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Home My WebLink AboutPermit Building 2010-1-19 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '. '... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01834 ISSUED: 01/19/2010 APPLIED: 12/24/2009 EXPIRES: 07/19/2010 VALUE: $ 1,500.00 Status Issued SITE ADDRESS: 2481 L ST ASSESSOR'S PARCEL NO.: 1703254306131 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Partial garage coriversion Owner: Address: ,~, DASSEN JOSEPH-D- 2481 L ST SPRINGFIELD OR 97477 Phone Nnmber: 541-505-7240 Contractor Type General Electrical Plumbing ,." I t:1~ IIUN:Ore(Jon !'!'!!Jf>n"lr~,~.\'(),'~t:: follow rules adG?-~ifMG;'j;Q\UNFv.HlYlATION I Notification Cerller. I nos~ ruies are set forfo contlf~~52-001-001 0 through OAR 952-0tHlcense ,OW~~" ou may obtain copies of the rules by , OWNI\er:;mg the center. (Note: the telephone OWNER bar for the. Oregon Utility Notification r:Antor Ie!' i Of'll" ::'':\:: i ::.. B.U1L~ING INFORMATION I Expiration Date Phone Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Selbacks: # of Units: # of Stories: Primary Occupancy Gronp: R-3 Height of Strncture Secondary Occupancy Gronp: Type of Heat: Primary Construction Type VB Water Type: Secondary Constrnction TYP'~OTrCE' Range Type: # of Bedrooms: . Energy Path: THIS PERMIT SHALL ~lin,\'Itdl~rl-l'cfnWORK' n/a ^11j"III'\,...,.......__ .', COMMENCECI 'j)E~EioPMENH~koom:ATION I ',NY 180 DAY PERIOD,. "--"-~ ,,J;\ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant'Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction : ',':1:' '.~t T Sidewalk Type: Downspouts/Drains: Notes: Pal!e I of 3 Status Iss u ed 225 Fifth Street, Springfield, OR ,541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee ~ Add, Alter, Extend Circ Add, Alter, Exteud Circ Ea Add Building Permit Fixture Minimum/Adjustment Plumbing Total Amount Paid Initial Review 12/28/2009 Structural Review 12/30/2009 Plannin!! Review 12/30/2009 Public Works Review 12/30/2009 CITY OF SPKm\.JFIELD Building/Combination Permit PERMIT NO: COM2009-01834 ISSUED: 01/1912010 APPLIED: 12/2412009 EXPIRES: 07/1912010 VALUE: $ 1,500.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 1,500.00 12/24/2009 Value Date Calculated Total Value of Project $1,500.00 $1,500.00 FpP~ pq irlJ Amount Paid Date Paid Receipt Number $37.70 $22.68 $9.45 $55.00 $18.00 $58.00 $19.00 $39.00 12/24/09 1/19110 1/19/1 0 1/19/10 1/19/10 1/19/10 1/19/10 1/19/10 1200900000000001360 2201000000000000044 2201000000000000044 2201000000000000044 2201000000000000044 2201000000000000044 2201000000000000044 2201000000000000044 '-,.r ... $258.83 ',.", Plan Reviews I 12/30/2009 API' LLH 01/04/20 I 0 API' CJC Approved as noted on plans- 01/05/2010 API' DDK Interior remodel only. No planning issues. 01/08/2010 API' TSS No Public Works issues. 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. , UeolJireqJnsnections I Post and Beam: Prior to !loor iusulation or decking. Floor Insulation: Prior to decking. ,'. Framing Inspection: Prio," to cover and after all rough-in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Pa!!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01834 ISSUED: 01119/2010 APPLIED: 12/24/2009 EXPIRES: 07/19/2010 VALUE: $ 1,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. Rough Plumhing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric,: Prior to Cover Final Electric: When all electrical work is complete. Final Bnilding: After all required inspections have been requested and approved and the building is complete, By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work dcscrihed herein, and that NO OCCUPANCY will be made of any 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 atthe 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, ' ~. ) r-- /- /f'-/O Owner or Contractors Signature Date !',', Pa2e 3 of 3 5PflING..IELD ~l5"">;>;~ ~;;P~P,ARTrv1,~Nf.U%~~RN~3i~' 'I ~'ii-~01- c;,/33l{ 'Structural Permit Application - 225 Fifth Street' Springfield, OR 97477' PH(541)726~3753 ,FAX(541)726,3689 I Date:/7..-Zl{- 0 Cf This permit 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~~L\;\;,;j/~;~}'A':}';:~,i_:~t,,;:G9~C:A'~~.?~:Q"~~Bt'fM~Nft~~pjt~~Y'ig1~lt~~~2t~;~f:'~ I This project has final Jand~use approval. Signature: Date: I This project has DEQ approval.. Signature: Date: I Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~~~~~l~t1~g9'At~i3.:Q~~y1i9,E!t:G:QN~)i8:Q,9m@~~~~~&~~:~;~ti~i:?1 ~ Residential J 0 Government J 0 Commercial I m}\Wl>tif,~~i(i9B~,SiJTEJiiNIf6Rr;j~tiQt:i~ANR~'~9:CAi'IQlIll~~@~j! Job site address: ::/.l/<t I ,L 5 r I City: -~/J"h!;~. ',;. ir/ I State: OIL I Subdivision: I Lot no,: I Reference: 1"7 C"J z.-)' L{ 31 Taxlo!: C> b ('3 I f,~ia~e ';~: ~L- ~"P,jf::~;=9WNER;."~~,:,,,~ji:\; I Address: :2 <Iff I '- ~ r I City: Spn/1fj I'.../vl I State: Ofl I Phone: QI-~ '7-;), </0 Fax: I E-mail: .7....z::.,.A.. 3~ :1 t:.-"f""--fI,,~;;} ~.f,-v _ ~1J~ 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, I zIP9'1fHl I I I I , 'I .<-/.., I I I ZIP:5'il"~1 I I Sign here: c-r ".... I ",CONTRAC[()RAN$I",tLMI9N,~!"",;t, I Business name: {J tv /l/b-""'-. J Address: I City: I Phone: I E-mail: I CeB license no,: \, Print name: I Signature: I State: I Fax: I ZIP: 18;~~j;;r~A~~~lz~~s'(t~:G3~NllBe;G,:t.QR]I.NFPJ{M~T(R~'~~f~'~j}~y~~tl I Name CCB LicenseN~mlJM Phone Number I I Electrical ~ _ / I I Plumbing . "'II '/ I I Mechanical .,.y '/ I / IY~';~~ff:'.~r';~1i;~1~t::;~;~:,F~}~~-fIif~~';~'~-9Hrpp~gG:?~%}:~?tl~1!~Y~~f~?:~~~J ~':~-j~"0--1 :j~~;~:~~:~!r~:i:~tf~=t~~;~~;:'~1!'1 Occupancy .jLs \/(3. Construction type: . Square feet: Cost per square foot: Other information: Type of Heat: Energy Path; o new ~lteration 0 addition i;~~::~~~~:~:;;~::;~:}.i;'~:;:~:O~~:'::l,j~{~ I I I I I (e) Subtotal of fees above (2a through 2d): $ I 1~~~Rlal)rr.eYi~t~'~s~~l\;\~~~1Ytffil\'Jl\}1r~~~{f~~J:t I (a) Plan review (65% x permit fee [2a)): $ ~ I I I (b) Fire and life safety (40% x permit, fee [2a]): $ I I I (c) Subtotal of fees above (3a and 3b): $ I 1~~]~iM~~~~O~R~Q:~~lf~,~!t~!~;~~~~i~;;;,jfr\~~l~~t~~f~~~i~t~?z;~~K~f~;;~~:,'! I (a) Seismic fee. l%(.Olx permit fee (2aD: I (a)'Permit 'fee (use valuation table): (b) Investigative fee (equal to [2a)): (e) Reinspection ($ per hour): (number of hours x fee per hour) I (d) Enter 12% surcharge (.12 x [2a+2b+2e)): $ $ $ $ $ TOTAL fee~ and surcharges (2e+3c+4a): $ 22S Fiftli Street. Springfield, OR 97477 +PH(S41)726-37S3+ FAX(S41)726-3689 IX:" DE~~ifrMENTu~E ()Nt,(' ,.[ ICowl,z.oo 1- 0 1'6"3.t.f I PellnIt no,: I Date: 12-"2 L( - o.cr I Electrical Permit Application 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, ;',,', ,"'l.:OCAL:GOVERIIIMENT, .6:PPB,QVAt""',,!"'YI 1"'iH:'~'\;)\~,;"'iq:ftX:(;t?fil:,"EE'~SGHEJ:jJjI3Et1fli!(iii"ii.t'i:f':il~~(,b~4.\if8' i.~~(:~~~~~.r~;~~~]~~~XOF_C~III~~RUCTIO~:;o '~ 11 NUII!~~~,~finS~.~C!iO~ perit~1I1 (i . "IQry.1 , ~~~rl~~t~1 I_BR, esidential l 0 G~y~~ment I 0 Commercial I Residential, per unit, service included: II,OOOsq ft or less (4) Irg~mfi:!toB;;;stI'E'!INF()RMATlbIllFAIIIO?lt()CA't!OIll~~f'~~fnl I & L "'t 1 I Each additional 500 sq. ft, or portion Job site address: 2" c I.J ' thereof . I City: sf F h ' I State: OiL I ZIP:" 7'(,7 I Limited energy (2) I Reference: 170) 2Sy'3:. ITaxlot.:Ob/3/1 Each manufactured home or modular I" ' - DESCRIPTION, OF WORK'.,:. dwelling service or feeder (2) I Aci l.j'A-lk C{ c( rc.&A.. :-r-c::;. I I Services or feeders: installation, alteration, relocation I . - I I 200 amps or less (2) $ 81.00 $ PROPERTY OWNER I I 201 to 400 amps (2) $ 95,00 $ Name: {) I I 401 to 600 amps (2) $1S8,OO $ "3,,<,..0 h I<'1S(-r.-vJ I Address: ;:)'1 r?/ 1_ !;T I 1601 to 1,000 amps (2) $205,00 $ I City: Y/;V7!> ./,.,..J;.) I State: Of'\.- I ZIP:9'lSll-l-1 lOver 1,000 amps or volts (2) $469,00 $ I Phone:~:l1 - W:- 7:1 '-/0 I Fax: I I Reconnect only'(2) $ 63.00 $ I E-mail: /'._ +f _ .......-j I I Temporary services or feeders: installation, alteration, relocation :-5o~, 11/ ~.....V'l 2. err ("" ~L/'" c:v /??_\ /1/ _ (' /Jv?1 I This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 $ property is not intended for sale, exchange, lease, or rent. OAR I ' 479,540(1) and 479,560(1), 401 to 600 amps (2) $126,00 $ Signature: CI ~ lOver 600 amps or 1,000 volts, see services or feeders section above I ':',CONTRACtOR INST ALLAflON I Branch circuits: new, alteration, extension per panel I I Business name: C>W N t:!il... I I a, Fee for branch circuits with purchase of a service or feeder fee; I I Address: ! 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: I I Phone: ,I Fax: I I First branch circuit (2) 4-- $55,00 $ 5 Sl I E-mail: I I Each additional branch circuit ~ $ 6.00 $ I:&" I I CCB license no,: I BCD license no,: I 1 Miscellaneous fees: service or feeder ~ot inciuded I I Signing supervisor's license no.: I I Each pump or irrigation circle (2) $ 63,00 $ I I Print name of signing supervisor: I I Each sign or outline lighting (2) $ 63,00 $ I ' I Signature of signing supervisor: ' I I Signal circuit or a'limited-energy panel, I $ 63.00 $ I alteration, or extension (2) I Each additional inspection: (I)' 1 $58,00 $ I ~:~i~XJ,~Jt;g>,~~221~~~~~:~i~~ARe'LlrG')(NI/r\US~l+~t,:;';,~jt;r~.:?~J~~~t~;;;;i~1ri :- ::,.:, $134.00 $ $ 25,00 $ $ 32,00 $ $ 63,00 $ ~~~\J \ ' ~ ~~ & (A) Enter subtotal of above fees (Minimum Permit Fee $58,00) (B) Enter 12% surcharge (,12 x [AD (C) Technology Fee (5% of[AD I TOTAL fees and surcharges (A through C): $7?- $ $ $ 440-2584-J (9/08/COM) 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1834 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: Description Plan Review Residential Paid By JOSEPH DASSEN City of Springfield Official Receipt Development Services Department, Public Works Department 1200900000000001360 Date: 12/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 045831 In Person Payment Total: Page I of I 1O:44:2IAM Amount Due 37,70 $37.70 Amount Paid $37,70 $37.70 12/2412009 2~5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1834 COM2009-0 1834 COM2009.0 1834 COM2009-0 1834 COM2009-0 1834 COM2009-01834 COM2009-0 1834 Payments: Type of Payment Cred itCard cReceiml RECEIPT #: City of Springfield Official Receipt Devclopment Services Department Public Works Department 2201000000000000044 Date: 01119/2010 Description Building Permit Fixture Minimum/Adjustment Plumbing Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By JOE DASSEN Item Total: t.:heck Number Authorization Received By Batch Number Number How Received cjc 233439 In Person Payme~t Total: Page I of I 9:24:06AM Amount Due 58,00 19,00 39,00 55,00 18,00 22,68 9.45 $221. I3 Amount Paid $221,13 $221.13 1/1912010