HomeMy WebLinkAboutPermit Building 2008-6-11
-Wit:~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00709
ISSUED: 0611112008
APPLIED: 0511912008
EXPIRES: 1211112008
VALUE: $ 5,000,00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspeclIon Lme
SITE ADDRESS 1836 S A ST
ASSESSOR'S PARCEL NO 1703363107300
Sprmgfield TYPE OF WORK Tenant Infill
TYPE OF USE
PROJECT DESCRIPTION Owner remodelIng addmg electncal, plumbmg,structural
Commercial
Owner ROSSI SANDRA LIW A YNE V AJGERT
Address 4355 SPRING BLVD
EUGENE OR 97405
Phone Number 541-343-0882
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Plumbmg
Contractor
CRAFTSMAN
DOUGLAS LEE JONES
License
170183
104606
ExpIratIOn Date
05/30/2010
02/17/2009
Phone
541-954-7589
541-747-1254
BUILDING INFORMATION I
# of UOIts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
A-3
# of Stones
Height of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled Buddmg
Lot SIZe
Sq Ft 1 st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
Vlhr
Yes
I DEVELOPMENT INFORMATION I
ATTENTION Oregon 1~~~~'}~~fo\l\I5-'NG
Overlay Dlst follow rules adopted blfotal{)regon Utility
# Street Trees Rqd NotificatIOn Center ThoHandiciipped-et forth
Paved Dnve Rqd In OAR 952-001-001 0 th<J:ompa'i1t' R 952-001-
% of Lot Coverage 0090 You may obtain caples of the rules by
calling the center (Note the telephone
__ ,_ __ .._ .h~ f),or"n I [ll"ty NotifICation
.._..f_.__ . .
I PUBLIC IMPROVEMENTS I Center IS 1-800-332-2344),
NOTrc~' .
Street ImproveD1~nts -. Sidewalk Type
I HIS PERMIT SHALL EXPIRE IF I
Storm Sewer AAa"a~Je l/ZE THE \1\ ORK
Special Instru~~~ I VI D UNDER THIS PERMIT IS NOT
ulvlMENCED OR IS ABANDONED FOR
Notes ANY 180 DAY PERIOD.
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
DownspoutslDrams
Page 1 of3
-iiii: ~
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO' COM2008-00709
ISSUED: 0611112008
APPLIED: 0511912008
EXPIRES: 1211112008
VALUE: $ 5,000 00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I ValuatIon DescrmtIon I
Esllmate
Tvpe of Construcllon
EstImate
$ Per Sq Ft
or mulllpher
$100
Square Footdge
or BId Amount
5,000 00
Value
Date Cdlculated
DescrIptIOn
Total Value of Project
$5,000 00
$5,000 00
06/11/2008
L.II...., p~
Fee DescrIptIOn Amount PaId Date PaId ReceIpt Numher
+ 10% AdmmlStrallve Fee $500 6/2108 1200800000000000574
+ 12% State Surcharge $600 6/2108 1200800000000000574
+ 5% Technology Fee $250 612108 1200800000000000574
Fixture $1600 6/2108 1200800000000000574
Mmlmum/Adjustment Plumbmg $34 00 6/2108 1200800000000000574
-MecbaDlcallssuance Fee- $20 00 6/1lI08 2200800000000000885
+ 10% Adm'D1strallve Fee $34 95 6/1lI08 2200800000000000885
+ 12% State Surcbarge $32 85 6/1I!08 2200800000000000885
+ 5% Tecbnology Fee $1747 6/11/08 2200800000000000885
AIr Handhng DOlt 10,000 & Ovr $1700 6/11108 2200800000000000885
Buddmg PermIt $7574 6/11108 2200800000000000885
Fixture $48 00 6/1lI08 2200800000000000885
Mmlmum/Adjustment MechanIcal $33 00 6111/08 2200800000000000885
Penalty Fee - BWOP BUlldmg $75 74 6/1lI08 2200800000000000885
Plan ReVIew CommllndfPubhc $32 50 6/11/08 2200800000000000885
Samtary Sewer - 1st 50 Feet $50 00 6/1lI08 2200800000000000885
Water Lme - 1st 50 Feet $50 00 6/1lI08 2200800000000000885
Total Amount PaId $55075
I Plan Reviews .1
I mhal ReView OS/28/2008 05/30/2008 APP LLH
Planmne: ReView 05/3012008 06/03/2008 APP EMM InterIor only No change muse
Pubhc Works ReVIew 05/30/2008 06/03/2008 APP BRC SDC Worksheet Alltached - No new
SDC charges BC
Structural ReView 05/30/2008 06/05/2008 APP RWC
Paee 2 on
-~~~
~.
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO, COM2008-00709
ISSUED. 0611112008
APPLIED: 05119/2008
EXPIRES: 12111/2008
VALUE: $ 5,00000
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Fife Department RevIew
05/30/2008
06/06/2008
APP GRG
Plans Review mtenor remodel Job
#COM2008-00709 Occupancy
ClasSIficatIon A-2 ConstructIon
Type V-B
Provide fire extingUishers with a
mmlmum ratmg of 2-A 10-B C
every 75 feet of travel dIStance The
top of tbe extmgUlsher(s) shall be
between 3 and 5 feet above fimshed
floor (2007 Sprmgfield Fife Code
906)
To Request an inspectIOn call the 24 hour recordmg at 726-3769. All mspectIons 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
I ReoUlred Insnections I
Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
Frammg InspectIon Pnor to cover and after all rough 10 mspectIons have been approved
Fmal BUIld 109 After all reqUIred mspectIons have been requested and approved and the buIldmg IS complete
Water Lme Pllal t8 AIling trAnrll nn.-l _"'_.t.:_jme :~
Samtary Sewer Lme Pnor to filhng trencb and mcludmg reqUIred testmg
Rough Mecbamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, I state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed sball be done 10 accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY Will be made of any structure wltbout permISSIon of the Commumty ServIces DIVISIOn, BuIldmg Safety
1 further cerhfy that only contractors and employees who are 10 comphance wltb ORS 701 005 wIll be used on thIS project
1 further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, tbat each address IS readdble from the
street, that tbe permIt card IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all
times dunng cons uctlOn
{I)-l\- (/
Owner or Contractors SIgnature
Date
Page 3 of 3
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
8PRlNGFlID-D
I~~
1Ik,~, -
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
COM2008-00709
Payments
Type of Payment
Check
cRecell'ltl
RECEIPT #:
2200800000000000885
Date, 06/1112008
Descnptlon
Plan ReView Comm/lnd/Publlc
BUlldmg Penlllt
Penalty Fee - BWOP BUlldmg
F,xture
Water Lme - 1 st 50 Feet
Samtary Sewer - 1st 50 Feet
Air Handlmg Umt 10,000 & Ovr
Mmlmum/AdJustment Mechamcal
-MechamcalIssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admm,stratlve Fee
PaId By
WAYNEJ VAJGERT
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm 3059 In Person
Payment Total
Page I of I
2 16 OOPM
Amount Due
3250
7574
7574
4800
5000
5000
1700
3300
2000
1747
3285
3495
$487 25
Amount PaId
$487 25
$487 25
6/1112008