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Home My WebLink AboutPermit Building 2018-12-27OREGON Web Address: www.springfleld'or.9ov Building Permit Residential Structural Permit Number: 81 1-18-002982-STR IVR Number: 81 '10221 18584 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 SPRINGFIELD ,# Permil lssued: December 27. 2018 Category of Construction: Single Family Dwelling Type ofwork: Repair Submitted Job Value: $2.000.00 Description of Work: Repair dry-rot throughout home, new drll,vall, insulationand siding (no other structural changes,nonew habitable space and no additional s uare toota Worksite address 31 18 PARTRIDGE WAY Springfield, OR 97477 Parcel 1703221308000 Owner: Address: Owner: Address ROSSI SANDRA L 4355 SPRING BLVD EUGENE, OR 97405 VAJGERT WAYNE M 4355 SPRING BLVD EUGENE, OR 97405 LICENSED PROFESSIONAL FORMATION PhoneLicense ccB License number 000000 PENDING INSPECTIONS lnspection 1999 Final Building 1260 Framing 1430 lnsulation Wall '14'1 0 Underfloor insulation '1440 lnsulation Ceiling Inspsction group Struct Res Struct Res Struct Res Struct Res Struct Res lnspection status Pending Pending Pending Pending Pending SCHEDULING INSPECTIONS Va ous inspections are minamally required on each project and often dependent on the scope ofwork. 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 l-888-299-2821 use IVR number: 811022118584 Schedule using the Oregon ePermitting lnspection App, search "epermjtting" in the app store Permits must be postsd in clsar view on the worksite. Psrmits orpire if work is not sta.tsd within 180 Days ot issuanco or if work is suspendod fol|80 Days or longer doponding on the issuing agoncy's pollcy. All provisions of laws and ordlnances govgrnlng this type of work wlll be compllod with whother spocified hsrein or not, Granting of a pormit doss not presume to give authorlty to violats or cancslthe provlslons ot any other state or local law rogulating construction or the porrormance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requir6s you to follow rulss adopted by the Oregon Utility Notification cont6r. Those rulos are set torth in OAR 952.00'1.0010 through OAR 952{014090. You may obtaln copies of lhe rulos by calllng ths Conter at (E77) 668-4001 o. dial Etl. All peEons or entitigs podorming work under thls pormit are roqui.sd to be liconsed unloss exemptsd by ORS 701.OlO (St.uctural/Mechanical), ORS 479,540 (Electrical), and ORS 693.010-020 (Plumbing). Pnaled on: 12127118 Pagelol2 sld Buitd ngPermit_pr Email Address: permitcenter@springfield-or.9ov TYPE OF WORK Business name OWNER - Primary Permit Nurnber: 81 1 -18-002982€TR Page 2 of 2 Fee Description Technology Fee Structural buildinq permit fee State of Oregon Surcharge - Bldg (12olo of applicable fees) Quantity Total Fees: Fee Amount $4.95 $99.00 $ 11.88 $ 1 15.83 Pinletl on: 1212711A Page 2 ol2 std_BuildingPermrt_rr PERMIT FEES SPRINGTIELD ,b OREGON www.Springf ield{r.gov Worksite address: 3'1 18 PARTRIDGE WAY, Springfietd, OR 97477 Parcel: 1703221308000 Transaction Receipt 811-18-002982-STR Receipt Number: 468957 Receipt Date: 12127118 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfield-or.gov Fees Paid Transaction date 't2t27 t18 Units 1.00 Ea Description Structural building permit fee State o, Oregon Surcharge - Bldg (12% of applicable fees) Account code 224-00000-425602- 1 030 12t27t18 12t27t18 Fee amount $99.00 $1 1.88 $4.95 Paid amount $99.00 $1 1.88 $4.95 1.00 Ea 1.00 Automatic Technology Fee 821-00000-2'15004,0000 1 00-00000-425605-0000 Payment l,4ethod: Check number: 3633 Payer: Wayne Vajgert Payment Amount:$115.83 Cashier: Thayne Smith Receipt Total:$'t 15.83 Pinled: 12127 118 10 23 am Page 1 ol 1 FIN_TransactionReceiptjr CrrY oF SPRTNGFIELD. oREGoN Structural Permit Application 225 Fifrtr SEe€r . Sprinsfield. OR 97477 . PH(sal )726-3753 . FAX(541)726-3689 Date L."I DEPARTMENT USE ONLY Tbis permit is issued under OAR 918-460-0030. Permits expire if work is not started lr ithiD 180 days of issuance or if work is suspeoded for 1E0 days. This project has DEQ approval Signature: Dare L Type of Heat: (b) Firc and life safety (65% x permit fee [2a]) IOTAL fees and surcharges (2e-f3c+4a+b): Permit no.:rb -LnZ?6?-3-f zz /tu s 2 Proper[,is within flood piain: E Yes f] No Taxlot: ZThis iistallation is being made on residential or farm prope4 owned b) me or a membcr ofmy immediate familr. and is exempt fiom licensing requirements under ORS 701.010. Address E-mail CCB iicense no Signalure SUB.CONTRACTOR INFORMATION CCB License f Phone Number Electrical Plumbing This projea has final land-use approval Signatue: Zoning approval verified: E Yes n No FEE SCHEDULE 1. \'aluatior information Occupancy ConsEuction ryle Square feet ! ne* Dalteration E addition O) Foundation-onl!' permit? E Yes E No Total valuation I 2. Buildiug fees (a) Permit fee luse valuation table)s (b) Investigative fee (equal to [2a])s (c) Reinspection ($ per hour) (number ofhours x fee per hour)s (d) Enter l2%o surcharge (.12 x [2a-2b-2.c]) (e) Subtotal of fe€s above (2e through 2d): 3. Plan review fees (a.) Plan revie* (65% x permit fee []al)! (c) Subtotal of fees above (3a and 3b)s 4. MiscellaDeous fees s (b) Tech fee, 5% (.05 x permit feel]al-PR fee J3cl)! CATEGORY OF CONSTRUCTION !! Residential ! Govemmeor ! Commercial JOB SITE INFORMATION AND LOCATION cii'Stare ztP:Q19'7 Subdivision: Coawr < Fq.: rrn Lot no.: U, r\ir<r\r 0 ir} Refererce PROPERTY OWNER t?er rr.J to ?1_U DAddress: q? \ame Ci!v: .5 )r.r,\Lk Stale: Oa ztP91+ 65 Phone: 5r.| { Elr llqu Fa,i E-mail: €ZPEt-On I(LG 6 DLaa.-O yv1 applicationthisBuildingOwner ot Owner's Sign here: CONTRACTOR INSTALLATION Business name NA? Cin Stare ZW Phone Fa'i Mechanical lisl edited 5-5-201 ,- BJones LOCAL GOVERNMENT APPROVAL Date:(a) lob description: Cost per square foot: I Other informarion: Job site addressr 311tr. PA''f D ro(.,g- \/\) a-/I Eoergr.' Prth: . tar Sersmic [ee. loo (.01 x Iermir lee l:all: Prinl name: :-.. = - -:', -.. o^*:*:-.-.:--iLi i'r&-:: i.Y \J:;ir+r !,l;-L;L.,er:E -=---;i** r=-^ --s-.,^.i -* =^- * ^.--:t:,::!--!-\;--U i! Uii l'+ '-r'-l!>!! LlLa!Lr: i fi.=SL'U::>i!il!il=i l:=:,-.:; L:'..^i::r!:r-:s r-:sl::n:i?t ::,:.s.r -.lt:i:i. t:f:.,: :rf :i..:i-,:3 a::::: -,c: il:::;3: 'a -::: Consii-rction Ccnu-:ciois Bc:i: rf si_cn d re i:ilorcing :r:i=meni reiora a ,L,iicing per-irrii can b€ 'S:L'€a lr--> , r..l'l i:= i. IZ . Cnn, ;:StC: tit. :, '^,il r::r:r rn .;,L C-i:,al:ti: :i;i!l:;- i: :-,.i ,: a:.-,+i:, :.J-::=a :.t ,-: Name E:piraiioft DatE u I wili inform my general contractor tr'rat all subcontractors who work on the structure must be licensed wiiir the Construction Coniractors Board. ot I will be performing work on property I own, a resjdence that I reside in, or a residence that iwll reside in. lf I hrre subcontractorc, I wiil hire only subcontractors licensed with tle Constructjon Contractors Board. lf I change my mind and hire a general contractor, I will select a contlactor who is ljcensed will the CCB and will immediately give the name of the contractor to the office issuing this Building PermiL I have read and understand the lnformation Notice to Horneowners About Consiruction Responsibilitles, and I hereby certiry that the informatjon on this homeowner statement is true and accur3te. Print Name oi PermitApplicant Wxyue V{Ge..-r Signature oi Pernit Applicant Address: 3\ \€ Paezrzrsc-e- tA./A-l &.rto.e: r,z- ^ OQ- q-*7 \blssued by: TuS Permit ff 2 - qlz-I +) - /1/'\2-a,r Date: lZ This Copy for Permit Oiic3s I .--> ---->a