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HomeMy WebLinkAboutPermit Building 2010-5-26 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00679 ISSUED: OS/26/2010 APPLIED: OS/26/2010 EXPIRES: 11/26/2010 VALUE: $ 2,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 228 WEST ASSESSOR'S PARCEL NO,: 1703352301800 l';:,.'.. Springlield TYPE OF WORK: Single Family Residence .c' TYPE OF USE: Addition PROJECT DESCRIPTION: Final building and mechanical/gas for expired permit 02-00276-01- All other inspections have passed. Residential Owner: Address: GRAY AMY R 228 WEST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type' Contractor License .Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Sec,ondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .,# of Stories: Height of Structure Type of Heat: ~~!er_Iy.p~, ,Range,TYRo: , Energy P'.'cth: Sl)~inkled 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 I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: , , Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Jnstruction: I PUBLIC JMPROVEMENTS ~ \ equires you to AI I t:" I 'v' : Ore~on aw r ;Q~e on Utility follow rules ad~~~~~les ire set forth Notification cen~~i~W8BijrThJNR!Q52-001. In OAR 952-001- btain copies of the rules by 0090. You may 0 N te' the telephone calling tfhe tC~~~:~~o~ Utility Notification number or, 2-2344). Notes: i' Square Footage or Bid Amount " - , Value Date Calculated Pa!!e 1 of2 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ :' . , '': ~~. ';" . ,I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00679 ISSUED: OS/26/2010 APPLIED: OS/26/2010 EXPIRES: 11/26/2010 VALUE: $ 2,000.00 : ..i(',,' Total Value of Project l...fees Paid ., , ':'f~~r.f; ~~:;f~ 17;: ::;. .t Fee DescriPtion + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Amount Paid,)'!' :~i,11' . $16.44 ' $6.85 $79.00 $58.00 i, Date Paid Receipt Numher " j", 5/26/10 5/26/10 5/26/10 5/26/10 2201000000000000578 2201000000000000578 2201000000000000578 2201000000000000578 Total Amount Paid $160.29 Plan Reviews, ~, ~' i'" ,; " ;- ",~ ' ~. :".~., . " 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. L ReQuiredJnsDections . Final Building: After all required inspections,have,been"n;quested and approved and the building is complete. ._;,::~~~, 'r[;;l.. ft. ','" ,', , Final Gas: When all gas work is complete. ,,' ld j ~ Final Mechanical: When all mechanical work',is corripiete. By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is trne and correct, and I further certify that any and all work performed shall he 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 withont permission of the Commnnity Services Division, Bnilding Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701,005 will be nsed on this project. I further agree to ensure that all required inspections are requ'ested a(jthe proper time, that each address is readable from the . I'" 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 construttion. ;.( , . Ii '," J . ,~'},d. 'r J~alttb_- Date <-, Owner or Contractors SIgnature r ~ . !;Xl',;.';li '; :,.I1.~L1,,,-r',., ~ , "'~y;. ~ ':,;; :r;p[ige"2,~f 2" ...r ~. .':r.~ '~ ~tructural Permit Application ~ DEPARTMENT USE ONL y {'(,..~ ~ e::4j~ 'C"~:'t~!+~S"~::':'''-'';1 ~e:'r~'-lf ~~:C"~~iJ~:tZ~E~J..r~,;~",,q!;:t:.t?;~~ ,:~: -;P':!~,;:': Er~'QF, ~~~p,Fl!ilpq:\\ilREp,Q,~~?:~<)' 'e::';: 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ZIP9?1f1? City: Subdivision: Reference: Name: Address: :2-::1- ~ City: Sf' Phone: ',P.ROPERTV OWNER 14.--1 .,.,. IE' Sf State:~ Fax: 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. :1 Sign here: STAt_LATION' Business name: Address: City: Phone: E-mail: CCB license no.: State: ZIP: Fax: Print name: Signature: 1;~f:~~;~~~iWl~f';:~0S{)B--GO-N}j]~AG;t9RJI_NB9J~_IVIJ\rtlQN~t1~~~~1~'if~t Name CCO License Number Phone Number Electrical Plumbing Mechanical permitnoCI0-&70 Date: ::'~';' "=.;' '~~;:;-::?';'~:~:~'::;~'~~'~;;~~';';-;'Y:EE~"~~~H~pi1~~r~'f.:{'," ;:' . (0 .;.r?Y_at_~~~ti.9'n{intO'rrnit:tfQ~Y~~}'~{1f~~~~i!~)~~~~,~~'~*~i{r~)tt~',~i,fIZi:~4,~~;i+:N'l' ':;'1. Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new 0 alteration (b) Foundation-only permit? Total valuation: Baddition DYes DNo 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. ';i;,~SIfO.CA~ '9Qy:~@~gt.jt~~pFf8'QYlill{;!~}:;::',?JJ,~,~j This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No ~'f,,1\'i~i!ii;l;'fi~ICA'rEb0Ry~i0F"cONSTR(jtiT\0i\i'{~i;Jl;t".id#'ii,,," ,,^i:K~V.l;".'cv'r~,,~;, ,. . ,. ..... '-...._.'''.....,,,,.;..1-li:. ..,,~..... ..__. ........J..,:"..._,,, ..,~;.._" ,........;;."i;i.~"".,':;'~:n""-';':Y0,"J~,.-;: ffResidential 0 Government 0 Commercial iif":,,,!i.i%,~t~9Ef~sl;rEl.fN~9RMA'J'j0N~AN[W~O.CA:fIQNI~J0!l~l1$~~; :2- g.VV C .if fr7}7:B,~~H~In.g:,:.f~'~~~~t~i,~1~J;\ti~"~1;Y~1;~;~!i~':2if,~Jl,:;~?:,~~'~~o ,.~~:~~~~"i':'i:~;{if,_,~\,'\;~'~ $ (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+2e]): (e) Subtotal of fees above (2a through 2d): $ ,;;.--- $ $ $ $ $ $ $ S $ 11 (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): t1t~,M~!r~!i.~Jt~9:ifs1:f~~~~!%)';_it~f~~*~~.;~:tt:~~i" (a) Seismic fee, 1 % (.01 x permit fee (2aD: TOTAL fees and surcharges (2e+3c+4a): MIl ty/fcff 7~~ -r> /11-"/4 t:l"1 /&OC! 225 Fifth Stre.et Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000578 Date: OS/26/2010 II :4S:0SAM Job/Journal Number COM20 I 0-00679 COM20 I 0-00679 COM20 I 0-00679 COM2010-00679 Payments: Type of Payment CreditCard cReceinll Description Building Permit 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By AMY GRAY ,..t\"" .,'i:"\.~. Amount Due 58,00 79.00 16.44 6.85 $160.29 ,"";;"'-. : f""-i ~'. '. Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm $160.29 $160.29 098808 In Person Payment Total: '..! '..Y,J ,\; ,,'...1. , ,.:"t::- "P:JL,'~T~:~M" ",t.<; ~ t'." I '-i" . 1.; -"\,I.t.i ... ..",-,""", ,-',.:.,.-", ;":,~..-7f"~''''. ,~., . ,"'\' .... ' Page 1 of I 5/26/2010