HomeMy WebLinkAboutPermit Building 2010-6-3
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CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2009-01751
ISSUED: l.D (~I\o ~
APPLIED: 12/08/2009
EXPIRES: 11/21/2010
VALUE: $ 155,000.00
Status
Issued
SITE ADDRESS: 189 S 51ST ST
ASSESSOR'S PARCEL NO.: 1702333205802
SPRINGFlETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family dwelling - ***********DPA**********
Total:
1 Handicapped:
No .,' _ -, <:'~'I"~"'Compact:
",'2S;20iJ:;'~0?-\<.>
~ "\~~ 0\
I PUBLIC l\W'\l\OitM~I'\WI-\. 1~\S Vi-?I "n ~Oy. -:>"
.- ~~~:.~ ~t.y. ""\I\~"
AC Mat \'rI\S ~\1t.\) \} \S ~~p.owa Type:
Yes f"-U\'rI~t.~Ct.\) O~~\O\llownsponts/Drains:
,,,.' Gol:J\.,Q\)\)f"-'l?
I\~'i ,0
Owner: ROBERTSON BILL
Address: 744 VAN DUYN ST
EUGENE OR 97401
':'1',1' ",:.';;j'-.'
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I CONTRACTOR INFORMATION ~
Contractor Type
General
Electrical
Mechanical
Plumhing
License
98264
147618
174821
141736
Contractor
WILLIAM CABELL ROBERTSON
STEVE HAUCK
ANGEL FAUSTINO ORTIZ ANGELES
RICHARD ALAN ROUNDS
# of Units:
Primary Occullancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMA T1~\O
. ^"u"'" \.1"'\'"
, \ll.~t"... 0" ""J
I tI.~sm' llIe 0le9 se\ \Ot\n I
R-ttrtE~eJ.d\1~ ~1jjIi1tl~b~ 9sz.oA;~D.o
~~~ een\Eltf \\'I\tlU~~"t\\'I'Ii~.MftltR'lc
V Q\\\\1l'Jo'9sZ.ij(ll[l" bO\>\es Oe \e\e~~j{
'" 0pS\ 'foU p~o\e', t\'oJ ~o\i~~Vnc
2~,\\t\O~~ ;M.~O" ~~g.2';)"'''')'
~ ~lli~~ No
rmbet 6ail"'1 .'&
DEVEL~PMENT INFORMA.T10N ~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
.QverlayDist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
20.00
6.00
6.00
47.00
0.00
;'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm water to drain to rain garden
Pagel of 4
"
Residential
Phone Number: 541-954-8636
Expiration Date
04/07/2011
04/30/2011
03/1612011
03/26/2012
Phone
541-484.5542
. 541-221-2665
541-653-0297
541.726-5448
Lot Size: 6,050
Sq Ft 1st Floor: 1,316
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 393
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
+ 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
Plan Review Residential
Residence Wiring 10,0,0, Sq Ft
Residence Wiring Ea Addtl 50,0,
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Trausportation Admin
Storm Drainage Impervious Area
Temp Power 20,0, amps or less
Vent Fan
WilIamalane Single Family
Total Amount Paid
Initial Review
12/0,9/20,0,9
~-".r~3
,..,It:'t:lo
. ;~t;'~~1~:~~1.
t', '
f',
I Valuation Description ~
$ Per Sq Ft
or multiplier
$1.0,0,
Square Footage
'or Bid Amount
155,0,0,0,.0,0,
Total Value of Project
~
Amount Paid
$10,.0,0".;,..
$1,146.50,,; ;:
,'"",
$10,1.97. ,.,.;
$194.71.. ,
$91.68
$79.0,0,
$337.0,0,
$38.0,0,
$932.60,
$9.0,0,
$85.45
$211.0,0,
$60,6.19
$134.0,0,
$50,,0,0, '
$529.11
$695.83
$145.57
$211.21
$931.65
$79.34
$871.87
$63.0,0,
$18.GO"i""
. i.l
$2,858.0,0, "~',; ....'. ,.
".
$10,430,.68; .
Date Paid
~, '-
12/16/0,9
, 12/16/0,9
12/16/0,9
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10
, 6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3/10,
6/3110,
6/3/10,
6/3/10,
6/3/10,
Plan Reviews I
12/0,9/20,0,9
APP LLH
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01751
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/0812009
11121/2010
$ 155,000.00
Value
Date Calculated
$155,0,0,0,.0,0,
$155,0,0,0,.0,0,
0,6/0,2/20, 1 0,
Receipt Number
120,0,90,0,0,0,0,0,0,0,0,0,1337
120,0,90,0,0,0,0,0,0,0,0,0,1337
120,0,90,0,0,0,0,0,0,0,0,0,1337
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
220,10,0,0,0,0,0,0,0,0,0,0,0,622
c-ii~:
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01751
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/08/2009
11121/2010
$ 155,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, . .
Plan nine: Review
12/09/2009
12/1 0/2009
APP
DDK
Minimum setback leller - see
allached documents. I Streettree
required - if there are existing street
trees they may be used to satisfy the
requirement if they meet the street
tree standards. S. 51st Street is an
unimproved street - driveway is not
required to be paved.
Public Works Review
Structural Review
12/0912009
12/09/2009
12/15/2009
12/15/2009
APP
APP
BJG
CJC
storm watcr to raingarden.
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....JleouiretU"nsnections ~
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground roda,1):oo~i.~g.~E~ callfor inspection in conjunction with footing and/or
foundation inspection. I...:>-',J. ~ ,;
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and aftct:' 3.11 rough in inspections have been approved.
Wall Insulation: Prior to cover.
.1
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been relluested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underlloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including....quired .I.esting.
.' I ~ t j; . : ;; ~ :i" .'
Water Line: Prior to filling trench and including req'uired tes'iing.
,. ,
Sanitary Sewer Line: Prior to filling trench and inclnding required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Page 3 of 4
CITY OF SPRINGFIELD
Building/Gombination Permit
Status
Issued
PERMIT NO: COM2009-01751
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/08/2009
11/21/2010
$ 155,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underlloor Mechanical. Prior to insnlation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prio~,to Utility Company energizing pole.
,",::rJ . \ :/'
Rough Electric: Prior to Cover ,,;,,,,,.:,,,,.
. ',It',: . ',,_'
Electric Service: Approval required prior to. utility company energizing service.
Final Electric: When all electrical work is complete.
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 [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 structnre withont permission of the Commnnity 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 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
Z)f":Z:k ~4~
Owner or Contractors Signature Date
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Paee 4 of 4
.':';. ~
Electrical Permit Application
225 Fifth Street. Springfield, OR 97477 +PH(541)726-3753 +FAX(541)726-3689
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f~,~(l,DEP ARTMENli~USE,0NkY: - ,f":
"~",.',i;-,'J,' .;.',,c-' "-"--'-'-.:;f'-',;<;;;';">:)P~.;t;;t-~~;:'ihf;V::,-, ~'.r
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'2,.\D
Permit no.:
Date:
This permit is issued uuder OAR 918-309-0000. Permits are nontransferable. ,Permits expire if work is not started within 180
days of issuance or if work is sllspended for 180 days.
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:
__"If~G~~Nill~~1'i.QR~INSmA~I!AillIPN~~~~l;(il~,?;,
Business name: STEve /lftiXJC-
Address: p. Q, Bc,)C "1136/
City: Gu State: 012. ZIP: '1No I
Phone: _5", - ~ 1- OI(,~ Fax: _5." - 141- I08J
E-mail: S S ;+fIVCJ<- @, COMGq5T. JVE-r
CCB license no.: NO/biB BCD license no.: 20- '1'12- c
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
t tb ~~:
11-,0 ,\."
~.-d
lD~
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\.A~
440-2584-J (9/08/COM)
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$134.00 $
$ 25.00
$ 32.00
$ 63.00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 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 $\,0 cV
20 I to 400 amps (2) $ 87.00 $
40 I 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
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (1)
~~'\'!;;m."-;ll'S_~..itr-.~...,=.. ....,.. ...."..... '-.
.' ..~~~P,igl?~rg;~!:![f1llit:J~E
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A])
(C) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through C):
$ 63.00 $
$ 63.00 $
$ 63.00 $
2~ willamalane .
tlai Park and Recreation District
Job. No.
e}\- \\~\
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: b\\\ %\)eJttSJ'0 PHONE: C\ ~ .f:y6 ~(p
ADDRESS:\~~ 'bD ~lXr ~TATEO~IP:q~
LpCATION OF PROPOSED BUILDING SITE:
Street Address: \Y2>C\ b . ~ \ Sk'
. Plat Name:
Tax Lot Number: \ 1 01. ~~~'lD5~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Family Detached
NO. OF UNITS L
X $2,858 per unit =
$ 'U!/fJ5~
B. Sinqle-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Family Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinqle Room Occuoancy
. NO. OF UNITS
X $1,321 per.unit =
$
E. Accessorv'Dwellinq Unit
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC
$ 12,855~.
cr
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approvaL)
$
Development Services Department
City of Springfield
$~~r:
~ 6,10
Date
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
5
.n:~F.~~;
~.,.....
~--..,J_
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000622
Date: 06/03/2010
1:23:39PM
Job/Journal Number
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-01751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0175I
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
COM2009-0 1751
LDP2009-00 123
LDP2009-00 123
Payments:
Type of Payment
Check
CreditCard
cRcccintl
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Plan Review Major - Planning
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Sanitary/Storm Admin
SDC Transportation Admin'
2 Baths One or Two Family
1st Appliance
Dryer Vent
Vent Fan
Plan Review Residential
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
LDAP Short Form
+ 5% Technology Fee
Amount Due
38.00
2,858.00
134.00
50.00
63.00
85.45
211.00
871.87
695.83
529.11
211.21
931.65
145.57
79.34
337.00
79.00
9.00
18.00
606.19
932.60
194.71
91.68
450.00
22.50
$9,644.71
Paid By
DUN WRIGHT HOME
IMPROVEMENT CO
RHONDA ROBERTSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb 3606 In Person
$6,644.71
djb 06150z In Person
Payment Total:
$3,000.00
$9,644.71
Page I of2
6/3/20 I 0