HomeMy WebLinkAboutPermit Building 2010-2-23
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00178
ISSUED: 02/23/2010
APPLIED: 02/09/2010
EXPIRES: 08/23/2010
VALUE: $ 23,537.00
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 900 25TH ST
ASSESSOR'S PARCEL NO.: 1703361104100
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Detached Garage
Owner:
Address:
Contractor Type
General
KREITLOW BRYAN L
900 25TH ST
SPRINGFIELD OR 97477 ires you to
.' ,..-- _,,.,n \~\", reQU . "'t
ATl t\\. \IUI'l., ';'~: ... h the Oregoll VUII 1
toliow ru\~.~~XiU~1;li>lllmll@R~~l~~N I
Notltlcatlo 01-0010 througn u".. ~ b
ContracropAR 952-0 a obtain copies ot the rtdfisrtse
CASCA /It~.G~~.~ lep :iIN
Expiration Date
10/30/2010
Phone
541-731-9118
I Lot Size:
13.00 Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
13,068
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure .
Type of Heat: " .
Water Type: .
Range Type:
Energy Path:
Sprinkled Building:
. U .
11-115
AU11-10f\\ZEO ~!l.t>lOONEO fOR
iMMENCE1il>Ml DWf:'
5. Y i 80 OA'1f $\ER es Rqd:
41. Paved Drive Rqd:
70.00 % of Lot Coverage:
0.00
VB
U
624
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
16.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: Storm water to curb or raingarden
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Type of Construction
I Valuation Description ~
$ Per Sq Ft Square Footage
or muliil'lier.. ;:. or Bid Amount
Value
Date Calculated
, '.
Page I of 3
:rr:.:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00178
ISSUED: 02/23/2010
APPLIED: 02/09/2010
EXPIRES: 08/23/2010
VALUE: $ 23,537.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Gara2e/Misc
U VB Utilitv
$37.72
624.00
$23,537.28
$23,537.28
02/09/2010
Total Valne of Project
~
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amonnt Paid
Date Paid
Receipt Number
$132.76
$32.70
$13.63 ., i
$272.50
$31.20
$44.37
$12.62
$252.36
2/9/10
2/23/10
2/23/10
2/23/10
2/23/10
2/23/10
2/23/10
2/23/10
1201000000000000118
1201000000000000161
1201000000000000161
1201000000000000161
1201000000000000161
1201000000000000161
1201000000000000161
1201000000000000161
Total Amonnt Paid
$792.14
I Plan Reviews ~
Strnctural Review
02/09/2010
Initial Review
02/09/2010
02/09/2010
APP LLH
Application had incorrect CCB
number listed for contractor.
License nnmber listed was 984461.
Actual number from CCB is 184461,
expires 10/30/10
Plallnine. Review
02/09/2010
02/12/20 I 0
APP DDK
Approved as shown on plans.
Public Works Review
02/1212010
02/18/20 I 0
APP LKW
Storm water to curb or raingarden
Coburg Urban soil #32
StructunJJ Review
02/19/2010
02119/20 I 0
APP KLK
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.
l..ReouiredJnsnections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Pa2e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00I78
ISSUED: 02/23/2010
APPLIED: 02/09/2010
EXPIRES: 08/23/2010
VALUE: $ 23,537.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Final Building: After all required inspections have been requested and approved and the building 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 1 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 strnctnre withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnre that all reqnired 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.
~-')
/ :?-~7 ~
~~r or C ntractors Signature
--z ___ -z... "3 - --z. 0 I 0
Date
Paee 3 of 3
.ural Permit Application
-
225 Fifth Street + Springfield, OR 97477 + PH(54 1)726-3753 + FAX(541)726-3689
DEPARTMENT USE ONLY'
COWlZOtO' 00 \7 '2
Permit no.:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within' 180 days oflSsu
suspended for 180 days.
,Y,;~~~^_i;';'{l\i\i~9,9A~~,;:9X:iY~:~N-fVi.~N1~~~~Bi{~GYA~i',~lti~f~1A'}t~\~1~:S
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
14tl~~4tl~~fG'l\T.~_~'QRY4lQ.'f~P,9't.i~IRfj.G:[TG_N~~~~~;01;~~:,~*t~;A~;2~k~
esidential D Government 0 Commercial
,*:'j,Rif,Ii".1i.J15~r;sl;t~; .i N ~oRM.b.fIQ"'!-'A~i5~'~oj;A'i']Qf.ll>.1f!:~;!J~o;:j:(
Job site address: --Z'" ~ 1 .e e T
State: aJ 12... ZIP:
'1,00
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J-j;:::/y~'i~~:tX~pXi~loi~Jf~.tI~~it1~Hf1'1\~i~~;~~~',0,~';;:_;t1~;~j.t~:::'~',~\',tJ~:~,~~.1~~~1':'::~!
(a) Job description:
Occupancy
(;
LA
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
I
Energy Path: '
~ew D alteration
(b) Foundation-only permit?
Total valuation:
Reference:
Name:
""
Vi!:.
(
D addition
DYes ~
ti.~)!~,U#}~.g;,t~'e,sl,~~:E{~~Jti~i21~j~:;0Y?~~~\J#ii';i\'!
City:
-,;,-
'Phone:
.-.
(E-mail:
~t~ils 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.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a througb 2d):
Fax:
Sign here:
CONTRAClIIOR ,1~STAl.LA 'Ti9Nf,,_ ',.
$
$
$
$
$
(a) Seismic fee, 1 % (.0 I x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
"--
~
. CO,Al\,
Print name:
AJ
Signature:
\'?f
,V.'f"":,',"", , "S'U BC0NTR'A'CTORINFOR'MAT-,'O"N""",,,,,,",<",,,d.,,,,,
{l:ilt-~;~\\,.&j~~;'j) ~";~~;;:;0.._ __ -__..,) _oiL (,p,';. .,__ 3__ J' _ _ . ~( : '" ~ .,~4.?{{tjyr--::::'iti1",f,*\'t{t,:riC)
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
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225 Fifth Street
Springfield, Oregon 97477
541"72'6~3159 Phone
.u:~=;~
Wi;:. ..
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000161
Date: 02/23/2010
9:07:lIAM
Job/Journal Number
COM2010-00178
COM20 I 0-00 178
COM20 10-00178
COM2010-00178
COM20 1 0-00 178
COM2010-00178
COM20 I 0-00 178
Payments:
Type of Payment
Check
cJ{eceiOl1
Description
Plan Review Residential
Fire SF Fee - Residential
Stann Drainage lmpervious Area
SDC Sanitary/Stonn Admin
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
CASCADE CONTRACTING
Amount Due
44.37
31.20
252.36
12.62
272.50
32.70
13.63
$659.38
Item Total:
Check Number Authorization
Received By Batch Number Number How Received.
cjc
Page I of I
Amount Paid
1010
$659.38
$659.38
In Person
Payment Total:
2/23/20 I 0