HomeMy WebLinkAboutPermit Building 2013-12-9 r.
SPRINGFIELD 1 225 Fifth St
A CITY OF SPRINGFIELD Springfeld,OR97477
(` Phone: 541-726-3753
°` OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02547
www.springfield-ar.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 12/09/2013 EXPIRES: 06/07/2014
STATUS DATE: 12/09/2013 APPLIED: 11/19/2013 •
SITE ADDRESS: 1595 RAMBLING DR,Springfield,OR 97477 SCOPE: Carport
ASSESOR'S PARCEL NO: 1703252209400 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New carport
OWNER: JANICE LEE VAN ETTEN LIVING TRUST Phone Number:
ADDRESS: 1595 RAMBLING DR
SPRINGFIELD OR 97477
OWNER: RICHARD J MASER TRUST Phone Number: 747-5257
ADDRESS: 1595 RAMBLING DR
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor PACIFIC METAL BUILDINGS INC CCB 196047 02/15/2014 530-438-2777
INSPECTIONS REQUIRED .
Inspections
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.
1020 Zoning Setbacks
- 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.
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Springfield Building Permit 12/9/2013 2:25:43PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
it i4 .dx.... 225 Fifth St
!: }.,a �� TRANSACTION RECEIPT Springtield,OR 97477
I''' OREGON 541-726-3753• 811-SPR2013-02547
www.springfield-or.gov 1595 RAMBLING DR permitcenter @springtield-or.gov
RECEIPT NO: 2013002633 RECORD NO:811-SPR2013-02547 DATE: 12/09/2013
,DESCRIPTION . ` " ACCOUNTCODE/T,RANS.CODE_ '-- AMOUNT DUE,
Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 21.00
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 33.56
Technology fee(5%of permit total) 100-00000-425605 2099 7.61
TOTAL DUE: 232.72
PAYMENT TYPE -` PAYOR - CASHIER:DeowLSer v._, COMM ENTS ' - . . , AMOUNT PAID
Credit Card RICHARD MASER - 232.72
009575 ,
TOTAL PAID: 232.72
•
SPRINGFIELD -" CITY OF SPRINGFIELD
to
225 Fifth S
TRANSACTION RECEIPT Springfield10R 97477
541-726-3753
OREGON 811-SPR2013-02547
www.springfield-or.gov 1595 RAMBLING DR permitcenter@springfeld-or.gov
RECEIPT NO: 2013002538 RECORD NO: 811-SPR2013-02547 DATE: 11/19/2013
DESCRIPTIO "Mit _�T._ r -aRa ACCOUNTaCODE/TRANS CODE.7nc:AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 65.42
TOTAL DUE: 65.42
fl PAYMENT YPE__k P.AYOR&•`,ECnsHLER..ccARPENTER Te2N
Credit Card Richard Maser 65.42
019774
TOTAL PAID: 65.42
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
CITY OF SPRINGFIELD, OREGON s -a *S i�r Permit no.: `/ tj
225 Fifth Street•Springfield,OR 97477•PIi(541)726 3753•FAX(541)726 3689 OREGON ,J/J -�
Date: ////oj/,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.
LOCAL GOVERNMENT APPROVAL . FEE SCHEDULE
This project has final land approval. 1.Valuation information
Signature: RAJA., (�L( Date: r I_ M--(�j ,t Cnr
g /C (a)Job description: �2✓
'Ibis project has DEQ appro j �1
Signature: }' 1/
-
7
Date:
Occupancy
Zoning approval verified: ❑ Yes • ❑No Construction type: A/13
Property is within flood plain: ❑ Yes ❑No Square feet: (126
e` CATEGORY OF CONSTRUCTION _' - Cost per square foot:
❑
Residential ❑Government I ❑Commercial Other information:
JOB SITE INFORMATION AND LOCATION Type of Ilea':
r Energy Path:
Job site address: /��f�7 ,—, � t,y
City: y � I State.. 4, g ZIP: 1 ❑-15Lw ❑alteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes a No eD/ 5 l
Reference:f 7b3 LSLZ I faxloe F✓ 77Oo Total valuation: 8 ,` S' C7T/
(1PROPERTY OWNER - _ , , 2. Building fees . V Name: L4.vN dy/f p.✓-u� (a) Permit fee(use valuation table): 1 $
Address: /59!f 4m• (b)Investigative fee(equal to[2a]): $
City: 1r t State: ZIP:f24�( (c) Reinspection(S per hour): $
�2 ` 5a 5 (number of hours x fee per hour)
Phone: f�/— Fax: - -
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c])'. $ /a Z-
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: 3. Plan review fees
�� (a) Plan review(65%R permit fee 120: $
Sign here: (b)Fire and life safety(40%x permit fee[2a1): $
ID This installation is being ma on residential or farm property owned by (c)Subtotal of fees above(3a and 3h): S
me or a member of my immedia family,and is exempt from licensing 4. Miscellaneous fees
requirements under ORS 701 010.
(a) Seismic fee. I%(.01 x permit fee[2a]): $
CONTRACTOR INSTALLATION • (b)Technology fee.5o(OS x permit fcc[2 a I): $
G
Business name: (0&A FI L VA ti*V S
p •
ToTA 1,fees and surcharges(2e+3e+4a+46): S 2.-77 z/
Address:
City: State: ZIP:
Phone: - - Fax: - -
E-mail: y
CCB license no.: Hbott7
Print name:
Signature:
SUB&CONTRACTOR INFORMATION-, ._ .
Name CCI3 License# Phone Number
Electrical
Plumbing
Mechanical