HomeMy WebLinkAboutPermit Building 2009-1-22
LIlY ut<M'KINGFIELD .
Building/Combinati~n Permit
Status
Iss u ed
PERMIT NO: COM2009-00037
ISSUED: 01/22/2009
APPLIED: 01/09/2009
EXPIRES: 07/2212009
VALUE: $ 22,000.00
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726'-3676 Fax '
541-726-3769 Inspection Line
SITE ADDRESS: 628 64TH ST
ASSESSOR'S PARCEL NO.: 1702341300514
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Garage conversion
Owner: VALERIE SMITH
Address: 628 N 64TH ST
SPRINGFIELD OR 97478
Phone Number: 541-747-3168
I CONTRACTOR INFORMATI?N ,
Contractor Type
General
Contractor
A & J BUlLERS & MAINTENANCE INC
License
'106477
Expiration Date
05/1912010
Phone
541-791-4354
. BUILDING INFORMATION'
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Wall Heat
Electric
Electric
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
456
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:.
Paved Drivc Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
ATTENTION' Ore .
",nT,,,.... fnlll"'l", _... . Qon IPIIIV 1'f"\;1"~
, THIS PEfiMIT SHALL EX~~..I~ IMPROVEMENTS liNotifjCati~';c;~~,le~~y the 6~eg~;U~iI:~y
^ "THOR ' ..,~" 0 "" n OAR 952,{Jr:L1 0" se rules are s t f
Street Improvemeuts< IZED UNDER THIS PERMIT IS NOT 009o'?i%wall(~I'Yl'e:10 through OAR e orth
rnW~ENCED OR " u may obtain c' 952,001_
Storm Sewer Availafile': IS ABANDONED FOR ca/E/OwlisPQJltsffiraUls,oPJes of the rules by
Special Instructio~\'JY 1 B(lNVrYe~Iii~lGaslno new surfaces nUmber for th~ 'Or~glo"otue, the telephone
en tllity N t'f'
enter is 1-800'33, 0 I Ication
Notes: ' 22344),
I Valuation Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page lof3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00037
ISSUED: 0112212009
APPLIED: 01/09/2009
EXPIRES: 07/22/2009
VALUE: $ 22,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estima te
Estimate
$1.00
22,000.00
$22,000.00
$22,000.00
01/09/2009
Total Value of Project
Fpp~~ P'ilWJ
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Amount Paid
Date Paid
Receipt Number
$164.45
$30.36
$12.65
$253.00
1/9/09
1/22/09
1/22109
1/22/09
2200900000000000033
, 2200900000000000086
2200900000000000086
2200900000000000086
Total AmounlPaid
$460.46
I Plan Reviews I
Initial Review 01/0912009 01/09/2009 APP . NJM
Plannioe: Review 01/0912009 01/13/2009 APP DDK No Planning Issues.
Public Works Review 01/09/2009 01/1312009 APP LKW No new fixtures/no new surfaces
Structural Review 01/09/2009 01/21/2009 APP CJC 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 he made the same worki"g day, inspections requestedafter 7:00 a.m. will he made the following
work day. '
Rpflllirprl Insnections I
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa!!e 2 of3
CITY OF ~rKlj~uJ'1J'.LJJ'
Status
Issued
",
Building/Combination Permit
PERMIT NO: COM2009-00037
ISSUED: 01/2212009
APPLIED: 01/0912009 '
EXPIRES: 07/2212009
VALUE: $ 22,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true aud 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 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
t~~->S,d/g construction. . /.--7
, "/ ,..~ :{.J-_/1''''''' ~ 0" /)f~7.'2--CJy
(Owner ~ntractors ~atUl~ Date
Pa2e 3 of 3
I$~~
I
I
I
I
I
I $ I
$ /bY q
I
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I
I
IDEPARTMEN~:U~EONLY ,
COoN' 'E.OO'-
Permi~DC 3 -,
Date: 1- 'i"~OO Cf
This pi""..it is issued under OAR 918-460-0030. Permits expire, if work i~ not started within 180 days of issuanee or if work is
snspended for 180 days.
Structural Permit Application
CITY 01' SPRINGFIELD. ORI'(;ON
~~
225 Fifth Street. Springfield, OR 97477. PH(541)726--J753'+ FAX(541)726--3689
I _ LOCAL GOVERNMENT APPROVAL
I This proiect has final land-use approval.
, 1 " , FEE SCHEDULE
Signature: .' Date:
I This project has DEQ approval. l.t'o.Valuation.information
Signature: Date: I (a) Job description: ~E ~NV .
I Zoning approval verified: DYes D'No I Occupancy 12- ~
I Property is within flood plain: 0 Yes. 0 No , Construction type: V.&.
k:il,': .:". ".. CATEGORY OF';CONSTRUCTI(jN I Squarefee!: l./ 'S'b
I 0 Residential I D Government I 0 Commercial I
Cost per square foot:
, :[;~:\Si: ad~~::~;FCZM~T:~ND LOCATION II Other informati:' .~ /.' . II
I ' r I I Type or Heat: l:"(r:,-,~
City; ~ I\; .~... +Jr.,,,, State;OL ,ZIP: I I
, I Eoergy Patb:
I Subdiv~ob; V ' Lot no::
I Reference: I Taxlo!: I D new ...J;3"1ilieration
I (b) Foundation-only permit?
",'" , .PR()fiERTY qWNER
I Name: ~,;, .5_. /'J:' I Totalvaluation:
I Address: h) {;> AJ ~ I/.lir' , 12: Building fees '
I .$.;:;; I I ZIP: , (a) Permit fee (uSe valuation table):
City: _~ ~."" . ~ 1"'- Stat"'it. I (b) Investigativefee (equal to [2aD:
I Phone: -74':1- "JI b 8 Fax: -
I I (c) Reinspection'($ per hour);
E-~-ai-I; (nuptber of hours x fee per hour)
This installation is being made on residential or'farm,property owned by I (d) Enter 12% surcharge (.12 x [2a+2b+2c]):
me or a membe~OfmY . diate family, and is exem from licensing
requirements un ~~,OIO. ~- I (e) Subtotal of fees above (2a through 2d):
Sign here: ~~./ A I 3. Plan review fees'
Ii", ,;,-, ebNTRACTOR INSTAlLUilfN' " I I (a) Plan review (65% x permit fee [2aD:
I B ' ,A ,'T".~ r /' _ H i. ~I (b) Fire and life safety (40% x permit fee [2aD:
usmessname. nrfAr...J VL:".II'!f...L/~ ~'t:.~~ I
I Address;/{fCS' q/li AJo:. 'sIt' ;;fA ,...., r- (C~S~btotaloffeesabo:e(3aand3b):
Ic'ty, A J1' I s ~ I' ""J/zj I~: MIscellaneous fees ..
I . /'IIA-,-..I.~ tate:~/"f ZTP: /r ' . .
, r-lrU Phon~VI' t;~~'7e' I FwS'II-79! .5~.3 z. II (a) Seismicfee, 1% (.Olxpermit fee [2aj); 1$
( IE-mad,' _~J@A-o/, CDMI I I TOTALfeesaodsurcbarges(2e+3c+4a):I$
~lll>o 1t)~i9.;1.~ I ATTENTION: oregon law requIres you to
p ,- - ---:;r,.. == I follow rules adopted by the Oregon Utility
r"M~'PER~==~~ ~ L Notification Center. Those rules are set forth
S'iAWH 0 BIZ _ = T In OAR 9~2-001-001 0 through OAR 952-001-
r:-'COMrv'~ - ~ f:!:.E:. 0090.. You may obtain copies of the rules by
1fH!1N j calling the center. (Note: the telephone
I ANlIia~U UA1 Hl:iHilJAll..se Number Pbone Number. J number.for the Oregon Utility Notification
I Electrical 1),,, . \P Po. i Center is 1-800-332-2344).
I Plumbing ~,lL I
I Mechanical I
. D addition
DYes
DNo
I $
I $
1$
1$
$
$
-\
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone .
Job/Journal Number
COM2009-00037
COM2009-00037
COM2009-00037
Payments:
Type of Payment
Check
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
~CEIPT #:' 2200900000000000086
Description
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
A & J BUILDERS &
MAINTENANCE
Date: 01/22/2009
2:38:17PM
Item Total:
Check Number Authorization
Received By Batch Number Number How J{eceived
Amount Due
253.00
12,65
30,36
$296.111
Amount Paid
kr
$296,01
4993
In Person
Payment Total:
$296.01
Page I of I
1/22/2009