HomeMy WebLinkAboutPermit Building 2009-9-18
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Status
Issued
CITY 01' ~ndNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01379
ISSUED: 09/18/2009
APPLIED: 09/18/2009
EXPIRES: 03/18/2010
VALUE: $ 240,126.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 771 S 48TH ST
ASSESSOR'S PARCEL NO.: 1802051102000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Completion of Single Family Residence. See C7-672 for original permits and
inspections conducted prior to project being abandoned
Residential
Owner:
Address:
STEWART STEVENSON
199WATAGUA WAY
COTTAGE GROVE OR 97424
Phone Number:
541-729-7408
Contractor Type
General
Electrical
Mechanical
Plumbing
, CONTRACTOR INFORMATION'
C t t IJ"'"^" "OU to... . t' D t
on rac or TION' Oregon law rE Icense Utilit)r'xPlra IOn a e
OWNER ATTEN' t d by the Oregon h
tollOW rules adop e rules are set tort
OWNER l~tificRtion Center. Those hOAR 952-001-
PACIFIC AIR CONI'EORT3IN<B01-001 0 throu93933?ne rules by 03/25/2010
NORTH DOUGLA'~r~CUl\tB;NGjIN(i}ai~.~~p~ef~ll;.2,,4ephone 01/07/2011
IlBUmDiNGINFORNI~q1IoN ,lot!tiCaUUII
"u".- -'c~nter is \-~uu-:,,,~ ~- 14).
# of Stories:
Height of Structure
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path:
Sprinkled Building:
Phone
541-672-9510
541-836-2022
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,720
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENTlNFORMATION ,
, . E"" \nl'1E \l~RED PARKING
overla~~}CI~Mn SI'1/1-\..\.. E~P\t\~ERMn 1Eo~~9.i
# Streeiij-r~e. s;' ~\'i.EO UNDER 1\1\S OONEO f6'ilndicapped:
, Paved DfJ,,1if'R d. ICED OR \S /I-\3/1-N Compact:
% of Lo(ti;)I"l f~. ~ PERIOD.
ANY 180 01\
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Estimate
Estimate
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Miscellaneous Copy Chgs
Miscellaneous Mechanical
Miscellaneous Plumbing
Replacement Plans per Hour
Temp Power 200 amps or less
Total Amount Paid
Initial Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01379
ISSUED: 09/]8/2009
APPLIED: 09/]8/2009
EXP]RES: 03/]8/20]0
VALUE: $ 240,]26.00
I Valuatio,n DescriDtion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
240,126.00
Value
Date Calculated
Total Value of Project
I<fr<' P~;rl I
Amount Paid
Date Paid
$240,126.00
$240,126.00
, 09/18/2009
$190.39
$79.33
$1,282.62
$34.50
$0.75
$24.00
$79.00
$162.00
$58.00
$63.00
9/18/09
9/18/09
9/18/09
9/18/09
9/18/09
9/18/09
9/18/09
9/18/09
9/18/09
9/18/09
Receipt Number
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
1200900000000001080
Permits have expired on original
permit (C7-672). These fees are to
complete the project. I have used
75% to calculate applicable fees.
Building was based on 75% of the
original value, Plumbing was based
on 3 baths less $45.00 for storm and
sanitary lines (they have already
been inspected and approved) then
75% of the original plumbing
permit. Mechankal equal to current
minimum for 1st appliance.
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day.
$1,973.59
.1 Plan Reviews I
09/18/2009
10
DJB
09/18/2009
Paee 2 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01379
ISSUED: 09/1812009
APPLIED: 09/18/2009
EXPIRES: 03/1812010
VALUE: $ 240,126.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reo,u~.r~d ~ ~srection,s ,
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench 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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Final Gas: When all gas work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 .ny and .11 work performed shall be done in accordance with
the Ordinances of the City of Springtield 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 compliauce 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 the permit card is located at the front of the property, and the approved set of plans will remain on the site .t all
times during construction.
'~'<'--~4-/4~_A7~J
Owner or Contractors Signature
If" .S'E.P' dC?& '7
Date
Page 3 of3
Electrical Permit Application
225 Fifth Street. Springfield, OR 97477 .PH(541)726-3753. FAX(541)726.3689
1'~~:]R~~&~f.~~NI.'u~KoN.lx:~:;,.1
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I
Date:
?-/8,0 C,
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";!;"'?\/l!."d-CAL:::,G0VERNMENm':-;fA_R-PJ~O.vA~lt;:t:Wtt!~p'JXr;~1 1~~~~~W~~~i~;tti~~J~~1FlI5EEttS~,HEPJJlre~~~Y~~\~::~~~1i\f
I Zoning approval verified? DYes.. D No I 1:'Nu~~e;'gi'i;;~~eii;~~;i~~~'ji~~:t)i~:);:IQWil 'f<ls,r\i'l 'f-lot.I','
f::::::~:i~I'Al1EGIR~&~~~:~:;l1RI:JIT~O~o:~::~::;!')": Ij=:;;::~';::;',"~:;r:~i:~::;:~~~'i~:I~~:~: .,-, ",,~e~;,:,; \: c()sL,cc
1~~il!~~.oE3~SIJ'E;~INIiElRMA'lirONffAN[j~~oC"A'!)10N~l~iijl 11,000 sq, ft, or less (4) $134,00 $
I' 7 I S 4 B+'-'- . ~ 'I' . 1 I Each additional 500 sq, ft, or portion $ 25,00 $
Job site address: I .,';:' j thereof
I City: S f>f b .1 Siat~: o(L I ZIP: c:; ?C{7 i' I Limii\'? energy (2) $ 32,00 $
I Reference: 1!30Z 0 S" I I I Taxlot.: 0 ZO~;, ,e~ 'E~chiil~~ufactured home or modular $ 63.00
I'."'. ''''.'',''.'.,. '," ,~ DESCRlnTION "OF'WORK ,"j;;'U'" I~'W 'ei 'i~ eC JdwelhngU"'rYIce or feeder (2) $
,-:, - :""":,, '. ,". 170'" ~'. ,~""~'\l:;;M\ '!"1-, ~i';":'i('1 Ii ':;)v"." 1\ .. ' ,
I ~bO....n .l\oW L:''''O~: \JI v_:r3c, 'Q~." 'l\lle; S ,_~ffY!J:es-~. feeders: installatIOn, alteratIOn, relocatIOn
I '"' ....... r F' _c;~.~ ,~I'\'(J\. ~<.:.e .)f ' \^~.....1
I ~\ 'v' 'es w ~l ,W "rl\l . \,200,amps or less (2) $ 81,00 $
r N ~'J\ ....e~'\O':;;. ",\,Ov';:) 0 \\V ~",p.
. . \\rN _\ ........{\\.. '""C '~P\l-
I ' 'PROPERTY 'OWNER'" '0."\4" .(\ C;UT"-' n€ \20I,to.40.0:8lnps (2) $ 95,00 $
, l,... _ry..,I)\J. '!....\ 'i,\., ..!C>' \ \ I .~"."'"
I Name S Tec.vAa..,-- s-'feybv.st~v.,\.t.. ~~~\.\\ \\\.~ }9J\t.o 600 amps (2) $158,00 $
I Address: I 5' <7 ,WfrTW~I4.'.::1 \\wlH~':i()-'j' '2,' '601 to 1,000 amps (2) $205,00 $ 1
I City:CotllrHr c;.r~~c I State:~'" bZiIP'i'9-7l( Zl{ I lover 1,000 amps or volts (2) $469.00 $ 1
I Phone: C10t \ '"72 "i - 71iOi'1 Fax: I Reconnect only (2) $ 63,00 $ I
I E-mail:- I Temporary services or feeders: installation, alteration, relocation I
This installation is being made on residential or farm property I 200 amps or less (2) I $ 63,00 $ h31
owned by me or a member ofrrty immediate family, This I 201 to 400 amps (2) $ 87,00 $
property is not intended for sale, exchange, lease, or rent. OAR
479,540(.I:i 479,560(1), -. I 401 to 600 amps (2) $126.00 $
S t J.- h7 - , -----, I Over60G amps or 1,000 volts, see services or feeders section above
.' 19na urq; 4t",6-?'/ ,.-I/(P-4~~
'1;"'- ',::,)C.0NTRACtI()R:' INST'Al:l:!ATION,\, " I Branch eircuits: new, alteration. extension per panel
I Business name: OW AI C~ I a. Fee for branch c~~#s with ~urchase of a service or feeder fee:
I Address: I _ Ea.s\l!~*~!:\i\~1 I I $ 6,00 I $
I City:' I State:, J,.~.ll'.'. ~" ~\ J 1t1'.!"~\..~~#p~~~~c;rits without purchase of a service or feederfee,
1 Phone I Fax: ~~\~'?r.\\tJ\\~ ~;;iD\.?- \ \'\)1\~~!'fiiw:h'cl~~j; (2) I I $ 55,00 $
I E-mail: ';;;'\-IO\\IS:::n- G\\ ,S :PE~~h additional bra~ch circuit 1 I $ 6.00 $
1 CCB license no,: I BCD licen;"',~9.,~tJ\~~~[\~ I'r.\ '\\.I\Miscellaneous fees: service or feeder not included
I Signing supervisor's license no,: ~1'l'1 -\ QV - 1 Each pump or irrigation circle (2) $ 63,00
I Print name of signing supervisor: I Each sign or outline ligh"ting (2) $ 63.00
I Signature of signing supervisor: I Signal circuit or a limited-energy pa~el, $ 63.00 $
alteration, or extension (2)
I Each additional inspection: (I) $58.00 $
1"^,,o1\:>1tJ;r,i!Ell""'\lt1?"'lffur..o oi"-IC- ....N..T....I:J..'S..E..t.i"?""'~''''.;''''.F'''F''''"
.~~W~:h~~<~vt4/tE;;,4~1~1f:)ft~r::i_rr,..; .'..'='_ __^,I;~~ ' ,~_ _,_ _ __ )~\ffit,~~\~~~i;fti~<@i~,~r4t,10i:.'.~~~
~~
C\~
~ \j-\
440-2584.J (9/08/COM)
$
$
(A) Enter subtotal of above fees
(Minimum Permit Fee $58,00)
(B) Enter 12% surcharge (,12 x [A]) .
I (C) Technology Fee (5% of [A])
I TOTAL fees and surcharges (A through C):
$ b?:.
$ 75~
$ Sf$"
$ 7< 7.W
225 Fifth Str~et
Springfield, Oregon 97477
541-726-3759 Phone
.sp'~"'~!!!""".!:!~.'iC.' .. '"
Wit";-"'-"',
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01379
COM2009-01379
COM2009-0 1379
COM2009-01379
COM2009-0 1379
COM2009-01379
COM2009-01379
COM2009-01379
C0M.2009-01379
COM2009-01379
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000001080
Date: 09/18/2009
Description
Building Permit
Miscellaneous Plumbing
Temp Power 200 amps or less
. MiscellaneOli~ Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
'Copy 6th @,75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Miscellaneous Copy Chgs
Replacement Plans per Hour
Paid By
KEYSTONE DESIGNS LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1192 In Person
Payment Total:
Page I of I
II :03:38AM
Amount Due
1,282,62
162,00
63,00
79,00
79,33
190,39
0,75
34,50 .
24,00
58,00
$1,973.59
Amount Paid
$1,973,59
$1,973.59
9/18/2009