Loading...
HomeMy WebLinkAboutPermit Building 2014-07-25SPRINGFIELD oseooN w w.spnngfield-oreov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01600 225 Fifth St Springfield,OR 97477 Phone: 641-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/25/2014 EXPIRES: 01/20/2015 STATUS DATE: 07/25/2014 APPLIED: 07/25/2014 SITE ADDRESS: 3792 OREGON AVE, Springfield, OR 97478 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702314208202 TYPE OF STRUCTURE: Residential ---- PROJECT DESCRIPTION:-------Roof-repair--res heathed/reroofed-oversupport- OWNER: GARCIA RALPH & JEAN T ADDRESS: 3792 OREGON AVE Phone Number: SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone ccs 000000 INSPECTIONS REQUIRED Inspections 1620 Roofing Roofing: Prior to installing any roof covering. 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. wner or C recto Sigrrat a Date � I-1HIS'PERMIT SHAD EXPIRE IF THE WORK AUTHORIZED T is con MENC DOOR ISRABANDONED I FOR NOT ANY 180 DAY PERIOD. r l ; I ;nN: Orei;on law requires you to vv ruics adopted by the Oregon Utility i :uti6cniion Center. Those rules are Set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1.800.332.2344). Springfield Building Permit 7/2512014 8:17:33AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 4µ�� TRANSACTION RECEIPT 225 Fifth St Spngfield,OR 97477 ' eRE(iON 811-SPR2014-01600 541-726-3753 wmv.springfield-or.gov 3792 OREGON AVE permitcentergspringfield-or.gov RECEIPT NO: 2014001596 RECORD NO: 811-SPR2014-01600 DATE: 07/25/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Structural Building Permit Fee 224-00000-425602 1002 82.00 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 041611 TOTAL PAID: 98.44 Structural Permit Application saw -'^'sic a3-�e#'"�` � -..' �'��,-•s � x v -*. s .�.' �^ " - 225 y�= �.. This permit is issued under OAR 918-460-0030. Permits expire if work is not started within suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date; This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION Erkesidentiat ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION 'Job site address: -- // City: 4 (e . n State: 0Z_ ZIP: Y 7 Subdivision: I Lot no.: Reference: Taxlot: PROPERTY OWNER Name: f} 2C Address: ' ,- City: I State:Q ZI `f% Phone: r — OO Fax: - - E-mail: 96 002-),- h2-),-Building BuildingOwnee wrier agent authorizing this application: Sign here: � d�C�N c c ❑ This installation i Bing ma on residential or fans property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION' Businessname: t,/C_ Vx--- Address: City: State: ZIP: Phone: - Fax: - - E-mail: CCB license no.: Print name: Signature: $ �j =SUB -CONTRACTOR INFORMATION $ Name CCB License N Phoue Number Electrical (b) Fire and life safety (40%x permit fee [2a]): Is Plumbing S 4. Miscellaneous fees Mechanical (a) Seismic fee, 1%(.01 x permit fee [2a]): $ DEPARTMENT USE ONLY Permit no.: S'q_/600 Date: Z S ` / 180 days of issuance or if work is FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy X 3 Construction type: OG Square feet: Cost per square foot: Otter information: Type of heat: Energy Path: ❑ new alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: S% 2coc7 2. Building fees (a) Permit fee (use valuation table): $ Z •— (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ �j (e) Subtotal of fees above (2a through 2d): $ 3. Plan review fees (a) Plan review (65%x permit fee [2a]): $ (b) Fire and life safety (40%x permit fee [2a]): Is (c) Subtotal of fees above (3a and 3b): S 4. Miscellaneous fees (a) Seismic fee, 1%(.01 x permit fee [2a]): $ (b) Technology fee, 5% (.05 x permit fee[2a]): $ �— (c) Continuing Education Fee $2.5052.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): S gffkz