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Home My WebLink AboutPermit Building 2010-1-12 CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2009-01713 ISSUED: 01/12/2010 APPLIED: 12/01/2009 EXPIRES: 07/12/2010 VALUE: $30,000.00' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5422 MT VERNON RD ASSESSOR'S PARCEL NO,: 1802040001800 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Replace roof with trusses and add carport TYPE OF USE: Alteration Residential Owner: GARDNER GUADALUPE Address: 5422 MT VERNON RD SPRINGFIELD OR 97478 I C,ONTRACTOR IN~ORMATlON I Contractor Type General Contractor RJ KRUMDlECK CONST INC License 70686 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I ~UILDlNG INFORMATION 1\0 on la'll re4u,' ,.. . - " ' ATTENTIONil O&~(l!I1'lfj' the oregon ~~~ R~\\oW rules h~! ~1UI'1l are :i-oe~,/)o l\btilicatlOn l!/I(l'fcRflIou9h OAR na\e8 by WI OAR 952 r~I\l1leoPie8of~. phone 0090. 'Iou i(yt\llote: \I'Ie t ~ . calling th g)rllfjllll Utility N nllmbercie~Ji~I\~\IiM~~ n/a I DEVELOPMENT INFORMATI?N I' , . -,-~:",=-~.,;:., ,., Frontyard Setback: Side I Setback: Sidc 2 Setback: Rearyard Setback: Solar Setbacks: Ov~day Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe 25,00 Phone Number: 541-870-1756 Expiration Date 12/10/2011 Phone 541-746-1238 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement:. Sq Ft Garage/Carport Sq Ft Other: Occupaut Load: 23,522 391 REQUIRED PARKING No 10.00 Total: ,Handicapped: Conipact: 2 Street Improvements: Storm Sewer Available: Special Instruction: . . I PUBLIC IMPRQY.EMENTS I .. . ."i$iW"''''"'''''''''' ' fl.\{ , I~U lIU~' ~I'JN,.\n~~ \NO . 1HIS PERM\1 S1-Iflll 100 \S p~1\1VIi\"'3 NOT., AUTHORIZED UNDER TU~mY!m!~llOOns.'I~' Storm water to tie into existin~t~~fvI't.NCED OR IS A,.., ,;. , . ANY 180 DAY PERIOD. Notes: I V ~luatio~ DescriDtion I Description , $ Per Sq Ft or multiplier Square Footage or Bid Amount Tyoe of Construction Paee I of 3 '.; . .. , ' Value Date Calculated Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description Plan'Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review MilloI' - Planning SOC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Public Works Review Initial Review Structural Review Plannine: Review Public Works Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0l713 ISSUED: 0111212010 APPLIED: 12/0112009 EXPIRES: 07/12/2010 . VALUE: $ 30,000.00 $1.00 30,000,00 Total Value of Project $30,000,00 $30,000,00 12/01/2009 Fpp,. r1\lU Amount Paid Oate Paid Receipt Number 2200900000000001337 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 1201000000000000033 $207,25 $38,26 $21.89 $318,85 $19.55 $119,00 $9,96 $199,27 . 12/1/09 1/12/10 1/12/10 1/12/10 1/12/10 1/12/10 1/12/10 1/12/1 0 $934,03 12/08/2009 Plan Reviews I 10 Waiting for answer;,on storm water called Randy at Krumdieck Const on 12-9-2009, 12102/2009 12I02/2009 12/02/2009 12/02/2009 APP LLH APP CJC As noted on plans 12/0212009 12/08/2009 APP OOK 12/11/2009 12/11/2009 APP LKW Storm water to tie into existing system To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 . a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. . Rr~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Page 2 of 3 ._$.f,!:~!N...F!I~~2 ~! Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01713 ISSUED: 01/12/2010 APPLIED: 12/0112009 EXPIRES: 07/12/2010 VALUE: $ 30,000,00 225 Fifth Strect, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 ofany structure without permission of the Community Services Division, Building Safety, 1 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 ti?2lUCtiO~V(}VV\.~ J -12-~2.{) \b O;ner or contractr:ignature Date Page 3 of 3 .j ':"~ ~irutft;ra' Permit Application - 225 Fil)h Slreet. Springfield, OR 97477. PH (54 1)726-3753 . FAX(541)726-3689 k::'~p~"'ARTMENf,~ U SEj9N~Y ,I CO,,"t..c.:.C'i' - 0 II ( (' Permit no.:. - 1 Date: / l-r - 0 '7 This per'mit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is . .. suspended for 180 days, 1::i~c;i~r:it,~~i~'~'J*:K~:f.G~9P:A~.i~Q~~BN'M.~N_if~;~R:Ft;B~:~~ul~~~j~;~~~1 I This project has final land~use approval. Signature: Date: I This project has DEQ approval.. Signature: Date: I Zoning approval verified: 0 Yes 0 No l Property is within flood plain: 0 Yes 0 No rlj~f4~~j.~~4~~G~t~~~91~x~:QH!~QP~~fBQ<~ItlQ:~1t~~t;~~~Wl*~~~& l,,~:l~e,?~~~~". .., )9,~0~:r11r11:~~" ._"J~,~~?;r11~:~~~~v.:.". 1!t;"",~_lf;,"l10El!i.s.lfrE:;lfoIf,9~MATI9J~-,;AI-!.Pk~Q_CA'1'IOJclJj.;4i{MMIii':l I Job site address 5'1 j{ll WI T fle{vvJ1tj ~ 6 I City (~r;"""C.~~ I State DI I ZIP "f747'X I Subdivi;ion: . I Lot no.: I Reference:/.Rol.Ol{CQ I TaxlotOl~OQ I,,;~; . (",: " . . P"RO'-PERT,y'OVrN' 'E'R-";,c:'f>;"u'~., . ._.,~:".'..'.. ;, _.- "'j !-r'" " ' "J..~ _. ,_,'.. ..' h _._ ','''' v _ __'oX- ":~i'" . ';;,~;',!,_ '..;" .; I Name L.c.> pt.. bc..('tt~er I Address S~ Z?~ t- Ik:fVD"'-- RC I I City: \~:n:. "''l L.~ dL. I State 01 I ZIP'i')'1 ,r -'- I Phone 911- g')J-f) 5-6 Fax - - . ~I I E-mail: I This installation is being made on 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:~u:;ness'~::~JR~~~;(~:;t~;;~~t:':'~V\C I Address~C>, ~J<._ Sl?6 I CitYV~<,o~ \:l~ \\ I Phone .5<./1- 91.1-3)17 I E-mail: I CCB license n," 7 IJb'l b I Print naml" K lA-Y\tL'l K.td\M. <!-\ eGLL- I Sig;'ture~ ~ \fn,~wL- IW~~;{%N:~~;?~l1i~~$QEf..GqN:t~G:t.6r{H~~.qJ3iY1Ar:IQ~ft,li~~B~~tfl~~! I Name CCB License Number Phone Number I State: Fax: I I Of lZIPf/'jU I .s'I) - 7'1{' -'fOIl I I Electrical I Plumbing I Mechanical ~rtf ~ 1~~l:;~#~::t~~%~f~::~~i~~~W;i,~:{~I~_~g--~^'$5;:~[Rii(.~}{~~~.r'~~":}~~~?-1~:~~,f:~':~:~p-~~;~:'~~~{1 ~~t'1Y~J4~~iJ9.nIi~t~rt.!~,tm'~;:~:&~t~!~~~iIH;{m~;f~~~~t~~t;~~~~itJ.~;~~~~;;'1 t~/ r.Lo..tSo Scr I I I I I I I <1'l;r'No' v I J$391 1~^7:Jftl,u'Hfi'iplf;Je'~,sl~:ftr~~~~EtMft~W~i:~f~iJ;!:;N~K~:~}t&~l~~;;~~;\~~~~ (a) Job description: 12e-/t.4c1.r ~o,: I Occupancy 1Z.. ~ I Construction type: \I ~ I Square feet I Cost per square fo~t: I I I I 0 new ~tion I ,(b) Foundation-only permit? I Total valuation: Other information: Type of Heat: Energy Pa!h:' D addition DYes (a) Permit'fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) I : $ / (d) Enter 12% surcharge (.12 x (2a+2b+2c]): $ (e) Subtotal of rees above (2a through 2d): $ m, '3.~i\'(n.~1 rr:>>~",0at, ~';r::';';;':iC.7;\j:w-~"".4.:'@,d1.;*5t;t.,~j;'ff~i1'3i#'~''of,'^1&+'!. ;-4'f'J.'."" l#0~;Y';B"~;'iJ~!ii;N.:;~.'~f'!'~~-S~. ..~.'I ~,',^.:i"'-:' ..~.~i:r_~Y~~W,>'!~~s~~rztm:.~~!i*?d'J~~b~~ff:l:;1[~i<'$'i'~8~~~l\!,~~ I (a) Plan review (65% x permit fee [20]): $ z.o 7 Z J (b) Fire and life safety (40% x permit fee [2a]): $ I I (e) Subtotal offees above (3a and 3b); $ I ~4~MI~f~!':~:!l~9~~~if~~~}?$i~l:~~~;~':~~~i~~~A)l?{~,~;&~7.:~i~__~~~i}~}~~t'~{~~~t~-~~,:l I (a) Seismic fee, 1% (01 x penn it fee [2a]): $ I I TOTAL fees and surcharges (2e+3c+4a): $ I f?w,,;... ~,., . " .~~~~.::; y ~+ \'\ 2}.o 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 1~i:Q~;OMl --- City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001337 Date: 12/01/2009 10:lO:15AM Job/Journal Number COM2009-017l3 Description Plan Review Residential Amount Due 207.25 $207,25 Payments: Type of Payment Check , Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received RJ KRUMDlECK CONSTR INC djb 10756 In Person Payment Total: Amount Paid $207.25 $207,25 cReceinll Page I of I 1211/2009 225 Fifth Street Springfield, Oregon 97477. 541-726-3759 Phone ~; City of Springfield Official Receipt Development Services Departmcnt Public Works Department Job/Journal Number COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 COM2009-0 1713 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 01/12/2010 1201000000000000033 Description Fire SF Fee - Residential Building Permit Plan Review Minor - Planning Stann Drainage Impervious Area SDC Sanitary/Stonn Admin + 5% Technology Fee + 12% State Surcharge Paid By RJ KRUMDlECK CONSTR INC Item Total: Check !"umber Authorization Received By Blltch Number Number How Received djb 10838 In Person Payment Total: ';di. ~.... , .,t, Page 1 of 1 to:37:40AM Amount Due 19.55 318.85 119.00 199,27 9.96 21.89 38.26 $726,78 Amount Paid $726.78 $726,78 1/12/2010