HomeMy WebLinkAboutPermit Building 2010-7-27
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CITY OF SPRINGFIELD
Building/Combination Permit
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Status Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2010-00997
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07127/2010
02/04/20 II
$ 150,000.00
SITE ADDRESS: 2284 Clear Vne Ln
ASSESSOR'S PARCEL NO.: 1703271205500
Springfie(ci TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single famly residence,
Owner: SHELLEY PHILIP N & LOIS V
Address: 1019 W N ST
SPRINGFIELD OR 97477
I CONTRACTOR.lNFORMATION I
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Contractor Type
General
Contractor "";.,,, .' License
REGAL HOMES BY SHELLEY'" 168831
BUILDING INFORMATION I
Expiration Date
02128/2012
Phone
541 998-3897
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories: Lot Size:
Height of Structure Sq Ft I st Floor:
Type of Heat: Sq Ft 2ndtgloor:
Water ~f"'cNTION: Oregon law reqiS Ft)\~lftlvent: ,
Range ~ow rull'is adopted by the 01ll liP rrtMf(Carport
E,ierg~ d\mcatlon.Center, Those rule ~~ 100"\-
Sprink '\<\:PAiild,lJJ;g;001-001 OhWough ccuuoarn.! ""'d:
II , - , 0 ~so ffie'u ~r
',' '. ote: tee ,
DEVELOPMEN fORMJ\lll N n Utility Notification
num erce~ter is 1~800-332.-2344), REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 2 Handicapped:
Paved Drive Rqd: . - 'Yes Compact:
% of Lot Coverage: . 30.00 ," , -
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
8.00
17.00
20.00
16.25
I PUBLIC1MRROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Sidewalk Type:
Downspouts/Drains:
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Notes:
. N~rlgi~MIT SHALL EXPIRE IF THE W~RK
AUTHORIZE ,,,,,.'CJ:1. m
COMMENC ihilmescn ,non
ANY. 180 D~ ie~~~OR ,Square Footage
Type of Construchon or multiplier" .," 'or Bid Amount
Description
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM20IO-00997
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/27/2010
02/04/2011
$ 150,000.00
Status
Pending
~~:j "
Estimate
Estimate
'-:S1.00
150,000.00
$150,000.00
$150,000.00
07/27/2010
Total Value of Project
Fees Paid _
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Temp Power 200 amps or less
Amount Paid
Date Paid
Total Amount Paid
$592.96
$7.56
HI.?: :
$63.90.,"'
$666.67
I Plan Reviews I
7/27/10
. 8/4/10
8/4/10
8/4/10
Receipt Number
1201000000000000840
2201000000000000916
2201000000000000916
2201000000000000916
Public Works Review
Structural Review
07/30/2010
07/30/2010
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08!Q2/2010,,~';
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. App
DDK
Plannine: Review
07/30/2010
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To Request an inspection call the 24 hour rei~ording 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.
I Relluired Insoections ~
.'l-
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined tbecompleted application and do hereby certify that all
information hereon is true and correct, and I flirtHer 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 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 tbe proper time, that each address is readable 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
times during construction.
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Date
Paee 2 of 2
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Electrical Permit Application
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225 Fifth Street. Springfield, OR 97477tPH(541)726-3753HAX(541)726-3689
DEPARTMENT USE ONLY
CO",,^7.0U:J . 0 0 , 17
Penn it no.:
Date: g- .l{./ 0
This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
LOCAL: <;;OVERNMENT APPROVAL:. <".., .
Zoning approval verified? DYes D No
:CI\TEGORyiOFCONSTRUC;TION)' . '.
~Residential 0 Government 0 Commercial
l~1!,;f&;jOB;SITE: .INF()RMATI()~eAN[jI.r;o.cAtiON\!~'c~!::
Job site address: Z Z. ~f.( ~
City: i> ~ i) State: C10iL ZIP: 74 .,
Reference: 170') Z. 7 ( 2. Taxlot.:O $' S'OC
DESCRIPTION, OF WORK .
Name:
City:
Phone: (7
E-mail:
This installation is being made On residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1). .
~
E-mail:
CCB license no.:
BCD license no.:
Signing supervisor's license no,;
Print name of signing supervisor:
Signature of signing'supervisor:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
440-2584-J (9/08/COM)
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,N~m~.~r- ?.f-insp~cfj~'n.~ pe.r ,~f~.~,' 0 ..... Qly. Cost Total
'ea. cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) I $ 63.00 $'[,5
20 I to 400 amps (2) ~ 81.00. $
401 to 606>TI;ps\,,j -" ihvtt e 6rbrWfillll:\1i tV$
Over 60litP!iillb~ib~oe;~Mer1eTOO\!e<fu\efeild...!l~~t!.bove
BranChlc1.M~/)JRSI r. e _w,.
a. Fee D h UI s ef.;G~r m!!'1il1rep.!t19nlJr fee:
Each b'Mlll11ti!JlUfor the Oregon ~ilitYJ~~IIIf.l11Il~n$
b. Fee for branch c 'i~Hobi'1llll'ciiase oTa service or feeder fee;
First branch circuit (2) $ 55.00 $
Each additional branch circuit -.'.
$ ,.~,OO $
MisceIlaneous fees: service or feeder ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees $ h 1
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AD $ 7~-c..
(C) Technology Fee (50/0 of [AD $ '3 ;r
TOTAL fees and surcharges (A through C): $ 7"1.?L
225 F.:ifth, Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
220100QOoooo~o60916
Date: 08/04/2010
10:27:04AM
Job/Journal Number
COM201O-00997
COM2010-00997
COM20 1 0-00997
Payments:
Type of Payment
CreditCard
cRcceintl
Description
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
PHILIP SHELLEY
Check Number
Received By Batch Number
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Item Total:
Authorization
Number How Received
Amount Due
63,00
7.56
3,15
$73.71
Amount Paid
06703c In Person
Payment Total:
$73,71
$73.71
8/4/20 I 0