HomeMy WebLinkAboutPermit Building 2007-05-08Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00537ISSUED: 0510812007
APPLIEDz 0411112007EXPIRES: I113012007VALUE: $ 7,500.00
SITE ADDRESS: 1001 sTH ST
ASSESSOR'S PARCEL NO.: r703352101800
PROJECT DESCRIPTION: Partial garage conversion
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration Residential
PhoneNumber: 541-744-3317
CO
AU rH0 B
r SHrLt Expiration Date Phone
Owner:
Address:
Contractor Type
General
PHILIP EASTLUND
r00l sTH sT
SPRINGFIELD OR 97477
Contractor
OWNER
IZED
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
,lvlful
# of Stories:
t0D
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Path:
Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
U
VB
A
toilo
oogo.LI
nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:"i,1,!il!
oh of
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Valuation Description
Description Type of Construction
Page I of3
Value Date Calculated
uL v tllurlvl.Ll\ t Li\ t{ (.,t(lYlA r lt,1\ l
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 I nspection Line
Building/Combination Permit
PERMIT NO: COM2007-00537ISSUED: 0510812007
APPLIEDZ 04ny2007EXPIRES: 1113012007VALUE: $ 7,500.00
Estimate Estimate
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$1.00 7,500.00
Total Value of Project
Date Paid
4nU07
5t8t07
st8/07
518t07
st8t07
5t30t07
5t30t07
5t30t07
5t30/07
Receipt Number
2200700000000000529
2200700000000000689
2200700000000000689
2200700000000000689
2200700000000000689
1200700000000000652
r200700000000000652
1200700000000000652
1200700000000000652
$7,500.00
$7,500.00
04/1U2007
Amount Paid
$59.67
$9.18
$4.59
$7.34
$91.80
$12.60
$6.30
$10.08
$126.00
$327.56
F ees Pa
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review
Structural Review
04t17t2007
04n7t2007
04t23t2007
04t27t2007
04t30/2007
04n8t2007
04t23t2007
05/08/2007
04n6t2007 04n7t2007 APP LLH Plans were not in pick up drawer
until friday, April l3th which routed
them to me on Monday April l6th.
No Planning issues.
Rcvd 411712007---Waiting in order
PW rcvd lbr rvw.JLP Wl4ll8l07
No additional DFU's or Impervious
area = No SDC's. JLP APP 4123107
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
APP
WI
APP
APP
TAJ
JLP
JLP
LLH
04n7t2007 04t27t2007 IO LLH
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.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to coYer.
Ceiling Insulation: Prior to cover.
Paee 2 of3
Rpnuirpd Insneefinns
D
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00537ISSUED: 0510812007APPLIEDz 0411112007EXPIRES: 11/3012007VALUE: $ 7,500.00
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Electric Service: Approval required prior to utilify company energizing service.
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 Cify of Springfield and the Laws of the State of 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 properfy, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci- of Springfield Official Receipt
Dt -lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000652 Date: 0513012007 3:02:4lPM
Job/Journal Number
coM2007-00s37
coM2007-00537
coM2007-00537
coM2007-00537
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ liYo Administrative Fee
Amount Due
126.00
6.30
r 0.08
12.60
Item Total $154.98
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard HOLLY MAHAFFEY djb T77746 In Person $ I 54.98
Payment Total:
-5TIi33-
cReceintl Page I of I 5t3012007
SPRI NGF! ELD .J['<::..Ji
-,. ;i. r ,... , :' " rj'r I
:. :l-:' i.rii. - l,-. .::
i.,...ii;.* Qfit
""^:'';,,
zoN
225 FIFTH STREET o SPRINGFIELO'9997477 o PH :(511)726'3753 r FAX: (541)726-3689
ELECTRICAL PERMIT APPLICA TION
City Job Number CA;no _s3 a
3
Date
INITIALS
DATE
S
5-3o-07
1.
oo/q+^
LEGAL DESCzuPTIONt)o33 Sz t or&oo
JOB DESCzuPTION
oy??vc t\a
Permits Are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
A. Nerv Residential -
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Sewice or
Feeder
$ 106'00
$ 19.00
$s0.00
$ 75.00
s 125.00
2.
Electrical Contractor
'8.
4
400 Amps
Amps
ls4
A
s163.00
$375.00
s 50.00
$ 43.00
$ 3.00
s 50.00
s 50.00
s 25.00
s 4s.00
Cify 6)G ?*--
Supervisor License Number L1 11 A3
Expiration Date D-c,
Constr. Contr. Number
Expiration Date i- iy-.y
Signature of Supervising Electrician
Phone Eqt'qzi-Sko ANy
C.
\hry
'o1tY
Votr,ttl,
Installation, Alteration or Relocation
'E lr
P,Pr
200 Amps or less
201 Amps to 400 AmPs
to 600 Amps
fica or
s 50.00
Volts see "B" above,
C4 e sel
$ 69.00
s 100.00
ao6
titi
Pump or irrigation
Sign/Outline Lighting
Limited EnergY/Residential
Limited EnergY/Commercial
8% State Surcharge
l0% Administrative Fee
5% TechnologY Fee
ft//es
-Or
ll*.^-IOwners Name r
Address /o<> t I
Ciry sF Phone
OWNER INSTALLATION
The installation is being made on propefy I own which
is not intended for sale, lease or rent.
Owners Signature:
/s/?8
urcharges
t7 L
76orlc
Inspection Request: 726-37 69 TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 8-06 doc
Address J fio /Ytry1.a.tls*,,i lrr Aut-
/1r I d? E/?-r-lld-or less Z $ 63.00
the
lor
E.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00537ISSUED: 0510812007APPLIED: 0411112007EXPIRES: 11i0812007VALUE: $ 7,500.00
SITE ADDRESS: 1001 sTH ST
ASSESSOR'S PARCELNO.: 1703352101800
PROJECT DESCRIPTION: Partial garage conversion
TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration Residential
PhoneNumber: 541-744-3317
License Expiration Date Phone
Springfield
Owner:
Address:
Contractor Tvpe
General
PHILIP EASTLUND
1OOI sTH ST
SPRINGFIELD OR 97477
Contractor
OWNER
CONTRACTOR INFORMATION
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
U
VB
nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
Paee I of3
Value Date Calculated
t tl,lYlA I tul\ |
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007-00537ISSUED: 05/08/2007
APPLIEDz 0411112007EXPIRES: 1ll0812007VALUE: $ 7,500.00
Estimate Estimate
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Total Amount Paid
$1.00 7,500.00
Total Value of Project
Date Paid
4nu07
st8t07
5t8t07
st8/07
5t8t07
Receipt Number
2200700000000000529
2200700000000000689
2200700000000000689
2200700000000000689
2200700000000000689
$7,500.00
$7,500.00
04fiu2007
Amount Paid
$s9.67
$9.r8
$4.59
$7.34
$91.80
$172.58
tr'ees Pe
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Public Works Review
Structural Review
Structural Review
04n7/2007
04n7/2007
04t23t2007
04t27t2007
04t30t2007
04n8t2007
04n6t2007 04n7t2007 APP LLH Plans were not in pick up drawer
until friday, April l3th which routed
them to me on Monday April 16th.
No Planning issues.
Rcvd 411712007--Waiting in order
PW rcvd for rvw.JLP Wl4ll8l07
No additional DFU's or Impervious
area = No SDC's. JLP APP 4123107
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
APP
WI
APP
APP
TAJ
JLP
JLP
LLH
04t23t2007
0st08t2007
04/t7t2007 04t27t2007 ro LLH
To Request an inspection call the24 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.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to coYer.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
nsneetions
Paee 2 of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00537ISSUED: 0510812007APPLIED: 0411112007EXPIRES: l110812007VALUE: $ 7,500.00
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 of 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 70f .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.
{-t }v
Owner or Contractors Signature Date
Paee 3 of3
/-\
225 Fifth Street
Springlield, Oregon 97 477
541-726-3759 Phone
C"-' of Springfield Official Receipt
L relopment Services Department
Public Works Department
RECEIPT #: 2200700000000000689 Date: 0510912007 2:50:50PM
Job/Journal Number
coM2007-00s37
coM2007-00537
coM2007-00537
coM2007-00537
Description
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
91.80
4.59
7.34
9.18
Item Total $112.91
Payments:
Type of Payment Paid By Received By
Ctreck Numbei
Batch Number
AuthoiiZation
Number How Received Amount Paid
Cash
Change
PHILLIP EASTLLIND ddk In Person
In Person
Payment Total:
s 120.00
($7.0e)
$r r2.9r
Job/Journal Number
coM2007-00537
coM2007-00s37
coM2007-00537
coM2007-00537
Description
Building Permit
+ 5% Technology Fee
+ 8% State Surcharge
+ l0% Administrative Fee
Amount Due
91.80
4.59
7.34
9.l8
Item Total $112.91
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Aulhoriiation
Number How Received Amount Paid
Cash
Change
PHILLIP EASTLUND ddk In Person
In Person
Payment Total:
$ r 20.00
($7.0e)
$112.9r
cReceint I Page I of I s1812007
Construction Contractors Board
700 Summer St I\E Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
Web Address: rvww.ccb.state.or.us
Permit #, (M ,1n7^0631
00t 5+h stsAddress:
Issued by:Date:
Statement: Information Notice to Property Owners
About Gonstruction Responsibi! ities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign thefollowing statement before a building
permit can be issued. This statement is requiredfor residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under
ORS 701.010(7), need not submit this statement. This statement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38:
2. I understand that I must become licensed as a construction contactor if the structure is sold or
offered for sale before or on completion.
tr 3A. My general contractor is
(Na:ne)(ccB #)
(
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
f-t-o+
(Signature of permit applicant)(Date)
(White copy to issuing agency permitfile, pink copy to applicant.)
0
E
H
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
38. I will be my own general contractor.
Property_owner. doc 06-0 I -04
1. I own, reside in, or will reside in the completed structure.