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HomeMy WebLinkAboutPermit Building 2013-7-9 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-SPR2013-01278 www.springfield-or.gov permitcenter @spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/09/2013 EXPIRES: 01/04/2014 STATUS DATE: 07/09/2013 APPLIED: 06/13/2013 SITE ADDRESS: 632 S 72ND ST,Springfield,OR 97478 SCOPE: Deck ASSESOR'S PARCEL NO: 1802022105700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New two-tiered deck and patio OWNER: ALAMEDA JAMES H&NANCY I Phone Number: ADDRESS: 632 S 72ND ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor ENSIGN UNLIMITED LLC COB 180373 02/04/2014 541-689-2945 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 at the proper time,that each address is readable from the street,that the permit card i :--ted at the , t of the property, and the approved set of plans will remain on the site at all times during constru ..n. 7 /3 Owner or • - or Sig cure Data • ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephcm dumber for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 7/9/2013 1:07:44PM Page 1 of 1 SPRINGFIELD .. CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT 5pnngfeld,OR97477 OREGON 541-726-3753 811-SPR2013-01278 www396999eld-or.goy 632 S 72ND ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001464 RECORD NO:811•SPR2013-01278 DATE:07/09/2013 (DESCRIPTION 4 :-:": ,.,., .;. �, s> ",r�-� €.:lit°ACCOUNT CODEIfRANS"CODE.wi -va a- AMOUNT?DUE. "s) Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 8.40 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 35.50 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 24.37 SDC:Total Storm Administration Fee 719-00000-426604 1180 2.99 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 15.80 Structural Building Permit Fee 224-00000-425602 1002 131.63 Technology fee(5%of permit total) 100-00000-425605 2099 6.58 TOTAL DUE: 225.27 PAYMENT TYPrenaPAYOR `- casNleMcnaP,ENTEa-.'� COMMENTS' MAr�.`�,r ,�,-�� Credit Card ENSIGN UNLIMITED LLC 225.27 009508 TOTAL PAID: 225.27 • • • SPRINGFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT Springfield,OR 97477 ��OR 225 Fifth St 541-726-3753 OREGON 811-SPR2013-01278 www.springfield-or.gov 632 S 72ND ST permitcenter©springfield-or.gov RECEIPT NO: 2013001233 RECORD NO: 811-SPR2013-01278 DATE:06/13/2013 IDESCRIPTION 1__ACCOUNT CODE/TRANS_CODE f AMOUNT DOE-2:.1 Structural Plan Review Fee Residential 224-00000-425602 1061 85.56 TOTAL DUE: 85.56 LJPAYMENT TYPE PAYOR CASHIER:_CCARPENTER ;;.' _COMMENTS ' ,•.AMOUNT.PAID Check ENSIGN UNLIMITED 85.56 1518 TOTAL PAID: 65.56 Structural Permit Application 5 pitiNFIELD DEPARTMENT USE ONLY U 4I1 . alisszpywk-47,_:-.713wervi_sy.efeett,twivroimpifr: bj6eR tOREGON Permit no Si 3 /21/4- 225 Fifth Street 4 Springfield,OR 97477 PH(541)726-3753+FAX(541)726-3689 Date: 67/3 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. SCHEDULE LOCAL GOVERNMENT APPROVAL FEE This project has final land-use approval. 11:XaluatIorttnformatiows,M.2 „ &,,,i,.4,4st,owc.f,9,-,,x4)„-r Signature: Date: (a)Job description: .--Ste:lyt-`--( pEttc.._g flidtra This project has DEQ approval. Occupancy R3 Signature: Date: type:Vi Zoning approval verified: 0 Yes fl No Construction Property is within flood plain: fl Yes D No Square feet: ggyilltlial?'";aliftoda360•CONSTRUCTION Cost per square foot: •esidential Government D Commercial Other information: JOB SITE INFORMATION AND LOCATION . Type of Heat: Job site address: 3O*1 Energy Path: City:_SMININirkli et, State: VI- Z113 -M-I22 afigw ['alteration fl addition Subdivision: Lot no.: (b)Foundation-only permit? fl Yes No Reference: TaxIotia62- 022-1 057760 Total valuation: r7C0 - - Name: iv■ A ).O il3040i1 A AMEDA (a)Permit fee(use valuation table): $ rit 5 Address: LT)_ SCILTH. 701- (b)Investigative fee(equal to[2a1): City: ifIC &-Sfkiv6 rfria state:cyi al:J:57(07 (c)Reinspection($ per hour): (number of hours x fee per hour) ' Phone: Fax: - - E-mail: Et (d)Enter 12%surcharge(.12 x[2a+26+20): $ (e)Subtotal of fees above(2a through 2d): $ Building Owner Owner's gent authorizing this application: 2 (a)Plan review(65%x permit fee[2a]): $ Sign here:here: (b)Fire and life safety(40%x permit fee[2aD: $ D 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 nay immediate family,and is exempt from licensing requirements under ORS 701.010. (a)Seismic fee, 1%(.01 x permit fee[2a]): coirkacir■i§tAttkpoN:\ (b)Technology fee,5%(.05 x permit fee[2a]): $ te-ta Business name: 6 k Qklkst uf_ TOTAL fees and surcharges(2e+3c+4a+4b): $ 2,_s - Address: (a 5 Div 1.51)On) -1 City: OtlfsCri State: (9A- ZIP:C17q0q Phone:alti QM- Yr Fax: - DAPrip e4‘50 ki Util--1444*(70 U.L •COAA CCB license no.: (-603 73 Print name: ( EMS ("I Signature: Name CCB License Phone Number Electrical Plumbing Mechanical