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Home My WebLink AboutPermit Miscellaneous 2011-6-10 CITY OF SPRINGFIELD S.PR... IN.G FIE~ ~li" ...~.* . ~~'J>. OREGON Building I Commercial Permit PERMIT NO: 811-SPR2011-01367 IVR Number: 811194890185 WWW.ci.springfield.or.us 225 Fifth SI 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: APPLIED: 06/10/2011 06/10/2011 Issued 06/10/2011 EXPIRES: VALUE: 12/06/2011 $2,000.00 SITE ADDRESS: 650 HARLOW RD, APT# 146, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703223402300 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Siding Repair Phone Number: OWNER: ADDRESS: POINTE HOMEOWNERS ASSN PO BOX 7815 EUGENE OR 97401 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name ESTEVAN JON SLAUGHTER # of Units: o Lic Type CCB BUILDING INFORMATION ~ # of Stories: . Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # 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 189421 Lic Exp 01129/2012 Phone 541-556-0106 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 Area: land Hazard Area: Il.lnT,pt:. Retaining.Wall: ~i>!!~~i"p.~,;t.'~~qyir"d:_L EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR MY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/10/2011 11:26:55AM -, Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01367 IVR Number: 811194890185 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/10/2011 ISSUED: APPLIED: 06/10/2011 06/10/2011 EXPIRES: VALUE: 12/06/2011 $2,000.00 SITE ADDRESS: 650 HARLOW RD, APT# 146, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703223402300 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Siding Repair' Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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 Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Description T~n--"Iogy. fee (5% ofJ'.,:,:mit to~L._. Bui!~n_~ ~~rm~.Fee ""..____,_ ~~~?re9on Surcharge.J.:~_~~~ of applicable fees) Total Amount Paid Amount Paid $2.90 $58.00 ----",-" $6.96 $67.86 Date Paid 06/10/2011 06/10/2011 06/10/2011 Reciot # 2011001521 2011001521 2011001521 Springfield Building Permit 6/10/2011 11:26:55AM Page 2 of 3 SP~I.N. ~~.tE?ii ..~~\~ . iti,"'\.. OREGON CITY OF SPRIN'GFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01367 IVR Number: 811194890185 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci. springfield. or. U S PROJECT STATUS: STATUS DATE: Issued 06/10/2011 ISSUED: APPLIED: 06/10/2011 06/10/2011 EXPIRES: VALUE: 12/06/2011 $2,000,00 SITE ADDRESS: 650 HARLOW RD, APT# 146, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703223402300 SCOPE: Commercial Miscellaneous WORK INVOLVED: Repair TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Siding Repair Plan Review I DeDartment Permi11ssuance Received Due Date ComDleted Result 06/10/2011 06/10/2011 06/10/2011 Issued Reviewer Nancy Machado Initial Review 06/10/2011 06/10/2011 06/10/2011 Over the Counler Comments: Over the counter permit fS.tr,u~t.~ra:leeView. _~~;:~~:F: ,.B~L1 O~20f1..7'06/1 g~2q~: ::_06/19/2~1,. t, ',~c t~'~o~~~~s: - over~t~?:.'c?~n.te~per.mlt":'~~7':;.,':";$:+~_d2 .,~'. t. ~';';1:!1L"::'t.' Fire Review 06/10/2011 06/10/2011 06/10/2011 Comments: Over the counter permit Nancy Machado '~. .j& <,'. 'N6t'~eq~![~d^:~:.:, "'~.' "::~ '~'''. .~ari"ct_Ma'~~:go"' . , ~-< '. '~'" " ~-, .. ~"" T'J Not Required ~ "'" Nancy Machado Energy Code Review 06/10/2011 06/10/2011 06/10/2011 Comments: Over the counter permit Not Required Pl~iinihgjRevi~!V~~_:~'..>t:..\ :"'::_g~!,1:9lg()..tl '::'" ~ -'.., ""<:,, c. ..' '",' . "...:t. ,'" ~.... ,_, ". "1'7't ~f~,m,r11;~s: .'''.9~~~5:th.~~nt~r'permlts '''; Nancy Machado "~0611 O/201J;~i)6/,161:iO,t1:7%";: ~";N-ot":R'eqYife(tikZl>;~'.:l '~j; :'N;:fncy:M;ilcl)aqo,e:"i';;~^ .'; ':~-~~~~~: ~.,~.~ ~,.' ~ 1~' ~~~~:~L~7~~.>^~l-;:; ~l~<~?~'~:: " ,_:~ ,~i-:;"'~~;<!:;1;:ri[h..f+" ,: I INSPECTIONS REQUIRED I ~J Inspections 1530 Exterior Shearwall 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 aU 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 wi~~ermission 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 requirect)11spections are,t€'quested at the proper time, that each address is readable from the street, that the permiye~lSiOcated~t,the front of th€property, an,d?the approved set of plans will remain on the site at all times during con~lruction. // ,,/ ,..X ~ ! . /'-f ) / /f J/ I ~~/ ~II~/ff Date Springfield Building Permit 611012011 11;26;55AM Page 3 of 3 Structural Permit Application i_ 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-J689 DEPARTMENT USE ONLY ~!'k;]~20l( - Date:0-/O-I( This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspeuded for 180 days. i,', , " ~. c': .t.:O~A~ ~Q,\.tgBt-IMgNt.,;AFlP)~('jYAU\'Ri:j,~';j'f!,l~?iif:; This project has final land-use. approval. ,,,.: '" c",~:,:",t:}\:'FEE:sCH'E15iJT::E';j"" "' .. ,"', Signature: Date: This project has DEQ approval. ,':'i:iV~t~~!l.p:t!"ii#f~rlIi'i:!)9,~;:{c!r1j"::]'~:~~\51~:}';':.~,~.:.~;t,~\l;i/~:::;:i;J;:, :;:,;.>:~&~_~,~r.:'~' Signature: Date: (a) Job description:~\ ell rlJ .vo ()N( 0.../ Zoning approval verified: D Yes D No Occupancy \ \ , Property is within flood plain: D Yes D No Construction type: jt,A~~yi1'.:t~ft,f9AtE9_9~xi:i;l~M~ON~tRucrrifQN~i;~;,~U'.,~!;:::i:ii~' Square feet: 0 Residential to Government \ffi"'C(;"mmercial Cost per square foot: :{/i:~::, ,/!JOSSrrE: fNfoRMATioN\1ANDiL:Qc:A.l'ioN;;;,')1;'iWi?!" Other information: Job site a~d~Jis{~o~ii;.a,,;;{j . ,,' .',' '~.". ... , Type of Heat: City: )~ )r 1/1\..'\ JI_,,{;< State: oil I ZIP: "'11 c(7 , I Lot Energy Path: Subdivision: no.: ., I} ?-.. A- I Taxlot: r )I} !'All J D new D alteration D addition Reference: D D ',<" PROPERTY OWNER (b) Foundation-only permit? Ves No 'Il,. YOu'" ~ r.(--< Nvv< ..,r- . Total valuation: Q./. U lJZ/ Name: ~ >,',",,',.:.. :-,.;,!'-: :;:,j\-, L:..:,',\ d/'i . Address: b SK/ / City: .,fJ f')"'-~ f;.e. U t> fL I '7 71(77 (a) Permit fee (use valuation table): $ State: ZIP: Phone:>'lll -Wi- '(1 2,7 (b) Investigative fee (equal to [2a]): $ Fax: . - Reinspection (c) ($ per hour): $ E-mail: (number of h9urs x fee per hour) This installation is being made on residential or farm property owned by (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $ me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010, (e) Subtotal of fees abo~ ~ Sign here: CONTRACTOR iNSTAllATIC:>N".. . , (a) Plan review (65%x permit fee [2a]): $ " .n.' _ >. .._ .'. ".'.' (b) Fire and life safety (40% x permit fee [2a]): A /-I",-^J, C Me."... $ Business name: '\L4 ~ 5,-,) ~./- (e) Subtotal of fees above (3a and 3b): $ Address: ~ ;'\Wi.'?"":" ;:''''V'I;';::3:;,,:"''';. City: ~j 0i,..", {),.,..(J State: 6 jJ I ZIP: r 7l(7~ Phone: jl(~ f5t' 01 (j 6 (al Seismic fee, 1% (,01 x permit fee [2a]): $ h Fax: - - 0-; -l ~ E-mail: TOTAL fees and surcharges (2e+3c+4a): $ CCB license no.: I $ 4) L( 2/ Print name: ,/ ,/-- 5k~1... r-c.r Signature: "1" ~J0~ \\:,i'~,;7:'i)!;;~\'S(J~'C,0N:t~c;:tqr{fNf,bR:MAii;fQ~~",:,iJ);,~~~:t~:;;;~\\: Name CCB License Number Phone Number Electrical Plumbing Mechanical S...RING. FIE~ .3 ..~.~ ^ :::Zo?'" OREGON www,cj.springfield,or.L1S TRANSACTION RECEIPT 811-SPR2011-01367 650 HARLOW RD. APT 146 CITY Of SPRINGfiELD 225 Fifth St Springfield,OR 97477 541.726-3753 perm itcen1er@ci.springfield.or.us RECORD NO: 811-SPR2011-01367 DATE: 06/10/2011 '~<_Z:.'. < ~~':;;.t:L.....~.il:C.C.oLJNLC.ODE . 'AMOUNT~DUE" . 224-00000-425602 58.00 821-00000-215004 6.96 100-00000-425605 2.90 TOTAL DUE: 67.86 rif.,--j:iA;l~i~-T~iYPE !,;rh",~'~PA.~YOR'if~cAsHciER?NMAcl.II\D8~";'+~ffrJ:~'~:~COMMENT~~~;~;r::+;T:H\i1; -( .:;:"'~~~U,Ntp,A!D;'rc",~--;,,^'~sy~ Credit Card ESTEVAN J SLAUGHTER 67.86 554507 RECEIPT NO: 2011001521 tDES.CRIP-TION'." ... :",,' " :;"~~ .,'" Building Permit Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) J TOTAL PAID: 67.86