HomeMy WebLinkAboutPermit Building 2010-7-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00833
ISSUED: 07/09/2010
APPLIED: 06/28/2010
EXPIRES: 01109/2011
VALUE: $ 12,214.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1695 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252102600
Springfield TYPE OF WORK: Carport
PROJECT DESCRIPTION: Carport
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TYPE OF VSE: New
Residential
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Owner: BAARSTAD VERNE A & MARILOV A
Address: 1695 RAMBLING DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ,
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION ~
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
v
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,210
VB
n/a
I DEVEDOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
10.00
'-''','
.. Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
25.80
0.00
Notes:
l\,nTlf!'"
ST0RM 'WA:tER TO EXISTING
THIS PERMIT A ,.,Ir.,r
IlJ I HORIZEO UNDER THISP Q1AIT ~
:OMMENCED OR IS ABAN 'V\1u~b\PDescri
"N 'RO 0 OO"L ru
I , (J,Y PERIOD, $ Per S Ft
Tvpe of ConstructIOn I .q ,.
or rnu tip ler
I PUBLIC IMPROVEI\I.,Il:Il'lI1S~ON: Oregon law requires you to
TOIIOW r ,es aPliRted b\(. the Oregon Utility
Notification Cei\\~y:w'HbMI?51es are set forth
". --tn,OAR 952-00b~hwmtWD~Jil{M'l952-001.
, ,: ,,0090. You may obtain caples of the rules by
- -,," "calling the center. (Note: the telepho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
.,. .,... '.~-" .
Square Footage
or Bid Amount,
Value
, Date Calculated
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Fire SF Fee - Residential
Garage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
Total Amount Paid
Plan nine: Review
Public Works Review
Structural Review
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00833
ISSUED: 07/09/2010
APPLIED: 06/28/2010
EXPIRES: 01/09/2011
VALUE: $ 12,214.00
$1.00
$12,214.00
$12,214.00
06/28/2010
12,214.00
Total Value of Project
~
Amount Paid:C::c~: '._"~.'C:..,' .
.- J',f~r .ni):'rr' ,,'
$107.41'''it{~':''i W:~;!I'., '.
'.
$19.83"
"'1"'
$14.21": '
$60.50
$165.25
$119.00
$25.33
$396.40
$110.23
, Date Paid
Receipt Number
':
6/28/10
7/9/10
7/9/10
7/9/10
7/9/10
7/9/10
7/9/10
7/9/10
7/9/10
2201000000000000753
1201000000000000809
1201000000000000809
1201000000000000809
1201000000000000809
1201000000000000809
1201000000000000809
1201000000000000809
1201000000000000809
$1,018.16
I, Plan Revie~s ~
07/01/2010 07/01/2010 APP DDK
07/01/2010 07/08/2010 APP BJG STORM WATER TO EXISTING.
07/01/2010 07/09/2010 APP CJC
To Request an inspection call the 24 hour reconIJJlg,at,726"3769. All inspections requested before 7:00
a.m. will be made the same working day, in~~ectic)ns'-req'ue'sted after 7:00 a.m. will be made the following
work day. J.~" . ""
, l.JleonirerUnsnections ~
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.
Final Building: After all required inspections have been requested and approved and tbe 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 Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00833
ISSUED: 07/09/2010
APPLIED: 06/28/2010
EXPIRES: 01/09/2011
VALUE: $ 12,214.00
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and 1 further certify that a,ny and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the Staie of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any strnctu:-~ 'without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employ~e; ,';'ho are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensure that al! required inspections are requested at the proper time, that each address is readahle 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
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Owner or Contractors Signature
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Page 3 of3
:f/c
Date
I",
DEPARTMENT USE drilL Y.
c 0_ ceta - 0 C)';i?.:s:l
Penmt no.:
$PFilINGFlELD ;/;!~\I:;~:
Date: 0 -23'-/0
This permit is issued'under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days,
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.,
Signature: Date:
Zoning approval veritied: DYes D No
Property is within flood plain: DYes D No
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;\Ji\lt~~~l\j~A<::ATI;9QRXMQfii;l.<::,O!l~;TRUCrr:I.0Ns4\'1t!j;;l!(,'i,i6i'JJii::<\
IDesidential D Government 0 Commercial
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City: e ~ State: D l( ZIP
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(a) Job description: eM 0-<1-1
Occupancy V'-
Construction type: IT
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
new D alteration
(b) Foundation-only permit?
Total valuation:
D addition
DYes
Reference 17D.3 Z 'S l.-\
:. P,ROPERT'( OWNER
Name:
~7}f:BIJ!J#i"rigi~fe~slJ,\{i~jf{~~~~VG~J~A.01;~1'~\~~;t~}i '}h:;~_',?'h.r~'<:';!'_
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Suhtotal of fees above (2a through 2d):
$
$
$
$
ZIP<'?'701'
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 u der ORS 701.010.
Sign here:
(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):
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(a) Seismic fee, 1 % (.01 x permit fee [2a]):
$
TOTAL fees and surcharges (2e+3c+4a): $
Print name:
Signature:
\~,~t~:)f~V'i,?~;:~t~0ii3$Q_B,:GqNj~BAGttbf{l, N_I7,OJ{MA;fIQN[;4;\fJ~r'f~~Ji~~~~T
Name CCD License Number Phone Number
Electrical
Plumbing
Mechanical
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 #:
1201000000000000809
Date: 07/09/2010
2:40:20PM
Job/Journal Number
COM2010-00833
COM20 1 0-00833
COM20 1 0-00833
COM2010-00833
COM2010-00833
COM2010-00833
COM2010-00833
COM20 I 0-00833
Payments:
Type of Payment
CreditCard
cReceintl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
119,00
396.40
110.23
25,33
60.50
165.25
19,83
14.21
$910,75
Description
Plan Review Minor - Planning
SDC Storm -Improvement ' ".--,,,
SDC Storm - Reimbursement
SDC Sanitary/Storm Admin
Fire SF Fee - Residential
Garage/Carport
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
VERNIE BARSTAD
Amount Paid
njm
$910,75
$910.75
61909B In Person
Payment Total:
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Page 1 of I '..-1-
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7/9/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000753
Date: 06/28/2010
10:43:3IAM
Paid By
VERNE BAARST AD
Item Total:
Check Number Authorization
Received ~YJ', Bat~h Number Number How Received
'. \ ,_",'"H" "'
Amount Due
107.41
$107.41
Job/Journal Number
COM20 I 0-00833
Description
Plan Review Residential
Payments:
Type of Payment
CreditCard
Amount Paid
~; .'~.
" ~~ ~ "
21823b In Person
Payment Total:
$107.41
$107.41
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Page I of 1
6/28/2010
SP.R~Q~;D ~ 10/18/2010
Wit Ii. i City of Springfield 10:51:35AM
Building Permit & Inspection Summary Job #:
COM2010-00833
225 Fifth Street ,
541-726-3753 Phone Job Address: 1695 RAMBLING DR Springfield
541-726-3676 Fax Scope of Work: Garage
Project Status: Issued Description of Work: Carport
Owner & Contractor(s)
Name Address Citv. State. Zip Phone
-:-
CON OWNER
OWN BAARST AD VERNE A & MARILOU A 1695 RAMBLING DR SPRINGFIELD OR 97477
Valuation of Proiect
Date
Occupancv Construction Tvpe Cost Per So Ft So Ftl! Valuation Calculated Staff
Estimate Estimate $ 1.00 12,214.00 $12,214.00 20 I 0/06/28 DJB
$12,214.00
Fees Paid
Description Amount Paid Date Paid Receipt #
Plan Review Residential $107.41 06/28/2010 2201000000000000753
Plan Review Minor - Planning $119.00 07/09/20 I 0 1201000000000000809
SDC Stoml - Improvement $396.40 07/09/20 I 0 1201000000000000809
SDC Stoml - Reimbursement $110.23 07/09/2010 1201000000000000809
SDC Sanitary/Storm Admin $25.33 07/09/2010 1201000000000000809
Fire SF Fee - Residential $60.50 07/09/2010 1201000000000000809
Garage/Carport $165.25 07/09/20 I 0 1201000000000000809
+ 12% State Surcharge $19.83 07/09/2010 1201000000000000809
+ 5% Technology Fee $14.21 07/09/2010 1201000000000000809
Total Amount Paid $1,018.16
Plans Reviewed
Department Received Due Date Completed Result Reviewer Comments
Planning Review 07/01/2010 07/01/20 I 0 APP DDK
Public Works Review 07/01/20 I 0 07/08/2010 APP BJG STORM WATER TO
EXiSTING.
Structural Review 07/01/2010 07/09/2010 APP CJC
..
Inspections Conducted
Inspections Comments Date Result Inspector
Framing Inspection
Final Building
Footing meet owner about how to place 07/12/2010 10 RWC
his footings
Footing 07/15/2010 NR RWC
Footing 07/16/20 I 0 OK RWC
Slab 07/16/2010 .
OK RWC
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City of Springfield
Building Permit & Inspection Summary
225 Fifth Street
541-726-3753 Phone
541-726-3676 Fax
Job Address: 1695 RAMBLING DR
Scope of Work: Garage
Description of Work: Carport
07/16/2010
Project Status: Issued
Foundation
20f2
10/18/2010
10:51:35AM
Job #:
COM2010-00833
Springfield
OK
RWC