HomeMy WebLinkAboutPermit Building 2009-4-17
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Extended
PERMIT NO: COM2007-00527
ISSUED: 10/09/2007
APPLIED: 04/10/2007
EXPIRES: 10/17/2009
VALVE: $ 19,440.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2745 E ST
ASSESSOR'S PARCEL NO.: 1703361402400
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
PROJECT DESCRIPTION: Garage addition to existing single family residence
Residential
Owner: JACOB GULLEDGE
Address: 2745 E ST
SPRINGFIELD OR 97477
Phone Nnmber: 541,606,6596
I CONTRACTOR INFORMATION ,.
Contractor Type
General
Electrical
Plnmbing
Contractor.
OWNER
OWNER
OWNER
License
Expiration Date Phone
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Oil \0
.' '8o,lli\e~~~ 1.\\\\\\1",
:(' "". . ",~'-J -:1 ".....
I BUlIlDING,INF0RMA\'HON..O\'
\t.~\\" $.OO\"-~i\OS'" - n Op.<> - IlIBS '0'1
r>-\o'l'l tll\e\l!;Ot''stori.~.:J1lges 0\ \i\e ~i\O{le 1
!if3 \i\\(,\J.\iO~,olJefglll,gJ\srrlJh'l:l\Cl \8\~\\\(,\J.\\~00
\lJ 01>0"" 9~1l ~~~(~~A~0\i\\\i ~~).
Vto90..'{ . \i\~~er(j;)'m'l ,':,':,~-~':,
(,$.\\\\\9 \~an~e Tx~<;l()
.-<\'oe\ ." \5
{Ill'" C&tler y Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
776
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
0.00
Overlay Dist: Total:
# Street Trees Rqd: ~ndicapped:
Paved Drive Rqd: \\t. 'tl~~t'f'pact:
.% of Lot Coverage: \1(..'i:. \t"\ II \S ~
. \. 'i:.'j..'? '?'i:.1(..\'l'i 01(..
-", .....'f.1f:.: ~ ':.~~\.: -:u\S. '.1..n t
I PUBLIC 1M.Y.~~N~SIil\.~ (l-.'O(l-.~\)V
" \\\JIW /'u"-~"
(l-.\ll x-"",Ct.\) t.\l.\(jldewalk Type:
CO\'l'i\'l'i <o(J \)(l-.'l ?
(l-.""''l '\
Downspouts/Drains:
Setback 5'
Cnrb and Gutter
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Notes: Storm drainage to curb & gutter, Per owner 4/16 via phone-,only adding 15Xl8 driveway nnder this permit. RV
pad @ later time. SDC fees per cnrrent site plan, JLP APP 4/16/07
Pa!!e 1 of 4
Status
Extended
225 Fifth Street, Springfield, OR
541,726,3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
Description
Type of Construction
Carport
. Garaee
Carport
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fire SF Fee, Residential
Garage/Carport
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
+ 5% Technology Fee
Curbcut Permit
+ 12% State Snrcharge
+ 5% Tecbnology Fee
Perm Serv/Fdr,200 amps or less
Service Reconnect
Total Amount Paid
Initial Review
Public Works Review
04/11/2007
04/11/2007
Pnblic Works Review
04/16/2007
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$20.00
$27.00
Sqnare Footage
or Bid Amount
216.00
560.00
Total Value of Project
F~,\. P~W
Amount Paid
$85.02
$26.92
$17.12
$18.43
$38.80
$185.40
$112.00
$35.10
$2.12
$16.31
$42.29
$326.22
$45.00
$4.25
$85.00
$17,28
$7.20
$81.00
$63.00
$1,208.46
Date Paid
4/10/07
6/25/07
6/25/07
6/25/07
6/25/07
6/25/07
. 6/25/07
6/25/07
6/25/07
6/25/07
6/25/07
6/25/07
6/25/07
10/9/07
10/9/07
4/17/09
4/17/09
4/17/09
4/17/09
I Plan Reviews ,I
04/11/2007
04/11/2007
04/16/2007
APP . NJM
WI JLP
APP JLP
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00527
ISSUED: 10/09/2007
APPLIED: 04/10/2007
EXPIRES: 10/17/2009
VALUE: $ 19,440,00
Value
Date Calculated
$4,320.00
$15,120.00
$19,440.00
06/25/2007'
06/25/2007
Receipt Number
1200700000000000388
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
2200700000000001022
1200700000000001286
1200700000000001286
1200900000000000272
1200900000000000272 .
1200900000000000272
1200900000000000272
Rcvd 4/11/2007---Waiting in order
PW rcvd for rvw.JLP WI 4/12/07
Storm drainage to curb & guller,
Per owner 4/16 via phone--only
adding 15XI8 driveway under this
permit.Not widening approach, RV
pad @ later time. SDC fees per
current site plan, JLP APP 4/16/07
Status
Extended
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00527
ISSUED: 10/09/2007
APPLIED: 04/1012007
EXPIRES: 10/17/2009
VALUE: $ 19,440,00
225 Fifth Street, Sllringtield, OR
541"726-3753 Phone
541,726,3676 Fax
541-726-3769 Inspection Line
Structnral Review
04/11/2007
04/27/2007
10
LLH
Forwarded to the Bnilding
Department for structural review
under contract with the City of
Springlield
Plan nine Review
Structnral Review
04/1112007
04/27/2007
05/08/2007
05/08/2007
APP
WE
TAJ
LLH
The Bnilding Department has
requested additional information to
process plan. Owner has been
notilied.
.~tructural Review
06/19/2007
06/19/2007
APP
LLH
Approved by Dave Mortier with the
Building Department under contrac!
with the City of Springlield.
Pn blic Works Review
06/25/2007
06/25/2007
APP
BRC
Garage expansion, added additional
sq ft after SDC's were originally
completed. Calculated new sq. ft.
and added fees. BC
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, '
~f1I1;rpfi rn~nections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
,
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Bnilding: After all reqnired inspections have been reqnested and approved and the bnilding is complete.
Storm Sewer Line: Prior to tilling trench.
Cnrbcnt, Standard: After forms are erected bnt prior to placement of concrete,
Electric Service: Approval reqnired prior to ntility company energizing service.
Pa1!e 3 of 4
Status
Extended
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726,3676 Fax
541,726,3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00527
ISSUED: 10/0912007
APPLiED: 04/10/2007
EXPIRES: 10/1712009
VALUE: $ 19,440,00
By signatnre, 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 inspections are requested at the proper time, that each address isreadable 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.'
~- ...-:,.p7 ~.-..h~
'7 C/'._~
Owner or Contractors Signature
Pa2e 4 of 4
''1-/7- (')9
Date
2f5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00527
COM2007,00527
COM2007-00527
COM2007-00527
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Pnblic Works Department
1200900000000000272
Date: 04/17/2009 .
IO:22:54AM
Description
Perm Serv/Fdr 200 amps or less
Service Reconnect
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JACOB GULLEDGE OCCC
Amount Due
81.00
63,00
7.20
17,28
$168.48
Item Total:
t.:heck Number Authorizlltion
Received By Batch Number Number How Received
Amount Paid
djb
$168.48
$168.48
110503
In Person
Payment Total:
Page I of I
4117/2009
225 Fifth StreettSpringfield"OR 97477tPH(541)726-3753tFAX(541)726-3689
IU,~'});lt;:t"')O~'A~;j;'i~~~_:'-''''''~~"t;''~~&'iJ.~41;;f$,~Ci;V??t1
~8ifi.gE:gA.BIMENjTi'U~El0!'l~'r!'--:'h
\'ili~~::I;~'-_""'~'.""""'M),"'8tk"'*'k'~POCd:;;';::"."t""~"'k;iU~,
I COM 2,007 -ooSZ 7 I'
PermIt no.: '
I Date 1..{-/7 -Z60 '7 I
Electrical Permit Application
,
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days,
~.z'olliMrn;'~'~n'~g~a:p' 'pITrOo'vPaAI'vl.!e~r"'iGfil.."e()d)?I",ERNMEDNiliy',re'As'eeROYDA:~N.""no~' -I ~~~i~~~f"E:E!l:SP8E[j,tJl.!E:Jf~~'1,
~R'7t~'D21g'~~[;~~-:"'!"~'~~~ll;Ai.~~#I0t,j€ast~.ifII~illO'ia;"!t;
~NU:i'rib'eF'ofdnspections'pe~;item;,{~)W!&r!< Qty: ~'" -"~~ f"",,;,~~'
t~~'IliC::AmEGOrh'..{(jF.i[C;:l:5NSj1;R.l!JC;Jl1I0N~jf'~!l!;l'1i1 ~]j,,"_,l;t'''''''''lli\~A='!m';~,.,;I~ s,...." "e~..",'iii ,.c.o~!j,€r.
I Residential, per unit, service included: I
WResidentiaJ _I D Government .1 D Commercial 1 11;000 sq. ft, or less (4) $134.00 $ 1
~ilfll1l()al$JmEIINIl.()RMAml()Nif,6;NDIil!<:fCAml()~~!~~1
1 Job site address: 2-74 ~ Est I 1 ~~~~;ritional 500 sq, ft.or portion $ 25.00 $ I
1 City: S. Pf'b l State: 0 IL 1 ZIP: 97'1771 1 Limited energy (2) $ 32.00 $ 1
~=~!~:~;~~~wJ~~~~~~i~!4 -I !:~::~:~;~::re~!s~:::~~~o:::rOljOn. relo:ol::~oo $ f
t~~~\r~;r~~f~~:::~: 'i:,::: : tI i
1 Address: 27 tj ')' E S\oy.v~t:~~\ 0 \i\\O\.l;'~ <1\ \,j\~~l~\gJ!!lOO amps (2) I $205.00 $ 1
I CIty: SPR/ItIGFIEL/) 1 ~h~t:~~'~t-itw.\'9~~~3~q~rta\0ll\)ampSOrVOItS(2) $469.00 1 $ 1
1 Phone:5't/ -fA'.,- (,,5 9(p ~\F~,:~t~e c,e~\~;ego~ n~? ~~~'f"onnect only (2) I $ 63.00 1 $ b'?:.
1 . vo." - ,at \.\.::.. "' ~'O\JV' - I Temporary services or feeders: installatIOn, alteratIOn, relocatIOn
E-mail' n,\\\\oe\_.n\B\ \S I
This installation is being made on residential '5;:-farm property 1 200 amps or less (2) 1
owned by me or a member of my immediate family. This 1 201 to 400 amps (2) 1
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1), 1 40110600 amps (2) 1 $126.00 $
L,~;;;ie:~~'~;ON~~~;g'i;.~t(~ I ~::::~:i:~i:S~r ~;:~;l;eo:::;::.e e:I~:,:n :e~::~:/ection above
I Business name: I a, Fee for,8~anch'Circ~~~purchase of a service or feeder fee:
Address: A Each ~r!'fl.~~ ~~, I 1 $ 6.00 1 $
City: ~'I ZIP: l'~'. ",,,- ~"~~~H~llhout purchase of a semce or feeder fee
I ""''' . ~ I 'n "'\~~'":~f"'CM~~~) I I $ 5500 I $
I E-mail: \I '\ ~,'<,I-\()~\l\:.V ~? \~~ additIOnal branch circUlt $ 6.00 I $
1 CCB license no.: 0 I BCD license nO.'~\III\IIIt: Q, ?'b'fi\'cl,~;'neous fees; seYVlee or feeder not mcluded
I Signing supervisor's license no,: r..W-I '\ \)\l I Each pump or irngatIon CIrcle (2) $ 63.00
Print name of signing supervisor: 1 Each sign or outline lighting (2) $ 63.00
, I I, Signal circuit or a limited~energy panel, $ 63.00
, SIgnature of signing supervisor: alteration, or extension (2) $
~~
~~
1
1
1
1
1
I
I
I
I
1
I
1
I
I
1 Each additional inspection: (I) 1 1 $58.00 $ 1
~~.~~Ae~m:G'ANjj;lllis~ll1l!l!;,,~~'li:1
$ 63.00
$ 87.00
$
$
$
$
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $58.00)
1 (B) Enter 12% surcharge (,12 x [A])
1 (e) Technology Fee (5% of [A])
i TOTAL fees and surcharges (A through C):
$ (LIZ
$ 172-8
$ 7ZD
$ /b8l(~
440,2584,) (9/08/COM)