HomeMy WebLinkAboutPermit Building 2010-8-26
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CITY OF ~PRINGFIELD
Building J-)~~l:!rdEmtiaIPermit
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PERMIT NO: 811-SPR2010-00147
IVR Number: 811167286994
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/26/10
APPLIED: 8/25/10
EXPIRES: 2/21/2011
VALUE: $2,000.00
SITE ADDRESS: 126235TH
ASSESOR'S PARCEL NO:
Springfield
1702303409600
SCOPE: Interior
WORK INVOLVED: Remodel
. TYPE OF STRUCTURE: Residential
Change service and add/alter.10circuits, re~plumb, add bathroom: Building has eXisting
unpermitted garage conversion wh'i~h inspections can cover if work is exposed for
inspections. Owner to plumb NEW bathroom fixtures only.
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
HECHT INVESTMENTS llC
329 E 8TH AVE
EUGENE OR 97401
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
STEVEN R GEISLER
EUGENE SERVICE PLUMBIN~'&fc~q~~;SI\~~J!qN,IN,~ ,i
Lic Type
CCB
CCB
Plumbing ContraCtor
Lie No
95472
190771
Lie Exp
11/23/2010
05/2112012
Phone
541.726-0618
541.912.0618
BU!:lP[NG 1~f.9RMATION ~
# of Units:
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
i'
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
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,E,I~~,trl~..!.Spe,ci...lty g,ode Edition:
Spri~gfi~ld Fire Cotle Edition:
Mech"a:riical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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Springfield BuildingPermit
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2~d ~~:~~n law requires you to
ATTesqljlf-Basl!fne~t:d by the Oregon Utility
fO\lOVs~I~~tb~~~'? e Those rules are set forth
~otifi~g~~f(;Cl[ft<!n~1 0 through OAR 952-001-
In OAR bt in copies of the rules by
0090.S"~ liWll!ro a (Note" the telephone
callOc:gJ!>iney'r.zrd: on Uiility Notification
number for tfle. r1e8g 00-332-2344).
Center IS -
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NOTICE: ',.' .,.. K
THIS PERMIT SHALL EXPIRE IF THE WOR
AUTHORIZED UNDER THIS PERMIT IS NOT_
COMMENCED OR IS ABANDONED FOR ::<
ANY 180 DAY PERIOD.
Page 1 of4
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www.cLspringfield.or.us
PROJECT STATUS: Issued
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF'SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00147
permilcenter@ci.springfield.or.us
IVR NumJ>!lr: 811167286994
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ISSUI;R~~8/?~/tO;.;'
APP~.I:~R 8/~j!,1.0.
'. EXPIRES: 2/21/2011
VALUE: $2,000.00
SITE ADDRESS: 126235TH
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Springfield
1702303409600
SCOPE: Interior
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
Change service and add/alter 10 circuits. re~plumb, add bathroom: Building has existing
unpermitted garage conversion which inspections can cover if work is exposed for
inspections. Owner to plumb NEW bathroom fixtures only.
I DEVELOPMENT INFORMATION ~
Overlay Dist:': ...:"
#.StreetJrees Reqd: .
Paved Drjve Reqd:
% of Lot'Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
Springfield Building Permit
PUBLIC IMPROVEMENTS ~
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Sidewalk Type:
Downspout/Drains:
. Valuation Oescrip~ion ~
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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Page 2 of 4
ST1N....~.:E.L~
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~.OREGON
CITY OF SPRINGFIELD
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Building "Reside'ntiaIPermit
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PERMIT NO:, 81:1~SPR201 0-00147
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www.ci.springfield.or.us
IVR Number: 811167286994
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@d.springfield,or.us
PROJECT STATUS: Issued
ISSUED: 8/26f10
APPLIED: 8/25/10
EXPIRES: 2f21f2011
VALUE: $2,000.00
SCOPE: Interior
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
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Change service and add/alte,r 10'circuits, re-plumb, add bathroom: Building has existing
unpermitted garage convEif~i~n ~~i2~ inspections can cover if work is exposed for
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inspections. Owner to plumb NEW bathroom fixtures only.
SITE ADDRESS: 126235TH
ASSESOR'S PARCEL NO:
Springfield
1702303409600
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PROJECT DESCRIPTION:
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Descriotion
Fixture
Technol09Y fee (5% of permit total)
State of Ore90n Surcharge (12% of applicable fees)
Services 200 amps or less
Branch circuits with service or feeder each circuit
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Structural Building Permit Fee
Pe'rmit Fee Adjustment ~ Structural
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
Permit Fee Adj~tment ~ Plumbing
State of Ore90n Surcharge (12% of applicable fees)
Technol09Y fee (5% of permit total)
Total Amount Paid
Amount Paid
$95.00
$4.75
$11.40
$61.00
$60.00' II.
~ . $16..~2 :i, :.
$70~
n, ',. '$WOO;.
$8.00
$484.44
$260.76
$37.26
$57.00
$13.80
$5.75
$1,193.13
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Date Pa id
08/26/2010
08/26/2010
08/26/2010
08/26/201 '0
08/26/2010
08/26/2010
06/26/2010
08/30/2010
08/30/2010
08/30/2010
08/30/2010
08/30/2010
08/30/2010
08/30/2010
08/30/2010
Receiot #
299330
299330
299330
299334
299334
299334
299334
299366
299366
299366
299366
299366
299366
299366
299366
Department
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Permit Issuance
Due Date
08/25/2010
08/26/2010
08/26/2010
08/26/2010
08/26/2010
. 08/26/2010
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ComDlete'r' i -,Result,'; ,
08/25t2G10k: 'OveUhe' Counter
08t26/info: .Over the Counter
, 08/26/20'10 N'ot Required
08/26/2010 Not Required
08/26/2010 Not Required
08/26/2010 Issued
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Received
08/26/2010
08/26/2010
08/26/2010
08/26/2010
08/26/2010
08/26/2010
Comments
INSPECTIONS REQUIRED ~
Inspections
3500 ROU9h Plumbin9
3999 Final Plumbin9
4210 Service Change
4500 Rou9h Electrical
4999 Final Electrical
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Page 3 of 4
CITY O~'~s~k'iN'GFIELD
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541.726-3676
www.cLsprjngfield.or.us
Building (Residential Permit
PERMIT NO: 811-SPR2010-00147
IVR Number: 811167286994
permitcenter@ci.springfield,or.us
PROJECT STATUS: Issued
ISSUED: 8/26/10
APPLIED: 8/25/10
EXPIRES: 2/21/2011
. VALUE: $2,000.00
SITE ADDRESS: 126235TH
ASSESOR'S PARCEL NO:
Springfield
1702303409600
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__._ SCOPE: Interior
,..... WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
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" "
Change service and add/alter 10 circuits, re~plumb, add bathroom: Building has existing
unpermitted garage conversion which inspections can cover if work is exposed for
inspections. Owner to plumb NEW bathroom fixtures only.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify t~at 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 Or~gon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without perr'Q.!~ii.9~r'9j~'t~~>..Gohiri1'~!1Aty S~rvices 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 t1iwi.~p~r,tj;~'.El,~t9'at each address is readable from the street, that th.e
permit card is located at the front of property, and the aRproved set of plans will remain on the site at all times during
construe'?----.. .,.1
PROJECT DESCRIPTION:
eo/30'IJ/1
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Date
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Springfield Building Permit
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Page 4 of 4
Structural Permit Application
CITY OF SPRINGFIEL-D, OREGON
DEPARTMENT USE ONLY
~~ Pennitno.:Sl 0- /L(l
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
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
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: D Yes D No
CATEGORY OF CONSTRUCTION
o Residential
o Government
D Commercial
ZIP;
Reference:
Name:
Address:
State: 0 €...
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E-mail: Oo....lliL\.- . C-UVY\
This installation is being made on resi ntial or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements u r ORS 701.010.
Sign here:
Business name: D.JJ tJ€
Address:
City:
Phone:
;T\U<C...\'\..LiLY/ L
State:
Fax:
ZIP:
E-mail:
eCB license no.:
Print name:
Signature:
SUB-CONTRACTOR INFORMATION
Name
Electrical
Plumbing
Mechanical
CCB License Number
Phone Number
FEE SCHEDULE
1. Valuation information
(a) Job description: A;bO ./is-ffil-t ~ 0 l 'TI IV C, .
Occupancy ':"-QI--'v~ l " --'
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Patb:
Dnew D alteration D addition
(b) Foundation-only permit? DYes DNo
Total valuation: $ 2fOD
2. Building fees
(a) Permit fee (use valuation table): $ .~0>-0
(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+2e]): r:, qt:.
$ -
(e) Subtotal offees above (2a through 2d): $
3. Plan review fees
(a) Plan review (65% x permit fee [2a]): $
(b) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal offees ahove (3a and 3h): $
4. Miscellaneous fees 9"'" (-CUI J.'!5--
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
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www.ci.springfield.or.us
TRANSACTION'RECEIPT
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811-SPR2010-00147
1262 35TH ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permilcenter@ci,springfield.oLus
RECEIPT NO: 2010000177
RECORD NO: 811-SPR2010-00147
DATE: 08/30/2010
rDESCRIP..tjON~ ~3:~"";""':J:?!~J?:;::{;;:"~"t'3:3:~1!';~~:~J:f',,-'~c_c_6!lJ!J.l.G:QI':t~;;&&:':" " \',;P:l.6:M0[ttTJ/:).YE.;C
Structural Building Permit Fee 224-00000-425602 $50.00
Permit Fee Adjustment - Structural . _"'. ,,-, 224-00000-425602 $8.00
SDC: Reimbursement Cost - Local Wastewater ...,... .:.i:":.'- 442-00000-448024 $484.44
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SDC: Im~covement Cost - Local Wastewater '--:... .. . ._ :.i 443-00000-448025 $260.76
SDC: Total Sewer Administration Fee 'r' . 71g.00000-426604 $37.26
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Permit Fee Adjustment - Plumbing 224-00000-425603 $5~~
.State of c:Jregon..~~!charg-"J12% of applicable fee~) ... ._.__.---!l.21 :90000-215004 $13!.<!..
. !."-".hnology fee (5% o'!permit total) 100-00000-425605 $575
TOTAL DUE: $917.01
r-;l'pAYMENT~T,YraEv;,;,i;.eAYbR~~;o~-$li)ER,CCARi'~!TtE!3z<<:''14i;;~QM'MJ;NT~~.;:'';&;;:i'::-~i;..;-'fff-t};~$f:AMOUNT~R~fD;' ':"'.
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Credit Card
026810
raquel Hecht
$926.87
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