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HomeMy WebLinkAboutPermit Building 2013-6-21 SPRINGFIELD - 225 Fifth St . --- " a CITY OF SPRINGFIELD Springfield,OR 97477 o cooN Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01116 www.springfield-or.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/21/2013 EXPIRES: 12/17/2013 • STATUS DATE: 06/21/2013 APPLIED: 05/31/2013 SITE ADDRESS: 1047 55TH PL,Springfield,OR 97478 _ SCOPE: Garage I Carport ASSESOR'S PARCEL NO: 1702331200106 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New detached garage OWNER: SLONECKER TROY M Phone Number: 541-510-9848 ADDRESS: 1047 55TH PL SPRINGFIELD OR 97478 . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BOLES CONCRETE CONSTRUCTION LLC CCB 167407 12/10/2013 541-669-8255 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. -Pt ...AL \4--L., z l 2o l3 • Owner or Contractor Si ature Date FA' _AT ION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth ,'iQTICE: in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT .', ca'! -1 the oen?cr. (Note: th,a telepL,:tic nuii LL: i�' the Orecur :,'Iii,; I ioti icahon 2MMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). :,NY 180 DAY PERIOD. Springfield Building Permit 6/21/2013 1:30:13PM Page 1 of 1 • SPRINGFIELD- CITY OF SPRINGFIELD .r*^.w.. k i 225 Fifth St , , TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2013-01116 www.springfield-or.gov 1047 55TH PL permilcenter @springfield-or.gov RECEIPT NO: 2013001308 RECORD NO: 811-SPR2013-01116 DATE:06/21/2013 [DESCRIPTION `e`- •• ACCOUNT CODE/TRANS CODE 't' .- - AMOUNT DUE. Garage Carport 224-00000-425602 1030 265.87 Planning-Minor Review-City 100-00000-425002 1231 119.00 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 284.00 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 194.96 SDC:Total Storm Administration Fee 719-00000-426604 1180 23.95 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.90 Technology fee(5%of permit total) 100-00000-425605 2099 13.29 - TOTAL DUE: 932.97 LPAYMENT TYPE '' `:PAYOR =CASHIER:JLARsoN`.+' ti- • COMMENTS =AMOUNT PAID -I Credit Card SLONECKER TROY M — 932.97 07119Z TOTAL PAID: 932.97 • • SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St `O EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01116 www,springfield-or.gov 1047 55TH PL perrnitcenter©springfield-or.gov RECEIPT NO: 2013001076 RECORD NO: 811-SPR2013-01116 DATE:05/31/2013 (DESCRIPTION ACCOUNT CODEITRANSCODE_;L:. _AMOUNTDUE71 Structural Plan Review Fee Residential 224-00000-425602 1061 172.82 TOTAL DUE: 172.82 _ AMOUNT PAID ;- {,..PA T YMEN TYPE,` -- PAYOR- CASHIER:oeowLSev COMMEN,T,S,�,,, Check SLONECKER TROY M 172.82 182 TOTAL PAID: 172.82 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY 'CI I y.OFSPRINGFIELD,OREGON - ` - - ' : °"vy Permit no 513 —0///A 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3689 OREGON Date: 5/3 r / 3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o Issua ce or if work is suspended for 180 days. ,- LOCAL GOVERNMENT- APPROVAL... Plumbing This project has final land-use approval. Signature: Date: _ Mechanical This project has DEQ approval. Signature: Date: Zoning approval verified: ❑Yes ❑No • FEE SCHEDULE _ - Property is within flood plain: ❑Yes ❑ No 1. Valuation information - , CATEGORY OF CONSTRUCTION,. '-. "- (a)Job description: ('nf( -G—ti— [Residential ❑Government ❑Commercial Occupancy (A . . 1 i•JOB SITE INFORMATION'S"AND LOCATION Construction type: V C Job site address: In41 SS'ai P\aui Square feet: V 3 City: Sp,. srl,Q State: 612, ZIP:lint Cost per square foot: Subdivision: Lot no.: Other information: Reference: ) 76 Z 3 3 4 Taxlot: U 0(O G ,,, Type of Heat: PROPERTY OWNER /+ SL- Energy Path: Name:—"r A M � 711 new alteration Address: J lg(,( g ev Llv� ❑ ❑addition J (b)Foundation only permit? ❑Yes _W-No City: c,,,4',,,„r i fate:fl ZIP: '"f oi 'I J �lc�� 'total valuation: 5 PT. �I Phone:S'li cIo- 6 Fax: - - 2 Building fees ' E-mail: --roy 5�....e•� l"'. ` W-- l,;1- /'.p,.n 6 ..1 (a) Permit fee(use valuation table): Sf��,� Building Owner or Owner's agent authorizing this application: (b)Investigative fee(equal to[2a]): S v- (c)Reinspection(S per hour): ?IV( (number of hours x fee per hour) S Sign here: / f 0 (d)Enter 12%surcharge(.12 x[2a+26+20): S ❑This installation i ing made on residential or farm property owned by me or a member of in mmedime family,and is exempt from licensing (e)Subtotal of fees above(2a through 2d): S requirements under ORS 701 010. 3. Plan review fees CONTRACTOR INSTALLATION ' (a)Plan review(65%x permit fee[2a]): $ )71 ifG Business name: tn+a J 1 /' v V 1 ' (b)Fire and life safety(40%.x permit fee[2a]): S Address: VD (\ox 2 rjc(p (c)Subtotal of fees above(3a and 36). S City: `��'\ L. State:0QTh I ZIP: 4.D'liscellanemts fees. , . - Phone:tt[l-(%° g ZS.: Fax: - - (a)Seismic fee, 1%(.01 x permit fee[2a1): S E-mail: (b)Technology fee,5%(.05 x permit fee[2a]): s/7 4' CCB license no.: I(0-I 1 o-1 TOTAL fees and surcharges(2e+3c+4a+4h): $ J Z� IL----Print name: 7 Signature: ;`1: SUB-CONTRACTORINFORMATION ' ' Name CCB License# Phone Number Electrical