HomeMy WebLinkAboutPermit Building 2010-3-31
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00394
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 09/30/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 14621 ST
ASSESSOR'S PARCEL NO.: 1703362203700
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION:
TYPE OF USE:
Relocate ceiling joists in garage to top-plate line
Alteration
Residential
Contractor Type
Contractor
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BUILDING INFORMATION I
Phone
Owner:
Address:
TAYLOE BETTY A
PO BOX 71610
EUGENE OR 97401
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VB Water Type: Sq F:t Basement:
RangiiTfpe:' , ' Sq F!.~Jlge/Carport
. Eiiergy P~th: ~~l'b1b.tW
.Sprinkled Building' nhtI,\l.t. \r Oalfu\f.ldrLoad:
t;; ~'~ ,:,~\l.~\\' ~g?
I DEVELOP~~L~q.\W~ ~~t;)()~'t.\l
\y.,\~ ()\l.\1~ Q\l. \S REQUIRED PARKING
overlat>-'tJl~lc,t.t;) <r't.\l.\Qt;). Total:
# Street(l1t~~s 10~ Handicapped:
Paved D~~~~ : Compact:
% of Lot Coverage:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drai,ns:
Notes:
I Valuation Description ~
',,,.. , . -','"
Description
Type of Construction
$ Per'!,ifFt " i:, Square Footage
or multiplier' or Bid Amount
Value
Date Calculated
Pa~e I of 2
Status
Iss u ed
'C'" ,'~ .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00394
ISSUED: 03/31/2010
APPLIED: 03/31/2010
EXPIRES: 09/30/2010
VALUE: $ 2,000.00
225 Fifth Street. Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
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"'FeesPiiid . ,
~': ; "
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
.'J',j
Amount Paid"
Date Paid
Receipt Number
$6.96
$2.90
$58.00
3/31110
3/31110
3/31110
2201000000000000298
2201000000000000298
2201000000000000298
Total Amount Paid
$67.86
Plan Reviews I
,. ,.' ~ \ 'j 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.
[ Retluired Insoect~
Framing Inspection: Prior to cover and after:fiil-r6ug~;iii"inspections have been approved.
'~; t' Ii t' ::.r
'Tilt..:- ""'l'"''
Drywall: Prior to taping. " ,f; .' ,
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Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, I state and agree. tbat I have carefully examined the completed application and do hereby certify tbat all
information hereon is true 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 OCCUPANCY 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,the proper time, that each address is readable from the
street. that the permit card is located at t, front of the property.}nd.t~e approved set of plans will remain on the site at all
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Owner or Contractors SignatU(j Date
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Pa2e 2 of 2
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S~ructural Permit Application
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225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3 753 . FAX(541 )726-3689
DEPARTMENT USE ONLY
SPRINGFIELD
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~-,~
Pennit no. (J/{)- 39't(
o
Date.
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.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature:
Date:
This project has DEQ approval.
Signature: Date:
Zoning approval vaified: .0 Yes D No
Property is within flood plain: 0 Yes D No
CATEGORY;OF CONSTRUcTION
D Residential D Government D Commercial
JOB ,SITE INFORMATION AND LOCATION "
Job site address; f'r
City;
f=t..t>
ZIP;
Subdivision:
RI.:l'erence:
Name:
Address:
City:
Phone:
State:
Fax:
ZIP;
E-mail:
This installation is being made on residential or farm property o\vned by
me or a member ormy immediate fa 'Iy, and is e mp1 from licensing
requirements under ORS 7~Ol O.
Sign here: l..
Business name:
Address:
City;
Phont::
E-mail:
CCB license no.:
j.:
State:
fa"\;:
ZW':,
Print name:
Signature:
" " ,SUB-CONTRACTOltINI'$RMA TION ,-
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
FEE SCHEDULE
I. Valuation information ' "
.
(a) Job description; At.~ i[ .)Ot-'T
Occupancy v\..
Construction type:V~
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy J)ath:
o new [;31nteration o addition
(b) Foundation-only permit? DYes ONo
Total valuation: $~c:0
2. Building fees
(a) Permit fee (use valuation table): $
(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+2e]); $ ~ <f.!::.
(e) Subtotal of fees above (2a through 2d): $
3; Plan review fees' f ,
(a) Plan review (65% x permit fee [2aJ); $
(b) Fire and life safety (40% x permit fee [2a]); $
(e) Subtotal of fees above (3a and 3b): S
4. Miscellaneous fees "1). ,~o ""1- LL
(a) Seismic fcc, 1%) (.01 x permit fee [ZaJ): $
TOTAL fees and surcharges (2e+3c+4:t): $6-,~
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OR ALTERATIONS MADE TO THlC AF'PftQVED ~AWINq$,OirRONTYARD
PROJECT AFTER THE DAre El1!:LOW SHALL B!14PJ'>ROV~/:j E,y"
THE BUILDING OFFICIAL. 1
CITY OF ?f~INGFIErLD. OR'fGON
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225 fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000298
Date: 03/31/2010
3:09:45PM
Job/Journal Number
COM20 1 0-00394
COM20 I 0-00394
COM20 I 0-00394
Payments:
Type of Payment
Check
cReceintl
Description
Building Penn it
+ 12% Slate Surcharge
+ 5% Technology Fee
Paid By
MIKE TAYLOE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58,00
6,96
2,90
$67.86
Amount Paid
cjc
623
$67,86
$67.86
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',,>
In Person
Payment Total:
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Page I of I
3/31/2010