HomeMy WebLinkAboutPermit Building 2005-9-7
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.. CITY OF 1)r'Kl1'1\j1<1~LD
Building/Combination Permit
PERMIT NO: cOM2005-0009l
ISSUED: 09/07/2005
APPLIED: 0112112005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
SITE ADDRESS: 1084 Diamond Street
ASSESSOR'S PARCEL NO.: 1703342102800
Springfield TYPE OF
Foundation
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Foundation. Single family resldence..Temporary occupancy Issued 090705 valid for 30
days from date of Issuance.
Owner:
Address:
DJS INVESTMENTS LLC
2860 MARTINIQUE AVE
EUGENE OR 97408
Phone Number: 541-485-2655
ATTENTION: Oregon law req\Jlrgg V!:l/.! ~
follow rules adopted by the Oregori Utility
~1f"\+:I:...,.,t;f"'I'" r-,..,_+~.. T"-""'....,.. .1__ ....__ __... 1__..1_
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'~olX:ORtli{;\'~jli IN~'UKMA1:iuN r-OOl.-
, . .., . _ _ . . ., ,es by
Contractor calling the center. (Note:tE1cfeils'ehonfExpiration Date
DJS INVESTMENT~~Ec for the, Oregon Utll'i3t7f.1lflc;atHI.f,l 10/09/2006
BOB FISHER ELECTRlC~NC!er.ls 1-600-3329~Hs)' 0112512006
SCHELSKYS LANDSCAPE AND IRRlGATIOU170 0813112005
MARSHALLS INC 25790 1212312005
JAMMAL INC 158262 0111212006
f'BU""ILUlNG lNl<'URMATlUNI
Phone
541-485-2655
541-689-7973
541-744-7135
541-747-7445
541-484-7440
Contractor Type
General
Electrical
Landscape
Mechanical
Plumbing
# of Units: I # of Stories: 2 Lot Size:
Primary Occupancy Group: R-3 Height of 27.00 Sq Ft 1st Floor: 1,488
Secondary Occupancy U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 878
P'rimary Construction Type VN Water Type: Gas Sq Ft Basement:
Secondary Construction Range Type: Electric Sq Ft Garage/Carport 607
# of Bedrooms: 3 Energy Path: Path I Sq Ft Other:
Sprinkled nla Occupant Load:
IUEVELUl'MENTINI<URMATlUN I
REQUIRED PARKING
OV~fLaY. PJ~t: PIRE IF I\-\E WOfl{tal: 2
# Str~t;I;r!:~M\1 SHALL EX S p~F.~,^11 IS NHandlcapped:
Paved\Drive,Rqd: UNDER 1\-\\ Yes 0 FOD Compo act:
"I 1'1' l\l.U.._.... d "Nr\/Il\.... n
% ofI:.Ot Coverage:JR IS AD" 30.60-
CO\'l\lVitl~I.JL:"
^ MV 11'.0 01\'1 PERIOD,
Front yard Setback:
. Side I Setback:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethncks:
21.30
5.60
5.60
5.60
0.00
Subdivision Not Accepted
S treel
Storm Sewer Available:
Special Instruction:
(pUBLIC IMPRUVEMENTS,
Fullv Improved
Yes
, Sidewalk Type:
Downspouts/Drains
Curbside 5'
Curb and Gutter
Notes: No Hook-up to City Infrastructure until Public Improvements accepted by the City 1125/2005 CAS
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. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-0009l
ISSUED: 09/07/2005
APPLIED: 0112112005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
Status: lssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Bid Amount
Dwelllnes
Garaee
Type of Construction
Use Bid Amount
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$1.00
$96.00
$24.30
Square Footage
or Bid Amount
5,000.00
2,366.00
607.00
Value
Date Calculated
Total Value of Project
$5,000.00
$227,136.00
$14,750.10
$246,886.10
08/1612005
0112112005
01121/2005
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Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $667.65 1121/05 3200500000000000029
-Mechanical Issuance Fe.... $10.00 2122/05 1200500000000000233
+ 10% Administrative Fee $164.12 2/22/05 1200500000000000233
+ 7% State Surcharge $114.88 2122/05 1200500000000000233
3 Baths One & Two Family $306.00 2/22/05 1200500000000000233
Addressing Assignment $31.00 2122/05 1200500000000000233
Appliance Vent $6.00 2122/05 1200500000000000233
Building Permit $1,027.15 2122/05 1200500000000000233
Curbcut Permit $75.00 2122/05 1200500000000000233
Dryer Vent $6.00 2122/05 1200500000000000233
Exhaust Hoods $9.00 2122/05 1200500000000000233
Furnace - up to 100,000 btu $12.00 2122/05 1200500000000000233
Gas Fireplace $15.00 2122/05 1200500000000000233
~ Gas Outlets 1-4 $4.00 2122/05 1200500000000000233
Plan Review Major - Planning $103.00 2122/05 1200500000000000233
PW Disc - 2nd Permit (Street) $-30.00 2122/05 1200500000000000233
Residence Wiring 1000 Sq Ft $106.00 2122/05 1200500000000000233
Residence Wiring Ea Addtl 500 $76.00 2122/05 1200500000000000233
Sanitary Sewer - Improvement $493.56 2122/05 1200500000000000233
Sanitary Sewer - Reimbursement $649.08 2122/05 1200500000000000233
SDC MWMC Administration $10.00 2122/05 1200500000000000233
SDC MWMC Improvement $865.31 2122/05 1200500000000000233
SDC MWMC Reimbursement $82.03 2122/05 1200500000000000233
SDC SanltarylStorm Admin $132.69 2122/05 1200500000000000233
SDC Transpo Admin $62.75 2/22/05 1200500000000000233
SDC Transpo Improvement $772.49 2122/05 1200500000000000233
SDC Transpo Reimbursement $175.13 2122/05 1200500000000000233
Sidewalk Permit $75.00 2122/05 1200500000000000233
Storm Drainage Impervious Area $861.18 2122/05 1200500000000000233
Temp Power 200 amps or less $50.00 2122105 1200500000000000233
Vent Fan $24.00 2122/05 1200500000000000233
~ WlIlamalane Single Family $1,000.00 2122105 1200500000000000233
+ 10% Administrative Fee $4.50 4125/05 2200500000000000485
+ 7% State Surcharge $3.15 4/25/05 2200500000000000485
2 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Residential
Minimum/Adjustment Electrical
" + 10% Administrative Fee
+ 7% State Surcharge
Foundation Permit
Plan Review Residential
Deposit
Temp Occy I & 2 Family
+ 10% Administrative Fee
+ 7% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Total Amount
.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-0009l
ISSUED: 09/07/2005
APPLIED: 01121/2005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
$25.00
$20.00
$6.84
$4.79
$68.40
$44.46
$250.00
$100.00
$4.50
$3.15
$14.00
$31.00
4/25/05
4125105
8/18/05
8/18/05
8/18/05
8/18/05
9/7/05
917105
9/14/05
9/14/05
9/14/05
9/14/05
$8,535.81
I Plan Reviews I
Initial Review 01/24/2005 01/2412005 APP SKG
Planninc Review 01124/2005 02/1512005 APP TAJ
~ Public Works Review 0112412005 01125/2005 APP CAS
Public Works Review 08/17/2005 08/1712005 APP SB
Structural Review
Structural Review
08/17/2005
02/02/2005
0811712005
03/0112005
APP DLM
APP JB
2200500000000000485
2200S00000~00000485
3200500000000000498
3200500000000000498
3200500000000000498
3200500000000000498
1200500000000001316
1200500000000001316
1200500000000001346
1200500000000001346
1200500000000001346
1200500000000001346
Needs survey because of minimum
side setbacks.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City 112512005 CAS
Design mod to add retaining wall to
back of lot. Approved, however,
maintenance will be required to
ensure weep-holes stay open over
time. If property owner to South
complains of standing water,
additional drainage will be required.
Retaining wall at rear of property.
Actual review days for this plan was
1125/2005 and completed on
212112005. Entry was not made In
computer but I could not "back
date" entry for February. I
calculated the working days to be
accurate (19).
To Request an inspection can 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. win be made the following
work day.
I l?PO~
Sidewalk. Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Rough Gas: After line Is installed and required testing and capped If not attached to an appliance.
3 of 5
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CITY OF ~rlUl'\jl.l'IELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: cOM2005-0009l
ISSUED: 09/07/2005
APPLIED: 0112112005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work Is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work Is comp'lete.
Masonry:
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
Low Voltage: Prior to cover.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or
foundation Inspection.
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.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required Inspections have been requested and approved and the building Is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to Insulation or decking.
p Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
4 of 5
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-0009l
ISSUED: 09/07/2005
APPLIED: 0112112005
EXPIRES: 03/1412006
VALUE: $ 5,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Shower Pan. Prior to covering and including required testing.
\ Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and Including required testing.
Underfloor Gas: After line Is installed and required testing and capped if not attached to an appliance.
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 certity 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 will be used
. on this project.
I I further agree to ensure tha~al.lJ. uirid spections are requested at the proper time, that each address Is readable from
the street, that the perm~'t c d;S) cated, t the front of the property, and the approved set of plans wID remain on the site
, at all times durin~nstr I (,'!- ;) A ~ ,
/1/U, I_//t/I / J06Co~
1/ Date;
Owner or Contractors Signature
/
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5 of 5
~ 215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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ap.~A1N<!"'!!-O"" "
l1li:.
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IlliiiJ.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200500000000001346
Date: 09/14/2005
9:2S:4IAM
Job/Journal Number
COM200S-00091
COM200S-00091
COM200S-00091
COM200S-00091
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Backflow Device
Minimum/Adjustment Plumbing
Payments:
Type of Payment
CreditCard
Paid By
SCHELSKYS LANDSCAPE
Received By
djb
Item Total:
Lbeck Number AUlborizatlon
Batch Number Number How Received
114142 In Person
Payment Total:
Amoo nt Due
3.IS
4.S0
14.00
31.00
S52.6S
Amount Paid
SS2.6S
S52.65
"
"
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"
9/14/200S .
I of 1
225 FIITH STREIT. SrRlNGFIELD, OR 97477 . rH:(541)726-3753 . FAX: (541)726-3689
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SPRINGFIELD ' .
:. " . . ! . CITY:OF: SPRINGFIELD; OREGON' . ~ ' :
, " ."
City Job Number COIVl ZOO~ - 000 9' (
Job Location III $<'-/ ;J4/>vv1i'>/
J7o'33Lf2.. (
Tax Lot
02 g-OO
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City
BAcKFLOW PERMIT I~ffEm/OO~~des Permit Fee, State Surcharge & Administrative Fee)
f " . regon Jaw requires you to
N Ot'fOW ~ules adopted by the Oregon Utility
C ,I:' 0 Ilcatlon Center Thos I
ontractol' InJormatlOn }j'n~952-O . e ru es are set forth L
01-o01~th 9hOAR952-0~ .
r J 9 '. You ma obtaif opies of the ru,Ws -
Contractor ;:::::;r _htJ '. ". 6. th . ..........if.'J,. _ /"t> .0/1
/J ~N ---"uth~r for the Oregon liIity N~;;fi~~tj~"n "-...J ./
Address k6 7"7td"S L~~ris1'800-::!;.l??'W) Phonp 'R'yt712'J
Cil'.' ,e;;" ~A-P State m.. Zip cj' 776 /
.;.. "-.)
Expires o1h75 ~6
i /
Construction Contractors Registration #
.tZ~ ')
By signing this permit/application, I agree to call for an inspection once the backflow prevention
devise has been installed and is visible for inspyption (726-3769). I also state that all information on
this permit/application is correct. NOYICE1/' I
J / I' 1{(i~S P 'RMIT SHAll EXPIRE IF THE WORK
-z.. .' - // A ~II~;' (fZED UNDER THIS PERMIT IS NOT C'---
Signature ./ 'h-./ \ -L/";/?: .rX.'r-rr.. no 1<: MI~~ln()NFn FO~ Datp l~k'1 Q-,
. -.ANY~DAY PERIOD. I
For Office Use
Date of Application
~~/"'-
Checked for Delinquencil'<
I _____ Checked for Historical Statu<
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Shared Drive (T:YBuilding FonnslBackflow Pn::vcmionl-03.doc