HomeMy WebLinkAboutPermit Building 2009-6-26
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1570 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253102800
PROJECT DESCRIPTION: Re-siding
Owner:, STOVALL M SCOTT & JONI M
Address: 1651 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
VE BUILDERS
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
, Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side 1 Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
,
Description
Type of Construction
CITY OF SPRINGFIELD
Building/C()mbination Permit
PERMIT NO: COM2009-00943
ISSUED: 06/26/2009
APPLIED: 0'6/26/2009
EXPIRES: 12/26/2009
VALUE: $' 22,000.00
Spriugfield TYPE OF WORK: Miscellaneous
TYPE OF USE: Repair
Commercial
h.TTI="ITI()"" ()r.o.nnn I~\M rp.mlirp~ \(nl! tn
fnllnw r111,,~ erlnoted by the Oregon Utility
I CONTRACTOR INF,0RMA:rIONhl', Those rules are set forth
in OAH 952-001-0010 through OAR 952-001-
0090, Y'hicen.seNairExpiratioiilDates brhone
caJlinn i'6315mt~r. (Not(~7?i<j/.i.ll'fQ)hone 338-9901
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BUILDING INFORMATlON.ler is 1-800-332-2344).
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Lot Siz~:
Sq Ft l.st Floor:
Sq Ft 2nd Floor:'
Sq Ft Basement:
Sq Ft Gilrage/Carport
Sq Ft Other:
Occup~nt Load:
VB'
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Buildinp E'
i'<Vt.w."
I DEVELOPMENT INFORMATIbN-;.;~.LL t:Xt-'IHt: I~ I HI: VVUIi/\ '
MV" ...;"...~~ v,,~ER THIS PER~k'ldbt/&l PARKING
. COMMENCED OR IS ABANDONED FOR
Overlay DlSt: MV 100 D ^V PERIOD ' Total:
# Street Tre~~IRqd:) 1'\1 . Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
l'
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
_1!,!;t~J:r~u:?",f:!!~~9J, :I\~)~,i~;~J.
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Status
Iss u ed
CITY 01' ~rKINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00943
ISSUED: 06/26/2009
APPLIED: 06/26/2009
EXPIRES: 12/26/2009
VALUE: $ 22,000.00
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
$30.36
$12.65
$253.00
6/26/09
6/26/09
6/26/09
Receipt Numher
2200900000000000719
2200900000000000719
2200900000000000719
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Total Amount Paid
$296.01
Plan Reviews I
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day. '
I, Reo~ired Insn~ctio~s I
Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
Final Building: After all required inspections have been requested and approved and the huilding is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he 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, Bnilding Safe!)'.
,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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.
(>:;:~~ <: ~~
O,,:ner or Contractors Signature
6-~'?/-'o7
Date
Page 2 of 2
Structurlll Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
.1:~@>,~p,A~:rrVi)~Nisu~E'iQNW~'.'1
peripit no.: (!?q-ctv--.3 .
. ' I Date: & /U# Jf) 5
This permit is issued under OAR 918-460-0030. Permits expire if work is not started .within 180 days of issuante or if work is
suspended for 180 days.
I.: ",:.",:,CONTRA<;:;t()Ri!N~'pAl:.~An9NL;,(:",:,,"i;;'; ,,:i;.~I'
I Business name. l/:.t"'; t'({/I//c5rJ::TkC,
I Address "7 ;S03 <" )~ "11 <;'" u r< I
I Cir:y:-('. (- . I State: //r I ZIP:'3?"/-71dl
, Phone:~/ -'7'J,f'"5;TJO Fax")7jI-'7'7r- <;-:?<r7 1
IE-mail:/h;.ryc.6'h7A'lh7iJ/1O""/rd/i.,C.OJr(l ,
I CCB license no.: ./../ 6' .5'/ r- I
I Printnam" ~n c G:h. r /C, /y');' /'0 n I
I SignatureU~~ ;Z d/~ I
l;:;:i~\i';,~,,;ji;::~\i\,[q,C:A~\?G:9Y~@MI~J~'i'gBRB~O'V~j):~'ij,';;;~J'4f~-ii.f
I This project has finallandwuse approval.
Signature: Date: 1~~~i'::;f:~~~~}~~:1,~.~t~~:i:8t.~;1t{[~IR~.~'~:.~',~'A.,~RU~~r.t~,}I~~~1~:?1~f:'V:T:Tr:~~~j~V.i~:,~tl
I ~~~~;~;eecl has DEQ approvaL Date I, ig~~~:~tiE~!;~:~~~~~i:;~~~Ya?~;:~~:~=~~~\;::i
I Zoning approval verified: DYes DNo I j Occupancy I
I Property is within flood plain: 0 Yes 0 No I I Construction r:ype: 1
1"\\i*\'~;:~$"~'''+'C:ATEGdRY1.0F'j'CONsfR'Ucffii0N~l'1!'i,''''!J'''''F~I
~'l,,,l~,~~'I';,,~~...,.,..,,,.~_,,"_ .._,!"",..,.':. ".,1..".."...<%4~"..'l'n1!i I Square feet: ,I
:~~~;~~~~1[Bl~,si~f~1;)N~Q~~ifif.i~JA@~JQ~liNrJ1t~f;1'q}11 I ~:::;:f:::t~::ot: :
I JO, b site address: / S '7 (/. /i;?"';:,, ",/,,4--, 1 1
. . r A Type of Heat:
I Cir:y: <("'o:?F/.o, State: dr' I zIP:'77W' I Energy Path: 1
I Subdivision: I Lot no.: I I 0 " I
IReference \"D~d..~~'TaxlotO'~CJ I new, o alteration Dad<iition
I".. . '. " ...... '..," ,,,c.',..-.,':,':....',,,,-' "'I I (b) FoundatJon-onlypermlt? DYes DNo I
1"~aL ~C<.>/7',\I?;~_;~,;?:'lVN!=R;':":'r"""?!';b';"::"1 I Total valuation: "2'2.0<!:>Q I $ I
I I 1~~:if~:G~!t(jl~'git~~,~~~~~1t~~cli~~1J~~~i~~~:~iG~NffC~)t1~i:~M'i~ill~::;1~:.~J
Address: /.('~ c.a-'176n;-o/ tI t
..r; I (a) Permit 'fee (use valuation table):
I City: <5/;0/'/0, 'I State:O'r' I ZIP:t7.y7If
I I (b) Investigative fee (equal to [2a]):
Phone: Fax: - I
I I 1 (c) Reinspection ($ per hour):
E-mail: (~umber ofhour~ x fee per hour) $
This installation is being made on residential or farm property owned by I (d) Enter 12% surcharge (.12 x [2a+2b+ 2c]): $.''''' 0 ~ (,? I
me or a member of my immediate family, and is exempt from licensing _J
;i::i~::~ts under ORS 701.010. ~~~;i~;;~j~t;e~ii~~;i~~l~~i~~~~i~~~~~~~~1
I (a) Plan review (65% x permit fee [2a]): I $ 1
I (b) Fire and life safety (40% x permit fee [2a]): $ I
I (c) Subtotal of fees ,bove (3a and 3b): $ :2~-3 I
1~~~~~'MiK~~!i#~i!~~~t~;;f~;~~~~{j!~i;t~,:t,i'~:lt;[qB?~~~TE?l;ttJ~~~}J}~~if~~,~:s~;l
(a) Seismicfee, 1% (01 x permit feel[2a]): $ I
TOTAL fees and surcharges (2e+3c+4'), $ J..'7G. ,011
$
$
1:\!i\~!1~'l!fut'iiITt~sul:i,C:G)N[l;BAtitQRJtl~()RMA"IQNif~1[~i;'l;ii1'l\i'il!!H
I Name CCB License Number Phone Number I
Electrical I
I Plumbing i.. /,( I
I Mechanical ;/ X/I ^ I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00943
COM2009-00943
COM2009-00943
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Building Penn it
+ 5% Technol'ogy Fee
, + 12% State Surcharge
Paid By
VINCENT HINTON
City of Springfield Official Receipt
Development Services Department
Puplic Works Department
2200900000000000719
,
Date: 06/26/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How,Received
cjc
555536 In Person
Payment Total:
Page I of I
2:03:26PM
Amount Due
253.00
12.65
30.36
$296.0 I
Amount Paid
$296.01
$296.01
6/26/2009