HomeMy WebLinkAboutPermit Building 2010-1-14
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1580 S A St
ASSESSOR'S PARCEL NO.: 1703363206601
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CITY OF SrKll'CGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00055
ISSUED: 01/14/2010
APPLIED: 01/14/2010
EXPIRES: 07/14/2010
VALUE: $ 2,000.00
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Springfield TYPE OF WORK: Dryrot
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair or exterior stairs, add loading ramp (nor means of egress ramp)
Commercial
Owner: EDWARDS FAMILY REVOCABLE TRUST
Address: 2603 LAUREL HILL DR
EUGENE OR 97403
Contractor Type
Contractor
# of Vnits:
Primary Occupancy Group: SI
Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description ~ Type of Construction
I CONTRACl:~ATlON'J'aw requires you to
, 1 ,. . ' y the Oregon Utility
, ,-' ,NotificatiDn Ce.nter, Those rJlie:iilfl1tif,lh fCj1i\l1t Phone
" , In OAR 952-00,",lf6Wthrou!1l\""A'l1~~:oUf:e
0090. You mav OhtAi'1 rnni~~ I'll th~ .. ,100 ,",,,
BUILDING J~!t1rol\'l' (Note: the telephone'
, "I,,~~;i"'u , JI Hegen Utility Notification
# f St' Center 18 1-800-332-22.4AL,
o ones: 'L1Jf~lze:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: , Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a ' Occupant Load:
I DEVELOPMiWF~ORMATioN i ," ',' ,."
, " I /II'!' f~hlVIII .:irV'\LL tlPlRE IF THE W8alfVIRED PARKING
Over;\Qli\'WRIZED UNDER THIS PERMIT IS fJiml:
,# Strr.mJlM~~ OR IS ABANDONED FORHandicapped:
Pav.,(j~'M~Il<IMY PERIOD. ' , Compact:
% of Lot Coverage:
I PU~LI:IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
,!}
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF Sr<<.mGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00055
ISSUED: 0111412010
APPLIED: 01114/2010
EXPIRES: 07/14/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, .'
Total Value of Project
Fees P~id I
Fee DescriPtion
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
$6.96
$2.90
$58.00
1114/10
1/14/10
1/14110
Receipt Number
2201000000000000038
2201000000000000038
2201000000000000038
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.
Renuired Insnections II
, I 111111 IIII 1
Framing Inspection: Prior to cover and after all rough in inspections have beeu approved.
Final Building: After all required inspections have 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 truc 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 OCCUP ANCV 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 tbe proper time, that each address is readable from the
street, that the permit card is loc' d at the front of the property, and the approved set of plans will remain on the site at all
ti:c:z=tlOn ~/ / //d
,Owner;;:' Contractors "ure Date /
;,
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Page 2 of2
.Stru~tural Permit Application
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1,,1'
I>P~PARTM~NiuSE'9N~Y :'1
Penn it no {'10.- 5' s:
(.\ 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . fAX(541)726-3689
I Date: I / J'-I / I D
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of'issuan~e or if work is
suspended for 180 days.
1\:~~~';:~?;:"t'"~~~i:~~)',~,~:.g~,Q'~~:,?9QY~BN'M.~t!if~j~FigJ~"~_y~,!ll~~~~~ci~~f~1
I ~~~~~~%ect has final/and-use approval. Date I 1~~~?5?:;~?1~r'J.(~~:~~~\~~:l;~~i,~"~'~'~~~H~~p'ir~~~:~1?~;{':~~\~:;'1!~if:.;~?'~';~::\:-,~:i~:~:'/
I T~is project has DEQ approval. I Jl.~1Y.~',i_ij~:t)9.'~(i~JQ!,ffi~:!:i9_W,f{s!~~ti~~~~t~~~~~'~ft1:~~1~~,*.i:f~tif;'iJl~~.ti;;:,;1
Stgnature: Date: I (a) Job description: ~l"\-vra.. ST.AIt<.S//.4II1~IIV~ ~f'
I Zoning approval verified: 0 Yes 0 No I I Occupancy I
~ Property is within flood plain: 0 Yes 0 No , I I Construction type: LI E;
F-Wr0;+~rif~~t;~}i~'-:4C'~TEGOFf~tOf;]fCONS~fR(i'C'TfI0'r:.r~~i~"';~7';;~f."~~W&:~'-'~1 '
Jj,~".~,_,"~;t_,...,.~~,~___ ___.__,_._",".-,_~,,1f"_h'&l,,_, '_..'."--'__'"''__''.'_"'."<H~', ". ".C~b,gr:b..~. I Square feet:
:~~~~;k;(~;~~l1iiJJ~/I~~~M~~Ri~~A@~.JQ~~~i~~if~[W~~:: ~~:::~:f:::a:t:::ot.
I Job site address: /0 tf'O S. ~ .;;;1,/auJ, I I Type orHeat:
I City: ~A.-I"-P'1 Fii..-G::JI I State Oc I ZIP: 971"7/1 I Energy Path.
I Subdivision: V I Lot no,: I, I
o new [g1;fieration 0 addition
I Reference: I Taxlo!: I
h:'>' . <> ' :PROPERjYQWNER';'i.'.)"'rt'" ," ,,<I I (b) Foundation-only permit? 0 Yes 0 No
IName ~h~<I~ ~ I I Total valuation: I~ I
I Address: =2.c:;.C:J C4<<'('~'LH ILL PrL I ~7Jf~:4!i.#Wfg:iJ~'~sl~fif~li~~~~~~_1~~~i*~U:-~~~~;t~jL~(~":r~~W~;~~:~~~}'~
I I (a) Permit 'fee (use valuation table): $ :> 0""-
City: Et.{L,r/'I./F I State:~ I ZIP: 1?l(031 I
I I (b) Investigative fee (equal to [2a]): $
I Phone: FaJc . I I
(c) Reinspection ($ per hour):
E-mail: (number of hours x fee per hour) $
This installation is being made oil residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 70J .010.
I State:
Fax:
I ZIP:
I
$ to 4(,> I
(e) Subtotal of fees above (2a through 2d): $ I
,.,'\"..,""'....<<..,,,_-.?C'.'"..""Cc,-W',&,'i!l.{.4."""'_"< .-""""""'"!i'!"'~I"'''''1
\,;~./EI.a_!11r:~Xl.e.:w\~ft;~~_~{1~1~;,I;;:~;j.jJi#:~~~f~r~':~~~fi.~~;1m]f::%1t~~"4~R,~,;
,;',:J I (a) Plan review (65% x permit fee [2a]). $ I
I I (b) Fire and Itfe safety (40% x permit fee [2a]), $ I
I 11,,~~!~~~~~;~~,",r,'~~:~;~'~;~j~~~:~~i;;:\;j'~;'<"""'" ",.$''"''''' ~"II
I {"':';"'. l~.~_~. .a.!!~q,I!~1 ~~~~#i5I',:;!?;M;1;,~(~i;:~;/-;:%~!j~~i?~;~~.JtClf.'::r~M.9;;~..~,~~'.,
I I (a) Seismic fee. 1% (.01 x permit fee [2a]): $ I
I I TOTAL fees and surcharges (2e+ 3c+4a): $ 6 7 ~-+
I
I
I
(d) Enter ]2% surcharge (.]2 x [2a+2b+2c]):
Sign here:
I
I Business,name:
'.1 Address:
, ',I City:
I Phone:
I E-mail:
I CCB license no.:
I Print name:
I Signature:
,'l'V-'~
CONTRACIOidNSTAtLATION;\,""~,,, , "0:';:
'''''__ .. __ ,-..',.,._...L....".._....., ,", """.,.'_..,.",,'-_,i,";,.,'.. <".'h_"~""
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l~i~~;J;~~{mr~~~sI!~:':G(:jN.rr;BAG:IQR.-:J~J;:O,RiVlAJj(QN[~J;~~~l~~k~~t-l
I Name I eCB License Number Phone Number I
I Electrical I
I Plumbing I I
I Mechanical I I
'i . [City of Springfield
l\ 'Development Services Departme'nt
225 Fifth Street .
Springfield, OR 97477
Planning Division Information Sheet for Building Permits
Commercial II nd ustria II Multi-Fa m ily Residentia I
The Planning Division requires the following information for ill! building permit submittals on
properties zoned Medium Density Residential', High Density Residential, Commercial, or Industrial,
including new construction, expansions, and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review
(SDC 3.3-100) may also be required, depending on the site. ' '
NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval.
l~f~.n,ml':~.I~'-I.~iIIIlf:li.I" ;';'.
" rr..~ iiIi __".lil _._ II
ADDlicant Name: <::::Jo"viJ';s. GJaJ..us&J
Comoanv: ~ /.J. St ;<J~,u...l'~.'Fax: :svl-7</1-f~
Address: /b <PO .$ o~ A.
Phone: 1/13/09
$"C :~RAV'1F::1.d Oc
ASSESSOR'S MAP NO: , I TAX LOT NO(S):
ProDertvAddress: /s~C)..s;. A 5r:-- ~~i;h~,~
Description of the proposed work to be completed under this building permit:
~,~:j;)O'CAJ~, ~~()\..
I
97<177 I
"--'--1
97</7;7 I
I
Has this development proposal been reviewed, by the Planning Division
through an application process (i.e. MDS or Site Plan Review)?
If yes, Case #:
If no, is this a change in use? DYes )81 No
Prior Aooroved Use:
D Ye,~ No
Zoninq: TOTZ: O"erlay(s):
The proposed project requires submittal and approval of the following Planning application
prior to building permit approval: .
D DWP Overlay District Development D Statement Letter Regarding ,DWP Exemption
D MDS D MDS Land Use Compatibility Statement
o Site Plan Review 0 Other:
I Reviewed by: , I Date:
225 Fifth Street
Springfield, Oregon 97477
541 "726-3759 Phone
Job/Journal Number
COM2010-00055
COM20 1 0-0005 5
COM20 I 0-00055
Payments:
Type of Payment
Check
cRcceintl
City of Springfield Official Receipt
Development Senices Department
Pu~lic Works Department
RECEIPT #:' 2201000000000000038
Description
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
SOUTH A AUTO SERVICE
Date: 0111412010
.l"~
'.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJc
1016
In Person
Payment Total:
)
. ',.:~
Page 1 of 1
10:51:18AM
Amount Due
58,00
6,96
2,90
$67.86
Amount Paid
$67,86
$67.86
1/14/2010