HomeMy WebLinkAboutPermit Building 2008-10-6
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01333
ISSUED: 10/06/2008
APPLIED: 09/0412008
EXPIRES: 04/06/2009
VALUE: $ 44,II2,OO
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 880 S 57TH ST
ASSESSOR'S PARCEL NO.: 1802041400800
Springtield TYPE OF WORK: Garage
TYPEOF USE: New
Residential
PROJECT DESCRIPTION: Garage and reroof honse
Owner: SIMMONS BRADFORD G & JENNIFER
Address: 4071 NORTH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction' Type
Second..-y Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
S'I Ft Other:
Occupant Load:
42,020
504
~'n/a
I DEVELOPMENT INFORMATION I
REQUIR.ED PARKING
Total: 2
Handicapped:
Compact:
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:'
Solar Setbacks:
60.00 Overlay Oist:
10,00 # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
~~~ I~:~MIT SHALL EXPIRE IF TH~fC IMPROVEM~;r~tON: Oregon law requires youto
Street.lomr6;rn!~rf'\:JNDER THIS PERMIT IS NOT follow rules aSmwal!tJ"l'y~.:Oregon Uilllty
AU 1't1U Notification Center. Those rules are set forth
Ston~@f'l\'M!1>>@HIiN~R IS ABANDONED FOR In OAR 952:.o0P-\!J\mIWIIIJ;.J~r'/l!l!s.:, 952-001-
SpeciA~vs''OOt~AY PERIOD. 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
Notes: No PW Issues. number for the Oregon Utility Notification
Center Is 1-800-332-2344).
I Valuation Descri9tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
'.
Paee 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I333
ISSUED: 10/06/2008
APPLIED: 09/0412008
EXPIRES: 04/06/2009
VALUE: $ 44,112,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Gara!!e
Estimate
Gara!!e
$1.00
$28.00
30,000.00,
504.00
$30,000,00
$14,11 2.00
$44,112.00
09/04/2008
09/04/2008
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Numher
-Mech Iss 2+ Appliances- $42.00 10/6/08 1200800000000001038
+ 10% Administrative Fee $57,52 10/6/08 1200800000000001038
+ 12% State Surcharge $69.03 10/6/08 12008000000~0001038
+ 5% Technology Fee $34.71 10/6108 1200800000000001038
Boiler/Comp Up To 100,000 bt,u $15,00 10/6/08 1200800000000001038
Building Permit $289,03 10/6/08' 1200800000000001038
Garage/Carport $167.18 10/6/08 1200800000000001038
Gas Outlets 1-4 $12.00 10/6/08 1200800000000001038
Plan Review Minor - Planning $119.00 10/6/08 1200800000000001038
Plan Review Residential '$252.71 10/6/08 1200800000000001038
Storm Sewer - 1st 50 Feet $52,00 10/6/08 1200800000000001038
Vent Fan $40,00 10/6/08 1200800000000001038
Total Amount Paid $1,150.18
I Plan Reviews ~
Planning Review 09/04/2008 09/04/2008 APP DDK
Public Works Review 09/0412008 09/04/2008 APP TSS No Public Works issues. Storm
water will connect to existing eaves.
Structural Review 09/0512008 / 09/0512008 APP CJC Approved as noted on plans
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.
Ueollired.r'1~1';,~tion.11
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Floor Insulation:, Prior to decking,
Shear Wall Nailing: Before coveri.ng sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
Pa!!e 2 01"3
!~ .
r-~~!!'!4i!!l!Ii;!i:I:!;
lIi\ .
,,~
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01333
ISSUED: 10/06/2008
APPLIED: 09/04/2008
EXPIRES: 04/06/2009
VALUE: $ 44,112.00
225 Fifth Street, Springfield, O~
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wall Insulation: Prior to cover.
Ceiling Insulation: PriO:f to cover.
Drywall: Prior to taping,
Hold Downs, Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector. '
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill.
Storm Sewer Line: Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical Work is complete,
Rougb Gas: After line is installed and reqnired testing and capped if not attached to an appliance,
Final Gas: When all gas work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information her~on 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 fnrther 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 rem~in on the site at all
times during construction.
'~~
i ole/up;
Owner or Contractors Signature
Date
Page 3 of 3
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Permit#: c..Z-r 01 ~.3. 3, .
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Address:' l\$() 5" 57,
Daie:Wl10
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Constniction Contra'ctors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052 '.
Phone: 503-378-4621
,Web-Address: www.cch.state.rir.us
" '
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.,
. Statement: Information Notice to Property Owners
", . Ab.out Construction Responsibilities
, .
.
Noie: Oregon Law, ORS 701.055(4) requires residential.const~~tion permit applicants who are not
licensed with.th~ Construction Contractors Board to siin't';~followingstatement before a b~ilding
,. '.-. '.:., "
, permit can be issued: This statement is required for rfisidential buildi~g, electrical, mechanical and
, plumbing permits. Licensed architect and engineer applicants, exempt from"licensing under '
OlJs. 701.010(7), need not submit this.state!llent. This statement '!"I'ill be filed with the permit.
;'. ,,' _, . " . I," .,
. - . . '. .
" ',', " . . .'. ' .' ,~ -: '. .
~ill in the app,vp,;ate.blanks and initial boxes I and.2; and either b~x 3A or 3B:, - .
~.'1.
o 2.
~ own, reside in;:or will reside in the completed struc,ture. "
, . . ' . . ,r: :~ : ". ' . . .
I understand th~nmust becomelicens~das a.constiuction contractor if the ,structure is sold or
offeted for sale before or oIl. completion.
C I.'
"".;.
A-I flv~r~, ~/Ccd-,r~
, d-
" (N~e)", , '
/ 42.7/7
(CCB #)
Jl
3A. My,gener!ll contractor is
I wi1li~strUct ffi,y general colltractor that aU subconn:actors who work on the structure musf be
licensed with the Construction Contractors Boaid. c'. .
. ,- . ." - .
OR
o 3B. I wi,n be my own. general. contractor.
,1'
'.IfI hire subcontractors, I wiilliireonly subcontracrorsliceIl.sed '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 ilnd will iinmediatelynotifYthe office iss.uing this building permit of the
name of the contractor. '
".t'
I hereby certify that the above'information is correct ~nd that I have read and do understand the Information
Notice to Property Owners about Constrnction R~sponsibilities"on th~ reverse side of this form,
,
g _ " ' . ". /Dk/Of;
. (Signature of pelTIiilap~ (Date)
(White copy to issuing agency permit file, pinrcopy to "applicant)
,
)
;i'-
Property _ owner.doc 06-01-04:
.I
"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01333
COM2008-01333
COM2008-0 1333'
COM2008-0 1333
COM2008-01333
COM2008-0 1333
COM2008-0 1333
COM2008-0 1333
COM2008-0 1333
COM2008-0 1333
COM2008-0 1333
COM2008-0 1333
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Plan Review Residential
Plan Review Minor - Planning
Building Pennit
Garage/Carport
Stonn Sewer - 1st 50 Feet
Boiler/Comp Up To 100,000 btu
Vent Fan
-Mech Iss 2+ Appliances-
Gas Outlets 1-4
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
BRADFORD SIMMONS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001038
Date: 10/0612008
item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 056978 056978, In Person
Payment Total:
Page I of I
9:23:49AM
Amount Due
252,71
119,00
289.03
167.18
52.00
15,00
40,00 '
42,00
. 12.00
34.71
69,03
57,52
$1,150.18
Amount Paid
$1,150.18
$1,150.18
10/6/2008