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Home My WebLink AboutPermit Building 2010-7-9 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: COM2010-00863 ISSUED: 07/09/2010 APPLIED: 06/30/2010 EXPIRES: 01/09/2011 VALUE: $ 23,552.00 Status Issued SITE ADDRESS: 5939 OBSIDIAN AVE ASSESSOR'S PARCEL NO,: 1802033102500 Springfield TYPE OF WORK: Bedroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition Owner: Address: GALIK ELENA 5939 OBSIDIAN AVE SPRINGFIELD OR 97478 . .~.'. "'-, '.' ." , .,.'" , I CONTRACTOR INFORMATION ~ Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: , .l .' Height of Stru~ture Type of Heat: ",'" Water Type: Range Type: Energy 'path: ,to 1'1: Oregon \~filJ1UlJ'dl%~lfi\'11HV follow rules a Cil ATlON Notification Can OAR 9S2-001-0010 t ro 'as ofthe rules by In 90 You may obtain 1~b.{~'\li~PhOne ' 00 calilngl\lI& centg~'e~N ;liiii~v1%\i!i~lP.n numbeUIIT the -80 19'!1!-26~Rqd: Center Is 1 ~~o of Lot Coverage: . R-3 U VB' Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: 400 Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains:. 'jl.. '., '1; A<'j.~;~'t):i1~~;~;8~;~-':.'''- Description Type of Construction .;", ' ,,! ;,',.' NOTICE:M1T SH~l\- f)(PIRE \F1HE W~~~ :; I ,: 'A\,I iHORlZED DONED fOR.,," Valuation Descriptio't'11MENCED OR IS ABAN,,' , ~~'" 1 Rn DAY PERIOD. $ Per Sq Ft Square Footage V I or multiplier or Bid Amount a ue Date Calculated Notes: Paee I of 3 'ifM. 1it,"'t):1;.:,\"' ,',i;,;:i .;~'.:' I Plan Reviews I Plannin2. Review 07/01/2010 07/0212010 . APP DDK , ,. Public Works Review 07/01/2010 07i0812010 APP BJG , ".:IJ-. ,..,. ,.I.J.a:. ...,-" <",1 Structural Review 07/01/2010 07/09/2010 APP CJC Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Plumbing Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid .~~~! '~:E'''~~:''::~ CITY OF SPRINGFIELD Building/Combination Permit ,1';P".. ..,'h PERMIT NO: COM2010-00863 ISSUED: 07/09/2010 APPLIED: 06/30/2010 EXPIRES: 01/09/2011 VALUE: $ 23,552.00 $1.00 23,552.00 Total Value of Project $23,552.00 $23,552.00 06/30/2010 ~, .."......", ,'F' Amount Paid Date Paid Receipt Number '.' $49.14 $20.48 $79.00 $272.50 $20.00 $57.00 $1.00;:J"v, ". .'1'" . $177.13'~;;":'1 ':,:: ._~ .. '~;'~.\OI'.", .. '.",1';" . $225.401.'" ,.. .. '. r~ $376.88 .~. $30.11 7/9/10 7/9/10 7/9/10 7/9/10 7/9110 7/9/10 7/9/10 7/9/10 7/9110 7/9/10 7/9/10 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 1201000000000000810 $1,308.64 No planning issues. NO ADDITIONAL SQUARE FOOTAGE TO IMPERVIOUS AREA. 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...Pe(ili_rreqJr1:~nection~ I "'.;"W"! . "!:j' 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. Drywall: Prior to taping. Final Building: After all required inspections have been requeiited and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing:' ".;' .? "f. ~~2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,_'''':':':..;,,. .."~ .';.,.. ;9<]:ItO~. '''- '-~l ;,-' \ ..::~ :_..;.... - ' ~1:" J :;~ . '" '. . I.~., ~ ; .,," ':l' " Final Plumbing: When all plumbing worki, 'complete;: " ' .11'. 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 complete. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00863 ISSUED: 07/09/2010 APPLIED: 06/30/2010 EXPIRES: 01/09/2011 VALUE: $ 23,552.00 " By signature, I state and agree, that I have carefully examioed 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 St~ie.of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any stru~tur,e without permission of the Community Services Divisioo, 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 reqnested at the proper 'time, that each address is readable from the street, that the permit ca d is located at the front of the property, and the approved set of plans will remain on the site at all times during const tion. / Owner or C .~t~f}k " i'~ ~I;~) i i :Jclf. ..,. '~'~" . _1+"~tJ~f; : ..' " 'il' .Ii ','t.:!, .. : . " ,~' 1~' .. I I ), I j: . ~;, : ~ ; j::t~~~~~i ii \. -r, '"'! ," i,t,' ~:.:~ "",'t-"I"'1 ,." , '1". ~; t,' Pa~e 3 of 3 7-,9-/0 Date j V4 . e t. . .. Ii . J. . . . . 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689 DEPARTMENT USE ONLY {O.....ZOIO-OO f63 Permit no.: Date: b~10 -to 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. .. ,)),~0.CA~'~'QY~BNMffi@';'~R~~PVAil~:E;Mi~ff~~fl$.j;R~i This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~i1i4~1~~~~1~tC:A.TE'g9~YfJQE~j::.CiN~~[L(C:m19rL"4:~"iA~"<U~"r~li!, esidential 0 Government 0 Commercial ~','i';'il~:f",:;;;J9Bi~lrEl.iNWRM,6/rI6t-:JfiAf.jR~12Qc:AII.oN~;J~'M:3!21:t&! Job site address: .". o. , 1 ! ':;':','r,"i<:FEESCHEDLn::E""l :I}.y.'~!~'~.ti:9;~':{r!foiiD.'~'t~9~~r~~~,~t1:4~;~~;~;~l~;f~j.;~~'tJ'.~~;~;:,~;i.':~f.>A:~~~.~;t:~.' (a)Jobdescription:,1~hl t(U"( Occupancy \2. ") Construction type: V fJ Square feet: Cost per square foot: Other information: City: Energy Path: o new 0 alteration (b) Foundation-only permit? Total valuation: w1'l" ad~ition DYes DNo ~ Name: Address: City: Phone. E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $ $ $ ZIP: C, $ Sign here: (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3a and 3b): t~~;;'Mr~eif~~rreo~~~sjt~~}~1~~~\~t?J(;~i,t~~;~i?t,;:~;~~.~;~"~:( CONTRACIOR INSl'AI:.LATION' Business name: C ' (; ~ (a) Seismic fee, 1 % (.01 x permit fee,[2a]): $ ... (~'-~, TOTAL fees and surcharges (2e+3c+4a): $ " .Signature: ~.. '~~~~4;,;E:~~{>~,~~Y4~;$lJ ~~G,0N,r~P;G;t()~-,I_N~,()_RrJI'AIIQ~~~Kff{i;ft~1;fi~~~~~t Name CCB License Number Phone Number Electrical ceJ') Plumbing Mechanical \ ~5S'll , ~ ~.'?V --~b<.\~ ~ f{j ~;~ ~~ , V'" yft~ 22~ Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .'" -; ".i'(tJ 1-< t ~.. 'Ti ~: ':~ '. ~j~~~;;~ 1&:., . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000810 Date: 07/09/2010 2:56:39PM Job/Journal Number COM20 1 0-00863 COM20 1 0-00863 COM20 10-00863 COM20 I 0-00863 COM20 I 0-00863 COM20 I 0-00863 COM20 I 0-00863 COM20 I 0-00863 COM20 I 0-00863 COM20 I 0-00863 COM20 I 0-00863 Payments: Type of Payment CreditCard cReceint\ Description Plan Review Residential Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit ' Fixture Minimum/Adjustment Plumbing I st Appliance Fire SF Fee - Residential + 12% State Surcharge + 5% Technology Fee Paid By ELENA GALIK > ';,~, Item Total: Authorization Number How'Received Amount Due 171.13 376.88 225 AO 30.11 272.50 57.00 1.00 79.00 20.00 49.14 20A8 $1,308.64 ';"-~<'ff~; ,;.~~: ,t"~.Check Number Rec_~ived By . "'_ Batch Number .............""~- .,,' ...;!}9'o) " , .djb 'I!)"~ Amount Paid 05541b In Person Payment Total: $1,308.64 $1,308.64 "'''fTT. ~~7,'~.~;, ,~;: '~', ::~::it~L~ . !:c ;!J-' l: .:l.... '" . ~'::5!L;.. Page I of I 7/9/2010