HomeMy WebLinkAboutPermit Building 2020-02-21OREGON
Web Address: wwvr.springfield-or.9ov
Building Permit
Residentia! Structural
Permit Number: E1 1-2O-OOO344-STR
IVR Number: 81 1072228635
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54r-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGFIELD
'h
Permit Issued: February 2L, 2O2O
TYPE OF WORK
Category of Construction: Single Family Dwelling Type of Work: New
Submitted Job Value: $1,000.00
Deecription of Work: Needs final inspection on new dwelling above garage see original permit #
t337
Worksite Address
3860 VITUS LN
Springfield, OR 97477
Parcel
1702300000600
0wner:
Address:
AVERY BRIAN
3860 VITUS LN
SPRINGFIELD , OR 97477
LICENSED
Business Name
OWNER - Primary
License
ccB
License Number
000000
Phone
PEI{DING INSPECTIONS
Inspection
1999 Final Building
Inspection Group
Struct Res
Inspection Status
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: 811072228635
Schedule using the Oregon ePermitting Inspection App, search *epermitting" in the app store
PERI.IIT FEES
Fee Descriptaon
Technology Fee
Structural building permit fee
State of Oregon Surcharge - Bldg (L2o/o of applicable fees)
Quantity
Total Fees:
p€rmlts explre lf work ls not started wlthln 180 Days of lssuance or if work ls suspended for 18O D.ys or longer depending on
the l3sulng rgcncy'3 pollcy.
All provlslons of lawc and ordlnanccs governlng thls typc of work wlll bc compllcd wlth whcth€r ip.clflcd hCreln or not.
crrntlng of r pcrmlt doc3 not prerumc to gavc luthorlty to viol.tc or clnccl thc provltlon3 of tny othcr atet. or loctl hw
reguletlng constructlon or thG performsnce o, constructlon.
ATTEilTION: Orcgon law rcquircs you to follow rulcs edoptcd by thc Orcgon Utlllty ilotlfic.tlon Cc]ttcr. Thosc rulc3 arc sct
forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copiGs of thc rulcs by calling thc CcntGr tt (503)
232-1947.
All person3 or entitiGs p€rforming work under this pcrmlt are rcqulred to be licans€d unless GxemPted by ORS 7O1.O1O
(Structur.l/ilechanlcal), ORS 479.54O (El€ctrlcsl), and ORS 693.OlO.o20 (Plumblng).
printed on: 2/21,/20 page 1 of 2 C:\myReports,/reports//production/01 STANDARD
Fee Amount
$5.10
$102.00
$r2.24
$1 19.34
,OB SITE INFORMATION
Permit Number: 811-2O-OOO344-STR
Pnnted ont 2/2U2O Page 2 ol 2
Page 2 ot 2
C : \myReports/reports//production/01 STANOARD
SPRINGTIELD
$
OREGON
www.springfi eld-or.gov
Worksite address: 3860 VITUS LN, Springfield , OR 97477
Parcel 1702300000600
Transaction Receipt
811-20-000344€TR
IVR Number: 8'l 1072228635
Receipt Number: 473879
Receipt Dale:2121120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
permitcenter@springfi eld-or. gov
Transactlon Unlts
date
2121120 1.00 Ea
2t21t20 1.00 Ea
2t21t20
Descriptlon
Structural building permit fee
State of Oregon Surcharge - Bldg
(12o/o ol applicable fees)
Fees Paid
Account code
1.00 Automatic Technology Fee
224-00000425602-1 030
821 -00000-21 5004-0000
204-00000-425605-0000
Fee amount
$102.00
$12.24
$5.10
Pald amount
$102.00
$12.24
$s.10
Payment Method: Check number: 109 Payer: AVERY BRIAN Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$119.34
Pnnled. 2121 120 10:41 am Page 1 of 1 FIN_TransactionRec€iptJcr
3^-/
Cnv or SpRnqcFIELD, oREGoN
Structural Permit Application
This permit is issued under OAR 918{60-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
4
DEPARTMENT USE ONLY
permitno.: 2.o-CD)aW
I
Date 2l>r m225 Fifth Street o Springfield, OR 97477 . PH(541)726-3753 o FAX(54 I )726-3689
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LOCAL GOVERNMENT APPROVAL
This project has final land-use approval
Signature:Date:
This project has DEQ approval.
Signature:Date:
Zoning approval verified: ! Yes E No
Property is within flood plain: ! Yes ! tlo
CATEGORY OF CONSTRUCTION
dResidential ! Government f! Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:
State: f)l nvq71
subdiislon Lot no.
Reference:Taxlot:
PROPERTY OWNER
Name:
Address: 38t-tY U r'htS t i,.t
State:7 ztPgTL/
Phone:Fax:
E-mail:
agent authorizing this application
ffr,i. ir{tunfrron{{6W^ade on residential or farm property owned
by mc or a member of my immcdiate family, and is cxempt from
licensing requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name
Address
City:State:ZIP
Fax:Phone:
E-mail:
CCB license no.:
Print name
Signature:
FEE SCHEDULE
l. Valuation information
(a) Jobdescription: fi nA I T^ Sb JJa)a
AToJIWS \jo( LOccupancy
Constructiontype: <t ^\' AUUr:X#
Square feet:3
a-{
Cost per square foot
Type of Heat:
Other information:
Encrgv Path:
E new lalteration ! addition
(b) Foundation-only permit? E Yes E No
Total valuation:$
2. Building fees
$(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):$
s
(c) Reinspection ($ per hour):
(number ofhours x fee per hour)
(d) Enter l27o surcharge (.12 x l2a+2b+2cl'1:s
(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
$(a) Seismic fee, 1%o (.01 x permit fee [2a])
(b) Tech fee,5Vo (.05 x permit fee[2a]+PR fee [3c])$
silq.7'l[OTAL fees and surcharges (2e+3c+4a+b)
SUB.CONTRACTOR INFORMATION
Name CCB License #Phone
Electrical
Plumbing
Mechanical
Last edited 5-5-2019 BJones
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