HomeMy WebLinkAboutPermit Building 2013-7-5 SPRINGFIELD 225 Fifth St
`' -�--.--i` CITY OF SPRINGFIELD Springfield,OR 97477
(\lam - Phone: 541-726-3753
` OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01276
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/05/2013 EXPIRES: 12/31/2013
STATUS DATE: •07/05/2013 APPLIED: 06/13/2013
SITE ADDRESS: 3437 C ST,Springfield,OR 97478 SCOPE: Miscellaneous
ASSESOR'S PARCEL NO: 1702312412300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Patio cover,As built
OWNER: CARLOS ENRIQUE D Phone Number:
ADDRESS: 3437 C ST •
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
II
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 0B/01/2025
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks
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.
1110 Footing Footing: After trenches are excavated.
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
NOTICE: ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT In OAR a95 n Center. Those rules are set forth
In OAR You ma 952-001-0010 through OAR 952-s by
COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by
ANY 180 DAY PERIOD. calling the center. (Note: the teleph o;
number for the Oregon Utility Notification
Center is 1-800-332-2344). •
Springfield Building Permit 7/5/2013 10:49:51AM Page 1 of 1
SPRINGFIELD- CIFY OF SPRINGFIELD
225 Fifth St
Ley TRANSACTION RECEIPT Springfe!d R97477
:ry. 541-726-3753
811-SPR2013-01276
www.springfield-or.gov 3437 C ST permitcenter @springfield-or.gov
RECEIPT NO: 2013001446 RECORD NO:811-SPR2013-01276 DATE:07/05/2013
!DESCRIPTION, -- _ ;__._��.,._�_- -ACCOUNT CODE/TRANS.CODE_vi_ 1,: 'AMOUNTDUE-_,1
Planning-Minor Review-City 100-00000-425002 1231 119.00
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 20.00
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 144.09
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 98.92
SDC:Total Storm Administration Fee 719-00000-426604 1180 12.15
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 18.27
Structural Building Permit Fee 224-00000-425602 1002 152.28
Structural Plan Review Fee Residential 224-00000-425602 1061 98.98
Technology fee(5%of permit total) 100-00000-425605 2099 7.61
TOTAL DUE: 671.30
- AMOUNT PAID
,- PAYMENT TYPEPAYOR CASHIER:CCARPENTER , COMMENTS_�_- - -� . ,, ; „-;_,i
Cash CARLOS ENRIQUE D 671.30
TOTAL PAID: 671.30
pi,.
Structural Permit Application SPRINGFIELD , DEPARTMNT USEONLYa;
t ar 4 +- t - ' -a s to J }r .1+ wr e:r hcr r :$ ' sI.
< Z 1 igi O PNGFIEu ORgEGO9N�f f- r� m om• Permit n . 73 /27
' OREGON
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689
t Date: 1P7�3/l 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.
-?„" :;-LOCALtGOVERNMENT,APPROVAl _ J ?.s r„_ ', ee.,i slit-FEE:,,,SCHEDULE `4,';F`72, `t , ;t:
This/project has 5nl_1aad/se approval. s 1=Vluaho fnfVmahon� ;, I c? 's"c {5
-\
Signature: Dae (a)lob description: h r7O UJVC2-
_ _.,., __
This project has DEQ ap val..-- -
— _ - -Occupancy' V - -
Date: 1/,�
Signature: - - - c., _
Zoning approval yeti �❑Yes ❑No Construction type: 1/13
Property is within flood plain: ❑Yes ❑No Square feet: ZOO t
” a t x - CAEGRYOF,rCONSTRUCTIONP r,-- ,; Cost per square foot lib F L
esidential ❑Government ❑Commercial Other information:
JOB SITE INFORMATIONp'AND LOCATION _ . Type of Heat:
Job site address: <Lll 7 C S l- Energy Path:
City: Fc - State: tr2_-- ZIP: wit* ❑new ❑alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes -.❑No
Reference: Taxlot: Total valuation: r 6T12V
;; = .g..... .,.PROP60,*.: OWNER_„`L 011. ,.-r..'. » z`' 2:Building'feei,;Ct r: t "... ``h al4Ar .. . Pigi4,...
Name: FYIIt 11 IA e— tY la S (a)Permit fee(use valuation table): 1 $ /r27--4-
Address: 31/Y R- G cS'lTe e:{- (b)Investigative fee(equal to[2a]): I $
City: 5 n tr'�al State: 0 ZIP: 11-trh? (c)Reinspection($ per hour): $
•Phone: 5 Fax: - ,yy (number of hours x fee per hour)
//- /5�-22fle/ - Nc. z 7
E-mail: (d)Enter 12%surcharge(.12 x[22+213+2c1): $ /11 —
-(e)Subtotal of fees above(2a through 2d): 1, $ •
Building Owner or Owner's agent authorizin this application: 3_]plan revre`w fees -R ,1 t ``Vs.z a a' r_,J,r ,
• (a)Plan review(65%x permit fee[2a]). S,--"
Sign here: (b)Fire and life safety(40%x permit fee[2a1) $
2tthis installation is being made on residential or farm property owned by (_)Subtotal of fees above(3a and 3b): S
me or a member of my immediate family,and is exempt from licensing `:" of t'"'ik'-f o-s !;i'1 4 + "r"i;`,
.NLtscellane`oiis fees ,e,4"° ,y,, ,.,.,
requirements ands ORS 701.010. (e)Seismic fee, 1%(Ol x permit fee[2a]): .I $
t COiiTnACTCR4 t.STAL . I0N wj?. ., _ w d' _ 7L(.. _ - _ _.
' are 4-1 3� (b)Technology`teee,,Si"(U4x perimt reettaj}. - '--•-$
Business name:LJ'" N� TOTAL fees and surcharges-(2e+3ct4a+4b): $ /7 a �?
Address:
City: State: ZIP:
Phone: - - Fax: - -
_
E-mail: \
CCB license no.: ..
Print name:
‘N,
Signature:
SUB.CON:T.RAC.ORINFORMATION a_
Name CCB License p Phone Number
Electrical -
Plumbing
Mechanical
•