HomeMy WebLinkAboutPermit Building 2011-2-11
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00223
IVR Number: 811179228962
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:
APPLIED:
02/11/2011
02/11/2011
Issued
02/11/2011
EXPIRES:
VALUE:
08/10/2011
$0.00
SITE ADDRESS: 1979 S 58TH ST, Springfield, OR 97478-8529
ASSES OR'S PARCEL NO: 1802033305600
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Site utilities for future shop
Phone Number:
OWNER:
ADDRESS:
DALTON MICHAEL CHARLES
1979 S 58TH ST
SPRINGFIELD OR 97478
Contractor Type
General Contractor
Electrical Contractor
Plumbing Contractor
Contractor Name
OWNER
OWNER
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWN ER
OWNER
OWNER
BUilDING INFORMATION ~
# 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! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
0000000
0000000
0000000
Phone
Lic Exp
08/12/2025
08/12/2025
08/12/2025
Lot Size:
Sq Ft 151 Floor:
Sq Ft 2nd Floor:
Sq Ft Baser'!'lent:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
o
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
2111/2011 10:28:16AM
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Page 1 of 4
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00223
IVR Number: 811179228962
Issued
02/11/2011
ISSUED:
APPLIED:
02/11/2011
02/11/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfieId.or.us
EXPIRES:
VALUE:
08/10/2011
$0.00
SITE ADDRESS: 1979 S 58TH ST, Springfield, OR 97478-8529
ASSESOR'S PARCEL NO: 1802033305600
PROJECT DESCRIPTION:
Fronlyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Site utilities for future' shop
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:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descrietion
Springfield Building Permit
PUBLIC IMPROVEMENTS ~
99
Valuation Description ~
Tvee of Construction
Unit Amount Unit Tvoe
2/11/2011 10:28:16AM
Sidewalk Type:
Downspout/Drains:
Unit Cost
Value
Page 2 of 4
S~Z~N~EL~
~~
~OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00223
IVR Number: 811179228962
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
155 ued
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
02/11/2011
02/11/2011
02/11/2011
SITE ADDRESS: 19795 58TH ST, Springfield, OR 97478.8529
ASSESOR'S PARCEL NO: 1802033305600
EXPIRES:
VALUE:
08/10/2011
$0.00
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Site utilities for future shop
FEES PAID
~
Descriotion
Storm Sewer
First Appliance Fee
Water Line
Sanitary sewer
Gas Piping up to 4 outlets
State of Oregon Surc~arge (12% of applicable fees)
~tate of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total) _
.~Iectricallnspection For Which No Fee is SP:.cifically Indi
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$76.00
$79.00
$76.00
$76.00
$7.00
$1.68
$43.80
$0.70
$58.00
$-0.35
$-0.84
$18.25
$435.24
Date Paid Reciot #
02/11/2011 2011000270
02/11/2011 2011000270
02/11/2011 2011000270
02/11/2011 2011000270
02/11/2011 2011000270
02/11/2011 2011000270
02/11/2011 2011000270
W_'._.'_'~__.._'_'__.__.~
02/11/2011 2011000270
.._--~
02/11/2011 2011000270
02/11/2011 2011000270
--- -,---
02/11/2011 2011000270
02/11/2011 2011000270
Plan Review
~
Deoartment
Application Acceptance
Received Due Date Comoleted Result
02/11/2011 02/11/2011 02/11/2011 Over the Counter
Permjtlssuance
02/11/2011 02/11/2011 02/11/2011 Issued
Structural Review 02/11/2011 02/11/2011 02/11/2011
Comments: Over the counter permit
Not Required
Reviewer
David Bowlsby
David Bowlsby
David Bowlsby
Springfield Building Permit
2/11/2011 10:28:16AM
Page 30f4
S~~N::EL~ '
L-~~
~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00223
IVR Number: 811179228962
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
02/11/2011
ISSUED:
APPLIED:
02/11/2011
02/11/2011
EXPIRES:
VALUE:'
08/10/2011
$0,00
SITE ADDRESS: 1979 S 58TH ST, Springfield, OR 97478-8529
ASSESOR'S PARCEL NO: 1802033305600
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Site utilities for future shop
INSPECTIONS REQUIRED ~
Inspections
2020 Underground Gas
Underfloor Gas: After line is installed and required testing and capped if not attached
to an appliance.
Sanitary Sewer Line: Prior to filling trench and including required testing.
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
Storm Sewer Line: Prior to filling trench.
Underground Electric: Prior to cover
4140 Underground Electric
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. I 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
cons~~ 9--'1/-1/
Owner or Contractor Signature
Date
Springfield Building Permit
2f11f2Q11 10:28:16AM
Page 4 of 4
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth $t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00223
19795 58TH ST
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000270 RECORD NO: 811-SPR2011-00223 DATE: 02/11/2011
tDESCRle.fiON ',',If,} ':'-~-'-"'Pti;;;iJ/--PW ''':,~~~""j: ,. ~ ~;ACCOUN'r_CODE';;!cl:'K,:7;::::,-,AMOlJNtDUE; i' ';"-_
Electrical Inspection For Which No Fee is Specifically Indicated 224-00000,426102 ~__
First Appliance Fee 224,00000,425604 79,00
Gas Piping up to 4 outlets 224,00000-425604 7,00
Sanitary sewer 224'000~0-425603 76,00
~te of Oregon~ Surcharge (12% of applicable fees) 821-00000-21,5004 44,64
Storm Sewer 224-00000-425603 76,00
"--",,----
Technology fee (5% of permit total) 1 00-00000-425805 ____~____
Water line 224-00000-425803 78,00
TOTAL DUE: 435,24
ii:J~~YM.WNT)YPE''\l-;;;;:;PAY.~~CASHII'R-tia6wL~:',t':!C1C.9l:itMENtSf':jC~ ,-:1 ,::"0 ',;;J~I:';'I:;AM9UNTeAID'-:", ;;,;i,; ,!;~-'1
Credit Card DALTON MICHAEL CHARLES 435,24
231838
TOTAL PAID:
435,24