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HomeMy WebLinkAboutPermit Building 2014-5-15 ` SPRINGFIELD 225 Fifth St ` ' -°° ti CITY OF SPRINGFIELD Springfield,OR 97477 • 7,1k ea � Phone: 541-726-3753 \ OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00928 www.springfield-or.gov permitcenter @springfield-or gav PROJECT STATUS: Issued ISSUED: 05/15/2014 EXPIRES: 11/10/2014 STATUS DATE: 05/1512014 APPLIED: 04/28/2014 SITE ADDRESS: 1138 CUSTOM WAY,Springfield,OR 97477 SCOPE: Shop ASSESOR'S PARCEL NO: 1703263408000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New detached shop OWNER: LACEY GERALD R& LISA M Phone Number: ADDRESS: 1138 CUSTOM WAY SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER GCB 000000 08/01/2025 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 constructi.n. •//Hero • tra.Cature ate NOTICE: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK . Notification Center. Those rules are set forth AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001.0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/15/2014 11:39:49AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 t OREGON 541-726-3753 811-SPR2014-00928 www Spr166661d-or.gov 1138 CUSTOM WAY permitcenter@springtield-or.gov RECEIPT NO: 2014000939 RECORD NO: 811-SPR2014-00928 DATE:04/28/2014 1DESCRIPTION ``• _ ..ACCOUNT CODE/TRANS_CODE- _ ___ '.T-AMOUNT DUE Structural Plan Review Fee Residential 224-00000-425602 1061 92.27 TOTAL DUE: 92.27 r•.,_PAYMENT TYPE _ PAYOR _CASHIER,CCARPENTER _ _ COMMENTS ' - AMOUNT PAID Check LACEY GERALD R& LISA M 258.37 2189 TOTAL PAID: 258.37 SPRINGFIELD CITY OF SPRINGFIELD T s ..A_. 225 Fifth St tiC�c TRANSACTION RECEIPT Springfield,OR97477 + 's r"` OREGON 541-726-3753 811-SPR2014-00928 www.springfield-or.gov 1138 CUSTOM WAY permitcenter©springfield-or gov RECEIPT NO: 2014000941 RECORD NO:811-SPR2014.00928 DATE:04/28/2014 [DESCRIPTION . -�„ -- . ._ . = ' ACCOUNT_CODEITRANS,CODE_;,,-`L1,, AMOUNT_DUE___; Structural Plan Review Fee Residential 224-00000-425602 1061 92.27 TOTAL DUE: 92.27 (_PAYMENTTYPE' PAYOR' CASHIER:CCARPENTER " COMMENTS _, ,�_ 'AMOUNT PAID` j Check v------ LACEY GERALD R& LISA M - _. _ _ _ 92.27 2189 TOTAL PAID: 92.27 ii SPRINGFIELD OF SPRINGFIELD 225 Fifth St `��; TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-00928 • vmwspringfield-or.gov 1138 CUSTOM WAY permitcenter @springfield-or.gov RECEIPT NO: 2014001068 RECORD NO:811-SPR2014-00928 DATE:05/15/2014 (DESCRIPTION. ACCOUNT_CODE/TRANS CODE :AMOUNT DUE m Planning-Minor Review-City 100-00000-425002 1231 119.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 18.60 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 135.78 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 93.37 SDC:Total Storm Administration Fee 719-00000-426604 1180 11.46 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.04 . Structural Building Permit Fee 224-00000-425602 1002 141.96 Technology fee (5%of permit total) 100-00000-425605 2099 7.10 TOTAL DUE: 544.31 L-PAYMENT TYPE ' • PAYOR CASHIER:CCARPENTER COMMENTS . ,. - . `,AMOUNT PAID '.: Check LACEY GERALD R& LISA M 544.31 2192 TOTAL PAID: 544.31 • • Structural Permit Application SPRINGFIELD DEPARTMENT,USE ONLY CITYOF SPRINGFIELD OREGON-:,,;,':: :,!,,,•...,•,,.:„., "..X.,..?..i./ `= Permit no 51 4 ...Op ?ZS 225 Fifth Street•Springfield.OR 97477•P11(541)726-3753•FAX(541)726-3689 OREGON Date: L/I iv i K 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-use approval. I. Valuation information Signature: Date: (a)Job description: id b7„...) p& -79 /0/0 • This project has DEQ approval. A Occupancy (vA Signature: Date: Zoning approval verified: ❑ Yes ❑ No Construction type: 3 Property is within flood plain: ❑ Yes ❑ No _ Square feet: '�'J2_,_ CATEGORY OF CONSTRUCTION Cost per square loot: Residential ❑ Government ❑Commercial Other information: JOB SITE INFORMATION neat: ON AND LOCATION , Tyne of ea OJ c Job site address: 1/3 $ Gus 7'Ov7 7✓AY Energy Path: City: 5p,?—S c-46-10( State: 0& ZIP: 974,77 [ ['alteration alteration ❑addition Subdivision: ' Lot no.: (b)Foundation-only permit? ❑ Yes ...X1410 _ r�� Reference: )7032634 'faxlot: O $OOp Total valuation: 5753 PROPERTY OWNER 2. Building fees Name: �,r4 I- R9lt( 1-4C ty (a) Permit fcc(use valuation table): $ /C(/ � Address: // 3 fr Cvs-le n Th. n/ (h) Investigative fee(equal to I2aD. $ City: gp. ,t•v-1a( State: 6(L. ZIP:9/977 (c) Reinspection($ per hour): Phone: Pas: - - (number of hours x fee per hour) $ SYl SJy 336ry E-mail: LeCe:7'376 0 C.61icA5t, NI-4 (d)Enter 12%surcharge(.12x (2a+26+2c)): $ Oda (e)Subtotal of fees above(2a through 2d): S Building Owner or Owner's agent authorizing this application: 3. Plan review fees '•e �/ (a) Plan review(65%x permit fee(2a f: $92'2? Sign her • off/ (b)Fire and life safety(40%x permit fee pal): $ ❑This instJ7ation is r m"'rxxr���ee onn residential or faun property owned by (c) Subtotal of fees above(3a and 3b): $ me or a in ,fiber of (Orminediate family,and is exempt from licensing 4. Miscellaneous fees requirem nts under ORS 701.010. (a) Seismic fcc. 1%(.01 x permit fee 12a IL $ CONTRACTOR INSTALLATION /U ��� (h)Technology fee. 5%(.05 x permit feel 2a D: $ 1.5:2 Business name: TOTAL fees and surcharges(2e+3c+4a+4b): S e g Address: City: State: ZIP: Phone: - - Fax. - - 0 IL� 6 11 1 Si F� /-//J� far E-mail: ���111 CCI3 license no.: /^ ( P (/1 ft I ,L. -J Print name: " Y l Signature: 4/ cr aCf(AKCS SUB-CONTRACTOR INFORMATION. Name CCB License# Phone Number Electrical Plumbing Slechanical