HomeMy WebLinkAboutPermit Building 2011-4-20
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~.OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00646
IVR Number: 811157505921
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE;
. 155 ued
04/20/2011
ISSUED:
APPLIED:
04/20/2011
04/20/2011
EXPIRES:
VALUE:
10/17/2011
$4,100.00
SITE ADDRESS: 5286 CYNTHIA CT, Springfield, OR 97478
ASSES OR'S PARCEL NO: 1702333400111
SCOPE: Accessory Building
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Installation of Storage Structure - 220 square feet, 15' in height
Phone Number:
OWNER:
ADDRESS:
TAYLOR BARRY J & MELVA F
1862 TAYLOR ST
EUGENE OR 97405
Contractor Type
General Contractor
Contractor Name
TUFF SHED INC
CONTRACTOR INFORMATION ~
Lie Type
CCB
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 Specially 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
105914
Lic Exp
OS/27/2011
Phone
303-753~8833
lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy load:
Site Information
~
ATTENTION'
tDl/ow '01 . Oregon law re .
Notiticatio;~ adoPted by the gUlres you to
in OAR 952_00~nter. Those rUle;egon Utility
0090. You ma -0010 through OA~e setforth
calJing the / Obtain Copies of th 952-001_
nUmber for th~loter. (Note: the tel: rhules by
C J egon Un Pone
enter is l-BOO-332'lty Notification
-2344).
Page 1 of3
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
. . ',,;;.;. .
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
'NY 180 DAY PERIOD.
Springfield Building Permit
4/20/2011 1:08:43PM
~
S~;.~lN . G._ FIEL;i
~"'.~-
"" ... Il!iii#Y
,'1': ;:~70ReGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00646
IVR Number: 811157505921
www.cLspringfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permilcenter@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
04/20/2011
04/20/2011
04/20/2011
EXPIRES:
VALUE:
10/17/2011
$4,100.00
SITE ADDRESS: 5286 CYNTHIA CT, Springfteld, OR 97478
ASSESOR'S PARCEL NO: 1702333400111
SCOPE: Accessory Building
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Installation of Storage Structure - 220 square feet, 15' in height
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north properly line:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:.
Solar Setback:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
~
Valuation Description
Descrietion
Bid
Tyee of Construction
NA
Unit Amount Unit Tyee
4,100.00 Bid.
Unit Cost
1.00
Value
4,100.00
4,100.00
FEES PAID
,
Descriotion
State of Oregon Surcharge (12% of applicable fees)
Structural Buildin~ Permit Fee
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$10.47
$87.25
-_._.._--_._--~
$4.36
$102.08
Date Paid
04/20/2011
04/20/2011
04/20/2011
Springfield Building Permit
4/20/2011 1.:08:43PM
Reciot #
2011000764
2011000764
2011000764
Page 2 of 3
SP~I.N~~EL~
'i!Jh.
OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00646
IVR Number: 811157505921
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
04/20/2011
04/20/2011
04/20/2011
SITE ADDRESS: 5286 CYNTHIA CT, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702333400111
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitce nter@ci.springfield.or.us
EXPIRES:
VALUE:
10/17/2011
$4,100.00
SCOPE: Accessory Bui/ding
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Installation of Storage Structure - 220 s~uare feet, 15' in height
Plan Review
I
DeDartment
Application Acceptance
Received Due Date ComDleted Result
04/20/2011 04/20/2011 04/20/2011 Overthe Counter
Reviewer
Robert Castile
Permit Issuance
04/20/2011 04/20/2011 04/20/2011 Issued
Robert Castile
Structural Review 04/20/2011 04/20/2011 04/20/2011 Not Required Robert Castile
Comments: Over the counter permit
I~PlaQn~~g~ReVlew' ':p : t; :'0,:: .@, P1J:O~~~},~ ~~:,94(~~~~~t'~;~~{~S~~?h1:~i;:1,~~,tJ:~~~j~'f~f~\~'~t7.:=~:,~?~~~~lf;~1\~~'i~~~-';>,-\',_;~;;c4,~L<;, _'~:,- 1, __.
,Comments:- Over, the counter permit ,- r_t1;,;€;4Y;'" _<;...,;_~i<-""j"",*" ~,r"',-:>~~~di;,"'4o::<-->-;,-_t.._Ml><',,~;,'::i., ,-:-;t.~,~, he r~'t_':';$-~
./o.,f"", -_Y1',,''"'t"~~''''''''''''\''K .~" , ~.~ -.".-"",",,,-,_,,,,_,,:,~,,,,_ ~:" --0~-
I INSPECTIONS REQUIRED ,
Inspections
1999 Final Building
~
Final BUilding: .A:fter all required inspections have been requested and approved and
the building is complet~.
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 1 further certify thatany and all work performed shall be done in accordance with the
Ordinances of the City of Springfield ancl the 'Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY wiWbe 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
construction.
tj. ~ rPc:J - II
Date
Springfield Building Permit
4/20/2011 1:08:43PM
Page 3 of 3
" .
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
DEPARTMENT USE ONLY
Penn it no.:
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuauce or if work is
suspended for 180 days,
: '" _,'_"" ..".' "',. " '-"-~"""".-'- ',.,.. ,. .. 'i7.'~',;,!: .- .. . ,- --,Y.,-", ""~ .;._t,.;'_"~ ".,";"".V":f.f:'..~ "
. .,:,';i:'] ,,'l,:0CA!:- 'I:;Q:YER!'lME:IIITIioAPgI'lQ:YAl!,:;,(;.n;,.~j;t:!!,,":,;lj'i
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
~)\i~~;i\,;~~~~~irE:q:98XlQFcJlt~Qt.i~;r@C[iQt.i~p}dh\\lii~~!&~!.S
o Residential 0 Government 0 Commercial
.j',~;Gi:t{;;i;tJPBii:!3Ij"~;.IN1fQRMAtfc'iN*,%NP~l.O:<:Ai:[6~i4lrr:;~~~')k~
Job site address:
City:
Subdivision:
Reference:
ZIP:
Name:
Address:
City: S~ "I!
Phone: 3' 'I-
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:
'. C0N,-RACJ0RI~STAI:.LATI6N;,
Business name: rt
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
tt~~~'.;;\;sr{~;~~~~~_.sQ~'~oNmRAGtQ~JI,NPJ)T{~ArH~N~~;:~s;~f~t~i:J~
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
';':::r":.FEE ~sC::;H~puLE""'1':,. , . '"
.;ij::::Y'~i9~!j9H'(ri'f8rIH~,t~9~~~;;t~S'jkl\\t;f~2NI~1~\h~{;~~~;;;~~t*~.~}4.~1:\:~N:':Jti~~~{~~(.~',~:~!
(a) Job descriptio~:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new 0 alteration
(b) ,Foundation-only permit?
Total valuation:
o addition
DYes
DNa
$
(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 of fees above (23 through 2d):
$
$
$
$
$
(a) Seismic fee, 1% (.01 x permit fee f2a)): $
TOTAL fees and surcharges (2e+3c+4a): S