HomeMy WebLinkAboutPermit Building 2009-12-28
Status
Issued
,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMiT NO: COM2009-00873
ISSUED: 07/24/2009
APPLIED: 06/16/2009
EXPIRES: 06/28/2010
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone -
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6838 MAIN ST
ASSESSOR'S PARCEL NO.: 1702353205313
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: 784 s:f. Covered Porch Addition. Hydric Soils.
Residential
Owner: WEINHOLD ROBERT N & DONNA K
Address: 6838 MAIN ST
SPRINGFIELD OR 97478
Contractor
OWNER
EASTSIDE ELECTRIC 1~~eS 'l~\).~~ ' 117770
\t...... ,..,:J --~')., ~~,.,.."lt
Ote~O(\ T.!t'.l1DlJfl'/fY?,'i'"MA TlON I
' ~Ot\.. Q\ed 'tl \ tUI.f<,! 9.Ji-J. '
# of Units: ~~ f\I\e9 e.d~et. ')\~~~\)~~e~es D'l
Primary Occupancy GIC~\Of\C~~~O~ cOQitRl\~\'Ii~RI1:~re
Secondary Occupancy ~ g&~~'L OD\8.\f\\t\o\er~~' ~~
Primary Construction 'IOU "Vdtlr.\et. 0(\ \W . e:
Secondary Construction ~\(\g ~~t ~e OIelo~~e: '
# of Bedrooms: ~ :e(\\et \t ~ Energy Path:
Sprinkled Building: '
Contractor Type
General
Electrical
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-746-7157
I CONTRACTOR INFORMATION I
, License
Expiration Date Phone
10/04/2011 541-915-9828
I
17.00
Lot Size: 10,454
Sq Ft 1st Floor:
Sq Ft 2nd Floor:,
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Olher: 784
Occupant Load:
nla
I DE~ELOPMENT INFO~MATlON I
REQUIRED PARKING
Total:
Handicapped:
Compact:
11.00
9.50
62.00
42.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
18.70
I PUBLIC IMPROVEMEN!S.I
F II I d . "., ,Sidewalk Type:
u y mprove ".>,~,:,., .
Yes';w ';" "''':'.., o\\'<<>o",nsilOuts/Drains:
Storm water to tic into exisi!ng system lI\~I'fi*.1N~iY eXisting surfaces.
. t.'f..?\\\\:. ~\\ \S .;<
~O\\C.~. ~\, '0\\f>-\.~?- ,\\\'0 ?~~t.\) rO~:;"::-:
,\\\'0 I'~~\lt.\) \.I~~ \'0 f>-\'>fl-~\) ..' :.,
~\Y'i\-\ 1;J\t.~e,t.\) 0 t.?-\O\)'
e,OI;J\ 'Oil \)fl-'{ ?
~~ ,
Curb and Gutter
Page I 00
Status
Issued
225 Fifth Slreel, Springfield, OR
541- 726-3753 Phone
541-726"3676 Fax
541-726-3769Inspeclion Line
Description
Tvpe of Construclion
Use Bid Amounl
Palio/Porch
Fee Description
Fire SF Fee. Residential
Plan Review Residential
+ 12% Slate Snrcharge
+ 5% Technology Fee
Building Permit
Plan Review Minor - Planning
+ 12";:, Stale Surcharge
+ 5% Technology Fee
Add, Alter, Exlend Circ
Add, Alter, Extend Circ Ea Add
CITY OF SPRINGFIELD
,Building/Combination Permit
PERMIT NO: COM2009-00873
ISSUED: 07/24/2009
APPLIED: 06/1612009
EXPIRES: 06/28120 I 0
VALUE: $ 15,000.00
I Valu~tion Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Foolage
or Bid Amount
15,000.00
Value ' Date Calculated
$15,000.00 06/16/2009
$15,000.00
Total Value of Project
PPPIl, P~l~
Amount Paid
Receipt Number
Date Paid
$39.20
$120.09
$22.17
$15.19
$184.75
$119.00
$8.76
$3.65
$55.00
$18.00 ,
2200900000000000680
2200900000000000680
1200900000000000836
1200900000000000836
1200~00000000000836
1200900000000000836
120090000000000/362
1200900000000001362
1200900000000001362
1200900000000001362
6/16/09
6/16/09
7/24/09
7/24/09
7/24/09
7/24/09
12/28/09
12/28/09
12/28/09
12/28/09
Total Amount Paid $585.81 'r',
I.'"" .
Public Works Review 06/18/2009
[nilial Review 06/1712009
Public Works Revicw 06/24/2009
Plannine Review 06/18/2009
Slrnclural Review 06/18/2009
Initial Review 07/15/2009
Slruclural Review 07/[6/2009
Plan Reviews I
WE Left msg for owner to call....
06/[ 8/2009 APP LLH
06/24/2009 APP LKW Storm water to tie into exisitng
system to street. No new surfaces,
no SDC's.
06/25/2009 APP DDK
07/02/2009 WE CJC need engineering for
lIon.prescriptive wall lines
07/16/2009 APP LLH Revisions
07/24/2009 APP CJC Revjsions- Approved as noted on
plans
Paee 2 01'3
. _"/1!RI"""'1l'I~f?,
, '
"
'h
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00873
ISSUED: 07/24/2009
APPLIED: 06/16/2009
EXPIRES: 06/28/2010
VALUE: $ 15,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Real/ired. l~sllecti~~sJ
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement. .
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete,
Storm Sewer Line: Prior to filling trench.
Rough Electric: Prior to Cover
Final Electric: Wheu all electrical 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 of Springfield 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 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 all
times during construction.
...)1'('
Owner or Contractors Sign~ture
Date
Pace 3 of 3
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00873
COM2009-00873
COM2009-00873
COM2009-00873
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000001362
Date: 12/28/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ROGER KING
Item Totul:
Check Number Authorization
Received By Batch Number Number HowJ~eceived'
djb
00555c In Person
Payment Total:
, :~ ~'.
Page I of I
11:06:31AM
Amount Due
55,00
18,00
3,65
8,76
$85.41
Amount Paid
$85.41
$85,41
12/28/2009
225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689
SPRINGFlEL, ,D~, '"
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I
I
Permit no.:
Electrical Permit Application
D
Date:
This permit is issued under OAR 918-309-0000. Permits are uontrausferable. Permits expire if work is not started withiu 180
days of issuance or if work is suspended for 180 days.
1\),,~~4~i:If(j,cAl!';jGOV.EBNMENj1f~AP,RR(jVA@~k~~Jl 1~if'_;'!!~~f,EE~S:C8ED.l:li!l:a\:illt.f~{~~
!~~;~;~~;~~~t~~~~~Ff~C,~N~~Rl:llJ~l(jg;,_~~j Imr~mll!~,fi~~[fdl~tr11Ife[~I~~~.li
I Residential, per unit, service included: -
~sidential 1 0 Government I, 0 Con:merciaJ 1 I
!'IIii};~'UOB'i!SIif:E~INJ;:l15.RMMTIONlWANDjl!(jcA*IONt~"li!1 1,000 sq, ft, or less (4) , $134.00 $
/ (7? (7 A. / s- I I Each additional 500 sq, ft. or portion $ 25.00 $
Job site address: l--::> D~ D J-f/, / N I thereof
I City: S (> r u I State: o.fL I ZIP: ') 7lf7 %1 1 Limited energy (2) $ 32.00 $
1~~~~;;~[7~~c~~,i0;-(0FJ;Wd.~;~~~1 ~~6~1~~nS~~~~~r~~ re~~~r (~)odular $ 63.00 $
1 -..A..... I , I ". . ~ r Services or feeders: installation, alteration, relocation
F~ '-1 '-~ .c........:-t"....... '
~~mr~_~~ROPcER~II(,{QWNER~~~.\}il!~ J~.~~,~::oo::; ;:~ ~ ::::: ~
I Name: K.o <Z T tJJ ~l ^' H-aL. 'Q _,,',)\,e ~,,; :'4o~\l~ilO~ amps (2) $158.00 $
Address: b% 3 Y U1 A-l 1'./ S "_,, \0-'ll_~"e 0'; ~~" '6't;ltt~~~O amps (2) I $205.00 $
City: 5 f (~]) r State: I~. ~~~({a~') ~~~~Qi> ~ps or volts (2) I I $469.00 $
1 Phone' l F~~';j';V~. X--,O. 0' 0' .&)!O"l(~,\ti-~IY (2) , I I $ 63.00 , $
... .\0 .J'''1 .\,~ :I'~\'"
1 E_mail.~_.lt^C.Gi~~..()1J \ - \~ \,I'" ~e 1.. ~ R~rary services or feeders: InstallatIOn, alteratIon, relocatIOn
, ,~ ".n" ,,<:>., ....\0- l~O \'i-~ ,n
. . ,.. ~'<>'k=Q~V'" ^' amps or less (2) $ $
Thts lOstallatlOn tS bemg made on r '(/oK "'!:..~' ~O" ,~ . 63.00
'owned b~ me o~ a member of my i e4:Il1I\~G'!'!.~O\ !O~' I 201 to 400 amps (2) $ 87.00 $
property IS not mtended for sale, exc '~~':I [~~ I
479.540(1) and 479.560(1). f:#'~'f)e' Oe~\e' 401 to 600 amps (2) $126.00 $
Signature: ~~~ C lOver 600 amps or 1,000 volts, see services or feeders section above
11Jil,7~::.t~pJ:jNiliRACm(j~~IN$frrAIHj'p.ifr'~N~'fi;;tf1i!,i1 1 Branch circuits: new, alteration. extension per panel
I Business name: E AS rSI DE E'Lt'L T R. IC. 1 I a, Feefor branch circuits with purchase ofa service or feederfee:
1 Address: 3 ~.lS':3 'fJ:,oSCAG-E vANE 1 I Each branch circuit I $ 6.001 $
I City: 5 {J'f' CD I State: () f( 1 ZIP: <77 Y 7"if. 1 b. Fee for branch circuits without purchase of a service or feeder fee:
I Phone: . 7 Y t. I V 't cr I Fax: .736- V '16 0 I First branch circuil (2) ,g!' ,d J I $ 55,00 $ <\ 51
I E.mail: R/CKGA5TStOE. <<l> 'r~N Ob ,COIyJ I Eachadditionalbran~~S!rtJ1\,~Cl~~~ $ 6.00 $ /21
I CCB license no.: /17770 1 BCD license no,:)O- VoSe I 1 Miscellaneous fees: servi~~~~ot!!.'cluifed 1
I Signing supervisor's license no.: \f 7.2 7 S 1 I EachPumpOrirrig~~~~b.~Cl'<' ':"::' $ 63.00 $ I
1 Print name of signing supervisor: f< 0 G- €' f( I( 1/oJ G- 1 I Each sign or ~,,!!~~i~~v .. :/ ' $ 63.00 $ I
I Signature of signing supervisor: (jGc-q}-1 I~ ~\tt~~@~~~~~~~ergy panel, $ 63.00 $
\\\).,cl~\~1'iJiI)~v\tl,1~~'ttion: (I) $58.00 I $
r' ~,"'\')"!.Iii, ";5'\'\{;;,'~'j.,.IS~'A" ,,,i5il',"C"A"N';;:JliU'S"'E' ~~""-i'<~'?"';='~1
~\I~..:il'1,~Y;TI.,..~~~~~~Iifli, r;;r;;L .,_!I~ ~~~..:~~~
, (~ri-~~'~~~~btotalofabovefees ,I $' I
~ I><.~ t(~inimum Permit Fee $58.00) 73
~. I (B) Enter 12% surcharge (.12 x [A]) $ 87"'1
1 (C) Technology Fee (5% of[A]) $ 3 b$"j'
I TOTAL fees and surcharges (A through C): $ Bs 'f~
~<v~6^-
\fL,' LI ~
~~
\F
440-2584-) (9IOB/COM)