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Home My WebLink AboutPermit Building 2010-11-10 ) I SP"\~H~~~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00687 IVR Number: 811133232359 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STA TUS: STATUS DATE: ISSUED: APPLIED: 11/10/2010 11/08/2010 Issued 11/10/2010 EXPIRES: VALUE: 05/09/2011 $21,000.00 SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219 ASSESOR'S PARCEL NO: 1702333402000 SCOPE: Foundation WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Place foundation under existing single family residence Phone Number: 541- OWNER: ADDRESS: COX ED 270 S 52ND ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Contractor Name WAGGONER CONSTRUCTION LLC Lie Type CCB # of Units: o BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: - 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 Edman: Lie No 176602 Lic Exp 06/19/2011 Phone 541-935-0346 Lot Size: Sq Ft1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Ft Other: 0 Occupancy Load; Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ATTENTION: Oregon law requires you to tallow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). . - '.; ; .":_~' Springfield Building Permit 11/10/201 1:10:43PM Page 1 of 4 S~~INGF.IE~ ~:4~. ~.OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00687 IVR Number: 811133232359 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/10/2010 ISSUED: APPLIED: 11/10/2010 11/08/2010 EXPIRES: VALUE: 05/09/2011 $21,000.00 SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219 ASSESOR'S PARCEL NO: 1702333402000 SCOPE: Foundation WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Place foundation under existing single family residence DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: . Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PROJECT DESCRIPTION: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Bid Tvpe of Construction NA Unit Amount Unit Tvoe 21,000.00 Bid Unit Cost 1.00 Value 21,000.00 21,000.00 FEES PAID ~ DescriDtion Structural Building Permit Fee ____~. Technology fee (5% of permit total) State of Oregon Surcharge (12"1<0 of applicable fees) Total Amount Paid Amount Paid $243.25 $12.16 $29.19 $284.60 Date Paid 11/10/2010 11/10/2010 ._-~~ 11/10/2010 Receipt # 374856 374856 374856 Springfield BuildIng Permit 11110/201 1:10:43PM Page 2 of 4 S~RINGFIE~ .~ ',' ,tiS ",&; ',' .C: .,,,- OREGOH CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00687 IVR Number: 811133232359 www.ci.springfield.or.us 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: STATUS DATE: Issued 11/10/2010 ISSUED: APPLIED: 11/10/2010 11/08/2010 EXPIRES: VALUE: 05/09/2011 $21,000,00 SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219 ASSESOR'S PARCEL NO: 1702333402000 SCOPE: Foundation WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Place foundation under existing single family residence Plan Review ~ Deoartment Initial Review Received Due Date . Comoleted 1110812010 1110812010 1110812010 Result Approved Reviewer David Bowlsby Comments: No SDC"S Public Works Review Approved 1110812010 1110812010 1110812010 Comments: Foundation only under existing structure Pef7f1iHs~uarice' ',"~j !:~. .<~;;~~'.:~~' ,~. . ;.,,~;~;:: ->'="""''''~~~~:'~;..' .... , '" 11108/2010:",1110812010,,:,11/101201,0 ',,' :Issued ,,' ~c- f, ." ,,,i.~; .:~r 'ie_ ~':<~f s".: ~':.G ~:;;",L ;.~~~".; .'t ~ ; );,i:i);~:'~i~\i.:>>fi . ,d~~:i~t' " Kaye Wilson David.Bow[6f'~ '. ; ."'t-';'f,i4";::~ ~ . ..~.,(. ,,' i:~.~ '. 1': I Structural Review 11/08/2010 11/08/2010 11/08/2010 Approved David Bowlsby Comments: Foundation only under existing structure ~~~njng~~~,~~~~~,; ':~.~ :;,~;;::j~f~~;1,@'~k2~,~,~;:: .:;1;,~Q~~t~~&1~~~'1/~~!rZlS,j!~S::..Appro~e.a!;;~~;11~"t#,:;"~.,,j.\P,~eY,e, t~'::,~.eJI'\~'m~:,:~.t.'.,~,~.~\~.t.:~: ,.'c;o~men.~~:.;;lFound_~t~~2'9!lly:un9~Iq,~{I_~tl~g:structyr~' ': -.., ;~;.<f.3'.;<;r-il ':. ,', t~, ';~'\:'" ';'1~P~;~~ "'_'op.... . .'" _ .. ......;..... '. ',. INSPECTIONS REQUIRED I Inspections 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Final Building: After all required inspections have been requested and approved and the building is complete. 1999 Final Building Springfield Building Permit 11/10/201' 1:10:43PM Page 3 of 4 SP~I.N. G..FIEl~.D .. ~Jl..\l"-' <~. '.'';''..- . OREGOH www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00687 IVR Number: 811133232359 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/10/2010 ISSUED: APPLIED: 11/10/2010 11/08/2010 EXPIRES: VALUE: 05/09/2011 $21,000.00 SITE ADDRESS: 270 S 52ND ST, Springfield, OR 97478-6219 ASSESOR'S PARCEL NO: 1702333402000 SCOPE: Foundation WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Place foundation under existing single family residence 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 \SuctiO~ \\ . Il 1'10)/0 Owner or Contractor Signature Date Springfield Building Permit 11/10f201 1:10:43PM Page 4 of 4 DEPARTMENT USE ONLY Spa.. 'ZcHc) -~ ~ beg 7 Permit no.: . Date:; /1- C-/c> 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. -' , Structural Permit Application '. . .' ~,,'." <.~~'~~'~,J- .t." ......1'1,. f I '.~, :.... 'H'CI1'YOFSPRINGFIELD"OREGON .n. '. ,/', . " , ." ~.'U "_ l. ,_ .1" ., "I, . SPRI...G....ELD ~"'"::i';.;"'~,., ~i~t~'t'i 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 to.CAL GOYERN.MENT'APPROvALi.".' ._ . . 0' ."__ _ ....... .... .'Co_ .._.... _."_ l 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 ~:1;\~,~!;'i.;\!cY~i!f.cAr.E<39RY;ilOF.,;.C.ON~;-RUCl'IQN:\[;.;. ,,). ,". .-'::'~.Y " esidential o Government "j-;-'.>',".\- City: (I ~-l Vl . ~ Subdivision: Reference: /70'2. '1"31. 0 'Z-OOO ',PROPERTY OWNER Name: Address: City: Phone: ZIP: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.0 I O. I Sign here: CONTRACTOR. INSTALLATION. l'v l CCB license no.: Print name: . ) (,:,. V\o\ Q. . Signature: '<\ ~~ ","",' ",;,;",""':;::-s)JElcc;(;m;tMC't9RINFORMAi(IQf-:l';fU';'i:';;i.;;,!i'~:lf:; , Name CCB License Number Phone Number Electrical Plumbing Mechanical .,.. . . ..' ....FEEscHEDuLE "J.;'.Va..il..ii"rri~for.niirl(}n:;':(.:i'fj:;;:\.>",::;",;:.., (a) Job description: tltr.I:: ~tJ Occupancy ~ Construction type: ,,~ Square feet: Cost per square foot Other information: Type oCHeat, N),. Energy Path: D new .Ja<rtter.tion (b) Foundation-only permit? - 'i.fl. o add ition DYes ONo Total valuation: c'2/Biii)lli;'gte'~sHi:>..' ,:):::',,;: .....,..:.:/< (a) Permit fee (use v.luation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2.+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2.]): (c) Subtotal of fees ahove (3a and 3b): :4;.Mjs~e'ii#bO:ust""DiF;';::';,;c"";';;";'.':.' .' (a) Seismic fee, 1 % (.01 x permit fee [2a]): $ '$ $ $ TOTAL fees and surcharges (2e+3c+4a): S Z 81.{ .. " www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00687 270 S 52ND ST CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000806 RECORD NO: 811-SPR201O-00687 DATE: 11/10/2010 IDE~J;RIPfIOIll 'i".!_' :Y<,",.';.-':).~~. .,' ,.::,,:-..; . '';;fi-'.;~<;.(:.6pIIIT1C6DE;:..; ;'.~AMciQ~H~P.UE..''i' _.;".;.;..::!I Structural Building Permit Fee 224-00000-425602 $243.25 Technology fee (5% of permit total) 1 00-00000-425605 $12.16 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $29.19 TOTAL DUE: $284.60 I. RA YNlENT T'YRE:~/~H'AYciRF:":cASHIERssEBAN;;YH.;t.::!;LQ.0.MMENIS);<"Jj~~:eEtzojl(i .';'.i' .: ,.:iANlCiiJIIITLij:> AiDiJt-;l<iiji E'2j Check 2024 WAGGONER CONSTRUCTION LLC $284.60 $284.60