HomeMy WebLinkAboutPermit Building 2011-1-3
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00474
IVR Number: 811147055187
www.ci.springfieJd.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
01/03/2011
ISSUED:
APPLIED:
01/03/2011
10/08/2010
EXPIRES:
VALUE:
07/02/2011
$10,000,00
SITE ADDRESS: 2782 BURLINGTON AVE, Springfield, OR 97477-1826
ASSESOR'S PARCEL NO: 1703244103019
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Deck cover
Phone Number:
OWNER:
ADDRESS:
GILMAN ALLEN R & RITA A
2782 BURLINGTON AVE
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION I
Contractor Type
General Contractor
Contractor Name
MIKE GANSEN CONSTRUCTION COMPANY
Lie Type
CCB
'BUILDING INFORMATION I
# of Units:
o
# of Stofies:
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 Edition:
Lic No
92159
Lie Exp
06/14!2011
Phone
541-463~1000
Lot Size:
Sq Ft 1.t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Fl Carport:
Sq Ft Other: 240
Occupancy Load:
2008
Site Information
I
Engineered Fill: . No
Fill Volume:
Flood Hazard Area: No
Land Hazard Area: No "(vV8G-G88-008- ~ SI JelUeo
Retaining Wall: , UO!l'8l'6~I!lON lil!l!ln uoBeJO e41 JOj Jeqwnu
SOil. Report Required: euo~~alel e41 :eION) 'JeIUeO a41 BU!lleO
Aq SelnJ a41 jO seldoo U!elqo liew no}.. '0600
- ~00-GS61:1\iO 4BnoJ41 0 ~OO- ~00-GS61:1\iO U!
4lJOj les am SelnJ es041 "JelUao uO!leO!l!loN
lil!l!ln uoBaJO a41liq paldope SalnJ MOIIOj
01 noli saJ!nbaJ Mel uoBaJ() :NOI1N3il\i
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Springfield Building Permit
1/3/2011 12:07:58PM
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NOTICE: . 'HE WORK
THIS PERMIT SHALL EXPIRE 1FT NOT "
AUTHORIZED UNDER THIS PERMIT IS ';
COMMENCED OR IS ABANDONED FOR - :
ANY 180 DAY PERIOD.
Page1of3
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00474
IVR Number: 811147055187
225 Fifth St
Springtield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/03/2011
ISSUED:
APPLIED:
01/03/2011
10108/2010
EXPIRES:
VALUE:
07/02/2011
$10,000.00
SITE ADDRESS: 2782 BURLINGTON AVE, Springfield, OR 97477-1826
ASSESOR'S PARCEL NO: 1703244103019
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Deck cover
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback: 44.5
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Urban Fringe
REQUIRED PARKING
29.5
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon: .
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Type of Construction
NA
Unit Amount Unit Tvpe
10,000.00 Bid
Unit Cost
1.00
Value
10,000.00
10,000.00
FEES PAID
~
Description Amount Paid Date Paid Reciot #
Structural Plan Review Fee Residential $34.00 10/08/2010 2010000519
~_tructural.'3.u.!'<!.ing_~~rmit Fee _ __ __._..!.1360~__ 01 /03/2011__.__ _~011 000003
~.":'in fee (10%?f applicable fees) ._$~_ 01/03/2011 2011000003
Technology fee ,[5.% of permit total) __ .__~~I!..____._. 01/03/2011 ____._____~.2.212.0000~_
State of Oregon Surcharge (12% oL".p.f'licable fees) _ __.~..3.2_ _____01/03/201.~_____ 201 ~0_00003_
Residential Fire (.05 Per So Foot) $12.00 01/03/2011 2011000003
SDC: Improvement Cost - Storm 6;a;nage.-------~80~:--- - -.-. 01/0j/2CJ1T -. - - -- 2011000003
SDC: Total Sewer Administration Fee ----------s6~-- 01/03/201'1-- .. - _H .. - 2011'000003
SDC: Reimbursement Cost - Storm Drainage $#4i---..----0i76372cii1'------ -261 1000003
Total Amount Paid $337,65
Springfield Building Permit
1/3/2011 12;07:S8PM
Page 2 of 3
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00474
IVR Number: 811147055187
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
01/03/2011
10/08/2010
Issued
01/03/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcent~r@ci,springfield.or.us
EXPIRES:
VALUE:
07/02/2011
$10,000.00
SITE ADDRESS: 2782 BURLINGTON AVE, Springfield, OR 97477-1826
ASSESOR'S PARCEL NO: 1703244103019
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Deck cover
Plan Review
~
DeDartment
Application Acceptance
Received Due Date Camoteted Result
10/08/2010 10/08/2010 10/13/2010 Application Accepted
Reviewer
David Bowlsby
Planning Review 10/13/2010 10/13/2010 10/14/2010 Approved Deyette Kelly
Comments: No planning issues
~UbIiC:W, otks;~eVieW-',"'{,r"'~!.10!13!~219:;:;P(,~3,!,~,,OlO:",.~',",10r1,5J~.~~9:~, ",~P'P.'.OY~d,', 7,~~" of " ',:.',_l~~dSiG~J~t9,~'r.,'~':', :," . -, . -~~". ::':~:.::.:.:';1
',,~Co,mments:; fR~ce~ve~,1e/1~12010. _St~rrnw.a~;r;~~~euf~ljte_d~!o;~x~s!1n~,e~ves: ,i~"'~<>j,';'r1 i- /~'<<" . "'-:"h~.~::~4&t~h'( 2" -<,. ." "~~'~i~ " ,
Structural Review 10/13/2010 10/13/2010 10/27/2010 Approved Chris Carpenter
Perri1!t".IssUa~c_e ,~' ;-.~i.::<<.~:t,>) 0~2~7BP1g-, ;:JQ{?]l~qlq- _QVO~120J~''h'r,:L~~_ui(:ttr<'~__\'.-.- ~~:.fDa~i~
[', . _ :"i,1.;\J. .:'!f"*: .;;-0. },o,'''-{'_c ~'; ~<~,~,_ ';; .':."~-- -,f'i .:~. ~~.~'ll~~ ,)-;i"k.j~~':p",,~~c~,-{.-:,'''' .~-"
.' ,:.\' \\_~_.-:.- ,?,<>E,,<'~'i-J~"--:'..-.~,--";\ ~~f' ,t:.tY~~1?t;:i~'t;f'-i,t.,;_:;;-:...... ":. '
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after aU rough in inspections have been
approved.
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 an~ 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 fr'om the street, that the
permit card is located at the front of the pro , and th pproved set of plans will remain on the site at all times during
constructi
INSPECTIONS REQUIRED I
Inspections
1110 Footing
1260 Framing
1999 Final Building
I'J-:H
Owner or Contractor Signature
Date
Springfield Building Permit
1/3/2011 12:07:58PM
Page 3 of 3
5 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
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. DEPARTMENT USE OrilL if
.sf>t2.t:CfD - co <-i7Lf
Penmt no.:
Date: /0 -g -/0
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.
" :'~QC'A~ '~'9~\"E,~~~,ENt\AB._R'f~qVAi>,:~~.~:/:" ';.',._.,. _-~t;<:
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
~~\;l,~!~Yi;{f;~ii;,CAIEg9Ry,;,\Q"L~,ON~iR:UCTIC;*'ii);:;}Xc,.,;/,,:.
o Government 0 Commercial
'j()BSrrE J~fbR:Nt4tI9N:'ANQ;1l;)CArIPN'
Job site address: Z 7 2-.
City: ~
Subdivision:
Reference: 1703 Z \{\..l\ 0301
" PROPERTY OWNER .
,: ,',., ';'r..~;,' '.
,','-..... ,',-.,
Name:
Phone:
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 701.010.
Sign here:
CONTRACTOR INSTALLATION..'
X
Signature:
'.... .' ';'tSUB'C0N.1:RACf:9RINFORMATIQi'!~';:+:W';i:';;;\W,~;;~;:::
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
'.i'FEE'SCHEDULE
'1; Yalullii&j1info'rm~i:Ioli':;('i:;:,;;::
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost persquarefoot: 2 C( () 1;
Other information:
Type of Heat:
Energy Path:
o new 0 alteration
(b) Foundation-only permit?
Total valuation:
'2;BtiiliHiigfee.sNiic:.,iJ,..;;i.;,;i;::.... i.'.;...:.-..
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [Za]);
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter IZ% surcharge (.IZ x [Za+Zb+Zc]);
(e) Subtotal offees above (2a through 2d):
$13"
$
$
$
$
(a) Plan review (65% x permit fee [Za]): $ :s
(b) Fire and life safety (40% x permit fee [Za]): $
(c) Subtotal of fees above (3a and 3b): $
4'MiS~eila'iI~6iis'fe~~<H):t{(i.;. ... .
(a) Seismic fee, 1% (.01 x permit fee [Za]): $
TOTAL fees and surcharges (Ze+3c+4a): $
:..
-~ . .
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00474
2782 BURLINGTON AVE
CITY OF SPRINGFIELD
225 Fifth 81
Springfield.OR 97477
541-726-3753
pennitcenter@ci,springfield.or.us
RECEIPT NO: 2011000003 RECORD NO: 811-SPR20 10-00474 DATE: 01/03/2011
~DESCRfpTI6Nf';, ,~~j:,-";'-'\ ";""-%"-:"4~;~,;[:..;t.t,;',>~;::'::';';ACC6iJ'NTic6DE',1;:'..-," '1AMc)UNTbuE'~ . ''-. . J
~_._~.___.~,._...."~..._~_~ ......m.. ...." __ '. __." .. .. ..____._.,_. ,._.,_._.~. ...,.. ..~. ~_'_",,^,,,,,,,,,,,,,,,,,,,,,,,,,,,_,,,-_,,~,, ,..-:._._._~.--:..;.
SDC: Total Sewer Administration Fee 719-00000-426604 $6.25
SDC: Improvement Cost. Storm Drainage 440-00000-448028 $80.66
SDC: Reimbursement Cost - Storm Drainage . 441-00000-448029 $44.42
Residential Fire (.05 Per Sq Foot) 100-00000-424005 $12.00
.~tructural Building Permit Fee 224-00000-425602 $136.00
Admin fee (10% of applicable fees) 224-00000-426605 .___~~
!.ech~ol~gy fee (5% of per",it_t:'t".IL 100-00000-425605 __~?:8!l..
State of O~",-gon Surcharg-"..l~~p'plicable fees) 821-00000-215004 $16.32
TOTAL DUE: $303.65
LfAvJY!!;NT"CVRE,:.' iRl\..Y.Q.8;(j;jf"C-"SHiEFfDSOWLSSYS:::'.'C:i::iMMEf.l-r.S: :"'>~;.:::. ....o.i:~,f:rliMQUNTj:>AIQ..:.': ~'~:::j
Credit Card
07726c
michael gansen
$303.65
$303.65