HomeMy WebLinkAboutPermit Building 2009-7-24
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00735
ISSUED: 07/24/2009
APPLIED: OS/26/2009
EXPIRES: 01/24/2010
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4064 S E ST
ASSESSOR'S PARCEL NO.: 1702314409200
Springfield TYPE OF WORK: Foundation
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Foundation for Future Garage
Owner: RODRIGUEZ JOSHUA J
Address: 4064 S E ST
SPRINGFIELD OR 97478
Phone Number: 541-217-5999
I CONT~CTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATlO~ I
. s yOU to
, . '3.'111 reqUire , .
_Nl\Ot~:o1iStQfi~~.", thA oregon Utility
AITE ulesI-!eightcof,Structur4's are set forth
follow r _ rE-~6f H',Hi't\e rUI R 952.001-
Notitlcat\05~.~:'eyJt9pF,roU9h o~he rules by
in OAR 9 "'- ~- ,In ~oples 0 ~one
90 '100. !-R'J1g~~'I'YPI~ote-, t\18 te\e~" -
00 liing thEnergy1Pa~h:() Utility Notification
camber ftSP'i:iiiki'ed'Bf,ilding:2344). n/a
nU "'" _ _~~r i~ 1_(:SUv-vv
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setbac,k:
Solar Setbacks:
5.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
10.00
31.00
'-
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~
F II I d Sidewalk Type:
u y mprove I
YeMlICE: E>'.PIRllqViifl\IiuWJ0\i!Yins:
Storm water to curb T\-IIS PERMIT SHP-.t, THIS PERMIT \S NOT
P-'UTHORIZEO UNO S P-.SP-.NOONEO FOR " '
C?,~:~:,NC.~ ~~D\n[)
I 1-\1" ,~- I
,Valuation DescriDtion
Curb and Gutter
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 3
_~~I,~,~~~~t'~\", \.
. .' 'f
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-00735
ISSUED: 07/24/2009
APPLIED: OS/26/2009
EXPIRES: 01124/2010
VALUE: $ 6,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation On Iv Use Bid Amount
$1.00
6,000.00
$6,000.00
$6,000.00
OS/26/2009
Total Value of Project
Fpp~, ~
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Foundation Permit
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid
Date Paid
Receipt Number
$63.05
$11.64
$4.85
$97.00
$10.27
$205.49
5/26/09
7/24/09
7/24/09
7/24109
7/24/09
7/24/09
2200900000000000563
1200900000000000834
1200900000000000834
1200900000000000834
1200900000000000834
1200900000000000834
Total Amount Paid
$392.30
I Plan Reviews ,
Initial Review
OS/27/2009
OS/27/2009
APP LLH
Planning Review
OS/27/2009
OS/29/2009
APP DDK
Foundation only for future garage -
solar setback criteria will be
revie~ed when we receive plans for
the rest of the structure.
Storm water to curb
Public Works Review
OS/27/2009
OS/29/2009
APP LKW
Structural Review
OS/27/2009
06/0112009
APP CJC
as noted on plans
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.
~o.n,;ptif'W
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Fouudation: After forms are erected but prior to concrete placement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Page 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
(:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00735
ISSUED: 07/24/2009
APPLIED: OS/26/2009
EXPIRES: 01124/2010
VALUE: $ 6,000.00
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information. hereon is true and correct, and 1 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
t~at NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 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 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
times during construction.
.rk- ~W~ ~-
~ner or ContractorfSY~nah're""
Page 3 of 3
0/2'1/0'(
DIe I
Structural Permit Application
1:~C'.:P'E~ARJr~'!~Niu~E"-0,~NLY;'1
. ~.'r-', . . _ _ _ ~. ,. _ ,
Permit no_:
~-1~
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
I Date:
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.
1~~i;":,:J-:;,::~,.Li~'!;\~.M~~;r~9:9-A~,~:Q:QY~~~lJMI&t~r~~RRQVh;U11~~;>>l~gf!~i~~~~1~1
: j~~~=:: :~;':::::::,"""""' : I !;~~~!~~::~:=~=.~~~:
I Zoning approval verified: 0 Yes 0 No I I Occupancy I
1~~~_~~;~;l~~~,~Oo,d,Pla~~~,~~o~;:'_' .....~~O,""..~"\';'V,,',,~,,II I Conslruct;on type: 1
l!.mi:~~l'L,,1;1'~c::~'ElOggJ'~:),o!1()E,\:lc::,Q@]RUc::iI]I0!l~~":":,'!~~iO.m1ili I Square feet: I
II~ ~.'.-.~'~)"'S~-~,..j,~:,>.~."~~~"-':n."'-...""..--. ..,.:.:..I~~~_;.,:.~.~~e.. ~.~" ,-~",~-",.",,'il..~. w~~m.,._...~~"~:\~._".i~~;N.";_~"?"1 I Cost per square foot: I
f!ii;!i"'!:f;~;\J9Bl!?J;:rE':INF.:QRM~r!0t!l,f~!-IIJ.&li9P~'l'19!'1tt~,,,,'Ii";'",,gel I Other information I
11 Job si~te address: ~061t.-J1 J IS E ::1'" I q 11 I Type of Heat: 1_
City f i"" r-:~ " State UI<. ZIP: 71f7. 7 I I
I SubdiVISion 1 I Lo.!.'?, :).7 O~JI'I-r~.1 Energy Path:
I Reference lrIlYL:6\MlTaxlo(J-I(;{/~ I Onew DaheratlOn Daddition I
_ '__'_"'~ ,'_ .,-,_,. _ '. __.,.:.,-~,_>:>\--_.. "., I I (b) FoundatIOn-only permit? DYes ONo I
',-~',~~ .-"P,R9I'ER.T,)'..PVVN~R...." "'0""'.0-._-',..- .-...... I Totalv.luation: _ ,..i.) 1
I Name: 0' (f' ccJ f', C/I./ r ~ l;j2'!iB'-'id:''''''-'f-'-''-'''i'".,;r.~iJ~i;'i!',i'~''i':i'-'';';ii';;.jt~ ;rNgg,':'';'-,'t::.''C1
I Address: Pi () 713/ I 1 I >~L,"._".__,':l,L....I~g;_~_~~~Ji't.~'S'1-;,,->:,.;:%,';1)1;JYJ,';.,~hi1,7a;;'A\iji",\;/:tlt; .,_j;t'"~ ' -- _l::_jNtfi":;i',,/;~..;;,,'~jf
I - . L I -17"/ II I (a) Permit fee (use valuation table): $ I
City, c~ q-c. ~ c- I State: Df! ZW 0 I I
I . 1 <' :2 5 I (b) Investigative fee (equal to [2a]): $
Phone: '1-...11. 17- 1'1Q Fax: - , - I
I I (c) Remspectlon($ per hour):
E-mail: , (number of hours x fee per hour) $
This installation is being made on residential or farm property owned by ,I (d) Enter 12% surcharge(.12 x [2a+2b+2c]): $ I
meaT a member afmy immediate family, and is exempt from licensing
requirements un r ORS 701,010, I (e) Subtotal of fees above (2. through 2d): $
Sign here: - ~/': - ~.- . '
I, " //; CONrRACil]9,~S.T:It:LATWNL-~;{\';.;'_:
] Busines ame: . (~ '\ I . ,,, II {i) /
I Address: \.)L.IJ.J'~
I City: ,
I Phone:
I E-mail:
I CCB license no.:
I Print name:
I Signature:
,,'"
I (a) Plan review (65% x permit fee [2a]): $
I (b) Fire and life safety (40% x permit fee [2a]): $'
I (c) Subtotal of fees above (3a and 3b): $
I k"'4" ~"'~'M;" ,'" ;";';;-";;':1'1" t:,,""'k'_-\~' .'r- t",iH,,:C.-"<c;z-f;~,.W';:~''-.;t'~~!'',(tit);',L;j'<':t!':; ,~: ii'-;'" t"'-~ f;,;';k~!l :".' ~;;.... -;,;;.,{ -.1
;(",.~~~'",,__"I~C,~_ __~.!!_~,q"l!~;:!~~~2:2'~%f:f.S)j}~;kt;!,-~t';.t};ft,f#t:~~j,~:~Xif,~::.~<,:!;tM~'?/~~tg~;0::~.~,"
I (a) Seismicfee, 1%(.01 x permilfee [2a]): $
I TOTAL fees and surcharges (2e+3c+4a): $
I-State:
Fax:
I ZIP:
1l'P~:;1;;iC-,fi;?1.i'.j!i;~~$tJ~'_C.0N1tRAC:t6RJN~.6Rr.\~'l'IQNfi!i~~~~1\',;~fI
I "Name CCB License Number Phone Number I
I Electrical I
I Plnmbing I
I Mechanical I
~'-6~"
J
City of Springfield Official Receipt
Development Services Department
. Public Works D~partment
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00735
COM2009-00735
COM2009-00735
COM2009-00735
COM2009-00735
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000834
Date: 07/24/2009
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Foundation Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JOSH RODRIGUEZ
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
DJB 02409B In Person
Payment Total:
Page 1 of 1
1I:05:IOAM
Amount Due
205.49
10.27
97.00
4_85
1'-64
$329.25
Amount Paid
$329.25
$329.25
7/24/2009