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Home My WebLink AboutPermit Building 2009-8-12 Structural Permit Application 1:'\p~pARTnnE:NT,.u5'~9N~Y... .1 225 Fifth St"et. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54l)726.3689 pemi,itnoccr ~ 11b1 I Datl': e, - 1- 7-- -0-1 I This permit is issued under OAR 918-460-0030. Permits expire if work is oot started within 180 days of issuance or if work is suspended for 180 days. 1!~J;?;f:' ~"?!~~T?t,:.(~;':;i~:,~!lj~J.F~~ ~'~-g't{~Q.jJ~'~~?~~I?::~;~~~:7[~i~.f\\:';?~7~': i:!'5t I 1:;iSY${~m~1IQ~:rf[(o.f,tI1~j19Ji~t~~jJ:~~~~ii;fMi~![jl\G~~ifl;l~*j~;i~F,,;',;~*~~;,~i.~;,,'1 I I I Construction type: I I I I I I I , I I (a) Job description: Occupancy Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new 0 alteration 0 add)tion (b) Foundation-only permit? 0 yes 0 No r Total valuation: I $ li~'7:Jr)!#Uai~g:'.t~~.~i1hn~EQ~~it~~~~l~lf~~k~~;~.l~?~~~,ig~!Hj{;'1I~:;~?i1f.rj;~7{, $ C; <;< Qfi- $ I 2C(f' $ C;;; "'ff?, $ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): . (number of hours x fee per hour) 59. ~$ (d) Enter 12% surcharge (,12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): I State: Fax: (a) Plan review (65% x permit fee [2';]): $ (b) Fire and life safety (40% x permi(fee [2a]): $ (c) Subtotal of fees above (3a and 3~): $ I It~~~MTh~lH:~n~~[sTt~~~'2i:~?}~~~~~i~~l~~l+~i~,~~2~~:i,:9~tli5~l~g:~~,'~~:~j:~~1;,_:1 I (a) Seismic fee. 1 % (01 x permit fee f2a]): I $ I I i TOTAL fees and surcharges (2e+3c+4a): I $ r::1~3.b I 1!~~fi*i'{i!f';'t\i!,l(i;sUEEc.bNjt:f{J>;t;t6RfINJ;()R.MAjl'IQN~7J3J~~[g~jIi'lY1 I Name I CCB License Number Phone Number I I Electrical I I Plumbing I I Mechanical I Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01169 ISSUED: 08/12/2009 APPLIED: 08/1212009 EXPIRES: 02/12/2010 VALUE: $,JOO.OO I; 225 Fifth Sireet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1263 MAIN ST SPACE 23 ASSESSOR'S PARCEL NO.: 1703354108700 Springfield TYPE OF WORK: Manufactured Home in Park TYPE-OF USE: PROJECT DESCRIPTION: Entry Stairs! Landing, and Deck built without permit. S17f'..\,.(C,-r u 1Lkt- PI:.lJAt. .:rAJ ~Tt:-D/J Residential ATTENTION: Oregon law requires youto . rules adopted by the Oregon Utility ~~Iii~i~ation Center. ThhOSe rUhleOs Aa~ 9S;~_fg~~~ . OAR952-001-0010t roug ~090. You may obtain copies of the rules by callin the center. (Note:,the tele~hone . numb~r for the Oregon Ulility Notification . Center is 1-800-332-2344). NOTICE: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORiZED UNDER THIS PERMIT IS NOT COMMENCED OR is ABANDONED FOR ANY 180 DAY PERiOD. Paee 1 of6 _G,~~!~~!'il!;t!?) ...l' ",' - '111 " -. lit, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: DARR RALEIGH J & IRENE E Address: 1263 MAIN ST # 23 SPRINGFIELD OR 97477 Owner: LUNA-SANDOVAL ISMAEL Address: 1263 MAIN ST SPACE 07~ SPRINGFIELD OR 97477 Owner: AGUILERA DANILO Address: 2415 35TH ST SPRINGFIELD OR 97477 Owner: KINDRICK VANESSA Address: 2415 35TH ST SPRINGFIELD OR 97477 Owner: HARRINGTON RYAN C Address: 1263 MAIN ST SPACE 069 SPRINGFIELD OR 97477 Owner: HILL JOE GAlLEN Address: 1263 MAIN ST SPACE 074 SPRINGFIELD OR 97477 Owner: MCCLURE DEBORAH ANN Address: 1263 MAIN ST SPACE 074 SPRINGFIELD OR 97477 Owner: BENSON LINDA L Address: 1263 MAIN ST #68 SPRINGFIELD OR 97477 Owner: ROSS JOHN MARTIN JR Address: 1263 MAIN ST SPACE 068 SPRINGFIELD OR 97477 Owner: ALLEN JEANNE RENE Address: 3003 W 11TH AVE #242 EUGENE OR 97402 Owner: KESSLAU GERHARD ERNST Address: 1263 MAIN ST #82 SPRINGFIELD OR 97477 Owner: GOULET VICKI Address: 1263 MAIN ST SPACE 077 SPRINGFIELD OR 97477 Owner: PEER SUE Address: 225 N 41ST ST #5 . SPRINGFIELD OR 97478 Owner: COX DAVID Address: 1263 MAIN ST #29 SPRINGFIELD OR 97477 Paee 2 of6 CITY OF ~rrtll~GFIELD Building/O~mbination Permit PERMIT NO: COM2009-01169 ISSUED: 08/12/2009 APPLIED: 08/12/2009 EXPIRES: 02/12/2010 VALUE: $:100.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: MCQUHNJOHN Address: 1263 MAIN ST #51 SPRINGFIELD OR 97477 Owner: CARDENASADAN Address: 1263 MAIN ST SPACE 052 SPRINGFIELD OR 97477 Owner: SOUTH V ALLEY ENTERPRISES INC Address: PO BOX 2567 EUGENE OR 97402 Owner: BOLLEN SAMUEL Address: 1263 MAIN ST SPACE 078 SPRINGFIELD OR 97477 . Owner: JONES AUBERY W Address: 1263 MAIN ST SPACE 075 SPRINGFIELD OR 97477 Owner: INMAN TONY A JEAN Address: 1263 MAIN ST SPACE 061 . SPRINGFIELD OR 97477 Owner: SOUTH V ALLEY ENTERPRISES INC Address: PO BOX 2567 EUGENE OR 97402 Owner: LEE RUSSELL ROBERT Address: 39794 HOWARD RD MARCOLA OR 97454 Owner: HAGER DENISE RENEE Address: 1263 MAIN ST SPACE 086 SPRINGFIELD OR 97477 Owner: LOPEZ-LOPEZ GUADALUPE Address: 270 N 54TH ST SPACE L SPRINGFIELD OR 97477 Owner: FORT RICK Address: 1263 MAIN ST SPACE 070 SPRINGFIELD OR 97477 Owner: PORTER CECILIA P Address: 1263 MAIN ST SPACE 070 SPRINGFIELD OR 97477 Owner: SOUTH V ALLEY ENTERPRISES INC Address: PO BOX 2567 EUGENE OR 97402 Owner: HAMMOND ROBERT F Address: 1263 \VIAIN ST SPACE083 SPRINGFIELD OR 97477 Paee 3 of 6 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01169 ISSUED: 08/12/2009 APPLIED: 08/12/2009 EXPIRES: 02/1212010 VALUE: $;.100.00 _~!il!!N~!,'J$!!:\2] ~!). l -~~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: . GREGORY HOLLY A Address: 1263 MAIN ST SPACE 081 SPRINGFIELD OR 97477 Owner: SOUTH V ALLEY PROPERTIES LLC Address: PO BOX 2567 EUGENE OR 97402 Owner: ERICKSON TRISHA DAWN Address: 1263 MAIN ST #48 SPRINGFIELD OR 97477 Owner: MILEY DENNIS EDWARD Address: 1263 MAIN ST #48 SPRINGFIELD OR 97477 Owner: SOUTH V ALLEY ENTERPRISES INC Address: PO BOX 2567 EUGENE OR 97402 Owner: ECHEVERIA DELGADO JESUS Address: 1263 MAIN ST SPACE 071 SPRINGFIELD OR 97477 Owner: ECHEVERRIA GONZALES JESUS Address: 1263 MAIN ST SPACE 071 SPRINGFIELD OR 97477 Owner: SHODIN KATHY Address: 1136 56TH ST SPRINGFIELD OR 97478 Owner: BOLES DAVID 0 Address: 1263 MAIN ST SPACE 084 SPRINGFIELD OR 97477 Owner: MILLER WILLIAM F Address: 454 W 6TH AVE EUGENE OR 97401 Owner: CORRIGAN PATRICK JOHN Address: 1263 MAIN ST SPACE 026 SPRINGFIELD OR 97477 Owner: SOUTH V ALLEY PROPERTIES LLC Address: PO BOX 2567 EUGENE OR 97402 Owner: GAMA-PEREZ GENARO Address: 1263 MAIN ST SPACE 072 SPRINGFIELD OR 97477 Owner: ZA VALET A CRUZ GEORGINA Address: 1263'MAIN ST SPACE 079 SPRINGFIELD OR 97477 Paee 4 of6 CITY OF SPRINGFIELD Building/Co,mbination Permit , PERMIT NO: COM2009-01169 ISSUED: 08112/2009 . APPLIED: 08/12/2009 EXPIRES: 02112/2010 VALUE: $100.00 _~:'.~'!lIe!;:'~~;,,'1~ '1 9~:' Status Issued CITY OF SPRINGFIELD Building/CQmbination Permit PERMIT NO: COM2009-01169 ISSUED: 08/12/2009 APPLIED: 08/12/2009 EXPIRES: 02/12/2010 VALUE: $ 100.00 225 Fifth Street, Springfield, OR 541'726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Owner: LEGETT FRANK J & NORA L Address: 1263 MAIN ST SPACE 073 SPRINGFIELD OR 97477 Owner: SCHLOSS REINHARD Address: 1263 MAIN ST #15 SPRINGFIELD OR. 97477 Owner: SOUTH V ALLEY ENTERPRISES INC Address: PO BOX 2567 EUGENE OR 97402 I CONTRACTOR INFORMATION. Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , R3 # of Stories: Height of Structnre Type of Heat: Water Type: Raoge Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I'st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft qaragelCarport Sq Ft Other: Occup~nt Load: , VB No I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard'Setback: . Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: : REQUIRED PARKING :, Total: I Handicapped: Compact: I PUBLIC IMPROVEMENTS. Street Improvements: . Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Dra~ns: Notes: , I Valuation Descriotion I Description . Tvpe of Construction $ Per Sq Ft 'or multiplier Square Footage or Bid Amount I Value Date Calculated Pa!!e 5 of 6 _l5i~",I,,,!@;!;I,,,,~?~!' \ . . ; l. ~j CITY VJ:< ~rKll'\iuFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01169 ISSUED: 08/12/2009 APPLIED: 08/12/2009 EXPIRES: 02/12/2010 YALUE: $ 100.00 225 Fifth Strcet, Springfield, OR 541-726-3753 Phone 541 "726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 100.00 $100.00 $100.00 I 08/12/2009 Total Value of Project Fees Paid I Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 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. I, Reouired Tnsnections I Final Building: After all required inspections have been requested aod approved aod the building is complete" By signature, T state and agree, that T have carefully examined the completed application and do hereby certify that all informaiion hereon is true and correct, aIld T further certify that any and all work performed shall be 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, Building Safety. 1 further certify that only contractors aod employees who are in compliance witb ORS 701.005 will, be nsed on this project. I further agree to ensure that all required inspections are requested at the proper time, that each a'ddress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wilt remain on the site at all times during construction. ~~-1~ \)~ Owner or Con&actors Signature ~'f2~Oq Date Page 6 of6 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01169 COM2009-0\ 169 COM2009-01169 Payments: Type of Payment Cash cReceint 1 RECEIPT #: Description Building Pennit + 5% Technology Fee + 12% State Surcharge Paid By City of Springfield Official Receipt Developme'nt SerVices Department Public Works Department 1200900000000000909. Date: 08/12/2009 Item Total: <":heck Number Authorization Received By Batch Number Number How Received In Person Payment Total: Page I of I 9:47:0IAM Amount Due 58,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 8112/2009