Loading...
HomeMy WebLinkAboutPermit Building 2014-10-02ELD�a�E OREGON w .springfield-ocgov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-02141 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 10/02/2014 EXPIRES: 03/31/2015 STATUS DATE: 10/02/2014 APPLIED: 10/02/2014 SITE ADDRESS: 1977 BONNIE LN, Springfield, OR 97477 SCOPE: Carport ASSESOR'S PARCEL NO: 1703251211300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Carport for RV - Reference COD14-906• Structure needs to move to comply with side yard setback OWNER: HUFFMAN GARY D & JOLENE ADDRESS: 1977 BONNIE LN Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 00/01/2025 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 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 C ntractor Signature NOTICE: i 1 IIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMIMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. /D— '.�— (20/�4 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 10/2/2014 1:39:05PM Page 1 of 1 LIze, FIJELD CITY OF SPRINGFIELD 225 Piflh St TRANSACTION RECEIPT Springfield,OR97477 " OREGON 541-726-3753 811-SPR2014-02141 w .springfield-or.gov 1977 BONNIE LN permitoenler@sp6ngfield- r.gov RECEIPT NO: 2014002182 RECORD NO: 811-SPR2014.02141 DATE: 10/02/2014 DESCRIPTION ACCOUNT CODEITRANS CODE AMOUNT DUE' Continuing Education Fee 224-00000-425606 2.50 Garage Carport 224-00000-425602 1030 82.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 Credit Card HUFFMAN GARY D & JOLENE 512004 98.44 TOTAL PAID: 98.44 %'ITX Ot -i'kiI�IG�11; bR GQl�s �. -_�_ 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 CATEGORY OF CONSTRUCTION gResidential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: ,V .e City: 1 tJ q F,N State: fj/ ZIP:? Subdivision: Lot no.: Reference: 3 2T/2— Taxlot PROPERTY OWNER Name: B A R C4 D. 4 A,,) to IFNIA A Address: 7 p NA/ C? City: ,5 P I jS% --, a (4 1 State: - ZIP: -(J % Phone: ( — p -'o Fax: - E-mail: Building Owner or Owner's agent authorizing this application: Sign he u ❑ This installation is iteing 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 Business name: Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: $ SUB -CONTRACTOR INFORMATION , Name CCB License # 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.: Date: U Z 80 days of issuance or if work is FEE SCHEDULE 1. Valuation information (a) Job descripti on: Occupancy Construction type: V13 Square feet: Cost per square foot: Other information: Type of Heat: Energy Path• ❑ new ❑alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ CJ 2. Building fees (a) Permit fee (use valuation table): $ X2— (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]): $ r (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): $ %. y. `F /�r o/ !x