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Home My WebLink AboutPermit Building 2014-5-16 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-SPR2014-01002 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/16/2014 EXPIRES: 11/11/2014 STATUS DATE: 05/16/2014 APPLIED: 05/06/2014 SITE ADDRESS: 1137 M ST,Springfield,OR 97477 SCOPE: Carport ASSESOR'S PARCEL NO: 1703264404900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New carport and shop OWNER: BERGLUND FAMILY TRUST Phone Number: ADDRESS: 1311 G ST SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED • Inspections 1020 Zoning Setbacks 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. • Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregori Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- NOTICE; 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). SpringfielOpilt♦inq oJnlh4yPERIOD. 5/16/2014 2:37:17PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD kOON 225 Frfth St TRANSACTION RECEIPT SpringfielQOR 97477 541-726-3753 811-SPR2014-01002 www.springfield-or.gov 1137 M ST perrnacenter @springfield-or.gov RECEIPT NO: 2014000997 RECORD NO: 811-SPR2014-01002 DATE:05/06/2014 ADESCRIP_TION _ - .. .. . . ' ACCOUNTrCODEITRANS_¢ODE=_L.. AMOUNT,DUE,_y Structural Plan Review Fee Residential 224-00000-425602 1061 112.40 TOTAL DUE: 112.40 j_ "" . - -_ .AMOUNT PAID PAY _ TYPE_';-____ CASHIER:__. ccnRrE___ ,t_.__ COMMENTS ,__L. _,__ __,_ __. -I Credit Card _BERGLUND FAMILY TRUST 112.40 035672 TOTAL PAID: 112.40 • • SPRINGFIELD CITY OF SPRINGFIELD h ar._A: 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 591-726-3753 811-SPR2014-01002 www.springfield-or.gov 1137 M ST permitcenter @springfield-or.gov RECEIPT NO: 2014001086 RECORD NO: B11-SPR2014-01002 DATE:05/16/2014 ,DESCRIPTION » 1 . . ACCOUNTCODE/TRANSCODE :_ ;_AMOUNT_DUE_-_1 Planning-Minor Review-City 100-00000-425002 1231 119.00 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 52.56 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 36.14 SDC:Total Storm Administration Fee 719-00000-426604 1180 4.44 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 20.75 Structural Building Permit Fee 224-00000-425602 1002 172.93 Technology fee(5%of permit total) 100-00000-425605 2099 8.65 TOTAL DUE: 414.47 L,PAYMENT TY,PE; PAYOR`.CASHIER:CCARPEHTER_ �COMMENTS _ __ _ AMOUNT PAID .-_` j Credit Card BERGLUND, Erik 414.47 035514 TOTAL PAID: 414.47 • • . Structural Permit Application SPRINGFIELD- DEPARTMENT USE ONLY' aa CITY OF SPRINGFIELD, OREGON akai . /z..0 2 225 Fifth Street•Springfield,OR 97477♦PH(541)726-3753•FAX(541)726-3689 OREGON . Date: 5l///y 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. a)+ e.Pr r OCAL'GO VERT'Wil E trg F R OV A t- Wa, _y M> P yFE1 S CHEDU E_n„r tg'i t .r, - .4 ,. This project fiN/n rr/land-us.ppro al i EL�aluhofmatio *: nr a , ` Signalim • " `"47 .(y/ GJ Date: (a)Job description A/ó72 pK—T// This project has DEQ approv . cif Signature: Date: Occupancy Zoning approval verified: ❑Yes -❑No Construction type: V.j Property is within flood plain: ❑.Yes ❑No Square feet: ..,� t........:.. ..�, it t. ., eaarr. x �'±� i� : �CATEGORY OF.,�kCONSTRUCTIQN,�t, as�, .� IN Cost per square foot ')Residential ❑Government I ❑Commercial Other information: "-Itr ll � OBlSITE EIN7FORMATI�ONIAND1LOCATION cfl'rvae,%: Type of Heat: Job site address: ///J Energy Path: �� City .S/) ' c ,L 'r /j� State: Or ZIP./r7 y j ❑new ['alteration gJ addition i Subdivision: / Lot no.: !/ (b)Foundation-only permit? ❑Yes No Reference: /7°3 26 y/y,Taxlot: �¶9C) K Total valuation: E40 77C0- ` ',,P- °`t:"tPR6.f EERIY OWNeFare�'k,.4,r# S. r 2 Hualding tees;m€ ., >`ti Wart'` - Name: 4/,i4/> �--9 2vr 2a/ (a)Permit fee(use valuation table). . $ j7) 9/ Address: /,3// "aL.Y (�y�/ (b)Investigative fee(equal to[2a]): • $ l- City: _5 er f<. el ie State: Or ZIP:// / 7, (c)Reinspection(S per hour): $ Phone:/ 74�j6 I_7 Fax: - - (number of hours x fee per hour) - C E-mail: / (d)Enter 12%surcharge(.12 x[2a+2b O +2c]): $ �1)1> (e)Subtotal of fees above(2a through 2d); S Building Owner or Owner's agent authorizing this application: r P n aCvl F`fep$ rc& ml- S SWIM //' permit Plan review(65%x permit fee[2a1): $ //2 V° . Sign here:rj� a/8 ,f �t (b)Fire and life safety(40%x peit fee[2a]): ❑This-installation is being made on resi tial or farm property owned by (c)Subtotal of fees above(3a and 3b): S me or a member of my immediate family,and is exempt from licensing 4 MlsCella_eons fees +.. 'at c ° nt u requirements under ORS 701.010. n zr _� .-s - ,;..;. (a)Seismic fee, 1%(.01-x permit fee[2a]): S C O'er a"er bCONTRACTOR '.INSTALLATIONS 41, b Technology fee,5% OS x permit fee 2a $ b 6/ Business name TOTAL fees and surcharges(2e+3c+4a+4b): I 17 Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: - _£ t i s. S TWONTRACTO t1A-RORMATION _,.--_' .+„�,fal. Name CCB License it Phone Number Electrical , Plumbing • Mechanical