HomeMy WebLinkAboutPermit Building 2010-3-2 (2)
.',
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
rJ1
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00248
ISSUED: 03/02/2010
APPLIED: 0212512010
EXPIRES: 09/0212010
VALUE: $ 7,000.00
Status
Issued
"71.{,
SITE ADDRESS: 189SUMMIT BLVD
ASSESSOR'S PARCfL NO.: 1703341407700
Springfield TYPE OF WORK: Deck
TYPE OF USE:, Repair
Residential
PROJECT DESCRIPTION: Replace existing deck
Owner: ALDERMAN TOM
Address: 789 SUMMT
SPRINGFIELD OR 97477
Contractor Type'
General
Contractor
RARICK DAN
I CONTRACTOR INFORMATION .
License
32091
BUILDING INFORMA nON ~
# of Stories: ~ \0
R-3 Height of Str~q,~ ot' ~t\\\
Type Bl\lMl\~0 010;t0 ~~\.
VB O,,\"Wlfl~e~' ~\\0e .Q.~ ....
~\\,.. )\.\l~\P~ 0"'- ~eellJ ,
f.~f- tu\e& ~ ..di9U~"erJ."'0 ~rf.\.
\"\\O~ '0(\ \). ,6 e\e\e~~
\~o';\\\C~~S2.~~i 0 ....~ "o\\"""'li/a
i(\ IDE l') TlON
()
o "
u~'Oel e(\\et
(\ Bverlay Vist:
# Street Trees Rqd:, ./
payed Dr.ive Rqd:
% of Lot Coverage:
Expiration Date Phone
05/05/2011
# of Units:
Primary Occupancy Group:,
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq FI Basement:
Sq Ft Garage/Carport
Sq Ft Other: 280
Occupant Load:
REQUIRED PARKING
Total:
Haodicapped:
Compact:
Frootyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setb:lcks:
Street ImlJrovemeots:
Storm Sewer Available:
Special Instruction:
, I PUBLIC IMPROVEMENTS ~._ . .._ .
. Sidewal~.1!ype';i'"",':: '/i.~"~""
.. " -.. 'l-I""l' .
- ....\ b'';;;'~~Qr1i\i. l\Ol..
Existing patio/foundatioo already i~'~e'i{!I\~\.\. t1'r S l'~"",t'( ,S 1\ ,.:'
1\\\S tlt.?~ U~t)~\\ ~~~no~~t) to "'
~\l"\'\\O?~ D 01\ \5 ~'v
Valuation Desc . :t.d>> O,fl;
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I on
;. .'1t .
.:"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00248,
ISSUED: 03/02/2010
APPLIED: 02/25/2010
EXPIRES: 09/02/2010
VALUE: $ 7,000.00
Status
Issued
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
$1.00
7,000.00
$7,000.00
$7,000.00
03/01/2010
Total Value of Project
,~
Tolal Amount Paid
Amount Paid Date Paid Receipt Number
$69,39 2/25/10 2201000000000000172
$12.81 3/2/10 2201000000000000186
$5.34 3/2110 2201000000000000186
$106.75, 3/2/10 2201000000000000186
$194.29 ',',
J p'lan Reviews ,
02/26/2010 02126/2010 APP LLH
03/01/2010 03/01/2010 APP LKW No new fees, deck over existing
patio, no new surface.
02/26/20 I 0 03/01/2010 APP CJC As noted on plans- No planning
issues per Deyelle Kelly 3/1/10
Fee Description
Plan Review Resideutial
+ 12% Stale Surcharge
+ 5% Technology Fee
Building Permit
Initial Review
Puhlic Works Review
Structural Review
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. .
Reouired InsDect~
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, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and corred, and I further'certify that any and all work performea shall be done in accordance with
the Ordinances of the City of Springfield and the Laws ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure wilhout 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 !!gree to ensu're that all required inspections are requested at the proper time, that each address is readable from the
street, th'a1.lhe permit' card is located at the fronl of the property, and the approved set of plans will remain on the site al all
. d I ,'" II .
times ulilng construction. .
'W~" . 1/ '/1 ,
?J:1I~'~'(I~ A~M ~,h!@
Owner or Contractors ~gnature Qate
. :.
Paee 2 01'2
Structural Permit Applicatiou
I <OlilW~~~
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689
DEPARTMENT USE ONLY
I ~ permitno':{!/O-2iJ
Date: ?-):l..SJ'U
This permit is issued under OAR 918-460-0030. Permits expire irwork is not started within 180 days of issuance or if work is
. suspended for] 80 days.
LOCAL GOVERNMENT APPROVAL
This project has final land-use approvaL
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Propeny is within flood plain: 0 Yes 0 No
CATEGORY OF CO~STRUCTION
o Residential D Government D Commercial
JQB SITE INFORMATjON AND LOC'ATION
lob site address: 1/1. '
City:
Subdivision:
Reference:
Name: .
- Address:
City:
Phone:
E-mail:
This installation is being made on residential or farm property owned by
me or 8 member afmy immediate family, and is exempt from licensing
requirements underORS 701.010.
Sign here:
,
CONTRACTOR INSTALLATION
Business name:'
Address:
City:
Phone:
E-mail:
CCB license
Prinl name;
Signature:
SUB-CONTRACTORINFORM....T10N
Name
Electrical
Plumbing
Mecbanical
CCB License Number
Phone Number
')
FEE SCHEDULE
1. Valuation information
(a) Job description: ~e:"'LY'\CL~ r
Occupancy
Construction type: d.."2,
Square feet:
Cost per square foot
Other information:
Type or Heat:
Energy Path: ./
Dnew lZ}i'fteration D addition
(b) Foundation.only permit? Dyes ONo
Total valuation: s1er97Y
2. Building fees
(a) Permit ree (use valuation table): S 10&./1
(b) Investigative fee (equal to [2a]):. S
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtot.1 offees .bove (2. througb 2d): $
3..Plan review fee~
(aJ Plan review (65% x permit ree [2.]): $ t/i -;N'
(b) Fire and life safety (40% x permit ree [2a]): $
(e) Subtotal offees above (3a uod 3b): S
4.. Miscellaileous fees
(a) Seismic fee, 1% (.01 x permit ree [20]): S
TOTAL fees and surcharges (2e+3c+4a): S
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.~~~~-
*,u. ..
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
10:49:27 AM
2201000000000000172
Date: 02/25/2010
Job/Journal Number Description
COM20 1 0-00248 Plan Review Residential
Payments:
Type of Payment Paid By
Check
DAN RARICK
cReceinll
"
'.
."
.j\
.~..
.
,
Received By
cjc
Check Number
Batch Number
~ ~~, ",'. ~i' .
...,..'.....
. "
,!!;to'.'
,
\
.
It-!J' ,
:.;.':i, ...."
r.. .
Page I of I
Item Total:
Authorization
Number How Received
Amount Due
69.39
$69.39
. Amount Paid
10192
$69.39
$69.39
In Person
Payment Total:
2/25/20] 0
229' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Wi~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000186
3:06:33PM
Date: 03/0212010
Job/Journal Number
COM20 I 0-0024 8
COM2010-00248
COM2010-00248
Payments:
Type of Payment
Check
cRecdnt 1
Description
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DANIEL RARICK
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
106.75
12.81
5.34
$124.90
Amount Paid
djb
10197
In Person .
Payment Total:
$124.90
$124.90
".~',,,
Page I of I
3/2/2010
,~
JvN'l:(' ;3 'ZC7! /
I
'70 ; t:/(/ 81" ;S~I!.JN&?t:7tffR) $t;;J(j? 17(ff1:
~/lIf" O/f1ll K/rt(;c!C &61lV,~.
~ /h I ~(),MMI-'- I?t VtJ. Cl/K-t /~ ZeJ/t>)
1/t1:f f?v/?////\/? r~r-/ (;/'V / / ~
1/hvu? lffWif {3r" N /if 7'f9 (W IIW<e IT 111M 4t1l/ //# Y PI^"" J
I3vr /7 uPt17 W~rr78li/ J}t!W!\/ 4'5 7$" {r;-Ir> UlIt5 .If N~741C;j .
iiI? f7v//../}//l/[P 11\J5P'a'/'ClK NC17tcVP I)M ~ 4Ntfl '7tJ?P M~ '*170
W~y Mt1V7 M4KINw 7tH CIltWGG'} !?vY tthJ-/' Ihr Witt M~ TIh"
)b/J;{e')S &z~t'7i ,/;11. W!j-z<:-jf- WCJ1/l..P J.;-;rve /?~N NdFce~~4IZ y h1C
rife ">It/IY/Nt/ Of<" I)k /;V5r>'eciuw 4<? CbM;4/,(f'f'tE.
/ Ihrve mt/t-)'" ~4-;W~ t7 ctje 7'1-I15~t74'Y - 11t/PV{;/-f( rf JI-;t;.p
13eI?J/CIhl-tVC;/rp IN OJl<bln( -r~ ~~/i/Ef A- f'7N,n 5/~/I/ t:?rr.
'7?, I Wltl7tJI. NN 7"" A-'jx I~ fi~ tf:gcCJ;e.t? C4rJ f?r;? c/l7ItvuP /cJ
~?V~ 1/'I1NJ& -rilr;r WotCK kt:/IJht y ;VA-> f"r?J<.Mr77tff}:> ~,e.
PWk5E Nt71~ 11/# ~A-t a<7C/<I.t?(;/IrJ c7F --rlIG f"~t"AA-7),., C7N M '/
~e'}( 'S~r t:/p tllVrw/J1/G-r (Pur ;Ot-A-7\J) 17 I~ (J-I-v' ~~e?1
/ N)~tH~;J?t?f2 7W 7Lf9 'fJtlM J//l17 ?tecJL--sc-r.
,~
~ IJ Nt? ?) ZtJ II