HomeMy WebLinkAboutPermit Building 2010-6-23
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00762
ISSUED: 06/23/2010
APPLIED: 06/1412010
EXPIRES: 12/2312010
VALUE: $ 16,400.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 512 67TH PL 'HtJ ." Springfield TYPE OF WORK: Garage Conversion
ASSESSOR'S PARCEL NO.: 1702341400700
"'t..i. 0, TYPE OF USE: Remodel
PROJECT DESCRIPTION: Garage conversion to:'add two bedrooms and One bath
Owner: ALCANTAR BERTHA MARTINEZ
Address: 512 67TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor License
EITELMAN GLEN 179696
JEFFREY DAVID GRAHAM 189615
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type ".'ater Type: '
Secondary Construction Type: ,~~~ge;\'~R9'" , . "
# of Bedrooms: \tlVlI8""\\@~1W1\'1' 0
.......0"': oregon b'J \\18 G'jJl~~~illgi II/a
l'I'ftr!!l.' 4evt"~iit~ii
tl\\?1H~\~&~o\er. ~ N'Ia' ORMATION I
tlO\i{Ica\IO .00,..00' Ille \10
\tI o~ 2:~ 1I\aY o'o\a\~~~\e: \\19 ~~\e~a\\OO
Qo9O. 1"" geo\er. ~ 0\fJrf"!iI\o' st.
caI"og \he \he 0Ie90~.3tl~ile\)'frees Rqd:
C\IltnD81 \01 o\el \8 1-BO Paved Drive Rqd:
ee % of Lot Coverage:
Front yard Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
I PUBLlC'IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Expiration Date Phone
12/18/2011
04/01/2012 541-337-3067
Lot Size:
Sq Ft 1st Floor: 506
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
q ";::;~:;:':'
Sidewalk Type:
Downspollts/Drains:
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NOTICE: PIRt ~F1HE\NOR\( :~
THIS PERM" SHf\.\.l ~IS PERM" IS NO~.,
AUTHORIZED UNDER ABANDONED FOR ::;,;:'.
COMMENCED OR IS .,," 0
ANY 180 DAY PERIOD.
Notes:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00762
ISSUED: 06/23/2010
APPLIED: 06/14/2010
EXPIRES: 12/23/2010
VALUE: $16,400.00
Status
Issued
Description
Estimate
Tvpe of Construction
Estimate
I Valuation DescriDtion ~
$ Per Sq lit Square Footage
or mul~l~,H~r .~ tot;'-:, or Bid Amount
H;OO., , .hi: 16,400.00
,,~,.t'otal Value of Project
.........,."
Value
Date Calculated
$16,400.00
$16,400.00
06/18/2010
~
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Building Permit
Fixtu re
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Amount Paid
Date Paid
Receipt Number
$132.76
$40.95
$17.06
$79.00 '
$204.25 '
$57.00 . ,
$1.00.,.
$193.20
$323.04
$25.81
6/14/10
6/23/10
'6/23/10
6/23/1 0
6/23/10
6/23/10
6/23/10
6123/10
6/23/10
6/23/10
2201000000000000690
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
2201000000000000730
Total Amount Paid
$1,074.07
Plan Reviews ~
Public Works Review 06/18/2010 ~;i<'t :. -: Z~:,'
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Structural Review 06/18/2010 06!z'2i20 1 ' . APP CJC Approved as noted on plans
Plannine:.Review 06/1812010 06/23/2010 APP DDK Interior only. No planning issues.
Public Works Review 06/2312010 06/23/2010 APP LKW received on 6-23-2010
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'reque~ted after 7:00 a.m. will be made the following
.'
work day.
,
lJe(]lIirecUnsnection~ ~
'. II
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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Building/Combination Permit
Status
Issued
-
PERMIT NO: COM20]0-00762
ISSUED: 06/23/20]0
APPLIED: 06/]4/20]0
EXPIRES: 12/23/2010
VALUE: $ 16,400.00
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfioor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including requiredt~~ting.,
Final Plumbing: When all plumbing work is;C6mplete.' . ,.
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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 comlllete.
Final Building: After all required inspections h~ve been requested and approved and the building is complete.
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By signature, I state and agree, that 1 have carefully).!.amin,!'d th~ 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 with
the Ordinances of the City of Springfield and the E~)Vs'of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre 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 ree to ensure that all r ired inspections are requested at the proper time, that each address is readable from the
street, t at t e permit c . I ated the front of the property, and.the approved set of plans will remain on the site at all
times uring con ction. ' ", b (2 '3/; D
Contractors Signature
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Date
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225 Fifth Street
Springfielil, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000730
Date: 06/23/2010
2:13:40PM
Job/Journal Number
COM20 1 0-00762
COM20 1 0-00762
COM20 10-00762
COM20 I 0-00762
COM2010-00762
COM2010-00762
COM2010-00762
COM20 I 0-00762
COM2010-00762
Description
Building Pennit
Fixture
Minimum/Adjustment Plumbing
I st Appliance
+ 12% State Surcharge
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SOC Sanitary/Stonn Admin
+ 5% Technology Fee
Amount Due
204.25
57.00
1.00
79.00
40.95
323.04
193.20
25.S1
17.06
$941.31
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Item Total:
Payments:
Type of Payment
CreditCard
Check
Paid By
GLENN EITELMAN
GLEEN EITELMAN
Check Number Authorization
Received By Batch Number Number How Received
OJB 01524C In Person
OJB 1905 In Person
Payment Total:
$542.05
$399.26
$941.31
Amount Paid
Job/Journal Number
COM2010-00762
COM20 I 0-00762
COM2010-00762
COM20 I 0-00762
COM20 I 0-00762
COM20 I 0-00762
COM20 I 0-00762
COM20 10-00762
COM20 I 0-00762
Payments:
Type of Payment
CreditCard
Check
cReceintl
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing. . . ,!-'
I st Appliance .''''
+ 12% State Surcharge
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SOC Sanitary/Stonn Admin
+ 5% Technology Fee
'"
Amount Due
204.25
57,00
1.00
79,00
40,95
323,04
193,20
25,SI
17,06
$941.31
.Yd
Paid By
GLENN EITELMAN
GLEEN EITELMAN
Check Number
Received .By . Batch Number
018
018
Item Total:
Authorization
Number How Received
Amount P:lid
o 1524C In Person
In Person
Payment Total:
$542,05
$399,26
$941.31
1905
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Page I of I
6/23/20 I 0
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
220100~QOQQ00000690
Date: 06/14/2010
2:06:21PM
Item Total:
Amount Due
132.76
$132.76
Job/Journal Number
COM20 1 0-00762
Description
Plan Review Residential
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Payments:
Type of Payment
CreditCard
Paid By
GLEN EITLEMAN
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
00556c In Person
Payment Total:
$132.76
$132,76
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Page 1 of 1
6114/2010