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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). 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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 7��