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
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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
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