HomeMy WebLinkAboutPermit Building 2010-5-28
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00611
ISSUED: OS/28/2010
APPLIED: 05/14/2010
EXPIRES: 11/28/2010
VALUE: $ 40,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 245 24TH ST
ASSESSOR'S PARCEL NO.: 1703361409900
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Addition to single family dwelling
TYPE OF USE: Addition
Residential
-, Sidewalk 1'ype: -
Fullvlmproved . ." ."...!~i::-;;'~.~..H:~!~.""~~", .... .
Yes NOTICE: ~'W"MfWO'WAs:
1~~H~E~~ri ~~~~~ V~~ PERMciTF~S:OT ,\
COMMENCED OR IS "B"MDONE. _ " .'
Owner: LENT STEVEN R
Address: 245 24TH ST
SPRINGFIELD OR 97477
....._ I CONTRACTOR INFORMATION ~
Contractor Type
General
Contractor
OWNER
License
BUILDING INFORMATION ~
# of Units: I 16'itO-yGllto 2
Primary Occupancy Group: nEt{t181I1: OregOll b . 1O~'1. 24.00
Secondary Occupancy Groj1;ow rules adopte~o tfWlID~!:::.'Hli,~d Air Electric
Primary Construction TYPkot\1lcat\OtiBent:;10th lItIltOlH\o~ 8 b'I
Secondary Construction TJl\\'l>AR 952-401 ()btaIn ~ ~ ph:ne
# of Bedrooms: 0090. 'IOU OIav",or ~n\"lP'Ift\P.finAt\Qft
. cal1\r19 \tie ~e or'ego'iPtJ\\-'" !llIiii'i: - - nla
Cen VELOPMENT INFORMATION
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
28,00
5.00
5.00
52.00
13.75
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Stormwater to curb and gutter
Valuation Descri tion
Description
Tvpe of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Paee I of3
Expiration Date Phone
\
Lot Size: \
Sq Ft 1st Floor:
,
Sq Ft 2nd Floor:
\
Sq Ft Basement:
\
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
408
528
490
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
17.50
Curbside 5'
Curb and Gutter
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00611
ISSUED: OS/28/2010
APPLIED: 05/14/2010
EXPIRES: 11/28/2010
VALUE: $ 40,000.00
225 Fifth Street, Sprinl(field, OR
'541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
40,000.00
$40,000.00
$40,000.00
OS/20/2010
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Numher
Plan Review Residential $254.83 5/14/10 2201000000000000497
+ 12% State Surcharge $76.93 5/28/10 1201000000000000585
+ 5% Technology Fee $38.00 5/28/10 1201000000000000585
1st Appliance $79.00 5/28/10 1201000000000000585
Building Permit $392.05 5/28/10 1201000000000000585
Fire SF Fee - Residential $71.30 5/28/10 1201000000000000585
Fixture $152.00 5/281l 0 1201000000000000585
Plan Review Minor - Planning $1l9.00 5/28/10 1201000000000000585
Sanitary Sewer - Improvement $450.80 5/28/10 1201000000000000585
Sanitary Sewer - Reimbursement $753.76 5/281l 0 1201000000000000585
SDC Sanitary/Storm Admin $60.23 5/281l 0 1201000000000000585
Vent Fan $18.00 5/28/10 1201000000000000585
Total Amount Paid $2,465.90
I Plan Reviews I
Plannin!! Review
OS/20/2010
OS/2112010
APP DDK
Minimum setbacks. Survey
required to verity placement. See
letter attached.
Public Works Review
OS/24/2010
OS/25/2010
APP TSS
Stormwater to curh and gutter
Structural Review
OS/20/2010
OS/26/2010
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.
L.P:p.l1l1iretU"nsnection~ ~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r 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.
Pa"e 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M20I0-00611
ISSUED: OS/28/2010
APPLIED: 05/14/2010
EXPIRES: 11/28/2010
VALUE: $ 40,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, I state and agree, tbat I bave 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 witb
the Ordinances of tbe 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 ofthe Community Services Division, Buildiog 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 inspections are requested at the proper time, that eacb 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.
~ /( &.Jj.
-z y /<-'7t7y /0
Owner or Contractors Signature
Date
Pal!e 3 of3
Structural Permit Application
. DEPARTMENT USE orilLY
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225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Pennit no 0/ 0 --r; 1/
Date:
s-
10
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuanc or if work is
suspended for 180 days,
0;, i.. ,.,2,'.j)liil'0CA~:1;fQVE,*~M'E.f.l'f12AP'J{~Q\iAIl~~;Wi~i:lWt&;~~;~
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.,
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
,1-""',.;...i'(~''''.''f.~'..,,,,d-'X >>,',!w'O'"'' ;.,', -'. -, "-0- ,-",",,,,,., ,'-,"...,......,"".,- .,.". ,-,.,- ,-..;.,,, - """"-"'~..~~c:., .c,.'~" ,","', .;..f.J-l", ;:"~-".'.'
i;C;4!;~~\*~;;~c;A'TEt:;Q~y4jQFJlc;ON.S;r~U.C;rIQ~~J5il';1<~l~~i':;'J
gResidential 10 Government 0 Commercial
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,;i~'j;J,; ;:)t;;JqB".SI;rE!INl;qRMA'T10N~ANP~I&C"'TI.9.f\lt~J:WI1>;"~t;i
Job site address: 7-lf) '2-'ft'. 41 .
City: i,f{Lw{;((.eLP State: oIL I ZIP: Cf 74 7?
Subdivision: I Lot no.:
Reference: 170 3'3bfl.{ I Taxlot: C> I ,C>o
. ;" pROPERTY OWNE~ 0 ',',
.-
Name: (.jete'" fl... Le,....i
A~dress: 1--'-iS- L~j.,11 (,-r
City: c.,{l{2wcplfclJi State: b(l I ZIP: "t7'-177
Phone: ';41- ~P- 0(~1r;- Fax: - -
E-mail: 5-J€..e L{>.-r 2",,) fiJ Ibn'l,QIf... ,c.""
This installation is being made on residential or nirm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here: ~ iZ Le~
.. CONTRACIOR IN$TALLA'r1QN.,;, . ".
.
Business name: ..-()'_ ,Pt " I/'"
Address:
City: State: I ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
1~11;j(;~::::"f,,;,i!~'~S\.JB-C;0N:tRAc;:tbR;I.N~pRMA;rIQN~;r:ll1j',1i't!f.j,~it\;.It'
Name CCB License Number Phone Number
Electrical o ~,..e"
Plumbing 0 ~~(L
Mechanical o~>--e fl
,
:'~'~".f._? '" ,:~~~~:.;.~:"~:';';~:?j~:;rJ::i.F~'E~'S9H'~i5iJ[~~~;'~",r.i~ ;,]'>',
;:l;?~y'~),ii~;H~'[l(nt6i~~~~~Q~~~t~i~1%~-~,{~~~~ ~'~~~?fhtl~~;~~}t.\i}~:~~)~~flf~~'~"
(a) Job description: L/PPI+lor'
Occupancy ~
Construction type:\! ~
Square feet: Ll '::> ~
Cost per square foot:
Other information:
Type of Heat: ~
Energy Path: I ~ 8'. S-
O new [iJ-li1leration
(b) Foundation-only permit?
Total valuation:
I+tl'<, 21J-,,^P
(a)'Permit fee (use valuation table):
_ .-(b)investigative fee (equal to [2a]):
(c) Reinspection ($ . 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~.;M~.~~:~L(~~~~~'~~~.f~~e~~,'~A~~~t~:::'"#:'~~~!';~~?~;~:~~k;{~~~\;1:';..;:~,:1";',,!'~~':;;:;,:,
,,:":
(a) Seismic fee, 1% (.01 x permit fee [Za}): $
TOTAL fees and surcharges (2e+3c+4a): $
22~ Fifth'Street
Springfield, Oregon 97477
541-726-3759 Phone
~;Il!1,*,IIi!,9,~""
,
" 'H'
.'~"...d ... ."...............-,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000585
Date: OS/28/2010
2:00:55PM
Job/Journal Number
C0M201O-006] ]
C0M201O-006] I
C0M20 I 0-006] ]
COM2010-0061]
C0M20 10-006 I ]
COM20 10-006 I ]
C0M20 10-006 I ]
C0M20 10-006 I ]
C0M20 10-0061 ]
C0M20 10-006 I ]
C0M201O-006] ]
Payments:
Type of Payment
Check
cReceint 1
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 777 In Person
Payment Total:
Description
Plan Review Minor - Planning
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
Building Permit
Fixture
I st Appliance
,Vent Fan
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
SDC Sanitary/Storm Admin
Paid By
STEVEN LENT
Page I ofl
Amount Due
119.00
753.76
450.80
392.05
]52.00
79.00
]8.00
71.30
76.93
38.00
60.23
$2,211.07
Amount Paid
$2,211.07
$2,211.07
5/28/20] 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201009000000000497
Date: 05/14/2010
I :48:4IPM
Job/Journal Number
COM2010-0061 ]'
Description
Plan Review Residential
Payments:
Type of Payment
Check
Paid By
STEVEN LENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
254.83
$254.83
Amount Paid
CJC
776
In Person
Payment Total:
$254.83
$254.83
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Page 1 of I
5/14/2010