HomeMy WebLinkAboutPermit Miscellaneous 2011-5-11
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00797
IVR Number: 811137313674
www.cLspringfield:or.us
PROJECT STATUS:
STATUS DATE:
05/11/2011
05/11/2011
Issued
05/11/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
EXPIRES:
VALUE:
11/06/2011
$2,000.00
SITE ADDRESS: 5760 MICA ST, Springfield, OR 97478
ASSES OR'S PARCEL NO: 1802033303000
SCOPE: Miscellaneous
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Patio cover
Phone Number:
OWNER:
ADDRESS:
MON~ON CHERYL
5760 MICA ST
SPRINGFIELD OR 97478
Sq Ft Basement:
ATTCNTiON 0, Sq FtGarage:
1 ' . ,EC0n/-W
O',OW '1Jlos adopt';;d d ISq;F.tIQ,,!~~~ to
N~lfioatlon Center -Th~Y thrsG;FfPthel,;/tllity
~~90A~,952-00 1-00 i 0 thr~~grlir~IlIfM9tLfQiJ'(h
, IOU mav bt . n UAR 952-001
Electrical SpeciatlM/!10detEdltionQ am Ooples 01 the rut -
. . . ,',">l.ne center. (N t ' es by
SpringfIeld FrrefClcrueJEdl,'!lt"Ihe 0 0 e, the telephone
regon Utirt N
Mechanical Specialty C~iti'fan1-800 332' YOM/cation
. . - -2344)
MUnicipal I Development Code: .
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Contractor Type
General Contractor
Contractor Name
CL LARGE INC
CONTRACTOR INFORMATION ~
Lie Type
CCB
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Ala nns:
Energy Path:
Lie No
60147
Phone
541-344-1415
Lie Exp
OS/24/2012
Lot Size:
Sq Fl1 5t Floor:
Sq Fl2nd Floor:
192
2008
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
NOTICE:
THIS PERMIT SH .
AUTHOR/ZED UN~~L EXPIRE IF THE WORK
COMMENCED OR /S R THIS PERMIT IS NOT
ANY 180 DAY PERIOtBANDONED FOR '.
Springfield 8uilding Permit
5/11/2011 10:56:35AM
Page 1 of 3
S.~R.. ING..FIE.L~
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^o:"'.'>,.. OREGON
www.cj.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00797
IVR Number: 811137313674
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
05/11/2011
05/11/2011
EXPIRES:
VALUE:
11/06/2011
$2,000.00
05/11/2011
SITE ADDRESS: 5760 MICA ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802033303000
SCOPE: Miscellaneous
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Patio cover
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# StreetT rees 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
Tvpe of Construction
NA
Unit Amount Unit Tvpe
2,000.00 Bid
Unit Cost
1.00
Value
2,000.00
2,000.00
FEES PAID
~
Descriotion
State of Ore~on Surchar~e (12% of applicable fees)
Structural ~uilding Permit Fee_
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$6.96
$58.00
$2.90
$67.86
Date Pa id
05/11/2011
05/11/2011
-.-.--
05/11/2011
Reciot #
2011000921
2011000921
--....---..-.--
2011000921
Springfield Building Permit
Sf11f2011 10:56:35AM
Page 2 of3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00797
IVR Number: 811137313674
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
05/11/2011
05/11/2011
Issued
05/11/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
11/06/2011
$2,000.00
SITE ADDRESS: 5760 MICA ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802033303000
SCOPE: Miscellaneous
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Patio cover
Plan Review
I
Deoartment
Application Acceptance
Completed
05/11/2011
Result
Over the Counter
Received Due Date
05/11/2011 05/11/2011
Reviewer
Chris Carpenter
'.-....
Comments: Over the counter permit
[=nergy "~o~e_ ReVII;~ _$' ~::;~+Q~~11/~Q~ 1 -; O~l1f~1~1::, 05/: ~/!.ej !,~'" ' LN?tl~~~UI:~d: ;; w ~.,_ ~~~ Shn~ ~rpe~terr.'~. _~. <<i~~~,_~--l.:
1- Comments: OverthecQunterpermft ~~,{ ~ ~', ~ ~ ~~-~ I ""v r ~ '-:,i:I~ ~ >; ':.."._!,.T.'
L..':.:_ . ,x''S' "::':"rft~_-~_ ~~~............l.:'_.~_~~=~.",~ ,,'~
Structural Review 05/11/2011 05/11/2011 05/11/2011 Not Required Chris Carpenter
Comments: Over the counter permit
:FT;fR~~ie'w- ~-,7-~"-' -~'05/1112011-;i';65FiTJiO't1
, _(<,._,-t.,_._ '_,._-..:,-",_A;;<<,j;;;-_.~+,'
f...M~omments: OveLthe cou,~t~!_perrnjJ" -:o;;'~?, ~:::':"_'~
L~""",,__. _^'-. _". m_~-"""'0A,- :&;~._L'i'>"'" __', __ .",_
Planning Review 05/11/2011 05/11/2011 05/11/2011
Comments: Over the counter permit
Not Required
Not Required
Public Works Review
05/11/2011 05/11/2011 05/11/2011
Chris Carpenter
Chris Carpenter
'. 1
"",1
'05(1,1/2ql1,..
".~ . ,".~ < ,
;Not7Required. ~~:-:ci{riS'''ciiFpentet''-'r:;~;'~-
,~~ _,,< " _', ~~~;.; ~ \ ._.j~' "",,,,,0_;: . . .~: ''''" _, . ,,,,",,,'~~,
.'
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.
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
constructio
INSPECTIONS REQUIRED I
Inspections
1260 Framing
1999 Final Building
Springfield Building Permit
5/1112011 10:56:35AM
Page 3 of 3
Proposal
I:UIbl&RI:I:N
ROOFING
OfC>!GON
PO Box 26310, Eugene OR 97402
Phone (541) 344-1415' (800) 708-6599' Fax (541) 461-0806
7/21/2010
"Exhibit A "
"--.
Cheryl Monson
5760 Mica St.
Springfield, OR 97478
LABOR AND MATERIAL INCLUDED TO COMPLETE:
TOTAL
Job Location: 5760 Mica St.
1,497.00
Frame in 12' x 16' patio cover using 2"x6" lumber.
Set on roof and two 4"x4" pressure treated posts.
Stain structure.
Install Suntuff poly-carbonate roof system.
Install K-5 style continuous gutter system.
Clean jobsite of all roof related debris.
Prepared by: Andy LeGendre
TO ACCEPT PROPOSAL (EXHIBIT A) PLEASE SIGN AND RETURN ROOFING AGREEMENT TO OUR OFFICE. IF MUL TlPLE OPTIONS
PROVIDED ON PROPOSAL PLEASE NOTE WHICH OPTION CHOSEN AND SEND BACK WITH ROOFING AGREEMENT.
THIS PROPOSAL MAY BE WITHDRAWN IF NOT ACCEPTED WITHIN 20 DAYS.
NRCA #00198267
CCB #60147
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S~ructural Permit Application
DEPARTMENT USE ONLY
[~~~-;J
~~ ....~
...'i';;"t;:$-~
, -f___ -.. ". =-::. 1'"",7..~~", ~!'." .t4:>~'tf1i1-''1; . ';:.i2.Jd!.lti'-~~ V'r~~?t~J ,"::l.....,' '.;..: ,""_",:
.. ;!~:. @iTv OI;:SPEINGF.I;~J;D~()RE9~ONj'~~:":~1:'~~"':!~;"
225 Fifth Street. Sp,ingfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
Penn it no:Sn J?Cf '7
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0
suspended for 180 days.
~'t. .', ~./~;; ;:~,;119PA~..:'~'9&ER~M~~tY~~~'R-9:v~~f;~i'ii~{';:a~j~?:~1
This project has final land-use approval.
Signature: Date:
This projecI has DEQ approval..
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
~1:t1~~~i~~'QAn:99Ry:lQi;.i:.c.oriisfRUCl;iQN7t:;'*~c?i<1! ':H/i'
~sidential 0 Government 0 Commercial
~"!!i(i#;, :':;~9B!iSIJTE; iNif6RMAhQ~ftANQ\;i..ocAti9t.11:'l,~:~~I;J;7.:::~
Job site add,"ss: , /""II C- n-
Reference:
Name:
City: State'
Phone: Fax:
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:
~ IJ<fr24 r
City:
Phone:
E-mail:
CCB license no.:
State: OL
Fax:
Print name:
Signature:
~~~~t~~~?!~~~,~~~sD~-GP~J:RACJbR}I.NFqRMAJ:IQNf!:::hzf~j',~~~~S
Name CCD License Number Phone Number
Electrical
Plumbing
Mechanical
~:/ ,-,:.. - :,:,:"", - ","::":::':"FEE 'SCH~i:iiJ[E'::7, ,. ;':\j"'c ..... .-.'.
<t'-., ,'.- '<r"-,.'>, ';'.'.,,!.;.-,;.> lr';,t",,,,,,,:\,",,::,,":J,<,"':"';'r~"":'~""-:'-'"'' -, ~ -'f-,"i,j,,- Co' '~',: 'I', 'y",'- t',.
.l.:,~ at~~tloR,I~formatlO.~~~~~i"i"t.:1/')Md~"f .~~r i~rI::~~'-:_c;') ,J: 'I'~.>-:,.~~~~'. ~'~i'
(a) Job description: PI"\'f1.D Co\! 1:::7--
Occupancy
Construction type: Lflb
Square feet:
Cost per square foot:
Other infonnation:
Type of Heat:
Energy Path:
B1JOw 0 alteration 0 addition
(b) Foundation-only permit? 0 Yes 0 No
Total valuation: $ / ltC,7
.>~7_::,~.tiUCiillg:fee~siW;'i,~~:~i~~1:fl~:.: ~~<~~i~i#hi,r;.~'~~,).:~~l:.\ ,',f:.:j-'f.').:/,-:.
(a) Penn it ree (use valuation table): $ sli~
(b) Investigative ree (equal to [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee p"' hou,)
(d) Enter 12% surcharge (,]2 x [2a+2b+2c]): $ c,"'''
(e) Subtotal of fees above (2a through 2d): S
~ '-'~i "~~I',~~ r.1";1.r..-'::~_ . ",.:.; .~_,,~'t~~~~.~e~';!!F~~"~ :'11r~ ,. -":"':~..q~~-~'l~~;1f:\.
.,T~;{I~.I~}}.lreY.I.t:~,;f!-::~,S'+?e,fu3,~..~~ft '.";'~t'~~;j.\,~:;,,;~l~':":"'~;F:"~f~)~';r;,.~rw.,;}1i.!
(a) Plan review (65% x permit ree [2a]): $
(b) Fire and life sarety (40% x permit ree [2a]): S
(c) Subtotal of fees above (3a and 3b): $
~~~'M~~~~ejia:!l~((lfs1f~~s3~:~~i~:~:'t.-::~~~ill~~~r[.?~~{~~~~,~,~~rji:~~,)Sl!~'2~,~.;;;,
(a) Seismic fee, 1%(.01 x pennit ree [2a]): $
TOTAL fees and surcharges (2e+3c+4a): S tJ,'1 'if(,
-
SP~:t.G.~~~
~~
~OREGOH
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
www.ci.springfield.or.us
811-5PR2011-00797
5760 MICA 5T
permitcenler@ci.springfield,or.us
RECEIPT NO: 2011000921 RECORD NO: 811-SPR2011-00797 DATE: 05/11/2011
lDE5CRI~TION . ~-.'." T',,_' ,..;,; ", '-. gCCQi.JNj~cobE', . -h ,'''AMO.UNtb.UE.
Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6.96
Structural Building Permit Fee 224-00000-425602 58.00
Technology fee (5% of permit total) 100.00000-425605 2.90
TOTAL DUE: 67.86
'~:AMOUNT-P~ID -
67.86
~c..~.A,YNlE:~:LmE .
Check
1090
I:~.y'OR'" CASHIER:'CCARPENTER" :~::~.. C,CtIillMEN].S]1"',.
CL Monson
..J
"'_...~
TOTAL PAID:
67.86