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Home My WebLink AboutPermit Building 2009-1-12 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMITNO: COM2009-00017 ISSUED: 01112/2009 APPLIED: 01106/2009 EXPIRES: 07f1212009 VALUE: $ 56,085.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4563 ASTER ST ASSESSOR'S PARCEL NO.: 1702324303501 Sprin~tield TYPE OF WORK: Bedroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition Owner: KORBIN CONRAD Address: 4563 ASTER ST SPRINGFIELD OR 97478 . ' . Phone Number: 541-736.7433 I CONTRACTOR INFORMATION' Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occnpancy Group: Secondary Occupaucy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 14.00 Electric .;p;',' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 8,800 546 R-3 VA n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.50 23.50 35,00 0.00 I DEVELOPMENT INFORMATION I .. RE~VVMJ~cfARKING ON' Oregon law requlf 'I't Overlay Dist: ATTENT' . d b the '[otlljpn Uti I y 2 . ules adopte Y li'lI,l,Qr,th # Street Trees Rq~\JlloW r. t r Those ruJ:l.alfdiC :!'z-'dth Paved Drive RqdNotiticatlon ~~~~~throug\cumBa(h. -0 bY' % of Lot Covera~ OAR 952- ain copies at the rules 0090. You may (Note: the telephone ~.II\nO the center. . _ """',, N'ltilicatlon . , torUltl Vl....~...... ) I PUBLIC IMPROVEMEl\I1I8rercenter is 1.800-332:2344 . Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instruction: '; Notes: Storm water to tie into existing system or ~l!a1lf{n ~~~ is available &'J""r.f:. -'J~' \. 'i:.'f.,'? _ I'c?\IJ\\''i \ ,.. 1\ ?,~\I\ J. _ \-',.. ___~..r. . \\-IIS\-I'?Otol1.'CD \.\~~~~aiuS1W6~\I5~s~riotion I [:\\.\\ " 'CD Or. ,I, , T f'eI\\IJ\\IJ\'C~~",/ ,?'C'&\P.P.-'sq Ft Square Footage vpe 0 ",~~t~~1 or multiplier or Bid Amount Downspouts/Drains: Description Value Date Calculated .,' ,. .~',~' Paee I .of 3 Status' Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-000I7 ISSUED: 01/12/2009 APPLIED: 01/0612009 EXPIRES: 07/12/2009 VALUE: $ 56,085.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SF /Duplex R-3 VA 1&2 Familv $102.72 546.00 $56,085.12 $56,085.12 . 01/06/2009 Total Value of Project ~ Fp~< twU . Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $324.57 1/6/09 1200900000000000002 + 12% State Surcharge $87.28 1/12/09 1200900000000000013 + 5% Tecbnology Fee $42,32 1/12/09 1200900000000000013 1st Appliance $79,00 1/12/09 ' 1200900000000000013 Add, Alter, Extend Circ $55,00 1/12/09 1200900000000000013. Add, Alter, Extend Circ Ea Add $18,00 1/ 12/09 1200900000000000013 Building Permit $499,34 1/12/09 1200900000000000013 Fire SF Fee - Residential $27,30 1/12/09 1200900000000000013 Fixtu re $57.00 . 1/12/09 1200900000000000013 Minimum/Adjustment Plumbing $1.00 1/ 12/09 1200900000000000013 Plan Review Minor - Planning $119.00 1/12/09 1200900000000000013 Sanitary Sewer - Improvement $147.26 1/12/09 1200900000000000013 Sanitary Sewer - Reimbursement $193.66 1/12/09 1200900000000000013 SDC Sanitary/Storm Admin $28,66 . 1/12/09 1200900000000000013 Storm Drainage Impervious Area $232,24 1/12/09 1200900000000000013 Vent Fan $18,00 1/12/09 1200900000000000013 Total Amount Paid $1,929,63 Initial Review Structural Review 01/07/2009 01/07/2009 I Plan Reviews I 01/07/2009 APP NJM 01/07/2009 APP CJC 01/09/2009 APP LKW Storm water to tie into existing system or Rain garden option is available 01/12/2009 APP DDK Public Works Review 01/07/2009 Plannine: Review 01/07/2009 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. R'pllllirp,rllnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insulation or decking, Pa!!e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00017 ISSUED: 01/12/2009 APPLIED: 01/0612009 EXPIRES: 07/12/2009. VALUE: $ 56,085.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with tinish materials. Framiug Inspection: Prior to cover and after all rough in inspections have been approved, Wall Insnlation: Prior to cover, Ceiling Insnlation: Prior to cover, Final Bnilding: After all reqnired inspections have been reqnested and approved and the building is complete. Underl100r Plumbing:' Prior to insulation or decking. Underl100r Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete. Rough 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, By signature, I state and agree, that I have carefnlly 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 in~pections are reqnested at tbe 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. '~~~~Q \)\'2-[0\ Owner or Contractors Signature Date Paee 3 00 ,CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2009-000 17 NAME OR COMPANY: Korhln & George!te Conrad LOCATION: 4563 Aster TAX LOT NUMBER: 1702324303501 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF' 546 LOT SIZE (SF): I. STORM DRAINAGE --= DIRECT RUNOFFTO'ClTY STORM SYSTEM I IMPERVIOUS S.F. x I COST PERS.F. CHARGE I 651.00 I $0.357 I = I $232.24 RUNOFF ROUTED TO DRYWELL, DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I $0.357 I I 50% I ~ I ITEM I TOTAL ,.STORM DRAINAGE SDC $232.24 2. SANITARY SEWER - CITY '" ~ o o u ~ 8712 ~ ,~ '" ~ " ~ DISCOUNT $0.00 I $232.24 11070 /1 I A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I - 7 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 7 I COST PER DFU I' $27.67 I ' $193.66 11091 COST PER DFU $21.04 $147.26 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC . ~ I $340.91 ;J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRlP x INEW TRIP F ACTORI I 9.57 I 0 I I 21.06 I 1.00 I $0.00 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x INUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI , 9.57 I I 0 I I $92.89 I 1.00 I ~ I $0.00 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC ~ , $0.00 I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: rNUMBER OF FEU's I x ICOST PER FEU '1 I 0 I $97.90 = $0.00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I '0 I I $1,009.1 7 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 11056 ITEM 4 TOTAL, MWMC SANITARY SEWER SDC ~ , $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, &'4) ~ , $573.15 ~I 5 ADMINISTRATIVE FEE, _. -I I SUBTOTAL x ADM. FEE RATE I~ CHARGE I $573. I 5 5% I $28.66 TOTAL SANITARY ADMINISTRATION FEE: 28.66 ]079 TOTAL TRANSPORTATION ADMINISTRATION FEE: '$0.00 J 1078 . Kaye Wilson 1/9/2009 TOTAL SDC CHARGES =1 $601.81 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULA nON.,! ABLE NUMBER OF NEW FIXTURES x UNIT. EQUIV ~ENT = DRAINAGE FIXTURE UNITS (NOlE: FOR REMODELS, CALCULATE aNt Y THE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT, FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 . I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS fOR SAND / AUTO WASH / ETC. 0 '0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/ MOP SINK 0 0 . 3 = 0 ICLOTIfESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBlLE HOME PARK TRAP (I PER TRAILER) 0 0 12 0 I RECEPTOR FOR REFRlG / WATER STATION I ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = O. I SHOWER, GANG (NUMBER OF HEADS) , 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 1 0 '3 = 3 MISCELLANEOUS DfU TYPE NUMBER Of EDU'S 20' = 0 TOTAL DRAINAGE FIXTURE UNITS 7 .EDU (Equivalent DweIJing Unit) is a dischar~e~i.yalent_ to a .~ingle family ~wel1in~ unit (20 DFU's) set at 167 gallons per day -- ' ,. . . . l . MWMC CREDIT CALCULATION TABLE: BASEDiON COUNTY ASSESSED VALUE , r---YEAR I . ANNEXED I I ,; BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 ]993 1994, 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO l ASSESSED VALUE 5 I ! :: I I I I I I I I I I I I I IS LAND ELGIBliE FOR ANNEXATION CREDIT? f (Enter I fnr Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT' I (Ent>;r 1 for Yes, 2 for No) BASE YEAR 1979 CREDIT fOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x , $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ , TOTAL MWMC CREDIT $0.00 = I ,I I I I I I I '1 ~ 2 2 I I I I o 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone. Job/Journal Number COM2009-00017 COM2009-000 17 COM2009-000 17 COM2009-000 17 COM2009-000 17 COM2009-000 17 COM2009-000 17 COM2009-000 17 . COM2009-000 17 COM2009-000 17 COM2009-00017 COM2009-00017 COM2009-000 17 COM2009-00017 C0M2009-000 17' Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Wor~I>.~partment 1200900000000000013 Date: 01/12/2009 Description Fire SF Fee - Residential Building Permit Fixture Minimum/Adjustment Plumbing 1st Appliance Vent Fan Add, Alter, Exiend Circ Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning + 5% Technology Fee + 12% State Surcharge Paid By KORBlN CONRAD Item Total: Check Number Authorization Received By Batch Number Number How Received kr 471991 In Person Payment Total: Page I of I 3:08:25PM Amount Due 27.30 499,34 57,00 1.00 79.00 18.00 55.00 18.00 232.24 193.66 147.26 28.66 .119.00 42.32 87.28 $1,605,06 Amount Paid $1,605,06 $1,605,06 1/]2/2009 Status Iss n ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00017 ' ISSUED: 01/12/2009 APPLIED: 01/06/2009 EXPIRES: 07/12/2009 VALUE: $ 56;085:00 225 Fifth Street, Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax . 541-726-3769 Inspection Line SITE ADDRESS: 4563 ASTER ST ASSESSOR'S P ARCELNO.: : 1702324303501 Spriuglield TYPE OF WORK: Bedroom TYPE OF USE: Addition PROJECT DESCRIPTION: Bedroom, Bath, and Eutertainment Room Addition . Residential Owner: Address: KORBIN CONRAD 4563 ASTER ST SPRINGF]ELDOR 97478 Phone Number: 541-736-7433 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER DOUG PALMER ELECTRIC LLC .p KEVIN COHEN PLUMBING INC KEVIN COHEN PLUMBING INC NOTICE: THIS P1=Rnnl'l" no" . fJ,llTl-lnDf7"'''; ,,":' .,4LL t)(I-'IRE IF TH I CONTRACT0RINFORMIA'f.lOlNltilS PER" E WORK . , ,! _ ,__ -"c;!..j tJli /0 AB' t\'fIT IS NOT ...., .', '-', "v I .. ANLWMr.n ,...~D. , . "' ,->i':, It;lcense EXplI'atlOu Date . ......--'. Phone 181465 176311 17631i 04/14/2010 05/30/2009 05/30/2009 541-434-5600 (541) 607-9208 (541) 607-9208 BUILDING INFORMA nON I . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Coustruction Typ'e: # of Bedrooms: 3 # of Stories: 1 f!figl,t~~'J!C!ure;! J81U8Q 14.00 U0I1BO!j1i)iP!,o,"':1~at:)B8JO 841 JOjEJJeclncU aU04d~a!er,-!TYP~:N) 'J8jU80 84j BU!IIBO Aq salnJRa.~ge l'yp'e::J U!BlqO IiBW no", '0600 _ ~OO-GSf.E!!~rgy!P.ath':'~l 0 ~OO- ~OO-C;S6 !:NO U! 41JOj 10SSpfirilded 'BiiililinipIU8Q UOIWiil!l!lON I."".-. "r.r~'.:'Il" !.111l 1~,~1 n~lrl()DB samJ MOllOt I Iiii.:Y.EL0PMENT'INFORMJ\T-ION;'rllV Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 8,800 546 R_3. VA REQUIRED PARKING Front yard Setback: Side 1 Setback:' Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.50 23.50 35.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Yes 16.25 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Storm water to tie into existing system or Rain garden option is a,:ailable Paee ] of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00017 ISSUED: 01/12/2009 APPLIED: 01/06/2009 EXPIRES: 07/12/2009 VALUE: $ 56,085.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuati,~n Description I SFmuplex R-3 VA 1&2 Familv $ Per Sq Ft or multiplier $102.72 Square Footage or Bid Amount 546.00 Value Date Calculated Description Type of Construction Total Value of Project $56,085.12 $56,085.12 01/06/2009 l..F,,~. P~iI1. Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $324.57 1/6/09 ]200900000000000002 + 12% State Surcharge $87.28 1/12/09 1200900000000000013 + 5% Technology Fee $42.32 1/12/09 1200900000000000013 1st Appliance $79.00 1/12/09 1200900000000000013 Add, Alter; Extend Circ $55.00 1/12/09 1200900000000000013 Add, Alter, Extend Orc Ea Add $18.00 1/12/09 1200900000000000013 Building Permit $499.34 1/12/09 1200900000000000013 Fire SF Fee - Residential $27.30 1/12/09 1200900000000000013 Fixture $57.00 1/12/09 1200900000000000013 Minimum/Adjustment Plumbing $1.00 1/12/09 1200900000000000013 Plan Review Miuor - Plauning $119.00 1/12/09 1200900000000000013 Sanitary Sewer - Improvement $147.26 -1/] 2/09 1200900000000000013 Sanitary Sewer - Reimbursement $193.66 ']/12/09 1200900000000000013 SDC SanitarylStorm Admin $28.66 . 1/12/09 ]200900000000000013 Storm Drainage Impervious Area $232.24 1/12/09 1200900000000000013 Veut Fau $18.00 1/12/09 1200900000000000013 + 12% State Surcharge $3.12 1/20/09 1200900000000000023 + 50/0 Technology Fee $1.30 1/20/09 lZ0090000~0000000Z3 Fixture $19.00 1/20/09 1200900000000000023 Gas Outlets 1-4 $7.00 1/20/09 1200900000000000023 Total Amouut Paid $1,960.05 Initial Review Structural Review I Plan Reyiews , 01/07/2009 01/0712009 APP NJM 01/07/2009 01/0712009 APP CJC 01/07/2009 01/09/2009 APP LKW Storm water to tie into existing system or Rain garden option is available 01/07/2009 01/1212009 APP DDK Public Works Review Plannine Review ' Paee 2 01'3 Status Issued . 225 Fifth Street, Spriugfie]d, OR 541-726-3753 Phone 541-726-3676 Fax 541-726_3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00017 ISSUED: 01/12/2009 APPLIED: 01/06/2009 EXPIRES: 07/12/2009 VALUE: .$ 56,085.00 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. Reonired I nsnections 1 Footing: After trenches are excavated. Foundation: After forms are erected but prior to coucrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspectiou: Prior to cover and after.all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Iusulation: Prior to cover. .Fiual Buildiug: After all required iuspectious have beeu requested and approved aud the building is complete. Uuderfloor Plumbing: Prior to insulation or deckiug. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbiug work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechauical work is complete.' Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Ordinauces of the City of Spriugfield and the Laws of the State of Oregou pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildiug Safety. I further certify that only contractors and employees who are iu compliance with ORS 701.005 will be used on this project. I further agree to eusure that all required inspections are requested at the proper time, that each address is readable from the street, ihat the permit card is located at the front of the property, aud the approved set of plaus will remain on the site at all times during construction. Owner or Contractors Signature Page 3 of 3 Date 2Z5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-000 17 COM2009-000l7 COM2009-000 17 COM2009-000 17 Payments: Type of Payment Cash Change Job/Journal Number COM2009-000 17 COM2009-000 17 COM2009-000 17 COM2009-000 17 Payments: Type of Payment Cash Change cReceintl RECEIPT #: , Description Fixture Gas Outlets 1-4 + 5'% Technology Fee + 12% State Surcharge Paid By KORBlN CONRAD Description Fixture Gas Outlets 1-4 + 5% Technology Fee + 12% State Surcharge Paid By KORBlN CONRAD City of Springfield O(ficial Receipt Development SerVices Department Public Works Department 1200900000000000023 Date: 01/2012009 Item Total: Checl{ Number Authorization Received By Batch Number Number How Received cjc In Person In Person Payment Total: Item Total: Check Number Authorization Received By Batch Number Number How Received cjc' In Person In Person Payment Total: Page 1 of 1 1l:55:32AM Amount Due 19.00 7_00 1.30 3.12 $30.42 Amount Paid $40.00 ($9.58) $30.42 Amount Due 19,00 7.00 1.30 3,12 $30.42 Amount Paid $40.00 ($9.58) $30.42 1/20/2009 Status Issued . CITY VI' ~PRINGFIELD' , Building/Combination Permit PERMIT NO: COM2009-00017 ISSUED: 01/12/2009 APPLIED: 01/06/2009 EXPIRES: ,07/31/2009 VALUE: $ 56,085.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4563 ASTER ST ASSESSOR'S PARCEL NO.: 1702324303501 Springfield TYPE OF WORK: Bedroom TYPE OF USE: Addition PROJECT DESCRIPTION: Bedroom, Bath, and Entertainment Room Addition Residential Owner: KORBIN CONRAD Address: 4563 ASTER ST SPRINGFIELD OR 97478 Phone Number: 541-736-'(433 ,I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone General OWNER Electrical DOUG PALMER ELECTRIC LLC 181465 04/14/2010 541-434-5600 Mechanical KEVIN COHEN PLUMBING INC 176311 05/30/2009 (541) 607-9208 Plumbing KEVIN COHEN PLUMBING INC 176311 05/30/2009 (541) 60,7.9208 BUILDING INFORMATION I # or'Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 14.00 Electric Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 'Sq Ft Other: Occupant Load: 8,800 546' R~3 VA n/a I DEVELOPMENT INFORMATION I ' , , ATTENTION: o~~&ffit!~,F~~~l1to Frontyard Setback: Overlay Dist: follow rules adorlmi'IPY the Oregon Ut~ity Side I Setback: 17.50 # Street Trees Rqd: Notification cent1i;'JJi'j~~fM~S are set forth Side 2 Setback: 23.50 Paved Drive Rqd: in OA~~52'001'CCJJli.rWdLg OAR 952-001- Rearyard Set~lil:'F!CE' 35.00 % of Lot Coverage: 00eq6.2Su may obtai copies 01 the rules by S I S tb Nt'" . calling the center. (Note: the telephone oar e a'rr-lIS PERMIT SHALL ~*fJIRE'IF THE WORK number lor the Oregon Utility Notification AU I HUKILtU UNUtK I HIt; p1r ~'G'Bim IM~ROVEMENTS I vemer IS l,tlUU''''''''''''''''j. COMMENCED OR IS ABAND Il't;"t'M. Street Impr~lfJIep6U DAY PERIOD. ' ,Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special Instruction: Notes: Storm water to tie into existing system ~;n option is available ~~~ ~ Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction SF/Duplex R-3 V A 1&2 Family Fee Description Plan, Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance ' Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Plumbing Plan Review Minor - Plann.ing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + 12% State Surcharge + 5% Technology Fee Fixture Gas Outlets 1-4 + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Traffic Signal - Panel Total Amount Paid Initial Review Structural Review 01/07/2009 01/07/2009 , Public Works Review' 01/07/2009 , I Valuation DescriDtion , $ Per Sq Ft or multiplier $102.72 Square Footage or Bid Amount 546.00 Total Value of Project Fees Paid I . iT I Amount Paid Date Paid $324.57 $87.28 $42.32 $79.00 $55.00 $18.00 $499.34 $27.30 $57.00 $1.00 $119.00 $147.26 $193.66 $28.66 , $232.24 $18.00 $3.12 $1.30 $19.00 $7.00 $22.32 $9.30 $42.00 $81.00 $63.00 l/6/09 1/12/09 l/12/O9 l/12/O9 l/12/09 l/12/09 l/12/09 l/12/O9 1/12/09 1/12/09 1/12/09 1/12/09 l/12/09 1/12/09 1/12/09 l/12/09 1/20/09 1/20/09 1/20/09 l/20/09 2/4/09 2/4/09 2/4/09 2/4/09 2/4/09 $2,177.67 I Plan Reviews I 01/07/2009 01/07/2009 APP NJM APP CJC 0l/09/2009 APP LKW Paee 2 of3 CITY OF SPRINGFIELD Building/Combination Permit I'ERMIT NO: COM2009-00017 ISSUED: 01/12/2009 APPLIED: 01/06/2009 EXPIRES: 07/31/2009 VALUE: $ 56,085.00 Value Date Calculated $56,085.12 $56,085.12 0I/0612009 Receipt Number 1200900000000000002 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 12009000000000000131 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000013 1200900000000000023 1200900000000000023 1200900000000000023 1200900000000000023 2200900000000000130 2200900000000000130 2200900000000000130 2200900000000000130 2200900000000000130 Storm water to tie into existing system or Rain garden option is availahle CITY OF ~rKll.jGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2009-00017 ISSUED: 01/12/2009 APPLIED: 01/06/2009 EXPIRES: 07/31/2009 VALUE: $ 56,085.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planning Review 01/07/2009 01/12/2009 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. Reollired Tnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior ,to concrete placement. Post and Beam: Prior to tloor insulation or decking. 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 inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumhing work is complete. Rough 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. 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, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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. Owner or Contractors Signature Date Paee 3 of3 City of Springfield Electrical Authorization' To Begin Work , E_mailed To: JULlE-DPE@COMCAST.NET Receipt # EC546254 2/4120098:12:30 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I [X] 1 or 2 family dwelliilg D Multi~family o Commercial/Industrial 11,000 sq, ft. or less l4] I Ea. add! 500 sq. ft, or portion I 0 New construction [i] AdditionJalterini?nlreplacement I Job no.: . I Job address: 4563 ASTER ST !City/StateIZIP: SPRINGFIELD, OR 97478-7527 I Suitelbldg.!apt.no.: I Project name: Cross strcet/directi?DS to job site: I Subdivision: map/parcel no.: 1702324303501 I Lot no.: I-Limited energy, residential (with above SQ. ft,) I-Limited energy, ITlUltifllinily residential (with above Sq. fl.) I-Limited energy, commercia-] not oITered online at this jurisdiction (with above SQ..ft.) 1_ -Stand-alone limited energy, residential 1 - Stand-alone limited.energy, multi-family 1 - Stand-alone limited energy, commercial install 200 amp serVice energy(7).branch circuits 1200 amps or less [2] 120] limps to "400 amps [2] 140] amps to 599 amps [2] $81.00 $81001 I I I 200 amps or less [2] 1"20] amps to 400 amps [2] 1401 amps to 599 amps [2] I Name: ju]ie ford IPhone: IEmail: I Fa" Upon review and approval by your local jurisdiction, your permit will be e-mailed or faXed within one business day, with instructions.on how to schedule your inspection. Fee for branch circuits with 7) $60001 $42.00 service or feeder fee, each ' branch cirAlITENTION' ()rl= nnn I~ ~nlliroc , 1"11, to I I B""h'ee 1'ltl1[m~<~' ~ll~ado~ ted by th) Oregor Utility I WI oult.~n'l<1~ or edter e, ,,' Ii", bnj,l\'Il~l!lO;l n entel. Those r Jles are fet forth I I each aJlliln\&l,iclitw\-OOl-0qlO throu(rh OAR 9, i2-001- I I 1'Mll'l1fiMlitlilli's'1!llIU"IllllaJ:~Q!IlJ<llrll!#OOlill;!mXlmllr"le~\lj;!.l1 ~7::__-'-"'';'lI.f~~~4;;;JS'tffi1;'F.~E:\.,~iz,'''';i~?jjffi;f I I-Service recon~ 'Ci\fnt ,- tel jl~. ~ \iDlt::. r It:: lel~!J )Yrle 1 : I ~~~~I~:h:~~:~;ea~f~fJ~c;~i~~~iir:~3~4(; 'U;;'(" I I I Pump or irrigation circle [2] I I I Sign or outline lighting [2] I I Signa] circuit(s) or limited- II energy pane], alteration, or extension (2) . lilt;>''i>-i\l",~,~~jEI!EcfRlcA;1i~ERMif;F,EEs:'';,iY'1"''.'''!iF V'''*I ~'"';. 1Xi''!;:>~",1!;i',,=~ ";.;~";.",~.",c",;~.,,"~.j.''''''''',,^.,~~;'''..n.;_',..~,..., .' J:",N~};;;i~.,~ I Subtotal I $186,00 I , State Surcharge (12% ofpermitfee) $22.32 I I City Of Springfield fees "'I $9.30 I I TOTAL PERMIT FEE 1 $217,621 '" City Of Springfield fees: 5% Technology Fee ~~/~"I1 OJinSP'K[W'dJ L \;419fl $63.00 $63,00 IEtlic.no.: C?6tUIC' ~ . ICCBlic.no.: ]81465 I Business Name:"pp.~1TiJ~t~BMf\Mtk6PIRE IF THE WORK I Contact: JULl$-F~~ 1~' ,~~l.J ~fWtH I HII:) PERMIT IS Nor IAddress: 1368A~~~ N'~:JH I~ AtlANDONED FOR ICity/SlatelZlP: ElIGEN ~tJ)ortHIUU. , IPhone: (541)4345600 IFax: (541)7621056 i Email: JULlE-DPE@COMCAST.NET I Metro lie. no.: \ City lie. no.: I Supervising electrician's lie. no.: 2742S I Supervising eiectrician's name: DOUGLAS G PALMER NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and voiet if it does not meet applicable land use laws and local ordinances. ~1Jj)q /' \30 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. City of Springfield Official Receipt' Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 PhOne Job/Journal Number COM2009-000 17 COM2009.000 17 COM2009.000 17 COM2009-000 17 COM2009-000 17 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200900000000000130 Date: 02/04/2009 9:03:09AM Description . Perm Serv/Fdr200 amps or,less Add, Alter, Extend Circ Ea Add Traffic Signal. Panel + 5% Technology Fee ' + 12% State Surcharge Amount Due 81.00 42,00 63,00 9.30 ,22,32 $217.62 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid kr ONLINE doug palmer Online Payment Total: $217.62 $217.62 Page I of I 2/4/2009