HomeMy WebLinkAboutPermit Building 2010-4-6
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00333
ISSUED: 04/06/2010
APPLIED: 03/17/2010
EXPIRES: 10/06/2010
VALUE: $ 5,000.00
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Status
Issued
225 Fifth Street, Springfield, OR
54 ]-726-3753 Phone
541-726-3676 Fax
54 ]-726-3769 Inspection Line
SITE ADDRESS: 1960 5TH ST
ASSESSOR'S PARCEL NO.: 1703262403100
Springlield TYPE OF WORK: Accessory Building
TYPE OF USE: Addition
PROJECT DESCRIPTION: Breezeway from shop to single family residence. See COD2009-00568
I
on law requires you to
ATTENTION: Oreg the Oregon Utility
follow rules ~d?~,te~h~e rules are set 10rth
IWI".'':::'''~;; "" rnn,~rOUgh UAH \jo".Ci61
in 01"~??N1!~SL _~RMA\1ll~IiM.,
009Q1. ' 0 e' um'_I!l\'l'!l'.1Je
ailing the center. ',. mr"'icatiOn .
Contractor cumber for the Oregon Utility ,en~ Expiration Date
WILSON HOME~lNC Cenler is 1..aOO.332'~~ 1J6 ,:: , ~8/17/2010
GMD ELECTRIC INC ]62]91." " I ]1/19/2010
I BUILDING INFORMATION ~.
Owner:
Address:
DA VIS FRED S
]625 HENDERSON DI9
EUGENE OR 97403
Contractor Type
General
Electrical
. -- -.. ::.....- ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms:
# of Stories: '
U Height of Structure
Type of Heat:
VB Water TYI'e:....... ,,'.';.. .,.;..'.,>:;-,. .
NOTICE' Range Type: 1HE WORK
, ~!\\.'tthFJ(P\RE IF T
THIS PER iO IllI-RutIf\\~PERM\T \~/~O
^' T R\7 ut:"
,..
ORMATION
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.00
23.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
20.50
I PUBLIC ]MPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction: Storm water to connect to existing syste,~ '
Residential
Phone Number:
54] -653.6538
Phone
541-485-9920
541-726-8601
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
25,265
220
REQUIRED PARKING
Total:
Handicapped:
Compact:
22.60
Sidewalk Type:
Downspouts/Drains:
Notes:
.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Building Permit
Fire SF Fee - Residential
Perm ServlFdr 200 amps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
I nitia! Review
Plan nine: Review
Public Works Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00333
ISSUED: 04106/2010
APPLIED: 03/17/2010
EXPIRES: 10/06/2010
VALUE: $ 5,000.00
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I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,000.00
Total Value of Project
~
Amount Paid":
--. ,t.' ;
Date Paid
,..
$56.71 .
$1.10
$23.79
$15.86
$30.00
$87.25
$11.00
$81.00
$119.00
$5.26
$105.15
3/17/10
4/6/10
4/6/10
4/6/10
4/6/10
4/6/10
4/6/]0
4/6/]0
4/6/]0
4/6/10
4/6/10
$536.] 2
I Plan Reviews I
03/18/20]0 03/22/20] 0 APP LLH
03/23/20]0 03/24/20]0 APP DDK
, ,1 '.'
r .
. ,
03/26/2010 03/26/2010 APP LKW
03/29/20]0 03/29/20]0 WE CJC
.
Pa2e 2 of 3
Value
Date Calculated
$5,000.00
$5,000.00
03/17/20]0
Receipt Number
2201000000000000248
3201000000000000]29
320]000000000000129
3201000000000000129
320]000000000000129
320]000000000000129
320]000000000000]29
3201000000000000129
320]000000000000129
320]000000000000]29
320]000000000000]29
Approved as shown on plans.
Lean-to on south side of shop
building to be removed prior to
final. Breezeway - minimum width
of 10' exclusive of eaves/overhangs.
Storm water to connect to existing
system
1) Plans call for truss roofframing-
no truss documents have been
provided
2) The shop building was
constrllcied prior to Sprillglield
building jurisdictional authority-
County permit records are not
available if permits were aquired- nc
engineering or foundation details
have been provided.
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00333
ISSUED: 04/06/2010
APPLIED: 03/17/2010
EXPIRES: 10/06/2010
VALUE: $ 5,000.00
Status
Issued
Structural Review
03/30/2010
03/30/2010
WE CJC
E-mailed contractor to request
engineering and truss documents
Structural Review
04/01120]0
04/01120]0
10 CJC
Hill and Dale will provide detail for
isolation connection between the
structures- Pole building is
existig-non-compliant from a wind
loading standpoint and must be
structurally independent of the
dwelling.
Structural Review
04/06/20] 0
04/06/2010
APP CJC
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.
Reouired InsDections I
Footing: After trenches are excavated. '" .
Rough Electric: Prior to Cover
Electric Service: Approval reqnired prior to utility company energizing service.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Electric: When all electrical work is complete.
Final Bnilding: 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 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 fnrther 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
times during construction.
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Date I I
Owner or Contractors Signatnre
Page 3 of 3
225 Fifth Street. Springfield, OR 9747HPH(541)726-375H FAX(541)726-3689
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DEj.>ARTMENT USEONL Y
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Permit no C 10 -00 3.:s::s
Date:
3-17-/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.
;'.," " "'..;LOCAL;"GOVERNMENT'A~f\~OVAIf'{,\:t:i't?ii'.'lir,i
Zoning approval verified? 0 Yes 0 No
:~1, ):~i'i.;;.,,';,;!CMEGORY::<ib~;:CONSl'RUCTION';;~.'''''';!.; ...,; ;
li'Residential I 0 Government I 0 Commercial
~i~1Il'dJ~B:;;SlllE~.INFo.RMA[IOJilr:AN[)i;1EO:CA'1';10N(ii}!{;j1{*\11Z
Job site address: nulJ ~~/1:
City: S'd>n\.t .1'_ J.I I State: f)/{ I ZIP:7llf.77
Reference: \"7'.703' 2b Z L( I Taxlo!. 03 ( c 0
"j' . . ....'DESCRIPTION,OF-w0RK':1~(:.(:",(1:;?/..'.
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\ I \
. .. . 'PROP.ERTY OWNER:.
Name: ':z::A. .J ~_ b.. 'c
Addres~:MAh N_ I - ~. c;",,~ n-/<J
City: p:-,'- I State: (J/f T ZIP~/3
Phone:~t1 -,;..;~ /tf;? rf
1
,'.
Fax:
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(!,:t. IJf? . ~
S. ~ d", _/
Ignature: . /,;,-
. CONTRACt.OR INSTALLATION
. (1, -\ -
Busmess name: ~\V\~ C -t.e...~'-l ~....<....
Address: 1'10 CO''I.'\''-UI'-'L S,; ,~ fIt-!,.,
City ,<:::::0",,,,,- I St,(e:"'- 1 ZIP: 97Y7~
Phone: 5'-1'1 '7~ \ ",& I Fax::5'-/-\ qP,9,-l~{)()
E-mail: OI^",~ rL.~<<-<Jf' "'- c.....). . ;:.,.-"
CCB license no.: /(,.)\ q \ '--t' BcD license no.: ';)O'~3 7L
Signing supervisor's license no.: <'-/"67 t[- ~
Print name of signing supervisor: iAf11 v.f ';0 W l-..)
Signature of signing supervisor: W 1./ ..Ifo../\
/ "
.~~jp
~.~
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440-2584.) (9/08/COM)
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;:~~,~~,~~' i<i~.~_p'~~i~~:~/,~r[;',~!~:fu,-~:,H:;~:\:; 9th; ,;I~':~~~~':':'i 1,-?~~t~_~:"..
Residential, per unit, service included:
1,000 sgift. or less (4) $134.00 $
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) ., $ 81.00 $g-IOO
20 I to 400 amps (2) $ 95.00 $
.:'
40 ].to 600 amps (2) $158.00 $
60 I 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
I 200 amps or less (2) $ 63.00 $
, 201 to 400. amps (2) $ 87.00 $
40 I 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 .bra~~h .fircuits with purchase of a service or feeder fee:
Each. branch circuit
s- $ 6.00 $ 3D"'?
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder ':lot included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
$ 63.00 $
$ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additinnal inspection: (I) $58.00 $
)#:ffl!'Ul1Jl$,~~~iJ:1r~i~Y~E/}A'.~np,.rIC~" 'A" "~N'" T,,~'U":' -S"E'.%ki,; ~~.\;._di:.i~r~~{:';~:iL';"+':;);~~'::~' ~ ~
~,,'\~~::?i:~~.:.',,~'SL~"~'{:>'7j;,\/1;;F; "~_~;L:; _, ,__, ,_~I::>;"'._ _n _ ~:;<MIl!,'1";'.h~~it~~,1i;:!~'s,,~q,~'>'.4~;i';:',, I, ':::;
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A])
(e) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$
$
$
$
..
Structural Permit Application
. . PEP:4~TMENT uSE ONl.Y
CPWlZ-0./o -'063. 3-
Penmt no.:
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689
Date:
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.
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: 0 Yes D No
~~~~~i~~rGi~I.f;:,gQRY~@,fJIG:q,N.,$f:B~i(cIt(Q~~}~~~~~3~~~i~~'j~~
~Residential (j Government 0 Commercial
~:~~:~~~;~~;iTf~dj3t;~,I[.E.\.,;fN'fio_~,r;nAffQ~~~/:f..NQ~tQ~_AIlj9_~t1~~~~~;r;:F,:~,
Job site address: l~("O
City: 'S
Subdivision:
Reference:
Z-
'., p'ROPERTY OWNER
Name:
])\9
ZIP~'''''O!>
State:
Fax:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
...
Sign here:
Signature:
lt~%jf~'~1f;~jljS.LJ.E!'c:.0N:Jl~ACtr:OR,iN~.().RMA1"IQN~r,i~lf!1i+jt~~~i{I
Name CCB License Number Phone Number
Electrical /6 Z. ( "i ( 7 Ifl- ?"3b f
Plumbing
Mechanical
':;:'/(FEE 'sctjEbi.JLE~1;(}':'::' :i......
~i)~.y.~J~~tI61fJi~~t()'}rIft.~~!J9~fi~~r&~~)~:1~t'~;:;id~:;f).:~:i\~~iltb(.';:i.f;r~;;.::.;.~i~~:I:;jks~i~")~.
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
. Energy Path:
o new D alteration
(b) Foundation-only permit?
I
I
..-5N 0 I
I
)2Ia:ddition
DYes
Total valuation:
A'2~:"B'--"';' :1. de ' : ;~,: r~; ~, :'ni;(,~(;w.~'; ~~,...~j,:$~i4'''-:'1,.~.,':'...'A. . ';.'. "t ;.l :i, 1
r:':~' UI Iug-; leesj:~::';-i',f!'.IJ.~.t:'l~"'iij".\"r".\~;';4\1-!..c:~~J~l:lt-;'J\~'~ ;c)'>"
."..._ _.." ...."_".. . '"_ .,_<~",;'l;'..,.k.". '.>> .. ..M.~.....~.,.. ."' ,.._. ",'.
(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):
$
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b):
~ff\-M~~s~!i:a1l~t'.ifs!f~~~~~M~;;;I~'k~~;}~(~(l;~~~{z,;;~,f:;i~ (~..1;t~f:;1:},:ti:~~i::~i;,::.t~~~ ':.
(a) Seismic fee, 1% (.01 x permit fee [2a]): I $
TOTAL fees and surcharges (2e+3c+43):! $
6W\b~~c:..
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City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Date: 04/06/2010
1 :38:27PM
3201000000000000129
"
Job/Journal Number
COM20 I 0-00333
COM20 I 0-00333
COM20 I 0-00333
COM20 I 0-00333
COM20 I 0-00333
COM20 I 0-00333
COM2010-00333
COM20 I 0-00333
COM20 I 0-00333
COM20 I 0-00333
Payments:
Type of Payment
CreditCard
cReceil1tl
'.,i.
Description
Fire SF Fee - Residential
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
Plan Review Minor - Planning
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
***+ 10% Administrative Fee***
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
11.00
81.00
30.00
119.00
105.15
5.26
LlO
87.25
23.79
15.86
$479.41
.,' r
Paid By
CHAD WILSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
00614d In Person
Payment Total:
$479.41
$479.41
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Page I of I
4/6/20 I 0