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HomeMy WebLinkAboutPermit Building 2011-1-3 ~ ,~ 'i, . ,)~ S~~~N.,.,~~I EL,D ., .~1!Ni l~"'- ..-. +d"", OREGON 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 " Springfield Building Permit 1/3/2011 12:07:58PM r.C" ., ,:.. .~....':;.....~' ~... NOTICE: . 'HE WORK THIS PERMIT SHALL EXPIRE 1FT NOT " AUTHORIZED UNDER THIS PERMIT IS '; COMMENCED OR IS ABANDONED FOR - : ANY 180 DAY PERIOD. Page1of3 ." ~ S~~~N~=~ .~,~ mr,,!:4!i OREGON 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 . .;. -:0,.:"" 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 [j::;,,::"~i;~ ",,:''''':'f,''''f'''~, ,6!,. ,"~.."" E~l1t;f~Ji~",- ~ <,;C~~ . 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