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HomeMy WebLinkAboutPermit Building 2018-12-17SPRINGiIELO 0itEGoi{ web Address: www.springfield-or.9ov City of Springfield Development and Public Works 225 Fifth Street Springield, OR 97477 547-726-3753Building Permit Residential Structural Permit Number: 81 1-18-002916-STR IVR Number: 8'1 109144255'1 Email address: permrtcenter@sprin9field-or.qov Permit lssued: December 17, 2018 Category ot Construction: Manufactured Dwelling Submitted Job Value: $1,500.00 Description of Work: Space 1 - Remove burned 2x2 Type of Work: Repair Worksite address 2145 31ST ST SPC 1 Springfield, OR 97477 Parcel 17 02302104200 Owner: Address: ROMAN ROSENDO L 4475 DAISY ST SPACE 77 SPRINGFIELD OR 97478 Business name ROMAN ROOFING & CONSTRUCTION LLC - Primary License CCB Phone 541-7 47 -9038 lnspection 1999 Final Building 1260 Framing lnspection group Struct Res Struct Res lnspection status Pending Pending Fee Description Technology Fee Structural building permit fee State of Oregon Surcharge - Bldg (12olo of applicable fees) Quantity Total Fees: Fee Amount $4.9s $99.00 $ 11. BB $ 115.83 Permits must be posted in clear view on the worksite. Permits expire if work is not startecl within 180 Days of issuance or if wo* is suspended ,or '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 specilied herein or not. Granting of a permil 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 construction. ATTENTION - GALL BEFORE YOU DIG: Oregon law requircs you to follow rules adopted by the Oregon Ljtility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952'001{090. You may obtain copies of the rules by calling the Center at (877) 668-4001 or dial 81'1. All peEons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010420 (Plumbing). Pnnted ai l2l17l1a Page 1 of I sld-BuildingPermit_pr '{& TYPE OF WORK JOB SITE INFORMATION LIcENSED PR6FESStiJNALINF.oRUAT1OIi License number 197954 PENDING INSPECTIONS SCHEDULING INSPECTTONS 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 project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use IVR number: 811091442551 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store .PERMTT FEES ffi 811-t 8-002916STR Rec6lpt Number:468877 Roc.ipt O.te: 12l17/18 Development and Pub c Works 225 Fifth Steet spnngneld, oR 97477 54r-7 26-3t 53 perm tce.ter@sprn9aleld-or. gov Transaction Receipt C y of Spingtield aww spnngneE-or gov Wbrtsil€ address: 2145 31ST ST, SPC, 1, Springtietd. OR 97477 Parcet 170230210,42@ Fees Paid 12117110 100 Ea Slruclurel building pem( lee 22+OOOOO-425602- 1030 $99 00 $99 00 '1211711A 1A17t1A 100 Ea 1.OO Aulomalic Technology Fee Stafe or Oregon Surcharge - Bldg l12oh ol 821-00000-215004 0000 r 0G0000G4256050000 $1188 s4 95 $1188 s4 95 CrEdil card authorEalion 014146 Payer rosendo lugos roman s11583 Cashier KatinaAnderson Pnt d 1r1711A11a2.r 3'1r5.83 FN-rra.sacl.nR.aipi']Dl Structural Permit Application k*try{:25 Fith Stred . Spnngfi€ld. OR 9?47? . PH(541 i726-i7si . FAX(541 )726-3689 Permit no U l04wqt0 Dare This permit is issued under OAR 918-460-0030. Permits expire if work is not started withitr 1E0 da!'s of issuetrce or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final iand-use approval SiSnarure I This projecl has DEQ approval Occuparc) CF I)a!e Sigature: Zoning approval verified: ! Yes I lo Construction t!.ne Square feet: Cost per square foo! Other information T-vpe of Heat E neo Ealteration E addjrion (b) lnvesdgaive fee (equal to [2a]) (c) Reinspection (S per hour) (number ofhous x fee per hour) Properr-'.- is within flood piain: I Yes E lo CATEGORY OF CONSTRUCTION E Residenrial Subdivision Reference fl Goremment Slate Ta\lot E Commercial Lol no (b) Foundation-onl) permit? E yes E lo S Building Owner or O$ner's agent authorizing rhis application SigD here: - This installation is being made on residenrial or farm propenl owned bl me or a member ofml immediate famil]. and is exempi from licensing requiremenE under ORS 70 I .0 I 0 CTOR I ON I Business name Cin :Z Pirone 5-2_D7j Fa,i SUB.CONTRACTOR INFORMATION I (d) Enter 129i, surcharge (.12 x [2a+2b+2c]) (la) Seismic fee. 19" (.01 x permt fee [2a]) (e) Subrotal of fees above (2s througb 2d): {a) PIan rcvieu (65% \ permit fee [2a]) (b) Firc and life safe! (65% x permit fee [2a]1 (c) Subrotal of fees above (3a ahd 3b) ,1, Miscellaleous fees s s s s (br Tech fee. 590 (.05 x permit feel]al-PR fee [3c]) S a rOTAL fees end surcherges (2e-+3cr4a+b):sl1) -5l3 E-mail CCB license no Print name Signatur6 ( CB License n Phone \umber Electrical bing Mechanical DEPARTMENT USE ONLY t)t-l FEE SCHEDULE 1. Valuation iaformatipn oJe n{n'z< Oo rl- JOB SITE INFORMATION AND LOCATION Job site address: 7 41 A) Alnl ao P I CJ ( PROPERTY ER Ad<irsss ZIPStatc Phone Total valuation:! 2. Building fees (a) Perrrrit fee (use valuation table)! 3. PIan revier+ fees Slate Last edited 5-5-201I BJones CrrY oF SPRTNGFTELD, oREGoN (a) Job desciption: Data A'DO Energ] Path: Name E-mail: Address o+