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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):$ -tatz-E,/!.::tiP3-"Ex?axj-r F{aAc-rt - A(_4oDE r-{N€_LJYtX<_r> Nto €e-.rt e.-) FEE: Bgc,qUr str Z-15 t,.r FIALL< M+zr Ft t-t- FurcrzrlCts-t LtNa dorsrg OF BaseMeu/-Z F;,o*tU l..*lc>f PQAaylaaa :rs2 INSLI\-7q?1{ Bt-rr r-r lS' 3-AG', 3u184\62\5qgo l"-r \^rlLl- -1rZ_er.F l_\\=\--7 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