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Home My WebLink AboutPermit Building 2009-4-9 - . _ _ --~. - - _, '_ 0 . , . D . - 8' .' 0" 5" - - . . ~-,: _ -~_ -- . '. ',., ...., , '. . ". 225 Fifth Street. Springfield, OR 97477. PH(541)726-J7SJ. FAX(541)726-3689 Pennit noCO; -- tr'7 D Dale: Lj /1/0/ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofis~uarice or if work is suspended for 180 days. r~DE~AR:ifMEN'ff~tJSEi0Ni!y~1 ";;;4"1>!.".""'*;",,'O'~=,_~_r;"~~if_';":''''','io~. S~ructliral Permit Application I IB~G~~GGYEflli:r.f~Njfi~&QYK'_~d\l)~ This project has final land-use approval. I'," iIT:~;7ii!:~J1i!~EE"'?S-CHE6u~E$\"":~~~'fl1lWMi\lr'i'l Signature: Date: ~'t!;~jL%n{~~~~-"~!1iL__J;l~",_-,,_.~__~,.__~~~~~~~ ~~~;:;eecl has DEQ approval, Datel:~;~~~~:~;~!;~~!~gt~.'i~~1I: I Zoning approval verified: 0 Yes 0 No I 1 Occupancy I I Property is within flood plain: 0 Yes 0 No I, Construction type: I 1~~llJf.I,--'CA"EG0R~jIO~1ltc0NsmRUcffii01-i~"i!i;iij:*"'\~f-;:#i';;~ ~'1lfJ~Im~._"_'___'__'_'b~_~J':j1L____lC~,__~'__~_.c,,-'-__"_^~,,,~_,,,-};/,,*$____~~ -",:;e~-w.~ I Square feet: I. I D Residential I D Government 10Commercial I Cost per square foot: ,I. I~J~~~jill~Il~fs~BiVi,]\T;Thr~f@]llill9:~~'!1!]lt:i~~"1 I Other information I 1 Joh site address: 23 Be /...JCJL", A. $'fo'ZsG'I I T fH t I I ' I I ypeoea: City: s.pr,uQ, ~\.s.I.A State: 0 l2.. ZIP: ~74T' I I ' Energy Path: I Suhdivision: I Lot no,: 140 0 ' 0 I _ new alteratIOn addition :~lfm~f.RQR~B~T~Wij:~_~~~~;~~i~ ~ ~~,t:~~:~::it~:~~nIY permit? :fl Y,~o, ~, N, 0 I $, : I Name: ~AN<l..lr ':Jc;-{ 1"1'(/........,,,) (.(C;N' I f'2':';B"""'1'd'~,r.;'l"",*~l1k'-'\'i':''';'''i'''i'"''"i~jlllil;'ti'~~"'jtt"';'l'l I Address: \>, 0 \ 6A~ 14-99 I -:f___.;:.__U.L_!I,!gT..l~~~_j~:Jltit~..N~:ffi)'f;~ili;:~-::h'jf.ltL~~\~~{i~,-~~~~:li I ' 1'\ \ I ^ " I a-'4 I' I (a) Permit fee,( use, v.luatIon tahle): $ I City: s,t> t"",,~ He'" State:u "- ZIP:, ({. 17 I I I Phone: ' _ ~' Fax: _ _ I (b) lnvestigativefee (equal to [2.]): $ I (c) RemspectlOn ($ per hour): I I E-mail:~<>.",.....\-\",-Il.. fl M~J->' C",,,,,, I (number of hours x fee per hour) $ This installation is bein~ made, on resi~ential o~ farm property ~wne~ by 'I (d) Enter 12% surchar e (,12 x [2a+2b+2cJ): 1 $ 1 me or a member of my Immediate famIly, and IS exempt from IIcensmg g requiremen~ under ORS 701010 f~~j~~~~;~;~;~i_.;;~~~.~l Sign here: I (a) Plan review (65% x permit fee [2a]): $1 I (b) Fire and life safety (40% x permit fee [2a]): $ I I :~:i;'::S~~~,~:~ ~~lA'3~~L:"-\ Co>-)",~"u'--~I~Al I 1,.~c~~";~~t~~~;:::::,:.~~:,,:~~,,;:l,;,,""'ji'"~~f~~m) : ~~~~~;:~ ~~~ _ Sf <> 8 : '::e~ ~8 ~ ~~;~~~ z I r'~:;~:~il;~;::Q,~~;t):;:;:~~::'~~~~~~'[@~~-~~it~II[~~ 1 r 'I l ' ,I TOTAL fees and surcharges (2c+3c+4a): $ 7~1 Co I E-mail: .0., (& 0.. I. {',,""'"^. ,...<! , ~\ VI '" "...'" ",",i'\w. ~'..l '^A :> -.3:- I CCB license no.: IGo <0 B ('6 J ' 1 Print name: r'Q AQ. '\? P"(l J:t"" s l I Signature: ~'LP-L~ I "';-:'..r /_ l~lfcjfiilli2!'l'f';;';;.I.J~Qt-liTIM~jtl5.Blf!:!gQ.BM~'jjl0]~i~;':f~ I Name CCB License Number Phone Number I Electrical I Plumbing I Mechanical CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00470 ISSUED: 04/09/2009 APPLIED: 04/0912009 EXPIRES: 10/09/2009 VALUE: $ 31,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2380 A ST APT I ASSESSOR'S PARCEL NO.: 1703361409600 Springfield TYPE OF WORK: Apartment Bnilding TYPE OF USE: Repair PROJECT DESCRIPTION: Re-insnlate apartment and recover gyp hoard- vandalism repair Residential KENT WILLIAMS JANET J ATTENTION: Oregon law requires you to PO BOX 1499 follow rules adopted by the Oregon Utility SPRINGFIELD OR 97477 Notification Center. Those rules are set forth :_ r'\ ^ n f"\~0') f'\rH ("'~ f'\ +h..I"\' Irth nlH~ oc:;.')_nn1. eef"\('. \/,.... .........", I"\ht~in I"nni;;c nf fho rtll~,; by ~r:.C.oN;r:RACIOR INF.oRMA!J;ION"~le number for the Oregon Utility Notification Contractor Center is 1-800-332-~l3ic~nse Expiration Date A I COMMERCIAL SPECIALTIES INC 166878 10/17/2009 Owner: Address: Contractor Type General BUILDING INFORMATION' # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary'Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: R2 Height of Struclure Type of Heat: V~~ OTI C E: Water Type: THIS PERrvln~W~~~XPIRE IF THE WORK AUTHORIZ'SBrlb~R~5fBJi\jil~f:ERMIT I~))IOT f'rHM,flCMf'Cn no Ie: ~R~~ll\n~II:n "fiR ANI(l)E~IW(1PrMB.l1UIfNFORMA TlON I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMEN:S I Street Improvements: Storm Sewer Available: Special Instruction: Phone 541-521-5108 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: I Valu~tion Descdution I Description $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Type of Construction Paee I of2 Value Date Calculated _~~~I~qll!IE"'l1!" " I: Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00470 ISSUED: 04/09/2009 APPLIED: 04/09/2009 EXPIRES: 10/09/2009 VALUE: $ 31,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 31,000.00 $31,000.00 $31,000.00 04/09/2009 Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Btrilding Permit Amount Paid Date Paid Receipt Number $39.14 $16.31 $326.17 4/9/09 4/9/09 4/9/09 2200900000000000351 2200900000000000351 2200900000000000351 Total Amount Paid $381.62 Plan Reviews I 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. I R~?nired I~")ecti~ns I Wall Insulation: Prior to cover. Drywall: Prior to taping. Final 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 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 descrihed 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. ?9---Zao'7 6 Date ~ Owner a(~gnilUre Page 2 of 2 225 Fifth ~treet .;( . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00470 COM2009-00470 COM2009-00470 Payments: Type of Payment CredilCard cReceintl RECEIPT #: Description Building Permit + 5% Technology Fee + 12% State Surcharge Paid By ROBERT REYGERS City of Springfield Official Receipt Development Services Department Public Works Department. , 2200900000000000351 , 1 1 , I Received By , Icjc I i I " , Page 1 of 1 I Date: 04109/2009 Item Total: Check Number Authorization Batch Number Number How Received o 1363c In Person Payment Total: 9:SI:11AM Amount Due 326,17 16.31 39,14 $381.62 Amount Paid $381.62 $381.62 4/9/2009