HomeMy WebLinkAboutPermit Building 2018-12-17SPRINGiIELO
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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+