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HomeMy WebLinkAboutPermit Building 2013-7-25 • SPRINGFIELD 225 Fifth St 6 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-SPR2013-01684 • wvnv.springfield-or.gov - permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 07/25/2013 EXPIRES: 01/20/2014 STATUS DATE: 07/25/2013 APPLIED: 07/25/2013 SITE ADDRESS: 906 F ST,Springfield,OR 97477 SCOPE: Garage/Carport ASSESOR'S PARCEL NO: 1703351212100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert carport to garage OWNER: KAYE LINDA K Phone Number: ADDRESS: 1634 HARBOR DR 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 Inspections 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. • 1 ► _. 7 - LS • 13 . Owner or Contractor Sii4, 1 Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility • ° - -"- - Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- .J T ICE: 0090. You may obtain copies of the rules by :113 PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the teleph::flc, - .UTHORIZED UNDER THIS PERMIT IS NOT :: number for the Oregon Utility Notification 'OMMENCED OR IS ABANDONED FOR •Center is 1-800-332-2344). ANY 180 DAY PERIOD. • • Springfield Building Permit 7/25/2013 10:12:45AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • 225 Fifth St TRANSACTION RECEIPT Spring(e&d,OR 97477 OREGON 541-726-3753 811-SPR2013-01684 www.springfield-or.gov 906 F ST permitcenter©spdngfield-or.gov RECEIPT NO: 2013001631 RECORD NO:811-SPR2013-01684 DATE:07/25/2013 4.1 1.g;itil thil ,, :1FSEtfaiii:"ip' t'.2:-,,('` 1 1P ACCOUNT`CODE/T.RANSsCODEf , '')% "'I'-,^i2 o DUE ISia State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 PAMIENTnTYFE ,FAVOR cASNIER:CCARENTER. COMMENTS AMOUNTOMID Cash KAYE LINDA K 93.60 TOTAL PAID: 93.60 Structural Permit Application SPRINGFIELD iDEPMflyIENt IJSEONLY,' CITY OF SPRINGFIELD, OREGON Permit no.: 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726-3669 OREGON 5/ -3. I Date: i — 3 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days o issuance or if work is suspended for 180 days. LOCAL.GOVERNMENT APPROVAL FEE SCHEDULE = This project has final land-use approval. L.Valuation information _ _.. ..-... Signature: Date: (a)Job description: I This project has DEQ approval. Occupancy U j y� /v T ��r /''. /Signature: Date: Zoning approval verified: ❑Yes ❑No Constmction type: VU Property is within flood plain: ❑Yes El No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: Residential ❑Government ❑Commercial - Other information: JOB SITE INF II :CATION AND CATION Type of Heat: Job site address: 90k, F ST Energy Path: City: SP-E L , State:02- ZIP:97477 ❑new Dattcra. tion ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: 1703'5572_Taxlot: /2,f76) Total valuation: e PROPERTY OWNER 2. Building fees Name: (tut K_A_y C (a)Permit fee(use valuation table): S 7i_ Address: $53Q3q-3( P,4�TQ_t DGt L1• • (b)Investigative fee(equal to[2a]): $ City: L•C) State: Q. ZIP:97478 (c)Reinspection(S per hour): Phone:54-1-"7 4(,-Soi (o Fax: - - (number of hours x fee per hour) $ E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ 90° (c)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees (a)Plan review(65%x permit fee[2a]): $ Sign here:, *1t. (b)Fire and life safety(40%x permit fee[2a]): ❑This ins:Ration is . g made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): • $ me or a member.'my immediate family,and is exempt from licensing - ' 4.Miscellaneous fees , requirements under ORS 701.010. n (a)Seismic fee, I%(.01 x permit fee[2a]): $ ' CONTRACTOR INSTALLATION ' (b)Technology fee,5/(.05 x permit fee 2a $ Business name: p � TOTAL fees and surcharges(2e+3c+4a+4b): $ 9360 Address: City: State: ZIP: Phone: - - Fax: - - E-mail: • CCB license no.: Print name: Signature: • :' aarz -;-,SUB=CON RACTOR;INFORMATION1 110; ,4;?Kgraj • • Name CCB License H Phone Number Electrical Plumbing Mechanical