HomeMy WebLinkAboutPermit Building 2011-5-25
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SPR.:\.I~~~
~
~OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01141
IVR Number: 811111010835
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
OS/25/2011
ISSUED:
APPLIED:
OS/25/2011
OS/25/2011
EXPIRES:
VALUE:
11/20/2011
$0.00
SITE ADDRESS: 3188 DOUGLAS DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062111000
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Deposit for street trees x4 for COM2010-00108
PROJECT DESCRIPTION:
Phone Number:
OWNER:
ADDRESS:
DJS INVESTMENTS LLC
2860 MARTINIQUE AVE
EUGENE OR 97408
Contractor Type
Landscape Contractor
General Contractor
Contractor Name
OWNER
OWNER
CONTRACTOR INFORMATION I
Lie Type
OWNER
OWNER
BUILDING INFORMATION I
# 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 I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lic No
0000000
0000000
lic Exp
08f12/2025
08f12f2025
Phone
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
~
Engineered Fill:
Fill Volume:
Flood Hazard AnATTENTION: Oregon law requlrea YClY Ir:l
Land Hazard Ar4~low rules adopted by the Oregon Ut!!l1y
Retaining wall:Notilication Center. Those rules am n0t Imlh
Soils Report Rdll.IDMl952-001-001 0 through OAR (l5;!~IH~
0090. You may obtain copies 01 tho fijj!1~ 15Y'
calling the center. {Note: the tl)I@Iil~1i'Ii'@
number lor the Oregon Utility N9~i~~o\5nl
Center is 1-800-332-2344.)1..
..-...-
NOTICE: IRE IF THE WORK
THiS PERMIT SHA~~ ~~S PERMIT \S NOT
AUTHORiZED UONRD1S ABANDONED FOR ;
COMMENCED
ANY 180 DAY PERIOD.
Springfield Building Permit
5f25/2011 10:21:57AM
Page 1 of 3
".
SP~IN..G... FIEL~
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i- ~
,",': OREGON
www.ci.springfield.or.lJs
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01141
IVR Number: 811111010835
225 Fifth SI
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
OS/25/2011
ISSUED:
APPLIED:
OS/25/2011
OS/25/2011
EXPIRES:
VALUE:
11/20/2011
$0.00
SITE ADDRESS: 3188 DOUGLAS DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062111000
PROJECT DESCRIPTION:
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Deposit for street trees x4 for COM201 0.001 08
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Covera~e:
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
~
Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
FEES PAID
I
Description
Deposit
Total Amount Paid
Amount Paid
$1,000.00
$1,000.00
Date Paid
OS/25/2011
ReciDt #
2011001260
Springfield Building Permit
5/25/2011 10:21:57AM
Page 2 of 3
..
SP~I~~. ~EL~
.~~
,.." , OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01141
IVR Number: 811111010835
www.ci.springfield.OLUS
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
OS/25/2011
ISSUED:
APPLIED:
OS/25/2011
OS/25/2011
EXPIRES:
VALUE:
11/20/2011
$0.00
SITE ADDRESS: 3188 DOUGLAS DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062111000
SCOPE: Site Work Only
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Deposit for street trees x4 for COM2010-00108
PROJECT DESCRIPTION:
Plan Review
~
DeDartment
Application Acceptance
Received Due Date ComDleted Result
OS/25/2011 OS/25/2011 OS/25/2011 Over the Counter
Initial Review > ,,~, 0.5/25/2011
'CommentS:" Over the'counterp~rmJt' .
. if5/25/20n .. OS/25i2011L
" . - .-. ~,~""'{:f>
-j)
~er the Couhter .~\ , David Bowlsby' .
Permit Issuance
OS/25/2011 OS/25/2011 OS/2512011
Issued
David Bowlsby
IPU~lic Works Review 05/;15/2011 OS/2512011
L~C<?~ Overt.he.count~rper.mit. '.':::' '\,"._
Structural Review OS/25/2011 OS/25/2011
Comments: Over the counter permit
Plannin9 Review 05125/2011 '. 05125/2011' '05/25/20'11
,Comments: Over Ihecounterpermil ", .
NoLRequired; ,
,~ .~-'
'<t \ :'. :;.;.
~-.- ""':'i-~
05125/2011
. ". ~'.
OS/2512011
Nol Required
". David Bowlsb(
"1
" tT6tRequh'~cf
..'..
INSPECTIONS REQUIRED ~
Inspections
1090 Street Trees
Reviewer
David Bowlsby
c";
<I
,
....J
David Bowlsby
I
,
__I
David BowJsby
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
~~ S-2S-{(
Owner or Contractor Signature Date
Springfield Building Permit
Sf25f2011 10:21:57AM
Page 3 of 3
:.
SP~~;.G.,.,:H~
L~
~ORfGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth Sl
Springfield,OR 97477
541.726-3753
WVNI.cL springfield. or. us
811-SPR2011-01141
3188 DOUGLAS DR
permi1center@ci.springfield.or.us
RECEIPT NO: 2011001280
!DESCRII'TION'--
__. Deposit
RECORD NO: 811-SPR2011,01141
ACCOUN:tCODE
821-00000,215500
TOTAL DUE:
C9MMEt-ITS. _._____._.~ _____
refund deposit to: DJS
Investments LLC 2860 MArtinique
DATE: OS/25/2011
. AI'IIOUNtDUE '
1,000.00
1,000.00
AMOUNT PAtD
~------._- ..--....-.-
1,000.00
,
, PAYMENTTYI'E._
Check
6936
_1'i\.Y.OR_ 9~S.i!!E-":..DBD\",SBY_ ,...:.....
DJS INVESTMENTS LLC
.1
TOTAL PAID:
1,000.00