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Home My WebLink AboutPermit Building 2009-10-6 j' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01474 ISSUED: 10/06/2009 APPLIED: 10/06/2009 EXPIRES; OS/20/2010 VALUE: $ 30,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1122 CUSTOM WAY ASSESSOR'S PARCEL NO.: 1703263408200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Temp power due to lire in residence, fire has bnrned out garage and all roof trusses. all power to be replaced, and plnmbing/mechanicalto be replaced Owner: MAZET TYM ANN Address: . PO BOX 2391 EUGENE OR 97402 Phone Number: 541-954-4536 Contractor Type General Electrical Plumbing I CONTID\l€J.l1(lJRJlNIj'@RIM.~iliWnt'" you to . '!l '.!u III I i1' N. fl' ';"' -, VfMU uy me uregon Utility Contractor I ~~catlon Center. ThosU\:lasme se~ation Date BELFOR USA GRO.&~~'t!v;~2-o01'OOl~ thr01!Qt9WIR 952-o01112/16/2011 BEAR MOUNTAIN E1&Jiilli{Wh~5~~m98the rules byl8/12120.11 EUGENE EXCAVATtftJlh&1'W ,JJ ~tel~ph'N.I8 07/06/2011 . _. LL' 8110_. I BUILD\'NC"'mI"l'J~). " Phone 541-726-9905 541-741-8844 541-988-0868 # of Units: Primary Occupancy Group.: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB # of Stories: Lot Size: Height of Structure Sq Ftlst Floor: Type of Heat:" '~'T_~' Sq F.-2nd Floor: Water Type: ",.", SqFt Basement: Range Type: Sq Ft Garage/Carport 3 NOT ~nergy Path: . . .Sq Ft Other: Ie rinkled Building: o/ii Occnpant Load: TI-I'~ P~D A'l.,SI4.'~l :":'-i:;,E If' 7"ci" weftr IILDretpffi . i -- -- - NOT (;~Iv,lvIl:11c .0 OR:/S 'ABANDONtD FOR . ANY 180dlAiI1~D. . ..' . '.. # Street Trees ~qd: Paved Drive Rqd: % of Lot Coverage: 1,209 281 REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPR<:>VElhlCj' '''' Street Improvements: Storm Sewer Available: Special Instruction: (- Sidewalk Type: Downspouts/Drains: Notes: Page 1 of 3 Status Issued CITY OF SPRINU:J<H.,LD' Building/Combination Permit PERMIT NO: COM2009-01474 ISSUED: 10/06/2009 APPLIED: 10/06/2009 EXPIRES: OS/20/2010 V ALUE:$ 30,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Oescrintion I Estimate Tvne of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 30,000.00 Value Date Calculated Description Total Value of Project $30,000.00 $30,000.00 11/12/2009 Fpp<. P:'W $7.56 $3.15 $63.00 $9.72 $4.05 $81.00 $5,04 $2.10 $42.00 $60.22 $25.09 $79.00 $318.85 $95.00 $207.25 $9.00 10/6/09 10/6/09 10/6/09 10/8/09 10/8/09 10/8/09 10/12/09 10/12109 10/12109 11/20/09 11/20/09 11/20/09 11/20/09 11/20/09 11/20/09 11120/09 Receipt Number , 1200900000000001116 1200900000000001116 1200900000000001116 2200900000000001159 2200900000000001159 2200900000000001159 2200900000000001175 2200900000000001175 2200900000000001175 3200900000000000766 3200900000000000766 3200900000000000766 3200900000000000766 3200900000000000766 3200900000000000766 3200900000000000766 Fee Descril>tion + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fixture Plan Review Residential Vent Fan Amount Paid Date Paid Total Amount Paid $1,012.03 Plan Reviews I Initial Review 11117/2009 11/17/2009 APP SKG Structural Review 11117/2009 11/18/2009 WE CJC Approved pending reciept of engineer's stamped drawings and Special Inspection form. Structu ral I~eview 11/2012009 I 1/2012009 APP CJC As noted on plans and review letter. To Request an inspectio,n 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. . Page 2 00 LIl l' OF SPRIr"'U:J<IELD Status . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. Building/Combination Permit PERMIT NO: COM2009-01474 ISSUED: 10/06/2009 APPLIED: 10/0612009 EXPIRES: OS/20/2010 VALUE: $ 30,000.00 RetllJired I nsnections I Electric Service: Approval required prior to utility company energizing service. , Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Shear Wall Nailing: '[Before covering sheathing with linish materials. Framing Inspection: Prio'r to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspec!or. Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover 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. 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 or Springlield 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 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 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 times during construction. ---c2-~ -? ~ J/-?O--O'7 ~. Owner or Contractors Signature Date Page 3 of 3 Stril(!l:iiral Permit Application - 225 Fifth Street. Springfield. OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 SPR1NGPlm..D ~ ~~!. .~~ I"DEp.ARTMENi uSEpNL:'V'1 . C'O":,,,Zc>O 1-o( l{7L( Penmt no.: - . ... . ... . . I Date: JI/lz../OCJ . ThIS permit IS Issued under OAR 918-460-0030. PermIts eXpire If work IS not started WlthlO 180 day~ or'issullnce or If work IS suspended for 180 days.' 1" "J. <i,;!;;!,.1j9tA~'; (;QS"1':@M~,*fle:~,,,,~ts:ye,lli0J~;;(i;j-]Qii~'i?iil I~J=:::~:':::""'"' I:: i !~~~~~~fi~=~~;E;;;i 1 Zoning approval verified: 0 Yes 0 No 1 1 ~~rJuekcy I' 1i!ef'L/'rC.e JJx>,:: 1 ~;;1j~!;~nj(~:~~~~~G~g~~NSi~.~~i.Q:~l~~!lMV;~~11r~~j1\ij I ~:~:~;:~::n type: V & I 11~~."..."..~."e...:.~i..d.....e"';~;'oia..'BI..". 'S..IT...E.'...I-.IN....P.-.OG..RoM.~A~mr' m..I'O...~Nn.,~..:A'.'N. .D..",...lo. ..~C"...A.c...r~lmO....mN...~.:.~...~~...~jl.1...'..,''.'...111 I Cost per square foot: I' ;f:;:r,AJi,!"/,::;;~';~~' __::<.,11 j, ..I'ii_' i _'~ ~-:. j! .:_.,:.J;~ :~.' ..:L'.. ~:iji~~'ig,n/.:'~,~ I Other information: I I lobsite address: 11).;;l, I ,,4~ V~ 1 Type of Heat: 1 1 City: '5n/'..,,~_P.,,/oI I State:bl< 1 ZIP: "!?'f7?1 1 Energy Path: 1 Subdivisi'on: 'v I Lot no.: 1 .....,-: .:)_ ..L 1 o new cw alteration 0 addition ~ P",lll.. I Reference: I?".$. 2-6"34 1 Taxlot: O~Zt::>c::> f" I (b) Foundation-only permit? 0 Yes 0 No _ IL-I I" , 'p,ROPERTY QWNER'I I Total valuation: I $ 5...... 1 Name: 1/ - /'1", -z,,-J-- ii".B"lil' '. V" ""'<'1t",\" ,'.,",~.-"." '"" t;'" "'.' ,-C' -', '...', 1 l~ 1 Address: II~?. CIA<;-IQ.~ h.--c;,/ 1 1'-'" UI. 109 ee~i,'<"..,',;;S,.'\1J:;.,'%"',(~, ,"....'.;..'''$.- ~':{;..~I. " (a) Pemlit'ree (use valuation table): J,Il ,., I City :Sf'/'. '1; A/oil I Stat{ 01':2. I ZIP: 97'/?71 1 (b) Investigative fee (equal to [2a]): $ 1 1 Phone: - - Fax: - 1 1 I (c) Reinspection ($ per hour): I I E-mail: . (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by I (d) Enter ]2% surcharge (.12 x [2a+2b+2c]): $ 73 ~ 1 me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. I (e) Subtotal offeesabove (2a through 2d): $ 1 Sign here: 1~~~.:r.,j~~~f~eyJ!:~ftk~~~~~lr.~W~Ji~~~1Sff~~~1~~-i~~'$Wt1)~:!1 1 . '. CONTRAqO~ .1I~S:rAL:.LATlON;._,,' .';', '". " I (a) Plan review (65% x permit fee [2a]): $ 1 I (b) Fire and life safety (40% x permit fee [2a]): $ 1 I Business name: f3~> Iii, r- 1 Address: 58'7 5- h"," J)pv . 1 .11".(~:S.~~:~la.I,~~;,~_~:~~~,~:,,(3li~~~:~L ._' ,,$,a<J, . II i ;:;!i~;~dr:' <~:;E:~et!;@ j~;~:;::~l::::~:::~,::~:,::::'I'::;'::b 1 CCB license no.: ., If- h q 7,3 1 Print name: jPr.;\::. HI"'...,d/'>k~ . . I Signature:..-Q #- ~ ~ Ito/t~~~{fF,?r~~~~$~B.,~.G0N:;T;BAGm(j~:~(N-f.Q,R.M~~Lq~W~m~~~~I I Name CCB License Number Phone Number I Electrical I Plumhing I Mechanical B,......". A+v-., G"/"dl'.'c. r::",?,,"1'" ES---c.e;......-I-.'or') ., j=>1"......b.'roa... ~. 225 Fifth Street Springficld, Orcgon 97477 541- 726-3759 Phone Job/Journal Number COM2009-01474 COM2009-01474 COM2009-01474 COM2009-01474 COM2009-0 1474 COM2009-01474 COM2009-01474 Payments: Type of Payment Check cReceintl RECEIPT #: Description Plan Review Residential. Building Penn it Fixture 1 Sl Appliance Vent Fan + 5% Technology Fee + 12% State Surcharge Paid By BELFOR 8~~_.!"'!.!"r'....IlLD.......... "_..' . \ " '! ); i :II.: . -- .'~ . . .! _. ..~. - ',,'<-.., _.~ ". ,.... " .- City of Springfield Official Receipt Devclopmcnt Services Departmcnt Public Works Dcpartmcnt 3200900000000000766 10:59:42AM Date: 11120/2009 Item Total: t.:heck Number Authorization Received. By Batch Number Number How Received Amount Due 207.25 318.85 95.00 79.00 9.00 25.09 60.22 $794.41 Amount Paid cjc 19148 $794.41 $794,41 In Person Payment Total: Page I of I 11/20/2009