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HomeMy WebLinkAboutPermit Building 2009-6-26 -~~,~~~~~~I~~2tf-,~:l~-,-ffi , f 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 '''''''jH-'' "" u'.... '-"....~Vl.' .......II"r.,~V'''''..........v'' BUILDING INFORMATlON.ler is 1-800-332-2344). B " 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. ~f 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