HomeMy WebLinkAboutPermit Building 2007-03-09Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa.x
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01664ISSUED: 0310912007APPLIED: 1212812006EXPIRES: 0910912007VALUE: $ 230360.00
SITE ADDRESS: 972 S 37TH PL
ASSESSOR'SPARCELNO.: 1802061313000
PROJECT DESCRIPTION: Garage Conversion to family room
TYPE OF WORK: Family Room
TYPE OF USE: Repair
PhoneNumber: 541-741-1599
Expiration Date Phone
e6'
Floor:
Floor:
Garage/Carport
Sq Ft Other:
Occupant Load:
Springfield
Residential
Owner:
Address:
Contractor Type
General
Electrical
BROWN MARTY J & BARBARA J
972 S 37TH PL
SPRINGFIELD OR 97478
Contractor
OWNER
OWNER
# 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:
#of
Height of
Type of Heat:
Water Type:
Type:
Path:
o//o
320
Building:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:/;
Notes
Page 1 of3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
CITY PRTN
Building/Combination Permit
PERMIT NO: COM2006-01664ISSUED: 0310912007APPLIED: 1212812006
EXPIRES: 09/0912007VALUE: $ 23,360.00
Description Type of Construction
Garage Conver. Garage
Fee Description
Plan Review Residential
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fire SF Fee - Residential
Total Amount Paid
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$73.00 320.00
Total Value of Project
Amount Paid Date Paid
Value
$23,360.00
$23,360.00
Receipt Number
120060000000000r799
2200700000000000316
2200700000000000316
2200700000000000316
2200700000000000316
2200700000000000316
2200700000000000316
2200700000000000316
Date Calculated
12128/2006
$140.79
$27.86
$13.13
$21.0r
$43.00
$3.00
$216.60
$16.00
12t28106
3t9t07
3t9t07
3t9t07
319107
3t9t07
3t9t07
3t9t07
$481.39
Fees
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Structural Review
t2t28t2006
12t28t2006
12t28t2006
12t2812006
02n9t2007
02n9t2007
12t28t2006 02n9t2007 APP DJB
Interior only.
No SDC's. No new fixtures, area,
impervious or other.
Garage conversion existing space.
APP
DON
DON
LLH
DJB
DJB
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.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Firewall: Located and constructed according to plans.
Final Building: After alt required inspections have been requested and approved and the building is complete.
Pase 2 of3
*rT'3
Valuation Description I
Reorrired lnsnections I
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-31 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01664ISSUED: 0310912007
APPLIEDz 1212812006EXPIRES: 0910912007VALUE: $ 23,360.00
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
AM
ffisignature Date
Page 3 of3
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 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.
SPFU hlGFaELE #l:.:ii");:+
$ -.,,j1 *ur+#.i1}..+#, *&;rc
zoN ta>z
INITIALS N It4.
DAIE -g:
225 FIFTH STREET o 'SPRINGFIELD,OR97477 o PH:(541)72G3753 o FAX: (54l)726-3689 SOURCE
LEGAL
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
for 180 days.
)
DESCRIPTION:{0Lo6t3 I Jooo
Date 3 -cl, -
C A L{ P LETE,E,DE SCI{ED LLE B E L O \4/
A. Nrw Residentiai - Single or l'tulti-Familv pcr dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
or Feetlers - Xnstallation, Alterations or Rekrcation:
I 3
-it0g
$ 106.00
$ 19.00
$50.00
Electrical
Address
Supervisor License Number
Expiration Date
Constr. Conff.
Expiration
of Supervising Electricianr
Owners Name
Phone
B.
0t80J 01N00 st
i,u0A4 lHl J'
d 1ul
ll
EW 00,p'
to 600 ffips
Installation, Alteration
NV $ 63.00
$ 7s.00
$12s.00
$163.00
$375.00
$ s0.00
$ s0.00
$ 69.00
$100.00
$ 43.00
$ 3.00
City
&JrfrHA-p'
over looilAffiplts
Reconnect Only
C. Temporarl' Scrvices or Fccders
fl.to 600 Amps
rJi;ffbo
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
or Relocation
Volts see "B'kb"*
tr a[,] Io,296
los oJe setru asll0 uo5arri
a
0
)0-
e)il diltt;n UoNF.Iouo{.ld oie,\,
I0l
Alteration or Extension Per Panel
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ s0.00 :
Limited Energy/Residential $ 2s.00
Limited Energy/Commercial $ 4s.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
3
E6g
I
Owners
Inspection Request: 726-37 69 TOTAL
Shared Dive(T:)/Building Fomu/El:ctrical Permit Application 8-06'doc
OF INSTETI,ATION:t.
I
less
4. SUBTATAL OF ENOI,T,
8%o State Surcharge
10% Administrative Fee
5olo TechnologY Fee
a
E. &{iscellaneous (service/feeder not included) -Each Installation
Construction Contractors Board Pemrit *: COt-tLo- ;- Ol 6
700 Summer St I\E Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503378-4621
lVeb Address: www.ccb.state.or.us
S. 3zl-L PLAddress:
Issued by:Date:0
Statement: lnformation Notice to Property Owners
About Construction Responsibilities
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
bd
d,
(,
A
I own, reside in, or will reside in the completed strucfure.
I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
3A. My general contractor is
(Name)(ccB #)
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.
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.
of permit )(Date)
(White copy to issuing agency perunitfile, pink copy to applicant.)
Property_owner.doc 06-0 I -04
225 f ifth'Street
Springfield, Oregon 97 477
541-726-3759 Phone
f i1--1 Springfield Official Receipt
D /opment Services Department
Public Works Department
RECEIPT #: 2200700000000000316 Date: 0310912007 10:05:35AM
Job/Journal Number
coM2006-01664
coM2006-01664
coM2006-01664
coM2006-01664
coM2006-01664
coM2006-01664
coM2006-01664
Description
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Fire SF Fee - Residential
+ 57o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
216.60
43.00
3.00
16.00
13.13
21.01
27.86
Item Total:$340.60
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check MARTY BROWN djb In Person
Payment Total:
$340.60
-$5ad^6-rd'
806
cReceintl Page I of I 319t2007