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Home My WebLink AboutPermit Building 2009-9-17 ___~8~!:'Je~t~~':!fti'~7';~i'!~'~! ' ~U,~' , - ;l:~' .-~ ~~ ' ~, Status Iss u ed CITY OF SPRI.l'''.JJ:<lJ!,LU Building/Combination Permit PERMIT NO: COM2009-01319 ISSUED: 09/17/2009 APPLIED: 09/08/2009 EXPIRES: 03/17/2010 VALUE: $ 2,000.00 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4825 CAMELLIA ST ASSESSOR'S PARCEL NO.: 1702324403100 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteratiou Residential PROJECt DESCRIPTION: Garage couversiou Owner: Address: INMAN TODD & JENNIFER E 4825 CAMELLIA ST SPRINGFIELD OR 97478 Pboue Number: 541-915-8258 I CONTRACTOR INFORMATION ,I Contractor Type Geueral Electrical Contractor R & S HIRTE CONSTRUCTION INC OWNER License 155815 Expiration Date 06/10/2011 Phone 541-937-1096 BUILDING ~NFORMATlON' # of Units: Primary Occupaucy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Coustruction Type: # of Bedrooms: # of Stories: Lot Size: R-3 Heighl of Slructure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VB Waler Type: Sq FI Basement: Range 'I)pe: \ equires you to Sq Ft Garage/Carport E"~'" 'p'"h40n aw r . . S F 0 h fTTEt uergy '!.:,., ':1 the Oregon Utility q I. I er: j"",fI Spriiilil~d 'B:Jild~g; rules areI!i~1 forth Occupanl Load: . _,.........n (';pnter. In vV _ _ _ ............. nfH ' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .. . _....~,,~.....,."''''''.H-''.~__ I iDEVEWPMENT:.INFORMA Hfi':N.l .IJles by UU;,,,,. 'w ,,,-, - (Note: the telepnone ca\\1nCl the cen~~~'e on Utility Notification num\:,Q,v~!lay\DlSt; ~40 - -2344). #. Sjreet,Trees'Rqd,332 Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Tolal: Haudicapped: Compact: I PUBLIC ~MPROVEMENTS' Street Improvements: Storm Sewer Available: Special InstruCtion: Sidewalk Type: Dowuspouts/Draius: Exisliug structure, uo uew surface, no new fixtures= no SDC's r 1\-\f \N0'i\\\ . N01\CC:. "S\-\I\\..\.. fy<\'I'i\f ~'i\,,^" IS N01 1\-11S pe~~eD \JNDeR 1\-\~~;ONeD rO'i\ l\\Jl\-10 0 OR IS 1\\3 Co,,^,,^eN~el\'I Pe'i\\OD. I\N'I "\ '00 Notes: Paee 1 on ~;r!"I~~~~~~:,~l'II~I,~!,'~~;~ Status Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phoue 541-726-36.76 Fax 541-726-3769 Inspection Line Descriptiou Eslimate Tvpe of. Coustructiou Estimate Fee Descripliou Plan Review Resideutial + 12% Slate Surcharge + 5% Techuology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Buildiug Permil Tolal Amouut Paid luitial Review 09/0912009 Plauuiug Review 09111/2009 Public Works Review 09/11/2009 Structural Review 09111/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-013l9 ISSUED: 09/17/2009 APPLIED: 09/0812009 EXPIRES: 03/17/2010 . VALUE: $ 2,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amounl 2,000.00 09/08/2009 Value Date Calculated Total Value of Projecl $2,000.00 $2,000.00 F~p~ P1itlJ Amount Paid Date Paid Receipt Number $37.70 '$14.28 $5.95 $55.00 $6.00 $58.00 9/8/09 9/17/09 9/17/09 9/17/09 9/17/09 9/17/09 2200900000000001011 2200900000000001053 2200900000000001053 2200900000000001053 2200900000000001053 2200900000000001053 $176.93 I Plan Reviews I 09/11/2009 APP LLH 09/14/2009 APP DDK No Plauning Issues 09/15/2009 APP LKW Existing structure, no new surface, no new fixtures, tenant in fill 09/16/2009 APP CJC As uoted ou plans / review letter 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. I ~~nJ~;r,f11In~r'~nt1f'? ~ Fouudatiou: After forms are erecled but prior 10 coucrete placemeut. Post and Beam: Prior to floor iusulatiou or decking. Floor Insulation: Prior to decking. Shear Wall Nailiug: Before coveriug sheathiug wilh finish male rials. .Framing Inspection: Prior to coyer and after all rough in inspections have been approved. Wall Iusulaliou: Prior to cover. Page 2.00 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-0I319 ISSUED: 09/17/2009 APPLIED: 09/08/2009 EXPIRES: 03/17/2010 . VALUE: $ 2,000.00 225 Fifth Street; Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Ceiliug lusulation: Prior to cover. Masonry: Fiual Buildiug: After all required iuspections bave been requested and approved aud the building is complele. Rough Electric: Prior to Cover Final Electric: Wheu all electrical work is complete. By signature, I slate and agree, tbat I have carefully examiued the completed application aud do hereby cerlify that all iuformaliou hereou is true and correcl, aud I further certify tbat any aud all work performed shall be doue in accordance wilh the Ordinances of the City of Springfield and Ihe Laws of Ihe Stale of Oregon perlaining 10 tbe work described herein, aud that NO OCCUPANCY will be made of any struclure withool permission of Ihe Community Services Division, Building Safety. I further certify that ouly coutraclors aud employees who are iu compliance with ORS 701.005 will be used on this project. I further agree to ensure that all e<(ulred inspections are requested atlhe proper time,thal eacb address is readable from Ihe street, that the permit card i cated attbe front of Ihe property, and tbe approved set of plaus will remaiu on the site at all Iimntructi . 9-/ ?--09 Owner o;1con'rac'ors Signa lure Dale Page 3 of 3 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753t FAX(541)726-3689 I.,. .... ....... ' ....... .. .' 't:;DE"RARfIliiENT.iusE' ONLY., ..,.,....'...,..),..;",,;,.....,.........,.., ......,..'. 1 I ~~~cc~9-0(31 '7 I I Date ,,,:2' ~O ~ I Electrical Permit Application fl This permit is issued under OAR 918-309-0000. Permils are noulransferable. Permits expire if work is nol'slarted within 180 days of issuance or if work is suspended for 180 days. , I ~,y-:; '. ',:.: ~~~1lr0CAL~\GOVERNl\lfEtfr\rAp.p,ROVAt~~t~~\~t~:{r4li~~r,1 1~~~~;I~~~i{4~lt~~*~FEE~.SC.HE[jJJI]E~~!,~~~~4r~~~+J}1 1 Zoning approval verified? .. 0 Yes 0 No 1 1;:~u.nj~ePi-f,'irS~~~ii6V;'~;r..ii~fu:'t)';~j;IQK.;I.;fQ~f:,1',::rotal..:;1 I'";";';"'" ..r"';CATEGORY/;'()!:;'<CONSTRUCrION;,',;;""}';""';:1 ,., ...,.........-... ',- ,',...,~".,,,, "...,J."~,,.,ea. .,.. . cost. <. 1 i"~e:~::~;;al" 1 Oh~ov:~menl' I' 0 C~:~~r::I' "'1 I Residential, per unit, service included: 1 . l~tJi?,..~!J,OB:;;'SI'rE~INI;()RMATIONiiAND~If0.C'A'fiION~if,i~iil 11,000 sq. fl. or less (4) $134.00 $ 1 I. "8 ~.,c; /? I .<:;...J . 1 Each additional 500 sq. fl. or portion $,25.00 $ I Job site address: ...,. C>\J' L 4.,/nf2.,/ (4 VI 'thereof City:~R1.oG.ft.Lo....d 1 State: ~ 1 ZIP:Q7lf78 1 timitedenergy(2) $ 32.00 $ I 1~"~.~:~:ence:1 ?p~s~~~~t,"OF'.W~;~~~;~1"g~!,;~,g'1 ;~~~I~~S~~~~~r~~ re~~:r (~)Odulat $ 63.00 $ I/" - . ~ / /, 1 . [ Services or feeders: installation, alteration. relocation ~ C::'O.....UllX'&~ Drla/!,' l:/v.,.,_ I IV. -W . "'IV 1 I' 200 amps or less (2) $ 81.00 $ I j" Olifit',,"II/eo : 0,,,,_ I. .' 'PRORER:ryj,OWNER~~O.6lf_~l7la,..". I I 201 to 400 amps (2) $ 95.00 $[ I Namel, ).Q,hY1iDw- r-;a;;;r--9)~l}h~~J: .,.;'~OJrIf,~::?lIir,o 1401 to 600 amps (2) $158.00 $ I 1 Addres;: ,I ~.r Z r' (' 'T"I1)"i"\IJi:t9 .qyCi";~u If,~ "to' 'lIle ~/e9'( )[C6,O,l"to 1,000 amps (2) $205.00 $ 1 "-1 1\'::::> (), m:v'.\.l. 'J'-"'" C<"'?:..<r<nh". 0,,_.. S... 'I I J :,. .1 City <:'(-> f'iYt"C;'.R\d 1 Si~;r If~ [r,~\€~~~q"ij;2.:I'e"-2\1,er 1,000 amps or volts (2) $469.00 $ 1 I Phone:"''' 1_ (,= - _..~ Ao o~ I F;;;:JS 7:~9'o!) ;::' if,e-' Il7e ,"12'~(R~6nnect only (2) $ 63.00 1 $ 1 71" ..;1.1 ~I/^..) ;Qn_ ViII.". tJ:H li ('l It:"" ( E-mail: ~.. \ ltth "- y\ (jS) t~~~~~.~c " S ruyemporary services or feeders: installation, alteration, relocation I This inst~lI~on iS~eilng m~lo~r~dlential ;{fu~~~~hy ~q(~:;1 200 amps or less (2) , . I $ 63.00' . $' I owned by me or a member of my immediate family. This I 201 to 400 amps (2) 1 $ 87.00 $ I property is not intended for sale. exchange. lease, or rent. OAR I 1 4s7t.g9n.5a4tuOr(el.:)~d.4 79.540( .1.).. roo. /J . . 401 to 600 amps (2) $126.00 $ 1 ,'_ _ /..... ~ Over 600 amps or i ,ODD volts, see services or feeders section above I .' ': .., 'c" NTRft,CTOR INSTAl:lATION:-.. ~". . .;: ..' .. :., Branch circnits: new. alleralian, exlensian per panel 1 Business name: -8-6D\.Q..,O~no..Y -:rn.Fia.)\~''hn [I a. Fee for branch circuits with purchase ofa service or feeder fee: .1 Address: 1 I Each branch circuit I $ 6.00 1 $ I"City; I State: I ZIP: I ! b. Fee for branch circuits without purchase of a service or feeder fee: I Phone, 1 Fax: I I First branch circuit (2) I,' $ 55.00 $ <:)'''') I E-mail: NOTI.{:~, I I Each additional branch circuit $ 6.00 $ L I 1 CCB license no.: TH~'sij~}!.~"f't no.: I 1 Miscellaneousfees: service or feeder nal included -= I 1 Signing supervisor's iicenseJ,\J.( HORI7f:n " ~ALL EXPIRr: Ir:- ~ I Each pump or Imgat/on CIrcle (2) $ 63.00 $ I Print name of signing super,W<6V:MENCEn ~~fj~H. THIS PERnA~~ ~~n or outline lighting (2) $ 63.00 $ - .I,V', IIiDD -';/vf-ItlAND ITd~NF:!T" .. . I Signature of signing supervisor: AY PER ONED F Ig CirCUit or a Iimlted,energy panel, $ 63.00 $ /nn. ~Iteratlon, or extensIOn (2) ~. 1 Each additional inspection: (1) I . $58.00 $ I ~ V 1:~':rZ~'!C-':"itl:r";''t-rft\~i'f,}1^ri''il-I'''A-''N''T-l''ii'S' "E."".....'"I"'~~':.',.., pli,,,"",""', ~. ... ",_r,"~"'_"''''''L.",,,,,,,r;... ..... ,,"u, ~~."~"""'""i%;"Ii\>di~':''':'"'' \r .\lt~ I (~i~:~~u~t::~i~fFae~o;~:,~:) $ b ( '-\" IXl" .1 (B)Entert2%surcharge(.12x[A]) $ 732.. V-- Lto~ 1 (C) Technology Fee (5% of[A]) $ '3 err ,n 1 TOTAL fees and surcharges (A throogh C): $7/31" V" r I 440-2584-J (9/08/COM) , 1',D:~P.ARTM):Nf.:U~E'R~~Y' '1 - C.OIMZOO 1- 0/3/1 PermIt no : I Date: i-~ -0 ~ I This permit is issued under OAR 918-460-0030. Permits expire if work is nol slarted within 180 days of issuance or if work is . suspeuded for 180 days. Structural Permit Application - 225 Fifth Street. Springfield, OR 97477 tPH(54 1)726,3753 tFAX(541)726,3689 I:::, ._("~) ,\:)L'>1-~"i'~ ;itO':-'C"- "A'lii::'G"o~'\lE"R-N"-ME'NT;:;kA'~FfFf0VAll+:\1~ili,~t:~f.'tit}Ji~~i;1 ~~i<;"q';-)';1':,", ~,'W",~.mw.._._ .~.:. ..-.__~_-.__.,..," .~"..,,____.,..-..5:,."'._.,".. ,r,_...,;. '0 'u '0"","._, ,""_>?.""",,Jt!'!.'d~~~.{,;3;h;t...~ I T~is project has final. land~use approval. I SIgnature: Date: I ~~~~;~O!eect hasDEQ approvaL Datel:;~~~:~~d~;~~:~~6r~AK~~~~Wi~~2~~~(,~t~1M!~: I Zoning approval verified: DYes D No I 1 Occupancy l2.. 3.. 1 I Property is within flood plain: DYes D No I 1 Construction type: \J I? I t1i1c~'"''i\~;&;CA'fECf0RY,\O~;lC:0NS:fRuc1r10i;i\'i;''}j~!i!!i''''l!'f~'"',1 r:~~7~t:"-' .'. .,." TD~;~~~m~~;"-~ID~0~~:;:7-"~ 1 Square feet I 1~;ll~iifi('f~rfiQ'~Its)lt~i.iNIrc>.RMAII1.)~~A@Y~i:5'CA:jT9HfJ1!i~~Ii~: ~;:::~:f:~:a:t~::ot. i I Job site address: 1./ ~ a 5 c.u...11\ll;.\ \\ l\:s.-\ I I Type of Heat: 1 I City: 5 f' R\ Y\('.,f ~ I State: OR I ZIP:'?7" 7 c!.1 1 Energy Path: I II ;~~:::~:':J/O, Z 3. Z.."l.jL( 1.,:a,x.I,otl,L.O":,~.;,."-I,.",,,{f...,.o., ~....i, I (~;::d~:~~~~:;:it? D~~~:n ~o 1,.;\.; .: ') .'..- ;",~'I?~~ER~Y, OWNEIL-, .' .. '1 I Total valuation: Nam,: PjJlil\'~ t-"d .1.--fA.1rY\~ I Addres~ l.f..<;(I)..rS C'I? "'^' (^<r.L-~+, I I City$f(',~!:'iejd I State C>I2- I ZIP:qJ}<!7l/'(,! I Phone:2I.~<:;.f.:J. 4$ Fax: - - " . ' I I E.mail:..ie.i1i.\~;JIIi1r1an -,:,/ @vy;>..f.try,.("r'\....... I This installation bemg made on resldenti'al or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. . I,Si~~. her5}~t~~~i~~~~Nt:S~::'_:;"'i';J:;,:),:,.;.1 I Business;;ame: R... ~ ~tR..T'f. C...neT ~oJc.. 1 I Address 'i?~ "T '19. ~..u...n~ 5-t I I City: 'SpR.l......~1;~ State: b'lt I ZIP: "!l<.(nl . I Phone$(-91S' S:;;J68 Fax:6'lI:'137 10,/ c.. I I I E-mail: -rr......IR.... S 64 @ A-ol. Co V>'\ I TOTAL fees and surcharges (2e+3c+4a): $ I CCB license no.: I S5 g IS ~. I Print name &50..... lrt_ I-\II2T~ !~NK: ?Jrr 11~::~~:~,::f,"~~ ':",~.. ,... W4"'~" .e"11 -'(",,- <g'b i~. :1l-f;i;r!j~iifi',}f"-"~llB'CON~8i\~J()8'JN.EQRMAml()t-l1!'li,i~~w~ '"]___ I ... I Name CCB License Number Phone Number I I Eleetrieal I . I Plnmbing I I Mechanical ,;. (a) Permit fee (use valuation table): I (b) Investigative fee (equal to [2a]): I (c) Reinspection ($.. per hour): (number of hours x fee per hour) I (d) Enter 12% surcharge (.12 x [2a+21,+2c]): I (e) Subtotal of fees above (2a through 2d): $ $ '$ $ $ '70 I (a) Plan review (65% x permit fee [2a]): . I (b) Fire and life safety (40% x permit fee [2a]): I (c) Subtotal offees above (3a and 3b): $ 225 Fifth Street Springfieh:l, 'Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1319 COM2009-01319 COM2009-01319 COM2009-0 1319 COM2009-0 1319 Payments: Type of Paymenl Check cReceiotl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001053 Date: 09/17/2009 Description Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By PATRICK HIRTE [tern Total: Check Number Authorization Received By Batch Number Number How Received djb 1800 In Person Paymenl Tola[: Page I of I 8:22: [3AM Amount Due 58.00 55.00 6.00 5.95 14.28 $139.23 Amount Paid $139.23 $139.23 9117/2009