HomeMy WebLinkAboutPermit Building 2010-5-11
'J,;.:i
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00552
ISSUED: 05/11/2010
APPLIED: 04/30/2010
EXPIRES: 11/11/2010
VALUE: $ 9,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 345 SCOTTS GLEN DR Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1703271310300 . 0
~~1::,~!,YPE OF USE: Addition
PROJECT DESCRIPTION: Detached deck and deck roof fOI~~~~$' electrcial connection by owner
, : ,,~ l~ ~ OJ/fq;~'(~
...VJ 0 qt: . ~
DWAYNE AND JULIE HAMMOND ~ ~0 ~0"0{$"~fb" if _~O
345 SCOTTS GLEN ~ ~'<I tt;~:$Io ~ itf/j ~<r ,
SPRINGFIELD OR 97477 Q,0<f?J>~O"#~'b"~'b"'l~o;;:.."
~".
'J; ~ATlON i
Contractor f.~ "r:f.~q; ~:t..tlicf.. , License
BEEGLES CO~ ~... " 185687
Residential
Owner:
Address:
VB
~
Expiratiori ~ Phone
02/27/ ~ 503-267-1043
" 0~~<<'
~ <:/..<<; ~
~~:~'S
,~~'~Ioor:
~"l-~"Ft~d.Floor:
. ~ ~ijjt>~ement:
#'$ ~ ~~arage/carport
~ <:/..<<; ~ 8i'A}/i Other:
~ .j?f)I!i.S df ~"tcnpant Load:
" ~"~-@>
I DEVELOPMENT INFORMATlON~~ '"
,.' ~
FORMATION
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,
of Stories: ./
Heighi of Struc!'ure
Type of Heat: .
Water Type:
Range Type:
Energy Path:
SprinkledBuildin~:
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dis!':
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
,;...
~ 'i.Or '~'~:..'
Sidewalk Type:
DownspoutsfDrains:
.'j;.~-*;!: ;.....,
':-~U:T,
Notes:
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
.,, . .i,
',";.t',
Pa~e I of 3
,
" &~I!!I~JI~R!lt~"'~,
!
!',
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00552
ISSUED: 05/1112010
APPLIED: 04/3012010
EXPIRES: 11/11/2010
VALUE: $ 9,000.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
d...' ",
, \~)i
Estimate
Esfimate
:$1'.00
''''".
9,000.00
$9,000.00
$9,000.00
05/05/2010
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $82.06, 4/30/10 2201000000000000449
+ 12% State Surcharge $15.15 5/11/10 2201000000000000481
+ 5% Technology Fee $6.31 5/11/10 2201000000000000481
Building Permit $126.25 . 5/11/10 2201000000000000481
SDC Sanitary/Storm Admin $7.03 5/11/10 2201000000000000481
SDC Storm - Improvement $30.61 5/11/10 2201000000000000481
SDC Storm - Reimbursement $110.Q7 5/11/10 2201000000000000481
Total Amount Paid $377.48
I Plan Reviews ~
Initial Review 05/0512010 O'5i05121i 1 O. OK CJC
Public Works Review 05/0512010 05/0512010 APP LKW Storm water to existing system
Structu ral Review 05/05/2010 :05/05120 I O!" WE RWC owner is installing a 7000lb hot tub.
.~ waitting for engineering
Left message with Richard Beegle at
(1-503-267-1043)
Plannin!! Review 05/05/2010 05/07/2010 APP DDK No Planning Issues.
Structural Review 05/1 0120 I 0 05/10/2010 APP RWC c
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.
~eollire1Jnsnections ~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in i~spections have been approved.
Roof Sheathing i:;;/(i.=. ;-; I)
k;,IO: ;.:(,:)
Final Building: After all required inspectiov~,~ave b~en requested and approved and the building is complete;
.-j:
Pa!!e 2 00
Status
Iss u ed
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: COM2010-00552
ISSUED: 05/11/2010
APPLIED: 04/30/2010
EXPIRES: 11/11/2010
VALUE: $ 9,000.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereou 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 structur~lwith.out 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 on this project.
I further agree to ensure that all required inspection".~;'e ~eq'uested 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
ti;lI:J 6
Owner or Contractors Signature
,/
5-//- /c::J
Date
. :'1";
",
.t:~0~1 "'1; 1,.;" ,"
, \" -;i,<.;."
~"</.i:
:i":"+~~'" i'iH'.!
1':\.\
"
_!::'Jtt\
. > ~,'\' ,
',:'.i.,.; .," ,
, ,',Paee 3 01'3
..'
"\ ~; ""~'
..01
I Structural Permit Application ,
-
225 Fifth Street + Springfield, OR 97477' PH(54 1)726-3753 + FAX(541)726-3689
'- ,'" ',. - ."- "",.
DEPARTMENT.USEONL Y.
pellTIitno.{]/{)- J'3 2-
Date:?! '3 '; ill
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issnance or if work is
suspended for 180 days_
.... .,:' ::};,~qcA!:,;~iQYE@MJNti!';O;P.Jf~Q\(e,IlJ:@~;i;;;1~Wii!B'0";
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: DYes D No
~~~~~~:@T~i:>:9BY~QF,ll~QN~J~~:Gtrf(Q'N~{!W;ti5~~s(4~1R
- Residential D Government 0 Commercial
~i,!j%;Hf;"f;jl>'~~:SI;j:~1'.iNi{9RMAtigN;$'ANQ~~QCAmiQ~}}1\~BgW{ii:i
Job site address: 3'15' 0
City: ?
City:
Phone:
E-mail:
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
Address:
City: Gr
Phone:
E-mail:
CCE license no.:
Print name:
Signature:
;~~f0i:2:!f);!~~~$(:jB-c;.ONT;R;6iCit{)lfIN~()
Name CCB License Number
Electrical
Plumbing
Mechanical
Phone Number
"0'1,:_",:::',;::' '.'FEE 'g'CHEi5UlE"':"::'" ,.':
::i~:',j:~Ya.iij'~~~~fiYi~t6F#ii(~~iiW~i~Jt~~W~~f{gi;~i;:~#~itJ/~;:;tft:~F::~"~:A}k~!/,;:;:/
Law
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new 0 alteration
(b) Foundation-only permit?
Total valuation:
~dition
DYes
000
(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): $
{1!'3'''\~nl'~:~~;U':>:~7'~'\'~:'(ir,Pfi:R-Mf.11i:!;~~~~F~i:4~.i;,jf1N;:~,'f'i,~q~~~i\~'~':
:J:....t~.\._~})rr.~y!!!W.{!.~~,~1';.~'t;~4Z~tw,i~'@'f;'tt~~:1;$E:Krt~1'H'878t~vrjf;jt;TIt~;r:;~~:\r~!
$'i2 <?....:.
(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):
$
$
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii~-
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: 2201000000000000449 Date: 04/30/2010 1:47:39PM
Job/Journal Number Description Amount Due
COM20 I 0-00552 Plan Review Residential 82.06
Item Total: $82.06
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Cash BEEGLES CONST LLC cjc in Person $100.00
Change In Person ($17.94)
Payment Total: $82.06
Job/Journal Number Description Amount Due
COM2010-00552 Plan Review Residential 82.06
,.;.< ' Item Total: $82.06
Payments: .' .. Check Number Authorization
- .
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Cash BEEGLES CONST LLC cjc In Person $100.00
Change In Person ($17.94)
Payment Total: $82.06
':'.'(;'
cReceintl
Page I of I
4/30/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000481
Date: 05/11/2010
II :26:38AM
Job/Journal Number
COM20 1 0-00552
COM20 1 0-00552
COM20 1 0-00552
COM20 I 0-00552
COM2010-00552
COM20 1 0-00552
Payments:
Type of Payment
Cash
Change
Description
SDC Stonn - Improvement
SDC Stonn - Reimbursement
SDC Sanitary/Stonn Admin
Building Pennit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
RICHARD BEEGAL
Check Number
Re'ceived 'By ~~ Batch Number
,._cJ~.
liem Total:
Authorization
Number How Received
Amount Due
30.61
110.07
7.03
126.25
15.15
6.31
$295.42
Amount Paid
$296.00
($0.58)
$295.42
Job/Journal Number
COM20 I 0-00552
COM20 I 0-00552
COM20 I 0-00552
COM20 I 0-00552
COM20 I 0-00552
COM20 I 0-00552
Payments:
Type of Payment
Cash
Change
cReceintl
Description
SDC Stonn - Improvement
SDC Stonn - Reimbursement
SDC Sanitary/Stonn Admin
Building Penn it
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
RJCHARD BEEGAL
In Person
In Person
Payment Total:
.'fr '\
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
I n Person
In Person
Payment Total:
'. i,'..:l;i~ 'j a.i .- I,,; .~':
--~-\:,j~'
".
;'~:.::i i U,-,
.Page 1 of 1
Amount Due
30.61
110.07
7.03
126.25
15.15
6.31
$295.42
Amount Paid
$296.00
($0.58)
$295.42
5/11/2010