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Home My WebLink AboutPermit Building 2007-9-10 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00963 ISSUED: 09/10/2007 APPLIED: 06/27/2007 EXPIRES: 03110/2008 VALUE: $ 26,368.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 812 W OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703274201008 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Bedroom and bath addition TYPE OF USE: Addition Residential ATTE Yo u to follow rules adopted by the Oregon tilitySidewalk Type: Notification Center. Those rules are set forth in OAR 952-(}'(n-001 0 through OAR 952-o01Downspouts/Drains: Storm Seow-CJYiY'o\rMSOom!tW~ie1a1OY Vli rules by calling the center. (Note: the telephone number for the Oregon Utility NotifICation Center is 1-800-332-2344). I Valuation Description I Owner: TRUDIE ATKINSON Address: 812 W OLYMPIC ST SPRINGFIELD OR 97477 l CONTRACTOR INFORMATION I Contractor Type General Contractor License DAVID ZARZYCKI GENERAL CONTRACTIIl05626 I BUILDING INFORMATION I # of Units: # of Stories: ,1 Primary Occupancy Group: t\C!:3 Heig~1..2.f~~~vroRK 14.00 Secondary Occupancy Grou~O ~\1 SHAll'Q2\HtH\ra~l;' l5 NOtWall Heat Primary Construction Type THIS PIR(t~ UNDE~5*N\l Secondary Construction Typlf\UTHORI ED OR lIAN~ED fOR : # of Bedrooms: COMMENCED ergy Path: Path 1 AN\{ 180 OJ\\{ PERl ~inkled Building: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.60 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 21.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pae:e 1 of 4 Phone Number: 541-726-2769 Expiration Date 04/26/2009 Phone 541-688-0243 Lot Size: Sq Ft 1st Floor: 256 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: 28.00 To Storm Sewer Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwelline:s V Wood Frame Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning Plan Review Residential Plan Review Residential Refund - -Mechanical Issuance Refund - + 10% Administrative Refund - + 5% Technology Fee Refund - + 8% State Surcharge Refund - Building Permit Refund - Fire SF Fee - Residen Refund - Fixture Refund - Minimum/Adjustment Me Refund - Plan Review Minor - P Refund - Plan Review Residenti Refund - Sanitary Sewer - Impr Refund - Sanitary Sewer - Reim Refund - SDC Sanitary/Storm Ad Refund - Storm Drainage Imperv Refund - Storm Sewer - 1st 50 Refund - Vent Fan Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Imperviou~ Area Storm Sewer - 1st 50 Feet Vent Fan -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning $103.00 Total Value of Project ~ Amount Paid $10.00 $38.09 $24.01 $29.45 $236.10 $12.80 $42.00 $39.00 $112.00 $153.47 $153.47 $-10.00 $-38.09 $-24.01 $-29.45 $-236.10 $-12.80 $-42.00 $-39.00 $-112.00 $-153.47 $-138.53 $-182.19 $-21.17 $-102.78 $-45.00 $-6.00 $138.53 $182.19 $21.17 $102.78 $45.00 $6.00 $10.00 $38.09 $24.01 $29.45 $236.10 $12.80 $42.00 $39.00 $112.00 Date Paid 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 6/27/07 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 Pae:e 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00963 ISSUED: 09/10/2007 APPLIED: 06/27/2007 EXPIRES: 03/10/2008 VALUE: $ 26,368.00 256.00 $26,368.00 $26,368.00 06/27/2007 Receipt Number 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 2200700000000001039 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 2200700000000001038 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000000830 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00963 ISSUED: 09/10/2007 APPLIED: 06/27/2007 EXPIRES: 03/10/2008 VALUE: $ 26,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan $138.53 $182.19 $21.17 $102.78 $45.00 $6.00 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 9/10/07 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 1200700000000001178 Total Amount Paid $1,192.59 1 Plan Reviews I Initial Review 06/27/2007 06/27/2007 APP LLH "Express Process" Plannine: Review 06/27/2007 06/27/2007 APP TAJ Public Works Review 06/27/2007 06/27/2007 APP MS Storm drainage to existing/ 6/27/07 MS Structural Review 06/27/2007 06/27/2007 APP DLM 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. ~ealIire<UnsDections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Drywall: Prior to taping. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Pae:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00963 ISSUED: 09/1 012007 APPLIED: 06/27/2007 EXPIRES: 03/10/2008 VALUE: $ 26,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 structure 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 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 times during construction. ~L Owner or Contractors st turf , _1 4/ to !t; 7- ,,' Date Pae:e 4 of 4 225 Fiftl,1 Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00963 COM2007-00963 COM2007 -00963 COM2007-00963 COM2007-00963 COM2007 -00963 COM2007-00963 COM2007-00963 COM2007-00963 COM2007 -00963 COM2007-00963 COM2007-00963 COM2007-00963 COM2007-00963 COM2007-00963 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001178 Date: 09110/2007 Description Plan Review Minor - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Storm Sewer - 1st 50 Feet Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DA VID ZARZYCKI Item Total: Check Number Authorization Received By Batch Number Number 'How Received djb 002764 In Person Payment Total: Page I of 1 2:30:53PM Amount Due 112.00 102.78 182.19 138.53 21.17 236.10 42.00 45.00 6.00 39.00 10.00 12.80 24.01 29.45 38.09 $1,039.12 Amount Paid $1,039.12 $1,039.12 9/10/2007