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Home My WebLink AboutPermit Building 2009-6-12 1/:'~D,~P'A~IME.Nju~~'iiN.W"'!'.' Stru.Ctur-al Permit Application -....................'.' .. e.. D a. .0 '. ".'. .' . . _~ ., ___ . w 225 Fifth Street. Spnngfield. OR 97477. PH(541)726-3753. FAX(541)726-3689 ~;. II I: 'I This permitis issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is , I suspended for 180 days. ': 1,~i:~y(,'~i;r~L~~i~\:U@G:AW,;'~:Qg~J~r:rM~NIi!~'eifRQ)Y~~it~~l*1Vi~~~~~~ll I This project has final land-use approval. Signature:. Date:" I This project hasDEQ approval. I Signature: , Date: I (a)Job description: I I Zoning approval verified: 0 Yes 0 No I I Occupancy I ' I Property is within flood plain: 0 Yes D No I I Construction type: 1 111i'!ll!>k"~"'~iI<i~.cATEG0Ry':c)'fi\coNsTRucfr15N~'~:il':.:~!;..'6";1 1 ~~~&&'ilj31,.."'.7!!L.. .... ..' ..",Al!....,..0.,. . .,. .... ._,......_..~'ilt,'~ ,""~~,"" I Square feet: l".9 '.~".:;:,~~.~,_"~:..,i,,,~,,~.,...-.;..,L'.'_. ....,-.J... D"'.~.~.~,.e,,~~._~,~~~'.,c..~, ."J,c'->.~..,~.""~~.".~~.. ~~:~.".-"'~..~I)..:l~.. I Cost per square foot: I [~~(i;,'!;i(jOi:lJ!.SljTI;:;IN!;PRMA'T.Jq~3fA!'lJ1.ftPJ;AII01:l;;.Jt$~i~01A I Other information I I lob site address: j~ [;0 I-IClv/OW (.l, A ~z.z./:z.-'2# I Type of Heat: 1 I City: S pr,''!3' r: pi J I State: 0 a I ZIP ~ I Energy Path: I' 1".~~~::;~,~:\f1~6~~;?RTt6~~IE~~f~~;..,:,;,."i I (~;::datio:O~~~;:;~it? D~d~:i:n DNo I $1.,~L _.1..... ,",' _.t.._ ....,.., .,'"-"""- .." -,.,..":.- ';'.' I Total valuation: ~I ~it:::W' 1 Name: n e ft1 /", .,.. J-ICJ1IJ tD_ rJt.../rJe/ 1- <; (t"> ('51l~J ; ~J. If;rfgBGH(jl'i{g-;\fees~;;:,:~,.~;~}l;j10J0t~\~~;.:~;;t~~!~Y~2ti~'fQ;~'f!l',~~~/~i~~~~i;,~:#;i[:~,;-'~~~::i:,~:;:1 I Address: ;: C)o Hqv/o l{) R. d ~ ".,..'.A"'_',._"'" ',~,"__7~~,0'Iji!~1r,..",jj"iJf"-w:",~",w..%"y,-~:,"',;,,li,"'o"'l'J-!~'''',!J-'1,.'i,y.,;,'_"'"....:I::,~- I Ca) Permit fee (use valuat:ion table): $ Sf.eB KI2- I City: 5, FV "v1!'jJ'.:,Jti I State: 0 R I ZIP: 97 If 711 ICb) Investigative fee (equ~1 to [2a]): $ ~vlbp I Phone: - -' Fax: - I . I Cc) Rein~~ II per hour): -t-FCff _I I Ecmail: Cnu~fho~ x fe~ per hour), '~.J::::: $ 5:8V] This installation is being made on residential or farm property owned by 1 (d) Enter 12%" surcharge (.12 x [2a+~b+2c]): $ l? '(2-1 me or a member of my immediate family, and is exemptfrom licensing I" I requirements under ORS 70 La 10, (e) Subtotal offees abo~.e (2a through 2d): $ I I I Sign here: I: .' .". . s'",.90NTRAi:;;r0R':'J~S~,\"LA1'lf:@:);'2';t"::'~"0;~";'";;,:., I Business name: )jef- ~ ('1'A"'~ Il..-l-.( ,.(' ~I4C+. I Address: .~7r;! ~'?""'A 4v<",_ I City:sf'y/d . State: of? I ZIP: q?lj-'Jfs' I Phone:,LlJ -'115-' (:;> 7 #/ Fax: I E-mail: I CCB license no,: 131ft (57 ' I Printname T/.~ r"'l"l '!.~c;,'~1",,:r ~ I Signature -rA/.,L '-14 ~ - ,)" - . ::!~~fi~~:~~S\J~'<:0cNg~~~~~:~~~:~~~MAI~~~:~~=:;i(i\i~{}1 I Electrical I I Plumbing I I Mechanical I ( Pennit no.:C4 - (J 4--8 Date: ":;-1.2- ~ " 1~~1'f;ft;:.~~~~:~~~~S~~~\~~~{\;~~~~).~~~~'~'~'tr~pq~'~r,rr!~;~,~~~~~ ~tz;f\f:r::;~~;)71~,:J'~;~1 l:f~j~S{~J~~1~p:p~{i~:t~Effirf.t~:~;1!!1~~~~i}l~f~~~?g~:j*z~~~~~~~t~~:~~{QW~:~~~1 I (a) Plan review (65% x p:~rmit fee [2.]): I (b) Fire and life safety (49';, x permit fee [2a]): I " (c) Subtotal of fees abov~ (3a and 3b): $ $ s I (a) Seismic fee, 1% (01 ~ permit feeJ2a]): 1 'I TOTAL fees and surcharges (2e+3c+4a): I S1!'.OO I + ~ 't.?-Z- .......- $ T (:) t kC-- t 3<>. 1-7- .ii " . . . h_ '. "<:1- ccO Oz 3:U)CC LU-O ......... :J:-O I-::;OLU !:!::CCZ LUUJO CCQ.O -U)Z Q.-<c X:J:m LUI-<cci ....Ja::U)0 ~w__ <cocca:: :J:Z~LU en ::J ~ c.. 1-00>- ::;OLUUJ<C ..~Nc..:>O W~-Z .,WCCWO ~Q.O"",C:O - :I:"':::T- b~I-::;O>- z::J:::Joz I-<Cc..:><c ~ r } . J t- f--- I ~---- 1_- --.--- -- - lJ/'I1fS " . .~ 22-1"t-2-2:J- ihe.. pO/p)+ b 50 I-Ic;y/ow COtlTRM10R R ' I epq,y - .~ ~ REVIEWED FOR CODE COMPLIANCE o n',:i Ii 41 h,,~,I fa,! ve C?'Ily R~flq~(~ 5f,,'''j1:(> qn) S""1t:- delv.1':je. T(- e cui; ~' " I ~ ~ <, 5'1// 'J" ,_ ," I" . "to ~~, V" '- J., t' , " ? /')--" " ]1.-. \ t' -,-, ~/-f' ."/'.,1 L r:{'" /- _I c." I:J'" '-' r' . iI' . ",.J _~ J Y?" 14,' ,/' "..,"j / '< , I I ,.... <i:f / / ;, 'I' ,- ,il '." I l~ l . , ,/ " ..,.- I ' I ~ "r-- "'1' y J I /.( C ot/C-I'e-l-e.- /1'&"'; A~cJ.e '1''-' c{ I' . /" I '<I~ I,I~,I It' -;, -, II.., % I?ef."r R.,,'tcra, v,-~It 3(iJ Ii) ",to'- '''''--- y/ A/131~ :Ir"'.' flAfe I 1-1" t (j,rfe) Lqj> ! ~ 4 f 11 r T sf-r;~~er.5 I " II I I I I ~~ xtna::>- ....UJQlIJ z ~"UlO Q. g-1 _~~~ ::l C . N ClJ:~O o<~~4: WU3;a:: a:: 0 ~ ;: .c{a.. C) ....l w:::!o:::D.. >>I-rt :;:uoct U U 1Il..l t. wz.....UJ z z a T 4. a:: LlJw CD o c( 0{ U 0..>-' Z n. Q.. _\ Q Zoo..J :l :J Ul (~ q::l Wwa::< CD U U e: _, UJa::c..~ o~g...-N moc..tIl .., f-, ",..Jot,. ~ "'.:: >0"'0 tT\ <uJ:..J '" C;: :l:zl-'" tt ~: 00'" ~ z 1-'" ...-I ~ 00 1-. -...:J ~w<..J z :... -~ ~<t:""~~ o UJU~w~ - J:- :elL. I- & D(/]I-lJ.. ~ I~ ~ Ul:":Za:O It .~ I- oWe> ~ \J ~~~t~ Loj 1-0<<0 tIl Cl ~ zi=~I-~ tIl U! ..J u; a: O<(I-U:J I- It < a: IlJ uC::..JUJm o ~ Q Z W~<aLLl Z I- tiJ 0 ~ J:..JD::O:::X: :J U) ..J < 0 I-<oc..f- .t ~~ I Q: J ,1'/" /,j' L j~ Sf'ac-e 0" · ( c.",,,crc+ e l\I f ReplClc.ed S';"""8e'S ~ a w > C~I1J 0 S (<,) C(tAALI TY cON $17\ l/le:.. noN F14- F1 w U '. r w w . z < 0 '1 N oFpP:~ ~ I ~ ~ Z \ 0\1) Cl w l.LI f- a:: 0 o C .J l.LI ~~ ~it= o ~ u > 1lI o w > o ~ ~ ~ 0( Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 650 HARLOW RD APT 224 ASSESSOR'S PARCEL NO.: 1703224302100 PROJECT DESCRIPTION: Repair of Exterior Stair CITY OF SnuNGFIELD " Building/Combination Permit PERMIT NO: COM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $ 1,000.00 Spriugfield TYPE OF WORK: Apartment Building Page 1 of 7 TYPE OF USE: Residential 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 eIR INDlO CA 92201 Owner:. SITOWSKI KlMBERLY.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 Owuer: 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 UNDA 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 Pace 2 of7 CITY OF SPRINGFIELD Building/Combination Permit I . PERMIT NO: CbM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/1212009 VALUE!' $J,OOO.OO !I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line KOLAN EILEEN D 650 HARLOW RD APT 139 SPRINGFIELD OR 97477 EDMAN MARY ELOISE 2549 ELYSIUM AVE EUGENE OR 97401 BURKE JERRY J & HARRIETTE ANN 1742 AZALEA DR ELKTON OR 97436 ABBOTT STEPHEN R & CAROL M 10500 VILLA BONITA SPRING VALLEY CA 91978 GAN SUN HOK L PO BOX 30105 EUGENE OR 97403 PROPERTY MANAGEMENT SER PO BOX 7 VANCOUVER WA 98666 HIXSON DA VID L 650 HARLOW RD #125 SPRINGFIELD OR 97477 GATCH SUZANNE M 650 HARLOW RD APT 225 SPRINGFIELD OR 97477 FORTIER PAUL H PO BOX 70704 EUGENE OR 97401 Owner: CROSS NANNIE E Address: 650 HARLOW RD APT226 SPRINGFIELD OR 97477 Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: -, Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: CONNER ANNE L TE 650 HARLOW RD #123 SPRINGFIELD OR 97477 , ANNE CONNER FAMILY TRUST 650 HARLOW RD APT 123 SpRINGFIELD OR 97477 WALD RUSSELL W 650 HARLOW RD UNIT 223 SPRINGFIELD OR 97477 KELLER BRETT A 615 JOHN WAYNE DR CENTRAL POINT OR 97502 Paee 3 of7 II Ii CITY OF ~t'Klj~\.JJ<u.,LD il ' Building/Combination Permit j~ . ~ . PERMIT NO: COM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/1212009 VALUE:' $'1,000.00 " " , .. :I Status Issued 225Fifth 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 A VE 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 #117 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 Owner: QUIRKE INGRID Address: PO BOX 70592 EUGENE OR 97401 Owner: KAH SUSAN Address: 650 HARLOW RD APT 127 SPRINGFIELD OR 97477. Owner: GREER FAMILY TRUST Address: 2596 SO RREL WAY EUGENE OR 97401 Owner: ERICKSON-HALONEN ELLEN I Address: 509 N 3RD ST ELLENDALE ND 58436 Paee 4 of7 :1 I' CITY OF SPRINGFIELD " II I Building/Combination Permit II, PERMIT NO: COM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 V ALUEi $1,000.00 , . jl Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: Address: Owner: Address: Owner: Address: Owner: Address: .Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: Owner: Address: HILES PHILIP A 650 HARLOW RD APT /30 SPRINGFIELD OR 97477 ARLENE TURNER LIVING TRUST 706 MEADOW LARK AVE FRUITLAND ID 83619 EASTER ELLA MAE 650 HARLOW RD APT 232 SPRINGFIELD OR 97477 BOWERS ROY DEAN 1-2 PO BOX 228 HARRISBURG OR 97446 BOWERS MYRNA D 1-2 PO BOX 228 HARRISBURG OR 97446 ROMOSER RUTH 650 HARLOW RD APT 231 SPRINGFIELD OR 97477 JAROGAMOON L L C 920 COUNTRY CLUB RD #100-B EUGENE OR 97401 BUMGARDNER LORRANIE A 650 HARLOW RD /33 SPRINGFIELD OR 97477 PEREZ MICHAEL A 650 HARLOW RD APT 233 SPRINGFIELD OR 97477 BARBARA COCHRANE REVOCABLE TRUST 25630 PAUL CRT HAYWARD CA 94541 LARRY R BRABHAM REVOCABLE TRUST /31 DEADMOND FERRY RD SPRINGFIELD OR 97477 BEVERLY JBRABHAM REVOCABLE TRUST /31 DEADMOND FERRY RD SPRINGFIELD OR 97477 RESSLER JOHN J 4501 JEAN ST EUGENE OR 97402 COXEN MARIAN 650-149 HARLOW RD SPRINGFIELD OR 97477 Pa2e 5 of 7 CITY OF St'l<.1j~GFIELD II Building/C~mbination Permit PERMIT NO: COM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 V ALVEi' $ :1,000.00 _~lilJ;lING!i!lfilI.<~' ~jt ' ~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: < Front yard Sethack: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: DescriPtion Tvpe of Construction < Estimate Estimate Fee Description Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit Ji' If . I PERMIT NO: COM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $1,000.00 II I CONTRACTOR INFORMATION I License BUILDING INFORMATION) R2 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB Expiration Date Phone Ii II ." n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Fluor: Sq Ft Basement: II Sq Ft Garage/Carport Sq Ft Other: Occupant Load: DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I I Valuat,ion Descrintion ,I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,000.00 Total Value of Project FmPiilU Amount Paid Date Paid $0.00 Paee 6 of 7 ,REQUIRED PARKING Total: Handicapped: , Compact: Sidewa'ik Type: j .' Downspouts/Drains: II Value, Date Calculated $1,000.00 $1,000.00 06/12/2009 Receipt Number -Status Issued , CITY VI' ~rKINGFIELD , ;1 " Building/Combination Permit I ' PERMIT NO: COM2009-00848 ISSUED: 06/12/2009 APPLIED: 06/12/2009 EXPIRES: 12/12/2009 VALUE: $ 1,000.00 " !I 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I :1 To Request an inspection call the 24 hour recording at 726-3769. All insp~ctions requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 ~.m. will be made the following work day. I Re(p,ired lnsnections . II By signature, I state and agree, that 1 have carefully examined the completed application1,and do h~reby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done iu accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaiuing'to the wo'rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community ServiCes Divisiun, Building Safdv. I further certify that only contractors and employees who are in compliance with ORS 7(1I.005 will he used on this project. . I further agree to ensure that all required inspections are requested at the proper time, t6at 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 ti~e~,dur,ing ;/~oni:rS ucti7, -'1 J' II J ~,1/~ t __ 6//'k/or , I' Owner or Contractors Signature Date ' Paee 7 of? 225 Fifth Street . . ",'. " .. Springfield, Oregon 97477 541-726-3759 Phone ~. RIH".~J.ll1.i4I"""'.. ~ , .'. -..,. " CitY of Springfield Official Receipt DeJelopment Services Department Public Works Department Job/Journal Number COM2009-00848 COM2009-00848 Payments: Type of Payment CreditCard 1 cReceiotl Date: 06/12/2009 9:3I:20AM RECEIPT #: 2200900000000000666 Description Building Permit Penalty Fee - BWOP Building Paid By H ANDH QUALITY CONSTRUCTION Received By Page 1 of 1 , " Item Total: " Amount Due 58,00 58,00 $116.00 Check Number Authorization Batch Number NumbJlr How Received " 013012 In Person Amount Paid $116,00 Payment Total: $116,UU 6/12/2U09 225 Fifth Street Spi-ingfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00848 COM2009-00848 COM2009-00849 COM2009-00849 Payments: Type of Payment Check cReceintl RECEIPT #: Description + 5% Technology Fee + 12% State Surcharge + 5% Technology Fee + 12% State Surcharge Paid By M & M QUALITY CONSTRUCTION 3200900000000000449 Received By Check Number Batch Number NJM Page 1 of 1 iI City of Springfield Official Receipt " '1 Development Services Department " Public Works Department !I Date: 06/12/2009 , IO:29:34AM " Item Total: Authorization 'I Number How,iReceived Amount [)ue 5.80 13.92 5.80 13.92 $39.44 Amount Paid 1122 $39.44 In Person Payment Total: $39.44 6112/2009