HomeMy WebLinkAboutPermit Building 2007-10-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01434
ISSUED: 10/18/2007
APPLIED: 09/20/2007
EXPIRES: 04/18/2008
VALUE: $ 5,928.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6001 E ST
ASSESSOR'S PARCEL NO.: 1702342300600
Springfield
TYPE OF WORK: Deck
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 2nd floor deck
Owner: DOLBY DAVID
Address: 6001 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
AMUlLDING INFORMATION I
foil Q'f' JON: Q
No ,OW 11l8(Qj ~t96'3lott law requires
U "O~~~f~C4e Ofegon~
0090. \1-~1~ih~ rule, afe let forth
VB C81"n9~ co,,: OAR 952-00,_
IItIIJJbef ~:'.P ~ote: !h:'r:::: by
CeifR/rJIUQ _ N~tiflcalf'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
312
...
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
No pervious pavement/exixting deck below
I PUBLIC IMPROVEMENTS I
NOTICE: Sidewalk Type:
THIS PERMIT sfPAlvr;n~~ts/Drains:
AUTHORIZED ~L fXPIRE IF THE
COMMENCED ~~~~~~HIS PERMIT ,:~~
ANY 180 DAY PERIDn ANDONED FOR
Street Improvements:
Storm Sewer Available:
Special Instruction:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Deck/Balconv
Deck
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Total Amount Paid
Initial Review
Plannine Review
Public Works Review
Structural Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01434
ISSUED: 10/18/2007
APPLIED: 09/20/2007
EXPIRES: 04/1812008
VALUE: $ 5,928.00
$19.00
312.00
Total Value of Project
$5,928.00
$5,928.00
09/20/2007
~
Amount Paid Date Paid Receipt Number
$54.81 9/20/07 1200700000000001219
$9.99 10/18/07 1200700000000001318
$4.22 10/18/07 1200700000000001318
$6.75 10/18/07 1200700000000001318
$84.32 10/18/07 1200700000000001318
$15.60 10/18/07 1200700000000001318
$175.69
I Plan Reviews I
09/21/2007 09/21/2007 APP NJM
09/21/2007 10/05/2007 APP TAJ No Planning issues
09/21/2007 09/28/2007 APP LKW No SDC's no new surface, existing
patio/deck below
09/21/2007 10/04/2007 10 LLH Forwarded to the Building
Department for Structural review.
10/04/2007 10/10/2007 APP LLH Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requ~sted after 7:00 a.m. will be made the following
work day.
~eouiredJnsnections I
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007~01434
ISSUED: 10/18/2007
APPLIED: 09/20/2007
EXPIRES: 04/18/2008
VALUE: $ 5,928.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
tim:%;n;~ JO/ JgJ07
Owner or Cont;a~to" -Sigf'n;e ~ Date I I
Paee 3 of3
Construction Contractors ,Board
700 Summer St NE Suite 300
PO Box 14140 .
Salem OR.97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.u~
Permit #:
~ \Jl - \~.::A
\(1)\ f, ~*,pp-f-
p~ D~te:' ID'l8~ 7
7/ / .
Address;
. Issued by:
'Statement: Information Notice to Property Owners
, .
About Construction Responsibilities .'
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
'. 'licensed with the ConstrUction Contra'ctors Board to sign the following statement before a b~ilding
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits~ Licensed architect and engineer applicants, exempt from licensing under
pR;; 701,010(7),.need not submit this statement. Thi~ statement will befiled with the permit.
- , . ~ -
Fill in the appropriate blanks and initial boxes 1 and 2, andeither.box 3A or 3B:
rtl.
r2.
D' 3A. My general contractor is
I own, reside in, or will reside in the completed structure.
I understand that 1 must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
(Name)
(CCB #)
. I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with.the Construction Contractors Board. '
I hereby certify that .the above information is correct and that I have read and do understand the Information.
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
r/)/{t/Ytfl/JJrt!1}jJ/i . . . I b Irl tn
(Signature ofPermfaMfC~t~ ': '.: .' . (Dale)
. ' (White copy to issu~gencypermitfile; pink copy to applicant.)
Property _ owner. doc 06-01-04
. .~, - i'
\~. ~;~<;~~"::::'{~)\. '
,. . INFORMAT.ION-<NOTICE
ABOUT CONSTRUCTION
----.~.~_~..J .
. ~.. -
. '.
to Owners about
Contractors Board in accordance with ORS
construct a new home or '
by b'eing aware ofthe
a
to an
I,"
if
m
time
your
at
Tax: an
more
.. ..
.. ..,. ~ '-'.
IS a
503-945-8091 or
. .-~ \.
Law,
on the
Code
are
any
meet
. . \. "':
or
'.
to
your
or
at
06-01-04
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01434
COM2007-01434
COM2007-01434
COM2007-01434
COM2007-01434
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Fire SF Fee - Residential
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
VANESSA DOLBY
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001318
Date: 10/18/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 100795 In Person
Payment Total:
Page 1 of 1
10:18:38AM
Amount Due
15.60
84,32
4,22
6.75
9.99
$120.88
Amount Paid
$120,88
$120.88
10/18/2007