The URL can be used to link to this page

Home My WebLink AboutPermit Miscellaneous 2013-8-30 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01979 www.springfield-or.gov permitcenter @springfield-ar.gov PROJECT STATUS: Issued ISSUED: 08/30/2013 EXPIRES: 02/25/2014 STATUS DATE: 08/30/2013 APPLIED: 08/30/2013 • SITE ADDRESS: 1015 S 28TH ST,Springfield,OR 97477 SCOPE: Commercial Miscellaneous ASSESOR•S PARCEL NO: 1802060001006 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Gate platform OWNER: DIXON PAUL W&EVA G Phone Number: ADDRESS: 1055 S 28TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during constructio . Core • Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility WOR)( ?,^ Notification Center. Those rules are set forth _'�1GE: EXPIRE IF THE OT in OAR 952-001-0010 through OAR 952-001- PORIMEO UNDER THIS PEROD FOR • 0090. You may obtain copies of the rules by NOON calling the center. (Note: the telephone UTh ENDED OR I$ ABA number for the Oregon Utility Notification oMM DAY PEW?. Center is 1-800-332-2344). NY 1B0 Springfield Building Permit 8/30/2013 2:07:56PM • Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD �; 225 Finn St TRANSACTION RECEIPT Spnngfield,OR97477 OREGON 541-726-3753 811-SPR2013-01979 www.springfield-or.gov 1015 S 28TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001932 RECORD NO:811-SPR2013-01979 DATE:08/30/2013 DESCRIPTION _n:, ;arf_. ."+t_ s Witlint,ttr' 4'AGCOUNTCODE/TRANSCODE '."AMOUNT DUE.-!1.4. Building Permit Fee 224-00000-425602 1002 110.98 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.32 Technology fee(5%of permit total) 100-00000-425605 2099 5.55 TOTAL DUE: 129.85 P.AY,MENTAiYPE 'r PAYOR NcASHlea ccZiieENTER COMMENTS 'rte., NAMOUNT1IPAID ,.t- .' Jgi Credit Card Micheal Branch 129.85 07714C TOTAL PAID: 129.85 Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY 117-77.7: OP S FIEBD, OREGON ' `. P' ` ja% t`,�> Permit no.: s/�7 /GIB G; 225 PIMA Street♦Springfield.OR 97477+P11(541)726-3753♦FAX(541)726-3689 OREGON J / / Data: 3Q This permit is issued under OAR 918-460-0030.Permits expire if work Is not started within 180 days of su1 anee 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: - Zoningapprovalvcrified: ❑Ycs No FEE SCHEDULE Property is within flood plain: ❑Yee ❑No 1.Valuation Information. CATEGORY OF CONSTRUCTION (a)lob description: Head Gate Structure - Work Platform ❑Residential I in Government ' ❑Commerolal Occupancy U JOB SITE INFORMATION AND LOCATION Comimedontype: Fabricated Steel lob Biroaddross: 28th/Millr ace/Gorrie Creek /05° 'c Sgar°rOd: 78 or Springfield ( State:OR I zip:97477 Fort square tr foot: P Subdivision: I Lot no.: Other Information: Reference: I lhxlot: 1006 Type of Heat N/A Head Gate - rngrtr 'ewncn Maintenance N/A Name: Springfield Utility ,Board Energy Path: Aare ; 202 South 18th Street ❑°Qp' ['alteration ❑addition my: Springfield Stets; OR I zip: 97477 (b)Voaedetiononlypamit7 ❑Yes ❑No Total valuation: I g 5,000 Phone: 541-525-4113 Fax: - - - - stevenw @subutil. '2.Huildingtees com - o (a)Permit fee(use valuation table): $ 110.9 8 Gorrie Creek Head Gate Maintenance: (b)Investigative fee(equal to[2a]): $ --- (o)Rcinspoction(S per hour): Sign here: • � eJ, (number of houm x fee per hour) -- . ❑This installation It being made vnresidemlel"firm property owned by (e)Subtotal tal o surcharge o(.12 x through d): $ 13.32 me or a member of my immediate family,and is exempt from licensing (e)Subtotal otfees above(2a through 2d): $ 124.3 0 requirements under ORS 701.010. (See Footnote 1.) r3.Plan review fees CONTRACTOR INSTALLATION (a)Plan review(8534a permit fee[24): S - Business name: (b)File and lllbsatbty(40%a permit ibe(2a]): S Address: (e)Subtotal of fees above(3a and 3b)t 5 City. State: 122p: 4.Miseellaneoui fees Phone: - - Fax: - - (a)Seismic fee,l%(.01x permit fee PAD: $ R- (b)Technology fee,5%(.03 x permit fce[20: $ 5.25 CCB license no.: TOTAL fees and surcharges(2e+3c44s+4b): S Printneme: /Z / Signature:. SUBCONTRACTOR INFORMATION. Name CCB License 0 Phone Number Electrical 1. This structure is exempt under ORS 701.010 (15) , Exempt Governmental Entity.