HomeMy WebLinkAboutPermit Building 2010-7-19
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00956
ISSUED: 07/19/2010
APPLIED: 07/19/2010
EXPIRES: 01/19/2011
VALUE: $ 1,500.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 353 S 43RD ST
ASSESSOR'S PARCEL NO.: 1702323403800
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Garage conversion
Owner: RUST BRIAN D
Address: 353 S 43RD ST
SPRINGFIELD OR 97478
Contractor Type
General
Mechanical
Contractor
OWNER
OWNER
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
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BUILDING INFORMATION I
Frontyard Sethaek:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction TY~ VB watef~liJe: t
Secondary Construction . NTION: Oregon lawR~ffilbr R~~T?
# of Bedrooms' ow rules adopted by t~v.:rl aW' II y
. Notification Center. Those~ules: 1t.SGftm;th. nla
In OAR 952-001-001 0 throu1fff~ 1i5'~-oofg. i
0090.. You maYOb/am,~;t.pmx~ O,~';~;t,' <%.MATION ~
calhngthe cent~ . I
number for the Oregon'Utility Notification
Center is 1-800-3:evfrln~)Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
Notes:
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T\-\lS PERMli SH"'~~ ~HIS PERMIT \S NOi~i'
AUTHORIZED UND\S ABANDONED fOR <,<::
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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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00956
ISSUED: 07/19/2010
APPLIED: 07/19/2010
EXPIRES: 01119/2011
VALUE: $ 1,500.00
Status
Iss u ed
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I Valuation Description ~
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount.
1,500.00
Value
Date Calculated
Description
Total Value of Project
$1,500.00
$1,500.00
07/19/2010
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Plan Review Residential
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Amount'Paid', '
Date Paid
Receipt Number
$16.44
$6.85
$79.00
$58.00
$37.70
7/19/10
7/19/10
7/19/10
7/19/10
7/19110
2201000000000000842
2201000000000000842
2201000000000000842
2201000000000000842
2201000000000000842
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Total Amount Paid
$197.99
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Plan nine Review
Public Works Review
Structural Review
07/19/2010
07/19/2010
07/19/2010
1~~la!l Rei-jews I
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07/19/2010 APP
07/19/2010 APP
07/1912010 APP
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no issues
No SDC's
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. " .
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'-..l:;Oll:iredJ n~he~tions ~
,
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Floor Insulation: Prior to decking.
Final Building: After all required inspections bave been requested and approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is.complete.
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Page 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00956
ISSUED: 07/19/2010
APPLIED: 07/19/2010
EXPIRES: 01/19/2011
VALUE: $ 1,500.00
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that 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 structnre l"ithont permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees"~.ho'are'i.n compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiOliS'are requested at the proper time, that each address is readable from the
street, that the permit card is located at the ront onhe property, and the approved set of plans will remain on the site at all
times during construction. ' .
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Date
Date: 7 -( r -10
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 verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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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)
roPfjertyjowned by (d) Enter 12% surcharge (.12 x [2a+2b+2c]):
pt rom lcensmg
_.__.__ _ _(e).S.~b_(o_tal of fees above (2a through 2d):
-- --
225 Fifth Street. Springfield, OR 97477. PH(S41)726~3753. FAX(541)726-3689
Residential 0 Government 0 Commercial
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Job site address: :S. '- rei. ~,
City::5 \'"
Subdivision: 1
Reference:
Taxlot:
Name:
Address:"
zlpQ7'!'7
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
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Name CCB License Numb.;? Phone Number
Electrical ../"
Plumbing C
Mechanical OW/\/et'
DEPARTMENTUSEONl Y
[OwlZOfO -00 9S"b
Permit no.:
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(a) Job description: G
Occupancy 3.
Construction type: "13
Square feet
Cost per square foot:
Other information:
Type of Heat: i\- et,,-c...
Energy Path:
o new ...Eralteration 0 addition
(b) Foundation-only permit? 0 Yes jd1'ro
$
$
$
$
$
(a) Seismic fee, 1% (.01 x permit fee [2a]):
$
TOTAL fees and surcharges (2e+3c+4a): $
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000842
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Date: 07/19/2010
11:41:32AM
Job/Journal Number
COM20 I 0-00956
COM2010-00956
COM20 I 0-00956
COM20 I 0-00956
COM2010-00956
Payments:
Type of Payment
Check
cReceiotl
Description
Plan Review Residential
Building Permit
I st Appliance -
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BRIAN RUST
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Received By
Check Number
Batch Number
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Item Total;
Authorization
Number How Received
Amount Due
37.70
58.00
79.00
16.44
6.85
$197.99
Amount Paid
1737
$197.99
$197.99
In Person
Payment Total:
7/19/2010