HomeMy WebLinkAboutPermit Building 2018-12-035PRINGTIfLO City of Springfield
Development and Public Works
225 Flfth Street
Springfield, OR 97477
s4r-726-3753
Email Address: permrtcenter@springfield-or.9ov
OREGON
Web Address: www.spnnqne d'or.gov
Permit lssued: December 03, 2018
ryPE OF WORK
Category of Construction: Commercial
Submitted Job Value: $25.000.00
Description of Work: lnstall Open Air Storage Shelter
Type of Work: New
JOB SITE INFORMATION
Worksite address
3654 KATHRYN AVE
Springfield, OR 97478
Parcel
1702304306401
Owner:
Address
CARVER FAMILY LLC
112 TIMSON DR
FOLSOM. CA 95630
LICENSEO PROFESSIONAL INFORMATION
Business name
NICKOLAS JAYMES VINSON .
Primary
SEE PROPERTY OWNER
INFORMATION
Owner (Property)
License
CCB
License number
210919
Phone
541 -654-1 494
OWNER
PENDING INSPECTIONS
lnspection
'1999 Final Building
1260 Framing
1110 Footing
8999 Final Fire
lnspection group
Struct Com
Struct Com
Struct Com
Fire
lnspection status
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minamally required on each project and often dependent on the scope of work. Contact the issuing
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811053527874
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
All provisions of laws and ordinances governing this typ€ ot wo.k will b€ compli6d with whether speciried herein or not. Granting o,
a p6rmit does not presume to give authority to violate or cancel the provisions ol any other state or local law regulating construction
or th€ performance of construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules are set tonh in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling th6 Center at
(877) 6684001 or dial811.
All persons or entities performing work under this permit are r€quired to be licensed unless exempted by ORS 701.010
(StructuraUMechanical), ORS 479. 0 (Electrical), and ORS 693.010-020 (Plumbing).
Pnnted on: 123118 Page 1 of 2 nd_SurldrngPerdr_p.
Buildins Permit
Commercial Structural
Permit Number: 81 1 -18-002470-STR
IVR Number: 81 1053527 87 4
Permits must be posled in clear view on the worksite. Permits expire if work is not started within 180 Days of issuance or if work is
suspended tor 180 Days or longer depending on the issuing agency's policy.
Perm it Num ber: 8'1 1-'l 8-002470-STR Page 2 ol 2
Fee Oescription
Technology Fee
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (12o/o of applicable fees)
Quantity
Total Feesi
Fee Amount
$32.30
$391.56
$254.51
$46.99
$725.36
Pdnred on 12l3/18 Page 2 ol2 std_BuildrngPermil_pr
PERMIT FEES
ffi Transaction Receipt
811-18-002470-STR
Receipt Number:468738
Receipt Date: 1213/18
Crty of SprinqfEld
www sPnnglield-or gov
Oevelophent a.d Poblic Work!
225 Finh Sreet
Sprnglield, OR 97477
51L-7 26-3153
permficenter@sp..gnek -or.9ov
Vlbdsile address: 3654 KATHRYN AVE. Spfingrr€E, OR 9717E
Parcel: 1 70230€04.01
Fees Paid
12Bt1A 100 Ea Structural b!ilding permit lee 224-00000-425602-1 030 $391 56 $391 56
1zBt1A
12Bt1A
100 Ea
1 OO Aulomalrc Technology Fee
Srate of Oregon Surcharge - AEg \12% oI 821,00000,215004 0000
r 00-00000-425605-0000
$46 99
s32 30
s46 99
s32 30
Credii cad authorizalion
hE8663
s470 85
Cashs Kalrna Ande6on t:|70.85
FrN Ir.nsactD.R€@'9r_pr
('t I I oI St,Htrr;t II I I). ()lu ( i( )\
Structural Permit Application
225 FiIih Str€et i Springfield, OR 97477 . PH(541)72G1751 . FAX(541,2G3689
DEPARTMENT USE ONLY
permitno.: ig"A,{ZO
Date ro ln I t?.
HffiT
This permit is issued under OAR 918-460-003 0. Permits expire if work is not started within I E0 days of issua nce or if work is
susp€nded for lE0 drys.
xi/'.fuosT cF oh;i i tz 50@.oor^PPO
0lr
bp 0nl
LOCAL GOVERN ENT APPROVAL
This pmjec-t has 6nal land-use approval
Signatur€:I)atc
This project has DEQ approval
SignaturE:l)atc
Zoning approvat verified: I Yes E }.{o
Property is within flood plain: EYes ENo
CATEGORY OF CONSTRUCTION
fl Residential E covemment &lommercial
JOB SITE INFORMATION AND LOCATION
Jobsite address:'3U5,-t KS*gVrJ AVE .
cit): Sft?.inqpadla staie: O(ZlP31+19J
Subdivision:l-ot no
Reference:Taxlot:
PROPERTY OWNER
Namc CA I Lt_
Address: 8tZ Vr\axrciA QaocT
ciry'-L Dx&jo [litts stare:(7\,ztPgSTLb
Phone: 5a3.5+5-4tz. t Fax:
E-mail: :'*-ARvA4q
Building Owner or Owner's agent authorizing this E plication
Siga here:
B This installatiol is being made on rcsidential o. farm property o*Ded by
me or a member ofmy immedist€ fEmily, and is exempt fiom licensing
requircments under ORS 701.010.
CONTRACTOR INSTALLATION
Busingss name rgra^-l Ct'r{}dtZ
Address: ?4, ${rh Nl AvC.
city: 4Qplr)'sbtefR.zrfrz,t-8
Phone:b-'A -9+3 -A toz
ti-mail lMoP+z&: virr,", u Al'lao (De\/\
Print name: IY'!
Signatue
TION
Neme CCB Lic.nsc #Phonc Numbe.
}]lectricrl
$ar.:6 UtrD :D
Plumbing
llcchsnicel
FEE SCHEOULE
l. Vrlllstio[ informrtion
(a) Job description: In rlAlt 9!,L.tr.iz
Consfuction t$e: \,ll^Li
c 5Occupancy 5l&E CJ^g
Squarc f€€t
Cost per square foot
Other information: l2-O Ly'Y'\,1 X \B'1N)-
Type ofHcat: FI2FJ€
EnerBr Psth:
(l n"* fla.lterarion E addition
(b) Foundarion-only permit? E y"" E No
Totalvaluation:s 8,,N)
2. Building fees
(a) Permit fee (use valuation table)I
(b) InvestigaJive fee (equal to [2a])$
(c) Reinspection ($ per hour)
(number ofhours x fee per hour)$
(d) Enter 129lo surcharge \.12 x I2a+2V2c)\s
(c) Subtotrl of fees rbovc (28 through 2d):
3. Plan review fees
(a) Plan review (65% x permit fee [2a])s 25Y, :
(b) Fire and liG safety (55% x pennit fee [2a])$
(c) Subtotal offees above (f,s and 3b):s
4. MiscellsLeous fees
(a) Seismic fee, l% (.01 x permit fee [2a])
(b) Tech fee, 5ol" (.05 x permit fe€[2al+PR fee [3cl)s
JOTAL fees and surcharges (2c+3ct4a+b):s
Lasl edited 5-5-2017 BJoncs
t
Fax:
CCB license no.:
$
ls
Crrv or SpnTNGFIELD, oREC,oN
Structural Permit Application L'{t225 Fifth Sueel. SprinSfield. OR 97477. PH(541)'726-3'753 . FAX(541),"26-3689
Permil no
Date: \o lr-
This permit is issued uoder OAR 918-460-0030, Permits erpire if work is rot started *'ithin 180 da! s of issuatrce or if work is
suspended for 180 days.
This prolecl has final land-use approval
Si Daae
Propert-v is within flood plain: !Yes !lo
n Commercial
Stare ZIP
Subd 1\ lsl Lol no
Reference Taxlo!
\ame
Building Owner or Ourer's agem authorizing lhis applicarion
SigD h€r€:
E This installarion is being made on residential or falm propert-v owned b]
me or a member ofmy immediare famil), and is exempt fiom licensing
rcquiremen$ under ORS 701.010.
, CONTRACTORINSTALLATION
(b) Foundation-onl)' permit? E Yes E No
(b) Investigative fee (equal to [2a])
E net Ealteration E addition
(a) Seismic fee. I % (.01 x pelmit fee []al )
J./
LDerg) Psth:
Business name ,o L
Stare: ov- I zlp,l lq
Fa-,i
TOTAL fees abd surcbsrges (2e-!3cr4e+b)
I Address
i c,,)
0,o 9,
5t sqt-Phone
CCB license no
tr
E-mail
Lra411
lfq f'gf"S, ,t j,,lq t).""".. \ "
lsrqnalure "
Piumbing
Mecnanical
LOCAL GOVERNMENT APPROVAL
This projecr has DEQ approval
Signature:
Zoning approval verified: I Yes n xo
CATEGORY OF CONSTRUCTION
D Residenlial ! Govemment
JOB SITE INFORMATION AND LOCATION
{
I
PROPERTY OWNER
Address
Cin ZTP
FEE SCHEDULE
l. Valuation information
(a) Job description
Occupanc)
Consrruclion Bpe
Square fee!
Cos'. per square foot
Other information
Tvpe of Hest:
Total \'rlration s
2- Building fees
(al Permil fee (use valuation table)s
5
(d) Enter l2% surcharge (.12 x [2a-2b+2c])
(e) Subtotal of fees above (2a through 2d):
S
S
3. Plan review fees
(a) Pian review (65% x pemit fee [2a])s
(b) Fire and life safet, (65% x Dermil fee [2a])s
(c) Subtot{l of fees above (3a and 3b)s
4. Misceuatreous fees
SUB.CONTRACTOR INFORMATION
Phone NumberCCB LiceDse *
Lasl ediled 5-5-20i- Bjones
DEPARTMENT USE ONLY
H- )"
I
Dare:
Job sire address:
Cin
Phone:
s
E-mail:
(c) Reinspection ($ per hour):
(number ofhours x fee per houl)
(b) Tech fee. 5% (.05 x permir fee[2a]-PR fee llcl) S
Stare:
Fax:
s
"(
SPRINGFIELO
dfi
OR€GOIi
Worksite address: 3654 KATHRYN AVE, Springfield, OR 97478
Parcel: 170230430640'1
Transaction Receipt
8't 1-18-002470-STR
Receipt Number: 468356
Receipt Date: '10/1711 I
City of Springfield
Development and Publlc Works
225 Fifth Street
Sgtinqtield, OR 97477
54t-726-3753
permitcenter@sprin gf ield-or.qov
Fees Paid
Transaction date
10117118
Unlls
1.00 Ea
Dsscrlptlon
Structural plan review fee
Account codo
224-00000425602-1030
Fee amount
$254.51
Paid amount
$254.51
Payer: Douglas lvlurkley Payment Amount:$254.51
Cashier: Tosle i,,!Lrni7 Roceipt Total:$2s4.51
Prinled T 0/17118 9:23 am FIN_TransaclionReceipl__pr
www.springfield-or. gov
Payment l\4ethod: Credit card authorization:
00971C