HomeMy WebLinkAboutPermit Building 2014-07-18E
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OREGON
v m.spdngfield-or.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01425
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfietd-or.gov
PROJECT STATUS: Issued ISSUED: 07/18/2014 EXPIRES: 01/13/2015
STATUS DATE: 07/18/2014 APPLIED: 0710112014
SITE ADDRESS: 1252 W QUINALT ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703273106700
OWNER: GONZALEZ JUAN C
ADDRESS: 1252 W QUINALT ST
SCOPE: Single Family Residence
TYPE OF STRUCTURE: Residential
Phone Number:
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
1110 Footing Footing: After trenches are excavated.
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 inspectionsAre requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of tl�e droperly, and the approved set of plans will remain on the site at all times during
construction. I 1
or Contractor Signature ate
Springfield Building Permit 7/18/2014 2:39:52PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
t S m 225 Fifth St
�TRANSACTION RECEIPT Spnng6eld,OR97477
"'- OREGON 541-726-3753
811-SPR2014-01425
v ,.spnngfield-orgov 1252 W QUINALT ST permitcenter@springfield-or.gov
RECEIPT NO: 2014001555 RECORD NO: 811-SPR2014.01426
DATE: 07/18/2014
DESCRIPTION
ACCOUNT CODElTRANS CODE
AMOUNT DUE `
Continuing Education Fee
224-00000-425606
2.50
Residential Fire (.05 Per Sq Foot)
100-00000-424005
9111
22.40
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
19.94
Structural Building Permit Fee
224-00000-425602
1002
166.17
Technology fee (5% of permit total)
100-00000-425605
2099
8.31
TOTAL DUE: 219.32
"6nveeeur.-rvoc Cnnvno 'n a o. L..�nun nn
'nnnenerJaTc
AMOUNT PAID '.
Check Juan Gonzalez 219.32
628
TOTAL PAID: 219.32
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SPRINGFIELD -- CITY OF SPRINGFIELD
r 225 Fffth St
TRANSACTION RECEIPT Spdngfield,0R97477
811-SPR2014-01425 541-726-3753
v .sprin9field-or.gov 1252 W QUINALT ST permitcentor@spdngfield-or.gov
RECEIPT NO: 2014001430 RECORD NO: 811-SPR2014-01425 DATE: 07/01/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 108.01
TOTAL DUE: 108.01
PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID -
Check GONZALEZ JUAN C 108.01
246
TOTAL PAID: 108.01
Structural Permit t
This permit is issued tinder OAR 918-460-0030. Permits expire if work is not started within I
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
❑ Residential ❑ Government TO Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: / Z,r Z _ (1&J , ArA 1' S'
City: ' el d State: O(L— I ZIP: 1744.14
Subdivision: I I Lot no.:
Reference: 170 3 Z.i 3 d Taxlot: C %O d
PROPERTY OWNER
Name: G>q,-)ZA la,7-Aveddress:
I VIWI \ A
City: State: zIP9.491-1
Phone: Fax: - -
\
E-mail: Q M 'F 6i ` - C. tl��
Building Owner or Owner's agent authorizing this pit ation:
ign he
This install
me r a membe
regm meats u
tion is beia a eon ide a or faun property owned by
of my [immediate family, and is exempt from licensing
der ORS 701.010.
CONTRACTOR INSTALLATION'
Business name: A C-7-- -
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
$ '
SUB-CONTRA6TOR.INIFORMATION
$
Name
CCB License ff
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee [2a]):
$
Plumbing
$
4. Miscellaneous fees?'
Mechanical
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
DEPARTMENT USE ONLY
Permit no.:
Date:
80 days of issuance or if work is
FEE SCHEDULE
1. Valuation information
(a) Job description: Pff 12ZJ
Occupancy 14
Construction type: /
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
❑ new ❑alteration P4ddition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
1 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):
$
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):$
�
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4. Miscellaneous fees?'
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
$ r
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
$ 70v -q3
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f�El/���UED FO CE
CODE COl�if LEAN
i � EH3 ��N' Oregon Im+'requires you to folbw
-ales adopted by the Oregon U91ity NoOfioation
Center. Those rules are set forth In OAR 952-001.
J010 through OAR g52-001.Opgp You may otNafn
copies of the rules by oalllrp Cre �� Note: the
telephone number for fhe Oregon Utility Notlfioatbn
Center is 1-800-332-2344),
NOTICE:
THIS PERMIT SHg1L E)CpIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ASANOON€0 FOR
ANr idp DAY PEAIOp.
Ul'TE RFCF3VE0 /I ,,
ZO'�I- LDL OCCUPANCY GROUP V`
UNIT (5� 1 OCCUPANCY LOAD
T'!PE CON STRU CTIONy
SST �O Fl I E-.a.�-a®--.®-s® 7O C
i `EGAL DESC_diF1'ION I �� �,^ � L
G� li Ao�;�ES� SZ T
J � OVJR FR~ K� ��
THE CONTENTS HERE OAI HAFE BERM P.EVIEVdED, WITH
ALTERATIONS INCICA.TF.D ON COLORED PENCIL CbIANGES
OR ALTERATIOAIS I�iADE TO 7FiE APPROVED DRAWINGS OR
II
PROJECT AFTER THE DATE. 6ELOS'J 5F3ALL BE APPROVED BY
THE @iJILD1NG OFFICIAL.
I _ C.➢`I�Y C}F A ° f ®'F"iEL�'�/7�i/ � y:
�'i APPROVED BY ���///� DATE / //���
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