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HomeMy WebLinkAboutPermit Building 2004-6-29 ~. Status Issued Jf . CITY OF SPRII~l:d:<lJ!,LD Building/Combination Permit PERMIT NO: COM2004-00322 ISSUED: 06/29/2004 APPLIED: 03/2312004 EXPIRES: 12/2912004 VALUE: $ 101,640.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4714 JASPER RD ASSESSOR'S PARCEL NO.: 1802051303002 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing SFR Owner: ARDEL SHEFFIELD Address: 4714 JASPER RD SPRINGFIELD OR 97478 Phone Number: 541-747-4847 , CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License FREDRICK K CHRISTIANSEN 39287 KS ELECTRIC 70889 MARSHALLS INC 25790 BOHEMIA PLUMBING & CONSTRUCTION 141468 BUILDING INFORMATION I Expiration Date 05/14/2006 1213012004 12123/2005 03/03/2005 Phone 541-747-1381 541-686-6236 541-747-7445 541-942-8333 # of Units: # of Stories: 2 Lot Size: Primary Occupancy Group: R-3 Height of Structure 21.50 Sq Ft 1st Floor: 853 Secondary Occupancy Group: Type of Heat: orced Air Electric Sq Ft 2nd Floor: 247 Primary Construction Type VN Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: 1 Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Overlay Dist: Urban Fringe Total: Side 1 Setback: 8.00 # Street Trees Rqd: Handicapped: Side 2 Setback: 32.00 Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: 16.70 Solar Setbacks: 25.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: No Storm Drain to Existing -MS Sidewalk Type: Downspoutsffirains: Notes: Page 1 00 . . CITY OF SPRlNlJJ<lJ<.,LD Building/Combination Permit PERMIT NO: COM2004-00322 ISSUED: 06/29/2004 APPLIED: 03/23/2004 EXPIRES: 12/29/2004 VALUE: $ 101,640.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Val?ation Descrintion I Dwellines V Wood Frame $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 1,100.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $101,640.00 $101,640.00 03/23/2004 L.F""<, P~ilU Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $371.90 3123/04 1200400000000000366 -Mechanical Issuance Fee- $10.00 4/26/04 2200400000000000413 + 10% Administrative Fee $67.32 4/26/04 2200400000000000413 + 7% State Surcharge $47.12 4/26/04 2200400000000000413 Building Permit $572.15 4/26/04 2200400000000000413 Fixture $56.00 4/26/04 2200400000000000413 Gas Fireplace $15.00 4/26/04 2200400000000000413 Gas Outlets 1-4 $4.00 4/26/04 2200400000000000413 Minimum/Adjustment Mechanical $20.00 4/26/04 2200400000000000413 Plan Review - Planning $71.00 4/26/04 2200400000000000413 Storm Drainage Impervious Area $196.04 4/26/04 2200400000000000413 Vent Fan $6.00 4/26/04 2200400000000000413 + 10% Administrative Fee $6.30 6/29/04 2200400000000000864 + 7% State Surcharge $4.41 6/29/04 2200400000000000864 Perm ServlFdr 200 amps or less $63.00 6/29/04 2200400000000000864 Total Amount Paid $1,510.24 I Plan Reviews I Initial Review 03/24/2004 03/24/2004 APP LLH Plannine Review 03/24/2004 04/06/2004 APP TAJ Public Works Review 03/24/2004 03/31/2004 APP MS 3/31/2004 - Storm Drainage to Existing. Check with Steve Graham. -MS Structural Review 03/24/2004 04/01/2004 APP RJB 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. I R"OI~ Erosion/Grading Inspection: After ali'erosion measures are in place. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Paee 2 of3 . . CITY OF ~rKll~uFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00322 ISSUED: 06/29/2004 APPLIED: 03/23/2004 EXPIRES: '12/29/2004 VALUE: $ 101,640.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to Ooor 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. UnderOoor 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. UnderOoor Mechanical. Prior to insulation or decking and including required testing. UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 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. 1 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. ~AjJL21~ Owner or Cl?ntract~rs Signatmfe.l ~/?q ~~ Date I { J/ Paee 3 of3 '~& <'0 10/~ , . ,"'/'" ~ f \ '~ .~ . ,- CITYOF SL_..!INGFIELD, OREGON (]if'); '~" , . . . PrOf . JOe' 098 'filS "01 $"6 225 FIFTH STREET. SPRJNGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (5~'I', 6-3C89Iq I&q"il:lft.O'~~ . "I" $/)& q$ f~ ELECTRICAL PERMIT APPLICATION //' , / f~Oli<,& (':J~Oiliol&;'OIIO"" -=ity Job Number Date liP ;;; 9/ d (J() 'I 0' 8ig"&f",& ,_ 0' 11$& '''g 1. I'LOCA:170N,O~INSTAL1iATION..,' 3. I' COMPLETE FEE SCHEDUiE1J~L"""'AT'" ,,0;,-. .'-...,;" J , t../7/'1,TA.\f;~ j/~ ,.. " _,.N",~, . LEGAL DESCRIPTION ,.... , A.INewReside'ltjal-:singleorJ'1ulti-Fa,mily~cr.i1wellingtinit 1 /5(0 ~ 05' 1.3 03'0 0 ~ Service Included 2. U;ONTR4.~~STALLApO^;()NLY I B. ~Ser;':icesorFecders'-I;i,~t~ilatil)n;A1ierati(,'ns or Relocation:, THIS PEmtT ~l):. EXelli.E If THE WORK Electrical ConTJ'fHOO1'Zt~ ~~M1T IS N01l00 Amps or less e M~EP _OR ~ ~NOmJED FOR 201 Amps to 400 Amps Address . {7. ~'o' 1 i!tr'~E@JO.75 3' , 401 Amps to 600 Amps , 601 Amps to 1000 Amps City 1Z1..1,Cb'Jrt.p_ Phone Wh%,).,J!; Over 1000 AmpsNolts o Reconnect Only JOB DESCRIPTION , ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,.upervisor License Number 3 (,/97 S Expiration Date /0 fin f/ Constr. Contr. Number 7o~<f"1 rE~pi~tK!Iiit>'il8reQon J&OarnJlfl,~~ , 'e,: adopted by the Or~on Utility Signature of,Supervising,E1ectrici . t f rth -....., .vl. II '1.::~t11 ures re sa 0 ~- :-001-0019 t9Y1ugh OAR 952-001- c ./;,,;::,- j o..bV/s/ftJr;?s of the rul,,!< hv 11" In" ,~enter. iNote: the telephone - :::~,~;'~:~~~ City 86 LA/) Phone 71./7- </ fr 7 OWNER INSTALLATION The installation is being made on property I own which is not intended ror sale, lease or rent. Owners Signature: . Inspection Request: 726-3769 ~ () A.{ - dOC) ~- 6 ())'J 22- 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 I j cJO (t!.!, . $ 63.00 $ 75.00 $125.00 $163.00 , $375.00 $ 50.00 c. FTeinpor'a6~'j~eI:,it:~s'or,v'Fee,1I~is . , ".'.,>.'" " : 1 Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps, Over 600 Amps or 1000 Volts see "B" above. D. IBranch Cil'!:~its "" ' $ 50,00 $ 69.00 $100.00 ;<;.:,....:. . .1 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 I'l> E. I' 'l\'lli.celIa~e~~~,\Servici/re~~~r,., n.';(ji!~lide(i) C.Ea~hJllst"lI;'ii';n'j Pump or itrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 5.0.00 $ 25.00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. [ suBioiA{OF,~O'vE~"_ ;."; ;;:;..; ~, t-, ...._: 1.-.<:'.,,' ..Jo:-ii-......'<.... ",;"'h":.:, '---," ~~... '~:~':':'~> ""..,-_.;" :;] 0.3. CP q'LfI <;.. ,~u 7:s ,71 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:}'Building FonnsIElectrical Pennit Application 1-03.doc 2~5 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone . 8F~~!~-O,_J!I~ '~-_'~. .--__ " WiL' ',. : - . -- . JIil, 'y Y of Springfield Official Receipt Wvelopment Services Department Public Works Department RECEIPT #: 2200400000000000864 Date: 06/29/2004 9:15:47AM Job/Journal Number COM2004-00322 COM2004-00322 COM2004-00322 Description Perm ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 63,00 4.41 6,30 $73.71 Amount Paid Check KS ELECTRIC & CONSULT njm 4342 In Person Payment Total: $73.71 $73.71 . 6/29/2004 Page I of 1