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HomeMy WebLinkAboutPermit Building 2010-3-30 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00386 ISSUED: 03/30/2010 APPLIED: 03/30/2010 EXPIRES: 09/30/2010 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 520 S 42ND ST APT B ASSESSOR'S PARCEL NO.: 1702323305900 '. Springfield TYPE OF WORK: Four-Plex TYPE OF USE: Repair PROJECT DESCRIPTION: Repair water damaged 4-plex units Band D Residential Owner: THOMPSON WAYNE D Address: 1890 CRATER LAKE AVE MILPITAS CA 95035 I CONTRACTOR INFORMATION ~ Contractor Type General Electrical Mechanical Plumbing Contractor License DA VIS BROS GENERAL CONTRACTORS IN63275 EASTSIDE ELECTRIC INC I 17770 DA VIS BROS GENERAL CONTRACTORS IN63275 JOHNS PRECISION PLU~BING 158279 BUILDING INFORMATION ~ Expiration Date 03/31/2010 10/041201 ] 03/31/20]0 02/04/20]2 Phone 54] -683-9309 541-915-9828 541-683-9309 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: H'eight of Structure . Type ~fii';,;t: . . Water Type: . Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: No I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side] Setb'lck: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: '. % of Lot Coverage:' REQU]RED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsfDrains: Notes: (,;,.'i, ~;l: \ /.\ ,. ..... ...... ,.r!,': .:'1 Page I of 3 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspection Line <, -. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00386 ISSUED: 03/30/2010 APPLIED: 03/30/2010 EXPIRES: 09/30/2010 VALUE: $ 15,000.00 Status Issued I Valuation Descriotion ~ Descriotion Tvpe of Construction ",_1 $ Per Sq'Ft : or multiplier ',';:' ,: Square Footage . or Bid Amount Value Date Calculated Total Value of Project ~ Fee Descriution + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fixture Vent Fan Amount Paid Date Paid Receipt Number $46.41 3/30/10 2201000000000000294 $19.34 3/30/10 2201000000000000294 $79.00 3/30/10 2201000000000000294 $184.75 3/30/10 2201000000000000294 $1l4.00 3/30/10 2201000000000000294 $9.00 ' 3/30/10 2201000000000000294 Total Amount Paid $452.50 Plan Reviews ~ .,t... .,: ~, .f To Request an inspection call the 24 hour r~c"8'rdi~g'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. ~eollire~nsne('tions I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Ceiling Insulation: Prior to cover. Wall Insulation: Prior to cover. Rough Plumbing: Prior to cover and incluaing required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is co,!,plete. , Final Building: After all required inspectioili:~~ve',iie~~'requested and approved and the building is complete. '.:') ',Paee 2 of3 ,',l: 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 1 further certify that any and all work performed sball be done in accordance with tbe Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to tbe 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 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 time)2~nstruii ' Owner or Contractors Signature -~IIir.~.:."""fii' ~~"".J! ..................ti; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line l',')L . .' ':l~, ,:.'1 ""'f;:. :1;:. J' " , t~., ,,~., " (. I. 'TO: '"",'.' Paee 3 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00386 ISSUED: 03/30/2010 APPLIED: 03/3012010 EXPIRES: 09/30/2010 VALUE: $ 15,000.00 '3 -- g 0 ---/0 Date Strudural Permit Application \ SPRINGFIELD ...:_~ ....::;".-; 11 r,^ ,"~:: 'l~~..:::::"-:-~:,:F _,' ,,' ., " :, ", '~,".I , "'-.-> " . DEPARTMENT USE ONLY Penn it no. (!IO- 3 O~ Date: 'J /7 () .. 225 Fifth Slreel . SpringJield, OR 97477 . PH(541 )726~3753 . FAX(541 )726-3689 This permit is issued under OAR 918-460-0030. Permits expire ifworl< is not started within 180 days 01 Issuance or ifworl< is . suspended for 180 days. LOCACGOVI;,RNMENT APPROVAL. 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 !load plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential o Government Commercial 'JOB SITEINFORMATIONAN[l LOCATION Reference: Name: City: Phone: E-mail: This installation is being made on residential or farm property O\vned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: .; CONTRACTOR INSTAI..I..ATION E-mail: \,.J;"'S CCB license no.: Co S;l. 7'5'"' Print narnt:: Signature: J. , SU~.COt'f1:ltACTOR INFORM~TlbN. ~ . " Name CCO License Number Phone Number Electrical Plumbing Mechanical ,. .. ~ . ",'~~. f, ." . " ,. . . , , FEE .sCHEDULE L Valuation information . ,. (a) Job deseription:~f';\\ P- oW 'Ac~'?\. i) "" r"- vn Occupancy 10 Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new 'g'hlteration o addition (b) Foundation-only permit? DYes DNo Total valuation: $ { ~c19ZJ 2: Building fees . '. . (a) Permit fee (use valuation table): $(fi~ (b) Investigative.fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per bour) (d) Enter 12% surcharge (.12 x [2a+2b+2e]): $ (e) Sob!otnl of fees nbove (2n tbrough 2d): $ 3. Plan review fees' . . (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life snfety (40% x permit fee [2n]): $ (c) Subtotnl of fees "bove (3" "nd 3b): $ 4. IVIiseellaileous fees: .. L (a) Seismic fee, 1% (.01 x permit fee f2a]): $ TOTAL fees and surcharges (2e+3c+4a): S l.:.. (p f"L-(.A.""':'151 tv S h.l('i"tNLt'S )..... Vi;J"''/ F~ ~ II '{ ':3- 8"["0 225 Fifth Street Spting'fi;ld, Oregon 97477 541-726-3759 Phone .~~Q~~, ' ',',' ~.. IIIL City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000294 Date: 03/30/2010 2:46:30PM Job/Journal Number COM20 I 0-003 86 COM2010-00386 COM2010-00386 COM2010-00386 COM2010-00386 COM20 I 0-00386 Payments: Type of Paymeot CreditCard cReceintl Description Building Permit Fixture I st Appliance Vent Fan + 12% State Surcharge + 5% Technology Fee Paid By KEVIN DAVIS Received By Check Number Batch Number .cjc '." . \0\., 'i 1",': ,'. 'iI' ... Page I ofl Item Total: Authorization Number How Received Amount Due 184.75 114.00 79.00 9.00 46.41 19.34 $452.50 Amount Paid 0801lc In Person Payment Total: $452.50 $452.50 3/30/20 I 0