HomeMy WebLinkAboutPermit Building 2010-6-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00765
ISSUED: 06/29/2010
APPLIED: 06/15/2010
EXPIRES: 12/29/2010
VALUE: $ 65,070.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3568 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1702194207400 :; ';
Springfield TYPE OF WORK: Single Family Residence
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TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: 672 s.f., 2-story Additib" to existing SFD
Owner: PARK CHRISTOPHER A & T A
Address: 3568 YOLANDA AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
DJS INVESTMENTS LLC
License
131714
Expiration Date
10/09/2010
Phone
541-485-2655
BuiLDING INFORMATION.
# of Units: # of Stories: 2 Lot Size:
Primary Occupancy Group: R-3 Height of Structure Sq Ft 1st Floor: 336
Secondary Occupancy Group: U Type of Heat: Sq Ft 2nd Floor: 336
Primary Construction Type VB Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Sprinkled Building; No Occupant Load:
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I DEVE'LOPMENT INFORMATION I
REQUIRED PARKING
Fronlyard Setback: Overlay Dist: Total:
Side I Setback: 9.66 # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: 21.30 % of Lot Coverage: 20.85
Solar Setbacks: 22.50
t
I PUBLIC IMPROVEMEN;I;S'llTION' Oregon \a~~: Or'~;~n Utility
\ adopted by re set torth
Street Improvements: tallow ru e~M,~f(,~Ik!11yp€:ru\es ~R 952-001-
Storm Sewer.~\l':lua'ble: ,.'!~; , NO~~C:~~~-D6WIW'p.bq,l~tB~~l\he lules by
Special Instm~t!oI'ERMIT ~m.~l!l~!'I\'l[!itfiqtlli!lx'j~1Y1glhstem In 90 'Iou may ootaln Note' the telephone
AUTHORIZED UNDER THIS PERMIT IS NOT OOcalling the cente~'e (on Utility NotiticatiOn
COMMENCED OR IS ABANDONED FOR numbeI6~~~:~i~ 1_~00-332-2344).
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Notes:
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Description
Type of Construction
I Valuation Description ~
$ Per Sq Ft Square Footage
or mul.tipJier ,~~ '\~il: or Bid Amount
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Value
Date Calculated
Page I of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Estimate
SFlDuplex
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00765
ISSUED: 06/29/2010
APPLIED: 06/15/2010
EXPIRES: 12/29/2010
VALUE: $ 65,070.00
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Estimate
R-3 VB 1&2 Familv
38,000.00 _
672.00
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
Total Amount Paid
Plannin2 Review
Public Works Review
Structural Review
Structural Review
Structural Review
$1.00
$96.83
Total Value of Project
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Amount Pa!~_{-::. ..i,
$245.32-
$65.18
$33.11
$543.17
$33.60
$119.00
$107.74
$9.04
$39.36
$141.52
Date Paid
6/15/10
6/29/10
6/29/10
6/29/10
6/29/10
6/29/10
6/29/10
. 6/29/10
6/29/10
6/29/10
$38,000.00
$65,069.76
$103,069.76
06/15/2010
06/23/2010
- .
$1,337:04;
I Plan Reviews ~
06/18/2010
06/23/2010
06/23/2010
06/23/20 I 0
APP
APP
DDK
LKW
Receipt Number
2201000000000000692
1201000000000000775
1201000000000000775
1201000000000000775
1201000000000000775
1201000000000000775
1201000000000000775
1201000000000000775
1201000000000000775
1201000000000000775
Storm water to tie into existing
system
Left message for designer to call- I
have questions about vertical and
lateral structural components.
Phoned designer and contractor to
request structural and heating
information again. Noted structural
columns and using electric heat.
Please provide signed electrical
permit.
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.
06/18/2010
06/23/2010
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Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
06/28/2010
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ii6ti8/2010' .
KLK
10
06/29/20 I 0
06/29/2010
APP
KLK
-,
l....ReollirerIJnsnections ~
Footing: After trenches are excavated.
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CITY OF SPRINGFIELD
;1' :
Building/Combination Permit
PERMIT NO: COM20]0-00765
ISSUED: 06/29/20]0
APPLIED: 06/15/2010
EXPIRES: 12/29/2010
VALUE: $ 65,070.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipme~t, conduit piping and other equipment items are in
place but prior to concrete.
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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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Roof Sheathing/Nailing: Before covering sh~at~ing with finish material.
Bolts Installed in Concrete: To be done by .. State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Drywall: Prior to taping.
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 I 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 structurc'witli~iitpermission of the Community Services Division, Building Safety.
I further certify that only contractors and employees\vho arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiol1s,are~r~quested 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
tiz:;r:uct~~_ __ _ 6-2(-(u
-
Owner or Contractors Signature
Date
.~ r
Paec3 of 3
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
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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
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Residential D Government D Commercial
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Job site address: 3 S- b8. . iJ A-vv tA-
City, ;; I' "'=l f; State: Di2-- ZIP:
;..5 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
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Subdivision: ~
".".
Name:
Address,
City: S
Phone:
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
CONTRACTOR INSTALLATION'
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ZIP:
-U3Z- 70:?€
Business name:
Address: 2.6bo
City: (A..;
PhoneSt'( - st=r
-sSYo
E-mail:
CCB license no.:
Print name:
Signature:
;0~~~~~W;.t1_:'~::~~~f~$l:JEf:_q_qt{"I]~G:t:OR"I_~~of{M.A!ftQNff~:tft;~~~f~1,~~0~
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
\
DEPARTMENT USE ONLY
COM Z Of 0- C o7bS
Permit no.:
Date: b -/ :l -/ ()
'. c.>, ::X;~"'::?5:':\->.?~:~<;~}l:.FE'E-'-:SGR~piJ[~}'\'~f{;,.~;:'. ':;:>(' "~.'~' ..:,~.,.-,o .
~y!.:~:X~.t4~:ii,9:~/i~.f6r-j]]:~~-i9~:~~:~;i,[;%tf&~:1~:~Jrff.~:t '~;~~:0r:'[f;~~;:-~:.tl,i.':~,~~;,0';[~;::~':
(a) Job description:
Occupancy
r~
c'l.,\. e.
yL"3:
'V 13-
b7Z
)oIGW
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
o new
-Baddition
DYes ...-B'N 0
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]),
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
$
$
(a) Seismic fee, 1 % (.01 x permit fee [2a]):
$
TOTAL fees and surcharges (2e+3c+4a): $
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 #:
1201000000000000775
, ,
Date: 06/29/2010
2:54:50PM
Job/Journal Number
COM201O-00765
COM2010-00765
COM2010-00765
COM20 I 0-00765
COM2010-00765
COM20 1 0-00765
COM20 1 0-00765
COM20 I 0-00765
COM2010-00765
Payments:
Type of Payment
Check
cReccint 1
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 6623 In Person
Payment Total:
Description
Plan Review Minor - Planning
Plan Review Residential
Fire SF Fee - Residential
SDC Storm - Improvement
SDC Storm.. Reimbursement
SDC Sanitary/Storm Admin
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DJS INVESTMENTS, LLC
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Amount Due
119,00
107,74
33,60
39.36
141.52
9,04
543,17
65,18
33, II
$1,091.72
Amount Paid
$1,091.72
$1,091.72
,L' .
6/29/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.~.~";Id!
Wier
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000692
Date: 06/15/2010
9:12:50AM
Job/Journal Number
COM20 1 0-00765
Payments:
Type of Payment
Check
Description
Plan Review Residential
Paid By
DJS INVESTMENTS LLC
/
.,
Received By
Item Total:
Qheck Number Authorization
Batch Number Number How Received
6620 In Person
Payment Total:
Amount Due
245.32
$245.32
Amount Paid
djb
$245.32
$245,32
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6115/20 I ()