HomeMy WebLinkAboutPermit Building 2009-11-16 (2)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01622
ISSUED: 11/16/2009
APPLIED: 11/05/2009
EXPIRES: 09/22/2010
VALUE: $ 4,800.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1689 HARBOR DR
ASSESSOR'S PARCEL NO.: 1803023203400
Springfield TYPE OF WORK: Single Family Residence
, ..' . TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Permit for repair/repj'acemeiirof manufactured home roof AS-BUILT with additional
engineered repairs. f:
Ownel': MINER MICHAEL G & JANEENE I
Address: 1689 HARBOR DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Plumbing
License
Contractor
OWNER
SCOFIELD ELECTRIC
OWNER
38702
BUILDING INFORMATION I
# of Units: # of Stories:
Primary ci~cupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Illl&6fijjeat:
Primary Construction TlWjoN' Oreg'6l\ laW requlrW/R'Clt\\\\'fe:
Secondary constnA'Yili.;o,'ii ~dopted by the ore!o'l/M, ib'tI':
# of Bedrooms: fo\l~ cation center. Those l\11~ ~Ol)th:
N~"952-G01.oo10tIUO~gh 01 yll<<isIt!l\Jilding: n/a
"'0.... 6lt\Il1" ~!lf18
OO:iI::UU:::'nter. (~~_INFORMATION ~
fI\IIIIb8' for the.~~~gO.332-2344),
Front yard Setback: Center \ Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setbac": Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS ~
Expiration Date Phone
12/2l!2011 541-686-8612
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains: " ,. _..,..,.",."..,.,:-.,..""
. ,_.~: .:-;.':-!~':~:,\f.it_;'},J..f::i,~M'?:>"'''~- - ,.,
~~II;~MIT SMAt~ ~PIRE IfRMTHJI!'2~~ :~.
EO UNDER THIS PE IU f3 ",r
AUTHORIZ IS ABAlIDONED fOR ;:"':'.'
COMMENCED OR f\ ""'\~):"
ANY 180 DAY PERIOD. '
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
1,:;<'
..':~U-~
{ ~. . .
;!!3! {'
":Paee I 01'3
~_, I '
.1-
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01622
ISSUED: 11/16/2009
APPLIED: 11/05/2009
EXPIRES: 09/22/2010
VALUE: $ 4,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
Tvpe of Constrnction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Valne
Date Calcnlated
Total Valne of Project
~
Fee Description
Plan Review Residential
+ 12% State Snrcharge
+ 5% Technology Fee
Bnilding Permit
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend C;rc
Add, Alter, Extend Circ Ea Add
Service Reconnect
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumhing
Amount Paid
- I"'
"
Date Paid
Receipt Number
$56.71
$10.47
$4.36
$87.25
$19.20
$8.00
$55.00
$42.00
$63.00
$6.96
$2.90
$19.00'
. .
$39.00
11/5/09
11/19/09
11/19/09
11/19/09
3/2/10
3/2/10
312/10
3/2/10
312/10
3/22/10
3/22110
3/22/10
3/22/10
1200900000000001236
1200900000000001270
1200900000000001270
1200900000000001270
1201000000000000192
1201000000000000192
1201000000000000192
1201000000000000192
1201000000000000192
1201000000000000247
1201000000000000247
1201000000000000247
1201000000000000247
Total Amount Paid
$413.85
Plan Reviews I
Initial Review
11/06/2009
III06/2009
Il/i 312009. . .
APP LLH
Structural Review
11/0612009
APP CJC
As noted on plans / review letter
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.
~eouirecUnsnections ~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have heen requested and approved and the building is complete.
Rough Electric: Prior to Cover
Pa2e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..:.1..
Final Electric: When all electrical work is complete.
Rough Plumbing: Prior fo cover and including required testing.
Final Plumbing: When all plumbing work is complete.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01622
ISSUED: 11/16/2009
APPLIED: 11/05/2009
EXPIRES: 09/22/2010
VALUE: $ 4,800.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that all'Y and all work perfOl~med shall be done in a~cordance 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 the front of the property, and the approved set of plans will remain on the site at all
times during COllstr 'on.
~
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c.
Pa2e 3 of 3
o ?7/r&2)'70 \0.
J ,
Date
ii~.j
City of Springfield Official Receipt
Development Services Department
Public Works Department
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
8:45:30AM
1201000000000000247
Date: 03/22/2010
Job/Journal Number
COM2009-0 1622
COM2009-0 1622
COM2009-0 1622
COM2009-0 1622
Payments:
Type of Payment
Check
cReceintl
Description
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
19.00
39.00
6.96
2.90
$67.86
Paid By
MICHAEL G MINER
Item Total:
.Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
5085
In Person
Payment Total:
$67.86
$67.86
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