HomeMy WebLinkAboutPermit Building 2018-09-11SPRINGFIELD
,%
City of Springfield
Development and Public Works
225 Fifth Street
springfield, oR 97477
54r-726 3.r53
OREGON
Web Addr€ss: www.sprinqfield_or.9ov
Building Permit
Residential Structural
Permit Number: 81 1 -1 8-001979-STR
IVR Number 811035979646
Ema,L Address: oermrtcenter(drsprinqfield_or 9ov
Permit lssued: September 11, 2018
TYPE OF WORK
Category of Construction: Single Family Dwelling Type of Work: Repair
Submitted Job Value: $65,000.00
Description ot Work: Fire restoration/repair-NO INSPECTIONS awaiting plans to be submitted
JOB SITE INFORMATION
Worksite address
643 4TH ST
Springfield, OR 97477
Parcel
1703352401600
MARKS DAVID ALAN
44230 MCKENZIE HWY
LEABURG. OR 97489
LICENSED PROFESSIONAL INFORMATION
Business name
XXL INC - Primary
License License number
109867
Phone
541 -7 47 -5413
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issutng
jurisdiction andicated on the permit to determine required inspections for this p.oject.
Schedule or track inspections at www buildingpermits.oregon gov
Schedute by phone ca 1-8BB-299-2821 use IVR number: 811035979646
Schedule using the Oregon ePermitting tnspection App, search ,,epermitting" in the app store
PERMIT FEES
Fee Description
Technology Fee
Structural building permit fee
State of Oregon Surcharge - Bldg (l2ok of applicable fees)
Quantity
Total Fees:
Fee Amount
$36.27
$725.46
$8 7.06
$848.79
Permits musl be posted in clear view on the worlsite. Pehits expire if work is not started within 1go Days of issuance or if woIk issuspended fo. rao Days or,onser depending
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All provisions of taws ancl o.dinances o.a permit does nor pres;;ffi"":il.t',,:::ins this tvpe of work will be comprie
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w h whether speciried herein or not' Grantins or
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sld_Burtdingperm(_pr
Owner:
Address:
Structural Permit Application OEPARTMENT USE ONLY
pemitno., lh-bfi?q
oare: $\ tt"\ f B
225 Fift]l Srreer. Sp gEeld OR 97,177. PH(541)726-3753 . F,{X(541)726--1689 H
This permit is issued under O.A,R 918-460-0030. Permits erpire if work is not started within 180 days of issuance or ifrvork is
suspended for 180 days.
FEE SCHEDULE
1. Vrluation inform.tion
(a) Job descriprion: FUte- lZgfut fZ- IT.Z,.?,A4L
Occupancy
Conslnrcrion rype
Squarc teel /3P
Cost per square tbot
Othcr intbrmation
T) t,c oflleat:
Energr Pnth
I new flalteration I addition
O) Foundation-only permit'l E Yes ENo
s 61. oo
2. Building fees
(a) Permil fee (irse \aluation table)S
(b) Investigative fee (equal to [2a])5
(c) Rcinspcc(ion (S per hour)
(number o1 hours x t'cc per hour)S
(d) Enter l27o suchar8e (.l2 x [2a+2b+2c])5
(e) Subtotal of fees abo\'e (2a through 2d):s
3. Plan revierv fees
(a) Plan rcview (65% x pcrmit lee [2a])S
(b) Fire and lil! saGty (65% x permit fee [2a]):S
(c) Subtotrl of fees above (3s rnd 3b):S
4. Nliscellaneous fees
(a) Seismic fee. lolo (.01 x pe.mit fee [2a])S
(b) Tech lte, 5olo (.05 x permit fee[2a]+PR tle [3c])s
fOTAl, fees and surcharges (2e-r3c+4a+b):
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LOCAL GOVERNMENT APPROVAL
l)arc
This project has t-rnal land-use approlal
Siglature:
This project has DEQ approval
SiSnature:1)ate
Zoning approralrerilied: ! Yes E l.
Property is within llood plain: IYes ENo
CATEGORY OF CONSTRUCTION
flR.'d.nr,"r ! t;or rtnnrent E Commercral
JOB SITE INFORMATION AND LOCATION
Job site address Gq3 "l +r^ J+
ciry: SFFLD -State: O L ztP:l 7,17 7
Subdivision Lot no
Taxtot: t7'O1'31' J't - 0l600
PROPERW OWNER
Narne: 214 4 l2*K J , DAVI D
Address: 1423O /1/Lc k€/\'.zi € (+N!
State: O R-ztP: 1 74e7
s,l t- 35?- ? t78Phone Fax
Building Owner or Owner's acent au$orizrng this application
slg, t";, '7- '
E This inslallariofl is being made on residential or f'arm property owned by
me or a member of rny irnmediate l'amily, al1d is exempt from licensing
requirenents under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: XXL / 4/C
Address: 37?( OLY,44OC 57,
City: S PF LA State: t*-zt:f7 I ?t
Phone:S 1t - 71t 7't.i i 3 Fax: stl -7ttr-OJ73
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SUBtoNTRAcToR INFoRMATIoN
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Last edited 5-5-2017 BJones
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