HomeMy WebLinkAboutPermit Building 2020-01-13OREGON
Web Address: www,springf ield-or'9ov
Permat Issued: January L3,2O2O
Building Permit
Resldentlal Structu ral
Permit Number: 81 1-2O-OOOO87-STR
IVR Number: 81 1072212556
City of SPringfield
Development and Public Works
225 Fifth Street
SPringfield, OR97477
54t-726-3753
Email Address: permitcenter@springfield-or'gov
SPRINGF}ELD
ub
Category of Construction: Single Family Dwelling Type of Work: Alteration
Submitted Job
Description of
Value: $5,000.00
work: Insulate and finish existing basement (already has ducted heat to space)
JOB SITE TNFOR}4ATION
Ullorksite Address
812 S 72ND PL
Springfield, OR 97478
Parce!
1802022103600
Owner:
Address:
PARKHURST DAVID G &
ELLEN L
812 S 72ND PL
SPRINGFIELD, OR 97478
PROFESSIONAL IT{FORi,IATIONLICENSED
Business Name
COVERT ENTERPRISES INC -
Primary
Llcense
ccB
Llcense ilumbcr
82272
Phone
54L-729-t649
Inspection
1999 Final Building
Inspectlon Group
Struct Res
Inspection Status
Pending
SCH EDULING I'{SPECTIONS
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: 8ttO722L2556
Schedule using the Oregon ePermitting Inspection App, search'epermitting" in the app store
PERUIT FEES
Fee Descrlption
Technology Fee
Structural building Permit fee
State of Oregon Surcharge - Bldg (12% of applicable fees)
Quantity
Total Fees
permlts explre lf wotk ls not started wlthln 18O Days of lssuance or lf work ls 3u6pended for l8O Days or longer dependlng on
thG liiuang agcncy'c pollcy.
All provlsloni ol lawr rnd ordlnances govcmlng thl3 type of work wlll be complled wlth whether rpcclfled hcreln or not.
cruntlng ot r pcrmtt doe. not prctumc to glvc ruthotlty to vlolata or canccl thc provltion3 of rny othcr 3t!tG or local law
regulatlng con3tructlon or thc pertormancc ot constructlon.
ATTETaTION: OrcAon law rcqulrcr you to follow rulc3 ralopted by thc Orcgon Utlllty Notlticatlon Ccntrr. Tho3c rules rrc 3et
fortt in OAR 952-001-001O through OAR 952-OO1-O09O. You may obtain copico of thc rules by calling thc Ccntcr at (503)
232-1947.
All pcrsons or cntltacs pcrforming work under thas permlt ar€ requlrcd to be llcensed unless Gxcmptcd by ORS 701.O1O
(Structur.l/l,lechanlcal), ORS 479,540 (Elcctrlc.l), and ORS 693,OlO-{r20 (Plumblng).
Printed on: 1/13/20 Page 1 of 2 c:\myReports/reports//production/01 STANDARD
Fee Amount
$7.O7
$ 141.30
$16.96
$165.33
TYPE OF WORI(
PET{DING INSPECTIONS
SPRINGFIETD
#
ORTGOH
www.springfield-or.gov
Worksite address: 812 S 72ND PL, Springfield, OR 97478
Parcel: 1802022103600
Transaction Receipt
811-20.000087€TR
IVR Number: 811072212556
Recelpt Number: 473536
Receipt Date: 1/13/20
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
perm itcenter@springfield-or. gov
Transactlon
date
1t13120
1113t20
1113t20
Unlts
1.00 Ea
1.00 Ea
1.00 Automatic Technology Fee
Descrlptlon
Structural building permit fee
State of Oregon Surcharge - Bldg
(12o/o ol applicable fees)
224-00000425602-1030
821-00000-21 5004-00fi)
204-00000-425605-0000
Fees Paid
Account code Fee amount
$141.30
$16.96
$7.07
Pald amount
$141.30
$16.96
$7.07
Payment Method Credit card
authorization: 13788G
Payer: Dennis Coverl Payment Amount:$16s.33
Cashier: Thayne Smith Recelpt Total $165.33
Printed: 1 /13/20 4:37 pm
Page 1 of 1
FIN-TransactionReceiptjr
Structural Permit Application
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval
Signature:Date
This project has DEQ approval.
Signature:Date:
Zoning approval verified: ! Yes n No
Property is within flood plain: ! Yes E No
CATEGORY OF CONSTRUCTION
f,l Residential ! Govemment ! Commercial
JOB SITE INFORMATION AND LOCATION
Jobsiteaddress:81). S 7ld Pl*u
citv: fix?H State: O(ztPthqT,
Subdivision:Lot no.:
Reference:Taxlot:
PROPERW OWNER
Name: Oarrio + E//..r
Address: ( .
,1.'lf'+ 't)City:State:ZIP
Phone:,52t//- j2{- SbZ t Fax
t-mall: L
Building Owner ,s agent authorizing this application
here:
E This installation is being made on residential or farm property owned
by me or a member of my iurmediate family, and is excmpt from
licensing requirements under ORS 701 .010.
CONTRACTOR ]NSTALLATION
Business name
Address: {'/f kA
CiWt fr&/n/State: pl Ztp:c! 7q.7,
Phonei'5.yvz1 -,/,)q - / 6 Yq Fax:
E-mail covu--l-ea* @ tU rnzn/-,"-<L
CCB license no.: 8ZL?J-
Printname: 1enr.fS Qnrf
Signature:
SUB.CONTRACTOR INFORMATION
Name CCB License #Phone
Electrical
//,q"fri"s,
Plumbing
(4k*N
Mechanicay'
il ku,r+ve-
Hil,t
225 Fifth Street . springfield, oR 97477 . PH(541)726-3',153 o FAX(541 )726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
FEE SCHEDULE
1. Valuation information
(a) Job description
Occupancy
Constructiontype: ZU{1/
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
! new flalteration E addition
(b) Foundation-only permit? E Yes E No
Total valuation:$
2. Building fees
(a) Permit fee (use valuation table):$
(b) Investigative fee (equal to [2a]):$
(c) Reinspection ($ per hour):
(number ofhours x fee per hour)$
(d) Enter 120lo surcharge (.12 x l2a+2b+2cl)$
(e) Subtotal offees 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 offees above (3a and 3b):$
4. Miscellaneous fees
(a) Seismic fee, l%o (.01 x permit fee [2a]):$
(b) Tech fee,5%o (.05 x permit fee[2a]+PR fee [3c])$
I'OTAL fees and surcharges (2e+3c+4a+b):$
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DEPARTMENT USE ONLY
Za-6O0A7-S'lPermit no.
Date: sri /t > ) "D.ZD
Lasr cdired 5-5-2019 BJoncs
TuerLE ACLIE .lt-\o
Ctrv oF SPRINGFIELD, oREGoN