HomeMy WebLinkAboutPermit Building 2004-11-8 (2)
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..~ CITY OF M'KlN\.yl'~J!.LD-
Building/Combination Permit
PERMIT NO: COM2004-01285
ISSUED: 11108/2004
APPLIED: 10118/2004
EXPIRES: 05/08/2005
,VALUE:- $ 14,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2897 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703224105301
Owner:
Address:
RICHARD ARCH
2897 GAME FARM RD
Springfield TYPE OF WORK: Accessory Building
- S yOU to
" \nW requIre 'nl/
~W_Nl\ON: oregr.rYf,EOF~I:JSJjJ:I'I \.Jt!Ne\h
('.1 dopted 0, ,''v are set ton
\l,\lOW rules a -rhoSe rules 952-001-
,,,_~,;,,n Center. ~ ",__"nh OAR -'-J
\~V6AR 952-001-\JVt~-;I'I'copies 01 tl'Ph~Ri~mher: 541-747-4020
SPRINGFIELD e~J\?74:7-7' may o~er ,Note: thetele'fcation
_ H'_n Ihe cel'l ' _ _ 1It\\i\" Notl I
v_ -~;.,.In! tne U'~":_ 4??-2:)441.
I CONTRA'enjk iNEOR;M;\!f16N i
Residential
PROJECT DESCRIPTION: Pole huilding
Contractor Type
General
Contractor
JAKE EDWARD LESTER
License
122551
Expiration Date
02/09/2006
Phone
541-607-1941
BUILDING INFORMATION I
VN
#ofStories:;.__. ..:: . 1 ,"'!o~~~e:rHE WOHK
Height ofSt",cttiret.K,.11 r SHriLL EXs~ f,UfV;\oo~:NOT
Type of Heat: UI HOkiZED UI~lJtk TrSq Ft-2ndFldor:
Water Type:'COMMENCED OR IS ABs,{FVBiJJJWi:
Range Type: ANY 180 DAY PERIOD. Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: nla Occupant Load:
1,800
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
V-I
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
10.00
51.00
50.00
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urhan Fringe
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PVBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
No DownspoutslDrains: DryweU - Provide
Site related to MLK Parkway Project relocate pole building no SDC fee's, dry\D~~ilBing
County (Doug) 682-6986 Pam Own hey Project Manager 10/25/2004 CAS
Notes:
I Valuation Descriotion I
Description Type of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
14,000.00
Value
Date Calculated
Total Value of Project
Page I 00
$14,000.00
$14,000.00
10/1812004
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CITY OF SPKll'lt.l'u<..L1J
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01285
ISSUED: 11/08/2004
APPLIED: 10/18/2004
EXPIRES: 05/08/2005
VALUE: $ 14,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fpp< PiWU
Fee Description Amoupt Paid Date Paid Receipt Number
Plan Review Residential $90.09 10/18/04 1200400000000001483
+ 10% Administrative Fee $19.76 ll/8/04 2200400000000001387
+ 7% State Surcharge $13.83 ll/8/04 2200400000000001387
Building Permit $138.60 11/8/04 2200400000000001387
Fixture $14.00 ll/8/04 2200400000000001387
Storm Sewer - 1st 50 Feet $45.00 ll/8/04 2200400000000001387
UGB Plan Rev MjlMin - Planning $156.00 ll/8/04 2200400000000001387
Total Amount Paid $477.28
Plan Reviews I
Initial Review 10/19/2004 10/1912004 APP LLH
Plannin1! Review 10/19/2004 1110512004 APP TAJ Relocation of existing
non-conforming building is not an
expapsion of the use and it may
occur (see 9/2/04 memo from Colin
Stephens to Dave Puent). The site
plan does not indicate the rear
setback, hut it appears that it will be
more than 50 feet from the new
MLK ROW. In any case, the very
minimum setback from this ROW is
10 feet.
Public Works Review 10/19/2004 10/25/2004 APP CAS Relocate pole building no SDC fee's
- Drywell required per Pam Ownbey
noted on plan, included standard
plan for drywells in building packet.
10/25/2004 CAS
Structural Review 10/1912004 11/04/2004 APP DLM See documents for plan review
comment.
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
~<1 In.,np~~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
Final Building: After all required inspections have heen requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Page 2 00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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LlJ i' OF SPRING1'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2004-01285
ISSUED: 11/08/2004
APPLIED: 10118/2004
EXPIRES: 05/08/2005
VALUE: $ 14,000.00
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 shail be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of 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 construction.
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Owner o!C6ntractors Signature
t/
Page 3 00
~/ r -0'1
Date
2~5 Fiftll Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0 1285
COM2004-0 1285
COM2004-0 1285
COM2004-0 1285
COM2004-0 1285
COM2004-0 1285
Payments:
Type of Payment
Check
11/8/2004
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RECEIPT #:
.......~.__!''!,~~-.-.-- ,
Wi: ,
-_~, l
. ~ I
-.-,.-.,... "", . ~
Av of Springfield Official Receipt
~~elopment Services Department
Public Works Department
2200400000000001387
Description
Building Permit
Storm Sewer - 1st 50 Feet
Fixture
+ 7% State Surcharge
+ 10% Administrative Fee
UGB Plan Rev Mj/Min - Planning
Paid By
POLE BARNS LIMITED
Received By
nJID
Page I ofl
Date: 11/08/2004
Item Total:
Check Number Authorization
Batch Number Number How Received
1277
In Person
Payment Total:
1:37:48PM
Amount Due
138.60
45,00
14.00
13.83
19.76
156.00
$387.19
Amount Paid
$387.19
$387.19