HomeMy WebLinkAboutPermit Building 2007-10-16
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 801 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703341409700
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01113
ISSUED: 10/16/2007
APPLIED: 07/27/2007
EXPIRES: 04/16/2008
VALUE: $ 1,000.00
Springfield
TYPE OF WORK: Accessory Building
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: New structure over 10' - bwop
Owner: MALONEY DOYLE D
Address: 801 PRESCOTT ST
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group: U
Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Phone Number: 541-954-5992 cel
I CONTRACTOR INFORMATION I.h.-
ATTENTIO License Expiration Date Phone
N: Oregon law requlrea you fa
f....Il....." nl18g 8@8~t8E1 ~.- 4L e, . . Ul"I'll
_ t 1.1... oi..i;j..... '* .l,
BUlJ,!lJJl~(lNU9IDfA "'~Ies are set fotIIl
'" UJo\t1 ~O&::-UU1-U010 t rough OAR 9S2-00t-
O~~~~may obtain copies of the ru,"~e:
1M~h\~: (Note: the teleph~t 1st Floor:
~~ffle Oregon Utility Notifl~ 2nd Floor:
Water ~er 'S 1-8OO-a3a..J344). Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMA nON 1
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
pa~qd: . Compact:
% THIS PERMtfSMAl\.lX'1RE "THE WOf'K
~UTI tf.'~nC:D-UMnt:A TH1S PERMIT IS NOT
PUBLIC - - WIS1 S ABANDONED f-UK
100. Sidewalk Type:
Downspouts/Drains:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Penalty Fee - BWOP Building
Plan Review Residential
Total Amount Paid
Initial Review
Initial Review
Planninl! Review
Public Works Review
Structural Review
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01113
ISSUED: 10/16/2007
APPLIED: 07/27/2007
EXPIRES: 04/16/2008
VALUE: $ 1,000.00
$1.00
1,000.00
Total Value of Project
$1,000.00
$1,000.00
07/31/2007
~
Amount Paid Date Paid Receipt Number
$10.00 10/16/07 2200700000000001595
$5.00 10/16/07 2200700000000001595
$4.00 10/16/07 2200700000000001595
$50.00 10/16/07 2200700000000001595
$50.00 10/16/07 2200700000000001595
$32.50 10/16/07 2200700000000001595
$151.50
I Plan Reviews I
07/31/2007 07/31/2007 APP LLH
08/21/2007 08/21/2007 WE DJB
10/15/2007 10/15/2007 APP TAJ
10/15/2007 10/15/2007 APP BRC
07/31/2007 10/15/2007 APP DLM
Received plans for building already
constructed by owner. Will forward
to Robert Castile - BWOP
Owner told to provide additional
drawings for review.
No Planning issues
Public Works OK.
Plans forwarded to Robert Castile
for BWOP. Approved as noted on
submitted drawings and
attachments. 10/IS/07dlm. See
documents for Plan review
comments.
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 requested after 7:00 a.m. will be made the following
work day.
~eouire~nsnections 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.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01113
ISSUED: 10/16/2007
APPLIED: 07/27/2007
EXPIRES: 04/16/2008
VALUE: $ 1,000.00
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 ofany 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
times during construction.
owner-';~n~~) -()Z Dat' /0 ( /6. o/)
Pa2e 3 of 3
. Construction Contractors Board
700 Summer St NE Suite300
PO Box 14140 -
Salem OR 97309-5052
Phone:- 503-378-4621
Web Address: www.ccb.state.or.us
I
permit#:~97-'/!?///3
Address: . ~@I ./1e8J~ J .
'j) C? . . Date: /06/0-,
--. I (,
Issued by:
Statement: .Information Notice to Property Owners
About Construction Responsibili.ties
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exelJ'lpt from licensing under
ORS 701.010(7), need not submit this statement. This statement will.be filed with the permit.
Fill in ~e appropriate blanks and init~al boxes 1 and 2, and either box 3A or 3B:
J~ 1.
~2.
I own, reside in, or will reside in the completed structure.
I understand that I must. become licensed as a construction contractor ifthe structure is sold or
offered for sale before or on completion'.
D 3A. My general contractor is
(Name)
(CCB #)
l will instruct my general contractor that all subcontractors who work on the structure must be .
licensed with the Construction Contractors BQard.
OR
~ 3R I will be my own general contractor.
IfI hire subcontractors, I will hire only subcontractors licensed.with the Construction Contractors
Board: If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will iffiI!1ediately notify the office issuing this building permit of the -
name of the contractor.
I hereby certify that the above information is correct and that! have read.and do understand the Information
Notice to Property Owners ~bout Construction Responsibilities on the reverse side of this form.
x
/n]A.. ~k ~
(S~~~it~t)
~
If), /1(- 01
(Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property _ owner. doc 06-01-04
.. l .,,;:-' ,
'.
Information Notice to
Board in
Responsibilities was
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by the
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with ORB
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06-01-04
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01113
COM2007-01113
COM2007-01113
COM2007-01113
COM2007-01 I 13
COM2007-01113
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200700000000001595
Date: 10/16/2007
Description
Plan Review Residential
Building Permit
Penalty Fee - BWOP Building
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HYUNG LEE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 09668B In Person
Payment Total:
Page 1 of I
1:33:31PM
Amount Due
32.50
50.00
50.00
5.00
4.00
10.00
$151.50
Amount Paid
$151.50
$151.50
10/16/2007