(a)Plan review(65%x permit fee[2a]): $n:a
Sign here, 944,-,z/ (b)Fire and life safety(40%x permit fee[2a]): $
11-This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exanpt from licensing :4 Misgellaneoustfees ;, I- i., " a m 5i '
requirements under ORS 701.010. (a) Seismic fee, I%(.01 x permit fee[2a]): $
.,I; , ;:.t-'CONTRACTOR,INSTALL`ATIONe; .,,rr''=%t' e �?
(b)Technology fee, 5%(.05 x permit fee[2a]): $ ,Y?
Business name: 0f O(\QX` TOTAL fees and surcharges(2e+3c+4a+4b): s 5712. ..5/2. .J
Address:
City: State: - ' ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print
name:
Signature: "n,i,
&Jr� ilS)le
'.lIII " v ngtB;GONTRACTORJNFO •
RMATION ,,,s} NSi'
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Name CCB License# Phone Number -
Electrical
Plumbing
Mechanical - -
C
. 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.
r
will be performing work on property I own, a residence that I reside in, or a residence that I will
I l
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.
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' et Vi ,/ - Vk //c.4
Print Name of Permit Applicant
a ,i �, � � V-3
Signature'of Permit Applicant Date
Permit#:
57 3 —v 0/62-
Address: MY S
1.1 fE : 0
Issued by: Mg Date: 5 Zf / Is
This Copy for Permit Offices
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