HomeMy WebLinkAboutPermit Building 2009-8-27
CITY OF ~rKlj~\JJ<lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-01201
ISSUED: 08/27/2009
APPLIED: 08/18/2009
EXPIRES: 02/27/2010
VALUE: $ 10,000.00
SITE ADDRESS: 2555 ROSE BLOSSOM DR
ASSESSOR'S PARCEL NO.: 1703234402700
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Deck Cover
Owner: PiNSON JUDITH L
Address: 2555 ROSE BLOSSOM DR
SPRiNGFIELD OR 97477
TYPE OF USE: Addition
Residential
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
STONEWOOD CONSTRUCTION INC
BUILDING INFORMATION 1
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
License
120103
Expiration Date
02104/20 I 0
Phone
541-485-6638
# of Stories:
Height of SI};~t\WI~~ A'rJG 08 ~ AN'rJ
Type of Hea't':
VB l:l0:l Gw~oort~rSb't SIl:lO G38N3l11JlIIJ08
ION SIII~IJ'Ii(jgt TiV/>.I::l:l3GNn G3ZH:lOHlnlf
)\t10M 3H "!If~I~W!l=11lfHS IllllJtl3d StH!
"Sprinkled Building: :3:::l)I.20N
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
416
R-3
8,712
, I DEVELOPMENT INFORMATION 1
5.00
36.00
41.90
0.00
All t':""".... ,..~...... :.... ,---':-:: r..,.,"
folio\,I P.u.QI"lqIMr,BQ~t;-MENrnS:11 Utility
Notification Center. I nose ILiI~~ "'" 5et foS!~ Ik T .
in OAR 952-00'1-0010 through OAR 952-0vll"ewa ype.
0090, You may obtain copie~ of the ruleSOllWnspoutslDrains:
Storm water t\tS~P'''J~M.o(exlStihg(iyslem)No t:al~e:m"'e'Jn~
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes:
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Type of Construction
Page I of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
28.20
Value
_~8!~~I!!l,1:91:
~ I '
~l "
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01201
ISSUED: 08/27/2009
APPLIED: 08/18/2009
EXPIRES: 02/27/2010
VALUE: $ 10,000.00
.'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~p" P~i11
Fee Description
Plan Review Residential
Amount Paid
Date Paid
Receipt Number
$88.40
8/18/09
2200900000000000928
Total Amount Paid
$88.40
1 Plan Reviews 1
Initial Review
08/19/2009
08/20/2009
APP LLH
Planninl!' Review
08/20/2009
08/21/2009
APP DDK
Approved as shown on plans.
'Public Works Review
08/2112009
08/24/2009
APP LKW
Storm waterto connect to existing
system
Structural Review
08/20/2009
08/27/2009
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.
l?~fI'~.,npd~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pal!e 2 of3
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~~r <" ." .,^ .
"'i;"
Status
Iss it ed
CITY'OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-0120I
ISSUED: 08/27/2009
APPLIED: 08/18/2009
EXPIRES: 02/27/2010
VALUE: $ 10,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecti~n Line
By signature, I state arid 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 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 descrihed 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 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
I street, that,th~ permit card is located at the front of the property, and the approved set of plans will remain on the site at all
,~:~Z12,~- <Iz~!o/
I Owner or Contractors Signature Date'
1/ \
~.
Pa2e 3 of3
225 Fifth Streett Springfield, OR 97477 + PH(541)726-3753+ FAX(541)726-3689
~[f~ljEf:ARt~!~~&YiUl
I
'eQ-\nD\
Electrical Permit Application
.
Pennit no,:
I Date:
This permit is issued under OAR 918-309~0000. Permits are nontransferable. Permits expire if work is not started within 180
days of i~suance or if-work is suspended for 180 days.
1~~!!@~~!!!:<.f~~~.BIS(Mi;ti{ifil'~age:!1l>>'!N~~
I Zoning approval verified? 0 Yes 0 No -
l~b~€;".4Iit~Q0)B;~@F,I!;):@.IS(~il1R!!l.G.1!TI.Q~~~w.~ I
I 0 Residential I 0 Goyernment I 0 Commercial - I Residential, per unit, service included:
~1!i~arl!:S-j!r~llS(il~~_M~.miQf'Ji:<<:fJJjILW~l~.;M'iLc;f~I~$€l 11,000 sq,ft, or less (4) $134.00 $ I
I Job site address: 6t 55'5 __ Ra:e. ~I)SSDrY'\1 I ~~~~:tditional 500 sq ft. or portion $ 25,00 $ I
I City:.snu. N.- I State: 0\1-. I ZIP: c:.t"HT11 I Limited energy (2) $ 32.00 $ ,
:~~~~"--1 !~~f~~;~~~~-","'~';":: !
1~~~~lIRRQ&~~m:t~~wrli.l;a~~2J'f:li~t~'%;f;i,~~1 I 201 io 400 amps (2) $ 95,00 $ I
1 Name: < ), yj 1 l:. 'r\ f\~1) 'I I 401 to 600 amps (2) $158.00 $ I
I Addres.!'~55~ ~~P.>\OSSD/() I 1601 to 1,000 amps (2) $205.00 $ I
,I city:~1 State: OR- ,I ziP:qr4-o I Over 1,000 amps or volts (2) $469.00 $ I
I Phone: _ _ I Fax: _ _, Reconnect only (2) $ 63.00 $ I
I E-mail: I Temporary services or feeders: installation, alteration, relocation .1
This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 $ I
owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ I
property is not intended for sale, exchange, lease, or rent. OAR
479,540(1) and 479,560(1). I 401 to 600 amps (2) $126.00 $ I
Signature: lOver 600arnps or 1,000 volts, see services or feeders section above I
11I';!F;1jj~lI'i):C!j'J\lm~~rL€f~f!l!II\lS.lIlI?il!lS~lE1:Nl~~ii'ij'W~fil I Branch circuits: new, alteration, extension per panel I
'j Business name: LH.AJAl'S fJf(....t 17;-t-.- [ a. Fee for br:mch circuits with purchase ofa service or feeder fee: I
I Address: J3D't I+. I Each branch circuit I I $ 6.00 I $ I
I City: N// CIZ'i1 k. I State: bIZ.. I ZIP: 91'1'~8 I b, Feefor branch circuits without purchase ofa service or feeder fee:' I
I Phone: s-= Y 1_ '1Zt.. '7F?'1S'1 Fax: S'W _ ?'o/t:... ,'2' ~z-.I I First branch circuit (2) I $ 55,00 $ >1" I
I E-mail: J,,'i.~tJ/L;fS 2(". <2 1Ir$,u ./'"dW1 I I Each additional branch circuit $ 6.00 $ 'I
I CCB license no,: 8 II'Z '$/ ~ I BCD license no:: 20- n I-L I I Miscellaneous fees: service or feeder not included I
,I Signing supervisor's license no,:' :J 55 1~ 5 I I Each pump or irrigation circle (2) $ 63,00 $ I
I Prillt name of signing supervisor: L..r /VAl fJ. ~ I I Each sign or outline lighting (2) $ 63,00 $ I
,I Signature of signing supervisor: ';:"r ,P I" . I Signal circuit or a limited-energy panel, $ 63,00 $ I
~ . alteration, or extension (2)
, Each additional inspection: (I) , I' I $58.00 $ ~
~,"'il.j,~l'~_A'i>6i*I""'A\i'lii;;'!ii!r-~~"",~~
. ~~~,11iL~,~rf!L~,_:~~~~i~~t~:S:_..;.,~~~~~1f~
\P~'~ (A) Entersubtotal,ofabovefees $ 'y"4
(Minimum Permit Fee $58.00) r
0_, J'lfL
l/~ 11Y. 'r I (B) Enter 12% surcharge (.12 x [A]) $ I
~' , (C) Technology Fee (5% of(A]) $ I
I TOTAL fees and surcharges (A through' C): $ I
~' ,'-
,,1>0..'
\0''''''
440-2584-J (9/0B/COM)
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01201
COM2009-01201
COM2009~01201
COM2009-01201
COM2009-01201
COM2009-01201
COM2009-01201
COM2009-0 120 I
COM2009-01201
Payments:
Type of Payme'~t
Cash
cReceintl
RECEIPT #:
Date: 08/27/2009
2200900000000000975
Description
Fire SF Fee - Residential
Plan Review Minor - Planning
Storm Drainage Impervious Area
SDC SanitarylStorm Admin
Building Permit
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
STONE WOOD
CONSTRUCTION, INC
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
16915
klk In Person
Payment Total:
",
Pagel of 1
I I :25:56AM
Amount Due
20,80
119,00
155,53
7,78
136.00
55,00
3,00
15,65
23.28
$536.04 '
Amount Paid
$536,04
$536.04
8/27/2009
Structural Permit Application
-,",-,"'".,~'''''-<.,.,'..'''''''"
. . e .........._ .,0' 0 .... .~~'-.,. '..:
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
~.P,,~:G::~~:-
~,' '!'
'!;!",,,,,~,, ~, 1:
,,~ ,~ WJI
1'~'7P.ARTMENT,USE ,ciiilLv
permitnorJr -/:201
Th' '" d d OAR9184600030 P , "f k' d 'h' 1180Date ~1/f!tJ.', ,
IS permit IS Issue un er - - . ermlts expire I wor IS not starte Wit In days 0 Issuance or If work IS
suspended for 180 days.
II}E//-:',.~,~:~:;~~jSi\:1[9,~Aj:t~~9Y~1~}fM~NJ1t;~~CRRRQY1;U.t.~~tl1?~H
I This project has final land-use approval.
Signature: Date: I~~'f;':'>,-<~ ~~~;~:~{}~~~~:~~~;~~~;~~'iF.~',~;~'S'~ ~:~QP"C~:r\!r;~'. ~:,:'~~~~~:ii.'f"?~:;': ~, ,1;:'&::
I ~~~~;~o:eect has DEQ approvaL Date :f~':;~:~~~~:f;~~(ff~~f{~~~~~i~i;~:@lii~;B;,\1itl:'3:~~~~:i
I Zoning approval verified: DYes D No I Occupancy p"
I Property is within flood plain: 0 Yes 0 No 1 Construction type: l/g,
liSil~!;W'!"~':(it;c0rCAtEG'0RY.P,0F'iIG5NSiRUc;fi0'N'li1.';jl'li,;Iil!.," ,,';! ~
,.".~m,,~i~jlL,..,.., JIL,;J\)"__,.,, -"'-_..~ ",.,.'ilJl5,~', I Squarefeet: Ifo~"U, ~ I..f (~ I
'I,~;s,i~e,~:i~,~"~,"-" ._._.,'''',',,!.,',._~,~G,..,.~,~:,m, .~,:,~t~~,._~.,.,..L, ,g,~~,.~",.~,.e:,.~~a~'R"n,'" Cost per square foot: I
f!l;";);,;;'~:0t\i~9~(SI:rEt INF,9RMAl1QN}'ANQJ;t;O"C,b.'r10I'lp;,'''''':i'I''<i\; Other infonnation: I
I Job site address: 2.556 rl~'t>.:: nLb6~ Oa.-
r Type of Heat: I
I City:"5I'IU~F~~ I State: ~ zIP='17.{7f{
I ' , , I Energy Path: I
SubdivISion: Lot no,: I D D ' r.r I
I I ,II L new alteratIOn ~ addition
Reference: Taxlot: /1 t)~ 1. '?1"1"7'DZ1l:t.) , '
I,,' ",., " ',,",'.,/, '-',",':' . I I (b) Foundation-only permit? DYes DNo I
I' ' ....-'\ -- ",'!;~OP:RI\OWNER<, ' . ,,,', 'I I T'ot'al v'aluat'lon', 7.l I
Name: ,",A'u>., "rINwl)No'-n".." 1C;C:C)eJ'7IDI$, ,
I Address: 2660 ~~Il..~~M ~ I 1~~}~.~.Hg,iIig'I~~~.~~~~r;~'i~t~~rk:~~~~~:.,gf~.{,~~~1ht*~Sl:H;~~;~,;e::~i/.d
I City f-, QP.J .:>4P. ~b State tJl?- I ZIP tn4?8l I (a) Permit fee (use valuation table): I $$/"lt;. I
I Phone: ,Fax: _ _ I (b) Investigative fee (equal to [2a]):
I I (c) Reinspection ($ per hour): I $
E-mail: (number of hours x fee per hour)
This installation is being made on residential orfarm property owned by I (d) Enter 12% surcharge (.12 x [2a+ 2b+ 2c]): I $ :2:1 1:1
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010, I (e) Subtotal of fees above (2a tbrough 2d): I $
1'13~i'RI"f'jjV,F'jf':!~;f,..;("':t"'t'.Q'~~#'<ht,i:$~(~~~:t..~~'1!(~1;,"~~~,,~g,~j~,$:,
Sign here: ,...1' .'...a.~It:e~J.~~' J~e_s~~ir'",,)iW'.-!i.olt',,}t~::;rt,~~~~~k,,~'-~~"~4';~~).\'f.$J~.."'~~~'@
I ,," "" CONTRACJI0_R,'I~S;J'AI:.L~'fI()N~,,,,,,,,,;,\,",: "I I (a) Plan review (65% x permit fee [2a]): $"X'3 ~
I ~~:i:::s:p;e~~1~~ ~c:nOP I~f II'C4~~M~~'~~;~I'I:I~~~;;:~~~;~;~~;~:~~:,:::J:L""'"w:',~"...C',11
I City: f:~8utL. I State: ,,12- I,ZIP: ~7t/tJ5' ,;,:,')scena!l~o.us)!~es.~"",~~'~nhl)",(tt.;:fl~'/O:;;'';;!.J;';l;S").'",:,~>,,;,
I Phone:54'1- "gS- ~&- I Fax: 6711 a "1&1 _ '9 2."'i/ I (a) Seismicfee, 1 % (,01 x pennit fee [2a]): $
I E-mail: lAul'~~.f.l>()~~bd ~~Iikt.(::fUJII.Cb VIi TOTAL fees and surcharges (2e+3c+4a): $
I CCB lic~nse no,: I~/{) ~ ,
I Print name: J.AuIl.RF~ ""'~GI:'AtJ'
I Signature ~ - _ (J 4.-J1~ .
[\j;'~4'i1r<.~'!1;;ij~SLJB'C0N:T:BAc::tOR,I,NF,PRrviA'l}IQN!f;:f~~1fi~'P,;
I Name CCB License Number Phone Number
I Electrica I
I Plumbing
1 Mechanical