HomeMy WebLinkAboutPermit Building 2018-12-11SPRINGFIfLD
OR€GON
web Address: www.sprinqf eld'or.gov
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3153Building Permit
Residential Structural
Permit Number: 81 1 -18-002530-STR
IVR Number 81 1090508194
Emarl Address: permltcenter@springreld or gov
Permit lssued: December 11,2018
TYPE OF WORK
Category of Construction: Detached Accessory Structure
Submitted Job Value: $14,387.00
Description ol Work: New carport at lot #108 in Golden Oaks MFH Park
Type of work: New
JOB SITE INFORMATION
Worksite address
1125 58TH ST
Springfield, OR 97478
Parcel
17 02342200100
Owner:
Address
GOLDEN OAKS MHP
1125 58TH ST
SPRINGFIELD, OR 97478
LICENSED PROFESSIONAL INFORMATION
Business name
TWlN CITY MOBILE HOME SERVICE
LLC - Primary
License
ccB
License numbsr
207234
Phone
541 -6AA-647 4
PENDING INSPECTIONS
lnspection
'1999 Final Building
1260 Framang
11 '10 Footing
lnspection group
Struct Res
Struct Res
Struct Res
lnspection status
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Allprovisions of laws and ordinances governing this type of workwill be complied with whether sp€cified herein or not. Granting of
a pernit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction
or the performance of construciion.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cente..
Those rules are set forth in OAR 952-001-0010 through OAR 952{01{090. You may obtain copies of the rules by callang the Center at
(877) 668-4001 or dial811.
All p€rsons or entities perlorming 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).
Prinred on 12l11/1E Pagelof2 sld-Bur d,ngPe.mrl Pr
tt
Various inspections are minimally 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 prolect.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811090508194
Schedule using the Oregon ePermitting lnspection App, search 'epermitting" in the app store
Permits must be posted in clear view on the worksite. Permits expire if work is not started within 180 Days of issuance or if work is
suspended for 180 Oays or longer depending on the issuing agency's policy.
Permit Number: 81 1-18-002530-5TR Page 2 of 2
Fee Description
Technology Fee
Structural bualdang permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (12olo of applicable fees)
Page 2 ol2
Quaotity
Total Fees:
Fee Amount
$21.81
$264.36
$ 171.83
$31.72
$449.72
sld_BUldingPermil_pr
PERMIT FEES
ffi Transaction Receipt
811-,i 8.002s30-STR
Recelpt Number:468833
Receipt oate: 12l11/18
C y or Spnngfield
Oevelopment and Poblrc lvorks
225 Frath Stre€t
Spnnglield, OR 97477
54 t-126-1153
permrtce.ter@spnn9neE'or 9ovwww springneld-or.gov
Worksile address: 1125 5ETH ST, Springfield, OR 9747E
Parcel: 1702342200100
Fees Paid
M1118 100 Ee Slruclu6l building permil Iee 22+0000G425602-1 030 $264 36 s26.1 36
12111t14
'121'11114
100 Ea
1 00 Aulomaiic Technology Fee
Stale otOregon Surcnarge - 4ld9 (12% of 821-0000G215004,0000
1 00,00000,425605-0000
$31 72
$21 81
$31 72
s21 E1
Credil card aulhorizaiion
511142
$317 89
CashE.: Kalnna Anderson
Pmr.d lz11l14 1:25pm
t3r7.E9
FIN_TEn3ad'o.R.c.'pt_r.
Structural Permit Application DEPARTMENT USE ONLYHdiPermit no
::5 Fifth SFe€1. Spnn-qfieiC. OR 97477. PH(sal)726-:753 . F.AX(54 I )726- 3689
Date
Zoning apprcval verified: ! \'es D lo
Propeq is within flood plain: ! Yes E l"
:)ate
This permit is issued under OAR 918-460-0030. Permits expire if nork is nol staned !rltt i, f SO ar!7iruatrce or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
This project has final land-use approval
iSignature:
1. \'aluation information
(a) Job descriprion tThis projecl ha-\ DEQ approval
Sisrature:Occupa,rcl
Construction t\pe
Square feet
CATEGORY OF CONSTRUCTION Cost per square foor
Crry or SpnrNGFrELD. oREGoN
I Residenrial ! Govemment ! Commercial
JOB SITE INFORMATION AND LOCATION
I Job sne addrex: I .l p! 5 7r /oo
Citl: S +i?lz SIare oe ZlP 17t28
(hher information
Tvpe of tlest
Energ] Path
! ne" nalrerarion n addition
SubdiYision
i Reference
{ddress
' Lor no 0 (b) Foundation-onl) permit: I Yes E xo
PROPERTY OWNER
tlz.,L<-.
OdP Ll
to
(a)Pemil fee (use valuation lable)
Pnore: QlQ - f40- a7 n rax
sa.r. (tt zrq) b t4 (.) Reinspection (S per hour)
(number ofhours x fee per hour)
Cr"t c (
(e) Subtotal of fees rbove (2a through 2d)
3. PIan revierr feesSign here
E This instaliadon is being made on residentiai or fam propen) orrred bl
me or a member ofml imrnediate famil). and is erempt frorn Lcensing
requiremenl\ under OI{S 70i.010.
CONTRACTOR INSTALLATION
Bustness naJI3
Address: 1 <r
S!a1e
+7
Building Owrer or Owner's agenr authorizing this applicarion
I'Ia):
E-mail
CCB iicense no
Pinr name
Sisature
SUB.CONTRACTOR INFORMATION
CCB License * Phone Number
Eicctrical
Plumbing
Mecbanical
(a) Pian revie\r'(65% x permit fee [2a])
(brFire and life safert (65% x permir fee [f,a])
(c) Subtotal of fees above (3a and 3b)
4. MisceUaneous fees
ra' Serrmrr fee. lq. r.0) r permrt feL lialr
(b) Tech fee. 5o/o (.05 x permit fee[2a]-PR fee [3c]) S
)-IOT.{I fees and surcharges (2er3c+4e'b)
7
sU
2. Buildin fees
Lasl edirei 5-5-f0l- Blones
Datc
i- - "=r-lrfilpt, ri.\i rra!
I
N ame:
E-mai:
Total Yaluation:
s
(b ) lnvestigarive fee (equal to [2a])
{d) Enter 129; surcharge (.12 x [2a-:b-2c])s
s
s
SPRINGFIELD
t5
OREGON
www.springfield-or.gov
Worksite address: 1125 58TH ST, Springfield, OR 97478
P arcel. 17 023422001 00
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726_3753
permitcenter@springfaeld-or.gov
Transaction Receipt
81 I -{8-002s30-STR
Receipt Number: 468432
Receipt Date: 10124118
City of Springfield
Transaction dale
'tot24t18
Units
1.00 Ea
Description
Structural plan review fee
Account code
224 -00000 - 4 25602- 1 030
Foe amount
$171.83
Paid amount
$171.83
Payment Method Credit card authorization
714225
Payer: Steve Burns Payment Amount $ 171 .83
Cashier: Thayne Smith Receipt Total:$171.83
Prnled 10/24118 3:56 pm Page 1 ol 1 FIN TransaclionRecelpl_rr
Fees Paid