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Home My WebLink AboutPermit Building 2009-6-30 CITY OF SPRINGFIELD I~ Building/C~mbination Permit PERMIT NO: COM2009-00752 ISSUED: 06/30/2009 APPLIED: 05/29/2009 EXPIRES: 12130/2009 VALUE: $ :83,000.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2465 E ST ASSESSOR'S PARCEL NO.: 1703361401100 Springfield TYPE OF WORK: Single Family Residence " TYPE OF USE: Addition PROJECT DESCRIPTION: Addit~!11o.Ningle family residence ,!Ollo~':. liON. " . ~.Vl'" --.e;:,s ~cgo Owner: REX SCOGGINS In 0,4 CEllion C EldoPle n IElw r Address: 2465 E ST 0090 A 952_0 enler. r.d by Ihe equires ., SPRINGFIELD O~C2Z;h7~~ rnEl~~~ql0 I~~:.e rU/e~r:.gon~~~,'.o ~'IIOer n'..... csnl",:'-f'" Cnn7&/1 OA;' ~ Set f,-,~:.Y. Ce; IhE! ,€ON;VRACT0R<INF0RMA:TION 1 ler IS 1 ~Vf) UI',"'" tel Vies b -80 / il eph r Contractor 0-332_/ ;YOlific one License KEPHART CONSTRUCTION U?C:1). Ell/on 57213 Contractor Type General BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary COllstructil)n Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: 2 Height of Structure 23.00 Type of Heat: orced Air Electric Water Type: Range Type: Energy Path: Sprinkled Building: n/a VB Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: , Solar Setbacks: No+.9fYELOPMENT INFORMATION 1 j"..,.... THIS PER 24:!1~ MIM\IH'.~ID~Xf'1 5~B THORIZEOIlSltel!lFr'1'1'1IRfulF THE WORK MMENCECJ'@1lI~~'liyt.' i.tRMIT IS NOT ANY 180 DAY'l'fflItJ6t'6 ,Q~ED FOR 17.00 0.00 . I PUBLIC IMPROVEMENTS 1 Residential Phone Number: i; 541-746-4239 I Expiration Date 04/03i2010 I ~( Phone 541-746-2129 Lot Size: Sq Ft 1St Floor: Sq Ft 2nd Floor: Sq FtBasement: Sq Ft Garage/Carport Sq Ft Other: Occupa'nt Load: " 7,405 480 ii REQUIRED PARKING Total: 2 I; Handicapped: , Compact: Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved No Storm water to connect to existing system j, Sidewalk Type: 'i I , Downspouts(Dra~,ns: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page I of 3 Curh. and Gutter , Value~ (. Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Initial Review Plannine Review Public Works Review Structural Review CIT}: OF SPRINGFIELD' " Building/Cqmbination Permit PERMIT NO: COM2009-00752 ISSUED: 06/30/2009 APPLIED: OS/29/2009 EXPIRES: 12/30/2009 VALUE: $83,000.00 I $1.00 83,000.00 Total Value of Project $83,009.00 $83,000.00 I OS/29/2009 ~ . Amount Paid Receipt Number Date Paid $406.87 $75.12 $37.25 $625.96 $24.00 $119.00 $8.96 $179.27 i! 3200900000000000403 2200900000000000738 2200900000000000738 2200900000000000738 2200900000000000738 2200900000000000738 2200900000000000738 220~900000000000738 5/29/09 6/30/09 6/30/09 6/30/09 6/30/09 6/30/09 6/30/09 6/30/09 $1,476.43 I Plan Reviews , OS/29/2009 06/01/2009 WI NJM 06/01/2009 06/02/2009 APP LLH 06/02/2009 06/02/2009 06/04/2009 06/04/2009 APP DDK APP LKW New add'itional storm water to connect to existing system 06/02/2009 06/08/2009 As noted' on plans APP CJC To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. Rp~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Iloor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prio'f to cover and after all rough in inspections have been approved. :~ , Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Paee 2 of3 ,~a~A'!!!SF;Iw..~, ., ! ;1 Status Issued CITY OF SPRINGFIELD Building/O~mbination Permit PERMIT NO: C'OM2009-00752 ISSUED: 06/30/2009 APPLIED: 05/29/2009 EXPIRES: 12/30/2009 VALUE: $ ;.83,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. . , Un!iernoor Drain: Prior to cover or placement of concrete. Final Plumhing: 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 ca'refully examined the completed application and do hJreby 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 willibe 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~tionl~ \-. '- ~__ ~.b\50\O~: Owner or Contractors Signature Date Paee 3 of 3 Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54 1)726.3689 I 1;::R~j>ART~~NfuS,EjjN~YI (O~Z.OO '1- 00 7S Z Pe~it no.: I I Dat6.: 5:~Z / - 0 ., This permit is issued. under OAR 918-460-0030. Permits expire if work is not started within 180 d~ys of issuance or if work is suspended for 180 days. I 1'.:-<'(; II ';cib,'I',.', .i)'O)'C"Ai'f:"G"O~'V-"E".R'N"M'.'''E-''N';;,JiA''nnR'-'O:V"'A.'I!!i".\lli,,!i!'iY8),o,,""J~;,\ 5t'~'.';'~'i't,;;,'h'lr;I;:':5':;LL:'.".~, '" .,~ ,<, ,-n~'_",M"'~'~" ,______ .,:I)f~.__ r;;.r.;,o__".__,.~...:.t,.:k,~f.'iI;i1\'.NMi{~n~~ I This project has final land-use approval. . I ~~~:a:~~jeW has DEQ approvaL Date ~i.~~il~~i~gW'~:~~j~~li;~~~~{~~~~,~i~;i~~~:fiir:l~'~:;,': Signature: . Date: I. ('a) Job description: Add ({.D_ I I Zoning approval verified: DYes D No I Occupancy ~ ~ I . Property is within flood plain: DYes D No .I. I Construction type: V g I l'il~~t~15ATE9(:)RYtQE,\I[@$;tRQC)fi(;)!l1~4~i~"j'j'jiJ;l I Square feel f.{ i!!> C> I tgoResidential I 0 Government I 0 Commercial I Cost per square foot: I ~~~ilf~l~i~rliQ~~,S'iil;EliNF..C:>:RMAIiQf.!~A@~~9~~Aji9tm~~~,(i~ I Other infonnation 1 I Job site address: 24:(., S f: S7lt2'i:T I ' I_~+ ~ I Type of Heat: ez.ec... ~ - ~ roA-r I Cit~P/Z.l ~l='l 'LU0 I State: 61<. I ZIP Q7'f17 I I ;'1': I I Energy Path: " I Subdivision: I Lot no,: V . I k:>r': ' I o new 0 aheration AJ addition I Reference \f\~\A1 Taxlol {')\\U. INa~e Q!'~'~~~~ici~~~I~W21R~~t.~:":;1 i~~t:~~:~::::~~nlypermit? DYes ~ $~C=~21 I Address: 2. {b S. E 'Silu~7 I I CitySflL,...,&t'-KL'O I State: CP-- I ZlP:QU77 I I Phone:Sfl-1'K.. 'fL-~q Fax: - I I E-mail: QEx.R,,@J~.b""'Aj-r, '-X" I This installation' is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from Jicensing S, J:su _110~.O.\~ .~ I, '."...r:~ON:rRAqO~ij~13]:",~LATiQNi;",;.::j,'; N:'I' I Business name: \<.tf\\f\1U' C ~..,.-m.....c ,,,...,, L Lc... I Address: 2(;. '5'" 33n.J S'\-. e....J.. I City:~'L",>,\Q.\,..\ I State:~ I PhoneS,J/ i<f<.- >".12..9 Fax:- I E-mai): I CCB license no,: 57Z,13 I Print name: I Signature: '."j ....-.-.',. . i:-. ".',~ I I ZIPS?"? 7 I I 1 I I ,I (e) Subtotal of fees above (2a throu'gh 2d): $ I 1'''3'-0f:-R'''I'-''!KGY~~~;'fJ:'..;tJi!fi:';;;'';-;;:;'10tq,f~f'@~~;17;1;,.''0~~&iY0':~~W'<J~~:2~~~-'l.,Wf,j.i~J5'1 1"(~~'.~~~';~~::~~;~':!:~~:'~=;i~!:~;;~!!!"Y';'i{l''''1J;~~~!"t;Ob~ I (b) Fire and life safety (40% x permi,t fee [2a]): $ I I (e) Subtotal of fees above (3a and 3b): $ I I (a) Pennit fee (use valuation table): I (b) Investigative fee (equal to [2a]): I (c) Reinspection ($ per hour):' (number of hours x fee per hour);' i (d) Enter 12% surcharge (,12 X [2a+2b+2c]): $ $ $ $ I (a) Seismic fee, 1 % (.01 x permit fee][2a]): l $ TOTAL fees and surcha~ges (2e+3c+4a): $ i~~:::~~::~~SU_~'~0CN~~R~~;:?~~?~~~M~I~~:~:::~-'j I Plumhing I Mechanical I ~~I>J-Sl ~k <\^- \)<0 225 Fifth Street Springfield, Oregon 97477 541-726-,3759 Phone -;1 Job/Journal Number COM2009-00752 COM2009-00752 COM2009-00752 COM2009-00752 COM2009-00752 COM2009-00752 COM2009-00752 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt . I Development Services Dcpartment , Public Works Department , 2200900000000000738 Date: 06/30/2009 I, Description Fire SF Fee- Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit + 5% Technology Fee + 12% State Surcharge Paid By REX SCOGGINS Received By Item Total: Check Number Authorization Batch Number Number How Received " djb 7212 In Person 'I Payment Total: i,' Page I of I 2:27:31 PM Amount Due 24.00 179.27 8,96 119,00 625.96 37.25 75.12 $1,069.56 Amount Paid $1,06956 $1,069.56 6/30/2009