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HomeMy WebLinkAboutPermit Building 2010-12-10 _" 0- I PUBElC'IMPROVEMENTS I Street Improveh1e1i'($~TION' Oregon law reg , fall J' UJres you to Storm Sewerl'tollJ1'{(b~~, es adopted by the Oregon Utility Speciallnstrll'i~~9a Ion Center. Those rules are set forth fiR 952-001-0010 through OAR 952-001- 0090, Vall ma.\: o~ain ' f OT CE' Notes: stor"b!!/ftter tREl''8elIP . caples 0 the rules by N I , K I 'id ml . (No~e: ~he telephone THIS RMIT SHAll EXPIRE IF THE WOR Center is 1-800-33'2-2 44\ I-IU t1 IZED UNDER v'.Iluation Descri tionA .NeED OR IS ABANDONED FOR . " "isr\~IY 1 gn nAY PERIOD. $ Per Sq Ft "qnare t'oolage '. Value or multiplier or BId Amount Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3760 OREGON AVE ASSESSOR'S PARCEL NO.: 1702314207902 PROJECT DESCRIPTION: Carport Owner: RUSSELL ROBERT S Address: 39638 MOHAWK LOOP RD MARCOLA OR 97454 Contractor Type General . Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U VB Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 22.00 23.50 29.00 Description Type of Construction ':~;1f: )!:. )!;;:, " '/:"~. ~. I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00690 ISSUED: 12/10/2010 APPLIED: OS/28/2010 EXPIRES: 06/10/2011 VALUE: $ 1,000.00 I.' . Springfield TYPE OF WORK: Carport TYPE OF USE: New Residential Phone Number: 541-933-1234 ;,::t;.' I'...' .,- .,~.. ;;J ':",," I CO~TRAC'f0RINFORMATION I License Expiration Date Phone BUILDING INFORMATION ~ # of Stories: Height of Structure Type of Heat: Water Type: Range Type: " . E'riergy Path"'." , ' , Sprinkled B'uilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 200 6,970 u/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of LotCoverage: 15.00 .""i"'~"":"0 '.},..._tk.... . .' ;.::-~-;~:;;. .....:::.;..; Sidewalk Type: DownspoutslDrains: Date Calculated Paee I of 3 Status Iss u ed ~~~;i~'~~ ",c_". ". i"~~~ ,', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00690 ISSUED: 12/10/2010 APPLIED: OS/28/2010 EXPIRES: 06/1012011 VALUE: $ 1,000.00 ""; 0' I '" ,"~ ~;:- 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,,-:'" Estimate Estimate $1.00 1,000.00 $1,000.00 $1,000.00 OS/28/2010 Total VaJue of Project ~ . , Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin SDC Storm - Improvement SDC Storm - Reimbursement Amount Paid Date Paid Receipt Number "'" 5/28/10 6/10/10 6/10/10 6/10/10 6/10/10 6/10/10 6/10/10 6/10/10 6/10/10 1.20 I 000000000000581 2201000000000000678 2201000000000000678 2201000000000000678 2201000000000000678 2201000000000000678 2201000000000000678 2201000000000000678 2201000000000000678 $37.70 $6.96 $8.85 $58.00 $10.00 $119.00 $9.25,,: ,." $144.80"~;" $40 2'7"'''7 . : ",+.,. ':c'1;'f/';- -"".. '. ..... :!-'"':"f~~' , >,.',,- Total Amount Paid $434.83" Initial Review I Plan Reviews ~ 06/01/20 I 0 06/01/2010 APP LLH 06101/2010 06/02/2010 APP DDK 06/01/2010 06/08/20 I 0 ' APP BJG Jl/ '1:" . ~ I 0610112010 06/09/2010 APP CJC " .', ,. . ~ storm water to existing Plaonine: Review Public Works Review Structural Review As noted on plans 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....ReoniredJnsnections ~ ..,.... "_I-'v~~ ~ ~'^' " :;'~ri "~~-<'~i ;;" . ' '1 Foundation: After forms are erected but priqr,io cone'rete placement. , . Framing Inspection: Prior to cover and afte'F' all rough in inspections have been approved. Footing: After trenches are excavated. Final Building: After all required inspections have been requested and ap~roved and the building is complete. ~: { '1' 'I' . Paee 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lin~ " ,'1 'Ii. ~..;~.", .. 'l. "-,J" '" .' ",~'.7' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00690 ISSUED: 12/10/2010 APPLIED: OS/28/2010 EXPIRES: 06/10/2011 VALUE: $ 1,000.00 ,," By signature, 1 state and agree, that I have carefully'ex~mined the completed application and do herehy certify that all information hereon is true and correct, and I furtlie~ certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springtield and the Laws of the Stat~ of Oregon pertaining to the work descrihed 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 ront of the property, and the approved set of plans will remain on the site at all .times dur'ng COil ruction .,. ------,., , ,.' ':;\:'f""";' '~...,~~":'..., ');.;'1;;:'; I irlo.;l , ' .'l' , ..~... . " . ~ . "r~'''' !~qr'. " , ,.....'......c.._.", ....,.~, .;'..,..~ , " '1 " Paee 3 00 ~/(/~ Dati I DEPARTMEI'.lTUSEONL Y COIN\z...OI 0-0 D b TD Pennlt no.: Structural Permit Application -- 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(54!)726-3689 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, , c",1:;, ~;i, ,'IiQCA!~i3QYE~~ filf)I~~~8}!~QyAllf:)j'i'i;Vie,;pir~dt~;~ 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 ~J~~~j~t~fGA'T.E.i:tQ'FfYl9.f;rC:QN'$f,R.:O,cJtl<tf~~1f'z~5~S0f~~ili~::~;ail~ IDesidential D Government 0 Commercial *i:b;:tt'Kit,~~:i9'Bj,sl;rEi,.it.f[6RM~'ri9~~ANQki;6cAfI9Ni}J;i.1~~t,f~Y!j Job site address: 0", ~... City: Subdivision: Name: Address: '6 City: Phone: E~mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt om licensing requirements under S 1. O. Sign here: h'," "'""-"" Business name: Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: l;~~g1K~Kifgg_~~~$U_B~~~~'fl1RAGtt:9R)J.Nf,QJ~MAilO)~oJ~~7!~f~~{~~j~ Name CCO License Number Phone Number Electrical Plumbing Mechanical , " ." .." .'''"' , , 'S~C' H' 'E"O',"U"L'''E"1"."",, '; <"';:,';<C~;;,< - ',~.:,;~~:<>;FEE _~. . .. ." -.. :f:~?Y~I_~'~jI9ffii~{oi~a:t"io#'~:'@!v'~j&~M}(,~';~1i::i\"!;\:j1f~;fr~~'~\t;M;!~X~3:~.~~Y;~: (a) Job description: Occupancy c v..... on...\ Construction type: IS Square feet: Cost per square foot: Other information: Type of Heat: /l Energy Path: -- .-t:rnew 0 alteration (b) Foundation-only permit? Total valuation: o addition DYes .81'l0 i' ";.:'--'~:;' .: ~;~~.,;. - .':' j1;.,..;;:,:?,,,""~I.<!'<-'>'!.'--:"-'\;;"',;;~,;.v\~;;'. ,;' ...,~" :it', ,: ~_. ,'"...~" ,-. .& IC.... t;.2;;'BUlldmgifees:f:~i";ift,,;:f:>t-7;:~t'~I~~?f\;;'\\;'i8.it'; 'f,hT~'''J'\ ~,.II;{'L'~.~:~'lh; ',t._..Jj ..,,\.: 1"'" ..c... . .....,.... .............. '....' _ __, ~h..."..,..,,,,....,~,,;..,.,,..,,,~,,,_.<.I_&.. '.. ..."..__"..,.~, '-'.l- ..." ....:.-'., .\- ....._ .'_'"_''' ,v..... (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 through 2d): $ $ $ $ (8) 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): (a) Seismic fee, 1 % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ t1DT() "\ v 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii:....iij .....M,;.'.;".."..,.... "..~:. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000678 Date: 06/10/2010 2:01 :18PM Job/Journal Number COM20 I 0-00690 COM20 I 0-00690 COM20 I 0-00690 COM20 I 0:00690 COM20 I 0-00690 COM20 1 0-00690 COM20 1 0-00690 COM20 I 0-00690 Payments: Type of Payment CreditCard cReceintl Description Fire SF Fee - Residential' Plan Review Minor - Planning SDC Storm - Improvement SDC Storm - Reimbursement SDC Sanitary/Storm Admin Building Permit + 12% State Surcharge + 5% Technology Fee Paid By ROBERT S. RUSSELL '" . 'C" . ,> Amount Due 10.00 119.00 144.80 40.27 9.25 58.00 6.96 8.85 $397.13 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM 01337C In Person Payment Total: Amount Paid $397.13 $397.13 -/" , .1:]. \". Page 1 of 1 6/1 0/20 I 0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000581 Date: OS/28/2010 9:43:49AM Job/Journal Number COM20 I 0-00690 Description Plan Review Residential Payments: Type of Payment CreditCard Paid By ROBERT RUSSELL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 37.70 $37.70 Amount Paid djb 07179c In Person Payment Total: $37.70 $37.70 cReceintl Page I of I 5/28/2010