HomeMy WebLinkAboutPermit Building 2013-10-29 •
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-SPR2013-02103
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/29/2013 EXPIRES: 04/27/2014
STATUS DATE: 10/29/2013 APPLIED: 09/18/2013
SITE ADDRESS: 3955 S E ST,Springfield,OR 97478 SCOPE: Carport
ASSESOR'S PARCEL NO: 1702314403900 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Pole building/carport
OWNER: SHELDON CARY 8 MARGARET D Phone Number:
ADDRESS: 3955 S E ST
SPRINGFIELD OR 97478 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor HEATER CONSTRUCTION INC COB 79310 01/27/2015 541-895-4806
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 is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
/ /last
Owner of ontr:- or Signature Date
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility. NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
Notification Center. Those rules are set forth
in OAR 952-001-0010 throues of the rules b COMMENCED AUTHORIZED
OR IS ABANDONED FOR
in OAR
You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone
number rfor
enteris 1e800-332-2344)Notification
ANY 180 DAY PERIOD.
Springfield Building Permit 10/29/201 2:03:54PM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
7t 225 Fifth St
TRANSACTION RECEIPT Spdngeeid,OR 97477
:c 01:1 541-726-3753
OREGON 811-SPR2013-02103
www.springfeld-ar_gov 3955 S E ST permitcenter @Springfield-or.gov
RECEIPT NO: 2013002383 RECORD NO: 811-SPR2013-02103 DATE: 10/29/2013
-sue' -;' . _-. 11
DESCRIPTION ..*Is.T�«=. ....zw.-'��s,7�..r�� �+���. '�-'AGCOUNT'CODEILRANS CODE �`.,.�.: -AMOUNT.DUE..=
Planning-Minor Review-City 100-00000-425002 1231 119.00
Residential Fire(.05 Per Sq Foot) . 100-00000-424005 9111 60.80
SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 429.24
SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 295.18
SDC:Total Storm Administration Fee 719-00000-426604 1180 36.22
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 38.10
Structural Building Permit Fee 224-00000-425602 1002 317.50
Structural Plan Review Fee Residential 224-00000-425602 1061 206.38
Technology fee(5%of permit total) 100-00000-425605 2099 15.88
TOTAL DUE: 1,518.30
>......-..-...��--� �.-. —�,..nmueny��'9.mae, I F -....._.�. .. t i -r h .,
�:PAYMENT.TYPE ,
Aft rL'ARSON.-_;,_;�,�- .COMMENTS•`.ife' Se.-.,:ar�'�k:� �;�AMOUNTdPAID,C,'>• ;,xr,,;t�;syj;
Credit Card HEATER CONSTRUCTION INC 1,518.30
06756D
TOTAL PAID: 1,518.30
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' Structural Permit Application SPRINGFIELD -- 1 ;DEPARTMENT'OSE ONLY1
3 V q
CITY OF SPRINGFIELD,OREGON e. ''' Permit no SI J - OZ' •
225 Fifth Street•Springfield,OR 97477•P1-1(541)726-3753•FAX(541)726-3689 OREGON'
Date: /—""
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days dt/"issuance or if work is
suspended for 180 days.
7T ° --, LOCAL=;:GOVERNMENT APPROVAL W.:MsV t a 2p 3x WaFEE°SCHEDULE;�`;'�. . ,
This project has final land-use approval. - 1'�Val atforttnformati�on�} t 't " °i
t&rcit�d�"� ,r�caa�.r Lttia
Signature: Date: (a)Job description Mil L ci ‘.4,27.„.„„A--
,->- 0„„ -
This project has DEQ approval. Occupancy ��
Signature: - Date:
Zoning approval verified: ❑Yes ❑No Construction type: v/(3
Property is within flood plain: ❑Yes ❑No Square feet: 74 b 44
,g.`.,,� d w CATEGORY of coNSTRUCTION` '" ` ,,b c§;4f\,. Cost per square foot:
'rlResidential ❑Government ❑Commercial Other information:
,z,riW-. -6ia SITE?''INFciat.IONIrghiWOCATION, .v"=.°YMSVy`'F* Type of Heat:
Job site address: .2715-S �CjsnT\ C- ST Energy Path:
City:S rim(-9 .O State:�l-- ZIP:7 C 7873 new ❑alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes . No
Reference:I 7O 13RI y Taxlot 0 3 70 0 Total valuation:ion: _ $ Z S 6 conr2
��s.� ans POPERY OWNER"ft°w� u7 . �' � „ j2°Bm ldiit gfes'� pW "Md� � aoxro
. Name: C Pa-CC C\?crC.4s3 (a)Permit fee(use valuation table): sr(? ,--c°
Address: 37 s--c— cc._>SVs- 4:2-71 $T (b)Investigative fee(equal to[2a]): $
r City: S'r?NCrj, t'n State: civ— ZIP: (c)Reinspection($ per hour): $
Phone: Fax: - - (number of hours x fee per hour)
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $ Use
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: (=3t Plamre iew fees t,54 4;;. "„ +.:C `=; 5`.,„ r" '-
;,/(//�/[//,If/�// (a)Plan review(65%x permit fee[2a]): n $ �6 fri-
Sign here: '� G'ei'"" (b)Fire and life safety(40%x permit fee[2a]) $
❑This installation' a de on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $
me or a member of my immediate family,and is exempt from licensing s4 Mtscellaiieouaees_, ' wf: r'_`u,�,n*kx+';` 'ri
requirements under ORS 701.010.
(a)Seismic fee, 1%(.01 x permit fee[2a]): $
:2 .':54- . CONTRACTOR INSTALLATION lrl,},c . ;, ll .' a �a
(b)Technology fee,5%(.05 x permit fee[2a]): $ (S
Business name: ps s: t( Y C 1l�1STY1K-Sl -
G ll TOTAL fees and surcharges(2e+3c+42+4b): s 577
Address: O �T f y y/\fl�y Cry) _-- —
City Crt"S41es j State:. - ZIP:7 (Z6
Phone jy,Z 76-r—(ra%V Fax:.5y(/fS.3 y`!
E-mail:,qj'),IN -xN.- C�}CTV'Lc�dvae yibt I-3-CreVV�
CCB license no.: ;VL(0 t
Print name: c-v e-pi HC p..-s Y� - .
Signature: i �' / ,.'•e_: '
_,,, SUB CO{, ,ORlINFORMATION L -`v,a�F.
Name CCB License N Phone Number
Electrical f�A
Plumbing N
ks/A
Mechanical i‘•1/P
iJarr_ REcEivFbJos No J[3 �O=Zl03
OCCUPANCY GROUP L%
'U i•11 �5 `� '- UC^ UPANCY LOAD , r
ST_iRl-S - TYPECOP_-�T=i)N VX
p9:. a_ 3955 �50
refN!
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1 �dECT A 1: i HL gig E L GVV SHALL t is BY
THE QUILEidG GF.tICIi;LI - -
In
A"PR ovPo E3Y�/-'' D < DAT�OJ/
T TT
VIEWED FOR
C ' compLIANCE
h�OTICE:
THIS PERMIT SHALL LYripR[ i; THE WORK
ALI T HORIZED UND 1 I:I:II PERMIT ISNOT
DOl��ENGED 01� 5,.AtjANDONED FOR
A.NY 180 DAY PEAfub.