HomeMy WebLinkAboutPermit Miscellaneous 2010-6-8
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00663
ISSUED: 06/08/2010
APPLIED: OS/24/2010
EXPIRES: 12/0812010
VALUE: $ 4,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspectioll Line
SITE ADDRESS: 1462 I ST
ASSESSOR'S PARCEL NO.: 1703362203700
Springfield TYPE OF WORK: Miscellaneolls
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: CONVERT CARPORT TO GARAGE
Owner: TAYLOE BETTY A
Address: PO BOX 71610
EUGENE OR 97401
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I CONTRAc:roR INFORMATION ~
Contractor Type
Gelleral
Contractor License
SCOTT BROWN CONSTRUCTION INC 64344
BUILDING INFORMATION ~
Expiration Date
09/1012011
Phone
541-726-7706
# of Units:
. Primary Occllpallcy Group:
Secondary Occupancy Group:
Primary Constrllction Type
Secondary COllstruction Type:
# of Bedrooms:
u
# of Stories:
Height of Structure
_ ])p-e. of Heat: J
A1TENlWN~Cjl~ law requires you to
follow rd .d by the Oregon Utility
NotIlIc ih'rhose rules are set forth
In OAR liitbrl? .gh OAR 9R~'001-
o In co les of the rures b
on
on
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemellt:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Center 111-800-332.2344).
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
. ./~.l'f ,~c~!E?verage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLICIMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Speciallnstrllction:
Sidewalk Type:
Do~ns(J?~.t~/,D.rains:
NOTICE: .....,"";;;,r'''i.'.'''i.'.C
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT. .'
Notes:
Description
Type of Construction
$ Per Sq Ft .
or multiplier
. Square Footage
. or Bid Amount
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00663
ISSUED: 06/08/2010
APPLIED: OS/24/2010
EXPIRES: 12/08/2010
VALUE: $ 4,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Bid Amonnt
Use Bid Amount
$1.00
4,000.00
$4,000.00
$4,000.00
05/27/2010
Total Value of Project
~
$50.38
$9.30.
$3.88
$77.50
. , ' D~te Paid
5/24/10
6/8110
6/8/10
6/8/10
Receipt Numher
Fee Descriotion
Plan Review Residential
+ 12 % State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
2201000000000000563
2201000000000000653
2201000000000000653
2201000000000000653
Total Amount Paid
$141.06
I Plan Reviews ~
Initial Review
05/27/2010
051.~.7/201 o.
0;;/o2/2Oio
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APP LLH
Plannimz Review
OS/27/2010
APP DDK
No planning issues. Applicant is not
proposing any new building area
and the area will continue to be used
as storage.
Structural Review
05/27/2010
06/08/2010
APP CJC
No new surfaces, No new fixtures,
No SDC's
as noted on plans
Public Works Review
06/08/2010
06/08/2010
APP LKW
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.reque~ted after 7:00 a.m. will be made the following
work day.
~e(]lIfrecUnsnections ~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after'all rough in inspections have been approved.
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Final Building: After all required inspections'have.b.!en'requested and approved and the building is complete,
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Status
lss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00663
ISSUED: 06/08/2010
APPLIED: OS/24/2010
EXPIRES: 12/08/2010
VALUE: $ 4,000.00
By signatnre, 1 state and agree, that 1 have carefnlly;~!a"!ined the completed applicationand do hereby certify that all
information hereon is true and correct, and 1 furthef'&rtify IhM 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 structiir~'Witho;;ilpermission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees'who are in compliance with ORS 701.005 will be used on this project.
1 fnrther agree to ensnre 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.
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Date
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tructural Permit Application
DEPARTMENT USE ONLY
."to '_"" -. P.ri~' ~ 'f.- ~1h_ ,..~i'L:i '"t.tts.R:*"" ~'"'~:3f~~~~",," ';;--tt~~"
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225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(541)726-3689
Pennit no.: (! I () -& &3
()
This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
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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
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o Residential D Government D Commercial
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Job site address: i'-l I :5-r.~ e- l
City: '::;p CL- ,r{ ~r' E:Ll)
Subdivision:
Reference:
',.,.>
Address:
City:
Phon,,' _"><.11 _ 7~& 1':;-06
State:
Fax:
ZIP:
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:
y~ -
Business name: 5c.:J"';- .
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
'" ,./ SJ~'/C j I V,'/
State:
Fax:
ZIP:
Signature:
~4:~r;~~;~J~:~$~}~SQ~~G'oNIIMG:t.OR.uNF.9:RNI'ATI'QJ~~~~~~{~~j1[J]~~
Name CCO License Number Phone Number
Electrical
Plumbing
Mechanical
({))
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'.,':;::':FEE'SCH"Ej)ULEV< - .
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(a) Job description:
Occupancy l/\..
Construction type:
Square feet:
Cost per square foot:
;=-, Cr1I () ~
Other information:
Type of Heat:
Energy Path:
o new / alteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes
ONo
D
[~if:tJ,4U~iiig>:f~~~t;.~~1t~~~1\~1]t~j~;~~p~i~~~?,'-\:~.i:';~:t~~~ ~.;;,,~%;P,,~>'jl:f\)"".';'^;~:>
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
$
$
$
(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):
~:,4~;M~~~!f~jii9<liSJf~~~~~~\f;L~~';~IS~~i}.I.%t~lt~j~iJ.~~'~f'?'
$
(a) Seismic fee, 1 % (.01 x permit fee pal):
$
TOTAL fees and surcharges (2e+3c+4a): $
225 Fifth Street
Springfield"Oregon 97477
541-7Z6'-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000653
Date: 06/08/2010
1I:30:15AM
Job/~ournal Number
COM20 I 0-00663
COM20] 0-00663
COM20 1 0-00663
Description
Building Pennit
+ 12% State Surcharge
+ 5% Technology Fee
":.
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Amount Due
77.50
9,30
3.88
$90.68
Item Total:
Payments:
Type of Payment
Check
(
cReceintJ
Paid By
M]KE TAYLOE
!l~;."". Check Number Authorization
Re~C:ei~ed By Batch Number Number How Received
djb 628 ]n Person
Payment Total:
Amount Paid
$90.68
$90.68
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Page I of I
6/8/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000563
II :02:56AM
Date: OS/24/2010
Job/Journal Number
COM20 I 0-00663
Payments:
Type of Payment
Check
cRcceintl
Description
Plan Review Residential
Paid By
MIKE TAYLOE
Item Total:
Check Number Authorization
Recei~ed By Batch Number Number How Received
cjc 627 In Person
Payment Total:
Amount Due
50.38
$50.38
Amount Paid
$50.38
$50.38
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5/24/20 I 0