HomeMy WebLinkAboutPermit Building 2009-11-12
CITY OF SPRINGFIELD
Building/Combination Permit
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Status De(erred,raymenfj\g'reement
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225 Fifth Street;' Springfield, OR '
, 541-726-3753 Phone, "
. 541-726-3676 Fax':::~(...;,;;...-c' ,.,;._. ...\t~ -,'
541-726-37691nspectiOli<Line'';:':?:<',,' ..
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PERMIT NO: COM2009-01l59
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08(10/2009
05/12/2010
$ 230,000.00
SITE ADDRESS: 624 Ethan. q;,c . " Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO;:;s'.I7ll3ii1207700
':".:c- '".'.,;:,{:--::".,"":"Z':'",- ' TYPE OF USE' New Residential
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PROJECT DESCI,UPTION: Singh; family residence- deferred payment agreement - DO NOT FINAL UNTIL DPA
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Owner:
Address:
SHUKANES STAdE:!:',
3350 LAKEMONT DR'
EUGENE OR 97408
Phone Number: 541-912-1097
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Contractor Typ'e' '" Contractor License
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General,;. .' ~h:;,1:."..f",MATTHEW JAMES CHAPMAN
Electrical . SPRINTER ELECTRIC INC. 174458
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Low Voltage Electrical APEX SYSTEMS INC 100283
Mechanical SHEPHERD HEATING & AIR CONDITIONIl'171384
Plumbing EDWARD L COOK SR 50557
Expiration Date
02/20/2011
05/13/2010
07/3112010
02115/2010
Phone
541-
541-743-1213
541-744-8949
541-420-4219
541-895-4423
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, BUILDING INFORMA,TI?N I
4,792
, 1,498
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Street Improveme~t~:; . F II I d
r ' . t . U Y mprove
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Storm Sewer Available:",,"-.~-..,. ; . Yes
Special Instruction: ' Storm' wafer to cnrb via weep hole
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gnlter
Notes:
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Lit i' OF SPRINGFIELD'
Building/Combination Permit
Status DeferredPayrit'eiif~greel!1ent
225 Fifth Street, Springfield; OR'"' ~,
541-726-3753 Phone ;.: , "
541-726-3676 Fax ""_' ",..,"'~,/- :.,': ..
541-726-3169tnspeciio~\Lin,ibi!f!~~!;':: '
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PERMIT NO: COM2009-01159
ISSUED:
APPLIED:
EXPIRES:
VALUE:
,; I, "~~:;':~"~:'''~;'::'~~+':lHf.;' ..
I Valuation Descriotion I
Square Footage
or Bid Amount
230,000.00
468.00
1,498.00
Type of Construction ;. $ Per Sq Ft
or multiplier
Bid Amount Use Bid A~o!,ilt :. (' $1.00
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Gara2e/Mlsc ':';', "U YB Utility".,;,,:,,~ $37.72
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SFffiuplex .;:;; ~J~:jVBI&2 Family $96.83
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Description
Total Value of Project
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Fees Paid I
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Fee Description .' Am'!!int Paid
SDC MWMC Administration ".;:<i"~"''''''' $10.00
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SDC MWMC ImprovemenF'~'ii c' ,", $1,044.54
SDC MWMC Reim'iJU~sement " $101.97
Overwidth,ApP'~cation Fee $45.00
+ 12% State Su.rcharge: '. .. $6.96
+ 5% Technology Fee . y.. .. $2.90
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Low V oJtage - Residential $58,00
Date Paid
8/28/09
8/28/09
8/28/09
9/30/09
11112109
11112/09
11112109
Total Amount Paid
$1',269.37
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Initial Review I. , "
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anmne: eVlCW ~ 1: " t ::
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No'; 'rr~-
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I Plan Reviews I
08/12/2009 APP
08/12/2009 APP
LLH
DDK
,08/1112009
08/12/2009
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Initial Review
08/13/2009 u
10
LLH
08/13/2009
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Public Works ~evi~w': '.
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08/1212009
08/18/2009
APP
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StructuraIRev~~,,; lr; (,.. 08112/2009
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WE
CJC
08120/2009
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Structural Review '
08/2812009
APP CJC
08/28/2009
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08/10/2009
05/12/2010
$ 230,000,00
Value
Date Calculated .
$230,000.00
$17,652.96
$145,051.34
$392,704.30
08/10/2009
08/20/2009
08/20/2009
Receipt Number
2200900000000000980
2200900000000000980
2200900000000000980
3200900000000000685
1200900000000001253
1200900000000001253
1200900000000001253
DEFERRED PAYMENT
APPLICA nON - APPROVED AS
SHOWN ON PLANS.
Additional truss information
received.
Storm water to curb via weep hole
Need lateral engineering for front
entry walllin.es
As noted on plans
To Request a~ inspe~tion call.the 24 hour recording at 726-3769, All inspections requested before 7:00
a.m. will be ",ad~ the same working day, inspections requested after 7:00 a,m, will be made the following
work day, !. \ . .
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CITY OF SPRINGFIELD
Building/Combination Permit
Status Deferred PaymenJ ^greement
225 Fifth Street,.Spr!~!!~,e,ld,P,R.g;~!~t;Y
541-726-3753 Phone,lYi(," --;', . '''t' ..
541-726-3676 Fax' i' ';. ~ ' -
541-726-3769 Inspection Line
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PERMIT NO: COM2009-01159
ISSUED:
APPLIED:
EXPIRES:
VALUE:
08/10/2009
05/12/2010
$ 230,000,00
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...~ I R"OIlired I nsnections I
Erosion/Gradinglnspectil!n;~:p~ior i~ ground disturbance and after erosion measures are installed.
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Ufer Eleciricitl,Ground: ': Install ground rod at footing and call for inspection in conjunction with footing and/or
foundati?D 'i~~p~~tiOli~" .;; .\{ .'
Footing:~After.trenches are excavated.
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Foundation: "After fo-ini. iii-e'erected but prior to concrete placement.
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Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking. "
Shear W~I!,N.a\ling: Befor,e covering sheathing with finish materials.
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Framing'ln~pe~tion: Prior to cover and after all rough in inspections have been approved.
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Wall Insulation: ,Prior to cover.
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Ceiling lIisubition: .Prior to cover,
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Drywall: Prior to taping.
Masonry:
...-)
Final BuU,ding:.. ~fter ~II ~~q~ired inspections have heen requested and approved and the building is complete.
Underfloor Plum'bing: Prio~:to insulation or decking.
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Undertloor Drain: Prior to cover or placement of concrete.
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Rough Plumblng:'l,'rior ih cover and including required testing.
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Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior ~o filling}rench and including reqnired testing.
Storm Sewer Line: Prior to filling trench.
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Final PlumbiIig: 'When all piumbing work is complete.
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Undertloor Mechanical. Prior to insulation or decking and including required testing.
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Undertloor Gas: \ After line is installed and required testing and capped if not attached to an appliance.
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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
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testing. Presure test done at this point. ,
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Rough Mechanical: Prior to' Cover
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Final Gas: When all gas work is complete.
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Final M~chaDical: When all mechanical work is complete.
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Temporary Electric: Appro,:al required prior to Utility Company energizing pole,
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Rough Electric: Prior to Cover
Electric Service: APprOY~I.required'prior to utility company energizing service.
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,Status " D~[ett~9:J)~ymeiit'~greement
225 Fifth Streeti"Springfield, OR'
.541-726-3753 P!i\mev:\,.,. '
5'41-726-3676 Fax';~.'~;i!~\::;;J:t~ ." "ii;Kj~:"~;' ,,:,;
541-726-3769 InspectIon Line '''')::",:4
Final Electric: When aU elec,trical work is complete.
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Low Voltage: Prior tocover::t:'/i" ,',
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01159
ISSUED:
APPLIED:
EXPIRES:
VALVE:
08/10/2009
05/12/2010
$ 230,000.00
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, By signatur,e, I st~te,and agree, that I have carefully examined the completed application aud do herehy certify that all
.' iuformation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances rif the' CliY. O'rSpFingfield'aod the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he m~iJe of8nystructure 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 all required inspections are requested at the proper time, that each address is readable from the
street, that the permit c~rd is locate,d at the front of the property, and the approved set of plans will remain on the site at all
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Owner or Contractors Signature:::"';:
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225 Fifth Street': ;" " ,
Sp~ingfield, Orego!i:9,7477i' i:, ,
54~-726-3759 pliiirie' ".1(:0', <,<,.f::;
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RECEIPT#:'
Job/Journal Numbe,: ~;:'_:,.. . .I)~s~~~Ptil~_~'~:,\.~~i"'~~:~~~;:~'-.:'.';
COM2009-01159 ~i:< ;;,LowVoltage':: ~esidential
COM2009-01159 ':1 :;;'(+'5%'Technology Fee
COM2009-01 159 _ "::'", ',+.1-2% State Surcharge
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Payments:
Type of Payment
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Paid By
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ONLINE CHGS ONLINE PERMrr GfiGS c.-
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,}200900000000001253
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/12/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
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Page 1 of 1
ONLINE APEX Online
SYSTEMS
INC
Payment Total:
9:54:00AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
11/12/2009
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tq .1191
Residential, Electrical Authorization To Begin Work
69600-BEL-09-00245
Approval Code: 045374 11/12/2009 9:48 am
E.mailed To: apexdesser@comcast.net
-1!\W<~l;Y~ElOl;i.wORKlft"r:r:jIL~~5!".~ilh!fi' 1!f~~~~.~-'!Rl!"k;N1REIiiEW~y-!!li:l!'~~1
D New Construction.,
:. "',~ IX] ~Addition/alte~tion/replacement
00 1 or 2 family ~~!lh~9 ;,'::,:)~{.Mul~~~a~'i~rfJm:~6'orrimercial' D' Accessory
~joBisiTETiNF,ORMAfioN)'AN6!l!oCATT6N~~e
J~b Address:,~~' E~~~N.,~T'..
'1 Ci~fStateIZIP~'SPRi~{~FiEr.6::o'~~.97~~?''',~,~:?<,~ '
Sultelbldg.laplno.: ',:
Project Name: Shukan'es
I Cm.. StreeVd;'eCti~;t~}:~:.;,~}"
Tax map/parcel no.:' ".T170'j22'1207800
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C9-1159 (address is 624)Se~urity. pre-wire stereo,;phoneltv
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I Name: Stacie Shukanes
I Phone: 541-912-1097;:::. .i1/~1t
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Email:
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Elec lie. no.: 20401CLE eca lie. no.: 100283
I Business Name; APEX SYSTEMS INC I,
I Contact: 0'
I Address: 1685 LORANE HWY .-:' - -:-::. ;~G1F~~: ::'~
I Ci<YIStatelZ'P'IW&~C~ 97405
I Phone, 54174.ijit1S[PERMIT SHALL 6*PIRE IF ~_E !I~~
I Em.HPExDEsM~gll.Jo,~l.\NUtH I HI~ t'I:KIVI,i ~ 11(;,
I . ~,CJlviiVICiiCcu un i3 't~;'H&tr.4E:1 F:n
Metro lie, no.: f1fll\f 10(\ n^'y reDlnl') ty hc. no.: ..',
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Supervising Electrician's lie. no.: 1470LEA.' 0 .
I Supervising Electrician's Name: PETER F OESSER
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Number of Inspections included in paid services:
Residential Service:! - 4
~econnect Only: ~J ~ \~
AI10therServices:.._lt:~t~.2 . ~
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Upon revIew ancl approval by your local Jurisdlctlon, your permit will be e.mailecl or faxecl
wlthl" one Duslness day, with InstlUctWna on how to ach.oduJe, Y,OUT Inspection,
NOTE: This Authorization To Begin Wort expires within 180 clays If a permit Ia not obtained.
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The Jocal building departrnentmay determlnethatri.~ Authorization To Begin Work Is null imcl
volcllf It cloes not meet applicable land use laws and local ordinances.
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Please check all that apply:
o A serviCe or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14.000 Amps for all other
D Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HPor more
D Six or more residential units in
one structure
D Health care facilities
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 IWA or
larger seperately derived sys
o "A", "E':, or "1-2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
I Description
Total
I Stand-alone limited energy,
residential
I Subtotal
1 Stale surcharge (12% of permit
lotal)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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$58.00
$5B.DO I
$6.961'
$2,90 I
$67.86 I
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ATTENTION: Oregon law requires you.to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set folttl
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
IlUmber for the Oregon Utility NotllioaliOn
Center 1l1-iO0-332-2344).
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; Inspections Phone: 541-726-3769
}T~I~_A~_~ori~at,~on To Begin Work must be posted at the job site until replaced by a Permit
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