HomeMy WebLinkAboutPermit Building 2009-10-21
CITY OF SPRINuJ11f<,LD
Building/Combination Permit
PERMIT NO: COM2009-01489
ISSUED: 10/21/2009
APPLIED: 10/08/2009
EXPIRES: 04/21/2010
VALUE: $ 6,000.00
Status
Iss u ed
225 Fifth Street, Springfield, OR .
541-726-3753 Phone. -
541-726-3676 Fax
541-726"37691nspection Line
SITE ADDRESS: 1125 58TH ST SPACE 67
ASSESSOR'S PARCEL NO.: 1702342200100
Springfield TYPE OF WORK: Carport
TYPE OF USE: New
Residential
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
. ':'","'_ .:<::;;t~<~~;:,~~;"gt:~;4;;;~~}:~-~/.
I PUB~~11~~;~~l~~;f;i~'~:-~~~.;~.. ;'.
, AUTHORiZED ul~L'rl\-rH'SJ.'I~~e.:id":
COMMENCED OR ISABANt1lJl'lcu<v",>,.
ANY 180 DAY PERIOD. DownspoutsIDrains:
PROJECT DESCRIPTION: Carport
Owner: GOLDEN OAKS MOBILE HOME PARK LLC
Address: 798 PRESCOTT LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
. HARRISON JACOBSON 1NC 66447
I BU1LpINGJNiiflll~ft<J~~~
!\TTEN\ IV'" - - d by tne Ull~~r 'rth
. tolloW r~\e~ ij,~1~)~8e ruies are :i~,.
.tlbti\i~~~~_~ ~!~Molil\t~~:e rules by
In ~~ '(ou m ~~tCOPe' the telephone
\lIP calling th~:~ 13~ Utility Notltlcauon
number to l\~~~.2344).
C Ilf.'I8Yl"""""'.~,- .
Sprinkled BUlldtDg: No
# of Units:.
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
'.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Adding new surface
Notes:
"";.'-' ~ ,'"
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Page I of 3 I
Expirati9n Date
05/07120 I 0
Phone
541-689-7762
,
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 360
Sq Ft qther:
Occup~nt Load:
'REQUIRED PARKING
: Total:
Handicapped:
I'Compact:
Value
Date Calculated
eIT\:: OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,
PERMIT NO: COM2009-01489
ISSUED: 10/21/2009
APPLIED: 10/0812009
EXPIRES: 04/21/2010
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
Estimate
$1.00
6,000,00
,
$6,000,00
$6,000.00
10108/2009
Total Value of Project
Ff>P<1 P~irl J
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Garage/Carport
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid
Date Paid
Receipt Number
$63.05
$11,64
$4,85
$23.40
$97,00
$6.73
$134.59
10/8/09
10/21/09
10/21/09
10/21109
10/21/09
10/21/09
10/21/09
1200900000000001127
1200900000000001174
1200900000000001174
1200900000000001173
1200900000000001174
1200900000000001174
1200900000000001174
Total Amount Paid
$341.26
Plan Reviews, I
Initial Review
10/12/2009
10/13/2009
APP LLH
Planninl! Review
10/13/2009
10/14/2009
10 DDK
No Planning issues - inside park.
Public Works Review
Structural Review
10/15/2009
10/13/2009
10/16/2009
10/16/2009
APP LKW
APP CJC
,
As noted on plans
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wilfbe made the following
work day.
Rp(lllirp.11nsnections I
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to coucrete placement.
Framing Inspection: Prior to cover and after all rough in iuspections have been approved,
Final Building: After all required inspections have been requested and approved and the building is complete.
Pal!e 2 of 3
._Sj~I'II~~~~~i
1i .. .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRlNljl'1l!,LD .
. Building/Combination Permit
PERMIT NO: COM2009-01489
ISSUED: 10/21/2009
APPLIED: 10/08/2009
EXPIRES: 04/21/2010
V ALUE:$ 6,000.00
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby. certify that all
information hereon is true and correct, and 1 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 Oregou pertainiug 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 certi~at only~tractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further ag~ee toie e tall re uired inspections are requested at the proper time, that each address is readable from the
street, that the pe it;<ard i loca at the front of the property, and the approved set of plans will remain on the site at all
times dUTi1glo uctioh.
I I
: --........... --- {/./
~-'---.i '----." -, Or z..-l/ 0'1
Owner or Contractors Signature
"--J
Palre 3 of 3
Date
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,
;
,
,-
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone __d
Job/Journal Number
COM2009-0I489
COM2009-01489
COM2009-0 1489
COM2009-0I489
COM2009-0 1489
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #;
~...jl\l!1",'l-F,!.~"-...._..._.'....,.
i'i~r :
~,.._1
City of Springfield Official Receipt
Development Services Department
, Public Works Department
,
1200900000000001174
Date: 10/:i1l2009
Description
Stann Drainage Impervious Area
SDC Sanitary/Stonn Admin
+ 12% State Surcharge
+ 5% Technology Fee
Garage/Carport
Paid By
WILLIAM HARRISON
.'
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 311261 In Person
Payment Total:
Page I of I
11 :20:48AM
Amount Due
134.59
6.73
11.64
4.85
97.00
$254.81
Amount Paid
$254.81
$254.H1
10/2112009