HomeMy WebLinkAboutPermit Building 2011-1-5
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00024
IVR Number: 811145493593
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
01/05/2011
ISSUED:
APPLIED:
01/05/2011
01/05/2011
EXPIRES:
VALUE:
07/04/2011
$2,000,00
SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718
ASSESOR'S PARCEL NO: 1703354203500
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Dryrot repair
Phone Number:
OWNER:
ADDRESS:
HIMBER JODY E
956 A ST
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
CCB
BUilDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat: .
HAROLD & MADISON INC
# 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
168164
Lic Exp
01/20f2012
Phone
541-688-3648
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area: '(17178(:-(:88-009- ~ S! J81U8Q
Retaining Wall: UOII13011110N fil!l!ln U068JO 841 JOI J8qwnu
Soils Report Required: 8U04da\81 841 :810N) 'J81U80 841 6U!lI130
fiq S81nJ 84110 S8!doo U!131qO fi13W nOA '0600
-~00-(:96 ~lV'O 46noJ41 0 ~OO- WO-(:96l::1\fO U! , ! '
41JOl18S 8J13 S81nJ 8S041 'J81U8Q UO!IBO!l!lON
fil1llln U068JO 841 fiq P81dop13 S81nl MOIIOI
o'l"nofi S8J!nb8J MBI U068JO :NOI1N311\f
Springfield Building Permit
1/5/2011 1:48:15PM
NOTICE: . . . "0:' ":;'c' ,
THIS PERMIT SHAll EXPIRE IF THE WORK ._
AUTHORIZED UNDER THIS PERMIT IS NOT :,:
COMMENCED OR IS ABANDONED FOR,;_ '
ANY 180 DAY PERIOD.
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00024
IVR Number: 811145493593
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
01/05/2011
ISSUED:
APPLIED:
01/05/2011
01/05/2011
EXPIRES:
VALUE:
07/04/2011
$2,000.00
SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718
ASSESOR'S PARCEL NO: 1703354203500
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Dryrot repair
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
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
Tvoe of Construction
NA
Unit Amount Unit Tvoe
2,000.00 Bid
Unit Cost
1.00
Value
2,000.00
2,000.00
FEES PAID
~
DescriDtion
State of Oregon Surcharge (12% of applicable f:."s)
~,~~~tural ~~~~~ng Permit Fee
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$6.96
$58.00
$2.90
$67.86
Date Paid
01/05/2011
01/05/2011
01/05/2011
ReciDt #
2011000039
2011000039
2011000039
Springfield Building Permit
1/5/2011 1:48:15PM
Page 2 of 3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00024
IVR Number: 811145493593
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
01/05/2011
01/05/2011
Issued
01/05/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@cLspringfield.or.us
EXPIRES:
VALUE:
07/04/2011
$2,000.00
SITE ADDRESS: 956 A ST, Springfield, OR 97477-4718
ASSESOR'S PARCEL NO: 1703354203500
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Dryrot repair
Plan Review
I
Deoartment
Application Acceptance
Received Due Date Completed Result
01/05/2011 01/05/2011 01/05/2011 Over the Counter
Permit Issuance
01/05/2011 01/05/2011 01/05/2011 Issued
Reviewer
David Bowlsby
David Bowtsby
Structural Review 01/05/2011
Comments: Over the counter permit
P.lah~inj_'R~~iew':;~' _~ '~J\,l.;:ri9n9.~)f~Q1.1:"
(Comm~nts: tOvedhe courile'r permit~..,. ~,
..j"'" . ...., -" -~,' .~"...... "-, ".
01/05/2011
Not Required
01/05/2011
Not Requjnid,~U,;
'.;;"", "",,- .'.. -. ,':,,,.f"
"" "'<. .~;.; \J::~.
',' ... '.
".' ~..'.'.. "' ". -.
INSPECTIONS REQUIRED I
Inspections
1260 Framing
David Bowlsby
David Bowlsby'-" ,;.,'; '., -
,.' ....;. ,.~;:.; -;~~'.:~:? '~:. ::':\~"~:'?,r~~I~_.1:;' 7"
I
Framing Inspection: Prior to cover and after all rough in Inspections have been
approved.
Final Building: After all required inspections have been requested and approved and
the building is complete.
1999 Final Building
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. J 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.
( /~ /1/
/ I
Date
Springfield Building permit
1/5/2011 1:4B:15PM
Page 3 of 3
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-5PR2011-00024
956 A 5T
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield.or.us
RECEIPT NO: 2011000039 RECORD NO: 811-SPR2011-00024 DATE: 01/05/2011
lbE5CRi""TiON _dr~' >"'''"'--"'':f;~''p;:-0-,i'-;\-.,,<;4i;,-~'.1'~''''''ACCOUNifle0bEt;.-";';'c';-i;>:-~t,~'AMOUNfbuE" - .1
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6.96
Structural Building Permit Fee 224-00000-425602 58.00
_.TechnoI09Y fee (5% of permit total) 100-00000-425605 2.90
TOTAL DUE: 67.86
r.....;PAYI'v1ENn"j:>E~j..:;.,~p~_8~.:; ::ci>.sHIER~'bBov'iL~BY-,:;..1:;_COMMEN:j-Wc-T....;"'p9,,0 .": AMOUNT pAID _ ~- 'r~J
Credit Card bri9ham construction . $67.86
414126
TOTAL PAID:
$67.86