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HomeMy WebLinkAboutPermit Building 2009-4-9 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01491 ISSUED: 04/09/2009 APPLIED: 10/09/2009 EXPIRES: 08/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1000 3RD PL ASSESSOR'S PARCEL NO.: PARKER 3RD PLACE P Springfield TYPE OF WORK: Miscellaneous TYPE OF USE: New Residential PROJECT DESCRIPTION: 200 AMP meter change and water line Owner: JOHN PARKER Address: 1000 3RD PLACE SPRINGFIELD OR 97477 Phone Number: 541-741-1298 I CONTRACTOR INFORMATION . Contractor Type General Electrical Plumbing Contractor SNAPPER CONSTRUCTION BURRELL BROS ENTERPRISES INC OWNER License 84836 136446 Expiration Date 07/21/2011 08/20/2011 Phone 541-342-5426 541-747-2724 " BUILDING INFORMATION ~ # <if Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: 1\. Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Cover~ge: REQUIRED PARKING Total: Handicapped: Compact: . ." ~ I PUBLIC IMPROVEIV\~:rl\loN: Oregon law require,s, VD"\\~ , . _ t~d blL ir,8 Olegw Ijt! 'f follow rules aSid~w'tWl~p.e:les are set forih Notification Center. " '~h nllR 952-001- , OAR 952_0~<OO1S:P\lJjtilllralns: lea hit n ' oples 01 tne ru w, 0090. You may obtain ~ote' the telephone calling the cen~r. (on Utility Notification number for the, reg 332-2344). Center IS 1-800- Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: Notes: THIS PERMIT AUTHORIZED ~~~L EXPIRE IF THE WORK COMMENCED 0 R THIS PERMIT IS NOT ANY 180 DAY PERR'S ABANDONED FOR'; 100. ",c.' <0. , Pa2e I of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01491 ISSUED: 04/09/2009 APPLIED: 10/09/2009 EXPIRES: 08/1712010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriution I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total V.iile of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Water Line - 1st 100' Water Line - Each AddtllOO' + 5% Technology Fee Curhcut Permit Amount Paid Date Paid Receipt Numher $19.44 $8.10 $162.00 $11.40 $4.75 $76.00 $19.00 $4.40 $88.00 10/9/09 10/9/09 10/9/09 10113/09 10113/09 10/13/09 10113/09 314/10 3/4/10 3200900000000000700 3200900000000000700 3200900000000000700 2200900000000001176 2200900000000001176 2200900000000001176 2200900000000001176 2201000000000000194 2201000000000000194 Total Amount Paid $393.09 I Plan Reviews ~ ".. "I.;. . To Request an inspection call the 24 hour I:~cording,at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, insp'ections requested after 7:00 a.m. will be made the following work day. ~enllire'Unsnections I Electric Service: Approval required prior to utility company energizing service. Water Line: Prior to filling trench and including required testing. Curbcut- Standard: After forms are erected but prior to placement of concrete. 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 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0149I ISSUED: 04/09/2009 APPLIED: 10/09/2009 EXPIRES: 08/17/2010 VALUE: By signature, 1 state aud agree, that I have carefully examined the completed applicatiou and do hereby certify that all iuformation hereon is true and correct, and I further certify that auy and all work performed shall be doue iu 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 the front of the property, and the approved set of plans will remain on the site at all times during construction. ~~/~ Owner or Contractors Signature "'f ,'; 'I. Paee 3 of 3 Date ~/p ~1 . . , 'r', ,r ,~ ".11-13' . -. .'~ '. .. .' '. '. ...' .. "0..4!!Jo.ltJprfnQl'= ." , . . .. ~'. .' "", ~.\'".' .: '~'."~ '~. ~. .~:.i<~ '~,~._' : _.:: ::~ .,': :. '. -,. _. -~ ;:. ~> .:' ;'.'j.;r .: ,,:'~",::;., .. _ ';.,:<~;::;~1 . >>.'( DRIVEWAY/SIDEWALK' ';.:-'PERMITApPLlCATION", ':"\~~-1 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVlSION OFFICE TELEPHONE (5D31~\ APPLICATION DATE: 4- fO oP..:a:~~ ~~ . .O'~ PERMIT NUMBER: C c; ~ tJ / ~ 1/ . DATEISSUED: 3/07',/2--0/6 LOCA nON OF ~RK: ~ APPLlCANT~ ADDRESS. 10I:1D" ~. Pll!.e.L-- CIW ?!:rl"d 1J 5TATEOyV ::;~ISI~ 8 ADDRESS . 'fl. dUClTY '~~..-H)idd "1 PHONE..:;zgt-,t.fI-/ V{ 7 SITE INFORMATION: TAX MAP: ZI,q1'-f.?7 TAX LOT: STATE: PHONE 641~~-~~ GI2... ZJP qiiJ'I7 REOUESTED PERMITS: SIDEWALK: ...................... ................... AMOUNT OF SIDEWAlK IN EXCESS OF 90FT. ....................... .................. $88.00 @$O.OB SF. . .............. .. $1S.50 ...... -$ =$ ....... = $ )(, 0 o SIDEWALK REPAIR:..... 4CUR8 CUT/DRIVEWAY: NUM8ER OF DRIVEWAYS------L-X ....... ......... $88.00 1st Cut = $ tR!!- o MULTIPLE PERMIT DISCOUNT EA: . ..m..(MAX 2) ...........................$30.00 (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION ~ APPLIES TO 2nd AND 3rd PER~'TS ONLY. NOT SIDEWALK REPAJRl o 5% Technology Fee $ 4. '-10 TOTAL DUE WITI-l PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTY OWNER 2nd Cut =$-" =$ 9.2. -ijU CONTRACTOR INFORMATION: CONTRACTOR: PHONE;7;J~Z--~tf'Jb 11-z.-11 II . ADDRESS: CONTRACTOR REGISTRATION NO: ~ PROJECT SUPERVlSOR: :1R ...r-1'- - t;.,1..t. mAil ~ INSPECTIONS: PHONE: AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE. N='TER THE PROPOSED WORK HAS BEEN FO RMED AND MADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CAlL 72&3769 (RECORDER) STATE YOUR DESIGlNATED CITY JOB NUMBER/PERMIT NUMBER, JOB ADDRESS, 1YPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR INS PECTlON, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE SAME DAY, REOUESTS AFTER 7:00A.M. WILL BE MADE THE NEXT WORKlNG DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POUAJNq CONCRETE. c::J Single driveways serving single -family and duplex dwellings shall be paved for the first 18 feet when abutting a curb and gutter. 4.2-2(3) You are required to call utility notification center "one call number" 811 before digging SIGNATURE: (J'/ ,IJ _ ./../. cJ AMOUNT RECEIV~: r:;?{. ~ RECEIPT NO: DATE PAID: RECEIVED Y: 8/L./?' 0 By signature, I slale and agee, that I have careluny examined the compleled applicalion and do he reby cerli at a infamalion hE!(ein is true and eorrecl and I funher cerlifY lha! any and all work,Qedo..-med shall be dooe in accordance wilh the Ordinance of f . the City of Springfield, applicable Cill Standard speCIfications and D~awings. and the laws oj the Stale oJ Oreg pertaining to Ihe 'M:lrk desoibed herein, I further certify that ,only contraclors and empoyees who are in compliance ....,th ORS 701.0:55 WIll be used on thisprOjl!d, . The City may inspecUhe work sHe described in this permit at any lime during a one year period 10 nowing the receipt by !he City 01 nollce 01 ccm~letion of Ihe desCflbed work and speoly. !lIthe City's sole discrelion any additional restoratioo work required LO return the sile 10 a slarldard accep'!able to the Ci ,The p"erminee will be notified in wrrting of anywOl'k required and will have,thlrty days (30)lrOO1 the date of the notice to compele Lhewark. Work (lot competed al the end of Ihe lhlrty days will be pertQ(med by the City and the COSIS wiU be billed to the permittee. . I lur\tJer agree 10 ensure that all required inspections are requesled althe proper time. that proj ect addt'ess is readatxe trom the slreet, and Ihe approved set of plans WIll remain on the site al all times dUling conslruclion. . Sigo,,"" ~c~~ ~ 0." gly/IO 5!7Jdp.~. 7-2~- ::?7'~7 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone ~~:~~=ia' . WiL. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000194 10:25:0IAM Date: 03/04/2010 Job/Journal Number COM2009-01491 COM2009-01491 Payments: Type of Payment Check cReceinll Description Curbcut Pennit + 5% Technology Fee Paid By PAULA D PARKER Item Total: Check Number Authorization Recei,ved By' Batch Number Number \ How Received Amount Due 88.00 4.40 $92.40 Amount Paid njm $92.40 $92.40 107 In Person Payment Total: r. h ' l' p, . ,~: Page 1 of 1 3/4/2010