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