HomeMy WebLinkAboutPermit Building 2009-9-4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
, CIne OF SPRINGFIELD
Building/C<~mbination Permit
PERMIT NO: COM2009-01230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 03/04/2010
VALUE: $,46,478.00
SITE ADDRESS: 1555 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703243400113
Springfield TYPE OF WORK: Sing.le Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to Single Family Residence
Owner:
Address:
CLINGAN GEORGE L & RHODA
1555 YOLANDA
SPRINGFIELD OR 97477
Contractor Type
General
I CONTRACTOR INFORMATION ~
License
18222
BUILDING INFORMATION I
Expirath>n Date
08/05/2011
Phone
746-0179
Contractor
JERRY TABOR
St t t .. Nnt.77('1:. .
orm wa er 0 tie mto eXls 109 system
J HIS PERMIT .
AUTHORIZED SHALL EXPIRE IF
COMMnl"'~_ UNDER T~I" ~__ THE WnD,/.,
,-.'+1';'7' IIjU - -........." 10 Ii A - . '-nIVIII IS NO 'i
I, Valuatio~ B~fnlt',o",\ r NDONED FOR T.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Desc~iptiOl.1
Type of Construction
9.00
89.00
0.00
1
R-3
# of Stories: I Lot Size:
Height of Structure Sq Ft l'st Floor:
Type of He,ilf Sq Ft 2nd Floor:
Water TYlt~: TENTION: Oregon law r-"~IF~ Rasement:
IOIlOW rul t:..'; """Si;yuU (0
Range T~p.e:f' . es adopted bY, the S~'IH,Garage/Carport
~OJJ lcat/on C t - .....":l'-'.I Ul..IlY
Energy .atli:" ~ gc en er. Those rwSq Ft,Othe.:,t~
lIlJHH ~)? 00100 .... -. -..... o,J""llU
SprinkJ'6'c~~i1din~:'- - 1 \'Io'1rougr,0.ccuP.!'9.!,l3ev
. TO mav oht~ln ,.,...,0"'\,,,.... ~,f. H. I,. .
""'0"""'''''' ......~ _._' ...' ...- .....,......." uy
I DEVELOPMEN:r,l1~r.vKJvIATION "ate: the telephone
, , c. ., _~!)n Utility NotifibRlii.QUlRED PARKING
enter IS 1-800-332-2344) I; .
Urban Fringe " Total:
" Handicapped:
I: Compact:
13,939
480
VB
Overlay Dist:. .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
14.60
I PUBLIC IMPROVEMENTS'
Sidewalk Type: :
Downspoutsillrains:
.1
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 3
Status
Issued.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
SFlDuplex
Estimate
,R-3VB 1&2 Familv
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fire SF Fee - Residential
Fixture .
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Total Amount Paid
Structural Review
08/26/2009
Initial Review
08/26/2009
Public Works Review
08/26/2009
Structural Review
"
09/02/2009
Structural Review
09/03/2009
Plannin2 Review
Structural Review
08/26/2009
09/04/2009
$1.00
$96.83
37,000.00
480,00
CIT~ UJ:< ~rRINGFIELD
Building/Cqmbination Permit
"
PERMIT NO: COM2009-0I230
ISSUED: 09/0412009
APPLIED: 08/21/2009
EXPIRES: 03/04/2010
VALUE: $46,478.00
$37,000.00 .
$46,478.40
,
, 09/03/2009
09/03/2009
Total Value of Project
Ppp.. P1;r1 I
Amount Paid
Date Paid
$83,478,40
Receipt Number
2200900000000000948
2206900000000001008
220Q900000000001008
2200900000000001008
i200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
Addition to tie into existing storm
drains t
Startingj'review.
.,
KLK
!:
Approved as shown on plans.
,
I
,
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. '
$240,56
$75,15
$37.26
$79.00
$443.29
$24.00 .
$95,00
$119.00
$47.84
$11.59
$231.80
$9.00
8/21/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
$1,413.49
I Plan Reviews I
08/26/2009
APP NJM
09/0212009
APPl LKW
10 KLK
09/02/2009
09/03/2009
WI
09/04/2009
09/04/2009
APP DDK
APP KLK
~pnl~,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement,
Paee 2 of 3
CITY 01' ~rKll~(,1' l~LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-0I230
ISSUED: 09/04/2009
ApPLIED: 08/21/2009
EXPIRES: 03/04/2010
VALUE: $ 46,478,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Post and Beam: Prior to tloor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Wall Insulation:. Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing
Roof Sheatbing/Nailing: Before covering sheathing with finish materiill,
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.
U ndertloor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
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.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infoTmation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe 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 D'ivision, 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 ihe proper time, that each a'ddress 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.
J2Jo -t~;(, f1~ ~ t70{ OJ -If - 0 9
~w:: Zontractors s~nat:rU Date
Paee 3 of 3
225 Fifth Street. Springfield, OR 97477. PH(54 1)726.3753 . FAX(541)726.3689
';;'~p~pAihItllE~iu~E";,gN~Y;'
Permit no:{31-"- i2:5 [)
Structural Permit Application
-
I I Date: 'O/'J-I //7 Cj
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within ]80 days or'issuadce o(if work is
suspended for 180 days.
'::j~'/:_:~':~;,\~{7r~-~t~tt:J~Q~'A~Y~Q'Y~~8~H~it~Nm~:A-~Fii3Gy~_A~~~~~~)~~~~~~~11
~~~~;~o:eect has finalland'use app,ovaL Date I 1:?:;.:i:\~r2!,(;it'\'iJft~2;;!(~:~~~!~~Hi~J?i:JE~i~i~(!Cijc;1";'1!~T':,,,:'~;?j!1
I This p. ,oject has DEQ app,ovaL I
Slgnatu,e, Date: (a) Job description: ikz:, t> \ T1 ON I
I Zoning approval verified: DYes D No I . I Occupancy I
I Property is within flood plain: 0 Yes 0 No I I Construction type: I
l~j~~~i-.~jirg~I~Q:QBY--.:llc:jE1\(5.0tfsIjlI=l!:J:cjtli:1~~}-Htw;*\~~'!,j{~jl I Square feet y. sol
11",C?,;,~.".,.~_.~_i~~~_~.,ic~.~~.'._0'_"'-___'_'__.'I ,~.I.._v~_ G...,.,_?,~~..,:~_~._._. :?_~.' _.,.,.", ". ".''''''''". J..,g._._,,:~m.'_,..:.:~..~.~~~q".'_"';l:11 I Cost per square
foot: I
~m~1~1\'~;~~.t.~pBJ;r'<S.t;:r~~;:lttFr,9~MAT'-9~)JA~RM;9J1AT!P.~~i~'I;~:{~~ I Other information: I
I Job site add,ess IS s-S" ;Y f) / (J /7,,1/1. I I Type of Heat: I
I City ."J.or_n7'0'R/rf I State~ I zIPf'7<1771
I ' r I Energy Path: I
Subdivision: I Lot no.:
:"~et:[ence \ r ~?~',r~~~~;;~E~~?i\\~,... [I (~;::datio~o:ll~~:;:it' D ~d~~:n DNa . [
: ~:;r:ss (;~;;p Yo5~h;~~n~147.~ : i~;;i~tiAI;fi~t:~S1~~lijl1~~~~~~~::i~i1l':~'kiit:::~tM!ilt~;j:,-~i:i:
I l>,(' ~ I (a) Permit fee (use valuation table): $
I City "'j';:'-}/n.Eh.c/d..", State: (f::,)Y' I ZIP:tf . I (b) Investigative fee (equal to [2a]), $
Phone~<)i,I/.. .--ff/i;;-bJ/" i Fax .;Y
I. ~ I I (c) Reinspection ($ per hour):
E-mail, - 0 SS""'f-- 3 S+~~U- (number of hours x fee per hour) i $
This installation is being made on residential or farm property owned by I (d) Enter 12% surcharge (.12 x [2a+2~+2c]):'
me or a member ofmy immediate family, and is exempt from licensing $
;i::ir:::~l::;? iJ? ~ ~ /' ' :~~~f:i~i;~ji~~;~~~i~~i~~~;~k\t~~t~~~)\tt~(~~\
k. ," . ;~:......90~~ACT:98,!~$i,,:C(A;:'@N;,<;..:.,,:...};'; I (aJ Plan ,eview (65% x permit fee [2a]) $
I I (b) Fire and life safety (40% x permit.' fee [2a]): $ 'I
I Business name: 7P1-{?on." &lVSr~c']7cJ^"...5
I I I (c) Subtotal of fees above (3a and 3.~): $ I
Address 2F3".$' If1A-Y/)IEl'-" f?.e..
I ;.5'4:\Mi'~;c"eiHmeous'ff€~stf,ft;gWi~~{~~-i?~~f~:&4~\~EiiY~,~1r~t!~'.f\;til'n:~7"~"ilJ:~~~ ::;)~;,-:;,'{~~'
I ~~~ne. ~PF<--b I ~:e~ I ZIP~lf'1 "(~)~~i~~;c~e~:;;:c-~I:'~:~::;~;::'~~';,o'N"''''w,;;;"~"&'''I
, E-mail: I TOTAL fees and surcha~ges (2e+3c+4a): $ I
I CCB license no.: /5?;;" 2- 2- I
I Print name: I
I Signature: I
1[\i.'1;;j!J}g&r:iiIf!~\SlJB'c:(j)NmRAt:tQI{I.Nf()R,M~iIQfol~~J'[~l!i~~~I
J Name I CCB License Number Phone Number I
I Electrical I
I Plu;"bi.g I
I Mechanical I
225 Fifth Street
Springfield, Oregon 97477-...
541-726-3759 Phone
Job/Journal Number
COM2009-0 1230
COM2009-0 1230
COM2009-01230
COM2009-01230
COM2009-0 1230
COM2009-01230
COM2009-01230
COM2009-0 1230
COM2009-0 1230
COM2009-0 1230
COM2009-01230
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000001008
Description
Fire SF Fee - Residential
. sac Sanitary/Siorm Admin
'. Storm Drainage Impervious Area
Building Permit
Fixtu,e .
] st Appliance
Vent Fan
Plan Review Residential
Plan Review Minor - Planning
;+. 5% Technology Fee
;+ 12% State Surcharge
Paid By
GEORGE CLINGAN
Received By
Check Number
Batch ]";lumber
djb
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/04/2009
Item Total:
, Authorization
Number How ,Received
010591 In Berson
Payment Total:
1:48:03PM
Amount Due
24.00
11.59 .
231.80
443.29
95.00
79.00
9.00
47.84
119.00
37.26.
75.15
$1,172.93
Amount Paid
$1,172.93
$1,172.93
9/4/2009