HomeMy WebLinkAboutPermit Building 2014-07-16SPNINGFItLD
1
-- 7—`- OREGON
vnvw.spnngfield-orgov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01299
PROJECT STATUS: Issued
STATUS DATE: 07/16/2014
SITE ADDRESS: 7757 S A ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702363001501
OWNER: MC MANN MARK G
ADDRESS: 7757 S A ST
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@springfield-or.gov
ISSUED: 07/16/2014 EXPIRES: 01/11/2015
APPLIED: 06/16/2014
SCOPE: Accessory Building
TYPE OF STRUCTURE: Residential
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor SHANNON K JOHNSON CONSTRUCTION LLC CCB 201078 10/04/2015 541-868-5225
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
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
1530 Exterior Shearwall
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.
6V,4i llT,Nie-Mw --- 7^/Z'/K
Owner or Contractor Signature Date
KOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 7/16/2014 11:46:36AM
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952.001-
0090. You may obtain copfoS of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800-332-2344). Page 1 of 1
__..............
SPRINGFIELD.- CITY OF SPRINGFIELD
•TMu 225 I'M St
��,� TRANSACTION RECEIPT Spnngfie1d,0R97477
�^ OREGON 541-726-3753
811-SPR2014-01299
v .spnngfield-or.gov 7757 S A ST permits nter@spnngfield-or.gov
RECEIPT NO: 2014001532
RECORD NO: 811-SPR2014-01299
DATE: 07/16/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Continuing Education Fee
224-00000-245606
224-00000-425E
2.50
Planning - Minor Review - UGB
100-00000-425002
1231
286.00
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
357.00
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
245.62
SDC: Total Storm Administration Fee
719-00000-426604
1180
30.13
State of Orennn Surehnrne (120/ of annlicahle fees)
821-00000-215004
1099
46.56
Structural Building Permit Fee
Technology fee (5% of permit total)
'PAYMENTTYPE =PAYOR J:CASHIER:(
Check MC MANN MARK G
0686
224-00000-425602 1002
100-00000-425605 2099
COMMENTS
19.40
TOTAL DUE: 1,375.21
01)
1,375.21
TOTAL PAID: 1,375.21
SPRINGFIELD --
CITY OF SPRINGFIELD
LN
�j
TRANSACTION RECEIPT
225 FBIh Sl
Springfield,OR97477
OREGON
811-SPR2014-01299
541-726-3753
mm.springfield-or.gov
7757 S A ST
permilcenler@spdngfield-or.gov
RECEIPT NO: 2014001311 RECORD NO: 811-SPR2014.01299 DATE: 06/16/2014
DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 252.20
TOTAL DUE: 252.20
PAYMENTTYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID
Credit Card Shannon Johnson
016987
252.20
TOTAL PAID: 252.20
Structural Permit ,
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 1
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL =FEE SCHEDULE
1. Valuation information
(a) Job description: RLeE
Occupancy (A
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
w
nealteration addition
❑ ❑
(b) Foundation -only permit? ElYes ElNo
Total valuation: $
2. Building fees
(a) Permit fee (use valuation table): $
(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]): $ $�
(e) Subtotal of fees above (2a through 2d): S
3. Plan review fees
(a) Plan review (66%x permit fee [2a]): $ 2
(b) Fire and life safety (40%x permit fee [2a]): $
(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]): $
(e) Continuing Education Fee $2.50 $2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c): S
M
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
CATEGO_ R_Y OF CONSTRUCTION
residential ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION -
Job site address: %
City: ?
Subdivision: Lot no.:
Reference: Jet:
PROPERTY 'OWNER
Name: j } mm( r-,
Address:
City: S
Phone: / p
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION_
Businessname: S\raV%410
Address:
City: ,e State: ZIP: z
Phone. — S"�aS` Fax: -
E-mail: < 1'r ot Aird a 1
CCB license no.: /, LG' –2 D Q
Print name:
Signatu e: w`
, F
SUB-CONTRACTOR I O MATION
Name
Phone Number
Electrical
_CCB\tPense#
Plumbing
Mechanical
DEPARTMENT USE ONLY
Permit no.: <lL —12_7c7'
Date: //� // / G
80 days of issuance or if work is
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