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Permit Building 2019-06-11
SPRINGFIELD City of Springfield Development and Public Works 225 Fifth Street �+J Springfield, OR 97477 .OREGON Building Permit 541-726-3753 Residential Structural Permit Number: 811-19-001168-STR IVR Number: 811095929516 Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov Permit Issued: June 11, 2019 Project: Carport replacement TYPE OF WORK Category of Construction: Other Type of Work: Replacement Submitted Job Value: $5,200.00 Description of Work: Space# 12 - Replacing snow damaged carport with wood structured carport 16x24 JOB SITE INFORMATION Worksite Address Parcel Owner: GOLDEN OAKS MHC LLC 1125 58TH ST SPC 12 1702342200100 Address: 18006 SKY PARK CIR #200 Springfield, OR 97478 IRVINE, CA 92614 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone WESLEY WILLIAM HEDLUND CCB 215026 541-331-4636 PENDING INSPECTIONS Inspection 1999 Final Building 1260 Framing 1020 Zoning/Setbacks Inspection Group Struct Res Struct Res Struct Res Inspection Status Pending Pending Pending 1110 Footing Struct Res Pending SCHEDULING INSPECTIONS 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 Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811095929516 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of 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 performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules bre set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons 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 693.010-020 (Plumbing). Printed on: 6/11/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-001168-STR PERMIT FEES Fee Description Technology Fee Structural building permit fee Structural plan review fee State of Oregon Surcharge - Bldg (12% of applicable fees) Page 2 of 2 Quantity Fee Amount $12.37 $149.88 $97.42 $17.99 Total Fees: $277.66 Printed on: 6/11/19 Page 2 of 2 C:\myReports/reports//production/01 STANDARD \ FM £ \ } * \ 2 \ } \ ,� ƒ ƒ M FD CD: G 'D 2% \ J -4 M J n w J ' G 7-n CD J@0 0 /� �o� m ƒ Co ; R ■ § q ( § P\ \- 2 k© 69 0 ` S k ? § / § § § ƒ 2 2 (D a) 2 / # a 0 a 2 0 0_ \ U) G 2 m ® m(D 2 CD / / k § \ o 0 7 0 E E 2 � § k m 2 n : U < J CD $ 00 CL ¢ ° « \ CL § e CD \ 0 ■ Go 0 § @ \ -n § f % 0 R E Lu. m co N 0 \ \ \ \ CD k 4 'L 0 CL \ / \ / \ \ / Q eCD -GR 4.9 e - W 2 4 -4 2 3 % S \ $ & � � 3 2 ]_ < \ / K 3 \ En @ } O rj /§2NJ 2 2 a &d2 cn - q �� to f � -4 � ® N w $2 k -4 a ■ $ % B t @ g ) j t(D' CD «Ww-, E Structural Permit Application SPRINGFIEL DEPARTMENT USE ONLY CITY OF •• OREGON Permit no.: 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 a eeGON 19 Date: b l 2 q 119 I This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No I Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION esidential . ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: � 25- 6B-01- c- 12 - 2 - City: City: Q,,JGf State: o2 I ZIP: 7q -f7 Subdivision: I Lot no.: b -L Reference: j 7-Q2, ..'3,q ^ Taxlot: X30 N C> PROPERTY OIIVWER Name: 5yk-kgu�t Z /Z-r1A Address: 1 � Z s- ` 0 _ City: State: Of- . ZIP: Cl -N78 Phone: Fax: E-mail: Building Owner or Owner's agent authorizing this application: Sign here: ❑ This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: J7 CbrJ5X'Z.C_T10'J Address: • t7.. Scnl 7 "j25 City: \NGF State: p(Z, I ZIP: 9-7975 Phone: lo I - ?�3 E _ y Fax: I E-mail- V\V-ni . - .,n 7SC-o IAC..t . CCA [ CCB license no.: Print name: V_)C_1' -}f,.s i Signature: SUB -CONTRACTOR INFORMATION Name CCB License # Phone Number Electrical I Plumbing Mechanical I Last edited 5-5-2017 BJones FEE SCHEDULE 1. Valuation information (a) Job description: !ReL0 C€t46 k -t— CAAROt-r. Occupancy &.M 4L. Construction type: o OD Square feet: pp Cost per square foot: 4 12- a-tw-ov , Other information: Type of Heat: Energy Path: On V_new ❑alteration ❑ additionL"Cr'nSur (b) Foundation -only permit? ❑ Yes RNo Total valuation: i 2. Budding fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection (S per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): $ 3. Plan review fees (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (65% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ TOTAL fees and surcharges (2e+3c+4a+b): � S �� Ve _� V) c io 3 n L c (o O O Q L a a a--1 L cn C: 0 + +� a a _O �a N +, co O 4> a •O 3 -a aco O L L V fo L O O O p 0 QL 4- a co u -0 cCL +J oonn - +' Q O (j to u v - In c c a to ++ a _ a c co + O a rl p c co L O a > a`6 Q a �^ c o c Ou a a 4- O O U c 7 O a O O 41U v) > a O a V) " •� -6 � a-- c O 4- H a ++ a c�p co io •( - Q Q N a c O •cn c CLO a -p U co m � }, c `Lo Ln a *' Q a w> a a Q +_+ CO — U a L a V) co p O v c= 41 4 3 a V)� s 00 a j Sao O OL a LA a a c N a M u O 4- +' N O C a � cliL _ a "' c p L O to p _� a ,,.., a 3 +r co c U c Q N a L 4- Ln a a tN a � m 7 y U N �-+ .N CLO a) tiA c c O a L (6 LL , � •� N •Q a O O a O V- O 1n O to - r t -0 N Q bJD LL OJ _� X oc-0 6 a c ro +' m v a +� �j c co i W u c co a t ii ro 0 o L Q E m m y n to Q c +' c c +� v to �, += � a c o 41 MCL -� p Q U a L L = c O a s O c Ln N a a L fa0 Ln a a) t O Q "- a N >. � > +' u U co U 4� a c �� O xQ X c tto +r In CCc C >� 4 �' L Y� (a ru Y L a Qcu ._ U +, a w c m Q f6 a p U co t 0 4Ac 0- � U p U L cu +-+ f0 Q_ Ou E Oa) O •+p- i O p a Q CLO Z d. 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