HomeMy WebLinkAboutPermit Building 2007-6-6
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2655 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703224406400
Springfield
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: DARRELL ZENT
Address: 2655 GAME FARM RD
SPRINGFIELD OR 97477
.;CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00729
ISSUED: OS/22/2007
APPLIED: OS/22/2007
EXPIRES: 12/06/2007
VALUE: $ ]9,776.00
TYPE OF WORK: Family Room
TYPE OF USE: Addition
Residential
Phone Number: 541-988-9923
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Contractor
OWNER
OWNER
OWNER
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
License
Expiration Date Phone
I
13,50
Wall Heat
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
192
Path I
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
28.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
NnTlr.'i:'
Storm Sewer AVliilalil'e:"
Speciallnstructiiji!: PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Urban Fringe
REQUIRED PARKING
Total:
. Handicapped:
Compact:
Sidewalk Type:
ATTENTlmD" ()rAoon 18W rrNuires you to
ownspoutsfDralDs: UtTt
follow rules adopted oy1ne uregon II Y
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332.2344).
Notes:
Paee I of 3
~it..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Dwellines
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
Plaonine: Review
Public Works Review
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-00729
ISSUED: OS/22/2007
APPLIED: OS/22/2007
EXPIRES: 12/06/2007
VALUE: $ 19,776.00
I Valuation Oescrintion I
$ Per Sq Ft
or multiplier
$103,00
Square Footage
or Bid Amount
192.00
Value
Date Calculated
Total Value of Project
$19,776.00
$19,776.00
OS/22/2007
Fppo PiWU
Amount Paid
Date Paid
Receipt Number
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000604
1200700000000000719
1200700000000000719
1200700000000000719
1200700000000000719
1200700000000000719
$24,40
$17,32
$18,75
$43.00
$6,00
$185,40
$9,60
$112.00
$120,51
$6.44
$128,88
$4.50
$2,25
$3,60
$14,00
$31.00
5/22107
5/22107
5/22/07
5/22107
5/22/07
5/22107
5/22107
5/22107
5/22107
5122107
5/22107
6/6/07
6/6/07
6/6/07
6/6/07
6/6/07
$727.65
I Plan Reviews I
OS/22/2007 OS/2212007 APP LLH Plan through "express" route
OS/2212007 OS/2212007 APP TAJ
OS/2212007 OS/22/2007 APP JLP (Express Permit) Storm tied to
existing system. Applicant has been
notified of the LC req. to aquire a
septic responsibility form. Don
Moore to handle any follow-up on
LC form, JLP APP 5/22107
'05/2212007 OS/22/2007 APP DLM
Structural Review
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.
Paee 2 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00729
ISSUED: 05122/2007
APPLIED: OS/22/2007
EXPIRES: 12/06/2007
VALUE: $ 19,776.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Renuired J ,.nectinn. .
lrll.~
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Ooor 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.
Final Building: After all required inspections have been requested and approved and the building is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Undertloor Plumbing: Prior to insulation or decking,
Final Plumbing: When all plumbing 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 ofany 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, th permit card is located at the front of the property, and the approved set of plans will remain on the site at all
"/2:;; 4if- c - & ~cJ7
Owner or Contractors rure
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
· iii:-
c..iIi. of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00729
COM2007-00729
COM2007-00729
COM2007-00729
COM2007-00729
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000719
Date: 06/06/2007
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
DARRELL GENE ZENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 122885 In Person
Payment Total:
Page I of I
3:13:06PM
Amount Due
14.00
31.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55,35
6/6/2007
.
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CITY OF SPRINGFIELD
DEVEI...(J)(1ENTAl SVC. DEPT.
22S 5TH STREET
SPRII(jf'IElD. OR 974n
(541) 726.3791
Sale
ID: 13001
~t'rchant: 7004668
86Al6/137
VISA
4473910003254114
A.oPr Code: 122885
Total:
15:97;18
Exid2t99
Invoice": 9
155,35
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