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Home My WebLink AboutPermit Building 2010-3-5 -; -. . CITY OF SPRINGFIELD ~ j; Building/Combination Permit Status Issued PERMIT NO: COM201O-00280 225 Fifth Street, Springfield, OR ISSUED: 03/05/2010 541-726-3753 Phone APPLIED: 03/05/2010 541-726-3676 Fax EXPIRES: 09/0512010 541-726-3769 Inspection Line VALUE: $ 2,000.00 SITE ADDRESS: 1042 28TH ST Springfield TYPE OF WORK: Garage ASSESSOR'S PARCEL NO,: 17033611 00605 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: BWOP 30 sq ft addition" to garage ";. " Owner: THURMAN AARON & RACHE,l"TTENTION' Oregon law I Address: 1 042 28TH ST follow rul' requ res you to SPRINGFIELD OR 97477 N IT . es adopted by the Oregon Utility o I Icatlon Center. Those rulA~ :lrA ~t.lot fn"'h I" VMtl "::>~-UU1-001O th~ 0.001. O~e{);!)l]U\1V;R1~~ 0 s by ......u, llll;;: \.It;;: l I. '4 e: ne e ephone Contractor Type Contractor number for the Oregon Uti'i1lti~eti~eationExpiration Date Phone General OWNER Center is HlOO-332-2344). I BUILDING INFORMATION." I. I I # of Units: # of Stories: Lot Size: Primary Occupancy Group: U Height of Structure Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construl'tion Type VB Water Type: Sq Ft Basement: Secondal')' Construction Type: r.tt3'1lCriie:i.... I .' "',".. S. :,;:5qFt.Garage/Carport 30 # of Bedrooms: tWf~~ ~ i~1 ~t Other: . ,t i~ II EXPIR~/jf THE ~nt Load: A RI7i:ti'i'IMncD TU'C m:O"'T '" ""T . I DEVEL0PMEI~mi~tlrl~<f'JED FOR REQUIRED PARKING I,~r IOU ""( 0{ D. Front yard Setback: .. Overlay Dist: Total: Side I Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: Storm Sewer Available: ; DownspoutslDrains: Special Instruction : I , Notes: I Valuation. Description i Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated or multiplier or Bid Amount t~~~i . ~ ". l . hI" j,~.~'... I':: ; Paee I of 2 '"( -~.."~~ tU' {. ': \....:.i. ,:;;.'r.... iJi:: ..' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project lJ'ees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Penalty Fee - BWOP Building Amount Paid $13. 92 $5.80 $58.00' <.: $58.00 .'" " Total Amount Paid $135.72 I Plan Reviews I Date Paid 3/5/10 3/5/10 3/5/10 3/511 0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00280 ISSUED: 03/0512010 APPLIED: 03/05/2010 EXPIRES: 09/05/20 10 VALUE: $ 2,000.00 Receipt Number 2201000000000000201 2201000000000000201 2201000000000000201 2201000000000000201 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. L-Reouired Inspections ~ 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 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I furthe.rlc~ertify ~hat 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. 1 further certify that only contractors and employees who arc 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. ~k~A'5 7;l!(f?5;kGJ e Owner or Contractors Signature Paee 2 of2 /t14~/ ~I ,?,?'/C Date .Hlral Permit Application '. ,,,.- , DEPARTMENT USE ONLY . ".~>-- ~ "'- -"'';;'_ "'.. ,,~,~ ''''~'''_ . "-""--'P.! ~-_ ::r- '....,-2 . ~~:>". c';.eirr'Y6ESP;RINGFTE13D;.0REGON;t/~',-,";,""~. ;::~.~,.!:' _.;t. ~~ ,,- .'.~ =,..=..~"" -~ "". .-j'> '._ ...... """" -I"'"0t'--iPi-.-./<~F,,-'" SPRINGFIELD ~~ t~~Q -" '-., .,.~ -~" ~:,,-.'., ~-' Permitno{!JU- 2-6'0 Date: ;) J S / / D 225 Fifth Street. Springfield, OR 97477. PH(541}726-3753. FAX(541)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is uot started within 180 days of issuance or if work is suspended for 180 days. I:~, '" ~ t.9~_Ak:~'~:;'9YE..~NM.$~i};Ae.R~gV~~~>~~~;:~~~~~ This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes D No Property is within flood plain: DYes D No m~~f~i;{~~b~i~.~.E.G9J~y~q'E~.G,qR~;tRW_G}f,I.9'N~,~i~;~;L~~j;~,fgl~f2 '~.Residential . D Government 0 Commercial ~f;\~l1ii,i;:;;:;iiJ9B;;SI;rEI.f@9R.MAtfqN~'ANQ~~9CAtl<5Nf;J0ii'::~:,;? Job site address: '()If;). City: (,t-L-7) ZIP:9'7'(77 f'J11- Reference: ,'.-,.- '.' Name: of.- zIP:97'1~ 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 701.010. Sign here: CONrRACTO~ ,1~Sl:AL:.LA TlgN.. Business name: Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: 1,"~:~~~;1~?r~i~~~~t;;SQ~~G"0t{rR'AGrrOffJNFO_RtJlA'f:!QJ\j~~R[l~bMfi1..,~t&,{-:iMf Name CCB License Number Phone Number Electrical Plumbing Mechanical '. .' N ..... '. :J}g: ,.."."w" "'F.E't:sc:ii'E'ciiJLEf>: .,,. '"' ..'o:.";C';":'''' , . .' . . " -, '.. .. _ " .,~ .r~0;~ ~ '. _ _. _, ',C'. "';" (. .' .' " ;:l'~Y at~~t-i_b'rr'}~(orma_H?6~1.~U1*)r;~tJ~€i3i ::;;~ljtlr:~;'~~d;~ :~{,,/.f~K~~ ,~~. (a) Job description: /4-!:)(> I 'FlON n t: 1'\-11-vfc:... t: Occupancy (A Construction type: lIl\ Square feet: :5:0 Cost per square foot: . Other information: Type of Heat: Energy Patb: D new D alteration [H{ddition (b) Foundation~only permit? 0 Yes 0 No Total valuation: $~ " ~ ",.'" -, ;'.;": ~';:,:",..' '.-.".~,..',:jI; ," " 'C', .~ .,~ ":" , ,.,\, i ;:'~"'" ",' '.'.'. '.,.', 'C""" .' .', \ ,:' .,~. . i~2.'?BulldlDg:;feesJ~$({';:;1~Ytt~i$lr5~~~iJ~S;~!~i'0\'j'~ ',;rQ~ ,1"11\:).;';' ;l~'[1l' ~~'_' " .. __ . ".".. __.'_~' ',' ,"'.' ........, '.__ ..,___~,. .~. ..." .' _. .,. _'. - ,]i,...... (a) Permit fee (use valuation table): $ r;-d' (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x (2a+2b+2c]): $ I(''IL- (e) Subtotal of fees above (2a through 2d): S q3'~,pi~Jm;eview~;{te\~s?~~1.1t~~~"iW,~~~~.'fitJi'~-&~~;~~~r:R~';,;5~~"t~~J; .'. ~. .." ..1-.,. .......~.H... ".,~, ...~.. ..~.....,.."l.....,.. t.."~...""~,,,,->-.,,,~~S"', .."J1M~'<i (a) Plan review (65%x permit ree [2a]): S (b) Fire and life safety (40% x permit fee [2a]): S (e) Subtotal of fees above (3a and 3b): ,-'VI., ~ -s50 ~'~;J,'.M~sc';ena!l~o'iISJte~~'"!f~S~\oi:f.~t4:~;~~t.t.:~~Q~'~/:1i; ':'~~~'-.:.; ~:. (a) Seismic fee, 1%(.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+ 3e+4a): S J3J'7J. <Dl>..'-l,.'C iN\c:,(L'C~,^ '<::.'C.. \:\~ ~'l ~\'Y\\""''>.'<:>N ~,,^'LO oN \0 ~~ ~A~S -A\ P'<-~ ~<C- (\~ 1...-oNq f'& ""-S ~~c..."^(L,,,- \-;:, t;;-.J\ty&NCt. 0\' -~ _.~----- \D 10'-\'L ~ 5\, 0e.~ Ai-'-- \2-tCO>.~\(2.'<:o.O ~(2...VV\\\"';, /MJ0 , ~"'\.>MCl~~f:l ,-",~'t/'l \-\'t. IWtJvC.S, C-tA\\\f'!<;, I r-s GlC-(STsNGE. ttv;vse r'\.NW/~ - --~~._--- '- , .--....... \\~,<J",( .I I I I ", I f" I I. I , ..- .----:.--" ./' -'-"--. " ~~ Q;f rJ/' '\l " ~~(\1. - ",1){ .1 'a' _1 . &" &" 3' ~[r -Tt~/1 {J])1t1(7 I ;; 'I z.t C ~ y\ <, pl-uc17 v vi CtJl1^ ~f..?vr: ' . r/7 ILec..teD 6"s~ plftft- P 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone GCbQ~:~ WiL... City of Springfield Official Receipt Development Sen'ices Department Public Works Department RECEIPT #: 2201000000000000201 Date: 03/05/2010 II :00:45AM Job/Journal Number COM20 I 0-00280 COM20 I 0-00280 COM20 I 0-00280 COM20 I 0-00280 Payments: Type of Paymeot Cash Change Description Building Penn it Penalty Fee - BWOP Building + 12% State Surcharge + 5% Technology Fee Paid By BARBRA MOREHOUSE Item Total: Check Number Authorization Received By Batch Number Number How Received cJc In Person In Person Payment Total: Amount Due 58.00 58.00 13.92 5.80 $135.72 Amount Paid $140.00 ($4.28) $135.72 Job/Journal Number COM20 I 0-00280 COM2010-00280 COM2010-00280 COM2Q I 0-00280 Payments: Type of Payment Cash Change cRcccintl Description Building Pennit Penalty Fee - BWOP Building + 12% State Surcharge + 5% Technology Fee Paid By BARBRA MOREHOUSE Item Total: Check Number Authorization Recei~ed By Batch Number Number How Received Amount Due 58.00 58.00 13.92 5.80 $135.72 Amount Pllid 'cjo '!U' i: ,t' In Person In Person Payment Total: $140.00 ($4.28) $135.72 ,. 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