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Home My WebLink AboutPermit Building 2010-4-23 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00497 ISSUED: 04/23/2010 APPLIED: 04/22/2010 EXPIRES: 10/23/2010 VALUE: $ 134,406.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1012 53RD ST ASSESSOR'S PARCEL NO.: 1702283402300 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: CUMMINS INVESTMENTS LLC Address: 31221 OSPREY RD LEBANON OR 97355 I CONTRAC-TORINFORMATlON , Contractor Type General ContractoHTENTION: Oregon law requires yllti~se DA VIS Ccf)l\iErMY~I~I8fgR'fJtdJ!l {)[t{gon UIitIZ}'7 !Ju[;r;uul;v~'~w~1b In OAR 95 - . 0090. You may obtain copies of the rules by catiing the certtllld: ~till!; the telephone I rm1!iber for theKllig!lOllflSlitilythlotificallon 16.00 U Center lsypclaOIOOR,234>tp,d Air Electric VB Water Type: "" : Electric " Range Type: Electric: Energy Path",: ~prinkled Building:' Expiration Date 06/14/2010 Phone 541-868-6294 # ofUnils: Primary Occupancy' Group: Secondary Occupaocy Group: Primary Construction Type Secondary Construction Type. # of Bedrooms: 3 Lot Size: 4,572 Sq Ft 1st Floor: 1,249 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 357 Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATlO~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: N OTI CIEt.OO Overlay Dist: THIS PERm SHAll ElKf91R!tINOOWVRK AUTHOB~ UNDER ~1'g'"<P~RMl1t\lS:NOT COMMEt~~6D OR IS AB)\l@O'N~t)vp(lllle:"" . I 2 Yes 35.10 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLlClMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: FullV Improved No stormwater to drain to drywell Sidewalk Type: Downspouts/Drains: Curbside 5' Drywell - Provide Drywell Engineering Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Squa,:e Footage ." or Bid Amount Value Date Calculated Page I of 4 Status Issued 225 Fifth Street, SpringlieJd, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garaee/Misc SF/Duplex U VB Utility 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 Plan Review Major - Planning Plan Review Residential Residence Wiring] 000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbnrsement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Storm - Improvement SDC Storm - Reimbnrsement SDC Tran Reimbnrs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amonnt Paid Pnblic Works Review 04/22/2010 " .-', , . ! ",..~ ' ,., )' : tt"'.'j~J'1i .-: ' '. -f' .' ii',";' ',. $37.72 $96.83 Total Valne o!' Project ~ Amonnt Paid $187.58 $95.26 $79.00 $337.00 $38.00 $851.Z0 $-45.00 $88.00 $9.00 $13.00' $80.3it $211.00 $553.28 $134.00 $50.00 $485.02 $637.85 $10.00 $22.63 $1,333.57 $101.97 $102.09' $60.57 $85.79 $211.21 $931.65 $91.92 $88.00 $63.00 $27.00 $2,858.00 t '" i ,~). ~, .c'~' ,;., $9,791.897 - I Plan Reviews ~ 04/2 1/20 1 0 Date Paid 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/1 0 . 4/23/1 0 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/10 4/23/1 0 4/23/10 4/23/10 APP BJG Poee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00497 ISSUED: 04/23/2010 APPLIED: 04/22/2010 EXPIRES: 10/23/2010 VALUE: $ 134,406.00 357.00 1,249.00 $13,466.04 $1Z0,940.67 $134,406.71 04/22/2010 04/ZZ/20 I 0 Receipt Nnmber 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 2201000000000000396 220]000000000000396 2201000000000000396 2201000000000000396 Storm water to drywell CITY OF SPRINGFIELD Building/Combination Permit Sta tus Iss u ed PERMIT NO: COM20IO-00497 ISSUED: 04/23/2010 APPLIED: 04/22/2010 EXPIRES: 10/23/2010 VALUE: $ 134,406.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine:: Review 04/22/2010 04ii2/2010 APP DDK Meets minimum setbacks. Inspector to tield verify placement prior to footing inspection. See letter attached. As noted on plans Structural Review 04/22/2010 04/22/2010 APP CJC 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. ~eollirerUnsne~tions 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 gronnd rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but pr!or;.to cO)lcrete placement. Post and Beam: Prior to floor insulation or:"decking.' Floor Insulation: Prior to decking. 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 cover. Drywall: Prior to taping. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor 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 trench and including required testing. Storm Sewer Line: Prior to filling trench. 'i.;if.":."", Final Plumbing: When all plumbing work i;~i~,Qmplete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Page 3 of4 ,',jj -J\;; .f Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00497 ISSUED: 04/23/2010 APPLIED: 04/2212010 EXPIRES: 10/23/2010 VALUE: $ 134,406.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is conYpIete:;. ,', 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any struetnre without permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used o'n this project. J fnrther agree to ensure that all reqnired 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. 1\/ if/? '>;/;0 Owner or Contractor Signature Date ,l".:j{: ;}J. .-,. Pa2e 4 of 4 Structural Permit Application .-, .,. ,. .... DEPARTMENTUSE ONLY " C~ e.C(O -00 t.ri ~ Permit no.: Date: L.( - Z Z - , () 7 14' ~"" ~_:' ,..~'f. t~1--",.-""'-";';" ,l"j-4'tv~~ ;,f:,.ffi;;"1fi:~"...'"'l': ~.... n-tJ~1,: , ';;.5 V, ,_,CIJ':V: Oli:.SRRINGf;IELlY;<rOREG0N" <1;.i..",~'{: :;,~~:;. .'~ ~ ',- -"'~ , .. 't '" '""_"'- 10 -=~ ,,0"1._, -.' - . . _" "" 225 Fif\h Street. Springfield, OR 97477. PH(54 1)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. ic. '," ,,'i; ....:l':; if0CA~ :9'QYEgNN,-g,;jf;'AeifR(j.ve:1l3i~;\i,4~,t:"~'J~j This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: D Yes D No Property is within flood plain: D Yes D No #!~J~~;~~tffti~~'AI~'G~Q_t{X~:Q'F~~.G.bN$ltRPG.it~.~~*~~W~~~?itt:!f,:~ M Residential 10 Government 0 Commercial ; ,-', J.'-' .. ",,"- ',,,ce',,, ,,",' ., '. ,.., "",,"d~< ., ""'," ..-. .'....~.,",./,~ "" ,.,- "1;""","')'.'''''''- C'V__.___'. "'~-,.-'" '." ~."""; ?'''''' 1\);,~;:{:..:,::,ru9B'~SI;rEi .INF,'9RMA T!()N~;ANQ,LO!"ATI.9/>1~,JWJ:l;'j\':'/;i Job site address: /1"1- 53'! :;7'. City: 9Ft,/) State: Oil. I ZIP Cf1'179 Subdivision: T1tv"'~1'/J,.J p(/ret I Lot no.: IS" Reference: 17bZZ B.Y I Taxlot: e>Z:!-CO . .. . p,ROPERTY' OWNER' .. .....; '. .',' Name: Cv",,,,,,,> INJ. l.....c. Address: 311.7-1 o~r(l.f 1 /Z.I. City: ~AMvl>,J State: "L I ZIP:'f7~55' Phone: 5111 - ~s=B - UP' 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: . CONTRACTOR .INS:rAl:.lAnClN;.:.' .. .. , .. .. . .' " . .-,,~.. '--"..', -. '.' ,...... ..,-_.... '.. Business name: DA,^~ ,.oJ.JVZv<.tl,.....,. ~""c."":Io .....c. Address: PO~ 72.'fJ~ City: e....1N( State: l>tt I ZIP: 'f"1,/iJ I Phone: ')'11- e,,!! /io'/.'N Fax: - - E-mail: DAII\~'" j.. e f'/'It<-. COM. CCB license no,: I /(JO 3"f1 Print name: S C..rr- DAV'} Signature: l,JJr i\. l~f~,~~~f:',i?~0;z~7BS,Qe-Gt>NJi~AG~6~J.N~.9,R~Atl,Q,~~!#;iw~t~~9~'~ Name CCB License Number Phone Number Electrical I )""1"170 5'11 - '1IS- '1~'l l!l Plumbing 1:>8 7..7'1 S"II - '1s~ . '11.11 Mechanical 17/7()C, ,'11 - S'S'''I.QH I ~ c& ~ \\ , (}Y \\).~' ~ '~>f~',: ~;,\ '~":-':~~~:::;,""~_'.:',~!::~i~?~J~'~FE'E '~'SG-A:E.piJL$r:;;"'~'C;':' '-j", ""!:j'~~\Y,Ki~~~tIon!'i~f9ftrtllj~,9~~W~~~}~Jifljt;~1~yh~A,~if,~{:~~;f~tfrt;f1~{ti::~-f.'1~~,;1~~~~{/\;~.' d. (a) Job description: Occupancy J-:")'\-w< tL Construction type: Square feet: I~'t Cost per square foot: Other information: Type of lIeat: el..i::C Energy Path: -E'Inew D alteration (b) Foundation-only permit? Total valuation: D addition DYes END $ (Z't"1" <> ,:,17:!;,):),ij:~J~'illg;,t~~sj1;~~i!{X%'r~~~;f~fj~;~{#~~@~1\1'~:':.!i.~;"i' (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): ~~4},ij!~s~Oa,:#~~((iI~slf~~i~W~,7~~~1~?~!i~1:rf.lk~f!~~~&:t,~: .Ui'::'f:;M~?~.~l~~>.:~;,~ (a) Seismic fee,. 1 % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ ~.,o !:x ~ \9 'R.tfC y.-f? ~ Electrical Permit Application .,.' , -;..:. ',~~.~~4_',. >_ '.". .;F+ ,,0. - 'CIl:Yi@F SRRINGFEELD, OREGON . -., .~ ,"",<".''l'-~~''''''''''~f....rt..~'""''~"'f.''''. -' . ~"'... 225 Hfth Street. Springfield, OR 97477. PII(541 )726-3753+ FAX(54 t )726-3689 DEPARTMENT USE ONLY Permit no.: t!ltJ- Lf?? Date: ~ ~2 1'0 This permit is issued under OAR 918-309-0000. Permits are nont~ansferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. lOCAL GOVERNMENT APPROVAL Zoning approval verified? DYes DNo CATEGORY OF CONSTRUCTION D Residential I D Government I D Commercial JOB SITE INFORMATION AND lOCATION Job site address: IO/;t.. ')f/ll&:> ,f r City: <:-FF'-l> State:,h2- I ZIP: C;"I('?~ Reference: I?OL ?-B"'Y~ I Taxlot.: :2:14i) DESCRIPTION OF WORK , /"c?v IF!) . PROPERTY OWNER Name: ~""N( lA/V'. uc Address: :]1 ~ I ~S~y,llt/> City: U~~ State:4c:e I ZIP: "Yl'$"S Phone: -2~.r :U.rO . I 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(1). Signature: CONTRACTOR INSTAllATION Business name: CASTS/DE' El ((Trlle Address: :'1,).,5'3 BOSC,AH IN. City: SPHD I State: 01<.. I ZIP: Cj7 4 n Phone: - - 7lfHV'i9 I Fax: - -7 3/:" '1960 E-mail: RK/(c''''S75/i)EtQl YANo6. (OM CCBlicenseno.: )1,'7,0 I BCD license no.: 16 -VOS'C Signing supervisor's license no.: \.!7J.7S Print name of signing supervisor: 12 0 G- (;((. /()t-JG- Signature of signing supervisor: ~rM I!~ 0 '"~~~ r\~~J'"" lx'\. ' C '\'0' . \)~ 'Y \.0 \.9' />(:0 ~ \V ~\)~ 440-2584-1 (9108/COM) FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $/41.( Each additional 500 sq. ft. or portion 1- $ 25.00 $50 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 $ 201 to 400 amps (2) $ 95.00 $ 40110600 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 $h~ 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 includ~d Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal. circuit or a H!llited-:-eneigy panel, $ 63.00 $ alteration, or extensIOn (2) Each additional inspection: (I) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees $Q.41P cJ (Minimum Permit Fee $58.00) A (B) Enter 12% surcharge (.12 x [A]) $ ~.l t\ (C) Technology Fee (5% of[A]) $l L,D J TOTAL fees and surcharges (A through C): ~ fU':l. qq .........v 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1O:51:44AM 2201000000000000396 Date: 04/23/2010 Job/Journal Number COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20] 0-00497 COM20] 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM2010-00497 COM20] 0-00497 COM20] 0-00497 COM20] 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 1 0-00497 COM20 I 0-00497 COM20 I 0-00497 COM20 I 0-00497 Payments: Type of Payment CreditCard Check cReceintl Description Plan Review Major - Planning Sidewalk Permit Curbcut Permit Curbcut - 2nd Curbcut SDC Storm - Improvement SDC Storm - Reimbursement Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC MWMC Compliance Charge SDC Transportation Admin Plan Review Residential Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vent Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential + 12% State Surcharge + 5% Technology Fee Amount Due 211.00 88.00 88.00 (45.00) 60.57 85.79 637.85 485.02 211.21 931.65 101.97 1,333.57 10.00 102.09 22.63 91.92 553.28 851.20 38.00 2,858.00 337.00 79.00 27.00 13.00. 9.00 134.00 50.00 63.00 80.30 187.58 95.26 $9,791.89 Paid By SCOTT DAVIS DAVIS CONST Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cjc CJC ]472 05819d ]n Person In Person Payment Total: $9,500.00 $291.89 $9,791.89 Page I of2 4/23/20 I 0