HomeMy WebLinkAboutPermit Building 2009-12-1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01712
ISSUED: 12/01/2009
APPLIED: 12/01/2009
EXPIRES: 06/01/2010
VALUE: $ 500.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1373 33RD ST
ASSESSOR'S PARCEL NO.: 1702303407201
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Enclose storage space, add heater and lighting.
Residential
Owner: JACKSON JONATHAN E & RHONDA L
Address: 1373 33RD ST
SPRINGFIELD OR 97478
,
1 CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION i
VB
~Stories: Lot Size:
foil M ~reg8lf'a Sq Ft 1st Floor:
NOIi~Vf ~moPted by~'eqUlres YClII roSq Ft 2nd Floor:
In OA ~. Those ~, Oregon Util~q Ft Basement:
1090. g Al1JDa'OfhrOlJgh~:re8ettOrlll'q Ft Garage/Carport
call }I_'n Copies t R 952-oo,.5q Ft Other:
'1~l\\rte: fh: fe/Ih%fl/les byOccupant Load:
.. _ ~ n'ft~:: 1<\ e?h_
I DEVEL.NH;VU~O"
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
REQUIRED PARKING
Front yard 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:
1 PUBLIC IMPROVEMENTS I
Notes:
Sidewalk Type:
'Downspouts/Drains:
NOTICE.' _.''''
THIS PE .
AUTH RMrrSHAL "
COM ORIZEO UND L EXPIRE IFTIt.
ANY l~~NCFD DR ,:~iHIS PERMI1~"'O"/(
, DAY PERIOD. :4NOONEIJ FoR Nor"
Street Improvements:
Storm Sewer Available:
Special Instruction:
Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
" , Irl I
Description
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
500.00
Tvpe of Construction
Estimate
Total Value of Project
~J;'PI>< P1irl 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
$14.28
$5.95
$55.00
$6.00
$58.00
12/1/09
12/1/09
12/1/09
12/1/09
12/1/09
Total Amount Paid
$139.23
I Plan Reviews I
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01712
ISSUED: 12/01/2009
APPLIED: 12/01i2009
EXPIRES: 06/01/2010
VALUE: $ 500.00
Value
Date Calculated
$500.00
$500.00
12/0 I /2009
Receipt Number
2200900000000001336
2200900000000001336
2200900000000001336
2200900000000001336
2200900000000001336
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.
~n~.nppt.iiuiJ
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Eleclric: Prior to Covel'
Final Electric: When all electrical work is complete.
,Paee 2 of 3
-~I'!,",~,,',A,',,','..Nl\ Q,:.,.I"EJ.,..".._.~,:..,.'...'''''"'. 1)
, '~.'
. ",.,..~. }
Status
Issued
CITY OF ~rKIJ'IGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01712
ISSUED: 12/01/2009
APPLIED: 12/0112009
EXPIRES: 06/01/2010
VALUE: $ 500.00
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signnture, 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 fnrther 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 OCCUPANCY will be made or any strnctnre without permission of the Community Services Division, Bnilding 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 card is located nt the front of the property, and the approved set of plans will remain on the site at all
times during construction.
i::~:,~~~
/;J-/-O 9
Date
,.,
.'
I.
Paee 3 of 3
Electrical Permit. Application
-"""
.", · · " , , . D )I '~.'
225 Fifth Stl'"eettSpringfield, OR 974?7.PH(541)726-375~. FAX(541)726-3689
I
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 for 180 days.
I (,.,;,,!,.t80CAL:;.G0VER~MENl't6,~I"~O.vAlf'!!:ii'ii1~!'i~i'\'21\1i1 1";;~J'~~i~~~'1f~~~f{E:EE~,SCHEo.U[jE,;~~~\~ip;~~r!~~~i,~f>ftjl
l,~,~!~,i~: a0P;~:~~~'~~~.,(jF'iC~N~~sRUCTIO~ ~;~",.,'_.. '. ,,:,11 ,N~~~~r~?f,'i?~~~,~t1e'~i ~i:r,,~~f~;( J,:;"t IQ!Y.I_;fe~~!: ::;1:. ~~~~I ,
I '~~::~;~~al" I ~'~o~:~ment' . I ~ c~~~~r~::11 I Residential, per unit, service included:
1!;\j;~'9I$~~OBltSITElllNF:ORI\II)l.q'101llJ,iAND!.11I0CA'l!I0N~r!!;~1'l!1 11,000 sq ft. or less (4) $134.00 $
I Job site address: I '57 3. :5 ~ .,e.d. - 1 I ~~~~:ritionaI500 sq ft. or portion $ 25.00 $
I City: S,l/==b I State: 0 (L I ZIP: '77 L(7 V I Limited energy (2) $ 32.00 $
I,Re;erence 17~{s~R~p~,~; 0F'.w~;~~:~~:L,:~.:~!~~.LII ~~~~I~:nS~~~~~r~~ ;e~~:r (~)odular, ,$ 63.00 $
I E vtc..c...os r:r s T1M..~ t!c" _ ;t.L.L rtEA- ~ 1 I Services or feeders: ins/allation, alteration, relocation
I ,f J I J - I 1 200 amps or less (2) $ 81.00 $
~~ I$Vlr....., ' I
I '. :PRGPERTYOWNI;:R .'. I 201 to 400 amps (2) $ 95.00 $
I Nam~( oj j YHC r.J /}tJ tf'{)>'\( 1 I 401 to 600 amps (2) $158.00 $
I Address: /~/ 3 ~.;::;. t I 1601 to 1,000 amps (2) $205.00 $
I City: (",i/J. tOii~;.Mi.~~~rl'J~G~~\~overl,000ampsorVOltS(2) $469.00 1$
I Phone:!t/J-t"tJ.. ,;z&, ~2!!.flcalionl~ler. Those rules are set I, lr+ Reconnect only (2) $ 6300 I $
\ E-mail- If vAA ;:'Oc!-UUl-iJU1U tnrougn UAH 952-( 01 Temporary services or feeders: installatIOn, alteratIOn, relocatIOn
. OOQn . Vnll may obtaiR t::spies sl tile rUIC,kby 200 amps or less (2)
Thts lIIstallatlOn IS bellllCa1"f!gqjlJ~5.1 1iifl!11~~hO $ 63.00$
owned by me 0: a menMihilflil'ld;A paW ~~fil" t' I 201 to 400 amps (2) $ 87.00 $
property IS not lIItended'ior salo. "aRJ!e. se...or..r ~a I >n
479 540(1~1479.560(1). ,,OJ I r III I- u-",=!;,:- 4 , I 401 to 600 amps (2) $126.00 $
Signature: ~: lOver 600 amps or J ,000 volts, see services or feeders section above
I . / .CONTRACTO, NSTAl.:.lAl'I0N. I Branch cirCUIts: new, alteration, exlensionperpanel
I Businds{name: (!')G./ At' ~ I I a. Fee for branch circuits with purchase of a service or feeder fee:
I Address: 1 I Each branch circuit I $ 6.00 I $
I City: I State: I ZIP: I I b. Fee for branch circuits without purchase of a service or feeder fee:
1 Phone: I Fax: I I First branch circuil (2) , $ 55,00 $ ~ s
I E-mail: 1 I Each additional branch circuit , $ 6.00 $ b
I CCB license no.: I BCD license no.: I I Miscellaneous fees: service or feeder ~ot included
I Signing supervisor's license.no,: I I. Each pump or irrigation circle (2) $ 63.00 $
I Print name of signing supervisor: I 1 Each sign or outline lighting (2) $ 63.00 $
I Signature of signing supervisor: I Signal circuit or a limited-energy panel, I $ 63.00 $ I
alteration, or extension (2)
NOTlC . . Each additio~al inspection: (I), I" " $58.00 , $ I
E. . " ..',.! ','1;~;...;./, ~. 1[$1RW~;I1t.~~~j!y~;J~I:~~I5"~AR Ri1iCA' :N"', Ti~'U': -S'E-1~{'f;-1:~~")7~s.,t,:, '!::J;\,'1i1"J;'ii'~':Ji.q;',~,:,,;'1
THIS PERMrr s """""",~,,,,,,<"""'., '" .I~" "M'cO."">"'''''_.'H.<,~,,;;''!''
AUTHORIZED HAll EXPIRE IF THE WOR""") Enter subtotal of above fees / (
COM UNDER THIS PERMIT IS NdTlMinimum Permit Fee $58.00) $ b
ANY lMaEONOCAEyDpOR IS ABANO~N 0 FOR ".(B) Enter 12% surcharge (.12 x [AD $
ERIOD. '\ ' -
~ P\ '(C) Technology Fee (5% of [AD $
~~~ I MAC ,......."."". (A"..... q, " ,
~
77-~
:3 Or
//E
440-2584-J (9/08/COM)
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~
111:. ~.~ ,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200900000000001336
Date: 12/01/2009
9:54:03AM
Paid By
JONATHAN JACKSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
58.00
55.00
6.00
5.95
14.28
$139.23
Job/Journltl Number
COM2009-0 1712
COM2009-0 1712
COM2009-0 1712
COM2009-0 1712
COM2009-0 1712
Description
Building Permit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
CreditCard
Amount Paid
djb
532399 In Person
Payment Total:
$139.23
$139.23
cKeceintl
Page I of I
12/1/2009
I,
1'- -
1.0
p 'fct~"..
I
I
,
I
I
I I
I
I I'
I!
I
I I'
L II
.
I"p.3 .33 ,.( S 1-
~.. ,: "
.fx,s-tlrvQ
.,-
r
:>
r,
~ 51H'V" vJe((
4 --, -- -
=
S-Jorll<je
~=
.
. I
-
1
~
r
, I
r
- --
II '..
Ii
1:,,-
C _
~
'I-
n
'I'
J.y,{,
l~
- /,H\?(pt<
'--
II
I
'1-
-I
I
11
_J
J
I
I
-I
-.
-
f
.1\ :....1 I
-2Y'?
J (.1:/" c f',..j.p~ s:
~
-I
~
I!
I
~ :
I :
-~dq:tV",
r~33' '* "J' i"
9 '6"
, S
r,>(l
. _ G'-'"
,~~
I ~.. 1-~\1
- , ,/IZ_ ,
,
~'\.;~
-, - ~ i:>\...
\
...,{"/ J
If-;,<? ~
I IV':" I~., 'h
~-
j I
I)};)! / ('