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Home My WebLink AboutPermit Building 2010-6-7 ".. 1: l CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00600 ISSUED: 06/07/2010 APPLIED: 05/13/20]0 EXPIRES: 12/07/2010 VALUE: $ 155,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4878 A ST ASSESSOR'S PARCEL NO.: 1702324101300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New Single Family DweJ\ing.(S~me As 4872 'A' St. #COM2010-221) .~> -' Residential Owner: SPRINGFIELDIEUGENE HABITAT F,OR HUMA Address: 1210 OAK PATCH RD . EUGENE OR 97402 I CONTRACTOR INFORMA TlON ~ Contractor Type Contractor License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: . -:;1" '. Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 650 650 No I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 12.00 3.00 ]5.60 "Overlay'Dist: itS!reet trees Rqd: ] Paved Drive Rqd: Yes % of Lot Coverage: .. ..' .' ",,,",,~.~~i?..&~!it.-'~,'~: .,~~~!.:~~'l',l'~ -,~ ,.~~~~...~'''''~- . REQU]RED PARKING Total: 2 Handicapped: Compact: ..... . l~.;l, Street Improvements: Storm Sewer Available: Spedallnstruction: .-' _...,...--..-,.' . PUBL!: 1l\.1P.RQ;VEMENT . ~ . "Q't.\~: l\~ ~~..u. 1"\S ~~I~~Type: 1\'\\'0 '~1J." U""\1' .d~"~~~jl.wnspouts/Drains: Storm water to app,..C!Y1'tt1\lI~'"t~It?"vater'infiltration swale. CQ,,^~.. ~~"..,,~\a . .' " N'\~O ~~l , . f>.~. . Notes: I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated '''::1:. ~l~/.'.\,'L i-- . ,\ Page] of 4 ,I-~ ".,,' ~;{,;-,l ....; 1.~''';'~j .,. *',,1.'.' i" '.:' , , ~iik'" AJ,,: ~~I .'n",._~.._..,_.T"_'_ ."_' .._. .~ _.f .., -';:c,O- , "'C' 1;'{~ ',; CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00600 ISSUED: 06/07/2010 APPLIED: 05/13/2010 EXPIRES: 12/07/2010 VALUE: $ 155,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " 05113/20 I 0 155,000.00 $155,000.00 $155,000.00 Estimate $1.00 Estimate Total Value of Project ~ Date Paid Receipt Number 5/13/10 2201000000000000491 6/7/10 2201000000000000649 '~ ~.t _ , 6/7/1 0 2201000000000000649 '.'~-j : 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 , 2201000000000000649 ,6/7/10 2201000000000000649 6/7/10 2201000000000000649 . ~"-' ~ , 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 6/7/10 2201000000000000649 ....1,. ' 6/7/10 2201000000000000649 6/7/10 2201000000000000649 Amount Paid' Fee Descriotion Plan Review Same As + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Fire SF Fee - Residential Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanital)'/Storm Admin SDC Storm - Improvement SDC Storm - Reimbursement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Vent Fan Willamalane Single Family $250.00 $184.15 ' $87.28"'f' $79.00,;;'~ $337.00'.-:":'" $38.00 '; $932.60 $9.00 $65.00 $211.00 $134.00 $25.00 $644.00 $1,076.80 $10.00 $22.63 '! ' $1,333.57 $101.97 $162.24 $133.01 $478.30 $279.54 $1,140.17 $98.76 $18.001',":' $2,858.00: ' ". :ct-: ,{I.' --" $10,709.02: Total Amount Paid I Plan Reviews ~ OS/20/2010 05121120 I 0 APP DDK 05/1:3/2010 OS/21120 I 0 APP CJC Approved as noted on plans OS/21/2010 OS/24/20 I 0 APP LKW Storm water to approved private grassy stormwater infiltration swale, " , Plannine: Review Structural Review Public Works Review To Request an inspection call the 24 ho~r,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. Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit ", PERMIT NO: COM2010-00600 ISSUED: 06/07/2010 APPLIED: 05/1312010 EXPIRES: 12/07/2010 VALUE: $ 155,000.00 Sta tus Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line ,~' , f l..Re(]lIiredJn~nections ~ Ufer Electrical Ground: Install ground 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 prior to ,concrete,placeinent. Post and Beam: Prior to Iloor 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 heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. ,J>,. , i Final Building: After all required inspectio~s h'.ve beer requested and approved and the building is complete. Underlloor 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 filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Underlloor Mechanical. Prior to insulation or d~c,king,an(!inclu'ding required testing. Rough Mechanical: Prior to Cover .'"l~' , 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 complete. i;~; hi. . \:,1' .")'1. Paee 3 of 4 . : ~ ! " 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: COM2010-00600 ISSUED: 06/07/2010 APPLIED: 05/13/2010 EXPIRES: 12/07/2010 VALUE: $ 155,009.00 " By signature, I state and agree, that I have carefully examined lhe completed application and do hereby certify lhat 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 L~,ys of the Slate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structiihi 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. I further agree to ensure that all required inspections are requested at the propertime, 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 sile at all times durin construction. - ;:'n. ..! .. Hr..' ',' '.'1":'. ;1 :~; .~ " , >~ '." "I ~." ;d\ h:.I. .:: ',~'~~ ,. \. .. ..', -'1"'; . ., . ~:'j II j . , .... . .! paee 4 of 4 h-7-/0 Date Electrical Permit Application I~<IDIP'~~~ 225 F;nh S'-.SpriDgf"JOId, OR 97477.PH(54J)726-375JoFAX(541)726-3689 I~ DEPARTMENT USE ONLY CO"'" zorO- oof,a-o Permit no.: Date: b-7-IO Tbis permit is issued uuder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180 days orissnance or if work is suspended for ISO days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? DYes D No CATEGORY OF CONSTRUCTION o Residential I 0 Government I 0 Commercial JOB SITE INFORMATION AND LOCATION Job site address: 4- e 7 t; "A .. 5/. City: ';OL,...,,-r, e l,.l I SlaIe: 012...1 ZIP: lf7471A Reference: 1707 ,>t.4( "'r,~,.j.TaxloI.DI30~ DESCRIPTION ,I'lF"WORIO^,. JJ.lEN IZEsI 1\ , 'i,~':-..[~Cio'~/F>,=, . \Jre.o...D 111.1 Scniccs or feeders: instal/ation, alteration, relocation CU9;''''i'f.9S:/,,'-:..ente;:':..Ci by;~ r 9~amPSOrleSS(2) $ 81.00 $ PROPER'N)i(i) 'UOtn:'Ose... O..biYW amps (2) $ 95.00 $ Name: Hl/tJn-,4-r t=tJ~''i!Pi1;~dn:~~/lJ?,!(Jh ! ~IPS(2) $158.00 $ Address: 12/0 dAK P""I~h,~neo~' (Noi::e801fh~ lB'l\lamps(2) $205.00 $ City: f=: lJ 6 ct1-E T Stale:C1 a:: 14! ~ fii: ~O amps or volts (2) $469.00 $ Phone:.4-J- 74-/-}707 1 Fax: _ _' eclonly(2) $ 63.00 $ E-mail: Toypl.A 1<001> v ~;:r viVO. CLJH Tern rary 50rviees or feeders: instal/a/ion. altera/ion. relocation This installation is being made on residential or farm property 200 amps or less (2) $ 63.00 $ owned by me or a member of my immediate family. This 201 to 400.lmps (2) $ 87.00 $ property is nol intended for sale, exchange, lease, or renl. OAR .' 479.540(1) and 479.560(1). .--:-'\ L1 401 to 600 amps (2) $126.00 $ Signature: S/E 111161 C.C. - f/ / # .r Over 600'amps or 1,000 volts, see services or feeders section above CONTRA T ALLA TION"" Branch circuits: new, alteration, extension per fXlnel Business name: fl Jtfl. A . .j.-;:"~:::b ,,-~7 ^ c... 8_ Fee fOT branch circuits with purchase of a service or feeder fee: Address: ,Q10 CO' ~8'NiI,.",'.r,""f:<';;,;,,_ Each branch circuit $ 6.00 I $ City: 5',....\. "C~ ~7atA1!~~~1".. b. Fee for branch circuits without pUJ"chase oCa service or feeder fee: Phone:S',/1-7d"L " I :!UD 'B.f!i<i; [JI1S'li..".1 >>.v..21\...; l',.. F~ branch circuit (2) $ 55.00 $ E-mail: CF1/01,-'a~N/)~~" Each additional branch circuit $ 6.00 $ CCB license no.: 1'1.11 '2....... I BCD license no.:_l!;:;f!!if:::{{Jl ~.~iscellaDeous.f~: ~erviC: or feeder not mcluded Signing supervisor's license no.: SO f, z. - -5 . ". .....,,-cl{: Each pump ortmgalton Circle (2) $ 63.00 $ Print name of signing supervisor: (' ('-eO; I-kl-t/~"q ,.:' Each sign nroutline lighting (2) S 63.00 $ Signature of signing supervisor: / ~~ L/ \ Signal circuit or a limited-energy panel, S 63.00 S ~ alteration. or extension (2) / ~~\ 440-2584-1 (9108/COM) ~~ ~~ ~ FEE SCHEDULE Number ofiospections per item () Qty. Cost ea. Total cost Residential, per uoit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof ( $134.00 $/5''-/ $ Z~ { $ 25.00 Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ $ 32.00 $ 63.00 $ Eacb additional inspection: (I) $58.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee 558.00) $(/)7 $J?DJ' $ 7~r $ /Xb ~ (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (S"1o of [A]) TOTAL fees aod surcbarges (A through C): " 225 Ftfth Street Springfield, Oregon 97477 541-726-3759 Phone aJN~Q. F~.E1.O..'" ~','.,'. Wir. f' " ,', ',~ A!.', ,: ._._.,.......~....._-_..~! .'-..: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000649 Date: 06/07/2010 12:00:53PM Job/Journal Number COM20 I 0-00600 COM20 I 0-00600 COM20 1 0-00600 COM20 I 0-00600 COM2010-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 10-00600 COM20 I 0-00600 COM20 1 0-00600 COM20 1 0-00600 COM20 I 0-00600 COM20 I 0-00600 COM20 1 0-00600 COM20 I 0-00600 COM20 I 0-00600 Payments: Type of Payment Check cRcceintJ Description SDC MWMC Administration SDC Sanitary/Storm Admin SDC MWMC Compliance Charge SDC Transportation Admin Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee Plan Review Major - Planning Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1st Appliance Vent Fan Dryer Vent Fire SF Fee - Residential 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 1." :1 " " I" Paid By SPFD EUG HABITAT Item Total: Check Number Authorization Received By Batch Number Number How Received " .. 2629 In Person Payment Total: "d'b .,,,J ..j .L~..~ ,,, (;:1:, Page I of I Amount Due 10.00 162.24 22.63 98.76 134.00 25.00 184.15 87.28 211.00 932.60 38.00 2,858.00 337.00 79.00 18.00 9.00 65.00 133.01 478.30 1,076.80 644.00 279.54 1,140.17 101.97 1,333.57 $10,459.02 Amount Paid $10,459.02 $10,459.02 6/7/2010 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone CL Jf Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000491 Date: 05/13/2010 9:03:36AM Job/Journal Number COM20 J 0-00600 Description Plan Review Same As Payments: Type of Paymeut CreditCard Paid By HABITAT FOR HUMANITY Item Total; Check Number Authorization Received By Batch Number Number How Received KLK KLK 506299 In Person Payment Total: Amount Due 250.00 $250.00 Amount Paid $250.00 $250.00 .{,: ;", cReceint] Page 1 0(1 5/13/20 J 0