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Home My WebLink AboutPermit Building 2010-2-23 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00202 ISSUED: 02/23/2010 APPLIED: 02/12/2010 EXPIRES: 08/23/2010 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5077 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042202000 Springtield TYPE OF WORK: Garage Conversion '"" TYPE OF USE: Alteration PROJECT DESCRIPTION: Garage conversion- Family room to two sleeping rooms Residential Owner: CHURCHILL JASON M Address: 5077 FORSYTHIA DR SPRINGFIELD OR 97478 Phone Number: 503-710-1862 I CONTRACTOR INFORMATION ~ Contractor Type General Mechanical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Constrnction TYI)e: # of Bedrooms: i '."::'I"!",,,,., ;:':Iv Blili;iil~~HN~ .ou to ',GlIllCduon Genter Tho I . Utility in OAR a52j{)IJl!l'tlgqi9~h se ru es are setforlh R_y090" y;u rm)gbbllfJfite~~lg~~: 952-001_ callmg therY\>8klfT}I(Mtlte: the tel e rulea by VBnumber tOiW1#.ee~ Utility No:fhone Ce~nue ~332-2344). cat/oft En'ergy Path: Sphnkle~ Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Vist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: _~.IMPROVEMENTS~~"":idi;;';"i'~"_'-_ THIS PERMIT SHALL EXPIRE IF T~tWo'll1fype: , Storm Sewer Available: AUTHORIZED UNDER THIS PERMlfoJ&lNG!ts/Drams: Speciallustruction: COMMENCED OR IS ABANDONED FOR Notes: Three plumbing fixtures added, noAl\l~ ~QR\YuPMlP.D. - Street Improvements: ,~. , I.:., :',~' " " f' , Page 1 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00202 ISSUED: 02/23/2010 APPLIED: 02/12/2010 EXPIRES: 08/23/2010 VALUE: $ 10,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion r Estimate TVlJe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 10,000.00 Value Date Calculated Description Total Value of Project 1, $10,000.00 $10,000.00 02/12/20 I 0 ~ Fee Description Plan Review Residential + 12";', State Surcharge + 5% Technology Fcc 1st Appliance Building Permit Fixtu re Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Amount Paid Date Paid $88.40 $40.56 $16.90 $79.00 $136.00 $114.00 $154.32 $202.95 $17.86 $9.00 2/12!1 0 2!23!1 0 2/23!1 0 2/23!1 0 2/23/1 0 2123/10 2/23/10 2/23!1 0 2123!1 0 2/23/10 Receipt Nnmber 1201000000000000131 2201000000000000162 2201000000000000162 2201000000000000162 2201000000000000162 2201000000000000162 2201000000000000162 2201000000000000162 2201000000000000162 2201000000000000162 Total Amount Paid $858.99 I Plan Reviews ~ 02/16/2010 02!16/2010 API' 02116/2010 02/i2!2610; API' 02116/20 I 0 oi722/20'10" API' 02/1612010 02/22/2010 API' LLH Initial Review PhllllliuC Review Public Works Review DDK TSS Structural Review CJC No planning issues. Three plumbing tixtures added, no new impervious area. As noted on plans 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. lJeCluireCUnsnections ~ Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Pa2e 2 of 3 CITY OF SPRINGFIELD " /- r.o Building/Combination Permit :..;. Status Issued PERMIT NO: COM201O-00202 ISSUED: 02/23/20]0 APPLIED: 02/]2/20]0 EXPIRES: 08/23/20]0 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 I -726-3769 Inspection Line Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underf100r Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Covel' Final Electric: When all electrical work is col11plete. 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 sball 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 ORS701.005 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. 23 I="'GB ,ZOIc> Date '7;1, ., Paee 3 01'3 L'me'.",' P,=it Appli"Doo ~- 225 Fifth Street. Springfield, OR 97477. PH(541)726~3753. FAX(54 1)726-3689 "PEPARTMENTUSEONlY COMZO/O - 0 C 202 PermIt no.: . This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days suspended for 180 days. , ., ;\,:, _'~'~' ~i 1'0" 'C'-u, -.1::':' ;:'G..'O....'''y'>'E'''...R'-...N.' ;"'M""E';;' 'N--'~~rA~~nn'R"''''O-'YY-A' "I}S:?8'l~:":':;Th:{;i;t~;;)Aq! ..,..,.:.,,:,,:,,:~. . A>, 'n' ......,..... n..'," . '-fi,_:"",~::'\'''''ti'ilil14,i:i~~\',.1 This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval veritied: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~t~W2itt4,~t:~~~~G'~t~~:qBY:~:9.F;~g,QN.~JR_~JGltlG_~~?~f~lJJJhj$i~;t~~A~t,~WR ~ Residential 0 Government 0 Commercial 1~j,~;~t-1i~}~{J9'~::;~$lrr:~rr~JroRM~IIQ~iA~Rr<<QP~IIQ~N~J$.~~i~{;~ Job site address: City: oS Subdivision: Referenl.:e: I .".' Name: Address: Sign here: :<-'.' Business name: Address: City: Phone: E-mail: CCB license no.: Print name: ----- Slate:' Fax: ZIP: Signature: ~::;f{~~~~~,1{?~~;~~i!$~:03.~G,qNm~);G:t9R}I,N_F~:t~IVI,AmLQNi!~~l.~~:5;f~ Name CCB License Number Phone Number Electrical 773~ Plumbing c:>,....'N0t'L Mechanical r"J l/ N' El\. ~. '<. \':';~~?,f,~>:;:;::~~~~~:JtIFE'E,1::S~ H~J?UC~f:11::i.~:'~.~;~(;~~1,~;r~~,;:;;";i,, I::' :i.:3&.~~'41{t:(pnl~'iQfo'firi~~!A9~~~ti~~*}f::~~%~~;t~~~~;~~'::~:~l+;:~~~'d;.y;'{?0~~tt.~~' (aJ Job description: /... _. .~ - ,- IAN -r" I " Occupancy Construction type: Wooo Square feet: '-If? 2- Cost per square foot: JI'lZeE- +(- Other information: Type of Heat: WALL. Energy Path: 0 new 0 alteration 0 addition (b) Foundation-only pennit? 0 Yes 0 No Total valuation: $ JP f)IJQ.D n~JfB,~J.i~ip~t'!J?~,si.l~~1~~~la~~~~;1~;~~f~1jf,~;~,~'i3'::i:~\;',~!ikt~';;:.4{,.i:.f,;,!1~"~;~~:\' (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 through 2d): $ ~3~"j~T'~4i\t.t<;~l:~~ti')t",,:,;'~~'Or~i~~'~i$>~,,;~;J{':{';~jFX0~";;;;P:Jil-V:;'t'lil'1~'illi'#''( I" "' .-r:}.:3-':nr~Y_I.~~L e~.sl;:~~,;j~..;;~{:7.~~~i:~~~,'if~(?:;~,<~;,:~~:~~;';i,~~~ ~~,;;;-? (a) Plan review (65% x permit fee [2a]) $ Dll_ - (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ ~ ~ i.::/;'t, " (a) Seismic fee, J%(.DJ x permit fee [2a]): ; TOTAL fees and surcharges (2e+3c+4a): $ 1/111 t..r ) , :-- 225 Fifth Street Springfield, Oregon 97477 541-726-,3759 Phone 8rk~ &At, . ;;.'.. " .............:.' "-.~. -.....0-....'..,..............."..."" City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000131 Date: 02/12/2010 1:51:14PM Job/Journal Number COM20 I 0-00202 Payments: Type of Payment Check cRcceioll Description Plan Review Residential Paid By JASON CHURCHILL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 88.40 $88.40 Amount Paid djb 1074 In Person Payment Total: $88.40 $88.40 "'-' "".~'f' . ". 'j. Page I of I 2/12/20 I 0 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone RECEIPT #: Date: 02/23/2010 9:45:56AM 2201000000000000]62 Job/Journal Number COM20 I 0-00202 COM20 I 0-00202 COM20 I 0-00202 COM20 I 0-00202 COM20 I 0-00202 COM20 I 0-00202 COM20 1 0-00202 COM20 1 0-00202 COM20 I 0-00202 Payments: Type of Payment Check cReceint! Description Building Permit Fixture. I st Appliance Vent Fan Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin + 12% State Surcharge + 5% Technology Fee Amount Due 136.00 114.00 79.00 9.00 202.95, 154.32 17.86 40.56 16.90 $770.59 Paid By JASON CHURCHILL Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Pllid djb In Person Payment Total: $770.59 $770.59 1102 , 1;' :{;;~ ,1. ;' i>', ::;.-, ,~.,'i' y ..'" , ~ .., Page 1 of 1 2/23/2010