HomeMy WebLinkAboutPermit Building 2019-10-08SPRINGIIELD
OREGON
Web Address: www.springfield-or.9ov
Building Permit
Residential Structural
Permit Number: 81 1-19-OO2198-STR
M Number: 811078701966
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54r-726-3753
Email Address : permitcenter@springfield-or. gov
0i
Permit Issued: October 08, 2019 Project: New foundation
Category of Construction: Single Family Dwelling
Submitted Job Value: $25,000.00
Description of Work: Install new concrete foundation
Type of Work: Replacement
Worksite Address
1112 D ST
Springfield, OR 97477
Parcel
170335 1408200
Owner:
Address:
SALFRAN ANTHONY M &
LINDSEY ]
1112 D ST
SPRINGFIELD , OR 97477
Business Name
WHITE SAND CONSTRUCTION LLC
License
ccB
License Number
203353
Phone
503-5t6-4437
Inspection
1999 Final Building
1110 Footing
1120 Founda[ion
Inspectaon Group
Struct Res
Struct Res
Struct Res
Inspection Status
Pending
Pending
Pending
Permits expire if work is not started within 18o 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 Utiliw Notification Center. Those rules are set
forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-t9a7.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O10-O2O (Plumbing)
Printed on: 10/8/19 page 1 of 2
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: 811078701966
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
C :\myReports/reports//production/o1 STANDARD
&-./
TYPE OF WORK
JOB SITE INFORMATION
LICE NSED PROFESSIONAL INFORMATION
PENDING INSPECTIONS
SCHEDULING INSPECTIONS
Permit Number: 811-19-O02198-STR Page 2 of 2
Fee Description
Technology Fee
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (l2o/o of applicable fees)
Printed on: 10/8/19
Quantity
Total Fees:
Fee Amount
$33.27
$403.30
$262.Ls
$48.40
$747.t2
Page 2 of 2 C : \myReports/reports//production/01 STAN DARD
PERMIT FEES
SPRINGFIELD
tb
Transaction Receipt
81 1-19-0021 98-STR
Receipt Number: 472630
Receipt Date: 10/8/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@springfield-or. gov
OREGON
www. sprin gfi eld-or. gov
Worksite address: 1112 D ST, Springfield , OR 97477
Parcel: 1 703351 408200
Fees Paid
Transaction date
10t8t19
10t8t19
10t8t19
10t8t't9
Units
1.00 Ea
1.00 Ea
1.00 Ea
1.00 Automatic
Description
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Bldg (12o/o ol
applicable fees)
Technology Fee
Account code
224-00000-425602-1 030
224-00000425602-1 030
82 1 -00000-21 5004-0000
20 4 -OOO00 -425605-0000
Fee amount
M03.30
$262.15
$48.40
$33.27
Paid amount
$403.30
$262.15
$48.40
$33.27
Payment Method:Cred it card authorization:
868534
Payer: JeffTwenge Payment Amount:$747.12
Cashier: Katrina Anderson Receipt Total:s747.12
Printed: 10/8/'19 2:36 pm Page 1 of 'l Fl N_TransactionReceipt_pr
L.
Structural Permit Application
225 Fifft Stect I Srirgfiel{ OR 974?7 . PII(541)72G3733 . FAX511Y26Xt9
Thir permtt lr lssued under OAR 9f &46{F0030. Permltr explre lf work fo not rtrrted trtthtr lto drys of
suspenaled for ltO deyr.
Hdn
or if work ls
R$^d c^&^'q
DEPARTMENT USE ONLY
Pennirno.: 9.Oatq brl
Date:4 ALT gelc
LOCAL GOVERIITEiIT APPROYAI-
?his projecl bar final land-use approval.
Signature:Datc:
This pmject has DEQ appronl.
Siemturc:Dat€:
Zoningapproval vcrified: Evcs E tto
Propcrty is wiltin f,ood ptain: I Ycs E f.lo
CATEGORY OF COT'STRUCTION
DffiisiOentiat E Govcmment E Comnretcial
JOB STE IilFORMAflOTJ A}ID LOCANON
,ob sitc r&,Ircss:,L
t Stcc: t}ZIP:
l.ot no.:
Refcrcoce:Taxlot:
PROPERTY OIVITER
t
ZTP:State:
Addrcss:
Name:
Phone:Fax:
E-mail:
rrhorizinfthis {pplication:F
E rtt insarudffiEiag oaac m rcr-ifttiat or form property o*aed
by mc or a member of rry immodiate family, and is Gxempt from
lioensing rcquironorlts undcr ORS 701,010.
CONTRACTOR IilSTALLATIOT{
Busincss nam:rN
D r,/9
Starc: Of,ZIP:
Fax:7lL2-
t?
Email:
CCB license no.:
Prinl
bsrlcoxrucroR lNFoRrAnoN
Nrtnt CCB Llcenre #Phone
Elct{rlcel
PluuUng
Mechrnlcal
FEE SCHEDULE
1. Vduetlon lnfomatlou
(e)Jobdcscriptiot +?e/t}crJ-1. la.r-V
Occupancy
Construction
Squarctbcr ffiO
Cost pcr squarc fmt: tJ p
Other information:
Typcof Hc*:
Encrgr PrlL:
E addidouECW
No
Total vrlurtloa:s*5w
a Buildrrt fe€0
(a) Pemrit fee (use valuadonlable):$
(b)Invmtigative fee (equal to [2a]):$
(c) Reinspecior ($ perhour):
(numbcr ofhours x fcc pcr bour)$
(d) Enter l2% rurcharge (.12 x [2d-2H2c]):$
(c) Subtotel of fccr rbovc (2e lhrough 2d):$
3. Plen revlew fecr
(a) Plo review (65% x permit fec [2a]):$
(b) Fire md life safety (6$/o x permit fee [2aj):$
(c) Subtotd offccc ebove (3r rad 3b):$
4. Mlrcelhncour fccr
(a) Scismic fcc, I % (.01 x pcrmit fee [2a]):$
(b) Tcch fcc, 5% 1.05 x permit tbe[2a]+PR ri- [-1c])$
fOTAL foo end rurchrryer (2c+3c.+4etb):rnel-?.t'
llst cdited 5-!2019 BJoncs
CITY r.)F SpRtxcItl't-D. (.)RE(ioN
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;
Pho &s,flb U4'
6) f',t^^ ---. i'.^.i.J-
Existing Eeam
Grade
1112 D St. Springfield
Raising Plan
20
6xGwood
cribbing
Estimated trme to
competion' 45 days
Finished ff oor eterration
approximately 12"+ from
existing
Lift xith hy.draultc jacks
at 4 points beneath
steet
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sleel
BEYIEWEO FOfr
COOE COMPIIANCE
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