HomeMy WebLinkAboutPermit Building 2014-08-25ELD --_
225 Fifth Sl
CITY OF SPRINGFIELD
EE�4��
Springfield,OR97477
-,
Phone: 541-726-3753
OREGON Building / Residential Permit
Inspection Phone: 641-726-3769
Fax: 641-726-3676
PERMIT NO: 811-SPR2014-01728
vnvw.springfield-ocgov
permitcenler@springfield-ocgov
PROJECT STATUS: Issued ISSUED: 08/25/2014
EXPIRES: 02/20/2015
STATUS DATE: 08/25/2014 APPLIED: 08111/2014
SITE ADDRESS: 1175 LAUREL AVE, Springfield, OR 97478
SCOPE: Shop
ASSESOR'S PARCEL NO: 1802064200304 TYPE OF STRUCTURE:
Residential
—PROJECT- DESCRIPTION! -New polo -barn.
_
OWNER: GODDARD GEORGE JR & S F
Phone Number:
ADDRESS: PO BOX 546
SPRINGFIELD OR 97477
OWNER: HARRISON RICHARD B & ELIZABETH F
Phone Number:
ADDRESS: PO BOX 465
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lie Type
Lie No Lie Exp Phone
General Contractor JAKE EDWARD LESTER CCB
122551 02/09/2016 541-726-2820
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. 1 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.
_
Owr Contractor Signature
ne
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).
Date
t'-, i ME:
I ! IIS PERMIT SHALL EXPIRE IF THE WORK
I fl IORIZED UNDER CHIS PERMIT IS NOT
FNCED OR IS ABANDONED FOR
30 DAY PFRIOD.
Springfield Buitding Permit 8/25/2014 9:43:47AM Page i of 1
SPRINGFIELD CITY OFSPRINGFIELD
4 --. 225 Firth St
¥ TRANSACTION RECEIPT Springfield,OR97477
OREGON
811-SPR2014-01728 541-726-3753
w .springfield-or.gov 1175 LAUREL AVE permitcenter@springfield-or.gov
RECEIPT NO: 2014001866 RECORD NO: 811-SPR2014.01728
DATE: 08/25/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Continuing Education Fee
224-00000-425606
2.50
Planning - Minor Review - UGB
100-00000-425002
1231
286.00
Residential Fire (.05 Per Sq Foot)
100-00000-424005
9111
43.20
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
370.50
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
254.90
SDC: Total Storm Administration Fee
719-00000-426604
1180
31.27
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
27.52
Structural Building Permit Fee
224-00000-425602
1002
229.31
Technology fee (5% of permit total)
100-00000-425605
2099
11.47
TOTAL DUE: 1,256.67
PAYMENT TYPE PAYOR CASISER: RNOLMAN
COMMENTS
AMOUNT PAID
Check JAKE EDWARD LESTER / Pole Barns
1,256.67
3774
TOTAL PAID: 1,256.67
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Ll'NGFIELD CITY OF SPRINGFIELD
�, 225 Fifth S
TRANSACTION RECEIPT Spr gfield'OR 97477
OREGON 541-726-3753
811-SPR2014.01728
w i.springfield-ocgov 1175 LAUREL AVE peanitoenter@spdngfeld-or.gov
RECEIPT NO: 2014001730 RECORD NO: 811-SPR2014.01728 DATE: 08/11/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 149.05
TOTAL DUE: 149.05
PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID
Credit Card HARRISON RICHARD B & ELIZABETI 149.05
420420
TOTAL PAID: 149.05
Structural Permit Application
225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689
SPa1NGPIELD --
OREGdN
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
❑ Residential I ❑ Government I ❑ Commercial
JOB SITE INFORMATION AND LOCATION
lob site address:
City: SX -1 State: ®.e, ZIP: 7y)
Subdivision: Lot no.:
Reference: x
Taxlot:
PROPERTY OWNER
Name:
Address:
n
City: S ; Jn 0"r`el
State: (�V_ ZIP:
Phone:s`1(-`j/q -266,(3
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;`
AAle-6,1
Business name: -,1 5-11 /M
Address: 3q' v L%e- [✓
City: r;, 2`
State: c1C. ZIP:`7,7y7
Phone 4 7- A e;k o
Fax.-elfE 726 292 a
E-mail: v/e ✓n5 C
CCB license no.: 122 S -S- /
Print name: ' a
Signature: i --
(e) Subtotal of fees above (2a through 2d):
SUB -CONTRACTOR INFORMATION
Name
CCB License #
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee [2a]):
$
Plumbing
$
4. Miscellaneous ices'%
Mechanical
(a) Seismic fee, 1%(.01x permit fee [2a]):
$
DEPARTMENT USE ONLY
Permit no.: 9/y
` /7Z
Date:
180 days of issuance or if work is
FEE SCHEDULE
1. Valuation information
(a) Job description: �t/�(�✓L�
Occupancy
Construction type:
Square feet: Z62y
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
new ❑alteration ❑ addition
(b) Foundation -only permit? ❑ Yes ❑ o
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]):
ZS
(e) Subtotal of fees above (2a through 2d):
$
`3. Plan review fees
(a) Plan review (65%x permit fee [2a]):$
J `j 0
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
$
4. Miscellaneous ices'%
(a) Seismic fee, 1%(.01x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):
$ / 7
(c) Continuing Education Fee $2.50
52.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
S
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MINIMUM SETBACKS -INTERIOR LOTS
All measurements are from Property Lines
-Front Yazd to House 10 feet
-Front yard to Gazage 18 feet
-Side Yazd to House or Gazage 5 feet
-Reaz yazd to House or Gazage 10 feet
P.U.E. MAY CAANGE SETBACKS -
ATTENTION: Oregon lew requires you to follow
tulas adopted by the Oregon Utiilty o`lotiflcation
:enter. Those rules are set forth In (iAR 952-001-
0010 through OAR 952-001-0090. You may obtain
copies of the rules by calling the center (Note: tha
slephone number for the Oregon Utility Notification
venter is 1-800-332-2344).
Indicate which
direction is north
with an arrow
. �r i -?.'d _, O. WITH
TSE �r1 � ,..-� � � ,._ .J i HAN GFS
�` � i � U' ,�I FIGS OR
T � `- z
i3O � �Fa i r Lr"i E o�Lv a, 5! .4- of N.P PROVED BY
THE aL'ILL`;'ivG GF PIGi�.L.
(/ l/�' w ,�Zc� �l �7
-... T 1pPROV F.D 6Y �— SAT �'�T�--1
j� 3 NOTICE:
``�- � THIS PERMIT SHALL EXPIRE IF THE WDRK
3 AUTHORIZED UNDER THIS PERMIT IS NDT
�� � 2c�o �� � COMMENCED ORIS ABANDONED FOR
,� { �.. � � �,_.-,_ �, ANY 1 BD DAY PERIOD.
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