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:
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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
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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
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..................ti;
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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 _,' ,,'
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, "'-.-> " .
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~ ~
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225 Fifth Street
Spting'fi;ld, Oregon 97477
541-726-3759 Phone
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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
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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