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HomeMy WebLinkAboutPermit Building 2011-1-5 sr~:~G. ',_,F, I, EL,~,~, : L~~, ~.OREc;ON 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