HomeMy WebLinkAboutPermit Building 2010-1-29
Status
Iss u ed
CITY OF Sl'Km\..>l'H.LD '
Building/Combination Permit
PERMIT NO: COM2010-00066
ISSUED: 01/29/2010
APPLIED: 01/19/2010
EXPIRES: 07/29/2010
VALUE: $ 33,600.00
225 Fifth Strert, Springfield, OR
541-726-3753 Phone
541-726-3676 'Fax
541-726.3769 Inspection Line
SITE ADDRESS: 1379 Menlo Lp
ASSESSOR'S PARCEL NO.: ] 703273303600
Springfield TYPE OF WORK: Bathroom
TYPE-OF USE: Additiou
PROJECT DESCRIPTION: Bath and laundry addition to exi,sting SFD.
Residential
Owner: CAMPAGNA JOHN JR & BETTY E
Address: 1379 MENLO LP
SPRINGFIELD OR 97477
Phone Number: 54]-746-8155
I CONTRACTOR INFORMATION I
ContractorType
General
Electrical
Plumbing
Contractor License
EARL E FARR ]7214
EASTSIDE ELECTRIC INC 117770
READY ROOTER DRAIN CLEANING & R S~92524
BUILDING INFORMATION I
Expiration Date
OS/27/20 I]
10/04/2011
02/25/2011
Phone
54]-747-4559
541-915-9828
541-744-7991
VB
# of Stories:
Height of Structure
Type of Heat:
'.- . .,
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I
12.00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qther:
Occupant Load:
10,019
280
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
No
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Co~erage:
, ,.Urban Fringe
REQUIRED PARKlNG
Total: '
Handicapped:
Compact:
,,~_"'llirp,~ vou to
I PUBLIC lMj;fM"\li.W.N'.[fu\i'~y the Oregon UtttilltJh
I. _ 1.Il. 'IIII.' lhosEbrules are se 0
Street Improvements: Notification Center. th li]We\!JP.\1l11jjlrIlO1-
NnTIr.r::. . OAR 952-001-0010 ro y" b~ Illes PV
Sto'rm'Sewer Available: '" U me obtain coIPi8"li>~ BIB r,HWS:
TS~~ciJIiIfIWiruErliblH EXPIH~rfji ifl'i!'WOfl1(well/no rR~ge~~~ (Note: .t~e ~o~~cation
~UTHO~IZED UNDER THIS PERMIT IS NOT . . numberfor the.oregon_~~~~).
(, ~qt~~1:NCED OR IS ABANDONED FOR " ' ',Center IS 1-800
:,f.JY 180 DAY PERIOD. ''',
35.00
0.00
18.00
"':,1
Drywell - Provide
Drywell Engineering
,
"
Page Lof 4
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
TVllc of Construction
Bid Amount
SFlDuplex
Use Bid Amount
R-3 VB 1&2 Familv
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ Ea Add
Building Permit
Fire SF Fee -,Resideutial
Fixture
Perm Serv/Fdr 200 amps or less
Plan Review Minor - Planning
Sanitary Sewer - 1st 100 Feet '
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20io-00066
,ISSUED:. 01/29/2010
APPLIED: 01/19/2010
EXPIRES: 07/29/2010
VALUE: $ 33,600.00
I Valuation Descrintion I
$ Per Sq'Ft
or multiplier
$1.00
$96.83
Square Footage
or'Bid Amount
33,600.00
280.00
Value
Date Calculated
$33,600.00
$27,112.40
$60,712.40
01/19/2010
01/20/2010
Total ValUe of Project
J<pr~ P1i\\J
Amount Paid
Date Paid
Receipt Number
1201000000000000054
2201000000000000084
2201000000000000084
2201000000000000084
2201000000000000084
, 2201000000000000084
2201000000000000084.
2201000000000000084
2201000000000000084
2201000000000000084
2201000000000000084
2201000000000000084
2201000000000000084
2201000000000000084
$226.28
$89.78
$43.36
$79.00
$42.00
$348.13
$14.00
$95.00
$81.00
$119.00
$76.00"",",
$6.54., ,
$130.85 r
$27.00 "
1119/10
1/29/10
1129/10
112911 0
1/29/10
1/29/10
1/29/10
1/29/10
1/29/10
1/29/10
1/29/10
1129/10
1/29/10
1129/10
'-~, .
$1,377,94
I Plan Reviews I
Initial Review 01/20/20 I 0 01/20/20 I 0 APP LLH
Plannin2 Review 01/20/2010 0112012010 APP DDK Approved as shown on plans.
Structural Review 0112012010 01120/2010 WI KLK Waitiing for Planning and Public
Works.
Public Works Review 01/20/2010, ,0112612010 APP LKW Storm water to drywell per
applicants uote of drywell on plans
Structural Review 01120/2010 0112912010 APP DJB Apprv'd KLK. db
To Requestan 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.
',,-<.:1
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00066
ISSUED: 01/29/2010
APPLIED: 01/19/2010
EXPIRES: 07/29/2010
VALUE: $ 33,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"'r.l1,lIhprllnsnections.
Site Inspection: To be made after excavation but prior t~ setting forms.
Footing: ,After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to d~cking.
Shear Wall Nailing: Before covering sheathin~~~it~,~,!:ish materials.
Framing Inspection: . Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover,
Ceiling. Insulation: BrioI' to cover.
Roof Sheathing/Nailiug: Before covering sheatbiug with finish material.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector. '
Hold Downs Installed: Speciallnspectiou performed prior to placement of concrete. Provide'report to City
Building luspector.
Final Bnilding: After all required inspections have beenirequested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and lilter cI~th is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: p'rior to cover or placement of concrete.
\ .
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Final Plumhing: W~,en all plumbing work is complete.
Rough Mechanical: rrior to Cover I, -'I ",.
Final Mechanical: When all mechanical work is' complete.
Rough Electric: Prior to Cover
, '
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pa2e 3 of 4
Status
Issued
.(1"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00066
ISSUED: 01129/2010
APPLIED: 01119/2010
EXPIRES: 07/29/2010
VALUE: $ 33,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
-;[
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and [ further certify that any and all work performed shall be done in accordance with
the Ordinances of the City Or 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, BnildingSafety.
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 Jrom the
street, that the permit card is located at the front of th'e property, and the approved set of plans will remain on the site at all
tif;;y~ctio~ j_ d- 9 ~/ ()
~'I "
Owner or COlI tractors Sign~ture Date
,;.,'<
"
,
Paee 4 of 4
225 Fifth Street. Springfield, OR 97477+PH(S41)726-37S3+FAX(541)726.3689
COIN(ZOIO - 000 bb
Permit no.:
I Date: f- 20 - /0
Electrical Permit Application
This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire ifwork is not started within 180
days of issuance or if work is suspended for 180 days.
Ill!!lll1l~illl'i.[o:t.a:LliilGOYERNMEt,rn~'.a:peRO:V.a:l1l1i1=iifllllll
1 Zoning approval verified? , . 0 Yes 0 No 1
1!!Ill1l*;fil~1iiCcNj"EGORY.~OIT,i!tO:NSTRUtTIO:N~:::'iif1!!l=li::~1
I Residential, per unit, service includ.ed: I
,.01Zesidential I 0 Government I 0 Commercial
I 1,000 sq. ft. orIess (4) $134.00 $ I
!!Ill1liel'jOBJ!lSITE~INF,:ORMA'tION!'f.a:NE>::lI]OtA;j"joijllWiiIIi! I I
I Job site address: I '37:'7' YV1 eWt.D L- f ~~~~:fditionaI500 sq, ft. Or portion $ 25.00 $
I City: sPPi::. I State: oa.- I ZlP:'~7L{7?1 1 Limited energy (2) $ 32.00 $ I
:ikf;~~~~~R~~~reQlTiwJ;~;~~~;~ I J~~~I~:"S~~~:r~~ ~e~~:r (~)odular $ 63,00 $ I
~I c..~ f,.t<'tf UIA. I ~ ~" I 1 Services or feeders: installation, alteration, relocation I
k?~ I. rh u......... 1 1 200 amps or less (2) , $ 81.00 $ 'II 1
lli'''''';~'''*''Ei;;B>!'';;~Eih'''''''P'R''O''P''E, "R"""",":FY-O"W'N,'ER' 'ffi;;,'_ 'dll'EiTTJ:>!''''''.'il',,,..,,,1 201 to 400 amps (2) $ 95.00 $ 1
i'Ji:rG50~~&::g,0R:;;;AVrr6k:;". ... J .tl>l:~,'^, ,iill\tfJR'mf1mM;'~t;#J2Id'tEt:8~t:r;;;0'di
I Name: -.:rD/-t....- -g;,e.1/v CA...vtl'A-6,.vA ' 1401 to 600 amp;TZ) $158.00 $ I
I Address: I 3,7 "I 'v'/If ~I!/LD L-'p I 1 601 to 1,000 amps (2) $205,00 $ 1
I City: <, {J Ph I State: ~ I ZIP: '774 771 lOver 1,000 amps or volts (2) ~ dt 'Jll' \0 1 $469.00 $ 1
I Phone:54( -7t..fb-F!IS'; I Fax: I _Reconnect~t.b-,a'H~$(1on'111~ $ 63.00 $ I
I E-mail: ~...~~~ffi\.611f/ll.!t~~_1.i.eratlOn.relocanon 1
This installation is .,'",m.d< oo=W~"' mfum> ""- '''~~~t.'''' ~ ,
owned by me or a membefof my immediate family. This t'10\ ii\l96~d!I-!Ji;ii~t\ coll1lr.O . \elell Oil" $ 87 00 $ I
property is not intended for sale, exchange, lease, or rent OAR 1 n ( 1 - ~:::. t -, thA ..
479.540(1) and 479.560(1). )O~~' ~~ Uti\~:)' $126,00 $ I
Signature: " , ' .., , "'.',, , ",".. ,", ", , . _ H'~1\~0>SSl~~ semces or feeders sectIOn above 1
l:,r1[,*~icoNrr~'Cm()R:~INSTAli~TION~~hh'1;~';;;Jhk~~ 1 BrancNmt'ts: new, alteratIOn, extensIOn per panel I
I Business name: E" ST'S/{) E ECtC--rfU ell a.Feeforbranehcircuitswithpurchaseofaserviceorfeederfee: 1
I Address: 5iD S' 3 ,13 os c.. A C f U.. 'JJ f I 1 Each branch circuit 1 $ 6.00 1 $ 1
I City: 5 P rr tlJ I State: 0 (( I ZIP: q 7 V 7 Y I 1 h, Fee for branch circuits without purchase of a service or feeder fee: 1
I Phone: 5 V 1- 7 V / -I Y'1'91 Fax: - '7 Jb - <.f1G, 0 1 1 First branch circuit (2) I I $ 55.00 I $ 1
I E-mail: 1(J::./((;"S7510( ra YflllbD ,com I 1 Each additional branch circuit 7 $ 6.00 $l.{Z-1
I CCB license no.: J /77 " D 1 BCD license no.:;;l. 0 -t;o J c. I Miscellaneous fees: service or feeder not iru:luded I
1 Signing supervisor's liCense no.: l.! 7 ) 7 5' 1 Each pump Ot irrigation circle (2) $ 63.00 $ I
, I Print name of signing supervisor: n.O G- flC. , .' I(} tv G- 1 Each sign or outline lighting (2) $ 63.00 $ 1
I Signature of signing supervisor: ),.) '-', VI I( ~ Signal circuit or a limited-energy panel, $ 63.00 $ I
. '-"0'1/ I - '1 alteration, or extension (2)
. 0- 0.-- .
Each additional inspection: (I) $58.00 $ 1
440-2584-J (9/08/COM)
." -~, ,".
NOTICE: ' EWOR1<I,(A) Entersubtotalofabovefees
THIS PERMIT SHAll EXPlRE '~~ IS NOT ;J. (Minimum Permit Fee $58.00)
AUTHORIZED UNDER THIS PgNE~FO "c'/~I, (B) Enter 12% surcharge (.12 x [A])
COMMENCED OR IS ABAND , '"I (C) Technology Fee (5% of [A])
ANY 180 DAY PERIOD. '(() , I TOTAL fees and surcharges (A through C):
~~ ~~'
\Q
~Q
, (J (;<~
~\j'
$ It)
$ 1'17bl
$ bIll
$1l.(sU--
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Numb-cr
COM20 1 0-00066
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Plan Review Residential
Paid By
EARL FARR
"
City of Springfield Official Receipt
Development Services Department
Public Works Department
1201000000000000054
Date: 01119/2010
8:47:26AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
226.28
$226.28
Amount Paid
djb
019164 In Person
Payment Total:
$226.28
$226.28
, .'
Page 1 of I
1/19/20[0
225 Fifth Street
Spriogfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Developme~t Services Department
Public Works Department
Job/Journal Number
COM20 1 0-00066
COM20 1 0-00066
COM2010-00066
COM20 1 0-00066
COM20 1 0-00066
COM20 I 0-00066
COM20 I 0-00066
COM20 1 0-00066
COM20 I 0-00066'
COM20 I 0-00066
COM20 I 0-00066
COM20 I 0-00066
COM20 I 0-00066.
Payments:
Ty"pe of Payment
CreditCard
cReceil111
RE!2EIPT #:
2201000000000000084
Date: 01/29/2010
Description
Fire SF Fee - Residential
Building Permit
Sanitary Sewer - 1st 100 Feet
Fixture,
I st Appliance
Vent Fan
Perm Serv/Fdr 200 amps or less
Plan R,view Minor - Planning
Stonn ~rainage Impervious Area
SDC S~nitary/Storm Admin
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
EARL E, F~RR
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
219210 In Person
Payment Total:
Page I of I "
10:01:24AM
Amount Due
14,00
348,]3
76,00
95,00
79,00
27.00'
81.00
119,00
130.85
6.54
42.00
89.78
43.36
$1,151.66
Amount Paid
$1,151.66
$1,151.66
1/29/20 I 0