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Home My WebLink AboutPermit Building 2009-6-12 Structural Permit Application - 225 Fifth Street. Springfield, OR87477. PH(541)726-3753. FAX(541)726-3689 1~;~:Rg.~e;FiT~~Nf.:U~~:\i:W~y!1 Pe";"it no. C 4 -d4i I Date: 6 ~ 1- Z-- - e-C( This permit is issued under OAR 9]8-460-0030. Permits expire if work is not started within ]80 days of issuance or ifw9rk is . . suspended for] 80 days. . 1i;;;;!{;::;ili\W.;;i[Qt~i1'i9'Q2'E@M~~~4?\e.Ff[QV~[~;~'1l\\t9;~~~i;~1 I T~is project'has final land-use approvaL I Slgnatl,lre: . Date: I This project has OEQ approvaL I Signature: Date: I (a) Job description: '1 Zoning approval verified: 0 Yes 0 No I I Occupancy f~i;t~;ti;i~~;~~~~~l9~l~~N~f~i~j9Jf~llill!f~1W4@!i\ I ~::::u;~~~n type 1~~;~~~;f;~fi~~~~'rf~:~iN~0~~~t~~~~e:@wJ9~~;i~~i:~.~1~\ I ~~:::ie:f::~:~::ot: I Job site address: b' 50 !+qy / 0 W . R d 117.-U! z- 2--71 I Type of Heat: I City: ~"'/V1(l {,'e lei. I State: 0 R.. r ZIP'177?71 I Energy Path: I SubdiviSion: ....; I Lot n,\:, I I' . I Reterence \ r"\(} titl~~' ~ Taxlot: (Yl....\ljV I 0 new 0 alteration, 0 addition . .' .... '. i:, p,RO))E~fY:QWNE~;\":;t:;'::'&'~:; ,- ">:1 . : ~~t:~~::::i::~~nIY permit? 0 Yes 0 No I Name Ihp 0",''''-1- HOMe; CJWMV J) S'>05>I'cm'Vn 11.0~!(I!Uil~iiiga-~e~~~~~1'i~~:ii~j[l1!IWil11~t~!2';1;\i!!~j~1:iJi;,~!~!;,=t' I Address: ;:,' i; CJ . /-I <'Iy II') LV' R '" I 5' I' /, / I A t:> I ZIP'. 67"771 I (a) Permit fee (use valuation table): I $ ~ .~.p... City: .Pr" V1_q 1; 'r;: " . State: (j " 7 7 J> I '1 (b) Investigative fee (equal to [2a]): $ e>~Or Phone: -. - Fax: - I I I (c) Reinspection ($ per hour): ~ I E-mail: (number ofhours x fee per hour) Fl!I:! $ 5 .88 This installation is being made on residential or farm property owned by (d) Enter 12% surcharge (,12 x [2a+2b+ 2c]): $ .I ~. "f" I me or a member of my immediate family, and is exempt from licensing ~ requirements under ORS 70.1.0.10.. (e) Subtotal offees above (2a through 2d): $ I 1~3~~~iaii~r}i~j~~~,~rf~'i~sil~~~~4~}~~~\~~,~~';~$~~'8(~'1 Sign here: I'} ('a;,,~,;~~;;~;~,:,(~;~~;,,=~~~~::;;~J_~"'(~*:-".~A~~~~~~',u!fti I:' ." .... , c:ONTRAC;rOR;i@T:AlllP;n9NV";''';;"';~:i.<,jji,.,:\;:.j I II (b) Fire and life safety (40.% x permiffee [2a]): $ I Business name: I!J ~ JI1 G1"c"/.'+r ('''''vt<:'',/ J,r-!.~,V1 I (c) Suhtotal offees above (3a and 3h): $ I if~~;~;i:~,":"'~ I:::OR 1,,'17<,: i~~~::!!;!.~~~= I CCB license no. I -/-), 'f. --:rz. I Print name ~,,"- .A1,'rJ..~,,/ M Lr:.Ao1:S I I Signature J. -i.il ~~_~ I I ~~~t.;~~rt~;~ti~~~t~r~r;;l~~[~~!F,'Ee~'~:~$'~H~,R~U.:~!';ii~r:Y:~~\?r~~:tr::~'i}::~;:~?~~~ I 1~'i~~~Y.~'~'_~WH9..i(ri'nfg!J~f~!~p:~~}iK~{~i-~1(~1~~~i~;t\~~~~}z:~~1t~;~f,~f#J~{~~\:~x:l Il~~~1~!~A)0;T~~~~$:~J~\~~C:?NJjBAGJORHN_~,"QRMArJQ.Nit~~~~f~l~~~ I Name CCB License Number Phone Number I Electrical I Plumbing I Mechanical lOl"kt-- % 13 5. -:r- z--- Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 650 HARLOW RD APT 228 ASSESSOR'S PARCEL NO.: 1703224302100 PROJECT DESCRIPTION: Repair Exterior Stairs CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00849 ISSUED: 06/1212009 APPLlED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $ 1,000.00 Springlield TYPE OF WORK: Apartment Building Paee 1 of 7 TYPE OF USE: . Residential _SI1lIilIN~l;!lI!:~O! i . ,11 Status Issued 225 Fifth Street, Springfield, OR 541'-726-3753 Phone 541-726-3676 Fax <541-726-3769 Inspection Line Owner: ROBERT L NUNLEY 1989 LIVING TRUST Address: 47535 BUCKSKIN CIR INDlO CA 92201 Owner: SITOWSKI KIMBERLY A Address: 650 HARLOW RD #128 SPRINGFIELD OR 97477 Owner: COXEN PETER E Address: 650-149 HARLOW RD SPRINGFIELD OR 97477 Owner: VOG DONALD S & SALLY J Address: 2626 5TH ST SPRINGFIELD OR 97477 Owner: HARTER F CHARLES & MARGARET Address: 650 HARLOW RD #235 SPRINGFIELD OR 97477 Owner: LARGE LINDA S Address: 650 HARLOW RD APT 135 SPRINGFIELD OR 97477 Owner: WALTON MAXINE A Address: 650 HARLOW RD APT 137 SPRINGFIELD OR 97477 Owner: ALLEN ANNE B Address: 650 HARLOW RD UNIT 237 SPRINGFIELD OR 97477 Owner: OLIVER LINDA P Address: 650 HARLOW RD #138 SPRINGFIELD OR 97477 Owner: SWENSON SANDRA LEE Address: 650 HARLOW RD UNIT 238 SPRINGFIELD OR 97477 Owner: WILLIAMS NANCY L Address: PO BOX 22 SPRINGFIELD OR 97477 Owner: MCCUNE MICKEY A Address: PO BOX 71394 EUGENE OR 97401 Owner: PEREZ MELANEY A Address: PO BOX 71394 EUGENE OR 97401 Owner: BELLIN DEANNA Address: 650 HARLOW RD 239 SPRINGFIELD OR 97477 Paee 2 of 7 CITY OF SPRINGFIELD Buil~ing/Combination Permit PERMIT NO: COM2009-00849 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 1'2/12/2009 VALUE: $ 1,000.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: KOLAN EILEEN D Address: 650 HARLOW RD APT 139 SPRINGFIELD OR 97477 Owner: EDMAN MARY ELOISE Address: 2549 ELYSIUM AVE EUGENE OR 97401 Owner: BURKE JERRY J & HARRIETTE ANN Address: 1742 AZALEA DR ELKTON OR 97436 Owner: ABBOTT STEPHEN R & CAROL M Address: 10500 VILLA BONITA SPRING VALLEY CA 91978 Owner: GAN SUN HOK L Address: PO BOX 30105 EUGENE OR 97403 Owner: PROPERTY MANAGEMENT SER Address: PO BOX 7 VANCOUVER WA 98666 Owner: HIXSON DAVID L Address: 650 HARLOW RD #125 SPRINGFIELD OR 97477 Owner: GATCH SUZANNE M Address: 650 HARLOW RD APT 225 SPRINGFIELD OR 97477 Owner: FORTIER PAUL H Address: PO BOX 70704 EUGENE OR 97401 Owner: CROSS NANN IE E Address: 650 HARLOW RD APT 226 SPRINGFIELD OR 97477 Owner: CONNER ANNE L TE Address: 650 HARLOW RD #123 SPRINGFIELD OR 97477 Owner: ANNE CONNER FAMILY TRUST Address: 650 HARLOW RD APT 123 SPRINGFIELD OR .97477 Owner: WALD RUSSELL W Address: 650 HARLOW RD UNIT 223 SPRINGFIELD OR 97477 Owner: KELLER BRETT A Address: 615 JOHN WAYNE DR CENTRAL POINT OR 97502 Paee 3 of 7 CITY OF SPRIl'itJNELD Building/Combination Permit PERMIT NO: GOM2009-00849 ISSUEQ: 06/]2/2009 APPLIED: 06/]2/2009 EXPIRES: ]2/12/2009 VALUE: $ ],000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: SIX SAMANTHA M Address: 615 JOHN WAYNE DR CENTRAL POINT OR 97502 Owner: NAGY EVELYN D Address: PO BOX 10412 EUGENE OR 97440 Owner: SANDE SCOTT K & KAREN J Address: 3825 SW TIMBER AVE REDMOND OR 97756 Owner: KA VIC LINDSEY V Address: 650 HARLOW RD APT 219 SPRINGFIELD OR 97477 Owner: SIMPSON PALMER J Address: 650 HARLOW RD #Il7 SPRINGFIELD OR 97477 Owner: KEEFE VIRGINIA DAVIS Address: 650 HARLOW RD APT 217 SPRINGFIELD OR 97477 Owner: STANLEY K PEARCE TRUST Address: 650 HARLOW RD APT 218 SPRINGFIELD OR 97477 Owner: DORNAN PAUL A Address: 47863 HWY 58 OAKRIDGE OR 97463 Owner: ENGLE JILL Address: 650 HARLOW RD UNIT 220 SPRINGFIELD OR 97477 Owner: EARL KAREN A Address: 650 HARLOW RD #120 SPRINGFIELD OR 97477 On'ner: QUIRKE INGRID Address: PO BOX 70592 EUGENE OR 97401 Owner: KAH SUSAN Address: 650 HARLOW RD APT 127 SPRINGFIELD OR 97477 Owner: GREER F AMIL Y TRUST Address: 2596 SORREL WAY EUGENE OR 97401 Owner: ERICKSON-HALONEN ELLEN I Address: 509 N 3RD ST ELLENDALE ND 58436 Paee 4 of? CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00849 ISSUED: 06/]2/2009 APPLIED: 06/]2/2009 EXPIRES: ]2/]212009 VALUE: $ 1,000.00 . Status ~ Issued 225 Fifth Street, Springfield, OR 541-726"3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: HILES PHILIP A Address: 650 HARLOW RD APT 130 SPRINGFIELD OR 97477 Owner: ARLENE TURNER LIVING TRUST Address: 706 MEADOW LARK AVE FRUITLAND 1D 83619 Owner: EASTER ELLA MAE Address: 650 HARLOW RD APT 232 SPRINGFIELD OR 97477 Owner: BOWERS ROY DEAN 1-2 Address: PO BOX 228 HARRISBURG OR 97446 Owner: BOWERS MYRNA D 1-2 Address: PO BOX 228 HARRISBURG OR 97446 Owner: ROMOSER RUTH Address: 650 HARLOW RD APT 231 SPRINGFIELD OR 97477 Owner: JAROGAMOON L L C Address: 920 COUNTRY CLUB RD #100-B EUGENE OR 97401 Owner: BUMGARDNER LORRANIE A Address: . 650 HARLOW RD 133 SPRINGFIELD OR 97477 Owner: PEREZ MICHAEL A Address: 650 HARLOW RD APT 233 SPRINGFIELD OR 97477 Owner: BARBARA COCHRANE REVOCABLE TRUST Address: 25630 PAUL CRT HAYWARDCA 94541 Owner: LARRY R BRABHAM REVOCABLE TRUST Address:. 131 DEADMOND FERRY RD SPRINGFIELD OR 97477 Owner: BEVERLY J BRABHAM REVOCABLE TRUST Address: 131 DEADMOND FERRY RD SPRINGFIELD OR 97477 Owner: RESSLER JOHN J Address: 4501 JEAN ST EUGENE OR 97402 Owner: COXEN MARIAN Address: 650-149 HARLOW RD SPRINGFIELD OR 97477 Pa2e 5 of 7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00849 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $ 1,000.00 _~r;1~tJ:o!,Q!!I,*I?; . ~" ' ,;1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Availahle: Special Instruction: Notes: Description Tv De of Construction Estimate Estimate Fee Description . Total Amount Paid CITY OF SPRINGFIELD Building/Combination Perrriit PERMIT NO: COM2009-00849 ISSUED: 06/12/2009 APPLIE;D: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $ 1,000.00 I CONTRACTOR INFORMATION I BUILDING INFO~~ATION I R2 # of Stories: Height of Structure . Type of Heat: Water Type: Rauge Type: Energy Path: Sprinkled Building: VB License Expiration Date Phone n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of LOt Coverage: I PUBLIC IMPROVEMENTS I I Valuation Descriotion I . $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,000.00 Total Value of Project Fpp.. Pqirl I Amount Paid Date Paid $0.00 Paee 6 of7 , REQUIRED PARKING Total: Haudicapped: Compact: Sidewalk Type: DownspoutsfDrains: Value Date Calculated $1,000.00 $1,000.00 06/12/2009 Receipt Number Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00849 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $ 1,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. R~q~ired Insnection,' I 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 Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withuut 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 w!1I remain on the site at all ~.;"~ ~ '~ :/./12/0 01 Owner or rontra~tors Signature Date Pa2e 7 of7 City of Springfield OffiCial Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 .' ,_.0 .. 541-726-3759 Phone Job/Journal Number COM2009-00849 COM2009-00849 Payments: Type of Payment CreditCard cReccintl RECEIPT #: 2200900000000000667 9:38:26AM Date: 06/12/2009 Description Building Permit Penalty Fee - BWOP Building Amount Due 58.00 58.00 $116.UU Paid By HAND HQUALlTY CONSTRUCTION Item Total: <":heck Number Authorization Received By Batch Number Number How'Received 093812 In Person $116.00 Amount Paid Payment Total: $116.UU' Page I of I 6/12/2009 . - .s:::' >0 >1l""'~+;)t t' ft ~t:: ~.&J C ~'.:; . .. - .e C? 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J:...Jc:::a::::r; . 1-<(00.1- <:. 225 Fifth Street Spri~gfjeld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00848 COM2009c00848 COM2009-00849 COM2009-00849 Payments: Type of Payment Check cReceintl RECEIPT #: Description + 5% Technology Fee + \.2% State Surcharge + 5% Technology Fee . + \2% State Surcharge Paid By M & M QUALITY CONSTRUCTION .~~ II&: . " j: II City of Springfield Official Receipt Development Services Department I: Public Works Department I: I 3200900000000000449 'I Date: 06/12/2009 " 'I IO:29:34AM Received By " Item To~al: Check Number 'Authorization Batch Number Number How Received "I Amount Due 5.80 13.92 5.80 13.92 $39.44 Amount Paid. NJM \\22 In Person $39.44 Payment Total: I, $39.44 'i Page I of 1 6/12/2009 .