HomeMy WebLinkAboutPermit Miscellaneous 2010-11-29
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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~.
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. '?:'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~~
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,.,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
$2,000.00
SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718
ASSESOR'S PARCEL NO: 1703354203500
SCOPE: Foundation
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Place foundation under existing single family residence
Plan Review
~
~6t"R~q'Uire5L~".:,)<",~, :.:~~~~i~~~9~I~t~Y .-* ,-~, ,,-' ~,~
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'~w,_"~,_.~.J:~,,"~_,,..........,,.'.....:...., . _. _--.,_':~~:,*5._':.:.~' I
Department
Application Acceptance
Result
Over the Counter
Received
11/29/2010
Due Date
11/29/2010
Completed
11/29/2010
Permit Issuance
11/29/2010
11/29/2010
11/29/2010
Issued
!PublicWo'rkoReview: ,'l' 11i2'9/2010,":11/29/2010""'11/29/2010-'C,
! .,. e _ -..~,,'~ ".,'''., .,..:.......,'\,,.~,.. ,~.J.':' ,-.,.,"~, :.,. ""'. "'''' <
I....Comm~t?~..:" ,Ove-rth'~,F.9U~te,(p'ermitt; ...;~.. ,- ;.~i.;..?:+ ~.",-' ./-_~,_.'
~_'''''~_____'''':;''-'~-+'''':'':M_'''''' . .. ,. ' ,
Structural Review 11/29/2010 11/2912010 11/29/2010
Comments: Over the counter permit
81anning Review" .:- . 11/29/2010 ':11/29/2010 11/29/2'010',- NotRequired' ",.!
.,'~ ,~"'_;X~ ",_, _~. 'k"" .-'~ '''-i,
"Com!!lent$:: "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,
,'~-' .~",',..
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,
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
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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