HomeMy WebLinkAboutPermit Miscellaneous 2009-7-9
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00999
ISSUED: 07/09/2009
APPLIED: 07/08/2009
EXPIRES: 01l09/2010
VALUE: $ 2,000,00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 764 SUNSET DR
ASSESSOR'S PARCEL NO.: 170334]409600
Springfield TYPE OF WORK: Garage
TYPE OF USE: Repair
PROJECT DESCRIPTION: Install beam for additional support of elevated garage tloor system.
Residential
Owner:
Address:
MICHELLE CRISMAN
764 SUNSET DR
SPRINGFIELD OR 97477
Phone Nnmber:
541-747-0359
Contractor Type
General
Engineer
Contractor
GEORGE C KIMBALL
KP ENGINEERING P.c.
'OOll:l3d AVO ae ~ ANV
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I CONTRACTOR,iN~dk~A-itb1l',Hll:l30Nn 03ZIl:lOHln\f
'- -- - _'~'~X3 11\fHS 111l\ll:l3d SIHl
License Expiration:OOL!.ON>hone
64256 02/24/2011 541-913-4703
393-0782
I, BUILDING INFORMATION I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R"3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Sidc 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
ATTENTION: O~verla~ Dist: .
follow r J d lfS'tl'e'e!oTreeS]Rqd;; you to
u as a G~torl ~-"'I-.-:\ ::'\. "
Notificatl.o C tPavei:l Dnve Rqd;)on Utility
in OAR 95;_0~1~;1Jl01!bo(<!O~er.-ge: setforth
0090 y, U through OAR 952-001
.;. ou may obtain COOiR.< nftho .",__ c-
.........."'::1 u'...., "'--"U"''' ""-. .. --J
number f,I,Pl'1!LIC,IMl'R.o.VEMEN'I1S'Ie
. Center is 1-800-332_234-4j....v~"vn Sidewalk Type:
Downspouts/Drains:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
,.
Paee 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00999
ISSUED: 07/09/2009
APPLIED: 07/0812009
EXPIRES: 01109/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-37691nspection Line
I Valuation Descriotion I
Description Type of Construction
Bid Amoun.t Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Value
Date Calculated
Total Value .of Project
$2,000.00
$2,000.00
07/08/2009
~ee. P~.irl I
Fee Description
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
I Plan Reviews ,
Structural Review
07/08/2009
07/08/2009
APP DJB
Install beam for elevated garage
1100r system. Engineered fix.
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.
Relluirerllnsnections I
Footing: After trenches are excavated.
Post and Beam: Prior to floor ins~hition or decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections bave been requested 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 t.furtber certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and tbe Laws of the State of Oregon pertaining to the work described berein, 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.
1 further agree to ensure that all required inspections are requestcd 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 sct of plans will remain on the site at all
times during construction.
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.'::OEP.ARTMENt:USE'ONLY. .
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Permit no.:
Structural Permit Application
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
I Date: 7- 7 - 0 CJ
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.
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I%ti~)~~;;~~ij}ISIJf~l)N~0K~~fiii~;?!\NQ~J9~~;~~~Ji~~\~i~jj I ~~::;~:f:::t:::ot I
I Job site address: '7 t '! . S- ~. /I oJ (j) /? I I Type of Heat: I
I City s;Q/? /1/<;..(;', ~lcI I State (')f? I ZIP:97'Ll1 i Energy Path: I
I Subd]v]sron: I I Lot no.. ---I I 0 new 0 alteration 0 addition .1
I Refe:ence: /70 3.>l{ltl.ITa>xlo~.., S?,:?,~C>O ,I I (b) Foundation'only permit? 0 Yes 0 No I
'c::< :..., _.,\,~~OPERTY:,PWN!'R>,~f:\'.;~:'".,,1 I Totalvaluation: , ,'OOI83dA'tfO OS h,~~.1
I Name All I c.h "'" lie CI? /< /nA N 1 Ilig:!fB:u@iJi~fel!S';JfJ,N,~r;!tJWr~lt;'jSI~BBWilDN3jJlJ!liOO(;A:l,t.~;11
I Address /7,-:: q ::::. /7 -tV <;;c ~ D/?_ I I (a) peLQNro'e~Js~NMUktiol;:u.h\e1:l30Nn 03Zl80Hinlt>o I
I City <;:'f//2//V'4P/ e <<I I State Ot?, I ZIP I I (b) l~~lijt!!i~ffub ~ilIJJl!oIt23]jJl'tfHS 111l\J83dl31Hl I
I Phone: - - / Fax. - - II (c) Reinspection ($ per hour): 5 f.;l::Jllpl\l <}D I.
I E-mail: (number of hours x fee per hour) Z' ~..
This installation is being made. on residential or farm property owned by . (d.).. Enter 12 % surcharge (. 12. x [2.a+ 2b+2C. ].):. .$. b Th. ~
me o.r a member afmy immedIate famJiy, and IS exempt from i1censmg I (e) Subtotlll of fees above (2a through 2d): $'/7!i "
requirements under ORS 701.010. .. .. .... .,.., _, _'__ ~~'~.. ~i~~""'i>,ru-~'"~fi''''''''''-''lO~},,'^''~;''<!-'{'~~'('~'''
Icj..~,to"".,....j':-'.'Wt<tj'''.v.tt;j'0\::kF. ;,,::....'J~~SI.~.' "'.<;;;: a:,lt...~ L~. _il';\f.4.<0.''i'.''Y'}'~f-4-'''tt!''''~-ffl''--'''''i'jmf<4\:WJt\
~;~,;,;:!,:I.aJ.H~e'.:'~,'!:;~~~~~';'if!.~~':~"~I'",}i?~t;"'(:t.fT?:tt:;:f",~"1l..;}u...-~Th~0'9,,'i;''J',):-:y'~
,.".;'.t.: . i (a) Plan review (65% x permit fee [2a]): $ C I
.:~..............u....,' ..........,1<....,. "'-V.;)vIUIG':' U e or eesan surc arges e ca. . ,.--~
I E-mail: in nAR Qt;9Jm1_nnH"\ tht'"AlInh n. R ;-32-uu j_
I CCB license no.: r:, ~:J. ~4' You may oblain copies ~f .!le rules by
I Print name: ~aJl"ng the center. (Note: the t 31ephone
I 17 ...] ]u'. e] fur me ureg.on UlIlIlY I' otl/lcation
Signature: R~. d _, C:::::cifrfft~O-332-23~ 4).
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I Name CCB License Number I Phone Number I
I Electrical I
I Plumbing I I
I Mechanical I I
Sign here:
I. ,.
225 Fifth Street
Springfield, Oregon 97477
54] -726-3759 Phone
Job/Journal Number
COM2009-Q0999
COM2009-00999
COM2009-00999
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Desc-ription
Building Permit
+ 50/0 Technology Fee
+ 12% State Surcharge
Paid By
KIMBALL CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000792 -
Date: 07/09/2009
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
KR
2466
In Person
Payment Total:
Page 1 of 1
I :09:56PM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
7/9/2009