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HomeMy WebLinkAboutPermit Building 2014-09-12SPRINGFIELD-.-.. 225 Fifth St 6nR960N CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01982 m"v.springfieldor.gov permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 09/12/2014 EXPIRES: 03/11/2015 STATUS DATE: 09/12/2014 APPLIED: 09/12/2014 SITE ADDRESS: 2440 HAYDEN BRIDGE RD, Springfield, OR 97477 SCOPE: Interior ASSESOR'S PARCEL NO: 1703240000200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Raise roof beam to flush/w ceiling OWNER: SANCHEZ-PHILLIPS SYLVIA & PHILLIPS K T ADDRESS: 2440 HAYDEN BRIDGE RD Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone INSPECTIONS REQUIRED Inspections 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. 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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 Safely. 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 locate�t the front of the property, and the approved set of plans will remain on the site at all times during or Contractor 0IIS PERMIT SHALL EXPIRE IF THF WORK AUTHORIZED UNDER THIS PERMIT IS PLOT CO/ "11.4FNCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, D e FlTTENTION: Oreaon late requires you 10 follow rtde , adopiod by the Oregon Utility Notifit ,ilou Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain conies of the rules by nunhbe for thil)q Me e1oregol)lltility�Notif c lt on Center is 1-800-332-2344), Springfield Building Permit 9/12/2014 2:19:35PM Page 1 of 1 SPRINGFIELD- -- >�; tom? "'`"' OREGON v .spdngfield�r.gov TRANSACTION RECEIPT 811-SPR2014-01982 2440 HAYDEN BRIDGE RD CITY OF SPRINGFIELD 225 Fifth St Spnngfield,OR 97477 541-726-3753 permiloenler@spdngfield-ocgov RECEIPT NO: 2014002026 RECORD NO: 811-SPR2014.01982 DATE: 09/12/2014 Continuing Education Fee 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 11.10 Structural Building Permit Fee 224-00000-425602 1002 92.52 Technology fee (5% of permit total) 100-00000-425605 2099 4.63 TOTAL DUE: 110.75 Gl1ecK SANCHEZ-PHILLIPS SYLVIA & PHILL 110.75 1035 K T TOTAL PAID: 110.75 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of i4mance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final Ian d -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 ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: _ City: State: 0P_ I ZIP. Subdivision: I Lot no.: Reference: Taxlot 622122 PROPERTY OWNER Name: G I Address: H{� ,� 6 City: 5; . State: ZI . Phone: t5_*1 7_-.> ?+- aZ I Fax. 2- E-mail: 6'e Building Owner or n 'sae tho 'zing this application: Sign here: This installal n is being made on reside i 1 or fans property owned by me or a member of my Immediate family, and 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: (e) Subtotal of fees above (2a through 2d): SUB -CONTRACTOR INFORMATIO , Name CCB License N 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]): FEE SCHEDULE 1. Valuation information (a) Job description: 6>' ,..., Occupancy �jyt 0, Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: , ❑ new alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No 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): $ 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]): $ G' (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): $ �� 0 e-/Y-/f-� 0