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HomeMy WebLinkAboutPermit Miscellaneous 2010-11-29 .. 5r~I.H~IELD-- ~'lA", --" .... ";,<J_';' ,f.::;;n ,:",;;;,"~~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00787 IVR Number: 811110812964 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: STATUS DATE: Issued 11/29/2010 ISSUED: APPLIED: 11/29/2010 11/29/2010 EXPIRES: VALUE: OS/28/2011 $2,000.00 SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718 ASSESOR'S PARCEL NO: 1703354203500 SCOPE: Foundation WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Place foundation under existing single family residence Phone Number: OWNER: ADDRESS: HIMBER JODY E 956 A ST SPRINGFIELD OR 97477 Contractor Type General Contractor Contractor Name SANTANA A WALRUFF CONTRACTOR INFORMATION I Lie Type CCB BUILDING INFORMA liON I # of Stories: Height of Structure: 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 I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural. Specialty Code Edition: lic No 170168 Lic Exp 05/12/2012 Phone 541-513-8517 Lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: -I Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: . Retaining Wall: ATTENTION: Oregon law requires you to . Soils Report Requireh,lIow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00f- 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). NOTICE: PIRE IF THE \NORK THIS PERMIT S\-Ifl..L~ V'HIS PERMIT IS NOT fl..Ul\-\ORIIED UNDES fl..Bfl..NDONED FOR COMMENCED OR \ ANY 180 DAY PERIOD. Springfield Building Permit 11/29/201 10:16:04AM Page 1 of 3 S~~IN.GF..... EL~. .' . ....19# . '?:'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00787 IVR Number: 811110812964 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: STATUS DATE: Issued 11/29/2010 ISSUED: APPLIED: 11/29/2010 11/29/2010 EXPIRES: VALUE: OS/28/2011 $2,000.00 SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718 ASSESOR'S PARCEL NO: 1703354203500 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 INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: Total: Handicapped: Compact: 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 Tvpe 2,000.00 Bid Unit Cost 1.00 Value 2,000.00 2,000.00 FEES PAID ~ Description Structu!al Building Permit Fee Technology fee (5% of permit total) State of Orepon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $58.00 $2.90 $6.96 _._- $67.86 . Date Paid 11/29/2010 11/29/2010 11/29/2010 Receiot # 374985 374985 374985 Springfield Building Permit 1,1/29/201 10:16:04AM Page 2 of 3 . SP,~~N, :',FIE~~ ~'\. "'~,~ ,.,c" OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00787 IVR Number: 811110812964 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/29/2010 ISSUED: APPLIED: 11/29/2010 11/29/2010 EXPIRES: VALUE: OS/28/2011 $2,000.00 SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718 ASSESOR'S PARCEL NO: 1703354203500 SCOPE: Foundation WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Place foundation under existing single family residence Plan Review ~ ~6t"R~q'Uire5L~".:,)<",~, :.:~~~~i~~~9~I~t~Y .-* ,-~, ,,-' ~,~ *. . <.-",,<,:J '~w,_"~,_.~.J:~,,"~_,,..........,,.'.....:...., . _. _--.,_':~~:,*5._':.:.~' I Department Application Acceptance Result Over the Counter Received 11/29/2010 Due Date 11/29/2010 Completed 11/29/2010 Permit Issuance 11/29/2010 11/29/2010 11/29/2010 Issued !PublicWo'rkoReview: ,'l' 11i2'9/2010,":11/29/2010""'11/29/2010-'C, ! .,. e _ -..~,,'~ ".,'''., .,..:.......,'\,,.~,.. ,~.J.':' ,-.,.,"~, :.,. ""'. "'''' < I....Comm~t?~..:" ,Ove-rth'~,F.9U~te,(p'ermitt; ...;~.. ,- ;.~i.;..?:+ ~.",-' ./-_~,_.' ~_'''''~_____'''':;''-'~-+'''':'':M_'''''' . .. ,. ' , Structural Review 11/29/2010 11/2912010 11/29/2010 Comments: Over the counter permit 81anning Review" .:- . 11/29/2010 ':11/29/2010 11/29/2'010',- NotRequired' ",.! .,'~ ,~"'_;X~ ",_, _~. 'k"" .-'~ '''-i, "Com!!lent$:: "qy'~r._~h;~:~OlJD~E:~:rrpl~:"Js;' ' Not Required INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1120 Foundation Reviewer David Bowlsby David Bowlsby David Bowlsby . ,David.Bowlsby, ,'~-' .~",',.. ,. . ~ ~_._~'" ._,"j . .. , '~ .J , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. f/~ 5rt>-/ D Owner or Contractor Signature Date Springfield Building Permit 11/29/201 10:16:04AM Page3of3 www.cLspringfield.or.us TRANSACTION RECEIPT 811-5PR2010-00787 956 A 5T CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield,or,us RECEIPT NO: 2010000920 RECORD NO: 81 I-SPR2010-00787 DATE: 11/29/2010 =" "'c'i~' ,,_.,,',:::"f : *":~_ . .~&C_oJJNKC_OOEt,/tt !-;:-.i{-:;AMo.1j_~I!!l!!";;--:c, 224-00000-425602 $58,00 100-00000-425605 $2.90 821-00000-215004 $6,96 TOTAL DUE: $67,86 r::;:;p2\XIViE~JTY~( ; ,~'~~Ay'0B.:_'CASHIER'DBbWLSBY,;-,:.:. C,QMIVIE:'~T-Si:2,-~ ~',,,: .:. ..;','~- "-AlVidu.~J":I'...jQ;__::~~ fOEstRleJl@;';::./-;"';' Structural Building Permit Fee Technology fee (5% of permit total) State~_of Oregon Surcharge (12% of applicable fees) Credit Card 121304-' SANTANA A WALRUFF $67,86 $67,86