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Home My WebLink AboutPermit Building 2010-4-15 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00462 ISSUED: 04115/2010 APPLIED: 04/14/2010 EXPIRES: 10/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3530 GAME FARM RD SPACE 25 Springfield TYPE OF WORK: Miscellaneous ASSESSOR'S PARCEL NO.: 1703154003100 TYPE OF USE: Alteration PROJECT D,ESCRIPTlON: Revision to MH space to accommodate RV placement Residential Owner: URBAN TRANSITIONS LLC Address: 840 BEL TLlNE RD STE 202 . SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Plumbing Contractor _. .. License Expiration Date BEAR MOUNTAIN ELEGfRIC LLC . 136298 08/12/2011 RELIABLE PLUMBING'&'MECHANICAL 182964 ll/O l/20 11 BUILDING INFORMATION ~. VOl!. \0 la'll feqU\Ies \)\\\\\'1 . # of S&,fi' '. Olego" '0 \he Olegon se\ ~ize: p/tl~i1\i ~l!uct\il~h~se lU\es ~ 952~'" 1st Floor: 1Ci\fl!'lL ~ f'ell,,\el. 0I"IOU9" 0 \he tu\!in ~2nd Floor: NWi\ OO~-OO~ '" COpieS at ~epl\lilrAft Basement: \ ''IlIa'l O'o~ \NO\e: ~e~o\~Garage/carport OOi\Hiiil\. ~ce,,\e ;ego" \)\I\iI'I 4). Sq Ft Other:. S~~ijl1blilBlh~ ~_8oo-33~-,2..34 Occupant Load: nu es....tP.{\ I DEVELOPMENT INFORMATION ~ Phone 541-741-8844 541-689-4235 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ . ; ",~, 'j I ( :" 1';" .~~~" . ' . ~ , '"d.,;:">; . Sidewalk Type: .' .."'....,..~O?\<. Downspo~~\i 1~J \$ ~01 ~01\C~~\1I~ $~~\\ 1\\\S i'~~~~ fO\\ \\-\\~JQ~\l~tl \)~~ \S ~t.l\tlO .,.' ~\.lQ\III\III~\\C~~ ~~?\Otl. fI,\\'i "\ \)0 0 ,..'.:. Notes: ',t ': p'aee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '.;..li.. :':/;I*" 'i:." 'J.'; I Valuation Description I Description Tvpe of Constrnction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project .~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fixture Sanitary Sewer - 1st 100 Feet Water Line - 1st 100' Amount Paid Date Paid $27.84 $11.60 $55.00 $6.00 $19.00 $76.00 $76.00 ~u . .,,' ,,:~~, ~i , 4/15/10 4/1 5/1 0 4/1 5/1 0 4/15/10 4/15/10 4/15/10 4/15/10 " Total Amount Paid . $271.44,,, . I Plan Reviews I "- ) CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00462 ISSUED: 04/15/2010 APPLIED: 04/14/2010 EXPIRES: 10/15/2010 VALUE: Value Date Calcnlated Receipt Number 1201000000000000344 1201000000000000344 1201000000000000344 1201000000000000344 1201000000000000344 1201000000000000344 1201000000000000344 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. ~ellHiredJnsnections ~ Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench and including required testing. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Plumbing: Prior to cover and includi,,:g:requir~d testing, '. -c". " 'to.. Final Plumbing: When all plumbing work is complete. Pedestal: Prior to cover, Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00462 ISSUED: 04/15/2010 APPLIED: 04/14/2010 EXPIRES: 10/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 shall be done in accordance with the Ordinances of the City of Springlield and the L~'1's, of ,th,e State, of Oregon pertaining to the wOrk described herein, and that NO OCCUPANCY will be made of any structu're;>yithoi,-j '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 inspection's are requested at the proper time, that each address is readable from the street, that the permit card is located at the front o(the property, and the approved set of pl~ns will remain on the site at all 1i~ 1}/;5/;1) Owner or Contractors Signature Date :, :\ ,; ~~ , .,'! '.< Pace 3 of 3 ,,:' . 225 Fifth Street+Springfield, OR 97477 t PH(541)726-3753t FAX(541)726-3689 SPRINQFIELO -':'''''-.hi!~O:",",~ !Ii :11.1, --:':'1,.... .~&S~b~ ~,. .~~~.~ ,-S~h ,~I ~~V~~~~~b~, ';;'~'(_. DEPARTMENT USE ONLY COW' zalO- 00 /.(b L Permit no.: I Date L{-/5' - /0 I This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. First branch circuit (2) I S 55.00 I Each ~dditional branch circuit I S 6.00 ;\liscella:neous fees: service or feeder not included Each pu~p or irrigation circle (2) S 63.00 \ 5) Each sig~ or outline lighting (2) S 63.00 $ Signal circuit or a limite, d-e, ne.rg~~~;PJ?tlel:' " I S 63.00 alleratio~, or extensi{;m.,(2)~.~;"Y..' ." Each ad:ditiona~in;pect'''' ~O\, k ,.L. .' ,~SE:' ~()\\' ~~I~ ~ ~'fIitJii;.\J \' _ . 'W,\'o .~W\l: ~~~i~\~58.00)' f\\)'\' ~i;&~~\Hl ~,()~e (.12 x [AD 'CG~ ;~'\)'a!\\!logy Fee (5% of [AD f\~ TOT A~ fees and surcharges (A through C): LOCAL- GOVERNMENT APPROVAL Zoning approval verified" 0 Yes 0 No CATEGORY OF .CONSTRUCTION -erResidential I 0 Government 0 Commercial '",JOB SITE INFORMATION. AND LOCATION '-'- Job site address: '35]. 0 6-r\~ E FA t?-w\ -r+.::r ~ City: Sf>Ph I State:04- I ZIP 97'177 Reference: 17031540 I Taxlot.: 03100 DESCRIPTION OF WORK R.. V ~E:::i)f!' ~ r-.4-L PROPERTY OWNER Name c..A Q..~ TM...JSft, T (e_5' I /" I Address: <gL(O 'j?~ rL.{,\i(!' f2.-) S7e> ZoZ $.l'P D T State oL- I ZIP: 9 7V77 ,s>o/ A..\\g.(J ~S'Q.~ \}..I\ 440-2584-J (9/08/COM) FEE SCHEDULE Number of inspections per item () Qty. .- , Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4) 5134.00 .5 Each additional 500 sq. fl. or portion I I 5 25.00 S th.:reof Limited energy (2) I 5 32,00 I s Each manufactured home or modular 5 63.00 I s dwelling service or feeder (2) Services or feeders: inslQl!mion, alteration, relocation 200 amps or less (2) 5 81.00 S' 20110400 amps (2) 40 I to 600 amps (2) 601 to 1.000 amps (2) Over 1,000 al1'.l?s or volts (2) Each branch circuit S 6.00 5 .b. Fee for branch circuits without purchase of a service or feeder fee: 5 5S'1 s /.., I S 558.00 I S S b( S -;~L S .:3 O~ s 7/31 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~~Q~~ ~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000344 Date: 04/15/2010 9:05:34AM Job/Journal Number COM20 1 0-00462 COM20 1 0-00462 COM20 I 0-00462 COM20 I 0-00462 COM20 1 0-00462 COM20 1 0-00462 COM20 1 0-00462 Payments: Type of Payment Check cReceintl Description Sanitary Sewer - 1st 100 Feet Water Line - 151 100' Fixture Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By WHITNEY BOSS Received By djb ". , , Page I of 1 Check Number I Batch Numberl 1280 Item Total: Authorization Number How Received Amount Due 76,00 76,00 \9,00 55,00 6,00 27.84 11,60 $271.44 Amount Paid In Person Payment Total: $271.44 $271.44 4/15/2010