HomeMy WebLinkAboutPermit Building 2009-9-21
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01258
ISSUED: 0912112009
APPLIED: 08/26/2009
EXPIRES: 0312112010
VALUE: $ 9,750.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone" .
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS, 44331VY ST
ASSESSOR'S PARCEL NO.: 1802052401701
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
Residential
Owner:
Address:
PROJECT DESCRIPTION: Sunroom - bwop , u to
, requIres yo
_.......,. ("\rpnoll \aW _ _ _....'" IltiHt\!
AI 11:.1"1'-' to DV ll\~ ......'-;;;.0 - f th
FIELDSTONE MORTGAGEIIN~ESTMENf TRUSe rules are se2t g~i
2141 5TH AVE 'u '\ii'cation Center. " 'U"OUgh OAR 95 - -
SAN DIEGO CA 92101 N06AR 952-00i -OOi 0 thr pies 0\ the rules by
m _. ~r\\1 nh1alO CO .. _ ~",Innnnne
uu~u~_ ''"':L..... "':.onter. ~NUlv.:.~::_~ I\II"\HHr.ation
ca'I'CONTR.MJT0R(mJ<vKMATI?N I
nur..- t r is \-QVV .....--
-Cen e
License
174668
Contractor
AT HOME CONTRACTORS
Expiration Date
03/02/2011
Phone
541-517-5405
Contractor Type
General .,
~ BUILDING INFORMATION I
VB
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: K:q Ft 2nd Floor:
NOT\CWat~r ~y'pe: l EXPIRE IF iHE WOR Sq Ft Basement:
iHIS p!F.a~~~ Trg~~ iHIS PERMli IS NOiSq Ft Garage/Carport
"IJTqrE!i!'rgy Rath:.R DONED FOR Sq Ft Other:
" ..' - ,~ ^\l!\N
~lJ:\llV:~Jlrin.!<le~~~:~~ng: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVEI::OPMENT INFOR~ATION I
Frontyard Setback:
Side 1 Setback:,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:"
22.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
44.00
14.45
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes: Stormwater appears to drain to exisitng house eaves.
I V aluatio,n DescriDtio~ I
Description
Type of Constrnction
$ Per Sq Ft
or ,multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 3
,_4i!i!i!l'.l!:!IilII!~!'Ih",.
~' , ".... .' " ',;> ^
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01-258
ISSUED: 09/21/2009
APPLIED: 08/26/2009
EXPIRES: 03/21/2010
VALUE: $ 9,750.00
225 Fifth Street;'8pringfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
" l."':P~' P'iW
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $88.40 8/26/09 2200900000000000969
+ 12% State Surcharge $16.32 9/21109 2200900000000001070
+ 5% Tecbnology Fee $6.80 9/21109 2200900000000001070
Building Permit $136.00 9/21109 2200900000000001070
SDC SanitarylStorm Admin $3.51 9/21109 2200900000000001070
Storm Drainage Impervious Area $70.10 9/21109 2200900000000001070
, .
Total Amount Paid $321.13
I Plan Reviews I
Initial Review 08/27/2009 08/31/2009 APP LLH
Plannin2 Review 08/31/2009 08/3112009 APP DDK No planning issues.
Public Works Review 08/31/2009 09102/2009 APP TSS Stormwater on addition appears to
drain to pre-existing eaves.
Structural Review 08/31/2009 09/1712009 WE CJC Plans approved as noted. City
Inspector to verify all required
structural items shown as
"confirmed' on plans as weil as
installation of connections required
by the Engineer of Record. Special
Inspections are to be performed by .
qualified third party at owner's
expense and the results presented to
the City Inspector. Any structural 01
fire/life safety element not exposed
for inspection by the City Inspector
will not be approved by this
department.
Special Inspection form required
prior to issuance.
Structural Review 09/21/2009 09/21/2009 APP CJC As noted on 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.
Pa!!e 2 01'3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01258
ISSUED: 0912112009
APPLIED: 08/26/2009
EXPIRES: 03/21/2010
VALUE: $ 9,750.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I. RefJuir~d Inspections I
Epoxy Anchors: To he done hy Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall. Nailing: Before covering sheathing with finish materials.
Wall Insnlation: .Prior to cover:
Ceiling Insulation: Prior to cover.
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 descrihed 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 ensnre 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.
A+-Ho(Yl~ C_H"\~c.l-orz5
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Q-21-0(
Owner or Contractors Signature
Date
Page 3 01"3
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
1~:~~PARTMEN~lJS~9~~Y "1
COIAl\Coo'7 -0 IZSg
Permit no,:
I Date: 8'~ 2 b -0 '}
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.
1,~~~:j;':':~:i~'{'J4~~~~'Q,GA~fl~~QYE1~.NM~'N:G~~~-~RB~Y~J:~~~1~t~i~~~i?&~~~3
I ~~~~;~o:eect has final land-use approval. I Dale l!ji!::i??li,:".:~,f,?;':'F;:;;;':;f,:lF,Eg1;:s-<::@i:luTtg:ni{,,'?-;?:"!f(::;:;?~;,:::'U
i ~:~:~;:~c::~:~~:fia::rovaL 0 Yes . 0 Nl Date i1~.~;Y~~~::~~:~~oY~~g~'~IJ~~:e~~_~ii;-:i
I Property is within flood plain: 0 Yes 0 No I I Construction type: "]
1~~~~~'~Rfi~~~~AI.~J3.,QBytG5rt~~:Q"N.~ttR1J.~:ttl~ifi~4i.~~~~%~1;2t'4~f7tJt I Square feet:
II~R:..,:,i_.d.,~\".n..:~j'~~._.'I;;;r-''-.''_'_. __L.~_.? '~.~.':'~~M~..e.._.~::..._"I.,g.,,~.~m. "T~~'.~~'~~.J~..'~:~~.M; I Cost per square foot:
~,~ii::~i~!<;.~;;hi~UQ~1.SIj[~l:.J t'J.I7PRMA'~n0N:~;A~-RJ;4.9J~.~T;,P~r;~i:tjj;:~<:.i'/;1t1'~ I Other information:
1 Job site address: "1435 :Tvv' \"'. 1 I Type of Heat:
1 City: s.p ",,"G.-A e.<..d . I State: 0 Il 1 ZIP: 'i'1- '1~~ I I
' . Energy Path:
1 Subdivision: 1 Lot no,: I ':Jo I I I 0 new 0 alteration ~tion
1 ~eference: . '. ,I.T~~IO.t ......I.,S....~. ,~" 5 t..." \. . '. '... "I I (b) Foundation-only permit? DYes
1';:-,' . '" P'RQPERFQ'NN!,:Ft-:,:" ::' :-.
I Total valuation:
1 Name: Li+~.... LOA-IV ,'~~'S':"CI I
1 Address: <HI 2. <B LDoP <'1::" ,",,",A L 0,.'..-1/1: I
1 City: i--(ovS l-c V> I State:, T K I ZIP: 11Clf' I
I Phone:ll>-5tl- '622(.. 1 Fax7IJ-'lb,,-(:j'l5i I
I E-mail: \JJ ill l:rre.s:en/ Bi!..I(.N"..;1.&ii!.SU"lr.;x~~;'...J
This installation, is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
1 .. ' ,_GONTRAC:IQRiit:4_S.IALLATI9N;;,:-~,~.(:I" ,;:,..,1
1 Business name: AT K o"",c. c.o.-,":\"Y"..c..+'l(," I
'Address: '2-'-( , 'l- :3 T -K oS~, 1
I City: 3Pr"::J P..c(.c! I State: oR. 1 ZIP:~"l'iT'r 1
I Phone: 5'11- 7\01' - b I ~ g Fax: - 1
I E-mail: e.~ef'/rH.4 f......Oo:\.@ '{~ 1-(.0. ....... 1
1 CCB license no,: I
1 Print name: ~ 0 <:,.of:: to \-tu ^ +"'-'" I
I Signature ' D. - - clf\ _ {2, - I
"""'r,- ,
~~D.~~~~f~1f~i{~-SlJ,E!~G:~Njt;8AGtr;,6ffi~~^9J~MAf:(Q~[~t1;~,fLS?~~m1J
I Name I CCB License Number 'I Phone Number I
I Electrical I
I Plnmbing I I I
I Mechanical I I
PNO
,
I
I
1
1
I $'lgQ'bbl
I (a) Permit fee (use valuat;'on,table):
1 (b) Investigative fee (equal to [2a]):
I (c) Reinspect;on ($ per hour):'
(number of hours x fee per hour) $
I (d) Enter 12% surcharge (,12 x [2a+2b+2c]): $
1 (e) Suhtotal of fees above (2a through 2d): $ I
1~3:;i~firn~etiffi-Wve~~~~~~~~~1%l~~~~~4~~~1t~~~~~
I" ('~)"~';~~'\;;-~:~':';("~'~;o':"~:~:~~~;;'[;-~];';,W,.,~.r"'!"'~-"~;"~"~r"-~~'~-~
I (b) Fire and life safety (40% x permit fee [2a)): 1 $ I
I (c)Subtotal offees above (3a and 3h): I $ 1
~~1I'M~~s~,~l~f!icI1!~!f~_~~1~~~H~l~*r~~~~~*1~-g,:?'0;g;f~X;*!;\!\l1~~t!.~,:");!~~?i~if.~~1
I (<1) Seismic fee. 1% (.01 x permit fee [2a]): $ I
I TOTAL fees and surcharges (2e+3c+4a): $ I
$
$
225 Fifth Street
Spring,fieJd, Oregon 97477
541-726-3759 Phone'
Job/Journal Number
COM2009-01258
COM2009-01258
COM2009-01258
COM2009-01258
COM2009-01258
Payments:
Type of Payment
Check
cReceintl
I .
RECEIPT #:
ll".jr.-..R!i!iiiJ_--_'
~_;S,..__.........1
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. .
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~ --.-.-- -..~-_.
City of Springfield Official Receipt
Development Services Department
Puhlic Works Department
2200900000000001070
Date: 09/21/2009
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
,+ 5'% Technology Fee
'+ 12% State Surcharge
Paid By
AT HOME CONST
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJC 8504 In Person
Payment Total:
Page 1 of 1
9:12:37AM
Amount Due
70,10
3,51
136,00
6,80
16.32
$232.73
Amount Paid
$232,73
$232.73
9/2112009