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Home My WebLink AboutPermit Building 2018-11-15SPRINGfifLO /, City of Springfield Development and Public Works 225 Fifth Str€et Springfield, OR 97477 54 r-? 26-37 530iEG0nBuilding Permit Residential Structural Permit Number: 81 1 -18-00231 s-STR IVR Number: 81 1 059829146 web Address: www.spnnqfield-or.9ov Email Addressr permitcenter@sprin9neld-or.9ov Permit lssued: November 15, 2018 ryPE OF WORK Category of Construction: Single Famaly Dwelling Submitted Job Value: $1,500.00 Description of Work: Wden Garage door Type ot Work: Alteration JOB SITE INFORMATION Worksite address 6681 I\rY ST Springfield, OR 97478 Owner: Address: CHANEY NICHOLAS 6681 IVY ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Eusiness name SEE PROPERTY OWNER INFORMATION - Primary License Owner (Property) License number OWNER Phone SCHEDULING INSPECTIONS Various anspections are minimally required on each project and often dependent on the scope of work Contact the rssurng jurisdiction indicated on the permit to determine required inspections for this prorect Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call IAAS-299-2821 use IVR number: 811059829146 Schedule using the Oregon ePermitting lnspection App, search 'epermitting in the app store PERMIT FEES Fee Description Technology Fee Structural building permit fee Structural plan review fee State of Oregon Surcharge - Bldg (12% of applicable fees) Quantity Total Fees Fee Amount $8.17 $99.00 $64.3 5 $ 1 1.88 $ 183.40 Permits must be posted in clear view on the worksite. Permits expire i, work is not started within 180 Days ot issuance or if work is suspended for '180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the pedormance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopled by the Oregon Utility Notification Center. Those rules arc set forth in OAR 952-00'l-0010 through OAR 952{01-0090. You may obtain copies of the rules by calling the Center at (877) 668{001 or dial811. All persons or entities perfoining work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing). Pinled on 11/15h8 Page 1 ol 1 std_Bu drngPermrl_pr Parcal 1802031002800 ww spnngl e d-or 9ov ffi Transaction Receipt 811-18-0023't 5€TR Receipt Number: 468610 Receipt Date:'11/'t5/18 CnyofSpnngneld Development and Publrc works 225 Frfth Stret Spnnqfi.ld, OR 9?4?7 54 t -126-37 53 permrlcenter@spnh9neld.or gov \,\&ftsil6 address: 66E1 IVY ST, SpringrreE OR 97478 Parc€l: !802031002800 11t15114 10O Ea S1ruc1ura b!rldrng pe.mn lee 224 00000,425602 1030 $99 00 s99 00 11/15/18 11t15t14 100 Ea I 00 AutomatE Technology Fee Slaie ot Oregon Surcharge - aEg (12% ol 82 1 -00000,2 1 5004,0000 100 00000,425605 0000 $1188 $8 17 511 EE $8 17 CEdil erd aulhorizalion 063:l4d Payer nicholas chaney s119 05 Cashrer KalrmaAnderson Prnled l 5/131206ph 3119.05 F N_Trai!adLonRecepr p, Crry or SPRINGFIELD. oREGoN Stru ctural Permit Application L.tt ,",,l$a?113 225 Fifih Sre€t. Springfieid, OR 97477. PH(541)726-3?53 . FAX(541)726-3689 Date This project has 6nal land-use approval. Signarure: This project has DEQ approval i Sig,Iature Dare Zoning approval verified es Cost per square foot: Other information Energr Path: .2<, Elo C Reference \ame Address Citl I Phone i E-mail I CCB license no Pinl name :-\ ^ )(, Taxlo! rc Buiiding O\ur Sign here: er or Ou!1er's agent authorizing applicalion n This insBllation is being made on residential or farm propery- owlted b) me or a member ofm] immediate famil). and is exempl irorn iic€nsing requiremen$ under ORS 701.010. (c) Reinspeclion (S per hour) (nl.rlnber ofhours x fee per hour) (b) Fire and life saferl'(65% r permit fee [2a]) (c) Subtoral of fees above (3. .nd 3b): TOTAL fees and surcbarges (2ei3cf4a+b)ZIP ! 2/<-a !i Sienature: ,1 7t>" r{'"1 0- *b,k 1{,qt y', n'r+ aFb CCB License I Phone Number Electrical rngbP M€chrnical DEPARTMENT USE ONLY FEE SCHEDULE 1. Valuation informatioD (a) Job description: f ^tae c_JaF.o,.r -iL' tO llc'Occupanc; otot Consmrclion ry?e Square feet: ! new [alterarion ! addition Tvpe ofH€st: (b) Foundation-only pemrit? ! Yes ! No Totsl valustioB: I SO O s 2. Building fees (a) Permil fee (use valuation table)s s (d) Enter 12% surcharge (.12 x [2a+2b+2c']) (e) Subtotal ol fees above (2a through 2d):! 3. Plan revie$ fees (a) Plan review (65% x permit fee [2a])s ,1. Miscellaneous fees 5 (b) Tech fee, 5% (.05 x permil fee[2a]!PR fee [3c]) LOCAL GOVERNMENT APPROVAL Propen)- is within flood plainr -l Yes ZNo CATEGORY OF CONSTRUCTION trResideffial f] Govemment n Commercial JOB SITE INFORMATION AND LOCATIOT'I Job site address Subdivision It c-s- r ZIP€ vAddress( PROPERTY OWNER Stalc L Lot no cr'a- Cin lsure, d zw,1 ?<,t /l D(Co',e Fax ( I(Phone E-mail CONTRACTOR INSTALLATION T(Business name Slatc Last edited 5-5-201; BJones This permit is issued under OAR 91E-460-0030. Permits expire if rvork is rlot started ]vithiD 180 days ofissuance or if work is suspended for 180 days. Date: (b) lnvestigaljve fee (equal lo [2a]): S s I I (a) Seismic fee, l% (.01 x pe.mir fee [2a]): s Fax: SUB-CONTRACTOR INFORMATION l---: F,sg ard i n g e e nsti'-u etio :": Res p+ rs t b i i itl s,: .1-: ::= -,:i irJ=-:a: 1.1:i.-:-: ,lcrs.,..c,lcl Cin:l=c;:r= ;a=ij !- sr:F-.r= i:ilc,nr-,.; sl:iii-.e.a: "l;::r: a:uti,-i;; le.--;.;zn -i '::: -: i-'':a -, j:: r1 -- ii-: .=r jr;:i.-:rl J c \^ r, i:srdE t:'r. tt i^ :,i i:sro: rn ii,; coil-.pl:i:.J :iruc:.J.-: ;.,Li i:\ a=.-,;ril ;JT,I:Za:ir- r: Name bpiradoft Date I will inform my general contractor t5at all subcontiactors who work on the st'ucfure must be licensed wiih t1e Const-uction Contractors Board. or I will be performing work on propefl I own, a residence that I reside jn, or a residence that lwill reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Constructjon Contractors Board. lf I change my mind and hire a general contractor, I will select a conbactor who is iicensed with the CCB and will immediately glve the name of the contractor to the ofice issuing tirs Bui)ding Pernrii. I have read and undersi€nd the lnformetion Notice to Homeowners Aboul Cons'iruction Responsibilities, and I hereby certiry th3t the informatioir on this homeo\Mner statement is true and accurate. IVLL C Pnnt Name of PermitApplicant Signature of Pennit Applicant Permii #: Address: lB*>=ts lfv S ( I'-t rtl rs I IB This Copy for Pernit Oifi.:s I r tF llzQe t6 .\l,x t., r L-]L- lssued bf 1\ I-1 oate: SPRINGfI€LD ,b OREOON www.springfleld-or.gov Worksite address: 6681 IVY ST, Springfield, OR 97478 Parcel; 1802031002800 Development and Publlc Works 225 Flfth Street Springfield, OR 97477 541-726-3753 permltcenter@springfield-or. gov Transaction Receipt City of Springfield Fees Paid Transaction date 9t2Bt18 Units 1.00 Ea Descrlptlon Structural plan review fee Accounl code 224-00000425602-1030 Fse amount $64.35 Paid amount $64.35 Payment Method Credil card authorization 322896 Payer: Nicholas Chaney Payment Amount:$64.35 Cashieri Toste l\runiz Receipt Total:$54.35 Pinled:9l2Bl1B 2:O2 pm Page 1 ol 1 FIN_TransaclionReceipt_pr 81 1-18-0023'15€TR Receipt Number: 468187 Receipt Oate: 9/28/18