HomeMy WebLinkAboutPermit Miscellaneous 2011-1-10
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A"""-~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00050
IVR Number: 811151410229
www.cLspringfield.or.U5
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS:DATE:
ISSUED:
APPLIED:
01/10/2011
01/10/2011
Issued
01/10/2011
EXPIRES:
VALUE:
07/09/2011
$7,800.00
SITE ADDRESS: 1072 B ST, Springfield. OR 97477-4810
,
ASSESOR'S PARCEL NO: 1703351415800
SCOPE: Foundation
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Foundation and dryrot repair
Phone Number:
OWNER:
ADDRESS;
HUMES EUGENE EDWIN SR
1072 B ST
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
GERALD JOHN SMITH
CONTRACTOR INFORMATION ~
Lie Type
ceB
BUILDING INFORMATION 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
73518
Lic Exp
07/23/2012
Phone
541-836-0800
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
Sq Fl Carport:
Sq Ft Other: 0
Occupancy Load:
Site Infonnation
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall: ATTENTION: Oregon law requires you to
Soils Report ReqalilM' rules adopted by the Oregon Utility
Notification Center. Those ruies are set forth
in OAR 952-001-001 0 through OAR 952-001-
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).
. ':"':l;'-~:'}: .
NOTICE: RE IF THE WORK
THIS PERMIT SHAl~ ~~~ PERMIT IS NOT
AUTHORIZED UNDIES ABANDONED FOR- .. .
COMMENCED OR
ANY i 80 DAY PERIOD. .
Springfield Building Permit
1/10/2011 10:29:25AM
Page 1 of 3
.\
www.ci.springfield.or.us
CITY OF SPRINGFIELD
. Building I Residential Permit
PERMIT NO: 811-SPR2011-00050
IVR Number; 811151410229
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:
155 ued
01/10/2011
ISSUED:
APPLIED:
01/10/2011
01/10/2011
EXPIRES:
VALUE:
07/09/2011
$7,800.00
SITE ADDRESS: 1072 B ST, Springfield, OR 97477-4810
ASSES OR'S PARCEL NO: 1703351415800
SCOPE: Foundation
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Foundation and dryrot repair
DEVELOPMENT INFORMATION I
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:
50
Downspout/Drains:
Valuation Description I
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~.
Description
Total Amount Paid
Amount Paid Date Paid
$23.10 01/10/2011
$9.63 0111012011
---,.,----~-.'
$116.50 01/10/2011
$76.00 01/10/2011
$225.23
Recio! #
2011000074
2011000074
2011000074
2011000074
State of Oregon Surcharge (12% of applicable fees)
Techno!ogy fee (5!, of permit total) _.___..~.__._.
~tructural Building Permit Fee
Storm Sewer
Springfield Building Permit
1/10f2011 10:29:25AM
Page 2 of 3
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00050
IVR Number: 811151410229
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/10/2011
ISSUED:
APPLIED:
01/10/2011
01/10/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
07/09/2011
$7,800.00
SITE ADDRESS: 1072 B ST, Springfield, OR 97477-48fO
ASSESOR'S PARCEL NO: 1703351415800
SCOPE: Foundation
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Foundation and dryrot repair
Plan Review
~
DeDartment
Permit Issuance
Received Due Date Comoleted ~
01/10/2011 01/10/2011 01/10/2011 Issued
Structural Review 01/10/2011 01/10/2011 01/10/2011
Over the counter permit
Not Required
Public Works Review
01/10/2011 01/10/2011 01/10/2011
Not Required
Reviewe r
David Bowlsby
David Bowlsby
David Bowlsby
Comments: Over the counter permit
llni~ral. R,evieWk:' .;~ _~~''':';A~^'''';'01l1 O!2~~1;1,~~\Q:Ero/201 ,~~,9jJJ19/?qil1?Hi':'...Q~~r:th,~C().u~,t~r;,'~'~r,:" hJP)i},jd;~~'4lsby,,<;,.
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,. Com,ments:':-, 0verJhecounter'perm~t'r,0"_'h;' "F' ..? ,-.:. '".i q01h'.><~-:WA~\1.,.9:.J;ir:'+:, '.'V lo~;~,~':. l,:;:-~~,,-,'f;"";';;'- . -~ ' .-'.,: <'~
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INSPECTIONS REQUIRED ~
'';'-'e",
Inspections
1110 Footing
1120 Foundation
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
1220 Underfloor framing
3400 Storm Sewer
Storm Sewer Line: Prior to filling trench.
By signature, J 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, t~at 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.
~
\0
Owner or Contractor Signature
Date
Springfield Building Permit
1/10/2011 10:29:25AM
\1
Page 3 of 3
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.CLspringfield.or.us
811-SPR2011-00050
1072 B ST
perm itcenter@ci,springfield,or.us
RECEIPT'NO: 2011000074 RECORD NO: 811-SPR2011-00050 DATE: 01/10/2011
~t)ESC R'I~TICiNJi/!!J <~r5f~::' >1,: ~L;:;::t0]<~;~':;::,~.._-<;.' ,J'"~~:t~;~:;.~~-:~ti.~~;t"Y~'7::;?:'AcJ:~,U NtC,btjE'b:~~'JU:"2t1&; 2;L-;:;~:t:AMd_u Ntb.U E~!J
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 23.10
Storm Sewer 224-00000-425603 76.00
_-i'truc~~'1!.ng Permit Fee 224-00000-425602 116.50
Technology fee (5% of permit total) _~_._ 100-00000-425605 9.63
TOTAL DUE: 225.23
~1i~_y'Mg~{t:i'y.eI;J;';_F.'~y'QBl,t0f..;;;~i:-:;'si"mR"oBOWLili:-~l-QQMMEfJf.$lJ. ),1'8~:,:r:::: '~:r:~:~MQ_UIIl.I.1?~IJ:)_,,-.c:.: "'.;j.1G..L~~
Check jerry smith services $225.23
6797
TOTAL PAID:
$225.23