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HomeMy WebLinkAboutPermit Building 2009-6-9 _~I'Ij.JlICl!!JI!:l''i!' , f; .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-0081O ISSUED: 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALVE: $ 21,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax NOnCE' 541-726-3769 Inspection Line THIS PER'M . IT ~I-IAlI ("-/r- MUIHUHI7,:n ""n_': =... "'L II' IHt wnRJ( '" '''''fj''~_ - .._~~, I n1.) t't~/T. ,('. SITE ADDRESS: 650 HA,RIrt9~ RD,G'arf!g~ IS ABANDOIi gfiemNiW'PE OF WORK: Accessory Building ASSESSOR'S PARCEL NO.:i/\1-7032233.ok2PItRIOD VED FOR . . TYPE OF USE: Repair Residential PROJECT DESCRIPTION: REPAIR SHEATHING ON CONDO GARAGES Owner: POINT HOMEOWNERS ASSN Address: 650 HARLOW SPRINGFIELD OR 97477 Contractor Type General A11J:I1IIIT.oN'FRACTOR INFORMATION' tallow rUles' d '- "-.. "'4' Notit'. a opted b Ulres you to Coi1tractq.~ o~~atlon Center. Tho~ the Oregot;.iss,~~e MCGINNts)9n v~52-001-001O thrn~.~~e'y are 13!~ll,7lh 'calling tf1;ii'UILDIN-GCINFORNi'ATION:,1J 1- nUmber tor the 0 _ ,- '~,~. 'lie teleph by C reJ10n II.." one enter #,0/' stories:llty Not,'t,'cat,'o '- .oUU-"C':::?") . n U . Height of-Strlt1ii.i1i9. Type of Heat: Water Type: Range Type: . Energy Path: Sprinkled Building: # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB I DEVELOPMENT INFORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date 10/20/2010 Phone 541-915-0741 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Olher: Occupanl Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amonnt Type of Construction Page 1 01'2 Value Date Calculated _~.Ii!.",Ill..fN Gl.. ". "1..llJ,; .'iiI.... '...... .., ""-."". - ,', .... k ~r~' 1 ,',i Irma. i K:...........~."....... ,I .; "',' \I , ,_ :", ~,_".if' . ,J Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00810 ISSUED: 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALUE; $ 21,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Receipt Number $29.19 $12.16 $243.25 6/9/09 6/9/09 6/9/09 2200900000000000632 2200900000000000632 2200900000000000632 Total Amount Paid $284,60 I Plan Reviews I To Request an inspection call the 24 houl' recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same wOl'king day, inspections l'equested after 7:00 a.m. will be made the following work day. I Reouired lnsnections 1 Shear Wall Nailing: Before covering sheathing with Iinish materials. Final Building: After all required inspections have been reqnested 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 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, thai,h~rmit card is located at the front of the property, and the approved set of plans will remain on the site at all ;.'ll!~ ~ ..-= ~/~/O C( Owner or Contractors Signature Date Pae:e 2 of2 Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 ;'iDE~A'RTMENiuSEONlN';'1 ~..,'. ,-, .:". ,.., '.",' .:. ".,.... ,...... Pe.:mitno&i- drO . . ,. I Date: ~/,/GI J " . , This permit is issued under OAR 918-460-0030. Permits expire if work is not started within'180 days of issuance or if work is suspended for. 180 days. Sign here: 1,,!\,'c:;.oNTRAc:;j:Q~Ji~ST:A~LAtI9N;,},l;,b,.:,'.~"; I Business name: fi/l f!M &Upt--{,j TV t"..d~S (' I Address 'J7 s"'t' Ce~ HV1=!" I City=< IJ f?tA) I State: c? <IZ-.. I Phone: Sl! t' -'7/ ~ O'7t.f / Fax: I E-mai!: I CCB license no.: /J/fg7 I Print name: 7~ /f/C4:<I,e) .11 '---G,'nlA IS' '~~~;:t~)U,;-}V~i,jH~J;\-[Q9Ai1:}~QX~t~-NM~ii1}~:~:el!8@;V~g_~1m~~,~~~tf~:~~) This project has finallalld-use approvaL I I TShi.gl.nsaptruOrJee:ct has DEQ approval. Date: I ";r;~~l~~i\~~~;~~~~i~~~~~.'~,,~~~~~b~~~~i~~;~~l;~~(;.!;'~,II .. ~"d"'> ..__._.__m.___,.,," ._.__.._..... ,',,' ^"'."......,,::":..M._..lt . C'. ....:I",~,s,',.."~~"',.,:'*,,,...,....:,.,i ,_, _"""~~"'"'''' S,gnature: . Date: I Ca) Job description: 2),,{Ztt.vt4 tf s.7-ftc.--;JL1Tt+" N C I I Zoning approval veritied:D Yes 0 No I I Occupancy tk'- "'2- 1'2- ~-y2,....( ~ I Property is within flood plain: 0 Yes 0 No I I Construction type: v13 I ~~::~:!;~Q~'r~Qr~:~!e:C!~tSjfBUC7\~N=:~:~~f~71ii'11 Square feet ,I 1~;:~:;!!~~~~~W~~~~r;~~~~;~~gQ%T[QijtjltJi!~'!Vk~ i ~:::;~;::::t~::ot: i I City: I State: I ZIP: I I Energy Path: I I Subdivision: ,I. Lot no.: I '1 Dnew 8'1iTiOration I I Reference: I Taxlot: I I Name ?CJI NT ~::=t:JR':;~:~i';:-'::~<"'oi'~~,:~ ,j "i : ~~t:~~:::~::~~nlY permit? 0 No i I Address: 6- ~() !~LOW I I . I I Ca) Permit 'fee (use valuation table): $ I I City: State: I ZIP: , I I' I I (b) Investigative fee (equal to [2a]): $ Phone: Fax: I I (c) Reinspection ($ per hour): I E-mail: J (number ofhoUJs x fee per hour) $ This installation is being made on residential orfarm property owned by I Cd) Enter 12% surcharge (.12 x [2a+ 2b+ 2c]): I me or a member of my immediate family, and is exempt from licensing $ requirements under ORS 701.010. I (e)'Subtotal of fees above (2a through 2d): $ I 1:i-1"3"vnl~"f':ti1fO"itt6tt;~-?}"'i-:"::':f'~'t\pjl;~q-!'0~~i')i1X~m-~AA,l.~'l'.e.'i)i___~';;::;4..I:i"Y"'1&~f~:l1 ,}. ~.~~~~.:,.,~J'?~,~Yl.~.~rL~~_~3t.a~'J;;:lf~~ll\>ml:%_~~&1~Vgt:~.rr~l~~~qr~,Wt-R"''7~~ ,;,,:1 II (a) Plan review (65% x permit fee [2a]): II $ 'II I (b) Fire and life safety C40% x permit fee [2a]): $ I ~4(~;-M-,~.~-~~~tll~'~"~"~'~:~-~f:-~'~::::i:i~::i~]~::~;:~1>:~:\~~'!i'~' {i1,~)-!j:~~L~';M"H>~"'/-:';'~:';';"-; ,II I q ~" ,-,i lsce aneous'Jees,."v,ic'6"~7"ii""<:'r1:,C;i,:-ei~.u;'.fji~.'~-J<;:~>-'~f....Jtt.,",~,...,~.,._"~"'..';,1I<.1:t.,..,., ZIP /' /''7' I 7a;~~i;:iCf;~:;;:(:~;':'~~::~;~;~;;:;;'""'''''''''''!';'''''""',, [ I l TOTAL fees and surcharges (2e+3c+4a): $ ,I I I I Signature/,...-iiJl # \-"-> _ j 1~.;;;t;1;~ft';;;.f!~~S~E!~~.GqNmM~mQRli.N~,~J3:r~AI!QN-rt~~vtl!7~1~~tj r Name CCB License Number Phone Number I I Electrical I I Plumbing I I Mechanical I 225 ,Fifth Street Spl'ingfieId, Oregon 97477 541-726-3759 Phone RECEIPT #: Job/Journal Number. COM2009-00810 COM2009-00810 COM2009-00810 Description Building Pennit + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment CreditCard Paid By THOMAS MCGINNIS cReccintl City of Spl'ingfield Official Receipt Development Services Department Public Works Department 2200900000000000632 Date: 06/09/2009 9:27:29AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 243.25 12.16 29.19 $284.60 Amount Paid CJC $284.60 $284.60 012712 In Person Payment Total: Page I of I 6/9/2009