HomeMy WebLinkAboutPermit Building 2009-9-8
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01229
ISSUED: 09/08/2009
APPLIED: 08/21/2009
EXPIRES: 03/08/2010
VALUE: $ 12,500.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5738 CAMELLIA ST
ASSESSOR'S PARCEL NO,: 1702334401203
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Install Solar Modules
TYPE OF USE: Addition
Residential
Overlay Dist:
# Street Trees Rqd: ~
Paved Drive Rqd: i\1t. ~()~ .
% OfCt,t Coverage: \..t.'iS,\?>t. W WI\\ \S ~()i
~?~ O~R~\;\~j,'~R,\~~~~~~~n fQ?>
I PUBLt~,~~,CR~~~~,i" t~
COWl\'JIt: () 'i)f>,'/ ?t.I'-\\J Sidewalk Type:
f>,~'/ "\ \) Downspoutsmrains:
Owner: HOWES DANIEL L & LINDA L
Address: 5738 CAMELLIA ST
SPRINGFIELD OR 97478
, I CONTRACTOR INFORMATION'
Contractor Type
General
, \0 License
, "OU
, .onu\leS , "1\lil'l,103371
"'::l"~'" ". - ,,-
\'\110\'\', ul"'BUlLDING'INFORMkTfON I
p.IIC uteS ad""" l\'1ose \ v'- op.R 9~&.-' - p
# of Units: 101\oIN \'Oll cell\e~~ dl\Pftst~f~ie \ \\'Ie lU1eS '!
Primary Occupancy Group: \,\O\,IIG~ 9S2-00~-0 h\atJ,clgbl''Ot' r\'!cttjr'eOlle ~
',p. Q\-J. \ : 1 ,'\\Ou
Secondary Occupancy Group: III O~ 'IoU \lIa'! lI\el:rXP",O'l;\lI'i~~l\o\I\IGa
Primary Construction Type 009 ai\\lI9 \\'Ie Gee OI\YJller'-rYf-to'VI).
Secondary Construction Type: G \lIpel 101 \\'1 ( 'Is J.l.llRg\;~ype:
# of Bedrooms: lIU Cell\e, Energy Path:
Sprinkled Building:
Contractor
NEWTON HANS LOKEN
I DE~ELOPMENT INFORMATION I
Frontyard Setback: .
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion ,I
Description
$ Per Sq Ft
or multiplier
Square Footage'
or Bid Amount
Type of Construction
Page I of3
Expiration Date
01105/2011
Phone
541-338-4957
n/a
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
'REQUIRED PARKING
Total:
Handicapped:.
Compact:
'>r;.
''\.
Value
Date Calculated
.
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01229
ISSUED: 09/08/2009
APPLIED: 08/21/2009
EXPIRES: 03/08/2010
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726_3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Bid Amount
Use Bid Amount
$1.00
12,500,00
$12,500,00
$12,500,00
08/21/2009
Total Value of Project
Fpp~ pqillJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Residential
Amount Paid
Date Paid
Receipt Number
$19,83
$8,26
$165,25
$107,41
9/8/09
9/8/09
9/8/09
9/8/09
1200900000000001036
1200900000000001036
1200900000000001036
1200900000000001036
Total Amount Paid
$300,75
,I Plan Reviews I
Structural Review
08/28/2009
08/28/2009
WE CJC
No gravity or wind loading
information included with
application, Contacted applican
8/28/09 and left voice mait
Structural Review
09/02/2009
09/02/2009
APP CJC
As noted on plans
To Reqnest 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.
I Rp'\W,rptl Tn.,nectio"s I
Framing Tnspection: Prior to cover and after all rough in inspections have been approved:
Final Building: After all required inspections have been requested and approved and the building is complete,
,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-01229
ISSUED: 09/08/2009
APPLIED: 08/21/2009
EXPIRES: 03/08/2010
VALUE: $ 12,500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that I have carefully examined the completed application and do herehy 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 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 t permit card is located t front of the property, and the approved set of plans will remain on the site at all
tim;ii ~~?_g -09
. -
Owner or Contractors Signature
Date
Paee 3 on
225 Fifth Street. Springfield, OR 97477. PH(54l)726-3753" FAX(54J)726-3689
~a
I., OEPARTMENT USE ONLY I
Pemit no,~ G\. VI- ~ C\
I
Structural Permit Application
CiTY @F'SrRINGFIEl9,0Rf'G8N
/ Date:
This petnlit is issued under OAR 918-460-0030. Permits expire if work is not started wilhin 180 days of issu,:mce or if work is
. suspended for 180 days..
I, .. LOl;AL \.!ibYE.RNI\IEtNT'APPROVAl/", ' 'I
I ~~;~::~ct has final land~ust: approval. Dale: I I .EE5":SCH'EDULE.
I ~~;:~e~" has DEQ appnml Dale: I :i~)~~::;:n::i:~otmSo~_ \tfu{JJ-
II ~:p;~~:~~V;:::::dp:lain: OO~: DO:: II I O"upa.cy ~f Sb1o,,- ~1t?~
~. 'J I Construction type: . l
I . CAtE(;OR.V OFC;;O~s-rRUc:tldN I I Square feel: I
I,DReSidential.. .. 10. .G. ov~m..rn..ent.._,,,,,, t..'~.' Cc~..' ercia1 -. .1 I Cost per square foot: I
.. :. J.OBSITE \ 'NF()RM~TJQN.<\ND: LQCATloN ... .... ..1 I Other informatio.: I
II Job sile adilles", 5> ':f 3 B ('A-M~LL-/A :;. T I I Typ' orH...: I
City:. " Sf'F'-.O I State: = I ZIP: 'l+Y-t-I? I I
I Energy Pa.h~
I :~~::~::;~-J ~ Dt ~~_Q'\5:o- ~ . II 0 new ,0 alteration, 0 addition ,
I '.'. ". ,-:.""'PftoC '....... . u - .. ". '.' ,. (b) FoundatLon-onll.' pcrrmt7 0 Yes -r.M No _ I
" '. " '...:PRO..cRTY .OW ER . " , ' ""
II ~:r:,~;~;f~m:~~iU;i .. :;;:~~~I:'gfi;:~ ....fi\~560.J~f
City: 5iPi= P I Slate: Of'- I Z1P:<i~LH'O I (al PermiLfe, (usovaluation table): .. ~~l'r ~.)).I
I Phone: 'Of "l 'i _ '1<0,-\5 I Fax: II (b] Invcstigativo fee (cou.al 10 [2a]): ~ I ~,~W-\
I (c) Reinhpection (;'Ii per hour): \J"
E-mail: (number uf hours x 'fee per hour)
Thi.s installation is being made on residential or farm property owned by j (d) Enter ]2% surcharge (.12 x [2a-:--2b+2c)):
me or a memb~r of my irnfficdiatc family; and is exempt irom licensing
rcquirc=ments under ORS 701,010. lee) Subtntal offees ablJ\-'e (Za through ld):
13;1'IIinre,v(~. f~~.....
I (a) Plan review (65% x penn!t fee pall: , ~'1l7 q,
I (b) Fire and lifcsafety (40% x permilfee [2.]): .
I (e).s._~. btotll.1 o"~.. ~~. esabo..v..e (3.a and 3b): I $
4,.MISceUaneousJeO$. ... 1l!:'"~...-tlii .. 0 -I::"'
! (a) Seismic f~, 1 % (.01 ;.. pem';l fee [2a]): ' .1 S
I TOTAL fees and surcharges (2e+3C+4a): S ~oo!.f"
Sign here:
$ l't IL I
I s I
I
I
I
I
I' . .C6"IT~ACTOIlINSfALtATION ... .1
I Busincssnamc: ,SO~ A"SJST I
I Adill",,: 1"",'5 c;?oS' <;-r ""?~\ .' I
I City: 'FUGTN'f .,' I Slate o;e.. I ZIP:"'~'1P2.1
I Phone: ")Ojl 3:3e-'1"lS7lFax: S~
I E-mail: S.-"9<>...-.Tt<?sol~...S+.-. n:o::t:- i
I CCB lic",se no,: ) 0 3 :;,::r- I
I Prinl oame: S'c v IT CR.A VJ Fa ,2,D
I Sign~lUre: '5insC-oM
~UEl:.;(;O!'lTRACTqR'I",i'C!RrMTION"]ij';: '~ii i ,~!l!1~'1
J CCB Liceosc-Numbcr I Phone: Number I
I I I
I' I. I
F;,~
I Name
I EI~etrtcal
I Plumbing
I Mechanical
(;'d
LC:;5v888~vC:;
1StSS\! 18108
dOC:;:C:;O 50 H 5n\!
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01229
COM2009-01229
COM2009-01229
COM2009-01229
Payments:
Type of Payment
Check
cReceintl
. RECEIPT #:
Description
Plan Review Residential
Building Permit
,+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SOLAR ASSIST
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001036
Date: 09/08/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB
In Person
Payment Total:
16653
Page I of I
11:41:23AM
Amount Due
107.41
165.25
8,26
19,83
$300,75
Amount Paid'
$300,75
$300,75
9/8/2009