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Home My WebLink AboutPermit Building 2009-9-23 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01414 ISSUED: 09/23/2009 APPLIED:' 09/23/2009 EXPIRES: 03/23/2010 VALUE: $ 3,200.00 .. Status .. Issued'--'"'' ..~- .... ,.., 225 Fifth Street, Springfield, OR" '. 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 In~pection Lin~, '" r j:" ,'.:." SITE ADDRESS: ' 1618 17TH ST Springfield TYPE OF WORK: Single Family Residence ,ASSESSOR'S PARCEL NO.: 1703253103500 ',: " ;'1,: ,,;",. TYPE OF USE: Residential PROJECT DESCRIPTION: "Foundation Repair: 32 feet of New Footing and Stemwall Owner: Address: HUNTER'ELDON 1610 17TH ST" ' SPRINGFIELD:'OR '97477 ,-'t \ .4. \ \c1'W\ ATTENTION: Oregon I . follow rlllo. 0.......'- .. aw reqUires VOIl If) I~otjt;cat;()n ('co.~_ ''''':; -1 "'~ vregon Utility ,. I <WN\FRA6TOR ,INF.ORMKI'lONlI' set torth I" JU"~i' You may obtain co-,.i;~'~7..n 951-0~1: . Contractor ca mg the center (NoiLlcensee ru E~p)rahon Date A~fln...j IkInumbe~_.f~~,~~~?;~c:.o..n ! ~iil\~: .t,:I:,p'~~~~, " !, I BUILDiNG INFORMATION'I'44). " ,; J,Contractor Type ."..~~ # of Units: ',' Primary Occupancy Group:, Secondary Occllpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .! ~: . Frontyard Setback: Side 1 Setback:.:; ,.. , Side 2 Setback:' . Rearyard Setback: Solar Setbacks: Street Improvements: ' Storm Sewer Available: Special Instruction: Notes: d . '" ,. '.' t. Description Phone R3 # of Stories: Height of Structu're Type of Heat: Water Type: Rauge Type: Energy Path: Sprinkled Building: No VB Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: " I DEVELOPMENT INFORMATION I ~OT1CE: Overlay Dist: HIS PERMIT SIII~t~etif6~l:s ~gd: AUTHORIZED UIt'av"J: bri,ve'iRqll: THE WORK COMMENCED O~gfL{,~@,~e'Tii'g~iT IS NOT ANY 180 DAY PHiln~BANDONED FOR I PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Draius: I V aluation De~criotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Value Date Calculated Page I of2 CITY OF SPRINGFIELD Building/Combination Permit . Status '''Issued--~~'''--''-'~ 225 Fifth Street, Springfield,'OR 541-726-3753 Phone. , 541-726-3676 Fax .. 541-726-3769 Il1spec.tion Line" PERMIT NO: COM2009-01414 ISSUED: 09/23/2009 APPLIED: 09/23/2009 EXPIRES: 03/23/2010 VALUE: $ 3,200.00 Estimate , i Estimate " ... . ;',' II .~! ::. Ii' 1/0 $1.00 3,200.00 $3,200.00 $3,200.00 09/23/2009 ,,'.,. Total Value of Project Fees Pai,rl I Fee Description Amount Paid Date Paid Receipt Number .' . ,;~ . :;; ., _ ~,:t I' Total Amount Paid $0.00 'j ',' Plan Reviews I ;1; To Request an insp,~ction call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be ~ade the same working day, inspections requested after 7:00 a.m. will be made the following work day~ ,1;. " ~ " Reouired I n~nections ~ Footing: After trenches are excavated. " Foundation: After forms are, erected but prior to concrete placement. 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, I ~tate a~d agree, that I have carefully examined the c6mpleted application and do hereby certify that all information hereon is t'rue and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City o'f Springfield and the Laws of the State 6f Oregon pertaining to the work described herein, and that NO OCCUPANCY wiII be made of any structure without permission of the Community Services Division, Building Safety. I further certify that o~ly co~tractors and employees who are in cou{pliance with ORS 701.005 wiII 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 th ermit c ~ located at the front of the property, and the approved set of plans wiII remain on the site at all times durin cons r 10 ' _L ----,..- . 9~Z.5-7ei7'7 -'- Date '. " .' 1;'- Paee 2 of2 .?!JrUi;~al Permit. Application . . ... '_.,;";,,,,;0,, ""'"~,~""._.~ .".',_0- _",~__"" ,,_' 225 Fi~ Street. Springfield, :OR 974"77. PH(541)726-3753. FAX(541)726-3689 1>;REP,AR:rMENi,uSE1;~N,~y:'1 Permit noe q --1 4--1 ~ I Date: 1')-z.... '5/ &( 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. ' 1\;~~/::~L:~~:i~.;ii~~;':YU-9,GA~:2?:3~QY~-~~'MI~Ji.;,~.pA:R@~V~~~~~,~t{~{~~~~~~11J I T~is project has finei] land-u$e appr?val. Signature: Date: I This project has DEQ approyal., Signature: ' Date: I Zoning approval verified: 0 Yes 0 No-, I Property is within flood plain, DYes D No I 1~~~~~Ji!~gAT.~~iQ'BY~~.~~gqN_~j,~.9,GIrjIQNI~~r~~~~~~B~il II". ,D.;".i.<'_...~.(~. ,~,.l.d.:",:;n.,_t.,~.~".;.:,",,, _, _. .....'. .".L9~.~~._,~.,~,~..__.,:_e._~"~;_.",,,,,_.,.,,.,_,,,_..J ,g:,..~.:n.~~.:.:,c~,'~;'!Hi""",,,,,,1 ~+I*~~~\~,.j:~~;tJQ~]l?,I,;r~t:,1 NJ79.RMp,.TLq.f'1~YAt~IIJ:~m~Q...GA:TlI.Q_r:J~~i~~:g~~1'{ I Job site address;/ ~ /rf/ < 7 vt ,Jr- City ,~~~;- ~,,-k~.( 1 Statr(.J,( I ZIP I Subdivi~n: ,j' I Lot no.: I Reference: :: I Taxlot: i'~~:e'] )~.:BRO~~~8)":I:';\\(1\ '. I Address/' /R 176t-V I City;.. ~AAr~ .fi6,V I State/..-t.. ~hon' 1J1~ -~/p CJ.. Fax ~ ~ r I ZIP, E-mail: This installation is being m~de on fesidential or farm property owned by me or-a member of my immediate family, and is exempt from licensing requir~ments under ORS 70L01O. Sign here: I.~. . ..!,ONTJ~AC,t()~ ANSTALtLAfl9~.r"":,,,,;'\,1Li1: Zc...,i~:~;,. "I I B'usiness name.,,4ldH.e :Z"",}//ZpA".,6 .Ft~,.."", e-. I Address';'2df1vl ~h,~/A'.A~"-_ lJ,..,~ I City 4.R'~// '. StattJA.. r tj!7'i1J~ I Phon,errH-'?-57-1'J//.fI F~/-2J-JZI//7 I E'maiJ, I CCB license no.' / 7/ .:?.?? I Print name: I Signature: Il~~1;\t~;;:m1L~~$-~,E!:~~G,~N.itMGmQRJJ~ff,.QJ{M~IfQNft~~~~t~~~~l I Name CCB License Number Phone Number I Electrical I Plumbing I Mechanical If~}'~:;~i~:;;~)~;~j;~'~(~:,:~~~:\~~~~rf,M)Jf~"~.,~>~'~>8~(QP-U_~i:t:?:;(l{:"~2~;:;r?::~r:;f~~?Y~?~'~~':'i;,''V:'I I i1'I'\;.'V""'c1)' :';;...".. .;.t'':J\i)" !~<.~<_<plJ,fE'cl-,., t' .;"";'~::~Ut:';:<""i~~iiiIX~,~':'t,'1'._;'j\<2:+r;~ ~c:(.~":E;ii;:uT',,,~ .~H;;?';j""-I ,:..(;:.h.,',~.,1,l~. .I~n~I!!;l..Qrm.~.!tC!nj~~-J~~itlt;A}J()',\i~li~L1'~?f_A\\gNj<'id";il{ri~,f,j,"~.~~'!.;"(k/}\~-; n7&f!JpK1;UJ!J I I I I I I I I I I I (a) Job description, R.P-..P M::,z, Occupancy P...::- 3 Construction type: ~ Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new ~lteration I (b) Foundation-only permit? I Total valuation: D addition DYes DNa Pemlit 'fee (use valuation table): I (b) Investigative fee (equal to [2a]): I (c) Reinspection ($ per hour): (number of hours x fee per hour) i sr+sel s I s 3;881 s "L?e- I $ I -l~ SV4 (d) Enter 12% surcharge (,12 x [2a+2b+2c]): 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): 1:~.Jg I $ 1~~M~K~~~(~lf~~~~f~:~~l~lr~~~iB~i~j:~~;~~~~~~J~fi,fJj~~;t~M~~~?>>i~,;_;;;;'~~~~t,'1 I (a) Seismic fee, 1%(.01 x permit fee [2a]): $ I .1 TOTAL fees and surcharges (2e+3c+4a): 1 $ Yf1.. ~I . . . . . .. . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .. .. .. . . .. . . ... .. . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . ... . . .. . . . . . . . . . . . . . . . . . . . . . .. .. .. ... . . . . . . . . . . . . . . . . .. . . . . . . .. . . .. .. .. . NOTICE: Fou 1'/ DIJT {'IvV' /tt;il;re... THIS PERMIT SHALL EXPIRE IF THE WORK /I~ /1 0/' 7 61. --..-/ AUTHORiZED UNDER THIS PERMIT IS N / IV 0- '. - / COMMENCED OR IS ABANDONED FOR OT (""1 Ii /J . 'I'I' ("l / / ANY 180 DAY PERIOD. J i!../fG I V(/ \..:7 - I (~ ,1....,/ REVIEWED FOR / . CODe COMPLIANCE G4k? /1/[ ItS I-rhql( , , ) i - 5/0P-Y , / )Jt'IV h,;,(./,:,()T Ict,-e./ J>'f '" - .:J{/ " q. ~:MoJ.1-1-" I" FA.DSI 11 8B'T>> " /'. ,. -:"l L.~l. Q'~ - /6" ,T IV 5 r /J I L.. 02 -Jf ,/ p~j,4, I T 1'/ r'.?rJ 7c/c cI /t<;;:ll L ~J/ n' / T \, ,),&;t -- " /-r;:. 1(/ ,,iTI? t (..~ ,7-7~ j /.jCJ., I.. /;J. :{ ,4'7'C~/(~.:..-5 /l /vO '('Vir! ~, if' eEPAJ<.. ~ 421t O,C. 411. V) -- - , )'; D/1. ,; / / J ...,.0 jc' r ~/ /",/ /1/ )'/"\./ v/C -?,I' I /' " rat (/ .'/ '." b ' ,..tYr" r-' t '/ /" /'f ,,-( !/ I IN / *1- ft:8kR. W/7+1f )(3" X 3" pL-A-Te; w-t~/ tt. 6 ez... .,1. ! . 1 *' J- II :y _ ~OL--""S Sftkf-L :z.,. " -r. I( ;::-x""Tf5.t.1 J) fttJ:./V . or INTO CoN~e. , L-" . _I - -- ;:lATE RECEIVED "1-2.3 ~ JOR Nul'''f- t.4'1.."1 ?,ONF OCCUPANCY GROUPI.-:; ~JNIT(S) OCCUPANCY LOAn -- 5TORIF~ 1 T". ".- ~'- -. . YPE rONST(i.\JC:T'O~ !-FGAI.. DFiq~IPTroN !~3Z~:,/ &3',s-~ ADDRFSS ~l.R -..(~s:r,,_ -r ..... O ..~. ~r:;1> ~. ono.. WNER n-uaJ I ~ Jr?' :t;)dH.. .. . ' THE CONTE. .... . NTS HERE ON HAV~~E~ REVIE\.Fn. W1TH ALTERATIONS INDICATED ON CO.O~." PENCIL,' t~,'ANGE$ , OR ERATIONS ,.....'A.t:JE 110 THE APPROVED [._~.."..::G O~ PRO T AFTER THE ~~E 1lELOW~~i:L BE ~~~..,ef'"" "V THE au . G OFFICIAL. .. .. . __""'fI ...... .... ....... I , OF :>r-~,NGFIElD, OR~PI\I ^PPRO~F RY.~~ ...:;. DAJr1!i~~ ~ ... ,... ~ I .... ' (J rJ -5 -z:::- ,{/ ":r-- ___ t '1' I .- I \\\ ~CI/,c) C'C- 302' rcV"v()~-ril}"/ ). ,-/' (}yt/ .5 . G '~1/ d/c.J r- ;l , r;t /1/ CI1..f-r- /} / / r ~r/"'~ fJ.:J 1/0/ ;, -;V--" /I p'c/ .5 -t:,.. ~otf()ff;t\~ ~resyouto follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952.001.0010 through OAR 952-001- 0090. You may obtain copies of the lUIes by calling the center. (Note: the telephone , number for the Oregon Utility Notification. 'H Center is 1-800-332-2344). '" . .~ ,.-. / 225 Fifth Street Springfield, Oregon 97477 . . 541-726-3759 Phone Wii:~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200900000000001090 Date: 09/23/2009 2:19:2IPM Job/Journal Number Description COM2009-01414 Plan Review Residential COM2009-0 1414 (BUilding Penn it COM2009-0]414 + 5% Technology Fee COM2009-014]4 + 12% State Surcharge Payments: / Type of Payment Paid By Check HOME IMPROVEMENTS OF AMERICA Item Total: t:heck Number Authorization Received By Batch Number Number How Received 4661 klk In Person Amount Due 50.38 77.50 3.88 9.30 $141.U6 Amount Paid $]41.06 Payment Total: $141.U6 l -~'f ~- ~!\Mo/cJLF. -eUi \dLl\a., ~m:J:, -to ~u(\ciP<-t\OI\ ?~ ~ C{"14-CA Ui . cReceintl Pal(e 1 of I 9/23/2009