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Home My WebLink AboutPermit Building 2020-01-31SPRINGFIELD t —OREGON Web Address: www.springfield-or.gov Building Permit Residential Structural Permit Number: 811-20-000204-STR IVR Number: 811019110739 Permit Issued: January 31, 2020 TYPE OF WORK City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield -or.9ov Category of Construction: Single Family Dwelling Type of Work: Replacement Submitted Job Value: $75,500.00 Description of Work: Foundation replacement 70B SITE INFORMATION Worksite Address Parcel Owner: REED STEVEN R 2780 EST 1703361405100 Address: 2780 E ST Springfield, OR 97477 SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone HAROLD & MADISON INC - CCB 168164 541-688-3648 Primary Inspection 1999 Final Building 1120 Foundation 1110 Footing PENDING INSPECTIONS Inspection Group Struct Res Struct Res Struct Res Inspection Status Pending Pending 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: 811019110739 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 are 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 701.030 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 1/31/20 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 811-20-000204-STR PERMIT FEES Fee Description Technology Fee Structural building permit fee State of Oregon Surcharge - Bldg (12% of applicable fees) Page 2 of 2 Quantity Fee Amount $40.96 $819.10 $98.29 Total Fees: $958.35 Printed on: 1/31/20 Page 2 of 2 C:\myReports/reports//production/01 STANDARD SPRINGFIELD b OREGON www.springfield-or.gov Worksite address: 2780 E ST, Springfield, OR 97477 Parcel: 1703361405100 Transaction Receipt 811-20-000204-STR IVR Number: 811019110739 Receipt Number: 473698 Receipt Date: 1/31/20 Transaction Units Description date 1/31/20 1.00 Ea Structural building permit fee 1/31/20 1.00 Ea State of Oregon Surcharge - Bldg (12% of applicable fees) 1/31/20 1.00 Automatic Technology Fee City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfield-or.gov Fees Paid Account code Fee amount Paid amount 224-00000-425602-1030 $819.10 $819.10 821-00000-215004-0000 $98.29 $98.29 204-00000-425605-0000 $40.96 $40.96 Payment Method: Credit card Payer: HAROLD & MADISON Payment Amount: $958.35 authorization: 07710c INC Cashier: Katrina Anderson Receipt Total: $958.35 Printed: 1/31/20 1:25 pm Page 1 of 1 FIN TransactionReceipt pr Structural Permit Application SPRINGFIELp DEPARTMENT USE ONLY CITY • ,. • • • - C� � Permit no.:� _ ��Q l 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 OREGON vl Date: 3 a -CD This permit is issued under OAR 918460-0030. 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 Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 2 7 S O E 6 i•^ City: ZIP: Subdivision: Lot no.: Reference: Taxlot: PROPERTY OWNER Name: Address: p City: State: 0/1, ZIP:9?y Phone: .85.0 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. C PWACTOR INSTALLATION Business nam : pZ I, a... ' .. Address:�- City: k State: 60. ZIP: Phone: VI - i. Fax: - - E-mail: p; y, ) CCB license no.: Print name: rd Signature: SUB -CONTRACTOR INFORMATION Name CCB License # Phone Electrical Occupancy Plumbing Square feet: Mechanical Cost per square foot: Last edited 5-5-2019 BJones r6 e\ FEE SCHEDULE 1. Valuation information (a) Job description: u w ' a Occupancy Construction type: N Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new ❑alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ %SS00.• 2. Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ 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% (.O1 x permit fee [2a]): $ (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ TOTAL fees and surcharges (2e+3c+4a+b): $q0,13 c> VU1.0— -rrx S� a�80 E st- SPr,rB�'cla�, or. 97y77 Nerk'MCL vita Y, (V" ` I I IV I_ osp, E S�. 10 ��1 (N� prc s s wrc. trea4j 2Xg (2;w,6aar� Wf reSS` re Trta}eJ aXr' M ' A 6"Ii FQwndu}ipr. Qie�,,Ir �CTai Cr'.&kvA Y, —0C C o rot paCitl E) aX swbploar l N J �$'�j Mbar yJ i�i,h 14'' off' s}erg wak (AD eA)6'Ce-V� 401f)415�'x OLII 1 • • • 1� 1 . io+l-m . t rO-KC +C' • k )d` bt)Ow Fn15k 61-h 6 I 1 I 1 1 1 I I I I I 1 I I I I f 1 I I I I 1 t czs 1 zo M