HomeMy WebLinkAboutPermit Building 2004-5-18
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.
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Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
S]TE ADDRESS: 4095 JASPER RD
ASSESSOR'S PARCEL NO.: ]802052300400
PROJECT DESCRIPTION: Bedroom and bath addition
Owner: PASLEY CRAIG T & JUANITA E
Address: 4095 JASPER RD SPRINGFIELD OR 97478
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00098
ISSUED: 05/18/2004
APPLIED: 01123/2004
EXPIRES: 11/18/2004
VALUE: $ 67,406,00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residentia]
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
JEFFREY PLEUARD
SUNSET ELECTRIC INC
RS PLUMBING CONTRACTING
License
135]96
]58859
]038]6
Expiration Date
05/07/2005
02/27/2006
01104/2006
Phone
54] -683-5] 40
541-9] 5-4883
541-46]-4714
I BUILDING INFORMATION I
~~
# of Units: ~~'II.'qf Stories: ] Lot Size:
Primary Occupancy Group: R-3 ,\Y:--~ {o 'R";,ight of Structure ]4.00 Sq Ft 1st Floor: 774
Secondary Occupancy Group: ,~,<'J #' ~pe of Heat: Wall Heat Sq Ft 2nd Floor:
Primary Construction Type 9,V$'f' ~~~ ~<v <<. Water Type: ,8<( Ft Basement:
Secondary Construction Type: 'v <<'j ~S 'N~~ Range Type: :,,\o~.-AA-'i1k.Garage/Carport
# of Bedrooms: -x.'?-\;. <(;.. '" ~~ Energy Path: Pa~l!!>'f ~ --:S~~~ther:
~.' ~ S ~-$;)<<; c.. ~ Sprinkled Building: (~~e<:i>O e 't5~.lP~oad:
""'.~ ,\':- - ,..> ,,,",. '" 0 ,p-~ "fo _c,
~~' ~~~~'\,~'-'~'\) '\)~~~'" 'DEVELOPMENT ]NFORM~T~ON"lS'e'" o~~,<,e \Y>~O<;O-~ 0<;0-
'\~ ~y:--\S &..~" <'-..~ O{L1-..~\,) O~' ~cf ,s-.'" 0'e~&-<JiEQU1RED PARKING
~~~ ~~~~#~&
Frontyard SetbacRf ~~. ,'fJ 205.00 Overlay Di~O 'l>?S 1-..e(' ~at<fl'ince'~ ~ !);\Tota]:
Side 1 Setback: " '?-~ 55.00 # Str~eJ:\~~~e~ ~j:)~ iP ~o,e\:)~ n,,"..>b< Handicapped:
Side 2 Setback:' Pave"i"~~~t)j:)~ a:>'" e\' ~ 0<;0- 'J;,"..>'l; Compact:
. Rearyard Setback: % of Lo.tlCR~~~ ~'l>-4, e<;O-~ O\e~<t.;jiO
Solar Setbacks: 0.00 ~0'''o{S:' -l.0~ "S'e c:; "S'e 'f.> '"
.... t"-. ^ ........ (,
" !
I PUBLIC ]MPRd~~~ 've<;O-'
Street Improvements: ~ Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Notes:
Downspouts/Drains:
Paee] of3
"
.
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
V Wood Frame
Fee Description
Copies - Ea Addtl @ 50 Cnts Ea
Copy 1st @ 75 cents
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Miscellaneous Plumbing
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
+ ]0% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
+ ] 0% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
Plan nine Review
Public Works Review
01/26/2004
01/26/2004
01/2612004
Structural Review
01/26/2004
.
. \.-11 i' OF SPRI1'lul'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2004-00098
ISSUED: 05/18/2004
APPLIED: 01/23/2004
EXPIRES: 11/18/2004
VALUE: $ 67,406.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$90.60
Square Footage
or Bid Amount
744.00
Value
Date Calculated
Total Value of Project
$67,406.40
$67,406.40
01/23/2004
~ )?pp< PIilLI
Amount Paid
Date Paid
Receipt Number
$8.50
$0.75
$286.55
$57.29
$40.10
$440.85
$42.00
$45.00
$59.00
$11.24
$224.75
$45.00
$7.50
$5.25
$]2.00
$63.00
$4.50
$3.15
$]4.00
$31.00
1/23/04
1/23/04
1/23/04
2/11/04
2/11/04
2/11/04
2/11/04
2111/04
2/11/04
2/11104
2/11/04
2/11/04
4/1/04
4/1/04
4/1/04
4/]/04
5/]8/04
5/]8/04
5/] 8/04
5/18/04
1200400000000000]00
]200400000000000]00
]200400000000000]00
]200400000000000]9]
1200400000000000191
]200400000000000]9]
]200400000000000]9]
]200400000000000]9]
]200400000000000]9]
1200400000000000]9]
]200400000000000]9]
]200400000000000]9]
]200400000000000424
]200400000000000424
]200400000000000424
]200400000000000424
2200400000000000587
2200400000000000587
2200400000000000587
2200400000000000587
$],401.43
I Plan Reviews I
01/26/2004
02/10/2004
02/04/2004
APP LLH
APP TAJ
APP VRJ
Storm to existing, see Building
Plumbing Inspector if there are
questions.
02/04/2004
APP 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.
Paee 2 of3
'f
.
. CITY OF SrKll'\jtd'l~LJJ
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00098
ISSUED: 05/18/2004
APPLIED: 01/23/2004
EXPIRES: 11/18/2004
VALUE: $ 67,406.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54],726-3769 Inspection Line
I Relluifed Insnedions I
8 Footing: After trenches are excavated.
9 Foundation: After forms are erected but prior to concrete placement.
] ] Post and Beam: Prior to Door insulation or decking. '
7 Floor Insulation: Prior to decking,
]0 Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
]6 Walllnsulation: Prior to cover,
4 Ceiling Insulation: Prior to cover.
5 Drywall: Prior to taping.
] Final Building: After all required inspections bave been requested and approved and tbe building is complete.
]5 UnderOoor Plumbing: Prior to insulation or decking.
13 Rougb Plumbing: PrIor to cover and including required testing.
6 Drywell: Engineered Drywell is Required, Provide the City witb a copy of the DEQ application to keep on file.
]4 Storm Sewer Line: Prior to filling trench.
3 Final Plumbing: When all plumbing work is complete.
12 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
]7 Electric Service: Approval required prior to utility company energizing service.
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 tbat 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.
~19l..0" .J 5-/13-Dlf
Owner o~:;?:ntr!: Signature Date
Paee 3 of3
. 225 Fifth Street
. Springfield, Oregon 97477
\' 541-726-3759 Phone
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Job/Journal Number
COM2004-00098
COM2004-00098
COM2004-00098
COM2004,00098
Payments:
Type of Payment
CreditCard
5/18/2004
RECEIPT #:
8~~."'i
~I
Jiii.ty of Springfield Official Receipt
.elopment Services Department
Public Works Department
2200400000000000587
Date: 05/1812004
Description
Fixture
Minimum/Adjustment Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JEFFREY J PLUEARD
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 000386 018148 In Person
Payment Total:
Page I of I
]]:47:]OAM
Amount Due
14.00
31.00
3.15
4,50
$52.65
Amount Paid
$52.65
$52.65