HomeMy WebLinkAboutPermit Building 2009-9-25
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01423
ISSUED: 09/25/2009
APPLIED: (9)24/2009
EXPIRES: 03/25/2010
VALUE: $ 4,526,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1573 6TH ST
ASSESSOR'S PARCEL NO.: 1703264201900
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
I Residential
PROJECT DESCRIPTION: Partial garage conversion
Owner:
Address:
MOTOUJI SATOKO
885 E 36TH AVE
EUGENE OR 97405
I "CONTRACTOR INFORMATION 1
Contractor Type
General
Electrical
Contractor License
ROGER WIND HElM 53421
LYNNS ELECTRIC 102316 _ ..~.. In
I ,BUlbD1NG:tNFORMATION:I~g~n Utility
10\\OW rUles~~.~:;r~~Those rules are s~~:g~\~ . .
Notiti(!LOfIS!0~~e"S:(\n1 0 through OAR g b~,nt SIze:,
in otfleightof'Struc,turtopies ot the rules Sq Ft Ist Floor:
OOgoTYpe'of iIUlplall (' Note'. the telephOne~q Ft 2nd Floor:
," ~pnler, ..t Notltlcatlo
ca:Wale" ,Type: Oregon Utili y q Ft Basement:
nuRarigJlTn>"f:, 1_800-332-2344). Sq Ft Garage/Carport
Cf\"'1?" \S
Energy'Path: Sq Ft Other: .
Sprinkled Building: n/a Occupant Load:
Expiration Date
05/08/2010
10/14/2011
Phone
. 541-741-0000
541-726-7895
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
'VB
I DEV~LOPMENT INFORMATION 1
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMf;!x'ES' IRE IF 1\-11'. \NOR\\
I'v"-' -r"j)~~Fi(\, "11 IS 1'101
, -rU\S ?ER~I\ ~~ltI ark~YPtrcRw\ Q
I n lED \\1'10 K \ I ~1.1:\nl\\ED FOn
I\U1\-10RI DOr\~pcrutSl~Ii'1s:
"NlEI'IC\:D un
CalVI Dl\y?ERIOD.
I\NY 1 so
Notes:
Paee 1 00
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01423
ISSUED: 09/25/2009
APPLIED: 09/24/2009
EXPIRES: 03/25/2010
VALUE: $ 4,526,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion ,
Description Type of Construction
Gara~e/Misc U VB Utility
$ Per Sq Ft
or multiplier
$37.72
Square Footage
or Bid Amount
120.00
Value
Date Calculated
Total Value of Project
$4,526.40
$4,526.40
09/24/2009
Fees Pairl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Amount Paid
Date Paid
Receipt Number
$17.79
$7.41
$55.00
$6,00
$87.25
9/25/09
9/25/09
9125/09
9/25/09
9/25/09
1200900000000001094
1200900000000001094
1200900000000001094
1200900000000001094
1200900000000001094
Total Amount Paid
$173.45
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m, will be made the same working day. inspections requested after 7:00 a,m, will be made the following
work day,
I ReolJirerllnSlnections,
I" 'I Ii 1111
Final Building: After aU required inspections have been requested and approved and the building is complete.
Final Electric: When aU electrical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU be done in accordance with
the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
tbat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that aU required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at aU
timeSduringconst~u~~\ J -)..\f' - ':>--190 J
Owner or Contractors Signa't.;'re J Date /
Pa~e 2 of2
Strirc(u~'ai Permit Application
-
1,':;"pEPARTMENf;US~9N~y:'1
'PR'NQF'~_~-:~, CO W\Z/)O 1- 0 I C{ Z 3. .
Pennit no.:
. /
. Date: r! w'o 7
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days oflSsuan!e or if work is
suspended for 180 days.
225 Filth Street. Springfield. OR 97477. PH (54 1)726-3753 . FAX(541)726-3689
1\~~;:~:/.",~;;~~~-'i~~~/G9,q'~g~.;:~QY:~:RNM~i{f;~/~RFtR9:v.~~j~~~f~1~~~M1f$~~1
I This project has final land-use approval. I I
Signature: Date:
I This project has DEQ approvaL I' I
Signature: Date:
I Zoning approval verified: 0 Yes 0 No I
I Property is within flood plain: 0 Yes 0 No I
1~~~1i!g;:,,j~\l~ATE9gBY;~c>~ltC.O@)'BL!<:y:1t19:~f,.r~t~\~'ti~~:;:~1
L, ',' ~,",:"',:i,d, ~.n,,~i~I,n.:~_~" "',_".J._.g,~_.o,,"~~<~:,~~,:,~,t-='~,_~_"""i,J, .e, ~~~~,:,",rc~~'_,f;~'W I
1k~'~tW{:J9B!i'Slll'E}INI;9RMA:r19N~ANJ11,t.OS:AI!.9I11i';b,'."~~
I Job site address: is-? ~ , . /,.{1;, <;-r, I
I City: ~,'(\7'{"<~_Jd. I State: OR I ZIP; '')'P)~ I
I Subdivision: I Lot no.: I
I Reference '703. Z b'-1lTax 101 , ., C:JI "j'O o. I
Ie;,,:.: ;:," :. ::, p,ROP,ERTV:,OvvNE~:'}"t \W!;\,,; N I
I Name; ,C.....4v1Lo rv\o+t> u1 .: I
I Address: Q,Q-';" 'f'A~~ ""'~ ~vJ'- I
I City: ~~ State: O~ I zIP;q\lt,!",t-1
I Phone: hI:;-~~~-7~'l Fax:tjU_:./"'-,"J~_?<L I
I E-mail: 1W\".l-t;>", J"@ q",...; \ - ,..."^-- I
This installation is being maddon 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'
I.' ".',' '. ,: ...,:. CONTRACiIO~:,1I11STAtlATI0N;tc,~".;;>",i",:,,;. '.-:.:1
I Business name; t/hv1d' ,u;~ ~'il<<-c:.1 -' I
I Address; P, 0 '~Cl.? 5l {j,,,, I
I City; ?H.II, 012- ,_I SFtaxate:: OiL-.' '_ I zIP;1/'7v:':;-
I Phone: S'/i - 7-if - t:~.c.' I
I E-mail: I
I CCB license no.: c,-:;; q 2-/
I Print name: '"K6.r-t< tup1dki.... I
I Signature ~~r--~j/~ I
,
l~i;;ai1f{lf!Y'Jf~~s\J~'.G()N)ljRAc:ii:OR'I.III~O~r.'IAi;IQN~ff?i'f~t~~\t~
I Name CCB License Number Phone Number
I Electrical /n~~1 6 WI-?..).-?'Jr
I PlumbiRg
I Mechanical
1)~~~~:~:::;~~:t;:{~~!;,:~~~\i\~;:01~JJ).F..~~.~'S9HJ;piJ~~_~;'.Y;?ti:"~'?:~~?fi~tl:;1~.~}~~i~": :i:,~;t~"l
l~j}tY_~,i_~~ti.~nf(~f6LD1!n.Q.~,f~~~~K~~~~f~~r*~:~~ItJi1~i~~.Y~1
I (a) Job description;?A1Z.11A-L ~t..f.::;ti I
I Occupancy /' -f'.V ~ ~~ \ . I
I Construction type: V F ~" I
I\..-/ I
Square feet:
I Cost per square foot: I
I Other information: I
I Type of Ileat; I
I Euergy Path: I.
o new Aaiteration 0 addition I
(b) Foundation-only permit? 0 Yes 0 No .., A-
I Total valuation: J $ '-i .S-Z--.t-'
1~~~~;!!Gli~~ng:~ f~eJr~~Ef::~f~1~~'t~~~~~.~~~'{kk~, .'/;t~1~'(ttf~i~i.:i\d~;t:1
I (a) Permit fee (use valuation table): $
I (bllnvestigativefee (equal to [2a]): $
I (c) Reinspection ($ per hour):
(number of hours X fee per hour) $
I (d) Enter 12% surcharge (,]2 x [2a+2b+2c]): $
I (e) Subtotal of fees above (2a through 2d): $
I '3-V{iil-'--'<C~':'=;"""''''':'''''''M='':c"'j;:,,,,,,,,,,\,,,>r,,,'''''''''''''!'i^",,,''''~Jm:~''''"1>XI
~ ~'l~.\.~.!.l~I:e~_I_t;.w}!..~~_S~~~it~~";;~f~.~?~:}:ft:~~t~~h1.~~1r.'-lt;,Sfu,.
I-ca) Plan review (65% x permit fee [2a]): $
I (b) Fire and life safety (40% X permit fee [2a]): $
I (e) Subtotal of fees above (3a and 3b): $
[~;~MJ~~~ti#!ffo;~jt~~~Jt~~~~~~i.%J;\i*~~~~~~F:),~.;:~~t1i~;~i&~'~~l~>l
I (a) Seismic fee, 1 % (.01 x permit fee [2a)): $
I TOTAL fees and surcharges (2e+3c+4a): $.
4kIL ~'d - ~I' 1.'_'
225 Fifth Street. Springfield, OR 97477 +PH(541)726-3753.. FAX(541)726-3689
:",t":?~""'~'~;,,;,::.;,;"?"'''''o_''''''''''I;~#~~~~--:~~
~1,,!};OEP:AHTMEN;lli.US80Nll\Y,@ifrf.$1
"~,,,,,,~'h":"c'-""'_~-:''1i;,::~,,,".ct~~~~~~~,l
p~~~O"~/l/Z:S I
I
Date:
9/Z'l~'
Electrical Permit Application
t
"
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuan~e or if work is suspended for 180 days.
~~,i.~1.[9Q~tiG:t~;V.E8Ii1M~J:.I[~~ggJ3.:!'>v..A'~~~ :i1f,",;,,"-ll!li...~~~- S.:9!RE;[;)_I:11!E' .", ;.
1 Z ' I 'fi d? D y D N . I IW&~~~eciion '(i}iiJ~1 st!!I~]tiJ!
~~~~~::~~~~9F.:~l:)NSiB'Q~ilit0}l~~ '_~c;' .-.. l~,=_." ~,., ':~l!!tfY~
I I I I Residential, per unit, service included: I
' IDesidential 0 Government 0 Commercial
~~:;~~l[Ej'7~[~~tl@J~1lj;~0~Q~~t~IiI~~~!11 i~;:~d:i:~:~I~S;O(:: fl or portion :1:::::: I
I City: Sf>F'b _ l State: oQ...... I ZIP: r7l.( 7't? I Limited energy (2) $ 32.00 $ 1
i::~=~~~~~:~J;wJ~~~-l.~1 ~~~~I::"S~~~r~~ ~~~:r (~)odular $ 63.00 I $ I
Z CI (C,.IA.r-& ~ CO""'" v'R...s../~ Services or feeders: installation, alteration, relocation I
I 200 amps orless (2) $ 81,00 $ I
I~::~~~~~~l;'(@~~~~~i~~ ~i~;;:,~:~~~:~:: ~~~ ~1::::: ~ i
I Address: i,z '3~5';- E ~r-~,,~~f8:~dbtfV.~e I }\E1~6PEtii0;0i)iYE.i1ps (2) $205.00 $ I
I City: \6~t::-"7V6' I State:o'~~J~iIl'~\~~1~~I:'qx!'r.l]\qOQ~W;Ps or volts (2) $469.00 $ I
I Phone: ~I - 343. - 11471 F~q~PS'?3'W3<',9l:1~&.~Jr.~~JW,~StQi1lY'(2) $ 63,00 $1
I E-mail: -. '0' '090. '(v'" ~e cen\~" 'on 1.)\\ :T~~mPHr:ary services or feeders: installation, alteration, relocation I
..,_" \" . _ ()(e9 _,~ _ _
This installation is being made on residenBai'or;farm(p"to-perH,.\juu" 200 amps or less (2) $ 63,00 $ I
.\\1.V'" _~.~ .::PJ
owned b~ me or a member of my immediiite fami~j;1'Ii:is '1 20 I to 400 amps (2) $ 87 00 s I
property IS not mtended for sale, exchange, lease, or rent. OAR I .
479.540(1) and 479,560(1). 401 to 600 amps (2) $126.00 $ I
Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I
iJ!'!I!~~O:(:)]i1111@:Qr@B~INSJt:<<l!l!'~mli::Hil~~m;~~1 I Branch circuits: new, alteration, extension per panel I
I Business name: LH.NJ\/ S tllEt,,;r n;~ I I a. Feefor branch circuits with purchase ofa service or feeder fee: I
I Address: J30'/. I+- I I Each branch circuit ....... . ~'" I I $ 6.00 I $ I
I City: /if//Cat.1 t.. I State: bIZ... I ZIP: 97yg/!!; I I b.FeeforbranChcircu~ts~~~G1i.aseofaserviceorfeederfee: I
I Phone: ~ <11_ "1:zt.-'7f?'1~ I Fax:5"W~"7t/l.- -1'Z:>-z.-1 I Firstbranc~_1~~lf~~~\\~~~ f $ 55,00 $ SoS
I E-mail: b.i.~tJ/~f.S2&.(2~.u..:I"I7W1_~.IEa.!C~~~i.&-~~.~~if f $ 6,00 $ b
I CCB license no,:8 /,;1.1,1 ~ I BCD license no,: .zo-~~~ ;;L~isc~~~'6~ ~~f's)'Vl;7ce orJeeder not included I
I Signing supervisor's license no,: :; s51~ S '\\\\~l;k~~~~~U~'td~~~ti~n circle (2) I '$ 63.00 I $ I
I Print name of signing supervisor: L..,IV-.) p. ~'r-'0~tt-~1~ac!i1~'Suthnehghtmg(2) $ 63,00 $ I
I Signature of signing supervisor: T UI. ~ vI" ,I ksJ8n~idrcuitoralimited-energypanel, $ 6300 I $ I
. r ~ t\\~'I'a1teratlon,orextenslon(2) .
, I
. . I Each additional inspection: (1) ,,' $58.00 I $ I
,~,\ ~~ ~="-~
~ i\J'X. y-.Cf}:. I (B) Enter 12%surcharge(.12x [AJ) $ 7'$l
'\ '. ....\ I (e) Technology Fee (5% of[AJ) $ 3: Q.5 ,
\)J" I TOTAL fees and surcharges (A through C): $ 7/ 3 7
. ,
440-2584-J (9/08/COM)
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Satal<e ietter:toc
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C.OIAA_ZOO 1- 0 I L/ z: ~
htip:/ /mail.google.com/mail/?ui=2&ik=9d6678d2eO&view=att. ,.
. "
LYNN P. MOORE
CCB#102316 -. P.O. BOX A - FALL CREEK, OR. 97438 -- PH.541- 726-7895/ FAX 746-7252 '
September 15, 2009
"'Ii
To Satoko Motoujis,
Iam writing this to verify that "my company did an electrical inspection at 1573 6fhst"
Springfield, Or, recently. The main areas of the inspection was in the old garage where
someone had added walls and created a new room, We went through and inspected the
electrical in that room, and added an outlet where needed, and g.f.c.i. the garage outlet,
We made corr~ctions and c1earied u~ where necessary, I feel, that it is up to code now
and safe.
We.were also asked to verify if there was insulation in the walls. Where we did remodel
boxes we could see insulation and took a picture to pass along, we could also see
insulation between the edges of the boxes while doing our inspections,
I also gave Satoko permission to use a signed electrical permit from my file.
,
, ~.
Thank you,
, I
I of I
'j;
9/15/09 3:24 PM
"
...
'-
New Duplex Receptacles in Bedroom to meet code
1573 6th St., Springfield
Owner: Satoko Motouji
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
8P.",inft-_I!'JN."~~,,~,,,.D_",.., '..,
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-0 1423
COM2009-0 1423
COM2009-0 1423
COM2009-0 1423
COM2009-0 1423
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000001094
Date: 09/25/2009
Descrip~ion
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge.
Paid By
SATOKO MOTOUJ1
Item Total:
{':heck Number Authorization
Received By Batch Number Number Uow Received
djb 3515 In Person
Payment Total:
Page 1 of I
8:37:2IAM
Amount Due
87.25
55.00
6.00
7.41
17.79
$173.45
Amount Paid .
$173.45
$173.45
9/25/2009