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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