HomeMy WebLinkAboutPermit Building 2010-6-2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00518
ISSUED: 06/02/2010
APPLIED: 04/27/2010
EXPIRES: 12/02/2010
VALUE: $ 117,358.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
S[TE ADDRESS: 823 56TH PL
ASSESSOR'S PARCEL NO.: [702331101200 '
Springtield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCR[PTlON: Addition of [2t2 s.f.
Owner:
Address:
PETERSON DENN[S R & GLENNA t, -
823 N 56TH PL
SPRINGFIELD OR 97478
I CONTRACTOR [NFORMATION ~
Contractor Type
General
Electrical
Contractor
D BAR AND COMPANY CONST [NC
GMD ELECTRIC [NC
License
162191
Expiration Date Phone
541.247- 0279
11/1912010 541-726-8601
BUlLD[NG INFORMA nON i
VB
# of Stories: 2
Height of Structure 24.00
Type of Heat: orced Air Electric
Water Type:
Range Type:
Energy Path:
Sprinkled Building: No
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
810
402
# of Units:
Primary Occupancy Group:
Secoiillary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION ~
----I
REQUIRED PARK[NG
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.89
10.00
68.00
18.75
'Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
--'Yo of Lot Coverag./.t.TTENTlON: ~50n taw r-equlres you to
follow rules adopted by the Oregon Utility
. ti
I PUBLIC [MPROVEMIIN':WI.952-001-001 0 1hrough OAR 952-001~'
ii~ou may obtain copies of the rules by
calling thfl'iltmtetl< ~Oll:l: the telephone
~umber fOrJOO..R(,~gQJhU\iI(ty .Notificatlon
_ ,"!, Center 181~:~4).
Street Improvements:
~JIlI'~f:'
Storm Sewen\:v:lilable:
Special [nlt~JStiBIiRMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: St9r,IijffemmeGWi~J\f3"AIiJDONED FOR.;
ANY 180 DAY PERIOD. o/.'
,
Page I of 4
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Building/Combination Permit
PERMIT NO: COM2010-00518
ISSUED: 06/02/2010
APPLIED: 04/27/20]0
EXPIRES: 12/02/20]0
VALUE: $117,358.00
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Status
'!._" ,:
Issued
t.":,.,,
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Description
$ Per Sq Ft
or multipHer
$1.00
$96.83
Square Footage
, or Bid Amount
96,960.00
1,212.00
Tvpe of Construction
Bid Amount
SFlDuplex
Use Bid Amount
R-3 VB 1&2 Familv
Total Value of Project
~
CITY OF SPRINGFIELD
Value
Date Calculated
$96,960.00
$117,357.96
$214,317.96
04/27/2010
04/27/2010
Fee Description Amount Paid " Date Paid Receipt Number
-.,,-,., .-...., "
Plan Review Residential $508.31..;., ' ..:' j::. 4/27/10 3201000000000000168
+ 12% State Surcharge $22.32";~':( ',~"",~ ; 5/28/10 2201000000000000598
"
+ 5% Technology Fee $9.30,', " .. 5/28/10 2201000000000000598
Add, Alter, Extend Circ Ea Add $24.00"', 5/28/10 2201000000000000598
Penn Serv/Fdr 200 amps or less $162.00 5/28/10 2201000000000000598
+ 12% State Surcharge $115.80 6/2/10 1201000000000000597
+ 5% Technology Fee $54.20 6/2/10 1201000000000000597
1 st Appliance $79.00 6/2110 1201000000000000597
Building Permit $782.01 6/2/10 1201000000000000597
Fire SF Fee - Residential $60.60 6/2/10 1201000000000000597
Fixture $95.00, , " ,76/2/10 1201000000000000597
Plan Review Minor - Planning $119.00 6/2/10 1201000000000000597
Sanitary Sewer - Improvement $176.37 : ' 6/2/10 1201000000000000597
Sanitary Sewer - Reimbursement $231.94" i " 6/2/10 1201000000000000597
SDC Sanitary/Storm Admin $36:40; , 6/2/10 1201000000000000597
SDC Storm - Improvement $280.10 ,t 6/2/10 1201000000000000597
SDC Storm - Reimbursement $39.67 6/2/10 1201000000000000597
Vent Fan $9.00 6/2/10 1201000000000000597
Total Amount Paid $2,805.02
I Plan Reviews ~
04/30/2010 'I". 1,- i..
Initial Review 04/30/20 I 0, , APP CJC
" ;," "
'I'''"
Planni"!! Review 04/27/2010 0;1/03/2010 APP DDK
Structural Review 04/27/2010 05/06/2010 WE CJC
Public Works Review
04/27/2010 c
05/10/2010 :
APP TSS
',I,
f}
Palie 2 of 4
Approved as noted.
Need special inspection form- will
accept structural observation of
epoxy-set dowels for ledger
connection. Informed engineer and
draftsman 5/6/10.
Stormwater to existing eaves.
"
CITY OF SPRINGFIELD
::1
Building/Combination Permit
d :.
j,
Status
Issued
PERMIT NO: COM2010-00518
ISSUED: 06/02/2010
APPLIED: 04/27/2010
EXPIRES: 12/02/2010
VALUE: $ 117,358.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
2."t,;;;.;;.
t,;':~<O,-;:'",. ..
, ,.
To Request an inspection call the 24 hour r'~C'ii~Ji;{g at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, iri~'pections requested after 7:00 a.m. will be made the following
work day.
l...JleouirecU nsnections I
Footing: After trenches are excavated.
Foundation: After forms' are erected but prior to concrete placement.
Post and Beam: Prior to 11001' insulation or decking.
Floor Insulation: Prior to decking.
ii
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 covel'.
Ceiling Insulation: Prior to cover.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector, Provide inspection test reports to
City Building Inspector. " "
_ :.1i~..~;,;:;.:'':r.J';!~',''~, .~. .: '
Hold Downs Installed: Special Inspection performed. prior to. placement of concrete. Provide report to City
.. .. .~\t..,':~~ .~;~\ . .
BUlldmg Inspector... :'c:l, Iii,'
"j"
Epoxy Anchors: To be done by Certified Spc!M'lnspector. Provide Inspection results to City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Vnderlloor Plumbing: Prior to insulation or decking.
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; : ~_.
Vnderfloor Mechanical. Prior to insulation or"decking an'd including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical.: When all mechanical W~r~' is complete.
Rough Electric: Prior to Covel'
Final Electric: When all electrical work is complete.
. -\1
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Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00518
ISSUED: 06/02/2010
APPLIED: 04/27/2010
EXPIRES: 12/02/2010
'VALUE: $ 117,358.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon i's 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 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 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.
1 further agree to ensure that all required 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. '
.JI~~Ci51 tWJ7~ ~1'-
Owner or Contractors Signature 1\:,:;-;;;
';.',11. '\t ".-'
,
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D e
AD) D
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Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541.726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000597
Date: 06/02/2010
1I:14:46AM
Job/Journal Number
COM20 I 0-00518
COM2010-00518
COM20 I 0-00518
COM20 I 0-00518
COM20 I 0-00518
COM20 I 0-00518
COM20 I 0-00518
COM20 I 0-00518
COM2010-00518
COM2010-00518
COM2010-00518
COM2010-00518
COM2010-00518
Payments:
Type of Payment
Check
Cash
Description
Plan Review Minor - Planning
Building Permit
Fixture
I st Appliance
Vent Fan
Fire SF Fee - Residential
SDC Storm - Improvement
SDC Storm - Reimbursement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
-,",-,.'"", ,- "., -.'"
"...'~~,.' ,,,.. .';<',:~.
Paid By
SELCO
GLENNA PETERSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
119.00
782.01
95.00
79.00
9.00
60.60
280.10
39.67
231.94
176.37
36.40
115.80
54.20
$2,079.09
Amount Paid
$2.079.00
$0.09
$2,079.09
Job/Journal Number
COM20 1 0-00518
COM2010-00518
COM20 I 0-00518
COM20 I 0-00518
COM2010-00518
COM2010-00518
COM2010-00518
COM2010-00518
COM2010-00518
COM20 1 0-00518
COM20 I 0-00518
COM2010-00518
COM20 I 0-00518
Payments:
Type of Payment
Check
Cash
cReceintl
"":.
njin'
njm
700748
In Pers9n
In Person
Payment Total:
Description
Plan Review Minor - Planning
Building Permit
Fixture
1st Appliance
Vent Fan
Fire SF Fee - Residential
SDC Storm - Improvement
SDC Storm - Reimbursement
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
+ 12% State Surcharge
+ 5% Technology Fee
...L,,-,
..... ;_.
.-
Paid By
SELCO
GLENNA PETERSON
1 Item Total:
Check Number Authorization
Received By Batch Number Number How Received
.. .". . 700748
In Person
In Person
Payment Total:
njm
.'.
nJm
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....,,-...'
Page I of I
Amount Due
119.00
782.01
95.00
79.00
9.00
60.60
280.10
39.67
231.94
176.37
36.40
115.80
54.20
$2,079.09
Amount Paid
$2,079.00
$0.09
$2,079.09
6/2/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~.:Q~;ii
~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #: 3201000900000000168 Date: 04/27/2010 II :45:56AM
Job/Journal Number Description " Amount Due
COM2010-00518 Plan Review Residential 508.3 \
Item Total: $508.31
Payments:, Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received ~ Amount Paid
Check GLENNA L PETERSON KLK 1091 KLK In Person $508.31
Payment Total: $508.31
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cReceintl
Page I of l .
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