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Home My WebLink AboutPermit Building 2003-3-25 f, . . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00156 ISSUED: 03/25/2003 APPLIED: 03/11/2003 EXPIRES: 09/25/2003 VALUE: $ 3,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1138 CUSTOM WAY ASSESSOR'S PARCEL NO.: 1703263408000 Springfield TYPE OF Bathroom TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Convert half bath in bsmt. to full bath and service change and add new heat pump. Owner: LACEY GERALD R & LISA M Address: 1138 CUSTOM WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Owner Plumbing Contractor License GERALD LACEY "- GLEN A CAMPBELL .73995 " \', . GERALD LACEY/." " \\." . ...... LACEY GERALD R & LISA M .. ' . '." , \.. . . ,oJ' . ,:.. 't"'" . _. .. GERALD LACEY )' ~" . ,',' ',' .,........ ,'. Expiration Date OS/24/2004 Phone 541-746-9655 541-744-0705 . . . . 541-746-9655 # of Buildings: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: . ," .. -., .1' BUILDING INFORMATION I. -<.....<~ ~~. _ . , _ _ _ , ....\\.\'L . ~ .' ..~,' . . \..." ;' . -,,'. . . -, ". . . .. ,,'-)\\~. ,\ #. f'S.t' . .'. '". L S' .:,.;\P:'.:.~.: .,ones:.,':. ":.",, .....~. ot lze: R-3 . ;\:." . !l~lght,.?J~<; . ,."",,:. ,.r:;~;':" Sq Ft 1st Floor: \ · "", \.' . Ty'pe,(ofH.~at::~ "r.l'l~'~'; - Sq Ft 2nd Floor: VN ,,~\\~\ ':"Wa~erType:. :\~'." I Sq Ft Basement: r,. - -_ . r"'~, ". ;f\\ \. ,Ran~~rType: Sq Ft Garage/Carport: Energy Path: Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION. ~8~DPARKING Overlay Dist: ~t. \r \\\'Cr~l\\\)\ # Street Trees, r:~: l~ 't.'f..'r~ ?'t.~~\\)AA1licapped: Paved D~tf~1R~a:~~\\ <2l\\~t.~ \\,\\<2l D\)~t.\)crlh\\pact: % of Lot ~~ra \:ge:\lt.D ~~o \5 ~'O~~ \ \:\ "'~\' n \Jf' \ ~\.J(\M\~t.~c,t:~ ~t.~\\)\)' J - \.-':.:..\ ~~ IPUBLIC IMPROV~N"S Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: SDC only Sidewalk Type: Downspouts/Drains Notes: 1 of 3 < . . CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: cOM2003-00156 ISSUED: 03/25/2003 APPLIED: 03/11/2003 EXPIRES: 09/25/2003 VALUE: $ 3,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft $1.00 Square Footae:e 3,000.00 Value $3,000.00 $3,000.00 Date Calculated 03/11/2003 Total Value of Project I Fees Paid I Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum! Adj ustment Mechanical Minimum! Adj ustment Plumbing Perm Serv/Fdr 200 amps or less Plan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Amount Paid Date $34.32 $10.00 $21.18 $14.83 $6.00 $52.80 $14.00 $39.00 $31.00 $63.00 $59.00 $50.37 $66.27 $5.83 $6.00 3/12/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 3/25/03 Receipt Number 1200200000000000817 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 1200200000000000884 Total Amount $473.60 Initial Review Plannine: Review 03/13/2003 03/13/2003 I Plan Reviews , 03/13/2003 APP 03/21/2003 APP LLH AID Zoning confirmed as LDR, building footprint not being altered. SDC fees only for new bath tub. Public Works Review Structural Review 03/13/2003 03/13/2003 03/21/2003 APP 03/24/2003 APP VRJ TCM To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.Reauir~d Insnections-l 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Wall Insulation: Prior to cover. 3 Drywall: Prior to taping. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Underground Plumbing: Prior to filling the trench and including required testing. 2 of 3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2003-00156 ISSUED: 03/25/2003 APPLIED: 03/11/2003 EXPIRES: 09/25/2003 VALUE: $ 3,000.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 6 Rough Plumbing: Prior to cover and including required testing. 7 Final Plumbing: When all plumbing work is complete. 8 Rough Electric: Prior to Cover 9 Final Electric: When all electrical work is complete. 10 Rough Mechanical: Prior to Cover 11 Final Mechanical: When all mechanical 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 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 str h, that the permit card is loca ed-at-tIie front of the property, and the approved set of plans will remain on the site at al~im7 "n~structi . ~/ ~ 5-.;2.S--o~ fwner ~~ors Signature Date 3 of 3 . 3/25/2003 2:00:06PM 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Depa, >c.ent Public Works Department Official Receipt Receipt #: 1200200000000000884 Date: 03/25/2003 _ne Items: Job/Journal Number Description Amount Paid COM2003-00156 Plan Review - Planning 59.00 COM2003-00156 Sanitary Sewer - Reimbursement 66.27 COM2003-00156 Sanitary Sewer - Improvement 50.37 COM2003-00156 SDC Sanitary/Storm Admin 5.83 COM2003-00156 Building Permit 52.80 COM2003-00156 Fixture 14.00 COM2003-00 156 Minimum! Adjustment Plumbing 31.00 . COM2003-00 156 Add, Alter, Extend Circ Ea Add 6.00 COM2003-00156 Perm Serv/Fdr 200 amps or less 63.00 COM2003-00156 Vent Fan 6.00 COM2003-00 156 Minimum! Adjustment Mechanical 39.00 COM2003-00 156 -Mechanical Issuance Fee- 10.00 COM2003-00 156 + 7% State Surcharge 14.83 COM2003-00 156 + 10% Administrative Fee 21.18 ~ $439.28 Line Item Total: '. . Page 1 of2 cReceiplrpl .~~,pIQj! ;:OJ <~_~~ 3/25/2003 2:00:06PM 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Officiallleceipt Receipt #: 1200200000000000884 Date: 03/25/2003 .ments: Type of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check GERALD LACEY djb In Person Payment Total: 439.28 $439.28 . .4 } p Page 2 of2 cReceiplrpt . , \ ( YfIff' , r CITY OF L ._J.liNGFIELD, ,OREGON ",,_)..: 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 '~~~~J,541)726-3689 ' '. ng p'rOjec! as submitted has the tcllowing ELECTRICAL PERMIT APPLICATION lorllng and does not require specific land use approval. City Job Number (' /kM/2btJ? -CY) / c L Date Cl:> R- Li2..P Zoning 3. COMPLE1Et'FEE 8CHliDFl I? RI'J",OlV3 -(~7-t>..3 0:J 1. LOCATION OF INSTALLATION //3~ CU)~ wA-V , I LEGAL DESCRIPTION ) 70]2(0 34- JOB DESCRIPTION ~fl~ W\t- ~ "'- ~ m-< IiM1 /k" 61~'\~ ,-y-td~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. o ~~rJ 0 CONTRACTOR INSTALLATION ONLY 2, G~.v C ~&e.tl Electrical Contractor ~i./!t-v--r~. C(.Q.~IL Address P,O. ~o j-... U L( City 1,,1 ~ \.\e vi4I; {l.{1 7t{C( -of} Or- Phone I. Supervisor License Number 3 (, GG -5 .}' l: i Expiration Date ,*/0 <-( -4Z~~~~ €- .- Constr. Contr. Number Expiration Date I 0 / / 0 / 0 L/ I / Signature of Supervising Electrician Ae- C\ , ~kJj Owners Name C67!/f/cf R. I-ACC:Y' Address /l3fJ" c.vs/-e,,,,,,, 1/7 City .$?e/~s,\if:(c.1 Phone 7y6 7'~-S- y r OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 l~u(f"Jnled Signature A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations OJ( Relocation: 1 'C, ; ,8-.1 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts . "\1.:;. "'. . , Reconnect Only) h.h:u'(8~ ;.....u ;.<- : i:j U\i;:";l:l::~,~tl€~ .or"!!JUi;0Nii~ ,c., .. Terri~ora'r\r"'Set~;ices~pli Feedet;.s. -. "~:;s:ll!t"/, f'._f;""),....- .' -' ~ ~-C;;LH}.'rJ ,. ':""""'1\.''"j:v' - ~II' ;~.' ". :,h','-.,; '.' .,.".... .,' '1- ~-J ::'1;1<-!)O~; ,.. .. '" T~sJll~lati~n, .A.lteratio.(1;~rrJ}~~~,c~tion " . . \ ~I ,', "1...,,....,\ t. .' ,'. ~OOAwp~~r,lf~~.:.i (::).'";~.~~!'l~ 201 A 400"v \I..,:.l;.... t' . .' '. mps~t? :".,~~ps,. ,'1 Ion 401 Amps'to'600'l\'r6ps). Over60~ Amps or 1.000 Volts see '~B" above. D. . Branch Circuits $ 50.00 $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with to (7,0 Service or Feeder Permit -!:l- ;to~\~ I E. "~~1I\\1ft; s~~~f\Rt.~~~~d~~9'~ Ins~~lla~I~ri . 'i\-\\5\'t.~\~~~6tR1H\~~f~~O fOR' .' , . . Pump~w.lilllIJ.f-O \) 0\\ \5 "'\l"'~00 $ 50.00 Sign/~\~~~~~ ~t.R\OO. $ 50.00 Limite~AA'e~fu.~dential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE 6'/, 07D ~,~3 _-6,7/t) {:SO, 7 J 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc . . . ." DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY. 0 0 2 = 0 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS I 3 OEDU {Equivalent Dwelling Unit} is a discharge eauivalent to a single family dwelling unit {20 DFU's} set at 167 gallons per day J MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$I ,000 ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 $2.06 $\.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXA nON CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $4.92 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $4.92 = I o TOTAL MWMC CREDIT I $0.00 =