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Home My WebLink AboutPermit Building 2014-09-25ELD `CITY ISSUED: 09/25/2014 EXPIRES: 03/24/2015 225 Fifth St FOIL OF SPRINGFIELD Springfield,OR97477 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing garage Phone:641-726-3753 OREGON Building /Residential Permit Inspection Phone: 541-726-3769 SPRINGFIELD OR 97477 Fax: 641-726-3676 CONTRACTOR INFORMATION PERMIT NO: 811-SPR2014-01899 General Contractor OWNER ww Y.spnngfield-or.gov permileenter@springfield-ocgov PROJECT STATUS: Issued ISSUED: 09/25/2014 EXPIRES: 03/24/2015 STATUS DATE: 09/25/2014 APPLIED: 09/03/2014 SITE ADDRESS: 2600 WAYSIDE LN, Springfield, OR 97477 SCOPE: Garage f Carport ASSESOR'S PARCEL NO: 1703224402600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing garage OWNER: ADRIANCE WALTER M Phone Number: ADDRESS: 2600 WAYSIDE LN SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Sheanvall 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. "14 Owner or C tractor Signature I!0 ICE: TFIIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT GMMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springrield Building Permit Date Art -E NTION: Oregon law requires you to follow Mlles 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). 9/25/2014 2:14:32PM Page i of 1 SPRINGFIELD CITY OF SPRINGFIELD 1 225 Fifth St TRANSACTION RECEIPT Spdngfield,OR 97477 -"_--'' OREGON 541-726-3753 811-S P R2014-01899 mm.springreld-or.gov 2600 WAYSIDE LN permilcenler@spdngfield-ocgov RECEIPT NO: 2014002130 RECORD NO: 811-SPR2014.01899 DATE: 09/25/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Garage Carport 224-00000-425602 1030 396.00 Planning - Minor Review - UGB 100-00000-425002 1231 286.00 Residential Fire (.05 Per Sri Foot) 100-00000-424005 9111 39.00 SDC: Improvement Cost - Storm Drainage 440-00000-448028 1176 336.00 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 1177 231.17 SDC: Total Storm Administration Fee 719-00000-426604 1180 28.36 Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 47.52 Technology fee (5% of permit total) 100-00000-425605 2099 19.80 TOTAL DUE: 1,386.35 PAYMENT TYPE PAYOR CASHIER: CCARPENTER COMMENTS AMOUNT PAID Cash ADRIANCE WALTER M 1,386.35 TOTAL PAID: 1,386.35 L ELD CITY OF SPRINGFIELD 225 F S R St :W TRANSACTION RECEIPT Spnngfield,OR 97477 �, OREGON 541-726-3753 811-S P R2014-01899 w v.spnngfield-or.gov 2600 WAYSIDE LN permitcenter@spnngfield-ocgov RECEIPT NO: 2014001927 RECORD NO: 811-SPR2014-01899 DATE: 09/03/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE Structural Plan Review Fee Residential 224-00000-425602 1061 257.40 TOTAL DUE: 257.40 PAYMENTTYPE 'PAYOR CASHIER:CCARPENTER `. COMMENTS AMOUNT PAID Cash OWNER 257.40 TOTAL PAID: 257.40 Structural Permit Application 225 Fiflh Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 + FAS(541)726-3689 SPRIN�ORUE DEPARTMENT USE ONLY t rPermit no.:GON Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 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 ❑ dentia) I ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION ` Job site address: City: ; state: 0 ZIP: ' Subdivision: I Lot no.: Reference: 26 ZZ Taxlot: DZ6b� PROPERTY OWNER Name: ce Address:Q 0 ' L. City: Slate:Q ZIP: c% Phone: ,5�L1% S2 1 2 9'1 Fax: - - E-mail: Building Owner or Owner's agent authorizing this application: t Sign here: 16U1'1' ❑ This installation is bei made on residential or farni property owned by me or a member of my i� mediate family, and is exempt from licensing requirements under ORS 701.010, CONTRACTOR 'INSTALLATION Business name: /t6_— Address: City: State: ZIP: Phone: - - Fax: - - $-mail: CCB license no.: Print name: Signature: $ SUBCONTRACTOR INFORMATION Name CCB License N Phone Number Electrical (a) Plan review (65%x permit fee [2a]): Plumbing (b) Fire and life safety (40%x permit fee [2a]): $ Mechanical S 4. Miscellaneous fees - or if work is FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new ❑alteration Efroddition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ 2. Building fees (a) Permit fee (use valuation table): S (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]): S TOTAL fees an(] surcharges (2e+3c+4a+4b):