The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-5-12 , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00592 ISSUED: 05/12/2010 APPLIED: 05/12/2010 ", ,\,',', ::). ~:r:,,.. . - EXPIRES: 11/12/2010 i~tl~~~'i' ~"i;"" , . . .AT:rEN. . , VALUE: $ 3,500.00 "\" " TlON' fn"i' . . Oreoon 1::1,", ..~ . .... '~It:;;)c:WO te hit -~,,'j.t::~youto SITE ADDRESS: 1370 5TH ST In OAR 952W1-d18ft<\9i'J"EI~ 9 .I\'ffROOf ASSESSOR'S PARCEL NO,: 1703263]0]900 0090., You maY~btai through OAR 952-0~t. callmg the center n CJ'~E0me~l:iFes ~Iteration PROJECT DESCRIPTION: Rep]ace roof - skip ~ofP~I\"I~SCH~~~~r the telephone Y . Center is I-Rnn ?~t;!'ty Notification ',. . - "'= EO'T"'j. GREEN DAVID A & SHARRON E 1370 N 5TH ST SPRINGFIELD OR 97477 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line I. Residential Owner: Address: I CONTRACTOR INFORMA TlON ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiori Type Secondary Construction Type: # of Bedrooms: Contractor License AUGUST CONSTRUCTION COMPANY ]48]96 ~UILDlNG INFORMATION ~ THIS PEKIVIII "HALL tM'lnt Ir I nl:; 'WORK AUTHORIZErH'~sTHIS PERMIT IS NOT RetJMMENCEI:J'Mti8f~!rAflID(tNED FOR ANY 180 DAf~l!!frfu.at: ' Vli~arer 't'ype: Range Type: Energy Path: Sprinkled Building: Expiration Date 06/29/2011 Phone 54] -466-3979 , Contractor Type General Lot Size: Sq Ft ]st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occnpant Load: nla I DEVELOPMENT INFORMATlO~ REQUIRED PARKING Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: . # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: - ....., ".. Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Spedallnstruction: Sidewalk Type: DownspoutslDrains: Notes: '.! .,', . .qVI .;:.(; .:.';">. !. I Vaih'~'iion ~JscriPtion I Description Type of Construction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amonnt Valne Date Calcnlated Paee ] of 2 Status Issued " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00592 ISSUED: 05/12/2010 APPLIED: 05/12/2010 EXPIRES: 11/12/2010 VALUE: $ 3,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , ~ot.al Value of Project , LF,~es: Paid j . , , , ;. l Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Penalty Fee - BWOP Building ,..,' "j,:"'i. Amount Paid\' , Date Paid Receipt Number $18.60 $7.75 $77.50 $77.50 5/12/10 5/12/10 5/12/10 5/12/10 2201000000000000487 2201000000000000487 2201000000000000487 2201000000000000487 Total Amount Paid $181.35 Plan Revie\Vs ~ 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. . I Reauired Insnections ~ .... ,..,..., I .:>~~~: ,,_,':.. ~- ,... , Roof Sheathing/Nailing: Before covering she;min~ ~i\~ finish material. ,. f'~\ .' Final Building: After all required inspection{have been requested and approved and the building is complete. ,."t. 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 fnrther 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 structnre 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 thatall required inspections are requested at the proper time, that each address is readable from the street, tbat 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. \.-, ~'; , . . . ~'. . ';'\" . ~..~c --- C' -- .:;; f /- Z- /~ 0 Owner or Contractors Signature Date ".rei; : .;.....~.~: '-"r;i~,~ 'cr':' ..,;: . "tfl'f,. ""'1"',' . ',_ ; Pa2e 2 of 2 . \~i"' i) f DEPARTMENT USE ONLY Pennilno: (j/tJ $)'72 Structural Permit Application , - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(54 1)726-3689 .P~'~.Q:~~-. ' "F .... ~ . Date: This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of i suance or if work is suspended for 180 days. '" 'L~~4':hn\'IiQcQA~~?~'QY,~'~riM.~Nt?~~8,FiRQY~~:;f{)i~;:if~~f~1;f:~~~~~~1 This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~itj:t~;y;~~il'~ATE9Q~Y;~9~'1jG.6@f~(jcif.IQ~]'.k'i,;,!,'~.;,4\~1~~;!ij:]fi, Residential 0 Government 0 Commercial ,,' ,," ',,,'.'v:-, "'_"--""'~""'~~--"""~ ',",'''.,',>.",.., ----".<-!'- ....,v,""-'~",~:'., "';-", u,"",_"_,,,,,,,,,,.~..,...,.,,, ..: ,," ;r">~J"""', 1.,'\;dl:;;;,:;;'\:J9.l3y!SUTE; .IN!i9.RMATIClN'!!ANQ~I:Cl_CATlClNi,;1l1~,;!{{I"$,i; Job site address: /5,/0 ,) -,-, .sr.. City: <'tv..( 0 ZIP: '\':7>':'~FEE 'scHEDuLi:""(,o . "!.;',\) ,.'0,/".".>' ~;i::;:Y~~U~~IC;Rf(~t6ri##Ii~~';~;,;~~]j'li%~tJ~?,~~i;;~~~:f,f:;iK~ft~::jK,{;F"t~,~,ti;}~}5f~;; (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new alteration (b) Foundation-only permit? Total valuation: o addition DYes Reference: DNo ;., p,ROPERTY QwNER 1741-L.-./ C- c..f'L s? State: f'V'/ Fax: ":', ".,."". $ Name: , ' cd".!' (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+2c]): (e) Subtotal of fees above (2a tbrough 2d): City: Phone:" $ $ E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3a and 3b): . CONTRACTOR INSTAllAtiON', ."'."c; , ,'- - '--'-"""."...--." .-'-' .'-,,-,....--.., . '" .,', Business name: Address: J?,?".r II City: Ii ,n-'> PhoneYll-t/11 o'iJ9 Fax: E-mail: CCB license no.: Print name: cc"."," ';',",.. .".....,' ,,' ,,,;.p',,.....,~..,..c.,.._..,_..__. ",_ "",.' .. ',,"..,, ""',, ,~. h4""'Miscella'neoii'S::feesi!,fJi-i~'iii'-'}~'!I;;t,j:';':,\:~;~,:-;",,-.~ '-".';.-. ',n_'" ,.,. _....,._..~_,j.~,_,...!<','U~~....3,';!;:;;\::t::Ft,f:";:~:: ,\ ,;r:. "?"" (a) Seismic fee, 1% (01 x penni! fee [2a]): TOTAL fees and surcharges (2e+3c+4a): 5"- $ I~ - ""-..... . ~V':> ~~ ~a... \ \ \Q"V Signature: :01i!~~?!:;:?}~~~sue'"G',G>NltRA~ttOR,U_ N _~.QJ~MA/f(QNf0~~~t~~!0~~~i~tI~i Name CCB License Number Phone Number Electrical Plumbing Mechanical ~~. tJ~~V ~ ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000487 Date: 05/12/2010 IO:42:28AM Job/Journal Number COM20 I 0-00592 COM20 I 0-00592 COM20 I 0-00592 COM2010-00592 Payments: Type of Payment Cash Change Description Building Permit Penalty Fee - BWOP Building + 12% State Surcharge + 5% Technology Fee Paid By DALE AUGUST Amount Due 77.50 77.50 18.60 7.75 $181.35 hM'''' .....1 'r' Item Total: ;.,: Check Number Authorization Received By Batch Number Number How Received cjc In Person In Person Payment Total: Amount Paid $185.00 ($3.65) $181.35 Job/Journal Number COM20 I 0-00592 COM20 I 0-00592 COM20 I 0-00592 COM20 I 0-00592 De'scription Building Permit Penalty Fee - BWOP Building + 12% State Surcharge + 5% Technology Fee Amount Due 77.50 77.50 18.60 7.75 $181.35 .{, 4;:;;~t-'.:" .1: "If' Item Total: Payments: Type of Payment Cash Change eReceintl Paid By DALE AUGUST Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc $185.00 ($3.65) $181.35 In Person In Person Payment Total: ...... <:>> '. '~'. :1' . '.~ ;~"'h: :. > . . ;11 . ; ,',J , '" ,,~ ,;:"" ~i..".' Page I of I 5112/20 I 0