HomeMy WebLinkAboutPermit Building 2009-6-25
CITY OF SPRINGFIELD'
Building/Cqmbination Permit
PERMIT NO: COM2009-00749
ISSUED: 06/2512009
APPLIED: 05128(2009
EXPIRES: 12125/2009
VALUE: $li23,235.00
_",,!i"I!lI"~~"'I!i!:!;Py
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2985 Yolanda Ave
ASSESSOR'S PARCEL NO.: 1702193300803
,
Springfield TYPE OF WORK: Gar~ge
TYPE OF USE:
PROJECT DESCRIPTION: Detached garage
Owner: NOWAK DENNIS & DIANNE
Address: 6867 HOLLY ST
SPRINGFIELD OR 97478 '
I CONTRACTOR INFORMATION I
Contractor Type
General
License
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
f~;~;;i;(' !;;m:~~egon law requires you to
N " ,# ?~St~nes:3. by the Oregon Uti/it
U ,,0tlflcathHelght;ofIStructu_r~ules are sJ3.00Yth
In OAR 9r~ nn< .-' < n 'h 0' '(II
009 ~:ype oj-He~t: rough OAR 952-001-
VB 011" YO:Wlli'er'FyP'e:l copies of the rules by
ca Ing Ih" nor+" 'N t th '
n b 'Range', ype:, 0 e: e telephone
urn er .,,, tno (, ''" '~n Ut'I't N
CEnergy Path: II y otification
ant~r.j"" .oj ""f'~ >:'>'l..... 23
SprihKledBuifding;' 44). n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
RearyardSetback:
Solar Setbacks:
12.00
IQ.OO
0.00
Overlay, Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
i
New!:
I:
Residential
Phone Nnmber: 541"746-7951
Expirati!m Date Phone
"
Lot Size:
Sq Ft 1St Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
,
Sq Ft Other:
Occup~'nt Load:
I~
616
Yes
17.40
REQUIRED PARKING
Total:
Handicapped:
:, Compact:
I PUBLIC IMPROVEMENTS'
NOTICE: Sidewalk Type:,
THIS PERMIT SHALL EXPIRE IF JM~\IW,Q~KDra;'ns:
AUTHORIZED UNDER THIS PERMIT i'S"N~i ii
COMMENCED OR IS ABANDONED FOR 'i
"
ANY 180 DAY PERIOD. I:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Pa2e I 01'3
Value "
II
I
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
GaraeeIMisc
U VB Utilitv
Fee Description
Plan Review Residential
+ 12% State Snrcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
SDCSanitarylStorm Admin
Storm Drainage Impervious Area
Total Amount Paid
Initial Review
06/01/2009
Public Works Review
06/01/2009
Planning Review
06/0112009
Planninl! Review
06/08/2009
Structural Review
06/01/2009
Structural Review
06/16/2009
CITY: OF SPRINGFIELD'
II
Building/Combination Permit
Ii
PERMIT NO: dOM2009-00749
ISSUED: 06/25/2009
APPLIED: OS/28/2009
EXPIRES: 12/25/2009
VALUE: $ ;i23,235.00
. 'r
$37.72
616.00
Total Value of Project
Fpp<, Pqirl I
r, -r,
Amount Paid
Date Paid
$63.05
$32.70
$19.58
$272.50
$30.80
$119.00
$114.08
$10.99
$10.99
$219.76
5/28/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
6/25/09
$893.45
I Plan Reviews I
06/01/2009
APP LLH
06/03/2009
APP LKW
06/04/2009
WE DDK
06/08/2009
APP DDK
06/09/2009
WE CJC
06/16/2009
APP CJC
Paee 2 0(3
"
$23,235.52
$23,235.52
06/01/2009
"
Recei~t Number
2200900000000000576
,
1200900000000000737
1200900000000000737
1200900000000000737
,
1200900000000000737
1200900000000000737
1200900000000000737
1200900000000000737
1200900000000000737
1200900000000000737
ii
II
Submitted with a value of $6,000.
Using thJ lowest default value,
project value is $23,235. I have
added plan review fee to be
collected:
Incomplete sitelplot plan. Letter
sent 6/4/09 (see attached document).
ddk
Revised site plan received 6/8/09.
No occupancy to be given on this
II 'I h '
structur~; untI t e primary
structure (house - COM2009-00745)
,
has beenpnalled/given occupancy.
Need new site plan, foundation
details, fiaming details, bracing
details. Ii
"
il
As noted ,on plans
_~F!I!!~C?r;I"",g,
,J:
CITY OF SPRINLiNELD
"
Status
Issued'
. Building/C6mbination Permit
PERMIT NO: COM2009-00749
ISSUED: 0'6/25/2009
APPLIED: OS/28/2009
EXPIRES: 12/25/2009
VALUE: $,: 23,235.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day. !:
Re"lIire~ In~.rec~i~ns I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathiug with finish matedals.
"
Framing Inspection: Prior to cover and after'all rough in inspections have been approved. i~
, I
Final Building: After all required inspections have been requested and approved and the b~i1ding 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, aud 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 wJrk described herein, and '
that NO OCCUPANCY will be made of auy structure without permission of the Commuuity 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 a'ddress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wiiI remain on the site at all
<22:::" //rk/d '. 0S /tj <J
Owner or Contractors Signature Date /
Paee 3 of 3
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH (54 1)726,3753 . FAX(541)726-3689
kip,~p,AR.rM~NiU~~'QN~Y;'1
C~H.1eoof-c>o 7'(?
Penmt no.:
"
I Date: 5; 28-0 ;
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 d:iysof issuance or if work is
suspended for 180 days.
1~~~~l;::,:'~}\ft~~t.~j~;:;'~-Qg~A~,,?~'Qy~j3:tfM:~J~_t~~gFiRRQYi~~r~,~~i"~~j~~~~~~~\
I ~~~~;~;eect has final land-use approvaL Date I' l,;j':;,i":f~1~i(?~o):;W:~j~~0;;f~E%S'c8Ej5QL~W?i;,:"2'~;;1\f'il:"~;:f.:''';'i'H(1
I ~~~~;~;eect has DEQ approvaL Date I )~~~~:~~~~~f::,!:6ftn~ii96'1iii'1i,~;~'}~1~Jf$I11i,~X~!f:~fiil,\\J~!lijit~~ti,1;1
I Zoning approval verified: 0 Yes 0 No I I Occupancy l)......
Property is within flood plain: 0 Yes 0 No I I Construction type: \I (3, ,:
fiI;)f~~~i~I5AtEgQB){~Q~~g,[@:iRQGJ1;TQ&~~~~~.%-1!til Square feet:
:~,'.r ~:..,~i,,~'~~~'~,l,',""", "_,,LD.~.^~~?,"~'~,.'~.,_~'~:~,'~,' "''[...."_..,E""L.gE,~~"o.,~.;:.~~:.~..,~~,J).w,,,1 Cost per square foot:
",;i\ti*{~:JQB)J,SI;rI:';INF,;Q~MATI9NWANRj'!I;O_CA'T\I()Ni~ji!lc~!iii;l.'\~' I Other information
I lob site address: ycl.""d..... ,;2"lR5 I I Type of Heat: __
I City: S,"-CIJ IState:Clr I ZIP:<f7"f7J" I I Energy Path: __
I SubdivISion: I Lot no,: I 1.0;,,- 0 '
I I ~ new alteration
- I Reference 170 2./ "l 3 J Taxlot: 00;-0,3 "
I'.""."'." ;' P.'RO'P."E' R'T"Y'"':O'W" 'N' 'E'R''';'''':''':;':W~~ " ':"1 I (b) Foundation-only permit?
:~',~..,~.. . -":,;_!__..,, ...__-'(.'"_.".___n'!'.:'-:,:. ,_,:::,.._.lo. '3. I Totalvaluation:'
I Name: Delfl Vl'1 $ II / /rUlt1l<. I
I Address: ("ko 7 (10 fly' )1" I
I City: .<.t1P /J.' , I State: I9r I ZIPq7t1 7K I
I Phone: ;;-:" I "7Pb -7Q" I 'Fax: I
I E-mail: ,/ d VIf,-W",,t, @ ,,~,.. ud-. .., ( r I
This installation is being made on residential or farm property owned by
me or a mem~r~ofmy~medlate family, and t1ex mpt from hcensing
reqmrem;nts u;.9-'r_O/, 701010 './ /J
Signhere:~ ~'1'//Wj1t _ (/;U/AIX .'
, ',- ..CONTRAqpR-,INSTALYATION", ," i'~'~'.J
I
I
I
Business name:
9.1#7P
Address:
City:
Phone:
I State:
Fax:
!ZIP:
E-mail:
CCB license no.:
Print name: ,,~
Signature: ~A//U'/A
,/)'
//;ad-
[;)!~'i'jl(\!Hq,1rr~6ft:iSlJ~'C:I1>Nl11MC:illQRiJNF,_b_RM'AIIQNi:&~d1~~~1t!1
I Name CCB LicenseNumber Phone Number I
I
I
I
I Electrical
I Plumbing ,
I Mechanical
.;~
,C
o addition
DYes
~o
I
I
I
I
I (e) Subtotal of fees above (2a through 2d): I $ I
Ij'3"\~;'p-"''''I''''l!'iWN':I.'fO:('(;;?H:!\Fi~'i;;':?):''~''tl~'':if~{Ui<Z1:'<I::t~' '~~Jg:".?llt:~~Ji'r"<>VJ:%;':if'J'~~--~'''~'f..[t,
~J' :v, all reYICW) Je,eSY0;i;.' , .:~fi,,;O:':-.ij'~Y::~~~v'_".,S...~,:~'E:'7:'-<;:;Yf\..~1"),{):;'~o;-'-'ti?''' ,UY.O('
I'('~)~;~~ ;~v:~'~"("~'~~:';e';~~~~~~;"[;~j;:~ ~u~1"~'~"^"=~~~~~~~63
I (b) Fire and"life safety (40% x permit fee [2a]): I $ I
I (e) Subtotal of fees above (3a and 3b): I $
(a) Permit .fee (use valuation table): II
I (b) Investigative fee (equal to [2a]):
I (c) Reinspection ($ per hour): Ii
(number of hours x fee per hour) I
I (d) Enter \2% surcharge (.12 x [2a+2\'+2c]):
$
$
$
$
I (a) Seismic fee, 10/.(.01 x permit fee;[2a]):
I
$
TOTAL fees and surcharges (2e+3c+4a): $
/
, 0
.~~ Ib
\Y\)' Ib~ '
t(r
225 Fifth Street
Sprin~field, Oregon 97477
541-126-3759 Phone
City of Spripgfield Official Receipt
Developme~t Services Department
PUlJlic Works Department
Job/Journal'Number
COM2009-00749
COM2009-00749
COM2009-00749
COM2009-00749
COM2009-00749
COM2009-00749
COM2009-00749
COM2009-00749
COM2009-00749
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
"
Date: 06/2.5/2009
1200900000000000737
Description
Plan Review Residential
Fire SF F.ee - Residential
SDC Sanitary/Stonn Admin
Stann Drainage Impervious Area
SDC Sanitary/Stonn Admin
Plan Review Minor - Planning
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
DENNIS NOWAK
Item Total:
Check Number Authorization
Batch Number Number How Received
"
Received By
djb
03643c In Person
,
Paym~,nt Total:
Page I of I
1l:1l:S2AM
Amount Due
114,08
30,80
10,99
219.76
10,99
119,00
272.50
19.58
, 32,70
$830.40
Amount Paid
$830.40
$830.40
6/25/2009