HomeMy WebLinkAboutPermit Building 2014-09-19SPRINGFIELD
r CITY OF SPRINGFIELD
OaEGON Building / Residential Permit
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PROJECT STATUS: Issued ISSUED:
STATUS DATE: 09/19/2014 APPLIED:
SITE ADDRESS: 255 S 51ST ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702333300600
PROJECT DESCRIPTION: New carport
OWNER: PETERSON LARRY
ADDRESS: 255 S 51ST ST
225 Fifth St
Springfield,OR 97477
Phone: 641-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield-or.gov
09/19/2014 EXPIRES: 03/18/2015
09/02/2014
SCOPE: Carport
TYPE OF STRUCTURE: Residential
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic 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
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
1020 Zoning Setbacks
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
ATTENTION: Oregon law requires you to
fallow rales 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
"'f f"I I M
I I IS PERMIT SHALL EXPIRE IF THE WORK
%;11THORIZED UNDER THIS PERMIT IS NOT
MENCED OR IS ABANDONED FOR
Y 180 DAY PERIOD.
Springfield Building Permit 9/1912014 1r18:3BPM Page i of 1
SPRINGFIELD
811-SPR2014-01884
CITY OF SPRINGFIELD
t.r.
TRANSACTION RECEIPT
225 Fdth St
Spnngfield,OR97477
�J
224-00000-425606
`
Garage Carport
541-726-3753
tlREGON
811-SPR2014-01884
Planning - Minor Review - City
v ,.spdngfield-or.gov
256 S 51 ST ST
permitcenter@spdngfield-or.gov
RECEIPT NO: 2014002089 RECORD NO:
811-SPR2014-01884
DATE: 09/19/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Continuing Education Fee
224-00000-425606
2.50
Garage Carport
224-00000-425602
1030
155.65
Planning - Minor Review - City
100-00000-425002
1231
119.00
Residential Fire (.05 Per Sq Foot)
100-00000-424005
9111
19.80
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
171.84
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
118.23
SDC: Total Storm Administration Fee
719-00000-426604
1180
14.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
18.68
Technology fee (5% of permit total)
100-00000-425605
2099
7.78
TOTAL DUE:
627.98
- `COMMENTS -
Cash PETERSON LARRY A
Credit Card PETERSON LARRY A
019198
300.00
327.98
TOTAL PAID: 627.98
SPRINGFIELD `-- CITY OF SPRINGFIELD
i 225 Fifth St
TRANSACTION RECEIPT Spdngfield,OR97477
OREGON 641-726-3753
811 -SP R2014-01884
vmm.spdngfield- r.gov 255 S 51ST ST permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001912 RECORD NO: 811-SPR2014-01884 DATE: 09/02/2014
Structural Plan Review Fee Residential
PETERSON LARRY A
002718
224-00000-425602 1061
101.17
TOTAL DUE: 101.17
TOTAL PAID: 101.17
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
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
K CATEGORY OF CONSTRUCTION
Residential ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address
City: -i v. State: &-"Z, ZIP: `% %Y 7y
Subdivision: Lot no.:
/�
Reference: D,7 .3_31p[�
Taxtot: fj® ®
PROPERTY OWNER
Name: Lc.v v A- '- -t. vs
Address: 255, �` i ,
City: '` „� c
State: t) C ZIP: �7y7S-
Phone:
flax— 2--6 fid
E-mail:�y,i'St r3
Building Owner or Owner's agent authorizing this application:
Sign here: CK
❑ This installation is be g- ade 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 ,
Business name:)�-
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
$ 6
SUB -CONTRACTOR INFORMATION
S
Name
CCB License #
Phone Number
Electrical
(b) Fire and life safety (40%x permit fee [2a]):
$
Plumbing
S
4. Miscellaneous fees
Mechanical
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$
DEPARTMENT USE ONLY I
Permitno.:C'(L(_ /��/
Date:
or if work is
FEE SCHEDULE
r1. Valuation information
(a) Job description:'Z,/ POrt Jam'
Occupancy 61
Construction type:W
Square feet: Z 2 = "�(p
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
,ETnew ❑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 (tours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$ 6
(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]):
$
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
$ 2i,}