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Home My WebLink AboutPermit Building 2010-8-10 (2) .- CITY OI7:SR,RINGFIELD ':~;~';~:~' ':~,"~:<\';",j. ;, BuildingJ.Resldential Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us ,',.', .'.,;, PERMIT NO: 811-SPR2010-00024 IVR Number: 811109761369 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 8/10/2010 APPLIED: 8/10/2010 EXPIRES: VALUE: 2/5/2011 $0.00 SITE ADDRESS: 3220 RALEIGHWOOD Springfield ASSESOR'S PARCEL NO: 1703221318400 .SCOPE: Single Family Residence WORK INVOLVED: New .TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: curbcut for weep hole~,:;:'2ff ; :~: ,. ,"p,' OWNER: ADDRESS: CUSHMAN SUZANNE & MARK A PO BOX 1514 SPRINGFIELD OR 97477 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Contractor Name DAVID ZARZYCKI GENERAL CON:r~ACTOR INC Lie Type' CCB Lie No 105626 Lie Exp 04f26f2011 Phone 541-688-0243 # of Units: o BUluoiNG'iNFORMA ;OWN . ~ ...,/\..~(, ;,;'~~~l,e~ ,; . # of Stories: . I Heigh't'~f Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical SpeCialty Code Edition: Springfield Fire Co'de,Edition: ,~.e~~~~rl'i~:al SpecialtY Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: I Site Information , Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Sto~it' Soils!ReportRequired: _ ,-, ~~S'~~RMIT SHALL EXP\RE \fM1~{\~~~~ "THORIZED UNDER THIS PER 'Ii 'lMENCED OR IS ABANDONED fOR '80 DAY PERIOD. . , . :')~~r.j~,'.:.L,i"~~I'~,r.'.,,~,~,'.'.;..~,~,i;.;? I// ,Yi':\(,:~r:, .. laW requires youto . NT\ON' Oregon oregon Utility ATTE . dopted by the set forth follow rules ~ntel. ThOse rules are 952-001- NOtifica\lO~_~01_001 0 through o~~e rules by In OAR ~5u may obtain cOPle~h~ telephone OO;~;lin~ the center'e (~~t~ii\ity Notification number lor th80;_~OO_332-2344). center IS , Springfield Building Permit 8/1012010' 1'::to';:2S'PM ~j, ~ ~;'!"t' . ;. .' -; ~}-,~-i~;f!i \:' ~ .,.,'t Page 1 of 3 ,J ,. ~t . ~ ',., WWN.ci,springfield,or,us ,,',J',?,', CITY OF'SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00024 IVR Number: 811109761369 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 5P.,R.IN.G.FIEL~... - i;;' Sl& '.~ ,"9"'+'''' ,~ ,'of_%:' , -'OREGON permitcenler@cLspringfield.or.U5 PROJECT STATUS: Issued ,.--,."-:J.' 1SSUIS.9l APPI,II;P: ',,\;', .~' '..:', . :8/10'12016.:' ....~--.,.-,,;. . " ,8/1 ~/201 0 EXPIRES: VALUE: 215/2011 $0,00 SITE ADDRESS: 3220 RALEIGHWOOD Springfield ASSESOR'S PARCEL NO: 1703221318400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: curbcut for weep hole DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Req~:" : . Paved prive Reqd:"': ;. %:otl:otCoverage: Highest point on' ~tructure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: 3D t';:.',i.\ ":-;'''''':'.' ,,;[5.1 ::~;;';'!P'!:'l' :-;;;~::~4: ~"1~:"", !!.i"~'" )gr),: . ,"tl.q:, I~ .,.....~~. ; . (~ ,f , Downspout/Drains: Valuation Description '. , Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value . '~~l' ,~, " . ~0~~:Jb"'1~ ~.~^~'"~;T:',,::? ,-:,:~y,;?1rr;~r==-;:::~H~r~Jf~~~;p~Iolf,1.,~~;~'; ~'. Descriotion ,.; ,Amount Paid ~,,~rb CutlDr~vewar 1st Cut _~'_'__.____~_ $88.00 Technology fee (5% of permit total) $4.40 Storm Sewer $76.00 State of Oregon Surcharge (12% of applicable fees) $9.12 Technology fee (5% of permit total) $3.80 Total Amount Paid $181.32 ::i\;:;*~ <'~.;lJ;~;~c :'~~:::,~"j;...:.D~,;~.;,~~,_.~J.~d Date Paid Receiot # . 08/10/2010 224405 .-- 08/1012.010 -------22440i;' --- _._--,~--'-""-- 08/10/2010 224405 08/1 0/201 0 224405 08/10/2010 224405 .~ : l..ii~;J~ '~, " .','.;..',,'~~,'.'.'7.,.:~,,-.~~ ' 1 _ _ _'_ ,;)t;!.: Springfield Building Permit 8110/2010 12:00:25PM Page 2 of 3 ww.N ,ci ,springfield .or .us CITY OF SPRINGFIELD Building I Residential ,Permit PERMIT NO: 811-SPR2010-00024 ,,;::,1 ' 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S~~ING...FIEL~ tE~'" - . ,f ~ ",^cl OREGON permitcenter@ci,springfield.or.us PROJECT STATUS: Issued IV~'Nuiilber: 811109761369 ISSUED: APPLIED: 8/10/2010 8/10/2010 EXPIRES: VALUE: 2/512011 $0.00 SITE ADDRESS: 3220 RAlEIGHWOOD Springfield ASSESOR'S PARCEL NO: 1703221318400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: curbcut for weep hole . ;';y.!~~f ~../{i(~'~~~;~~! .. . F~=i~.';;;~'~'~,~~:~I:~.~:';:;E::r,;~:~.,~'~--7~~:~~~ful'R~jl~.2:r,i;-::-~. ~:i~" ~;!1~,:" .:~ '?:~:~!r"~-'~~(:;',-'" ,-- -' _-r___,-,,,.-__ ',_ " .., "--~-' ',~:-f..:;::',~J Deoartment Received Due Date Comtiiete"- Result Reviewer Comments Application Acceptance 08/10/2010 08/10/2010 08/10/2010 Over the Counter Kaye Wilson Initial Review 08/10/2010 08/10/2010 08/10/2010 Over the Counter Kaye Wilson Over the counter permit Planning Review 08/10/2010 08/10/2010 08/10/2010 Over the Counter Kaye Wilson Over the counter permit Public Works Review 08/10/2010 08/10/2010 08/10/2010 Over the Counter Kaye Wilson Over the counter permit Structural Review 08/10/2010 08/10/2010 08/10/2010 Over the Counter Kaye Wilson Q\ler the counter permit Permit Issuance 08/10/2010 08/10/2010 08/10/2010 Issued Kaye Wilson INSPECTIONS REQUIRED ~ Inspections 3400 Storm Sewer .j,' -:/ ~. 9503 Curbcut - Close & Replace i:J,:!;~'~:"!1r;'?i 1 "l}'~_(l. .~..' , Signature language: 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 of Springfield and the Laws of the State or 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 the proper time, that Belch address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans ~Ii! '.em~in> on the site at all tlme4s dUring construction ,.".,.. ~~, ,_.J ~tfl- t . 1.., o~,:~'~~;:; .~I~L:~~':' ,- ~ /6 ( ~ '-' , ....- ~rr~~'" 0 . ir Owner or Contractor Signature ~" ~~> ',: Date I ~ ..--j:/~ ':,~I( " i..,' .'1, '. ',,:'IAi Springfield Building Permit ,Sf10f2010 12:00:25PM Page 3 of 3 ., - .~ ., S.P~.IN. GFIE~..'. -" 0'..<. . ."='" -OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us permitcenter@ci.springfield.or.uS RECEIPT NO: 2010000029 y.., ." ........,.,....- . .. ..:...,.. ,.::;:,.. ........ :.:...",..~. .c.:....... .-:.... .""'. IDE~CR!E.TIQr:k~4?'. .....c::';8~'..'.".: .; Curb CutJDrive:va~ 1 st Cut Technology fee (5% of permit total) Storm Sewer RECORD NO: 8 t t -SPR20 t,0'90024 DATE: 08/10/2010 ~i+\~,,?;;\;J,;;;"~"'1'"" ! ',: AccoUNT CObE'CSV!.;;, '< . ,,,, 'AMOlJN'i'liuE' i. ... ....~ ._ ..___.' . __.,.,___.~_."......,_........'-_.....""--_.~~--":;J 201-00000-428060 88.00 ___ _______.._.___..'__w'. 100-00000.425605 4.40 ---~ 224.00000-425603 76.00 --'--- 821.00000-215004 9.12 ,_._....~ 100-00000-425605 3.80 -------- TOTAL DUE: $181.32 .w. ,,.,.." :: AMoUNTPMr;L'!l.c'j!',: .1 $181.32 State of Oregon Surcharge (12% of applicable fees) Technology fee -'5% of permit total) ILP-A YMENT;T.YPE,\"'" '. pAtOR!<r~CASHIER\KWi1lsi5N'b!~ '~C.c5[\'(MENis~~ YH:!'. Credit Card david zarzycki , ""~'. ,,':'"\ 03153z .. :.'- ) , ~\_' '..11 ",. lj,~: _'.. " ,:"F . 0 " 1 ',/ .v.. -'.--' '.