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Home My WebLink AboutPermit Building 2010-11-22 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00682 IVR Number: 811121352807 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/22/2010 11/08/2010 Issued 11/22/2010 225 Fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: OS/21/2011 $15,150.00 SITE ADDRESS: 443 BLACKSTONE ST, Springfield, OR 97477-1416 ASSESOR'S PARCEL NO: 1703233409000 SCOPE: Garage' Carport WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Garage - replacing existing carport of same size. Phone Nu'mber: OWNER: ADDRESS: GARLING MICHAEL R & KATHY A 443 BLACKSTONE ST SPRINGFIELD OR 97477 Contractor Type General Contractor Contractor Name TONY VICTOR DENN CONTRACTOR INFORMATION I Lic Type ceB BUILDING INFORMATION I # of Stories: 1 Height of Structure: 14 Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural SpeCialty Code Edition: Lic No 153447 Lic Exp 11/13/2010 Phone 541-954-4012 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Site Information I Engineered Fill: No Fill Volume: Flood Hazard Area: No land Hazard Area: No Retaining Wall: No Soils Report Required: No NOTICE: THE WORK . THIS PERMIT SHALL EXP\SR~~~M\T \S NOT AUTHORIZED UNDER THI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ATTENTION: Oregon law requires youto joilow rules adopted by the Oregon Utility Notification Center. Those rUle~:~e 9s;~_jg~~~ in OAR 952-001-0010 through 0090. You may obtain copies of the rules by cailing the center. (Note: the telepho~e number jar the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 11f22/201 10:55:36AM Page 1 of 3 SPR.ING FIE. L~~~ .~ ~j>,~ .... -.'.l.- .~_'1, . +u~'~"OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD. Building I Residential Permit PERMIT NO: 811-SPR2010-00682 IVR Number: 811121352807 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us' PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/22/2010 11/08/2010 EXPIRES: VALUE: OS/21/2011 $15,150.00 11/22/2010 SITE ADDRESS: 443 BLACKSTONE ST, Springfield, OR 97477-1416 ASSESOR'S PARCEL NO: 1703233409000 SCOPE: Garage / Carport WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: 5.0 Rearyard Setback: Solar Setback: 0 Garage. replacing existing carport of same size. DEVELOPMENT INFORMATION ~ Overlay Dis!: . # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 26 REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvpe of Construction NA Unit Amount Unit Tvoe 15,150.00 Bid Unit Cost . 1.00 Value 15,150.00 15,150.00 FEES PAID I Description Structural Plan Review Fee Residential ~DC: I~provement Cost - Storm Drainage SDC: Total Sewer Administration Fee SDC: Reimburseme:nt Cost - Sto~m Drainage_~~____ __~ Structural Building Permit Fee Technology fee (5% of p~rrnit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $126.43 $44.87 $3.48 $24.71 $194.50 $9.73 $23.34 $427.06 Date Paid 11/08/2010 11/22/2010 11/22/2010 11/22/2010 11/22/2010 -. -".---...--.--- 11/22/2010 11/22/2010 Receipt # 374831 374958 374958 374958 --_._..~---_. -.--" --_. --- 374958 .--374958--- 374958 Springfield Building Permit 11f22f201 10:55:36AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00682 IVR Number: 811121352807 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/22/2010 ISSUED: APPLIED: 11/22/2010 11/08/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or,us EXPIRES: VALUE: OS/21/2011 $15,150.00 SITE ADDRESS: 443 BLACKSTONE ST, Springfield, OR 97477.1416 ASSESOR'S PARCEL NO: 1703233409000 SCOPE: Garage lCarport WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Garage - replacing existing carport of same size. Plan Review Deoartment Application Acceptance Received 11/08/2010 Due Date 11/08/2010 Completed 11/09/2010 Result Application Accepted Public Works Review 11/09/2010 11/09/2010 11/15(2010 'Comments: Storm water to existing Approved Initial Review 11/09/2010 11/09/2010 11109/2010 Approved PermiCJ~su,~~ce' t ~~ \' )'~~,~~.;:"~ ~1.'1/J9/~gleo/F;'J0~;1,,~f~~1, ~':; _,; ;', V..,..' " _ _. l' , " ~" - ~,-.;;,', '._,,:~<.,' ~.,. . .~ _~'_ J .INSPECTIONS REQUIRED I Inspections 1110 Footing 1120 Foundation ~ Reviewer David Bowlsby Kaye Wilson -r ,,'f~Nanc:y !V1achad?~ :". . , ." ',."" ~~' :.' ?-~---~c;'-:-l ~ ~~. ~ -~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwalf Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering, Final Building: After all required inspections have been requested and approved and the building is complete. 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. ' 1540 Gypsum Board/LathlDrywall 1999 Final Building ../ /.2' owneZractor Signature ? ( N0u. ?-..~ '/0, Date Springfield Building Permit 11/22/201 10:SS:36AM Page 3 of 3 , -' ... Structural Permit Application ~:I'-;:-'.t:';'C" ."""s' -,' . "'-\. . ,ri.". ',,.1;,.:,: <~....'f. -~: ,~"'.'1t,~ ',", 'y' l' p'Y;OF .~Rf.l'JGF,IELD,.OREGC::>N'l"'" l' ..\ ,'" v:.; "". SPRINGFIELD ~a~;~,," '1~}.~~~"t~ ..'. DEPARTMENT.USE ONLY sj>LZOt!) - 0-0 Z Pennit no.: Date: - 8> -/ D This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuauce or if work is suspended for 180 days. 'LO,CAL.'GQVERt>lM~NtA~RRi:>Y;"t!J;jiji.{:)i,~~jh,!'.5; This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: DYes 0 No Property is within flood plain: 0 Yes 0 No ~;Gj!~:;'i,;i;dR:~&).GAtEG9R'?{.9i5~C:ONSiRUCif,r9~i;:i!;;i:\idiii'~)>i;" Residential 0 Government 0 Commercial ri)i,i~. "N:iJ9r3l.!lITE:J~~ORMA tl9.N;:ANo'!Cci9A:fioN;.:fci:'li'~ L U ,<:;,N'; $,1'. City: State: G J( ZIP: 225 Fifth Street. Springfield. OR 97477. PH(541)726.3753. FAX(541)726-3689 Reference: "., Name: Address: City: ZIP: PhoneS. Fax: E-mail: <-A~sl2..,",S. e.. G.-1"'1t.. ....c"--l. 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 701.010. Sign here: . CONTRACTQR Ir:iSTAtLA'P9N,.. ',' .... Business name: eN Y OC:: N N C.O i-J $ T Address:.;l._ ,-",bOG,E~",cD Oi_ I t:; State: ~ I(.., ZIP: (~ Fax:SZ/1 -Ws- )S'I I'-(SI\..'. e /,.J,. Print name' Signature: ,'::';:C: '.' :,: '\ ;:'SUB-CON:rRAc,roR.lNFORMA TIQN~:f:':::S ,'.c,S::-',:: Name Electrical Plumbing Mechanical CCB License Number Phone Number 6<:r'~1 c: r . '. ':' , :". "",Fff; sCHEDuLe', "j:Y~IWii6jJi~foriri~titlii::i.}\'j::Wh\:j (a) Joh description: G-~ Occupancy l.A.. . Construction type; Square feet: Cost per square foot: Jr5 4'3C Other infonnation: Type of Heat: Ii Energy Path: D new D alteration ".Baddition (b) Foundation-only permit? DYes ,.01'JO Total valuation: (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2h+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ Ca) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3a and 3b): ;;)i{)~~is~c,eif~~~ ~:o.us\ f~.~~,~:~~!Lj:'!,-;t'::;.:'~;r-;,+;:;g;!{'?:;:~,:"i~,.~ ' (a) Seismic fee, 1 % (.01 x penn it fee [2a]): s $ TOTAL fees and surcharges (2e+3c+4a): .$ www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00682 443 BLACKSTONE ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permilcenter@ci.springfield,or.us RECEIPT NO: 2010000895 RECORD NO: 81 I-SPR2010-00682 DATE: 11/22/2010 fDESCRIPtION;~,f\,;;;;,,"?;:_-.~"i':'''i '..J:,;j~-;: """';;;'."+,; :;-~8C_C_bJJ.N:r.:.C9J:)E..c~L~::~6M.()_\J~:U)_U_E : . --:.....c..J SOC: Improvement Cost - Storm Drainage 440-00000-446026 $44.67 SDC: Total Sewer Administration Fee 719-00000-426604 $3.46 SDC: Reimbursement Cost - Storm Drainage 441-00000-446029 $24.71 Structural Buildin9 Permit Fee 224-00000-425602 $194.50 Technol09Y fee (5% of permit total) 100-00000-425605 $9.73 State of.<;Jregon Surcharge (12% of applicable fee:v 621-00000-215004 $23.34 TOTAL DUE: $300,63 f . PAYMENt'.TYPE'.' :' PAYOR',:. "i:AsHIER:CCARPENTER,;'cbMME-NTS'~.: ...., :.: . "J. ';AMOUNTRAID. . . :.. t t..:...__~",",",_e".,_....".,_._,_.___o<..."..~_,_._.._ _,_ . "'--_.______-_ e .... ...".......". .'..^'. ."~,,,~..;_,.-<<,~_,,~_~.___,...~,._.__ .,." ._~....________,~ ..' ~ Check 1273 TONY VICTOR DENN $300.63 $300.63 SP;\:~:.El~ la;~ . ~vA OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00682 443 BLACKSTONE ST CITY OF SPRINGF]ELD 225 Fifth 51 Springfield,OR 97477 541~726-3753 permilcenter@cLspringfield.or.us RECEIPT NO: 2010000785 RECORD NO: 8]] -SPR20]0-00682 DATE: 11/08/2010 tQ.g$Q8IPTjQN:3'o.; ~=s';V'5, '~o,_;]B' -;;:-,');~::sAGc6uN"iL(;oDE+J'" , . AiiiJ>,llNi_JiuJ; ..... ~2-J Structural Plan Review Fee Residential 224-00000-425602 $126.43 TOTAL DUE: $126,43 rpA.YMENT"T~PE-' "pe,VOR<",_,CASH@'OBOW,SBY'.':> COMIII!!'J~f$:-;s;:-:,-, '_ _ _ -~'AMbuNTPAID'- - 'I Check 1252 tony denn construction $126,43 $126.43