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Home My WebLink AboutPermit Building 2010-6-28 \"' ~ .. , CITY OF SPRINGFIELD Buildin,g/Combination Permit PERMIT NO: COM2010-00776 ISSUED: 06/28/2010 APPLIED: 06/16/2010 EXPIRES: 12/28/2010 VALUE: $ 13,579.20 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: U5 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262202100 .Springfield TYPE OF WORK: Accessory Building J";' TYPE OF USE: New Residential .,. PROJECT DESCRIPTION: Storage Shed Owner: Address: SHORT KRISTIN & RICHARD U5 WOODLAND DR SPRINGFIELD OR 97477 U I.;ot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FtGai-':i.~~?-\I[Port Sq ~~eN >.1[\\ . . j..?\W.c\'u ~ ~1I'lf:' DEVELOPMENT.INF I ?- "\ Da~'C.1) \ ,1' ua?\ I"l 'IS r>:Pp.,~ REQUIRED PARKING ~\)"\" c,'C.1) Of' "I) Overlay Dist. Ol:-J\W\'C.\'\ ~ ?'C.?-~v . Total: # Street TreJS\\ii.d\ CO\) I)~ . Handicapped: Paved Drive Rq'if: Compact: % of Lot Coverage: 21.40 011\0 eo,u\,es'llj\\\\\'i ,000" \3o~~e Oleg~..e\ \O,,~ I Cill!T~~~;~~~~i~~;~~~'l1i W"~. 30\\0\\ ,.QQ,. ',W~;~e\e9~~:n ~o~~'" 9o'2..a~'i ob\3o\"~~eh~~ l-\o\IDltpTration Date \~,,~ '{oull' oe,,\el. 0" \.l~.'2'.)lt,lt,). BUI~~16~~I~r # of Stories: Height of Structure Type of Heat: " Water Type:' Range Type: Energy Path: ~. 1" '. , . Sprinkled. Building: Phone Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type .Secondary Construction Type: # of Bedrooms: J,J><. VB 360 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 8.00 6.00 0.00 I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: ','OJ .' ' Special Instruction: weep hole to curb for storm water Sidewalk Type: Downspouts/Drains: Notes: Description Type of Construction I ValuaHon Description I $ Per Sq.;j;, .:: J<,:.'..: .S<iu~re Footage or mul~ip.H.erUI' r'~1': or Bid Amount Value Date Calculated .....;..."',~.. -f~Tf ,11.\. Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garaee/Misc U YB Utilitv Fee Description Plan Review Residential + 12% State Surcharge, + 5% Technology Fee Building Permit Fire SF Fee - Resideutial Plan Review Minor - Plauniug SDC Sanitary/Storm Admin SDC Storm - Improvemeut SDC Storm - Reimbursement Total Amount Paid Plan nine: Review Public Works Review Structural Review ,..,-1;',;",,,,.. ./,:.". 'l~(:~"- .,' '\ I ,',. ,~. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00776 ISSUED: 06/2812010 APPLIED: 06/1612010 EXPIRES: 12/2812010 VALUE: $ 13,579.20 $37:72 360.00 Total Yalue of Project $13,579.20 $13,579.20 06/16/2010 ~ Amount Paid" $113.75S,!,j. $21 00""", . ,.,)J?~ ' $14.70' ". $1 75.0o.c5 $18.00 $119.00 $9.21 $40.08 $144.14 . Date Paid Receipt Number . ')~l '. '. .k;~- l",~. , ,6/16/10 " 6/28/10 6/28/10 6/28/10 6/28/10 6/28/10 6/28/10 6/28/10 6/28/10 1201000000000000712 2201000000000000754 2201000000000000754 2201000000000000754 2201000000000000754 2201000000000000754 2201000000000000754 2201000000000000754 2201000000000000754 $654.88 I Plan Reviews I' 06/18/2010 .:, '06/24/2010 APP DDK . .... 06/24/2010 06i25/2010 APP LKW weep hole to curb for storm water 06/18/2010 06/28/2010 APP CJC 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, inw~ction_~.req~ested after 7:00 a.m. will be made the following work day. J ;.", ",' ,.,. , fO...' ./ ..~. ~~ciljjredJnsnections , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete place~ent. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have beeo approved. Final Building: After all required iuspections have been ~e,quested aud approved and the building is complete. o,t' ", j J ... I' ,~.\.'f. : ""t.- Paee 2 00 '. ." c~. ;". ";;,} CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00776 ISSUED: 06/28/2010 APPLIED: 06/16/2010 EXPIRES: 12/28/2010 VALUE: $ 13,579.20 Status Issued "~'I ; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :L-._. "~1:" By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City ~f 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 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 n're request~d at the proper time, that each address is readable from the street, that the permit card is located at the fron"t'o'fihe property, and the approved set of plans will remain on the site at all times during construction. \~~~ 6Iz~)D Owner or Contractors Signature Date ....j~ '1'>;-" '!'f'-J 'f"...~..:... :.1;,' . 'rl, .. , . ;~!. . . i ' ",~ I :~:t; :{" ..\ :-".; '. , ~ . .-...--~ ..- ~N ~a~i3 of 3 Stru' ural Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726-J75J. FAX(541)726-J689 SP~'NG"E&.D iO~~i Ii a, .", ~"" ~~~~ -~ DEPARTMENT USEONL Y permitnoC>O -77~ Date: c::: -It - /0 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. : :,'" , ,,;:; ,':'O','C"A'L"('G' 'O:'Y"'E'RNM'" ENfi/A' "p' "R''''O''Y'''A' "1!(""""'&:'c:,t,"fiA1i'4) ," '>t;.,~";,.,>_ \\-~" ;.._ _..' .. ""^",__^"._._,_..<.,'J:c':,,,,',_AI)j'M""""~'" :';!rW-"i'!",.,c,r:if'nil,'''Wc; This project has final land-use approval. Signature: This project has DEQ approval. Signature: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ,jI~~~~~~~it!~~'At~'GQRXl1Q_F~:G:QN'~I~:v.c:j'Jiip'~~1i~;Zti~~i~~t~J~E: Residential 0 Government D Commercial ;~,--, -'-"~","-' '.....)'''''..'.-''' ',-C."",'. , -', :'-"--"''^'" "",''"'';,' ',"'.-.',"","' {'t~"-." -' -." y,-".--."..~.,.,._."....,..,.... .. ''-''';ff.~'-'.:''l~~,;;'''-f)I' !i?J'i!'i:<,:(UPB"S.I,TE' ,INFiPR-MA'T1QN.tANQtI::QCATI9Nf\il'(c1!'i;';'$': )~<:.. fJ.r State: [) or. Date: '::ji ::,: .';, ~:~;"J;~~':!,~;:--~;~-';.~~~~):~~i\F.~~;:--S'-C;: H~_pU[~'\'~:Y?<-, :~..-.;t~~-?1; ':;,i':"~';', .. '!:~':::;Y~'I~~:t}6ii?i.~f6riD~,t~9-'~'-i~:~~i);'~~~{~~~i~tft:~i;~~;::t~~~ii::*;~.~1;r,i:;!~~.:~ii1;:.t~..,,!;~; Date: Construction type: Square feet: Cost per square foot: Other infonnation: City:..5 y",... SubdivIsion: Reterence: 1'70], 2- 2-2 Taxlo!: '" PROPERTYOwiWr" 7'/7} Type of Heat: non Energy Path: e;:::>h c::.- O new 0 alteration 0 addition (b) Foundation-only permit? 0 Yes 0 No Total valuation: L- O'Z.-lt:>O ,,,-l.~ .:,.""",,,. K--;sh... s/..c"T Address: ) IS- W,,.,,J, I~.. ~ City:.5 r.-... .-d!. Phone: 'fl- 113 Z- E-mail: -::Sst.<>.-r7@t!:o.....<<-bf.AI<-T This installation is being made on residential or farm property owned by me or a member of my immediate family, and is empt from licensing requirements under ORS 701.010. Sign he .'.. (a) Penn it fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ 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): $ $ $. $ $ '. GONTRACl;9.R ,INS'!:ALLATI9N'",.o' ,; (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): $ $ $ Business name: Address: City: Phone: E-mail: CCB license no.: State: Fax: ZIP: (a) Seismic fee, 1 % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S Print name: Signature: l~td}:;;;~~:~ ;?::~~_~'i~lS"QB-~~~:mRAG:t:(jR~il.N_~.b.~~Af:lo,N~~tf~V~l~~}~f~~;I Name CCB License Number Phone Number Electrical Plumbing Mechanical ~j:Q~;~~ ~~,.., ~. City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Sp~ingfield, Oregon 97477 541-726-3759 Phone RECEIPT #: . -'_'.u' -", .. ."_ ." ~,-.. -'.1 "'>' 2201000000000000754 I :27:53PM Date: 06/28/2010 Job/Journal Number COM20 1 0-00776 COM20 1 0-00776 COM20 I 0-00776 COM20 1 0-00776 COM20 I 0-00776 COM2010-00776 COM20 I 0-00776 COM2010-00776 Payments: Type of Payment CreditCard cReceintl Description . ,\, i Building Permit Fire SF Fee - Residential . + 12% State Surcharge Plan Review Minor - Planning SDC Storm - Improvement SDC Storm - Reimbursement SDC Sanitary/Storm Admin + 5% Technology Fee Amount Due 175.00 18.00 21.00 119.00 40.08 144.14 9.21 14.70 $541.13 Paid By JASON SHORT Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 026154 In Person Payment Total: $541.13 $541.13 Amount Paid . ~.t":'i:"':'1'.."::t.-"';~~L':", " "1"'''';':'- ';r;I\J~"" . I'l ""I.',.", , -....".,..--. -, ,~... " .i"_ '; 1,:~., .'k'~l ", i '-:"":il' (~".'t~1\~' .: ~]iltl~' ;t~n J;.:",. '~:;I:-:-:':'~- ",,"-:';. ',", ' Page I of I i ""; " 6/28/20 I 0 225 Fifth Street Springfield, Oregon 97477 541:726-3\.759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000712 ,..". !<I:, Date: 06/16/2010 2:58: 11 PM Job/Journal Number COM20 1 0-00776 Payments: Type of Payment CreditCard cReceintl Description . Plan Review Residential Paid By JASON SHORT ~";t . ~ -;,:'< .\ Received By njm Check Number Batch Number "jom ",hli,IO,rHi::"" ~",~!.t .', . ....~ ',f _. ..-......:" ~~~->, :J/\ "'J~~~~;'~ .!:~::,>::~~~ ~., '. ,0'..,";. Page] of] , Item Total: Authorization Number How Received Amount Due 113.75 $113.75 Amount Paid 009150 In Person Payment Total: $113.75 $113.75 6116/20 I 0