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Home My WebLink AboutPermit Building 2011-6-28 Structural Permit Application I @Jm7@P!~(ORdl:\Ml:.:!I 225 Fifth Street. Springfield, OR 97477 . PH(54 I )726-3753 . FAX(54 1)726.3689 DEPARTMENT USE ONLY 8 - SffO.e t--l - Permttno.: ib81 Date: ~ Zg - .1-L 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 r.. 180 days. LOCAL GOVERNMENT APPROVAL This project has fmal land-use approval. Signature: Date: This project hus DEQ approval. Signature: Date: Zoning approval verified: 0 Yes D No Property is within flood plain: 0 Yes D No CATEGORY OF CONSTRUCTION esidential o Government o Commercial ZI PROPERTY OWNER Name: ZIP. Phone: E-mail: . being made on reside . perty owned by me or n member of amily, and is exempt from licensing requir n er ORS 701.010. Sign here: Business name: Address: City: Phone: E.mail: CCB license no.: State: Fa'(: ZIP; Signature: Phone Number Elcctrical Plumbing Mecbanit:ll I~ I. Valuation information (a) Job description: nrt;:. Occupancy FEE SCHEDULE Cost per square fool: Other information: Type or Heat: Energy PaUl: w 0 alteration (b) Foundation-only penn it? Total valuation: 2. Building rees (a) Permit fee (use valuation table): (b) Investigative fee (equal I. [2a]): (c) Rcinspection ($ per hour): (number or hours x fee per hour) addition DYes ON. s s (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal offeesabove (23 through 2d); S 3. Plan review fees (a) Plan review (65% x permit fee [2a]): S (b) Fire and life safety (40% x pennlt fee [2a]): S (e) Subtotal orrees above (3a and 3b): S 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x penn it fee [2a]): S TOTAL fees and surcbarges (2e+3C+4a); S .-- , ... sp.~ I.N.GFIE~D IIi;? """.i> '\<': 9 ;-:', ~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01609 IVR Number: 811134362560 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: APPLIED: 06/28/2011 06/28/2011 Issued 06/28/2011 EXPIRES: VALUE: 12/24/2011 $0.00 SITE ADDRESS: 906 S 45TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802052107300 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Residential Inspector Investigation: property owner came in voluntarily, he has a 5unroom and a detached storage shed, both built without permits. There is also electrical and plumbing running to the storage shed. OWNER: ADDRESS: LEAVITT DEWEY H & DIANE M 906 S 45TH ST SPRINGFIELD OR 97478 Phone Number: 541-988-0272 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: No 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: Lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2006 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: .~(}T1CE: . . 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 6f28/2011 11:32:01AM 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). Page 1 of 3 ./ "r.; Y~I~.~;~ ~,~ ~OREGOH www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01609 IVR Number: 811134362560 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permi1center@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/28/2011 ISSUED: APPLIED: 06/28/2011 06/28/2011 EXPIRES: VALUE: 12/24/2011 $0.00 SITE ADDRESS: 906 S 45TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802052107300 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Residential Inspector Investigation: property owner came in voluntarily, he has a sunroom and a detached storage shed, both built without permits. There is also electrical and plumbing running to the storage shed. I DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 ~ Description Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion State of Oregon Surcharge (12% of applicable fees) Inspections ~ Hourly .~uilding Technology fee (5% of permit total) Total Amount Paid Amount Paid $6.96 $58.00 $2.90 $67.86 Date Paid 06/28/2011 06/28/2011 06/28/2011 ReciDt # 2011001815 2011001815 2011001815 Springfield Building Permit 6/28/2011 11:32:01AM Page 2 of 3 ;. Sr~~N~.. FIEL.~ ~~ ~ORfGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01609 IVR Number: 811134362560 www.ci.springfield.or.us 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 06/28/201 f ISSUED: APPLIED: 06/28/2011 06/28/2011 EXPIRES: VALUE: 12/24/2011 $0,00 SITE ADDRESS: 906 S 45TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802052107300 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Residential Inspector Investigation: property owner came in voluntarily, he has a sunroom and a detached storage shed, both built without permits. There is also electrical and plumbing running to the storage shed. I Plan Review I Deoartment Application Acceptance Received Due Date Comoleted Result 06/28/2011 06/28/2011 06/28/2011 Application Accepted Reviewer Kip Kaufman Initial Review 06/28/2011 06/28/2011 06/28/2011 Over the Counter ~Jp !<aufm~n ,~' ~_=:J fLic;tu~al'R~v;ew /" ., "-06/?W20J1:~06/28/2011.0 06/28121)11 , ; "Comments: ^'0~erthe'c.?~nterpermj! /" '. . '\,\ ,,-_..._~-- -,~--~'-'---"--~""--'" Planning Review 06/28/2011 06/28/2011 06/28/2011 Comments: Over the counter permit iPUbllCWo;k;-R-~,;;eiY-'-=06;2si2011 - 06/28/2011 :C-06728/201-1-""N6fFi~quire1V " , b corilments; ~.gy~r"th~"Cbuht~~:.per~it-~ c . > '~,~;/) (~~~' ::_ '.~. ~ ' c -'~'_~-, ,<-~:'~,. ;::-w .,~~:-;_;~~. Initial Review 06/28/2011 06/28/2011 06/28/2011 Over the Counter Not'Requfred"~!L>~ .~~,,~~:'~:'t.;;~ Not Required Comments: Over the counter permit Kip Kaufman Kip Kaufman Ki~ Ka~an - - -'l '. .->' "':..,-"" Kip Kaufman INSPECTIONS REQUIRED' Inspections 1925 Consultation BUilding 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, Buifding 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 construction. / O~~ign~ G~;)<b~(/ Date Springfield Building Permit 6/28/2011 11 :32:01AM Page 3 of 3 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-01609 906 5 45TH 5T permitcenter@ci.springfield.or.us RECEIPT NO: 2011001815 lOESCRII~;"(IOI<l" Inspections - Hourly Building State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01609 DATE: 06/28/2011 ..n' Hil!mmlml!illllllllllll!l_IIII."~[C:e:QN:flQe:D:emmiliIIUilmiiUiUiUiiiiiiiiliHillll!lgMi1)J1NjflD:u]1IIIIIIUiUiiiiillll.l!i~ 224-00000-425602 58.00 821-00000-215004 6.96 100-00000-425605 2.90 TOTAL DUE: 67.86 P,AYMENTiTYRE Credit Card 132627 ;:-:i!ii;;i\ii;ii;_PAYOR:ilii:itCA~I'ER~iIKKA~uFr~N~lI.lli1cOMME\N:rs..lll;irnm;;illl!f;ii~jffiE}iiiir;~;I]iJia~tAiViQi..i~;T;1e-~I~.!IIIf!lUllffi~i~lt;ll Dewey Leavitt 67.86 TOTAL PAID: 67.86