HomeMy WebLinkAboutPermit Building 2004-6-29
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Status
Issued
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. 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
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. ,- CITYOF SL_..!INGFIELD, OREGON (]if'); '~"
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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
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