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Home My WebLink AboutPermit Building 2011-5-19 .. 5P~ING .FIEL~ .0~' .... ~ , \t,v 'r),"~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01010 IVR Number: 8111035.17966 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcel"lter@d.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/19/2011 ISSUED: APPLIED: 05/19/2011 05/19/2011 EXPIRES: VALUE: 11/14/2011 $1,950.00 SITE ADDRESS: 1213 MODOC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351100100 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair tree~damaged roof Phone Number: OWNER: ADDRESS: DENNIS CARl E 1213 MODOC ST SPRINGFIELD OR 97477 Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: A HEN Sq Ft Other: 0 TIOl\l~ nr.c,.,,.,.... ,:.... , follow rul Occupancy Load:reqUlres you fa '. es adopted by the 0' . ,. Electrical Specialty Code Edition:Notlllcation Center Th I I egon UtIlity . OAR ,ose rll es are s tf h Springfield Fire Code Edition: m 952-001-0010 through OAR 9 e ort 0090 You ma b ' 52-001- Mechanical Specialty Code Edition:C II" h yo tam copies 01 the rules b a mg t e center (N t ' h Y Municipal I Development Code: number lor th 0' 0 e" t e telephone e regon Utility N ff' , ' Plumbing Specialty Code Edition: Genter is 1-800-332-23 0 Ilcatlon Residential Specialty Code Edition: 2008 44). Structural Specialty Code Edition: Contractor Type Genera.l Contractor Contractor Name VINCENT ARLO FERRIS 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 Alarms: Energy Path: Lie No 179028 Lie Exp 01/14/2013 Phone 541-272-1434 Lot Size: Site Information ~ 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 ANY 180 DAY PERIOD, Springfield Building Permit 5/19/2011 9:04:22AM' Page1of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01 01 0 IVR Number: 811103517966 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 ISSUED: APPLIED: 05/19/2011 05/19/2011 EXPIRES: VALUE: 11/14/2011 $1,950.00 05/19/2011 SITE ADDRESS: 1213 MaDOC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351100100 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Repair tree-damaged roof DEVELOPMENT INFORMA TION ~ 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: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvoe of Construction NA Unit Amount Unit Tvoe 1,950.00 Bid Unit Cost 1.00 Value 1,950.00 1,950.00 FEES PAID ~ Description Structural Building Permit Fee .Stale of(~regonSurchar!le (1?'lo OL"PP"c_at:'~ f"e~)__ ~e_~_~olo~ te':15'::0 ot permit total) Total Amount Paid Amount Paid $58.00 $6.96 "- ---- $2.90 $67.86 Date Paid ReciDt # 05/19/2011 2011001150 05/19/2011 2011001150 --.,-..----- .---.--.--.- 05/19/2011 2011001150 Springfield Building Permit 5/19/2011 9:04:22AM Page 2 of 3 . 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FIEL;iiI ta:,~ '"'t',.~ '(:;'REGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01010 IVR Number: 811103517966 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/19/2011 05/19/2011 Issued 05/19/2011 EXPIRES: VALUE: 11/14/2011 $1,950.00 SITE ADDRESS: 1213 MODOC ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351100100 SCOPE: ReRoof WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair tree-damaged roof Plan Review ~ Deoartment Application Acceptance Comoleted 05/19/2011 Result Over the Counter Received Due Date 05/19/2011 05/19/2011 Planning Review 05/19/2011 05/19/2011 05/19/2011 Comments: Over the counter permit Not Required Reviewer Chris Carpenter Chris Carpenter <. ,.... ~ Not Required Comments: Over the counter permit Structural Review 05/19/2011 05/19/2011 Comments: OveT the counter permit Fire::'Revr~".' ;- ~1.r'tiTr:::::;:\' ,"' "'-"05/19/2"OJ,1"'2 05/19/2(H11.'''55i19i2O'1~ - ;,Not ReqUIred' ,;S~"{Chri!?"g_ameDt~tf -- com~~-~t~-;'~h~ ;ou~~~~;ii:;~ ~;~ -- ::~ ~ ?::~:.= ~ ;~~:4W ~ h~~:~t"~~-:~?;~;f;~- ~B""+~~~d-~~:4 '_~ i0 ,~'~:.? INSPECTIONS REQUIRED I Inspections 1260 Framing " . ;':,'~"-2J !,;k . _.-.",'""-.: ""o..~__"." .----." .... -",,- . -~,~~:_;i~",~' ":~.~~-~!~-:,,~~ " ';" ;. ' 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 '~-7h J7 s/; //1 , Owner or Contractor Signature Date -r- I . 1999 Final Building Springfield Building Permit 5/19f2011 9:04:22AM Page 30f3 .~ . StruCtural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726-J7SJ. FAX(S41)726-J689 >DEPARTMENT USE ONLV Permit no. 'S' l \ Date: ~ /010 I This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 7~' ;>:,~.,;;,';~'!>~f;;t;~0~Akt?99y~'~Nfvtg'N"1i~:;~-eBB~V~U~~j1{~~:~~~~f~ This project has final land-use approval: Signature: This project has DEQ approvaL Signature: Zoning approval verilied: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No [i;t~~~~~~9At~9QB:YJ1Q~QPNS:~RLic;tl.QN~~i~ij:~10;,,\~s'i\I!; ~esidential D Gover~ment 0 Commercial . ~3i,~ij%fi~~f4Q~'q~I[t~i.'fNf.:9'R.i;\Atj-qi-l~ANP~I;O_CAtI9N{':;i!f~\:\f~!;~ IZI Date::' /9 Date: Reference: Name: Address: ....., rl City: Phone: State: Fax: ZIP: 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: CONTRAC'1;OR A~STAl:.LATIONi, ",,:' t '.,,/,.~ State: Fax: E-mail: CCB license no.: -8 ~ '/ 0 <.9 Print name: U ,<-'( f?vT rf;ll/lI) Signature: ~ r- ____' 1;~~t~~1~~~1,f~50EE~SQEEG0N:;tM<:it9R::J~~,():RM'AiJ;_IQN~~~S1~~~~~'? Name CCD License Number Phone Number - Electrical / Plumbing , / Mechanical ~\'i.< S\:C.~;'c :t;~'~!;;',tjF EE"SCHEi5i:rlfY':!;r';,:~~;:~"'" :1'.' p" :1{::!/Y_~.~~!U9_!Wi'fifp[,rntl.~m:Ii::~~i~i~}i~11(;:K!fit,W~~;~~~1~1~;t?l;';,~~~t~i{;b~:::~j (a) Job description: fI 'n~,A. LJDn~,~ W , afJ!vLIt. Occupancy r ~ BI/{)/Q.0 n ~ kfFJ .tJJ fr./L Construction type: (I. (} ~ Square feet: Cost per square foot: Other information: Type of Heat: Energy ,Path: -- 0 new [3'alteration 0 addition (b) Foundation-only permit? 0 Yes 0 No d Total vaJuation: I $/9(() ~~~;~ij't(4J#g;:.f~~.~~~~~~j~;~:tt~t~1~M;1~\~~~~I,t:tk:~:~,;\;~iI'.:~~:~.~;~;1k{~;.:K;:i;';~'; (a) Permit fee (use valuation table): $ c;D'CO (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours X fee per hour) (d) Enter \2% surcharge (.\2 x [2a+2b+2c]): $& qw (e) Subtotal of fees above (2a through 2d): $ ~~~~;JjI~'~rr~js~:r!~~~~~~~~f~~f'-it~~~!~~~~~~~~ (a) Plan review (65% x permit fee [2.]): $ (b) Fire and life safety (40% x permit fee [2.]): $ (c) Subtotal of fees above (3a and 3b): $ ~!t~M~'~S:~H#:g~gQ.~f'f(~~:t~f;rc~J;~~~{:~;~::ti,~t;-~;.tAli;f:;'H,t~~>"qf3~.;'~: (.) Seismic fee, 1% (.01 x permit fee [2.]): $ TOTAL fees and surcharges (2e+3c+4a): $ &/7 ~ (". . www.ci.springfield.or.us TRANSACTION RECEIPT 811-5PR2011-01010 1213 MODOC 5T CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us tePA YnIIE:t.jTJ:YPE; , Cash RECEIPT NO: 2011001150 RECORD NO: 811-SPR2011-0101 0 DATE: 05/19/2011 lDESCRIP.:iION' :~1%i7n;.r:;: " -c. r~d;:'+i~r;T7f[''t.,cf-\?'.;;';_ --.Ac_cbuNT:CODf-"f'~;:',-~~ . - -AMOUNT.liuEs';; "F; . j State 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 ~Ji~YQR":"CASHI~::ctARi>ENi~10~:;';:~,,;<:;OnllME:t.jTS_::W,"Y::'..::," " " '_AMOU~.T':~Q.~___~:~ VINCENT ARLO FERRIS $100 cash, $32,14 change 67.86 TOTAL PAID: 67.86