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Home My WebLink AboutPermit Miscellaneous 2009-7-15 Status Issued eIT" OF SPRINGFIELD , , Building/Combination Permit PERMIT NO: COM2009-0I030 ISSUED: 07/21/2009 APPLIED: 07/15/2009 EXPIRES: 01/21/2010 VALUE: $ 3,168.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fa. 541-726-3769 Inspection Line, S]TE ADDRESS: 3239 PARTRIDGE WAY ASSESSOR'S PARCEL NO.: ]70322]306500 Springlield TYPE OF WORK: Single F~mily Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Laundry room addition Owner: Address: DAN]ELS DIANE B 3382 GAME FARM RD SPR]NGF]ELD OR 97477 ,. l~ Phone NU'1'ber: 541-988-0936 I CONTRACTOR INFO~ATlON I Contnictor'Type General Electrical Plumbing Contractor License OWNER ,uires YOU \0 GLEN A CAMPBEbL'TION: Oregon laWhreQor,1329,5J\i\i\Y 1-\1,,-,, dbV\e ~'" DOUGLAS LEf;,m,l)/I)J.s:es adopte _._ _^~ ",I,," !'Q~6.0.6, lorth ~otiiil~'~uiicliNGiINI?0RMWiION'.'Ou~~~vbY- . In Of " . " ".""", 0090'. You may ob~al~ N~r~~th~ telephOne calling \~8~~tO~lM.~.; Iltilitv Notification R-3 umber M~lghl of,Svuctnr2_2344). 9,00 n , Wp.~'.ollli'd't?O-33 Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date Phone OS/24/2010 02/17/20]] 541-744-0705 54]-747-1254 # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB Lot Size: , Sq Ft ] st Floor: Sq Ft z'nd Floor: Sq Ft Basement: " " Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,534 84 n/a I DEVELOPMENT I~FORMATlON I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of LotCoverage: ' ~f~O?~ MOlICE:, 'i cuM'- 8Z1'\R~ '~:"i'~ 1'101 IPUBU~~ JiWt~tlv~M~Fj~~~~~i:o FOR rC' OMMENCEO U\"IDIIOD Sidewalk Type: 001\'1 I'E" . 1\1'1'1 18 Downspouts/Drains: Storm water to tie into existing system/Storm SDC Fee only, on septic Urban Fringe Total: H~ndicapped: Compact: , 5.00 58.80 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 3 _Sl!iAIlIIQli:'Im.":~J''' 1 1 " .-,.t~.- "'.' '''';w~'"''''''~'''''_''; ,.- -'",:q\J)i[j.-iiii!; Status Issued CITY OF SI'K11~GFIELD' Building/Cl:llm!Jination Permit PERMIT NO: C()M2009-0I030 ISSUED: 07/21/2009 APPLIED: 07/15/2009 EXPIRES: 0l/2f/201O 'y ALUE: , $3,168.00 i 225 Fifth Street, Spriugfield, OR 541-726-3753 Phone 541-726-3676 Fa. 541-726-3769 Inspection Line I V alu~tion DescriDtion I Description Estimate GaraeefMisc Type of Construction Estimate U VB Utility $ Per Sq Ft or multiplier $1.00 $37,72 Square Footage or Bid Amount 1,500.00 84,00 1 Value,,, Date Calculated $],500,00': $3,168.48; 07/15/2009 07/16/2009 Total Value of Project ~, " $4,66~.48,; ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $37.70 7/]5/09 ]200900000000000806 + 12% State Surcharge $26.82 7/21/09 2200900000000000824 + 5% Technology Fee $]1.18 7/21/09 2200900000000000824 1st Appliance $79,00 7/21/09 220~900000000000824 Building Permit $77.50 7/21/09 2200900000000000824 Fire SF Fee - Residential $4.20 7/21/09 2200900000000000824 Fixture $]9,00 7/21/09 220~900000000000824 Minimum/Adjustment Plumbing $39,00 7/21/09 2200900000000000824 Plan Review Residential $]2,68 7/21109 220090~000000000824 SDC Sanitary/Storm Admin $1.20 7/21109 2200900000000000824 Storm Drainage Impervious Area $23.93 7/21/09 2200900000000000824 Venj Fan $9.00 7/21/09 220090~000000000824 Total Amount Paid $341.21 , \, " I Plan Reviews , Initial Review 07/16/2009 07/17/2009 APP LLH Public Works Review 07/] 7/2009 07/]7/2009 APP LKW Storni SDC fee only, on septic Plan nine Review 07/17/2009 07/20/2009 APP DDK No Planning'tlssues. Structural Review 07/17/2009 07/21/2009 APP CJC As noted on :rlans, , To Request an inspection call the 24 hour recording a1 726-3769. All inspections requ'ested 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. ~e(] II iredJ nsnec.tiou.sJ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Paee 2 of 3 Status Issued CITY; Or SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009~OI030 ISSUED: 07/2i/2009 APPLIED: 07/15/2009 EXPIRES: 01/21/2010 VALUE: $ 3,(68.00 225 Fifth Street, Springfield, OR ' 541-726-3753 Phone 541-726-3676 Fa. 541-726-37691nspection Line Shear Wall Nailing: Before covering sheathing with Iinish materials. Framing Inspection: Prior to cover and afte,' all rough in inspections have been approved. Rough Plumbing: Pri~r to cover and including required testing. Rough Mechanical: Prior to Cover Rough Electric: Prior to Cover Final Plumbing: When all plumbing work is complete. Final Mechanical: When all mechanical work is complete, Final Electric: When all electrical work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and including required testing, 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 shali' be done in accordance with, the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wo'rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es (>ivision, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 70\,005 will be used on this project. I further agree to eusure 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 tbe property, and the approved set of plans will remain on the site at all t(-l during coustrtiil. l7 . M..&1~ \41/)1 uY 7 -,) I ~ D 1 Owner or Contractors Sigmiture Date Page 3 of 3 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I 030 COM2009-0 1 030 COM2009-0 I 030 COM2009-01030 COM2009-0 I 030 COM2009-0 1030 COM2009-0 I 030 , COM2009-0 1030 COM2009-0 I 030 COM2009-0 I 030 COM2009-01030 Payments: Type of Payment Check cReceintl RECEIPT #: " City of Springfield Official Receipt De;velopmettt Services Department PUblic:,Works Department 2200900000000000824 Date: 07/2112009 Description Plan Review Residential Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture. Minimum/Adjustment Plumbing I st Appliance Vent Fan + 5% Technology Fee + 12% State Surcharge r. id By DIANE DANIELS Item Total: L'heck Number Authorization II Received By Batch Number Number How Rece,ived djb 115 I n ~,erso,n Payment 'total: Page 1 of I " " , II :07:29AM Amount Due. 12,68 4.20 23,93 ' 1.20 77.50 19,00 39,00 79,00 9,00 1 Ll8 26,82 $303,5 ] Amount Paid $303,51 $303.5 ] ? /21/2009 Structural Permit Application _..',. ..._. "'t.. _ "'"'-<_ "'. ':~,~.-5PflIN,:"FIELD"'~;.;;s G." D 0' I" .~~ 225Fiflh Street. S~ringfield, OR 97477+ PH(;41)726.3753t FAX(541)72~.3689' ,', . ~ J 1..'..-.-...'.' " '.-. '........ " ' .1 "jDEP,ARTMENt,USi:iONGy:- " ~ ,.:.." ..\', 11',' :.... ,- . ',:' '-''','..' _. ' co",,;.,z..OO'f- 0/030 Permit no,: 1 Date: 7- /-)-0 '7 1 This permit is issued under OAR 918'460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ,- Isi:'tr,;'~,;~t~~!.:~.it>~,:~P,~'A~~,~~g~~:8Nf~t~:~_~~~~R,'R'R,@:V~~l~!t;}~J~~w~~~ IT. his project has finalland"use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes D No 1 Property is within flood plain: DYes D No I Ifi~i;-'iiZiJii1l'i,'3;WcAirEG-0RY(0El1f6NsfRucirfi0N~~\~!!i\ili;~",F!i,3;1 )%:,~6:~-,,,L_,,,,./'h~_~~,,_,,_,,,_,'..,.,_ _._~,_~_~_" ""~"".__.__'__"d",_""",,, "~" ..,_,~lJiffit~.i4k~.._<=~:ti\;W: I 0 Residential l' 0 Government .! 0 Commercial r~~~~:f::~~li.~~~~=~~~~[;~~~f~@1iW~~j !CitY,<:]fJ!2InClPloleJ. 1 State: OR IZIP:9'7f771 I Subdivi;ion: ;j,,,~j I Lot no,: d.:3 / 6 {; 6D I Reference/7D.s ZZI ~ I Taxlot 065;0 C ' I,}. '" i;\P,RORERt,'(iQWN~R;"S;.:;,'};ik\'L;;;J:'_/.' 1 Name: rol.:ih < 'J);,n 1151 ( _ 1 Address:] ;;1.19 <1-;;I/'>\? Fa. I/. r' I~ c.I 1 City f},o11-1nQ f1J6/0! I State: OIL 1 ZIP:'971,t771 I Phone5'Y'f 'i'r-&' tJ 93t Fax I E-mail daalll"/'" '" Q..,crJn, ThiS installatIOn ]S bemg maae on~sldential or farm roperty owned by me or a member of my lmmedlate famlly, and IS ex m'pt from licenSing , requ]rements<{fnclr ORS 701~ J r Sign here: 1-/ ~ "y J,1J/J7 ,vL- ", ' I,;'",. ,,;? . GONTRAG;r,9B ~ It~SJ'!\l.u..TI.9N_:,,'.,;_i=\,,;:~ 1 Business name: 'JJ/;JI'/.f! "Y,)1JI6IJ 1 Address d 3 i? z. t9;irn..e... ~;;1" '" R. d' I City: I State: 0 C 1 ZIP:':;7 i.J / ) Phone5V/ '1'?fl-0'[36 Fax" 1 E-mail: ,dd~l1'EI('# 9,(>""" \ ceB lieense no.: ,___'~ {J 1 Print name: ;V/dn" '':/)dJ?/,i!r ~ 1 I Signature~;),?/?~.,~ \hA0'P I! I ~:'!i~!!l!'M!i!fl~,;,d$UEl'q<SlNi11~Ac;r.QRII.Ntc>~I'iI.A.fIQN!i$i~r1;~l1!c~~~:f;1 I Name CCB License Number Phone Number I I Elecirical tl!-'n (J"T'I!1/'e-f1 I I Plumbing !l"z/L1f P!/J/hi/,;, 7/.j7.loI~tfl I Mechanical 8~h (!d,the/! I '~':;$1';l~!.~;]f;~:~~~:~J~:~;f;ZI~.~~ ~i~9R~~.~iJ~.'~}~;1?tC5f':it:~Ki~1~:i;:?;;;?~~-'~:!~'rt'I tf1${~t~1i~f(Q!f[([(oJm~H~~;:~l~~~~J1~~~ltW~~~1~jkt~~\~~~i~~~ti~t~l::~t:1 I 1 1 I I 1 I Energy Path: I o new 0 alteration D ad4ition I !~:~~;~~;:~~;;:~~::~::~~W=~~;~;:~':t;il~:~~0~~JJ I (a) Permit .fee (use valuation table): '! $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): " (number of hours x fee per hour) $ 1 (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ 1 (e) Subtotal of fees ahove (2a through 2d): $ l:jr3--"i?R"-"-I'-\~:<i"r,<f/f"~:f~;iS"i"-S::-':Sh"tt'~'t.it~~~~<'';l'll~~~:';~Ly,r;)c%~td~~jtll!&1;Md;''''-(;- ~i:._"i'___\,,_~!.l;\I~Y.I.~,W;.!~~~_~~~r.#?~~.;Jl!ffdif,f~~Jri~~~{;;~i;tt;k~~~~~it4i.l;Flli1.~#': 70 I (a) Pla~ review (65% x permit fee [2a]): " $ S.r 1 (b) Fire and life safety (40% x permit fee [2a]): $ I (c) Subtotal of fees ahove (3a and 3b): ': $ (a) Job description: Occupancy Construction-type: Square feet: Cost per square foot: .Other information: Type of Heat: (a) Seismic fee, 1 % (.01 x permit fee '[2a]): $ TOTAL fees and surcharges (~e+3c+4a): $ \1 '~ ~~1? , 1">;)'- . ,