HomeMy WebLinkAboutPermit Building 2008-10-17
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01508
ISSUED: 101.17/2008
APPLIED: 10/07/2008
EXPIRES: 04/17/2009
VALUE: $ 54,600.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 724 S69TH PL
ASSESSOR'S PARCEL NO.: 1802022203200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition over existing garage
Owner: DOUGLAS TALLMAN'
Address: 724 S 69TH PL
SPRINGFIELD OR 97478
Phone Number: 541-726"6239
I .CONTRACTOR INFORMA TlON, ,.
Contractor Type
General
Electrical
Contractor
JOHN CALHOUN
TERRITORIAL ELECTRIC
I BUILDING INFORMATION '"
' laW ,equ\1e1> I 'Utll:'
kENTIONlIca~ Ifjjj the Ole~~et lorth 2
R1~\;~VI ',:,Ies ~p ,o!:il'f1!\O$ ~ 952.:odf.OO
v.iPtilicatlon ~AA fbUgh ~ the ,ule8 trI
I oAR 952 . pies I phone
n 090 '(ou~.R ~ Yl.M.llte: the te ~ftcaUOl'
q calilng th~~9 ~~~~tln Ut\l~)
numtlelloSUl: ~oill811r. - . No
r..ntlif .
License .
138372
Expiration Date
11106/2009
Phone
541.463-1410
541-485-7311
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occupant Load:
520
I DEVELOPMENT INFORMATION"
REQUIRED PARKING
2
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Hillside Total:
# Street Trees Rqd:. Handicapped:
Paved Drive Rqd:. . Yes Compact:
% of Lot Coverage: ~ \N()-
NO!\~~~ .~~", ~~~~.lr'f ,~ NO't
I PUBLICum4>W~'1' l"l~nOto\EO fOR
, hJh:~OO ,,~~
~ COMMENCE PERIOO: Sidewalk Type:
'. AN" 180 0"" Downsponts/Drains:
Storm water to tie intoe:~isting system /No SDC's now new fixtures, same footprint
34.00
15.00
14.50
Street Improvements:
Storm Sewer Available:'
Special Instruction:
Notes:
Page 1 of 3
~~~I!!~~~"F.;'':tt~,
~l
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Dwellings
V Wood Frame
Fee Description
Plan Review Residential
......Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add"
Building Permit
Fire SF Fee - Residential
Not Covered Mechanical
Plan Review Minor - Planning
Total Amount Paid
Initial Review
Structural Review
10/07/2008
10/08/2008
Public Works Review
1 U/08/2008
Plannine: Review
10/08/2008
CITY OF ~rKll'l/GFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01508
ISSUED: 10/17/2008
APPLIED: 10/07/2008
EXPIRES: 04/17/2009
VALUE: $ 54,600.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$105.00
Square Footage
or Bid Amount
520.00
Valne
Date Calculated
$54,600.00
$54,600.00
10/07/2008
Total Value of Project
Fpp, PiWiU
Amount Paid
Date Paid
Receipt Number
$288.72
$21.00
$57.72
$66.14
$33.51
$50.00
$5.00
$444.18
$26.00 '
$52.00
$119.00
10/7/08
10/17/08
10/17/08
]0/17/08
]0/17/08
10/1 7/08
]0/17/08
10/17/08
10/17/08
10/17/08
10/17/08
2200800000000001485
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
3200800000000000706
$1,163.27
Plan Reviews I
10/08/2008
10/08/20U8
APP NJM
APP CJC
Need engineering for narrow brace
walls at garage opening to account
for 2nd story- contacted Arch
10/8/08 (Engineering provided
10/09/08)
Special inspection is required for
epoxy-set anchors.
Approved as noted on plans.
10/13/2008
APP LKW
Same footprint, no new SDC's
10/15/2008
APP DDK
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.
Page 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: cOM2008-01508
ISSUED: 10/17/2008
APPLIED: 10/07/2008
EXPIRES: 04/17/2009
VALUE: $ 54,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726"3676 Fax
541-726-3769 Inspection Line
,Rerjuire~ Insnections I
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing With finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
.Ceiling Insulation: Prior to cover.
Final Building; After all required i~spections have been requested a.nd approved and the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
,
Final Electric; When all electrical work is complete.
Epoxy Anchors: To be done by Certified Spcialluspector. Provide Inspection results to City Building Inspector.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
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 sball 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 ensnre that all reqnired 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.
.~~,-
\~ \0- \\)-0<\
Owner or Contractors Signature
Date
Page 3 of 3
. CITY OF SPRING~[ELD, OREGON .,
ZON
INITIALS
DATE
SOURCE
225 FIITH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COWl~olr- O/jcg
Dale \D~O\-aq.,
1. riOCATION OiINSTALIATION:
L___ ___
~:4.'-l "'. h~ \~:i \)[ AC'E.
LEGAL DESCRIPTION:
\q., D~:l ~';).. 03..ri.<X:> C)<-\()_
JOB DESCRIPTION:
3. ICOMPLE1~ FEE SCHEDULE BELOW
,
Ac:.t'\ ~ ~""?.<::c"""
A. ~~; Residential- Single or Multi-Family ~er dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$121.00
$ 22.00
Permits are non-transferable and expire if work is
not started within 180 days of issnance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$57.00
2. ! CONTRACT()R INSTA r.rATION ONLY, ! B. ~n~i~_es or Fe;ders :jnslalla~io; Aller:l~;;;ns 01'- Relocation:
Electrical C.ontractor ~"''''i~ 200 Amps or less $ 73.00
f>ex~ I ue- 201 Amps to 400 Amps $ 86.00
Address E!L'-'--<:4.1.f Lt1~~.o_ Ju.H\ Uto 401 Amps to 600 Amps $143.00
1~~S ,/0 ili\,! 601 Amps to 1000 Amps $186.00
City ~~~ -O'/19!!e~~~W"~ _ ~iIOt\n Over 1000 AmpsIVolts $426.00
. :1"i~\-\,\UI~' dO\lledO'J IUleS al "-2-00'. Reconnect Only $ 57.00
IUles a .. ,nose op.\'!. 9" \:)'f
\olloW. cenle!. ~y'gn l1eluleS r-- ---- --- -- -- ------
Supervisor ~al\fi;~~bO~'~~q'F-~'rnils 01 t ,,\e\lno~l[;. Temporary Services or Feeders
In Ol'-? 9 13'1 oPw" '"\-\o\e'. :~" \\ilica\\on
Expiration Da\9090. '{ U \ '~p Ijl~~,!.). Installation, Alteration or Relocation
ell. lOBI 1 I \ne ,I:. ;.SOO.~'3.". 200 Amps or less
Constr. Contr. N1IlIl6\lr (',~I.J:q,Of C- 201 Amps to 400 Amps
L / 401 Amps to 600 Amps
Expiration Date \ I 2....0' I 0 Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising lectrfcian D'LII;;'nch_Gr;;;;;--
~. ri (J - I tJ /r'~- New Alteration or Extension Per Panel
~1'''''.v.~ One Circuit I
. ' . Each Additional Circuit or with I
Service or Feeder Permit $ 5.00
OWners Name ~~c.~Q.\""'''' l.ll>'\ AJ:>L
Addre~!, ~~I..\" /....Q~ '\)l AC.\,S.
$ 57.00
$ 79.00
$114.00
---- -~
$ 50.00
50~
5'"~
E. I Miscellaneous 'Service/feeder not iDcI~d-~(I~EaCh~il~~taliation !
---:'-NQ'i\~~ ----- ---~
Phone~.:\h-/.,d,'l.C\ . ~~~~ilr' i1 $57.00
. ~\. ~?\~~t~ . hting $ 57.00
OWNER INSTALLATION ~O~\ct. ~\\ ~~l>' x.'i\ ,\'\\\~~r !Residential $ 29.00
The in.slallation is being made On~~5\};~\l \~ p..'O~it~d Energy/Commercial $ 52.00
IS not mtended for sale, lease or re'jl.\)'\'\~x.~Cx.~n~~'i\\~imU~ Electric P!-,mit Ins~ectio!'.!!':.!.s~?2:~~urcharges
Owners Signature: <:,O\'J'\ COQ tip\'! 4. [SUBTOTAL OF ABOVE I <;>:00
~~'l '\ 12% Slate Surcharge -- t, ~
10% Administrative Fee C" ~
5% Technology Fee ;J. II
CityS\''it\~c..I'\ I!.l.f'\
Inspection Request: 726-3769
TOTAL . ~"1 U
Shared Drive(T:)lBuilding FonnsIElectri~al Permit Application 7~08.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-0 150S
COM200S-0 150S .
COM200S-0 150S
COM200S-0 150S
COM200S-0 150S
COM200S-0 150S
COM200S-0 150S
COM200S-0 150S
COM200S-0 150S
COM200S-0 150S
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
3200800000000000706
Date: 10/17/2008
Description
Fire SF Fee - Residential
Building Permit
Not Covered Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter. Extend Circ Ea Add
Plan Review Minor - Planning
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
UNIQUE BUILDING SYSTEMS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
2442
In Person
Payment Total:
Page 1 of 1
1:58:55PM
Amount Due
26.00
444.1S
52.00
21.00
50.00
5.00
119.00
33.51
66.14
57.72
$874.55
Amount Paid
$S74.55
$874.55
10/17/200S