HomeMy WebLinkAboutPermit Building 2010-12-10
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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
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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
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Springfield TYPE OF WORK: Carport
TYPE OF USE: New
Residential
Phone Number: 541-933-1234
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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
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Sidewalk Type:
DownspoutslDrains:
Date Calculated
Paee I of 3
Status
Iss u ed
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Estimate
Estimate
$1.00
1,000.00
$1,000.00
$1,000.00
OS/28/2010
Total VaJue of Project
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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
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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
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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
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0610112010 06/09/2010 APP CJC
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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 ~
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Foundation: After forms are erected but priqr,io cone'rete placement.
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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.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lin~
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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
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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
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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,
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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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IDesidential D Government 0 Commercial
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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:
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Business name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
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Name CCO License Number Phone Number
Electrical
Plumbing
Mechanical
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(a) Job description:
Occupancy
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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
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t;.2;;'BUlldmgifees:f:~i";ift,,;:f:>t-7;:~t'~I~~?f\;;'\\;'i8.it'; 'f,hT~'''J'\ ~,.II;{'L'~.~:~'lh; ',t._..Jj ..,,\.: 1"'"
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(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): $
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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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
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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
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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