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Home My WebLink AboutPermit Building 2010-4-22 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00493 ISSUED: 04/2212010 APPLIED: 04/21/2010 EXPIRES: 10/2212010 VALUE: $ 147,096.00 SITE ADDRESS: 1004 53RD ST ASSESSOR'S PARCEL NO.: 1702283402400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single familyresidence Owner: CUMMINS INVESTMENTS LLC Address: 31221 OSPREY RD LEBANON OR 97355 I CONTRACTOR INFORMATION . Contractor License DA VIS CONSTRUCTION SERVICES LLC 160347 I BUILDING iNFORMATION I Sidewal~.J)p'e,:i~~;):"'_' . \ Fully lmproveg., ~;i '. ~rl :':" " .,._",.,:...-::;~:'l:;';:'';:'. - I...... .- Curbside 5 storm drains from str~::~~~~w;~~LCE~i1~~;~\if'B;~~~i:;;;~;~:~;~; ~~:i~lEO UMO~: ~~~6~~EO fOR .....' EO OR ." . Contractor Type General # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Constrnction 24.00 5.00 5.00 10.00 17.50 Expiration Date 06/14/2010 Phone 541-868-6294 I R-3 U VB 429 4,746 1,352 3 . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: 2 Yes 37.30 I PUBLIC IMPROVEMENTS ~ $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt . Valne Date Calcnlated . ~ i ;<'" Page I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garaee/Misc SF/Duplex U VB Utilitv R-3 VB 1&2 Familv Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut - 2nd Curbcut Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Heat Pump Plan Review Major - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Storm - Improvement SDC Storm - Reimbursement SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Vent Fan WiIlamalane Single Family Total Amount Paid Plan nine Review Public Works Review Structural Review ,'., ,. ,,-.";'."',: ; J',~ .'; $37.72 $96.83 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00493 ISSUED: 04/22/2010 APPLIED: 04/21/2010 EXPIRES: 10/22/2010 VALUE: $ 147,096.00 ,'i ',] 429.00 1,352.00 Total Value of Project ~ Amount Paid $166.33' $86.41 $79.00 $337.00 $38.00 $904.11 $-45.00 $88.00 $9.00 $13.00 ;",", $89.05 " $17.00", " $211.00' " $587.67 $485.02 $637.85 $10.00 $22.63 $1,333.57 $101.97 $101.51 $56.86 $80.54 $931.65 $211.21 $92.05 $88.00 $27.00 $2,858.00 $9,618.43 Date Paid 4/22/1 0 4/22/10 4/22/10 4/22/10 4/22/10 4/22/1 0 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/22/1 0 4/22/10 4/22/1 0 4/22/1 0 4/22/10 4/22/10 4/22/10 4122/10 4/22/10 4/22/10 4/22/10 4/22/10 $16,181.88 $130,914.16 $147,096,04 04/21/2010 04/21/2010 I;P!an Re.views I ,f 04/21/2010 04/21/2010 APP DDK 04/21/2010 04/21/2010 APP BJG, 04/21/2010 04/21/2010 APP CJC Paee 2 of4 Receipt Number 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 2201000000000000385 Minimum Setbacks. See letter attached. Storm water from structure will drain to drywell. As noted on plans CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20IO-00493 ISSUED: 04/22/2010 APPLIED: 04/21/2010 EXPIRES: 10/22/2010 VALUE: $ 147,096.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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, ins.p.~.cti!:l!l_srequested after 7:00 a.m. will be made the following work day. ",'.",' ...-.'" . . U: I ': .....~. l....P-eo-niredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or foundation inspection. '. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Ooor insulation o~ decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with tinish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: ~~J;1 p.. I . ..:,." " . . , ll.. ~ , Final Building: After all required inspections have been requested and approved and the building is complete. UnderOoor Plumbing: Prior to insulation or decking. UnderfJoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to tilling trencb and inclnding required testing. Storm Sewer Line: Prior to tilling trench.. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including reqnired testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover ,t.,;, {," ", ':.' .C, Paee 3 of 4 , ,~ ~i.: r. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00493 ISSUED: 04/22/2010 APPLIED: 04/2112010 EXPIRES: 10/22/2010 VALUE: $ 147,096.00 (j-- ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 herehy 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 Commnnity 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 fJrther agree to ensure that all required inspections.areTelluested.at the proper time, that each address is readable from the street, that the permit card is located at the front of tlie property, and the approved set of plans will remain on the site at all times during construction. . .- ~. . ,; 1~'~' ~...' . 'Ilzz/o . Owner or Contractors Si~nature Date ,1';' 1\1 1'~ ......t".., ! dH:' '\ ,:"; Pa2e 4 of 4 Struct~ral Permit Application ~~4:~I&"J O~'S&RiNGEJluJj~~0R~~~~i~~~;~i:t!;.;~~: .. .. DEPARTMENT USEONL Y COVVl Cc)( c.> . COLf C]'; Permit no.: Date: l-f-Z (- I 0 225 Fifth Street. Springfield, OR 97477. PH(541)726.3753. FAX(541)726-3689 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. ..;;,..,.. . . . ::. . C.- 'l.i6CAL:'GOVE'R'N'MEN'fjj'ARRROVAIJ:"",.",.,"";i'<~::, .., :;,~1.;';:," ~,,'-'\' '.~, _ _.~.'.. _'___~_' _ ',' '_._.. _ .__J.~ _ .;<::i; """~,"___".. :_'j~t-?'.i:"r1~~~?~:t-":.i;'.'l\ilt~ This project has final Jand~use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: 0 Yes oNo Property is within flood plain: 0 Yes 0 No ~'1&ci}'12(~lftCATEG6R'l:,OF',tCONSTRl.iCTI0N'''~}!;;;:!i,,~iijriil;:(" _,. .-~!."_'ffiL>;-..,,.,.,,"~,. "_' . .'....._ ..,......_,.'"__,,\1L.____"''''''',...~. '_', ."...' .... _,_.... .,... ..........,.~:m".__,.,.."....?_\....,'^. ..H :~v-: lij' Residential 10 Government 0 Commercial '-"..", ,,,:~...,. c~,-~. .,.....,.,;,... .,". .. .,.: ',",---,~","..;' > "c~-...' ..'....~'..._...,. t{'..,. "~"'''''!",''--!i'. "'~..,~._.-,".T.-'..";".,.j;.( )'!i'~~~'~' i.j.'i!}.if:!;,.;,\':JpB4~ljfE! .INI;ORM~Tlp~'.A~Q;itOP"'Il.9fl~~~;,;1:rl;'C(; Job site address: 1 t>o't 51, ti. ,\>f City: 5'p(lf) State: ()!\ I ZIP: Q?l7"'- Subdivision: ' 'T1forJf~~1 (lIM'i I Lot no.: 1<0 Reference: 1702 Z<g'3t.( I Taxlot: 0 Z4t::. <:::> . p,ROPERTY 6wNE~ " '.' '-, Name: to/fV'~I"'-' I.vil~ ~1'M'iv77 Address : 3; 2'2-1 C'/M 1., P'/ " .' City: L f.OAr<Yw1 I State: <J.(. I ZIP: '17~S) Phone:~ I lSB- 7'-50 Fax: - - E-mail: TEr."""".",>", i~.<-\c~ ;J"C" 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 70\.010. Sign here: .' CONTRACTORIN:!nAI:.LATION': :.... . .,",:. .. . - .. -- . .'-- ". ..'" - ,~ . .. .... --. - ..".. .,-.-"'- Business name: OAJ. ) (C1J51f!vc...-p...J S'i/'VI<>I It-- Address: P':'e, 7'2.'tZ,,> City: fJ:<<'-<.. State: a.. 1 ZIP: q 1'ril Phone: 5'1(- 86$ (,2.(/1.1" Fax: . - E-mail: DA"'~{d'l (.? ,fvV\<. c:.... ,v\- CCB license no.: nO'~'I7 Print name: <'r"T:r D,-q.r.) Signature: ,l\-,,-- ~'i,t!,:;rJl;?!rJ'i;<l.t~sq B-t0NJP:AC:'1'()R.,IN~.O.R.M~TIcl.f.l~iEl!;~1f1i;?~~~ Name CCB License Number Phone Number Electrical Plumbing i5~~"7q Mechanical ""J" , '" :~'\~':;:']~~n~).FEE :"S9H'~_Di:r[Er>;~'?~~':;':;-'>:~i\~'\{";':;'~' ,.-'t', ';'~~:::Y.~'~_u~ji.~!{(I!_f6drf~!.i~;~~1~~~6.~~t}Ai~:~~,b;4\{~i;g~;Xko'~'H;J;J,~:~4~.i?"\~!'~; ics (a) Job description: Occupancy f:!' I-~,(. Construction type: 4Zor Other information: Type of Heat: ~ Energy Path: 2'"ew 0 alteration (b) Foundation-only permit? o addition DYes ..ErNo (a) Penn it 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): $ $ $ $ $ ~~~'~)~:#5'Eey~w~tfe.1f~~~~~J~J~~~kt~;~~lr~~:1;t~~~~~:i~;e~;1' (a) Plan review (65% x permit fee [2.]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3a and 3b): f~~-M~~f~!f~!t~():ifsJf~~~_J;{~ti;;K?bt*\{t;~{Gtli,:~)~;{:~k.i2(:,~ < $ $ $ ~', (a) Seismic fee, 1% (.01 x permit fee [2a]): TOTAL fees and surcharges (2e+3c+4a): $ $ ~ 1, Willamalane t Park & Recreation District Job. No. CIa - 00 L{ '}'.3 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: CA.""""'''''"''-:':''' ~ Lv~vV\.6-v fs- PHONE: >':{\ -Z~-2b)O 31"22..' os tl-l:7?-4 / AI!. ADDRESS: CITY(sff?~OI\{ STATE~ZIP: '17'1 SS- LOCATION OF PROPOSED BUILDING SITE: 53 vt-J /004 s+ Street Address: Plat Name: Tax Lot Number: 170ZZ '?3C( 02'-(00 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinole-Familv Detached NO. OF UNITS . I X $2,858 per unit = $ 2 ~S'g B. Sinole-Familv Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Familv Apartment NO. OF UNITS X $2,641 per unit = $ . D. Sinole Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory Dwellino Unit NO. OF UNITS X $1,550 per unit = $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must fumish proof of Willamalane Credit approval.) $ ~ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ .0 ZRSJ' -- -- ~ Development 13ervices Department City of Springfield ---.!:!...-' t..Z-,. / ~ Date 5 225 Fifth Street SpriIigfleld, Oregon 97477 541-726-3759 Phone ~..'.'..'...'. ....... . . . . . ",. .'- - --.-...'-_.._.~~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000385 Date: 04/22/2010 9: 13:28AM Job/Journal Number COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 1 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM2010-00493 COM2010-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 1 0-00493 COM20 1 0-00493 COM20 I 0-00493 COM20 I 0-00493 COM20 1 0-00493 COM20 1 0-00493 COM20 I 0-00493 COM20 1 0-00493 Payments: Type of Payment CreditCard Check cRcccintl Description Sidewalk Penn it v:; Curbcut Permit Curbcut - 2nd Curbcut SDC Stonn - Improvement SDC Storm - Reimbursement Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC MWMC Compliance Charge SDC Transportation Admin Plan Review Major - Planning Plan Review Residential Building Permit Addressing Assignment 2 Baths One or Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vent Heat Pump Fire SF Fee - Residential Willamalane Single Family + 12% State Surcharge + 5% Technology Fee Paid By SCOTT DA VIS DA VIS CONSTRUCTION SRVCS LLC Received By d'b . ~ (Jjb ',.' Page I of2 .. . Item Total: Check Number Authorization Batch Number Number How Received 07811 d In Person 1471 In Person Payment Total: Amount Due 88.00 88.00 (45.00) 56.86 80.54 637.85 485.02 211.21 931.65 101.97 1,333.57 10.00 101.51 22.63 92.05 211.00 587.67 904.11 38.00 337.00 79.00 27.00 13.00 9.00 17.00 89.05 2.858.00 166.33 86.41 $9,618.43 Amount Paid $9,500.00 $118.43 $9,618.43 4/22/20 I 0