HomeMy WebLinkAboutPermit Building 2009-6-9
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.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
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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
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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
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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