HomeMy WebLinkAboutPermit Building 2010-5-20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00598
ISSUED: OS/20/20]0
APPLIED: 05/]2/2010
EXPIRES: 11/20/2010
VALUE: $ 5,000.00
Status
Issued
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SITE ADDRESS: 657 54TH ST
ASSESSOR'S PARCEL NO.: 1702331304300
Springtield TYPE OF WORK: Garage
TYPE OF USE: New
PROJECT DESCRIPTION: Garage on existing slab - see COM2003-01186 for original permit.
Residential
Owner: WALKER HORA no LEE & IV ALO N
Address: 657 54TH ST
SPRINGFIELD OR 97478
Contractor Type
General
Plnmbing
Contractor
OWNER
OWNER
I CONTRACTOR-INFORMATlON ~
License
Expiration Date Phone
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Heigh!'of Structure
Type of Heat:
'Water Ty~e:
'Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
13.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
576
VB
I DEVELOPMENT INFORMATION ~
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.90
20.00
~.
REQUIRED PARKING
2
15.00
2.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: Yes
% of Lot Coverage: 27.10
, ,'''''' . ii ATTENTION: Oregon IHW requires you,t,o
follow ru es a op eo uy t1I~.; ".,;,;:;'-'11,-',1",
I PUBLIC IMPROVEMENTS ~Notification Center, Those rules are set forth
In OARlBWIlII4l11yji&\1 0 through OAR 952-001-
009Q,. You may 9ptain copies of the rules by
ce.\ltnW\lll!'~IHM!"I!iqNote: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Spedallostruction:
Note~iOT'CE:. EXPIRE IF1HE WOR~ ld,; "
THIS PERMIT SHfl,L~ THIS PERMIT 15 NO\,\. ,Ot',,:-,
fl,UTHORIZED UNDE fl,Bfl,NDONED FOR ;,:';'}
COMMENCED OR IS I, ,
fl,NY i 80 Dfl,Y PERIOD. .
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Page I 01'3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00598
ISSUED: OS/20/2010
APPLIED: 05/12/2010
EXPIRES: 11I2012010
VALUE: $ 5,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Estimate
TVRe of Construction
Estimate
$ Per Sq Ft
or multipHer, ,"
,
$1:00",': ",
Square Footage
or Bid Amount
5,000.00
Value
Date Calculated
Description
, . ,t .
:"' Total'Value of Project
$5,000.00
$5,000.00
05/12120 I 0
~
Total Amount Paid
Amount Paid Date Paid Receipt Number
$56.71 5/12/10 2201000000000000490
$19.59 5/20/10 2201000000000000545
$8.16 '5/20/10 2201000000000000545
$87.25 5/20/10 2201000000000000545
$119.00 5/20/1 0 2201000000000000545
$0.69 5/20/10 2201000000000000545
$13.86' , 5/20/10 2201000000000000545
$76.00 5/20/10 2201000000000000545
$381.26
I Plan Reviews ~
05/19/2010 05/19/2010 APP DJB
05/19/2010 OS/i9/20 I 0 ' APP DDK Minimum setback from front
:".. , , property line to garage is 18'.
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05/1912010 05/1912010'. , APP LKW
,"
05/19/2010 OS/2012010 APP CJC
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Garage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
SDC Storm - Reimbursement
Storm Sewer - 1st 100'
Initial Review
Plan nine Review
Public Works Review
Structural Review
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.
~eollh'eCUnsnections ~
Special: See Plan Reviewer or Inspectors 'Notes for specific requirements.
. ,.,'. ". .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Storm Sewer Line: Prior to filling trench.
Final Building: After all required inspections have been requested and approved and the building is complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00598
ISSUED: OS/20/2010 '
APPLIED: 05/12/2010
EXPIRES: 11/20/2010
VALUE: $ 5,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 [nspection Line
By signature, [ state and agree, that [ have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furthe," 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 SCI'vices Division, Building Safety.
[ 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.
1/ ~--deeLtJa/tf-- .~i-i!: .,.~-
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Owner or Contractors Signature
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Date
"'11
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.Paee 3 of 3
shuctural Permit Application
1_
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
. DEPARTMENT USE ONLY
Co,.c..-..zo/(:> ,0051
Permit no.:
Date: 5-,t.-1 D
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.
'" ~,,:. , -\:~ ~:;';,' :>\;,;l19~:A( ;~,q\('$~N~~Nt:~ettB~~~~]~~ti_~i;~~~t;;i~~1~;1
This project has finallalld-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verined: 0 Yes, 0 No
Property is within flood plain: 0 Yes 0 No
i~\~~iE~~%~~~:9~tE:gQRY;iqFl'.GONS;fii.uc[1.9~-:;gt~;;1(*ii!):Iii~iNfW~
D Residential 0 Government 0 Commercial
~i~)'J'f;'\,"{U9B;,.sI;rEi IN[ORM~TiCiNfA~i:l~r6,C:Ai"lQN~~1ifl'i':~:\'\
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Reference:
i,'
Name:
ZIP:
City:
Phone:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
,-
CONTRAqORINSl'AlLATIONC"" '
Business name: r-:.
Address:
City: ZIP:
Phone: Fax:
E-mail:
CCB license no.:
Print name:
Signature:
:~:~:{:~:~S;("V}<j{;7;~jt$'O_~;.G0~{tRAGjtOR~I.~ ~_ot{~A;rlq:r~~)i!;~~f;?r~~1~~'{;
Name CCO License Number Phone Number
Electrical A//J A./ d
Plumbing
Mechanical
r.'/z;.:~'L. _
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W ,., -."
e'?';t";,FEE >'SCHEPULg0e'i,: ','-"cr",' "."
,",']',"'.','~,'V,"" 'a.i'lu-i.1'a.t'",',o" "n':!~.".,:,."n'''fo'r;r--'m'i:-';'.. 'a;~'.t'.,"~o'-";n;;".~,~,~,':,',t,:,~"'~~",','~'"'i;;"""",~,:"_,:>..",,~~;,~,,,, "-:'_;',:'.,'-,""
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(a) Job description:
Occupancy
6A(L
lA-
E
Constructi.on type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
~new D alteration
(b) Foundation-only permit?
Total valuation:
~(3.
D addition
DYes ..B1'iO
(a) Pemlit 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 through 2d):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b): $
lf4~Z:'Mrsc:~lian_;o'~~rf~~~'jf:~l'~.~~~'J~:f;~t~_;~j~~s~l~~::_)~.~_ .;;.' .~.}:,,~;' ,;~.: i':Y'~,. ",:' ~...'
(a) Seismic fee, 1 % (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000545
Date: OS/20/2010
9:57:10AM
Job/Journal Number
COM20 I 0-00598
COM20 I 0-00598
COM20 I 0-00598
COM20 I 0-00598
COM20 I 0-00598
COM20 I 0-00598
COM20 I 0-00598
Payments:
Type of Payment
CreditCard
cReceintl
Description
Garage/Carport
Stonn Sewer - I st 100'
+ 12% State Surcharge
+ 5% Technology Fee
SDC Stann - Reimbursement
SDC Sanitary/Stonn Admin
Plan Review Minor - Planning
Paid By
MR. WALKER
Ref~,i",;,ed ~y.'J'
:njtyl, '.:,~'{r
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Check Number
Batch Number
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Rage I.Of-I.:".
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Item Total:
Authorization
Number How Received
Amount Due
87.25
76.00
19.59
8.16
13.86
0.69
119.00
$324.55
Amount Paid
02061 B In Person
Payment Total:
$324.55
$324.55
5/20/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
220io00000000000490
Date: 05/12/2010
2:26:33PM
Job/Journal Number
COM20 I 0-00598
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Plan Review Residential
Paid By
H L WALKER
Check Number
R~~e'i~~d;By ~( Batch 'Number
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Item Total:
Authorization
Number How Received
Amount Due
56.71
$56.71
Amount Paid
o 1269b In Person
Payment Total:
$56.71
$56.71
5/12/2010