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Home My WebLink AboutPermit Building 2010-05-12I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 547-726-3676 Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 1370 sTH ST ASSESSOR'SPARCELNO.: 1703263101900 PROJECT DESCRIPTION: Replace roof - skip $gn&tetofpF Center Building/Combination Permit PERMIT NO: COM20I0-00592ISSUED: 0511712010 APPLIEDz 05/12/2010EXPIRES: 1lll2l20l0VALUE: $ 3,500.00 cIqPPE/Sa rough Residential Phone 541-466-3979 ,.ATTEA,lTIbN; Ore o obtain Owner: Address: GREEN DAVID A & SHARRON E I37O N 5TH ST SPRINGFIELD OR 97477 Contractor Type General Contractor AUGUST CONSTRUCTION COMPANY License 148196 Expiration Date 0612912011 -'.1Y1 i ! I.IEBUILDING INFORMATION I ' "1-11pp't'''' , , j i , l0nlZEg [flffiftsTHlS r'iRtVllT lS N0 i# of Units: Primary Occupancy Group: Secondary 0ccupancy Group: Primary Construction TyPe Secondary Construction TyPe: # of Bedrooms: nd:l.ii,,,trNC Ji[iY 180 D Range Type: Energy Path: Sprinkled Building Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: ED FOR Square Footage or Bid Amount Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplierDescription TvPe of Construction Page I of 2 Value Date Calculated OAB the LUN I tt\L I UK l\rUK.\1.{ I lul\ DL,VELUPMI.,N I INF UT(ryTA I TUi\ CI Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -i 26-37 69 [nspection Line PERMIT NO: COM20I0-00592ISSUED: 0511212010APPLIED: 0511212010EXPIRES: 1lll2l20l0VALUE: $ 3,500.00 Fee Description + 12o/o State Surcharge + 57o Technology Fee Building Permit Penalty Fee - BWOP Building TotalAmount Paid Total Value of Project Date PaidAmount Paid $18.60 $7.75 $77.s0 $77.50 $181.35 Receipt Number 2201000000000000487 220r000000000000487 2201000000000000487 2201000000000000487 5n2tr0 5n2n0 5n2n0 5fi2tr0 Plan Reviews To Request an inspection call the24 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. Roof Sheathing/1.{ailing: Before covering sheaihtng with finish materiat. Finat Building: After all required inspections have been requested and approved and the building is complete. 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 certily 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 times during construction. /Z L Owner or Contractors Signature Pase 2 of 2 Date il Keourreo lnsDectlons I Structura! Permit Application .- gPFI{GFIEP 225 F ifth Street r Sprin gfi eld, OR 97 47 7 ) PH(54 I )7 26 -375 3 r FAX( 54 I ) 7 26 -3 689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of suspended for 180 days. €n, or if work is u& \g _w* .tLq'\'w DEPARTMENT USE ONLY Permit ,r., //0 {72 {/rz/raDate LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature:Date: This project has DEQ approval. Signature:Date: Zoningapproval verified: E Yes f] No Property is within flood plain: E Yes E No CATEGORY OF CONSTRUCTION ffiresidential fl Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: /3 7 o )'r" J'( l7t ,O State: (?7 ZIP:r Subdivision:Lot no, Ref'erence:Taxlot: PROPERTY OWNER Name: 7')a,r',,',/) /Z.er-.y' Address: ICS (ze..t"t J ( r'i)state: fu,/ZIP: ff f 1'ctl Fax:Phone:-J 1f bVS )q ? c E-mail 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 .01 0. Sign here: CONTRACTOR INSTALLATION 7rAddress: 3gr5 Business name ZIP:.../2t'.. ICity: /?zn t 31u1s'. r7:' Fax:PhoneT T4.? / o 7l ? E-mail CCB license no.: f q X:7 Q CU-vPrint name Signature CCB License Number Phone NumberName Electrical Plumbing Mechanical FEE SCHEDULE 1. Valuation information ((a) Job description: Occupancy U Construction type: Square feet Cost per square foot: Other information: Type of Heat: n additionon Energy Path flnew (b) Foundation-only permit? E yes fl No $ 2. Building fees /qf u/i*t;*4(a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a])$ (c) Reinspection ($ per hour)r (number of hours x fee per hour)$ (d) Enter I 2olo surcharge (.12 x l2a+2b+2cl)$ /5.& (e) Subtotal offees above (2a through 2d):$ 3, Plan review fees (a) Plan review (65% x permit fee [2a]):$ (b) Fire and life safety (40% x permit fee [2a]):$ (c) Subtotal offees above (3a and 3b)$ 4. Miscella fees $(a) Seismic fee, 1%o (.01 x permit fee [2a]) , /*75TOTAL fees and surcharges (2e+3c+4a) tF Total valuation: OLq%1W+1 225 Fiftl." Street Springfield, Oregon 97 477 541-726-3759 Phone Ciff of Springfield Official Receipt t elopment Services Department Public Works Department RECEIPT #: 2201000000000000487 Date: 0511212010 t0:42t284M Job/Journal Number coM20l0-00592 coM20l0-00592 coM2010-00592 coM20r 0-00592 Description Building Permit Penalty Fee - BWOP Building + 12oh State Surcharge + 5%o Technology Fee Amount Due 77.50 77,50 18.60 7.75 Item Total:$18r.3s Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Cash Change DALE AUGUST cJc In Person In Person Payment Total: $ 185.00 ($3.6s) $r 81.35 Job/Journal Number coM20l0-00592 coM20l0-00592 coM20l0-00s92 coM2010-00592 Description Building Permit Penalty Fee - BWOP Building + l2Yo State Surcharge + 5% Technology Fee Amount Due 77.50 77.50 r 8.60 7.75 Item Total:$18t.35 Payments: Type of Payment Paid By Received By e heck Number Batch Number Authorization Number How Received Amount Paid Cash Change DALE AUGUST cJc In Person ln Person Payment Total: $ I 85.00 ($3.65) sl8l.35 cReceint I Page I of 1 5fi2t20t0 $rnrHoFr|8fs