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Home My WebLink AboutPermit Building 2010-1-25 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00102 ISSUED: '01/25/2010 APPLIED: 01/25/2010 EXPIRES: 07/25/2010 VALUE: $ 1,000,00 Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2760 D ST ASSESSOR'S PARCEL NO,: 1703361415100 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: InfiH garage door for. non-heated storage TYPE OF USE: Alteration Residential Owner: IVY AMBER L Address: 2760 0 ST SPRINGFIELD OR 97477 , I CONTRACTOR INFORMATION ,. Contractor Type General Contractor OWNER License ~U1LDI~G INFORMA,TlON, # of Units: # of Stories: Primary Occnpancy Group: U Height of Strnctnre Secondary Occnpancy Gronp: .. Type of Heat: Primary Constrnction Type VB Water Type: Secondary Construction Type: Range Ty'pe: # of Bedrooms: Energy Path: taw__yeu:tDrinkled Bnilding: nla ,dl)tl"n~ '........- .....r:. ~.IUi..~bYtne~.. ,,- ENTINFORMATlON I Ic8tIOn Cent8L 01& "~," , NotIft 952-OO1.ootO,,,oughOAR' . , FrontYard~ IftIY obtain ~ OUI.,!l.flay Dist: ' , Side I SeW ' tll8oentef. (NoW: Ilet8\8PII eet Trees Rqd: Side 2 Setba' fal'thee.. ,,1' UlI:'la':t). aved Drive Rqd: Rearyard Set ac : ~ 111 80<1' at "!?:of Lot Coverage: Solar Setbacks: ",;' "..,I.PUBLlC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: , Sq Ft Garage/Carport ' Sq Ft Other: Occnpant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: D.ownspo~~~l.RS~~9.~.~:~~~~,~;\~l}~:i,~::<' ....;..; NOTICE:' " .., RE\FtHEWORK" THIS PERMIT Sl-l~i~ ~~ PERMIT IS MOT t~ir.OR~:~v U~~ IS /' D.hf"nnNED fOR" , I Valuation DeSCriptlitm~o DAY PERIOD. , Notes: Description $ Per'Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Type of Construction ~ , ' Page 1 of2 Valne Date Calculated .r ".~:, ... Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00102 ISSUED: 01/25/2010 APPLIED: 01/25/2010 EXPIRES: 07/25/2010 VALUE: $ 1,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 1,000,00 $1,000,00 $1,000,00 01/25/2010 Total Value of Project Fees Paid I Fee Description + 12% State Snrcharge + 5% Technology Fee Bnilding Permit Plan Review Residential Amount Paid Date Paid Receipt Nnmber $6,96 $2.90 $58,00 $37,70 1/25/10 1/25/10 1/25/10 1/25/10 1201000000000000071 1201000000000000071 1201000000000000071 120io00000000000071 Total Amount Paid $105.56 I Plan Reviews ,I Strnctural Review 01/25/2010 01/25/2010 APP DJB 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 ~eolJi~,ed In,sne,~,tion~ I Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rongh in inspections have been approved, Final Bnilding: After all required inspections bave been requested and approved and the bnilding is complete, By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrtber 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 ofany structure without permission of the Community Services Division. Building Safety, I further certify tb,at 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 "mO';i:1""i: k Owner or Contractors Signature r i .---- 1-~5- /D Date Pa2e 2 of 2 ' SPRINGFIELD l!'~ "~~r>A~.rNlENi'U~E;q~~y;'1 (10 ..(:)0 I U 2.. Permit no.: ~tructural Permit Application " .' " .;, .. . . G. . ~ 225 Fifth Street. Sp,ingfield, OR 97477. PH(541)726-375J. FAX(541)726-3689' . I Date: /- Z $" - ( 0 This permit is issned under OAR 918-460-0030, Permifs expire if work is not started wifhin 180 days of issnance or if work is snspended for 180 days, 1:~<t:~i}~I~i:~';);~'?l~'~QgA~:;;'~,:9Y~t~NN(~NI~:t~1~,ff~~y~~t~~l~l~:;~~~n I This project has tinallandRuse approval. Signature: Date: I This project has DEQ approval.. Signature: Date: 1 Zoning approval verified: DYes D No 1 ~~;;;~;~;A~:~'b~~~0~1~~NSf~U~~10N~11~ft!\\2~~fl\'01 [~~t?,f:-":~!il".y'~;,."",,,_ .: _ _. .... ,..."""",-~~it:'.'",,'''b "., . .................,'....,...,..,....__._.00 _"-"""""",",\..~,,.,,_,,, ,;i,fliL. ~~~,~~;~~WS,[E]i!N~ofiM~if~~!~@~ri.Q~~~~i4~ri~fl~<<~11 IJobsitead~ress _(}7100,:V <;t- . 1 I 1 City:,S",f"....'l-h"'ld I State0f2.. I ZIP 'iNn I I I. J . Energy Path: - Subdlv'S1on. 1 Lot no,: I D =' 1 I new .....-c-J alteration Reference: Taxlot I." '. . . '."".' .'.". '''''.'' '. '--""-"-'."".'" '..:;'''-'''' '-." ~ .-. I (b) Foundation-only permit? ....'0 ,:" I;'ROPERT'( :()W~'Y";':'-""'i~,~" , ".,:" , 1 Total valuation: 1 Name: /I,,,,,lopv L IClil1 e.. Wt! 1 Address OJ ?-("o D sf:. f I City SQr;",'j'+':"'U . I State: nl2 1 ZIP: '1Jv77't I Phone V - ./ - S'II -1f1-fdJJ2.. Fax - jJ l/t I I E-mail: o.\~I.\~~..lC\q 1"1[,'1 rD. qIVf<l.',( ,r~ This installation is<tieing ma~ on residential M farm property owned by me or a member of my immediate f:;z;miIY, d is exempt from licensing requicements un7~ 701.01.0,. . . Sign here:/f'l//t L--:, ~ , ,j',. '.c:ON1iRAc::JI9R."I~_S}.AlL/','P9N:,:,,;.:';,;;,,:_ I Business name: ~ , _ / A/ ~ I Address: I City: I Phone: 1 E-mail: I eCB license no.: I Print name: I Signature: I State: ,Fax' 1 ZIP: 1\~{~~~Jit~i~1;'$~tlr,"GqN:rifR~G:t~9RHNF,Qt{!VI~f;IQN~fiJJ~~~~~l~~?~:~:j I Name CCB License Number PhQJUrlfuJ1lber I L Electrical ___ --- I 1- Plumhing ~ 1 1 Mechanical /"/' I ,... l:j2~::~;~(~-~i;3~t~1~~'~.:'~i~!'~:;l::;;:i~~J~_g'~~'S.9H~PU~>~.~?r.i~~'~<' ;:ft::itf~."t~.:-j>~~'i~~~;: \ l~ri.~}y.~..~:&[tI9.!Wi)ifQ_r,m:~.~'19A11r&1~i~~~l1~~f~;~}3W~~~~~i~~j}tl,~,1~"~~~~;%t;'1 I (a) Job description :1:",.J.., If GY\A.A'l1' 0~ 1 I Occupancy (J..... , I \Irs. I I I I 1 I 1 I Ie:> oL]) Construction type: . Sqilare feet: Cost per square foot: Other information: f. 11/ fi- Type of Heat: . D addition DYes .....Et1'<0 I (a) Permit."fee (use valuation table): I (b) Investigative fee (equal to [2a]): I (c) Reinspection ($ per hour): (number of hours x fee per hour) I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): I (e) Subtotal of fees above (2a thro~gh 2d): 1 (a) Plan review (65% x permit fee [2a]): 1 (b) Fire and life safety (40% x permit fee [2a]): 1 (c) Subtotal of fees ahove (3a and 3b): 1 (a) Seismic fee, 1%(.01 x permit fee [2a]): I TOTAL fees and surcharges (2e+3c+4a): $ $ $ $ $ $ $ $ $ 1 I 1 $ 'fLI ::: "CJA~"" I,. , 'f.-'ff I,' .~. I' 11 Go ~o ..': (1'45 -;n , :e\..,' .1 ) _~ -"""< , 'I E~;,+,~ 1 3 ~ ."S'o i ~'~"6.O~ w/S(ljev 9.J ' . " C> I' I i i I I I I lYe,,", ~et;.,ec.\ stOi"je $fAte l--...-------p, . , , , . , e..;.,~+....:J -(:>i>-r"y~ l?Jo(' -l(-~;-~ \ I' j( t~,L_J~~..-". ,- ,t~~t~ 1--0,-- .., ../1' J'~_- ., , , .. ,it , .. E~,~4-;"'J 'Roof ?lo.", Ne,....) 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J -------- ~--- -'-- _,6-- J'I " ~ /1 >\ -or )() --, \ '-c ''"' \) - "'- ;;Or 225 Fifth' Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 I 02 COM20 I 0-00 1 02 COM2010-00102 COM2010-00102 Payments: Type of Payment Check cReceintl RECEIPT #: Description + 12% State Surcharge + 5% Technology Fee Plan Review Residential' BlIilding Pennit Paid By AMBER IVY au~Q,~~,,~..iti,""'"~ i.,.' ~.'" .1IfL., " City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000071 Date:,01/25/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1643 In Person Paymenf Total: Page I of I II :49:43AM AmounfDue 6,96 2,90 37,70 58,00 $105,56 Amount Paid $105,56 $105,56 1/25/2010