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Home My WebLink AboutPermit Building 2009-8-28 I ,...-~F!l~~JF,I~JI'JL II!{' ii J. -~~ - ~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01225 ISSUED: 08/28/2009 APPLIED: 08/20/2009 EXPIRES: 02/28/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 380 17TH ST ASSESSOR'S PARCEL NO.: 1703362405000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: ENCLOSE CARPORT (AS BUlL T) SEE COD C9-585- OWNER CHANGED SO SINGLE FEE ONLY Owner, MICHAEL P MILLER COMBIN PROTOTYPE P Address: 3330 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Contractor License Expiration Date Phone I BUlLDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 No I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: , Compact: I P~BLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Downspouts/Drains: Storm Sewer Available: Special Instruction, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth MnTIt"~. in nA~ Q.'=i?Mnn1 Mnn1 n thmllrlh nAR O'i?nn1_ THIS' --. I vv~v. ,. "u may obtain copies of the rules by A PERMIT SHALL EXPIRE IF THE wc~Yaluation DescriutiOIlil ~ the center. (Note:t.he telephone UTHORIZED UNDER THIS PERMIT IS NnI numoer for the Oregon Utility Notitication ~OM-MMlf,ED Off~~e/l,~€t.'fs&.'uEt!ih60R '$ Per S.q ~t Squa.re FOQtageJr is 1-800'v~ili?-344). Date Calculated ):(f* 180 DAY PERIOD. or multlpher or Bid Amount Notes: Page 1 of2 Status Iss II ed CITY OF SPRINGFIELD Building/Combination Permit . PERMIT NO: COM2009-01225 ISSUED: 08/28/2009 APPLIED: 08/20/2009 EXPIRES: 02/28/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,726-37691Iispection Line Total Value of Project Fees Paid I 111.1 I. Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid Receipt Number $6.96 $2.90 $58.00 8/24/09 8/24/09 8/24/09 2200900000000000954 2200900000000000954 2200900000000000954 Total Amount Paid $67.86 I 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 Insoecti~,:,s I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. By signature,1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I 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. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be 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. OL~f_ ./ rM"~ lv'- ~wner or ~"ctors Signature 1)-c2&-- CJ~ Date Paee 2 of 2 II Receipt No: 22009000000000009S~ Line Items:. Job/Journal Num~ Trau. Cod COM2009-0] 225 COM2009-0] 225 COM2009-0] 225 Payments: Method CreditCard ]002 2099 1099 Paid By STANLEY EDA VIS .. 8/3 1/2009 8:24:03AM City of Springfield Development Services Department Public Works Department Transaction Log For Date: 08/24/2009 Opli:l'rintinn _ Revenue Account No 224-00000-425602 100-00000-425605 821-00000-215004 Amount Paid $58.00 $2.90 $6,96 $67.86 Bui]ding Permit. + 5% Techno]ogy Fee + 12% State Surcharge Line Item Total: Rcceived Check How Amount Paid U;.r 1\l'~ A~~rllval # D....",...I CJC 100]47 In Person $67 :86 paymeni Total: $67.86 . Page 14 of 16 cTransactionLog.rpt Structural Permit Application- SFHTNGFiELO : '..:'," ' €n, : 225 Fifth Street r Springfield,OR97477 . PH(541)726-3753 i FAX(541)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat Energy Path ! new E addition (b) Foundation-only permit? fl Yes n No Z >ooo (a) Permit fee (use valuation table)$st (b) Investigative fee (equal to [2a]):$ (c) Reinspection ($ per hour): (number ofhours x fee per hour)$ (d) Enter 12oZ surcharge (.12 xl2a+zb+zcl)l $ o-%.. Subtotal of fees above (2a through 2d):+..- (a) Plan review (65% x permit fee [2a])$ (b) Fire and life safety (40% x permit fee [2a])$ (c) Subtotal of fees above (3a and 3b): (a) Seismic fee, loh (,01 x permit fee [2a])$ TOTAL fees and surcharges (2e+3c+4a):$r7 g DEPARTMENT USE ONLY Permit "o., (/* /22 f Date: Date: This project has final land-use approval Signature: This project has DEQ approval Signature:Date: Zoning approval verified: n Yes n No Property is within flood plain: E yes n No E Residential I Government n Commercial Job site address: .3TfO ^ l? t! C a State: Orr ZIP I Lot no. TaxlotRef'erence oe <.v.IylrName: Address: 3B() ( 5ffis; Or ZIP:nh € Phone:Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701 .01 0. Sign here: r'sBusiness name: N Address State zIP:?7V55 Phone:fi( -J14 36 ts Fu<:?fl -%t .{?37 E-mail CCBlicenseno.: t6q fO7 IPrint name: Signature Phone NumberNameCCB License Number Electrical Plumbing Mechanical V/zz /c1 LOCAI AND Subdivision: PROPERTY OWNER t.information (a) Job description: f. NLL bfrz(*o f Total valuation:$ $ 4.