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Home My WebLink AboutPermit Building 2009-8-12 Status Issued CITY VI' ~l'RINlj1<IELD Building/Combination Permit PERMIT NO: COM2009-01051 ISSUED: 08/12/2009 APPLIED: 07/21/2009 EXPIRES: Oi/12/2010 VALUE: $'54,358.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1026 J ST ASSESSOR'S PARCEL NO.: 1703264413700 " Springfield TYPE OF WORK: Singie Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Garage and master suite addition Owner: Address: HELEN B BRUZER REVOCABLE LIVING TRU 1026 J ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION .1 Contractor Type General Electrical . Contractor License , JERRY D DUERKSEN . 153032 LIVEWIRE ELE~G-Tfl.'5'f~~,{,: nmnnn 10'" 'M,,;;A(j?~n" 'n fOllol" BtimDINGINF0RM!\<fIONii Utility Notif,t.;....".....". .......... ,""'.. " IV.;lv I UIG;:l aJ t:;: ~et forth I in OAR 95?#Qirs{Wfs:through OAR 952-00~ R_30090" Youirejl/h7~(ii)m r'Cruj!~ of the rul20.iro' U calling try e,ntgfI I.~ote: the telephone VB number fqi~~eeol~e"a9i1 Utility Notification , Cel:htffs.]!8UO-332-2344). Kange Type: 3 Energy Path: Sprinkled Building: Expiration Date 10101/2010 05/16';2010 Phone 541-521-9741 54 I -344-4928 # of Units: Primary Occupancy Group: Secondary Occupancy Group: . Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: 7,405 Sq Ft 1st Floor: Sq Ft 2~d Floor: 403 Sq Ft Basement: Sq Ft Garage/Carport 405 Sq Ft Other: Occupant Load: i' n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.50 5.00 Overlay Dist: # Street Trees Kqd: Paved Drive Rqd: % of Lot Coverage: Total: , Handicapped: Compact: 2 26.00 47.50 Street Improvements: Storm Sewer Available: Special Instruction: Nnrlr.~. I PUBUfillMRRiJlMEMIl)!i/!rn IXPIRE IF THE WORK flU I HUM/leU ul~uhK iHIS S151?.MII ~W)T COMMENCED OR IS ABANnONED FOR . '.. ANY 1sn nAY PERIOD. 'tjownspoutsiDrams: Stormwater to he mto eXlstmg sy~tem Notes: Pa2e I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction , U VB Utility R-3 VB 1&2 Familv, Garaee/Misc SF/Duplex Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Plumbing Plan Review Minor - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Initial Review 07/22/2009 Initial Review 07/23/2009 Public Works Review 07/24/2009 Plan nine Review 07/24/2009 Structural Review 07/24/2009 I Valuation Descrintion I $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 404.00 404.00 Total Value of Project F",,<, P~j'" J Amount,Paid Date Paid $231.04 $75.19 $37.28 $79.00 $489.60 $40.40 $57.00 $1.00 $119.00 $87.20 $154.32 $202.95 $17.86 '7/21/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 8/12/09 $1,591.84 I Plan Reviews I 07/22/2009 WI 07/23/2009 APP LLH 07/28/2009 APP LKW 07/29/2009 APP DDK 07/29/2009 APP CJC Paee 2 of 3 CITY OF SPRINGFIELD , Building/Combination Permit " PERMIT NO: COM2009-01051 ISSUED: 08/12/2009 APPLIED: 07/21/2009 EXPIRES: 02/12/2010 VALUE: $:54,358.00 NJM Value" Date Calculated $15,238.88 $39,119.32 $54,358.20 ' 07/24/2009 07/24/2009 Receipt Number , 2200900000000000825 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 2200900000000000913 220~900000000000913 2200900000000000913 Adjuste~ value to minimum default value. i' Storm water to tie into existing system I' , Approved oiddition as shown on plot plan. According to the plot plan, the set hack along the western property line appears to be non-conforming. This addition is not considered an expansio~ or modification of a non-conforming use according to SDC5.8-125(C)(I). As notedl,on plans / review letter CITY OF :'lrK11~vFIELD i Building/C~mbination Permit , Status Issued PERMIT NO: COM2009-01051 ISSUED: 08/12/2009 APPLIED: 0'7/21/2009 EXPIRES: 02/12/2010 V ALUE:$ 54,358.00 225 Fifth Street, Springfield, OR 541-726-3753 Phonc 541-726-3676 Fax 541-726-3769 Inspection Line 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. wilFbe made the following work day. Reouired I ~snectio~~ I , Footing: After trenches are excavated. Ufer Electrical Ground: Install gronnd rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with Iinish materials. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: 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 carefully 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 shalf 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, aod that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wmbe used on this project. . I; 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~.~J construction. /). . .~~/~ ~~ /IdE! /C)c.t:JO't O<<.:'er or Co~tors Signature Date / / /' Page 3 of3 , Structural Permit Application - 225 Fifth Street + Springfield, OR 97477. PH(5~ 1)726-3753 +FAX(541)726-3689 I' DE'PARTMENT USE ONLY I cod1Z00Y-OIO::-'-( PeI111it no.: . . I Date' 7- 2 ( - 0 ~ I This pcrmit is issued under ,oAR 918-460-0030, Permits expire if;;'ork is not started within 180 daYs of issuance or if work is suspended for 180 days, I' ""0" 'C'A'ii' 'G' .O'''y''.E''''R''N.M.''E.N....T'..'.A;rinR.O. "'y.'A',,;"'i";' "" ;""'''''''''''1 ':,~',"-" ",. . L; -' . _", ~.'. ,,'_~.,"" .,~, . _.m' _\:~:_,_'Ij,_'2.o_'.",.. ,._~'J?!~";'.it'.~(~:t~1i;;-;;:,tt;,~;;'{; I T~js project has final/and-use approval. I SIgnature: . . . Date: '.T~iS project has DEQ approval.. I SIgnature: Date: I Zoning approval verified: 0 Yes 0 No I 1!~~~~i;~li~;:iA~o:~di:~~Q~\~~@;f~i.i~~I.Q~l~'&ig!~t~W!;&$:iiiAI I :i(fResidential I D Government I D Commercial I fj;):,!j}i,:.;,4Q'B';.,SI~Ei :[ N.~d.RMATIQ&;;;.i:NQt'l6:c;o,TI9&t;.:(2;i';;j?;;';' I Job site addrcss: /{)"z.-6, r srrc~f- I I City: S o~,~, "1,t:>" /-f I State I}r<. I ZIP: 97Si7?1 I Subdivi{ion:'/' I Lot no.:' I I Reference 170'5 d Cfl.{ I Taxlo! ,"5 7<::)0 I I. . ,P.ROPERTy'QWNER I I I I zIP9'7$i7A I I Name: JI"I'",17 l?r4> cr ./ . Address: /11 Z- 6 ;7 Srr-< C -;-- City '1"....' ',7 '" .?,'c I~f I.State: ,{lye.. I Phone:",-'I!- 7<if g S-cr? Fax: - '. I E-mail: This installation is being made on residential or farm property oW':led by me or a member afmy immediate family, and is exempt from licensing requirements ,under"ORS 701.010. I ": ., \..":.'~?'.'FEE 'SCHEpUli: ,." ". 'i"i'" ",' '/ 1~;f:'::Y,~,t.4'~.tJ9ri'(f~'f4~!li'~.Ho;@j:f~~!:!.\!~~~~3,{jSh};.ah\:!i~;}ji;f!\'Hrrt: '(\:,.;,;~;:.~,(l~,'1 I (a) Job description: I Occupancy I I I I ;4bh (TIO (....I R3/0 f Vf> Construction type: Square feet: Cost per square foot: Other information: Type of Hea,t: Energy Path: o new 0 alteration I (b) Fo'uhdation-only permit? I Total valuation: ". ~ddjtion DYes I (a) Permit fee (use valuation table): (b) Investigative ree (equal to [2a]): (c),Reinspection ($ per hour): (number of hours X fee per hour). I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): I (e) Subtotal of fees above (2a through 2d): Sign here: I CO T" ClO'R' 'I'N'.' 'A'TIO'N'... '1 I (a) Plan review(65%x permit fee [2aj.,>: N RA, ' STAlL '.'....., '" , I' :7' . I I (b) Fire and life safety (40% x permit ree [2a]): Business name: ;J err 1/ Pu~ r A s- ~J1 ~rr .s1'1-uC+i 'v? . I Address: /f-. 7' 8' 'IV alFTC.!,'" I (c) Subtotal of fees above (3a and 3b): . I City: /:2'u":"... '" ~ I State: ('Ire. I ZIP:'? 7'/l:C! I I Phone:,,-';':;: S-U- 't 7' <-I / I Fax: - - I E-mail: \)c...r-.t-l/ LJNr'rtf$ e,q Cl ~~hC4 ~ c:..c~? I I.CC8Iicens~no.: / / '5>- 305 L I I Print name: J crrl/ p~; e ;-A5 c. ,p1 I I sig~aiure ~9' /g~ I ., ~/ r:tf~~-~;,~\f-~!:~:iti~:$Q~~Q"mtRAGJ(Qf{;(.~F.9R~.~iiIQN~~ctit?;r~]11~1t~~~:~tl I Name CCB License Number Phone Number I i Electrical ;3 <("-(-"/"1 i-6 I I Plumbing I Mechanical I ' I I (a) Seismic fee, 1%(.01 x permit fee [2a)): I ~o I I I' I I I I I I 1$ :$.5'''=' I $ I $ I $ I $ I $ I ~ 1$23/ I : I I I I I , TOTAL fees and surcharges (2e+3c+4a): $ $ L:,,<.- IU:~<=' E/~c7'- 1d>-; P/M.... 6/~'/ .;. 225 J!'ifth Street Spr.ingfiefll, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I 051 COM2009-0 I 051 COM2009-0 I 051 COM2009-01051 COM2009-0 I 051 COM2009-0 I 051 COM2009-0 I 051 COM2009-01051 COM2009-01051 COM2009-01051 COM2009-01051 COM2009-01051 Payments: Type of Payment Check cReceintl RECEIPT #: 2200900000000000913 Description Fire SF Fee - Residential Plan Review Residential Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Sanitary Sewer - Reimbursement 'Building Penn it Fixture Minimum/Adjustment Plumbing I st Appliance Plan Review Minor - Planning +5% Technology Fee, + 12% State Surcharge Paid By HELEN BRUZER Received By Check Number Batch Number DJB Page I of I City of Springfield Official Receipt Developmeht Services Department Public Works Department Date: 08/12/2009 1 :26:59PM Item Total: Authorization Number Amount Due 40AO 87.20 154.32 17,86 202,95 489,60 57,00 1.00 79,00 119,00 37.28 75,19 $1,360.80 , How Received , Amount Paid 1466 $1,360,80 $1,360.8U In ~erson Paym~nt Total: 8/1 2/2009