HomeMy WebLinkAboutPermit Building 2019-09-11SPRINGFIELD
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Web Address: ww.springfield or.9ov
Building Permit
Residential Structural
Permit Number: al l-19-OO2100-STR
IVR Number: A1104612347 1
City of Springfield
Development and Pubtic Works
225 Fifth Street
Springfield, OR 97477
541-? 26- 37 53
Permit Issued: September 11, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $2,500.00
Description of Work: Replace trusses (like for like)
Type of Work: Replacement
,OB SITE INFORMATION
Worksite Address
819 CENTENNIAL BLVD
Springfield, OR 97477
LIMBAUGH ELIZABETH
819 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
LII'4BAUGH ROBERT S
819 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Owner:
Address:
Owneri
Address:
LICE SED PROFESSIONAL INFORI,IATION
Business Name
BELFOR USA GROUP INC -
Primary
License
CCB
License Number
146973
Phone
503-341-2780
PENDING INSPECTIONS
Inspection Group
Struct Res
Struct Res
SCHEDULING INSPECTIONS
Permits erpire 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 wh€ther spe€ified 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.
ATTENTIOl{: Oregon law requires you to follow rules adopted by th€ Oregon Utility Notification Center, Those rules are set
forth ln OAR 952-O01-OO10 throlgh OAR 952-OOr-OO9O. You may obtain copies of the rulcs by calling the Center at (503)
232-L9a7.
all persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.O10
(Structural/tlechanical), ORS 479.540 (Electrical), and ORS 593.o1o-o2o (Plumbing),
c:\myReoorts/reoorts//prod!ction/01 STANoaRD
OREGON
Email Addressr permitcenter@springfield or.9ov
Parcel
7703264313700
Inspection
1999 Final Building
1260 Framing
Inspection Status
Pending
Pending
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. build ing perm its.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 877046123471
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permit Number: at 1-19-OO21OO-STR Page 2 ot 2
Fee Description
Technoloqy Fee
Structural building permit fee
State of Oregon Surcharge - Bldg (l2o/o of applicable fees)
Quantity Fee Amount
$s.76
$11s.10
$ 13.81
$134.67Total Fees:
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PERMIT FEES
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Structural Permit Application
Liffi225 Fifth Streer . Springfi€ld. OR 97477 . PH(541)126-3753 . FAX(541I726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of is
suspended for 180 days.
This project has final land-use approval
Signature:Date
This project has DEQ approval.
Signarure:
Zoning approval verified: E Yes E No
Property is within flood plain: EYes Ewo
CATEGORY OF CONSTRUCTION
flResidential ! Govcmment E Commercial
JOB SITE INFORMATION AND LOCATION
Job sjte add.essl 919 C:*taaio.,\ R ).r.t
City: SaA.aCieUL Statc: @(L zrP97q7,
a
Subdivision Lol no
Reference Taxlot:
PROPERTY OWNER
NaIne
Cit-v:State
Phonc Fax
E-r'rail
Building Owner or Owner's agent authorizing this application
Sign here:
E This inslallation is being made on residential or farm property o\r'ned
by me or a mcmber ofmy immediate family. and is exempt from
licensing requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name BelCor
Address: $f,1 thcllet St
city:@r.lac$ol&Stare oG zPnvln
Phone o Faxiql-1tr? fzb3
E-malt /llsl. Pces-@ arS. bal 9q . con-
CCB license no.: I qL r73
Printlr;rme: p1's.l ?gosa.
Stgnarure: ,./42-
SUB-CONTRACTOR INFORMATION
Name CCB License #PhoDe
Electrical
Plumbing
l\{echaniaal
anc or if nork is
DEPARTMENT USE ONLY
Pemitno.: [1100]lm-s
Datc 1\ rr\tq
FEE SCHEDULE
l. Valuation information
(a) Job description: &ri..,.c- j3 j-.,Ss.\ L";ft- L:1,. ki,\)
Occupancy
Square feet
Cost per square foot
Other information
Type of Heat:
Energy Path
I ncw Ealteration ! addition
sZSO2
2. Building fees
s(a) Permit fee (use valuation table)
s(b) Investigative fee (equal to [2a])
S
(c) Reinspection ($ per hour)
(number ofhours x fee per hour)
\(d) Enter l2% surcharge (.l2 x [2a+2b+2c])
$(e) Subtotal of fees above (2a through 2d);
S(a) Plan revie*, (65% x permir fee [2a])
s(b) Fire and life safety (65% x permit fee [2a])
s(c) Subtotal of fees above (3a and 3b):
4. Miscellaneous fees
S(a) Seismic fee. l% (.01 x permit fee [2a])
s(b) Tech fee. 5% (.05 x permit fee[2a]*PR fee [3c])
{.3q.t;lTOTAL fees and surcharges (2e+3c+4a+b)i
Last edited 5-5-2019 BJones d)_
P'F/
LOCAL GOVERNMENT APPROVAL
Datc:
Addrcss:
ZTP:
[op..ow=o ag O-i_C- - 1-ua -
Construction q?e:
(b) Foundation-only permit? E Yes E No
Tolal valuation:
3. Plan review fees
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SPRINGFIELD. OREGON
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