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Home My WebLink AboutPermit Building 2009-9-23 Status Issued; li;. ., ~. I 225 Fifth Street; Springfield, OR : 541-726-3753 Ph'nne\ ,i, , 541 726 3676 F'" ':; u. - - ax; ,- 1i':" 541-726-3769 Inspection Line , ,i. SITE ADDRESS: 2868 GAME FARM,RD ASSESSOR'S PARCEL NO.: 17Q3224201600 ~:.. :. ~;" !!.7P'" ..- "k LI1 i' OFSrKlIliGFIELD Building/Combination Permit PERMIT NO: COM2009-01408 ISSUED: 09/23/2009 APPLIED: 09/23/2009 . EXPIRES: 03/23/2010 VALUE: $' 18,105.00 Springfield TYPE OF WORK: Family Room , TYPE OF USE: Addition Residential , PROJECT DE~fRlPTION: Family room addition Owner: MULLER DALE W &.CONNIE C Address: 2868 GAME FARM RD SO SPRINGFIELD OR 97477 " I CONTRACTOR INFORMATION I , l'r; Contractor Type' ' Contractor Architect ,: ;. NAGAO PACIFIC ARCHITECTURAL P.c. ~: . ~ General ' , '. OWNER Electrical ALEXANDERJ STAPLETON License Expiration Date Phone 541-687-9600 41371 02/05/2010 541 -484-7278 BUILDING INFORMATION I # of Units: Primary Occnpancy, Gronp: Secondary Occupancy;:Group: , Primary Constr,uctionl,Type .. , Secondary Construction Type: # of Bedrooms: . ,R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: VB nfa Lot Si~e: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I~. I I DEVELOPMENT INFORMATION I '-rT,,"'TI,,~I' (I,pnon law requires you 10 I PUBLIC IMPROVEMENTS:lollow rules adopted by the uregull ~f"'th Illfication Center. Those rules are se or 1 ' , ;~vOAR~i9!'taJ\<'iTh'pe:thrOugh OAR 952,001- o ,,~" rnAV "bloin "oples of the rules by 009 . DownspoutsIDr\alDs~. the telephone calling the cemer. 'W'v, . number for the Oregon Utility NotificatiOn Center is 1-800,332,2344), Frontyard Setback:! 'i" Side 1 Setback: " . , Side 2 Setback: n Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: .. Street Improvements:, Storm Sewer Available:: Special Instruction: ( Notes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ~/ Page 1 of3 , REQUIRED PARKING Total: Handicapped: Compact: q ii ' ~~I'~!!!~I!l;!'!~..,...... l' v's' ""',;." CITY OF SPRINGFIELD Building/O)mbination Permit PERMIT NO: COM2009-01408 ISSUED: 09/23/2009 APPLIED: 09/23/2009 EXPIRES: 03/23/2010 VALUE: $ 18,105.00 Issue'if,......-. ~ , --'- " 225 Fifth Street, Springfield, OR 541-726-3753 Phone;: I ;' 541-726-3676 Fax .. 541-726-3769 Inspection Line , Status . Of,: I V aluation De~crintion I .' Garal!elMisc U VB Utility $ Per Sq.Ft or multiplier $37.72 Square Footage or Bid Amount 480.00 Value Date Calculated .. Description ' , , Tv,p~ ?f Construction ." I>:"" Total Value of Project $18,105.60 $18,105.60 09/2312009 ~ Fpp< P~WJ ,,1 J. "~I'. -~ Fee Description': 'i ~ 12% State sulcharge., + 12% Stale Surcharge + 5% Technology Fee + 5% Technology Fee: Add, Alter, Extend qrc Add, Alter, Extend Circ Ea Add Building Permit " , Amount Paid Date Paid Receipt N umher $7.32 $26.85 $3.05 $11.19 $55.00 $6.00 $223.75 9/23/09 9/23/09 9/23/09 9/23/09 9/23/09 9/23/09 9/23/09 3200900000000000664 3200900000000000664 3200900000000000664 3200900000000000664 3200900000000000664 3200900000000000664 3200900000000000664 , ., Total Amount Paid , $333.16 1;- - :." I Plan Reviews I . 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 following workday. " ' ,: ~eollireCUnsnections I Final Building:' After all required inspections have been requested and approved and the building is complete. ,I' . Final Electric: ,:When all electrical work is complete. ;' t', " [1: ~: . \. .:. , . Pal!e 2 of 3 CITY OF ~t'KlNGFIELD Building/Combination Permit Status Issued Ii' . ,.:;r. ; ,/~ ~I;' " 225 Fifth Street; Springfield; OR ' 541-726-3753 Phone 541-726-3676 Fax. 541-726-3769 Inspection Line " PERMIT NO: COM2009-01408 ISSUED: 09/23/2009 APPLIED: 0912312009 EXPIRES: 03/23120]0 VALUE: $. ]8,105.00 ~" . I~ .,=:: .' .,. By signature, I s,tate'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 OCCuPANC)'willbe made of any structure without permission ofthe Community Services Division, Building Safety. I further certify that olIly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensu'Te that all required inspections are requested at tbe proper time, that eacb 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 timesd;::~,~.~~:.,n. /y;~^~,,,~/c \-) /~"-..,~ C( ~ r..../h-d' ~_~' '1 - ~...5 - (} '7 Owner or Cont~~ctorsll ~ig~ature ,i Date ;i 1 i' " ;;i r; Pa!!e 3 of 3 Electrical Pe~mit Application 225 Fifth Stceet+Springfield,":)R 97477+ PH(541)726,3753+ FAX(541)726,3689 1"''';'''''''''''<''''''''''',,' """",,",,'.'',.'' ',"'''' , 'I 'i'L,;;OERARTMEN:r,'USE ONlY,,',,: ,..;...~",'.~,;",;,:;',",'"':"o:;<.'."....::,," ',...<.--.. .. '::':"""'.:' ._.....,...,c:,; .";' I Pennitno:.C1- Jtf{}'f? I I Date. 1/2-3/ fn I 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 for180 days. , I "':r';':;;'~ '<\j[0CAl:.;:,G0VERIlIMEN:r~AP,~R0.vALLe'0fl:~~ti;~::';~lEI I Zoning approval verified? 0 Ves 0 No I 1,"".!!1'I'M,(;t.~"!C'A"'E G 0, R~;!!'6FirCbN' S"'RU' C' :r1'0'N\i;:,,"~I'""i~,,~7i;;:'1 '\!"'_'.;,J;:j(!'.-..:"~;_."",,;;:;,,,,.. .., "I: ..... .~I'd._ _ <.....,__._._...........:.Ii...._ ,', nil,.. _.. ~,.t<,.,'...::.;!J;~~:.:'i~.,,:.. ~~~~~~~1~HiE1HNk~R~~m~;N;;AN[j~~~C~;:;~~~~~t\11 I Job site adclress. 2.U~g ~A-Mf'FAI2.P1 If!-.Dk17 I I City: , I State: I ZIP: I I Reference. \'lIJOt~~ c::a.1 Taxlot()\'d:O I ',: ;i\:~:}OESCRIP.TI('.lNi2('.lF~,W6RK\j'*'J.t!;~~,~:i;\';y'fi!,;;'~,,;:1 I i~=, \'ill&~Cll\O'~'~~' -, I Address. '[.~<i<. (~~ CCb'1 I cillkl~ .' - '1 State.Q(l/ I ZIP. Q-Z411 I Phone. '\l -' 1 Fax: I E-mail: I This installation is being made on residential or fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479,560(1). . ~~~P' fA: f\!j ~\Y ~ ~ 'D 0~ 9' , 440,2584-J (9/08/COM) .1~~~f1W~~f:~%;~fr'h1t~~~:E:El;fESvGRE,Pom_I;_W2r~0:~t~~{lI~j[~ 1~~~~~Ve;~?!;~r~~~i~{I~rJJe,~~,:.!!~~{~.,}:~~:;181r~:1'.;:~.,;~~~~~~~'I'~~~~~}1t\~i I Residential", per unit, service included: 11,000 sq, ft, or less (4) I Each addition"al 500 sq. ft. or portion thereof I Limited energy (2) I Each manufactu~ed home or modular dwelling service or feeder (2) , $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ I 20 I to 400 amps (2) $ 95.00 $ .1 40 I to 600 amps (2) $158.00 $ I 601 to 1,000 amps (2) $205.00 $ lOver 1,000 amps or volt5(2) $469.00 $ I Reconnect only (2) $ 63.00 $ I Temporary s'ervices or feeders: installation, alteration, relocation I 200 amps or less (2) $ 63.00 $ I 20 I to 400 amps (2) $ 87.00 $ I 401 to 600 amps (2) $126.00 $ lOver 600 amps or 1,000 volts, see serVices or feeders section above I Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 I $ (A) Enter subtotal of above fees (Minimum Permit Fee $58,00) ,I (B)EnterI2%surcharge(.12x[A]) I (e) Technology Fee (5% of [A]) 1 TOTAL fees and surcharges (A th~ough C): $k\.~ $ ., .EIL. :~l'~ , .~'}, I I I I I I I I I I 1 I I I I I 225 Fifth Street' Springfield, Oregon 9,7477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department ~ublicWorks Department RECEIPT#: 3200900000000000664 Date: 09/23/2009 2:01:05PM Job/Journal Number.~:~'; Description' '. .':,;'.~ i COM2009-01408,., ):BuildingPennii:: COM2009-01408 ~,." "+5% Technology Fee COM2009-01408 },', \,+<:12%State Surcharge . . . ,l,":",,:, ,;. . '. . COM2009-01408' .,:" ""'IAd<l; Alter, Extend Circ COM2009-0 I 408 'Add, Alter, Ext6~d Circ Ea Add COM2009-01408 + 5% Technology Fee COM2009-0 I 408 + ,12% State Surcharge . ~.- ( Received By njm Item Total: Check Number Authorization Batch Number Number How Received Amount Due 223.75 11.l9 26,85 55,00 6.00 3.05 7.32 $333.16 Payments: Type of Payment Check >!' . . -.:': . ': ~.. .... ~::' .' ,'l'aidBy': MICHELLE C SCHMIDT <~';.:';' '_', i' :~> . Amount Paid 1079 In Person Payment Total: $333.16 $333.16 " . I' ~~ . ;- fr: ~ i " ,. cRcccintl Page I of I 9/23/2009