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Home My WebLink AboutPermit Building 2010-4-1 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00400 ISSUED: 04/0112010 APPLIED: 04/01/2010 EXPIRES: 10/01/2010 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line fP\O \I,,~>l \)'tli>>! SITE ADDRESS: 920 25TH ST O{\ w'I\'(\e Ole 1l1"t~fi.~TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: I 70336H.0390~eo '0\13 lu\I3~",~ 9 ,u\ee / ~,:~,\O '3-0091.,'(\0 IOuQ,v;. o\\v;.e ~v;.~YPE OF USE: Remodel Residential PROJECT DESCRIPTION: ~~~i~eY.'f~IY~~,&~Ol.l;~&!~~k~~l~"m . \0"~\\C'3-\\~0_()()\: "'O\'3-\l\I~o\e:...~~,, ~~.." . ';o\V' ~~~' \e\' {\" n~"'T' Owner: CERTIFICA TEH~ Rl9 ~~~:di" Address: 400 COUNTRYWIQ,If.~ o~f!:\e ~\P .. SIMI V ALLEY CA 9 ~el r-e{\\el \ ~u v Contractor Type General Electrical Mechanical Plumbing Contractor Phone 541-954-8636 541-221-2665 541-653-0297 (541) 736-9582 VB Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENTINFORMATION . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Q~~rlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa~e 1 of 3 ,i,.C.i'- :-t.;;. ".:f;.;;a. .d.i~:t~ ,J wara;-~I.t,IOIlII+~' . ~ ,:,,, ',.,' ., '. .. .~,', "-,' ..' ""..~.,. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Building Permit Dryer Vent Exhaust Hoods Residence Wiring 1000 Sq Ft Sanitary Sewer - Improvement Sanitary Sewer ~ Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid . .;' i~~.t~~ ':~~I:..\.i }, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00400 ISSUED: 04/0112010 APPLIED: 04/0112010 EXPIRES: 10/0112010 VALUE: $ 5,000.00 !. I Valuation Descri~tion ~ $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Value Total Value of Project ~ Amount Paidi. ~\. . .;;.,;~. $82.35 $34.31: . $79.00 . $337.00 $87.25 $9.00 $13.00 $134.00 $154.32 $202.95 . $17.86 $27.00 ,.' $1,178.04.' ; d:, -J .., . Date Paid ...k. .'2,...... Receipt Number 4/1110 4/1110 4/1110 4/1/10 4/1/10 4/1110 4/1110 4/1/10 4/1110 4/1/10 4/1110 4/1/10 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 2201000000000000301 ,.;.,(L,\ I Plan Reviews ~ 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, insp_~cii!!.~.srequested after 7:00 a.m. will be made the following work day. ., ~eo'lIireCUnsnections I Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to covel'. Final Building: After all required inspections have been re~uested and approved and the building is complete. Rough Plumbing: Prior to cover and including r~quired te.iing. Paee 2 of 3 ,'. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .:. . ~ i \ : ~,!r ied~" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00400 ISSUED: 04/01/2010 APPLIED: 04/01/2010 EXPIRES: 10/01/2010 VALUE: $ 5,000.00 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work 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 I 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 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 ,.iIl remain on the site at all times during constructio . ~f~~' . '{;,;~ :. Owner or Contractors Signature r.~.1 . " . '~iH\ ::i... .;, Paee 3 of 3 ritu I Date Structural Permit Application DEPARTMENT USE ONLY ~(rt'1~"'~'d;~"" r ~ < ~"~t"'!' p-'.~", _ ".lI,"'~ ~~ ,..t'_5 ~,.1~\ C!F,Y ,OE$pRINGFIELQ,;o,R};:;(JONc,"~", ~,0;f.lil~h, '",';: GPAINaPllI.LD r_"':_.::.;: ',.,J'_-__'/'-. Permit no.: /' i () - LfoD , ~f~ L-- 225 Finh Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54] )726-3689 Date: t_( ( / rJ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has tinalland-llse approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes D No Property is within noad plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential D Government o Commercial Reference: ':::. PROPERTY OWNER .~\'.L. "., City: State: Name: Address: Phone: if'.,2 Fax: E-mail: ()1f:. ~ tf/A-1106, This 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. Sign here: CONTRACTOR INSTALLATION Print name: Signature: . ' " . SUB-CONTRACTOR INFORMATION Name CCB License Number Electrical Plumbing J\:lcchanical FEE SCHEDULE I. Valuation information (a) Job description: 4M-004:-( w/loUi:. // , Occupancy Construction type: Square feet: 9"Oh Cost per square roo,:;>", f / <;; ;C Other information: Type oflleal: kLC€/J/7-7 ~ Energy Palh: Dnew [0'alteration D addition (b) Foundation~only permit? DYes DNa Totlll valuation: $ )ZJi>o 2. Building fees (a) Permit ree (use valuation wble): $ Y'7 '2-":> (b) Investigative ree (equal to [2a/): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x 12a+2b+2c]): $ /0 ."/;{ <e) Subtotal of fees above (2a through 2d): S 3. Plan review fees (a) Plan review (65% x permit fee l2a1): $ (b) Fire and life safety (40% x permit ree [2a]): $ (c) Subtotal of fees above (3a llOcI 3b): S 4. Miscellaneous fees ~ 4~ (a) Seismic fcc, 1%(.OI.x permit fee [2aD: $ TOTAL fees and surcharges (2e+3c+4a): S/u2.ii ~ ..., ;3-i-TtI rf,:IV<S eo p-cPLV-i"\!3 ..<- fVci.J f'1-e-L.1-fv.t-1V1 Co Ife- 7H.~lA..~ Electrical Permit Application . . 225 Fiftb Streett Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 SPRINGFIELD P. ~., ~~I~f[DEPARfM'ENThulli~~5~ ' ",~",:>(',.c::-,~.o_~__'_''-~;''_''.~-;,-",d.t"~~~"'ii~_ Pennit no,: (J/ {) - LfoeJ Date: '-1 I ( 0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180' days of issuance or if work is suspended for 180 days. "~-""""""O-"A' 'L!"""'G"O"iER"N'M" EN''''''''A' ''''''R'O'''A' "i__ ~'",;4:~.&ii:L;;'_~._~_I~~___'...v, "m ___ _,-Ji.t.:""-~~l_,,'JV.__ ~~~ Zoning approval verified? 0 Yes 0 No ~\jt~.RG:MiEG~~;ijj'QF,S!>QNSjlI~l!tGiIilQN_:j(~~ o Residential 0 Government 0 Commercial ~1'J,QB.~$iil1E~INF;Q[.M~mIQN:rAN'Dl.l!!Q()~i\(QNj[iti~'il1 Job site address: q:2-0 ;2-') ("'- City: City: Phon'e: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: ~~(f(;)NjT[@,~1i9BIINsilip,;l!l!AmIQN~~i~~~ Business name: S'7EiJ(; (Xf.. Address: ,0. I30lC 1-/36/ City: W State: 01Z. ZIP: '71<10/ Phone: -5", - ~ 1- o<4~ Fax: 14)-/OSS E-mail: SS;-IlIvcJ.-@.C.."..UIST.l.iE-T CCB license no.: /'-10110/8 BCD license no.: 20- '7"lz-c Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~~1: #~ ~~~ ~~ 440-2584-J (9/08/COM) 1~~~F.EEjS0HEDi:Jl1!E~~~~~ . ....'O.'{.,~ . _A. .... _ ..'__ _', n. ._.n_ __ ....~ """"." ._ 1~."~!;:~'#~f,.;:'~~.i':~lt:"~lr~I.'T~ m~!\~~e~sp~~tJ~p,~(i),~ QtYi"" ,~~'" . i~s~' ,\ o.W...~'"S.liP-t 4~_' '" ,to' "'~~"".i~; ~.J!o'i::!-:' , '".->_, ~,~ ___ ~ Residential, per unit, service included: 1,000 sq, ft. or less (4) I $134,00 $ 13'f Each additional 500 sq, ft, or portion $ 25,00 $ thereof Limited energy (2) $ 32,00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) t $ 81.00 $ "6 I 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158,00 $ 601 to 1,000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration. extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) $ 55,00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63,00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ~~-aJ-" ~-~.,'-,,~ ~~j',\f{~~ ..' '"",,,;, , "'" >~~Rl!I!>~t:ljT1iT,l!JSI: c, -_<'~ .;'__": ' (A) Enter subtotal of above fees $2/~ (Minimum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) $ '1s,'i( (e) Technology Fee (5% of [A]) $iO'75' TOTAL fees and surcharges (A through C): $ 2.:n,S ') 225 Fifth Street Spring-field, Oregon 97477 541-726-3759 Phone .J~_.G.._F..~.nD~.. ....'...... Mr- - . - ~ 'fri- 4 -.... ..' - .m........~."...__._"".._ City of Springfield Official Receipt Development Services Department Publie Works Department RECEIPT #: 2201000000000000301 Date: 04/01/2010 1l:10:50AM Job/Journal Number COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 I 0-00400 COM20 10-00400 COM20 I 0-00400 COM20 I 0-00400 Payments: Type of Payment CreditCard cReccinll Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit 2 Baths One or Two Family 1st Appliance Vent Fan Exhaust Hoods Dryer Vent Residence Wiring 1000 Sq Ft + 12% State Surcharge + 5'% Technology Fee .Paid By WILLIAM ROBERTSON . i ~ :-. ! ' , I' .. ,- ,.J' Received By cjc Check Number Batch Number ';.,1\ !:,' " :-,',j ; " Page I of I Item Total: Authorization Number Amount Due 202.95 154.32 17.86 87.25 337.00 79.00 21.00 13,00 9.00 134,00 82.35 34.31 $1,178.04 How Received Amount Paid 007207 In Person Payment Total: $1,178.04 $1,178.04 4/1/2010 Z'.AT!o: H"-L.",'VEO .jUo ,,,;:,, t?ftJ-LftltJ z.. NE OCCUPANCY GROUP <- !,IN T sl UP CY LOAD f~:\'7.:.':..-.-... _ F.; !J':"':~\ ;~c~)'<~'~~0_~" '-~ ,C~ _~''''''_I.._~_.- --~~ ~ ;~ O'/IN;ri; ,S:C2~f/..~,~ki> ,r-,';-;' Bi'::EN REVIEWEO. WITH c..0LoR~D PENCIL. CHANGE:-; d;:: ~?PROVEO DRAW~~GS 01':: ..._LC'~., l:iHALL BE APPRoveD Sl Tl-4E: CGi'-' ALTEr< Ai O~ ALl" PROJEC THE DUI_~ .",_. '" ClT,Y OF 5,P~-{lNG~LJ' OR,EG,, ON P,-,'f-R_~:C,"" .,_~~ .s:07'~d \. REVIEWED FOR r::!J~ COIVIPllANCE f) I-u.x~/L r'MtJ bcu~ ~&4~ ," (, , 0(-:> bzs..,:Prh- J:"~z;.t.6--~ ~}( f OIIlJu(th1~ Ii b4tke.. (;Lv 1-IUr- ~~I;\ ""- '0 L.. . K:t.7'~tfMJ o '\ ,. t.PA<J fJM~ FlAlL ~1/f' ;ll(.t.f@./~/( bt- Df jJW) tatV( J' ~ro2... ~ w o 33(. 1) ~ .. t:.x.r:['7~1I '.xX () f ila-cte,1'1l- 1-I(~A,j i:Il- V<15"* (:Nt ft'i DrolL (..oul1UoN ....... 0- 6 r1' Ie , ill '1 C 4Pt1 {~~I-) ~ 4K~f#')4-6r,!. HE:4Df/L aik-->S t-JI ~(>cJ~ .<t ~!L \ ~ @ IJ'f\-&L ~ t tDl>t1 "'" /1 t ("'~f \1 t/)(~{Jf#t7oLbrlL fll:A MIZ- c~.tt WJ. WJ6- (AWUIJ (z V 70 IS€. tJJovlaO 70 tbtJ7f:tL ci= /Io41t. faoWl 7H1J. ~~ , , ;tL~w Hu-L &'il - I ))lotJIiJi- WiK JWL/ () 1/..1; ~e... ~ ~ y:!v (it '1" cO ifJ