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Home My WebLink AboutPermit Building 2010-9-22 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00359 IVR Number: 811179489873 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/22/10 EXPIRES: 3/21/2011 VALUE: $2,500.00 SITE ADDRESS: 2818 El TORO Springfield ASSESOR'S PARCEL NO: 1703223108200 SCOPE: Duplex WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Rep~ir of Fire Damage to Dwelling OWNER: ADDRESS: HARGROVE MICHAEL K 1085 WOODSIDE DR EUGENE OR 97401 KINGSLEY ELIZABETH A 1085 WOODSIDE DR EUGENE OR 97401 Phone Number: OWNER: ADDRESS: Phone Number: Contractor Type Contractor Name SHIELDS WORKS LLC CONTRACTOR INFORMATION ~ Lic Type GGB BUilDING INFORMATION , Lic No 149710 Lic Exp 0112312012 Phone 541-912-4601 # of Units: 2 # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat; Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: # of Bedroom.s: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 9/22/2010 3:13:45PM Page 1 of 3 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.OLUS Building I Residential Permit PERMIT NO: 811-SPR2010-00359 IVR Number: 811179489873 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/22/10 EXPIRES: 3/21/2011 VALUE: $2,500.00 SITE ADDRESS: 2818 El TORO Springfield ASSES OR'S PARCEL NO: 1703223108200 SCOPE: Duplex WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair of Fire Damage to Dwelling DEVELOPMENT INFORMA nON ~ REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion TV'De of Construction Unit Amount Unit Tvpe Unit Cost Value Descriotion Structural Building Permit Fee Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $67.75 $3.39 $8.13 $79.27 Receipt # 374376 374376 374376 Date Paid 09/22/2010 09/22/2010 09/22/2010 F:~4~:, s: ~.ft:.i !(;l;~;-:(" ~:~~s~~,_~~~:~,~"~;.~~~.t":;~";:;:~Ri;~iR~~~ ~---;~:~~:;?:;'f~:sf:i\~~ ~\l~"'~,:'i';~~:_jE::;::~~::~~<:;l~: - ~;--~iT"~~:?~7:>: ::;;i.'~~ Department Received Due Date Complete Result Reviewer Comments Application Acceptance 09/2212010 09122/2010 09/22/2010 Over the Counter Kip Kaufman Initial Review 09/22/2010 09122/2010 09122/2010 Over the Counter Kip Kaufman Over the counter permit Planning Review 09/2212010 0912212010 09122/2010 Not Required Kip Kaufman Over the counter permit Public Works Review 09/2212010 09122/2010' 09122/2010 Not Required Kip Kaufman Over the counter permit Structural Review 09/2212010 09/2212010 09122/2010 Not Required Kip Kaufman Over the counter permit Permit Issuance 09/2212010 09/2212010 09/22/2010 Issued Kip Kaufman Springfield BUilding Permit 9/22/2010 3:13:45PM Page 2 of3 www.ci.springfiefd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00359 IVR Number: 811179489873 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SPRI,H.G._.:'IE~~ ~_JI.. .3. ,jO.!. ~-'0 ~}I' . ."Wi?:c,.. OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/22/10 APPLIED: 9/22/10 EXPIRES: 3/21/2011 VALUE: $2,500.00 SITE ADDRESS: 2818 EL TORO Springfield ASSESOR'S PARCEL NO: 1703223108200 SCOPE: Duplex WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair of Fire Damage to Dwelling INSPECTIONS REQUIRED ~ Inspections 1260 Framing 1430 Insulation Wall 1440 Insulation Ceiling 1530 Exterior Shearwall 1630 Roof Sheathing 1 ggg Final Building 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 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. Q-2'-.- \0 or Signature Date Springfield Building Permit 9/22/2010 3:13:45PM Page 3 of 3 Structural Permit Application -:: . i' , .. \, '" '.' ~. '" 'CITY OF SPRfNGFIEL~, OREGON ,;~""'.'.'l,~. .:;.:.,;:: ~ii~~ij "'DEPARTMENT USE ONLY 8 {( - Sf1l.Za Je- Pennit no.: 35"1 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726.3689 Date: ~ 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, :.,:.........>,-.!; tQCAL' ..G9VE.~/oIMEJIltFAePBQ\iI>,~:>:iii.i;)~;;:m'ii:M; This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: D Yes DNo Property is within flood plain: DYes DNo ~~~W~~;~~it:;:~x~~~j/r;!At~GQ.RY~B_Qj:J.;:J:.oN~tff.ltjc.fti.Q.'Nf?{;:i~W(;A!i.:~~-:~~:t~~?: ~Residential 10 Government 0 Commercial 'l).i;i:;):,';~()B)SITE; .fillF;bRMATIb'N"ANO'L6cATlo/ol:;':.t~';ifY': Job site address: LBI't>-;W .t:.L- TolLO cr, City: gltlnb-t',ti, i) State: O~ I ZIP:'11"l,7 Subdivision: G-lA"A Oi\ j)1UJI.. 1 Lot no.: 'is'LOC Reference: 1 Taxlot: n -0'>- 22-31-(!>~,!cO . . .. OWNER " . ". '., PROPERTY , Name: M.II-E. \.-\.Af"''''''''c'''''''- Address: 10 \'!> > Wt>"~S,()L \)"- , City: EIlG01E. State:D/L I ZIP"!,...,. Phone:S41-'iI'l- Ln~'J Fax: - - E-mail: <l ,O'ht1,~-te"'lfJ C6MCAST, (\€t This instaIlldion is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements u~S 1 1.010. Sign here: \ A,~ I ~ . CONTRA TOR I~STALLATION. . " Business name: Sk4M.L $ Wo..n.~~ L L.<-. Address: City: State: 1 ZIP: Phone: - - Fax: - - E.mail: CCB license no.: 14 17/0 Print name: Signature: :~i;i::f'}:;!;'!~~;i'SUB-CONTRACTOR"INFORMAl'lQNf:~;}i.i6':]@'gt.!:.: Name CCO License Number Phone Number Electrical Plumbing Mechanical /,;<"."';:>:FEE 'SCHEDULE"';':. ;'," . '.. "i ::;y a'l.il~~i_~ nri~f o:~#i-a: t~-,~.D'~~~R~,~'-~',\,;?::h:; ~hYhJ::":'''';; ~;~; ~;r:; :~;,:, ~:::'.i:','~:i "~iLi:~b3~-~.,;:( (a) Job description: ~A-11L ;2oC>\= /t.Jlt/..L Occupancy t2. '3. ('PW~ Construction type: \J rs.. Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new D alteration (b) Foundation-only pennit? D additionJil"~f.'1L o Yes -Id-No Total valuation: :'t2FllIJ U d ing:'-'f ~e.SJ:j;.~t;~~:0t{j:f~H~;~H~~0';,:i i;\~~~:!5, (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $Z ':10':;.:.>...,...."'. '.':/\,':.. $ $ $ (d) Enter 12% surcharge (.12 x (2a+2b+2c]): $ (e) Subtotal offees above (2a through 2d): $ 1~~~-~~.~,i~ptF.e~)~w/t~~s;:Ja;:i~i~i~il~,t:\ttl~~i:~!tij?::t~;~~i~:{4r~:;\L~t.:X~f~/~:~~l;j;:J~~h~;:.fk:; (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x pennit fee [2a]): $ (e) Subtotal of fees above (3a and 3h): $ K4J\lis:ceIianeb#s; f~e~gi:i';('.i{',:"~;:,"",::"".' ,;':..;' .;, '>,. ','. ','., (a) Seismic fee, ] % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S Sr;~N~;:EL~ LL~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00359 2818 EL TORO CT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541.726-3753 permitcenter@cLspringfield.or,us RECEIPT NO: 2010000379 RECORD NO: 811-SPR2010-00359 DATE: 09/22/2010 ~SCRIPTION'c""",,'h'~ _' '''~''l:}''1?,c,!C~:~1,~ ;Jt~, 'i:-.?k;;', i f1;~.c.Ql.Jr.rTrC,QPEi 'r' ';';i,;,''AMQ@:f___DJI,~':;: ")""" ," ;' 'j Structural Building Permit Fee. 224-00000.425602 $67.75 Technology fee (5% of permit total) 100-00000-425605 $3.39 State of Oregon Surcharge (12% of a"pl;cable fees) 821-00000-215004 $8.13 TOTAL DUE: $79.27 t2F.1AYM~NT;T'!;egi.~., 'P.o\Y~Q.B:t':':ZCASHIERKI<;i,\Ji~MAN'~,C.QMMgtf.ts"-.'?' ,,;,- :,;ii('-;'l"i,'AMOUNT'PAjDi.' .il '..,' " ,I Credit Card 27808Z Michael Hargrove $79.27 $79,27