HomeMy WebLinkAboutPermit Building 2009-9-8
Status
Iss u ed
CITY OF SPRINGFIELD
Building/C9mbination Permit
PERMIT NO: COM2009"01254
ISSUED: 09/08/2009.
APPLIED: 08/26/2009
EXPIRES: 03/08/2010
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2423 34TH ST
ASSESSOR'S PARCEL NO.: 1702193101117.
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Garage conversion to living room
Owner: JANISSE MITCHELL & JULIE
Address: 2425 34TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ,
Contractor Type
General
Electrical
Contractor
OWNER
CHRIS MILLERS ELECTRIC INC 62377
I ~UlLDI~G ~FORMATION I
. NTION' Oregon law reyc;'~~-;,~ Utility
# of Units: . ATTE . dooted by the O#'ofStgries:th
Primary occupanc~l,?r?~{i~~~Sc~ntg;3Those rule'l-\r~~di~j~ucture
Secondary.Occupanc. y'Group:2.' 00' -0010 through Gfyp.e ol,Uealtl
. r.::.'\~Yb - I ' G'..,lt:IUlv....-"J
Primary Constructibll'1'YPf, may oVJ;hin COpIes W:tate~,;r)5Pl8'
. n:,\C'\j h, 10U .... (N te'tho en::::!"'"
Secondary construction'll%elhe center. 0" .t,"\'l-~'I-~fii!'Y.P.W
# of Bedrooms: calli\) r lor the oregon Utlll}i:n"e..r%.y Path:
nUm e center is 1_800-332. '?prinkled Building:
License
Expiration Date Phone
12/2112010 541-895-3660
Electric
Lot Siz.e:.
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side i Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PU~LIC IMPROVEMENTS I
NOTICE" 1fiI-lE'NQ?,\(.
Storm Sewer Available: PERM\! SI-IJI,\.\' 8<P\RE RMrT \S NOi
Special Instruction: T\1\S ED UNDER T\1\S PE FO?'
AllT\10R11 \S ABJI,NDONED , (
Notes: There are no PUbIiC(l)@tWiS/...~~d;\~h\~e.
ANY 180 DAY ptf'> "
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
Pae:e I of 3
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description
Tvpe of Construction
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Total Amount Paid
Initial Review
08/26/2009
Plan nine: Review
08/26/2009
Public Works Review
09/03/2009
Public Works Review
09/04/2009
Structural Review
08/26/2009
I Valuation DescriDtion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01254
ISSUED: 09/08/2009
APPLIED: 08/26/2009
EXPIRES: 03/08/2010
VALUE: $.2,000,00
Value
Date Calculated
Total Value of Project
]{"P', P'WIJ
Amount Paid
Date Paid
Receipt Number
2200900000000000965
2200900000000001013
2200900000000001013
2200900000000001013 .
2200900000000001013
2200900000000001013
No Plamiing Issues.
Property. owner needs to recieve
approval, ~.rom county sanitarian on
septic ta~k functionality.
Reviewd~as garage conversion to
bedroom. Owner is .changing
conversion to bedroom to conversioll
to living~oom. Owner has talked to
county s~nitarian and had been
given approval for living space
rather th.an bedroom. There are no
public works issues with this site,
As notedion 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.
$37.70
$15.00
, $6.25
$55,00
$12,00
$58.00
8/26/09
9/8/09
9/8/09
9/8/09
9/8/09
9/8/09
$183,95
I Plan Reviews I
08/2612009
APP NJM
08/27/2009
APP DDK
09/03/2009
WE BJG
09/0412009
APP BJG
09/0412009
APP CJC
Page 2 of3
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Status
Issued
CITY OF SPRINGFIELD
Building/C9mbination Permit
PERMIT NO: COM2009-01254
ISSUED: 09/08/2009
APPLIED: 08/26/2009
EXPIRES: 03/0812010
VALUE: . ~ 2,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insnections ,
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after 'all rough in inspections have been approved,
Wall Insulation: Prior to cover,
Ceiling Insulation: Prior to 'cover.
Drywall: Prior to t~ping.
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.
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 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 contTactors and employees who are in compliance with ORS 701.005 wili be used on this project.
I fnrther 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.
;{ ) 7"
. ,. ~_."
..)1:/
Ow./'k.~
~----
Date
Pae:e 3 of 3
225 Fifth Street. Springfield, OR 97477+PH(541)726-3753tFAX(541)726-3689
1'\((.'.'."6ERARTME'Nitis'e oNt);;; .:":1
'7-i..: '-, ;.",:"/^":\';~.'-_;.:...-.,;'.. -.;.. ,':'i " ,:,"'-;., : - " "'.' '.' .
I pe~~: z:o c:> ? - 0 I Z St'(
I Date: 3' ~ Z 7- 0 1
Electrical Permit Application
This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
I )~..(,,(J-:,i"'iY:I.tOtAu."lGO\lERIII M EIIIT~ApPRO\lA' "'~~'fI"f(~':""',!f,"1 l'lll".c""lti!;""'iili,ifill0rii::iB."EE'IS' 'C'H" E' DT' "E""r,,-,,,~,~;;'''';'~'''''''''1JY\TIi
. .~_ . _ ,; jot; __, '..' .. __ .:_ ., ,-( .'c.._ __ _.., ""c.'~' _.,.~',-e:".~' :1; ,::.;,:"':'~"'~:::ii"""-'~':"".-l>.'!,)'."_';';,~,,~'r.i r~ ,_ , '. _.' .va.:: .~'."i'l~~~(!,;~.mj'Y5}i,f;i'{;i;:
1'?"j-:~\",!-
I. Zoning approval ve'ified"... . ...D.Yes .. _ 0 No 1 I'N~.ri~~r:idn;We.~!io.';~~r~~i;it~~li)'r';..:.IQh.;1 L~iJ~r<.i~rl'j'.~ota~;_;:
m;M~~:~~~~',~~ki~CA;'f;E G,O RY;1~O fiX:'CQNS]RUC]ldN~ti*,;j'.:~>~ti',:.~)~~~:1 '" ,!' :~,- ~,.1'.~ ,': ,-;:<;,~". ".,;,,~ ".,~,.;".""",, ''1\f ".', ~L,~ ',-, .'", - .;,). ..~~. --<",'""
. ,.,.S9$~y,\..
I ~sidenti~l" _m" "I [] Go~ernmen~ ""'" to Commercial I II Residential, per unit, service inclu~ed:
1!'Ji#K~J.OBl'tSITiE~INI;;OR.M~RIQI'l!rAIII[j~HIQCAiJir0N~J~~it!1 1,000 sq fl 0' less (4) , $134.00 $
I Job sile address: 2 4 Z. 3 '3 Cf't"- sr. 1 I ~~~~oa?dltlOnal 500 sq. ft. 0' portion $ 25.00 $
1 CitY: $f'FD 1 Stale: c><L I ZIP: ~ 71(?71 I Limited energy (2) $ 32.00 I $
I Referenc;".,.:~:Z~;cR:R~~[0F()WJ;~~~:~:g~J~~~~.~!'i' I ~~~~I~is~~~~~~'~~7e~~:,<~)odula'l: $ 63.00 1$
I -f'4--~~ CtJi/fl/f;:/?r72) ~ 9'~ I Services or feeders: installatian, alteratian, relocation
1- / I 200 amps or less (2) $ 81.00 ,$
I . . ;PROF>,ERTY':OIiVIIIER:,.::;'., I 1 201 to 400 amps (2)$ 95.00 $
I Name: /U I' T~ ~A'.U/S"s;&- I 1 401 io 600 amps (2) :. $158.00 $
I Add,ess: 8 Z"T' 2-3 37~ .5'/- 1 1 601 to 1,000 amps (2) $205.00 $
I City: .c;'/ 4~,J<...? 1 State: tf/!' I ZIP: 1 lOver 1,000 amps.or volts (2). $469.00 $
,,- 1
I Phone: ;?/2 - 13 z--- <;oL'1 Fax: I' Reconneclonly (2) $ 63.00 $
I E-mail: I I Temporary services or feeders,: installation, alteration, relocation
This installation is being made on residential or farm property 1 200 amps or less (2) $' 63.00 $
owned by me or a member of my immediate family. This 1 201 to 400 amps (2) $ 87.00 $
p'operty is not intended fo, sale, exchange, lease, or ,ent. OAR
479.540(1) and 479.560(1). . 1 401 to 600 amps (2) $126.00 $
Signature: lOver 600 amps or 1,000 volts, see services or feeders section above
I . :-.: :..,...,,";;.CONTRAct0R"INSTAl:.IiATION:;..',::. '. 1 Branch circuits: new, alteration. extension per panel
I Business name~~J- ~ /...t~~ . c;/ ~c.r- I a. Fee for branch circuits with purch~se ofa service or feeder fee:
1 Add,ess: ~:?-??P-- /j)hL..tL?/?2> ~ I Eachb,anchcitcuit I 1 $ 6.001 $
1 City~.~/ /" I State: 6;1? I.ZIP:97~? /" [b. Fee for b,anch:ci,cuits without purchase ofa service 0' feede, fee; L
I Phone: .: -9<7..,p~ I Fax: I First b,anch circuit (2) 1 L $ 55.00 $ ~ ~
I E-mail: ~j..6.6"oIIEachadditionalbranchci.cUit I Z- /$ 6.00'$ (Z.
I CCB Ii~ense no.: ;: 2577 1 BCD license no.: I I Misc.ellaneous fees: service or feeder 'Jot included I
I Signing superviso,'s license no:: ~ ,:?.z..z.,p .s .1 I Each pump 0' irrigation ci,cle (2) $ 63.00 $ I
I P,int name of signing superviso'L1?4/9~ p/-.. ~I I Each sign or outline lighting (2) $ 63.00 $ I
I vi~ I I Signal circuit or a limited~energy pariel, $ I
. Signatu,e of signing supe'~",",/~ V..-,.,_ ,'.//1 "7 alte,ation, or extension (2) $ 63.00
I Each additional inspection: (1) . $58.00 $ I
~':1f."';;Yni&,tWi':11Jt:';:'~kv';}:*'-:~~A:'"':'R,uDi'l~C~.~''''w",,- (i'~,,... ''''"to:,i~\',>;r/,:::;;'i;:::j''~,.I.q~~fi,'''~^L. ~,.' I
"~'<Y~.~~~J*%';~'*i'i1~\'?i:;;'.. ",li~1 . .J.\NI:\'~t.J.SEtfV!'I(f:'?;iJ3}1~i!f!Diif'i'lli.W;Jii~;i--~~
(A) Enter subtotal of above fees I 'b ~7 ' (
(Minimum Permit Fee $58.00) $ ~ [ ,
.1 (B) Ente, 12% surcharge (.12 x [A]) $_: '8' O'1~
I (C) Technology Fee (5% of[A]) $ 1.3 33" \
I TOTAL fees and surcharges (A through C): $ \. -:z'it ~,
~~
{Cr.
\J)~ if-
0-:\\ ~
~L5(
.&-
440,2584.J (9/08/COM)
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(54 1)726,3753 . FAX(541)726-3689
I'" ,.-",,,. ,. ,.. . .' - .-.."', , ,
:: ;OEPARTMENT'USEONbY:"
',."',,':,. -,'." "'; . -.:"-"..,", ",,'
CpIMZOC?-O f 2 ~;'i
Permit no.:
,
I Date 8 ~2b .O~.
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,
~G~j:,i:~\;~1;":\':f~5~i):G~:C'AW:"~:QY:~:8JiMINl?)E~~:t~RG:V~!!.~1~~>t~i~~1
This project has final land-use apP,rovaL I
Signature: Date:
This project has DEQ approval. I
Signature: Date:
Zoning approval ve,ified: DYes D No I
I Property is within flood plain: DYes D No I
\1J~m*~~t~:~~~~'~Ig9QBYJkgflg:9jj~J,R:iJ.G[,~~4~~1f~~I~~
IP.,j",~:.:.~,~~~."~~a.I";i ...., _.,.....1_.9~?,0..,~..:~~':'. :..~:.,...,...,._.,."..j 9.E.~. m.. .~~.;. ~~~". '. "."',1
[l!!',Ji;!ii;-(",i~;~Qi:!3i.!lI!TE",INf,9~MATIOI:!~AI:!D~"'QPATIQ_1:!1;'$t'1J~"j{",/il
I Job sile address: J '! j 1 ,3//4{ r;:-J- I
I City ',,\,_,' ,!,-7Ji I State L)f) I ZIP?7.,.~
Subdivision::I J _ I Lot no.: .' 1
Reference: /7':> Z. I '13 I I Taxlot 0 1 ( ( -, I
, '" p'ROPERtYQIJ\lr-,fER~;;'>:.>"0\ I
Name: jtlL :/--"L _ ~, 'rPo? I
I Add,ess f'! j f '?!/Z; i-l,
l City S;; . ~ I State tJP I ZIP CJl"rJ]
[ Phone5i!9 .,. -!J,1c( Fax - -
I E-mail' j!j;f;-h.""';jz/t) IJ(j'r,iJ f{(JLJ "'... #A
ThiS mstailatlon IS belOg e on re entiai' or farm property owned by
me or a member of my Immediate famity, and is exempt from licensi.ng
reqLlirement~ ~R'/?Ol 10. ."_"
Sign here: ~ 1/--v'7 ____
I.: '. ",/.9 . ACiIO~)r-lS~)\,L:LATI9N',~,'.~,;:;,',j:i,_
I Business na ,/n hi: :J:: /!, ~rp
I Address J-t.f 1? -;:r,//1.~ >:'1_
I City 51 r ~_A\...L) 'State o,?l I ZIP~]'11'/)1
I Phonejk1((i 137- <-{ Fax - I
I E-mail: I
I CCB license no /,J 7'\ tT.r- I
I Print name: ~ v I
I Signature ~,f'Z. .' - - ___ I
1,~{jlgf!i8\~~1iS ~ONl]BAGJ(j~il.I:!17(jJ~MA:fIQN~{~~~~'ifi\;1
I Nam \ '> I CCB License Number Phone Number I
I Electrica \t.\\~. I
I Plumbing r I
I Mechanical I
l~fJ.\?}';~~~%~~lt~':';~;~i~'I;~.W;;~';;~If-~~"?'~gH~pO'['~?I"!~[.it~~'~~tY(~I:~'?'l~'1?';:-,'i~'f;~ I
rjrtv~'i~llHbnWrtt~r{ffi,itl,(j~:,~!;:~I~~~~Wr.~if~l(~~~~~i:~~}!J~f?JMJ1\<N~~f~~j:~,;1
(;)J~~d~s~ri~ti~n- C;^~~ -. ?~r1~;';"Id.Y
I Occupancy ~ '> , I
I Const,uct;on type: \f IS. I
1 Square feet: 1
I Cost per square foot: 1
I
I
I
I
I
I
I
I
I
I (d) Enter 12% surcha'ge (.12 x [2a+2b+2c]): I $ I
1~3~~~~lu~~~t:I'_~~~~;~':~~;'~;:'~:~~;\~::~'L<\tilW~~~"~~"L"""'~""'~ I .
'~,^,'l.~,.!.l.!1,~r~x~.~~;!..~~,s.9.~~ffii,~89~~At't'J;!~!,;'11~?;,~~7.tS;~:Y~M&~;.:<4';p*:'c;'N.~_.
I (a) Plan review (65% x permit fee [2a]), $
(b) Fire and life safety (40% x permit.fee [2a]): $ I
I (<) Subtotal of fees above (3a and 3b): $ I
Other information: '
Type of Heat: eu--C/~ Ii
EneTgy Path: .
I 0 new E['alteration 0 addition
I (b) Foundation-only pe,mit? DYes
I Total valuation:
~o
I (a) Pemlit fee (use valuation table):
I (bY Investigative fee (equal to 12a]):
I (c) Reinspection ($ per hou,):
(number of hours x fee per hour)
I :
I $
Seismic fee, 1% (.01 x permit fee [2a]) , I $
TOTAL fees and surchar~es (2e+3c+4a): I $
~',
225 Fifth Street
SprIngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01254
COM2009-0 1254
COM2009-01254
COM2009-0 1254
COM2009-01254
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000001013
Description
Add, Alter, Extend Ci,c
Add, Alte" Extend Circ Ea Add
Building Permit
+ 5% Technology Fee
+ 12% State Su,charge
Paid By
MITCH JANISSE
Received By
djb
t:heck Number
Batch Number
Page I of I
,
I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/08/2009
Item Total:
Authorization
Number
9:19:36AM
Amount Due
55.00
12.00
58.00
6.25
15.00
$146,25
I
How Received
Amount Paid
07368b In Person
Payment Total:
$146.25
$146.25
9/8/2009