HomeMy WebLinkAboutPermit Building 2009-4-1
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-37691nspection Line
SITE ADDRESS: 4860 A ST
ASSESSOR'S PARCEL NO.: 1702324101000
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00438
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/01/2009
10/10/2009
$ 155,000.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Lot 3, Meyer Estates Subdivision
Owner:
Address:
Residential
SPRINCFIELD/EUCENE HABITAT FOR HUMA
P.O. BOX 488
SPRINCFIELD OR 97477
Phone Number: 541-741-1707
Contractor
OWNER .
ALERT ELECTRIC INC
OWNER
. "'~S yoU to
SPECIALTY PLUMBINC CO ".0(10n laW 102..974~,~~ Illilitv 11/2112009
I 'BuiLDIN6INF0RMATioNfroe set lot~_
-- , "e'''~'''. hOAR 952-00,
Noti\\catlon 0010 t\1tO\)g" , les \:)':/
. 0 #io!iStof:fe~: ' copies 01 t\1e rlJ Lot Size:
111 ,....'. - .., nh\fl\11 \ "Ei-hOI1~
009d!'etg~~'of'~;~~~t~r~"ote: t\1e .~~i?J?r:atio Ftlst Floor:
call}:PsofiHeat:Otegol1 UtW~lITtear q Ft2nd Floor:
~uw.3terll'Y~'7,Y. '800-332'Eij,~i\li'c Sq Ft Basement:
", r" "t IS ,- .
Rango/fy co: Electnc Sq Ft Carage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Contractor Type
Ceneral
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
VB
Front yard Setback:
SIde I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
4.00
3.00
14.60
13.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm drains. to existing
1 CONTRACTOR INFORMATION I
License
Expiration Date
Phone
12772
05/2212009
541-747-2213
541-686-4191
2,954
612
828
3
I. DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
, % of Lot Coverage:
Total:
Handicapped:
Compact:
2
1 PUB~IC IMPROV~MENTS I E 'NORI<.
NOi\C~:. MIl S\-I{l,l.l. E~~tt"$~~ NOI
Yes 1\-1\S PER ED UNDER 1l@6Wn6~{Q)Wns:
fl,\.\II-\ORI2 OR \S fl,B{l,ND
COl'M,^EON~~~ PERIOD.
fl,N'< 18
To Storm Sewer
Pa~e 1 of 3
. _SF,1R1NG,~IItJ.Q,
I
,
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
In Review
PERMIT NO: COM2009-00438
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/01/2009
10/1012009
$ 155,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valu~tion Descrintion I
Estimate
Tvpe of Construction
Estimate,
$ Per SqFt
or multiplier
$1.00
Square Footage
or Bid Amount
155,000.00
Value
Date Calculated
Description
Total Value of Project
$155,000.00
$155,000.00
04/01/2009
F'pn P','irlJ
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Miscellaneous Plumbing
Amount Paid
Date Paid
$606.19
$6.96
$2.90
$58.00
4/1/09
4/10/09
4/10/09
4/10/09
Receipt Number
2200900000000000318
1200900000000000255
1200900000000000255
1200900000000000255
Total Amount Paid
$674.05
I Plan Reviews I
Initial Review
04/02/2009
04/02/2009
APP LLH
Planniue Review
04/0212009
04/03/2009
APP DDK
Street tree to he located in front
yard of lot. This meets c1usler
subdivision design standards,
coverage and setbacks.
Route storm to existing
Public Works Review
04/02/2009.
04/0312009
APP BJG
Structural Review
04/0212009
04/0812009
APP CJC
Stamped truss engine'ering to be
provided no less than three days
before installation of roof trusses
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.
~llir~1. 'p~n~rt5.r~
Underground Plumbing: Prior to filling the trench and including required testing.
Pa2e 2 01'3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
In Review
PERMIT NO: COM2009-00438
ISSUED:
APPLIED:
EXPIRES:
VALUE:
04/01/2009
10/10/2009
$ 155,000.00
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 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 ofany strncture withont permission of the Commnnity Services Division, Bnilding 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 readahle from the
streel, 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
timeSdUrin~~7/ 4-/(7 '0 q
Owner or clntra~tor~ure/ Date
Paec 3 of 3
22.5 Fifth.Street
Springfield, Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-00438
COM2009-00438
COM2009-00438
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Miscellaneous Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
HABITAT FOR HUMANITY
City of Springfield Official Receipt
Development Services Department
Public Works Department
]200900000000000255
Date: 04/] 0/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
706334 In Person
Payment Total:
Page I of I
10:21:1SAM
Amount Due
58,00
2.90
6.96
$67.86-
Amount Paid
$67.86
$67.86-
4/1 0/2009