HomeMy WebLinkAboutPermit Building 2014-08-13FIELD .--
CITY OF SPRINGFIELD
W-�'7G—�nO-R
225 Fifth St
Springfield,OR97477
Phone: 541-726-3753
EGON Building If Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01593
w .spdngfield-or.gov
permitcenter@sp6ngfield-oc9ov
PROJECT STATUS: Issued ISSUED: 08/13/2014
EXPIRES: 02/08/2015
STATUS DATE: 08/13/2014 APPLIED: 07/24/2014
SITE ADDRESS: 3562 GAME FARM RD, Springfield, OR 97477
SCOPE: Carport
ASSESOR'S PARCEL NO: 1703154002900 TYPE OF STRUCTURE:
Residential
-PROJECT-DESORIPTION: New-carport•(Demo§}-largerexisting-carportunder-permitS14356)
OWNER: HO PHILIP C & JOANNA
Phone Number:
ADDRESS: 15 OAK CREST LN
ALAMO CA 94507
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type
Lic No Lie Exp Phone
INSPECTIONS REQUIRED
Inspections
1020 Zoning Setbacks
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 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.
Owner or Contractor Signature
00*1710E:
TI IIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMIMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Date
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 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 8/13/2014 10:00:56AM Page 1 of 1
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�—�541-72&3753811-SPR2014-01593
CITY OI' SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
%w .spnngfield-ocgov 3562 GAME FARM RD permilcenter@spnngfield-ocgov
RECEIPT NO: 2014001590 RECORD NO: 811-SPR2014-01593 DA 1 C: VW4/41Ji4
DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 128.53
TOTAL DUE: 128.53
PAYMENT:TYPE 'PAYOR CASHIER: cCARPENTER COMMENTS (AMOUNT PAID
Credit Card David Schmitz 128.53
07955z
TOTAL PAID: 128.53
CITY OF SPRIi�IGFILLD
LSPRINGFIELD
TRANSACTION RECEIPT
225 Fdh St
Spnngfield,OR97477
541-726-3753
OREGON
811-SPR2014-01593
w .spdngfield�r.gov
3562 GAME FARM RD
permitcenter@spdngfield-ocgov
RECEIPT NO: 2014001754
RECORD NO: 811-SPR2014-01593
DATE: 08/13/2014
KE gf p
C3 Q,
SCID DUN.
Continuing Education Fee
224-00000-425606
2.50
Garage Carport
224-00000-425602
1030
197.74
Planning - Minor Review - UGB
100-00000-425002
1231
286.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004
1099
23.73
Technology fee (5% of permit total)
100-00000-425605
2099
9.89
TOTAL DUE:
519.86
Credit Card David Schmitz
519.86
03828z
TOTAL PAID: 519.86
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Structural Permit Application
225 Fifth Street + Springfield, OR 97477 1 PH(541)726-3753 + FAX(541)726-3689
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This permit is issued under OAR 918-460-0030. Permits expire if work is not started within
suspended for 180 days.
JLOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date;
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ElYes ElNo
Property is within flood plain: ❑ Yes ElNo
CATEGORY OF CONSTRUCTION
E]Residential
❑ Government
❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: j (2Q ,
City: 5 ,.,y State: CR_ ZIP:` 1-710-1
Subdivision: I Lot no.: 02 eo
Reference: 6 S O Taxlot:
,
PROPERTY OWNER'
Name:
Address: S bA C 1—A� e=
City: p,t,t,
ZIP: N -7
State: CA 9Sa
Phone:
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is being made at residen t at 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'
Business name:
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
S
SUB=CONTRACTOR INFORMATION
Name
CCB License 0
Phone Number
Electrical
$
(c) Subtotal of fees above (3a and 3b):
Plumbing
4. Miscellaneous fees
Mechanical
$
(b) Technology fee, 5%(.05 x permit fee[2a]):
DEPARTMENT USE ONLY
Permit no.: S/t y
Date:
j
180 days o ssuance ori work is
FEE SCHEDULE
1. Valuation information,
(a) Job description: 0
Occupancy
Construction type: U
Square feet: 617—
1ZCost
Cost per square foot:
Other information:
Type of Heat: I✓ Ai
Energy Path: W(1_1
Elnew ❑alteration ❑ addition
(b) Foundation -only permit? ❑ Yes [RNo
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 (65%x permit fee [2a]):
$
(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]):
r
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
S 17627
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