HomeMy WebLinkAboutPermit Building 2003-7-9
.
Status
Issued
. Lit r OF SPRINGFIELD
.
Building/Combination Permit
PERMIT NO: COM2003-00458
ISSUED: 07/09/2003
APPLIED: 06/05/2003
EXPIRES: 01/30/2004
VALUE: $ 3,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 604 KELLY BLVD
ASSESSOR'S PARCEL NO.: 1703341400900
Springfield TYPE OF WORK: Bathroom
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Bathroom addition
Owner: SHERMAN RONALD M
Address: 2312S38THAVE YAKIMA WA 98903
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
CHAMBERS CONSTRUCTION
THE MURPHY HARRIS COMPANY INC
ROBINSON PLUMBING INC
License
Expiration Date Phone
142410
107124
04/20/2004 541-736-1292
07/1312003 541-345-6909
VN
I BUILDING INFORMATION I \)?-'I--
\~t. -N (\\
# of Stories: ,?-t. ,r ~\n!it 'il.lze:
Height .ot ~tructure\'>.\.\. t.'I-'? ~~ ,?t.?-~ Q~ 1st Floor:
T~PN!tHeat\,\ ~~ x.?- \~ ~\/~~t.\.sq Ft 2nd Floor:
Water. 'J;'f~~ \) \)~\) \'-'Ot>-: Sq Ft Basement:
Raii'~~t~lt: x.\l G?- '\\). Sq Ft Garage/Carport
En~rgy P~,\'!.\~c, ~ ,?t.?-~ Sq Ft Other:
c,G~ \'Of\) \)~ Impervious Surface Area:
....\'-1
I DEVELOPMENTINFORMATION I
REQUIRED PARKING
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Comwct:
"U" .
\.Illes, .\.\"
% of Lot Coverage: fI laIN leQ nOfl \.)\\ \.,
N,Ul690 \"60l6", e\ \0(\
~CN\\O '. .~",d '0'/ .,...." ale s _ "ry
I PUBLIC IMPR,QMEMENTSffl\6l. i"~~~9" Op.\"I :~~\es \.
'\'0:"'-' A OMO\ '",,,0\\" fie
NO\\ \ 9~"2.'00 " Side'rl!ll(~TYP'e: \e\69"0 .
. Op.p. '/ 0'0\"''' ''''\0\6'. \\\e, '\iCa\IOfl
\fI 'lo\.l!na Downspout<fIlrablS1\\
0090. cel,.- (j(r.;.,)
Ca,\\ifl9 \"e \"e Ole90flO.33'2..2344 .
!n'Oel \Ol is ~ .80
fI\.I cefl\el
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Description Tvpe of Construction
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Minimum/Adjustment Plumbing
Total Amount Paid
Initial Review
06/06/2003
Plannin!! Review
06/06/2003
Public Works Review
06/12/2003
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
3,000.00
Total Value of Project
Fpp~
Amount Paid
Date Paid
$34.32
$10.00
$18.88
$13.22
$43.00
$3.00
$52.80
$42.00
$39.00
$3.00
$100.74
$132.54
$11.66
$6.00
$4.50
$3.15
$14.00
$31.00
6/5/03
7/9/03
7/9/03
7/9/03
7/9103
7/9/03
7/9/03
7/9/03
7/9/03
7/9/03
7/9/03
7/9/03
7/9/03
7/9/03
8/20/03
8/20/03
8/20/03
8/20/03
$562.81
I Plan Reviews I
06/06/2003
APP LLH
06/13/2003
APP AJD
06/12/2003
APP VRJ
Pa!!e 2 00
. LlJ r OF ~nur~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00458
ISSUED: 07/09/2003
APPLIED: 06/0512003
EXPIRES: 01/30/2004
VALUE: $ 3,000.00
Value
Date Calculated
$3,000.00
$3,000.00
06/05/2003
Receipt Number
1200200000000001446
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001728
1200200000000001987
1200200000000001987
1200200000000001987
1200200000000001987
PlumbinglMechanical Contractor,
Crane Plumbing, CCB # has been
suspended. This permit cannot be
issued until Crane Plumbing is
current witb CCB or
PlumbinglMechanical Contractor
has been changed on the job.
Confirmed zoning as LDR. Single'
Family dwellings arc outright
permitted and the setabcks conform
to the standards of the SDC.
No public works permit. SDC's
calculated for bathroom fixtures.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00458
ISSUED: 07/09/2003
APPLIED: 06/0512003
EXPIRES: 01/30/2004
VALUE: $ 3,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
5.41-726-3769 Inspection Line
Structural Review
06/06/2003
06/27/2003
APP DLM
See documents for plan review
comments.
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 1~:II'I.~r"1 ~1I..ction'l
1 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
2 Firewall: Located and constructed according to plans.
3 Drywall: Prior to taping.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
5 UnderOoor Plumbing: Prior to insulatioo or decking.
6 Rough Plumbing: Prior to cover and including required testing.
7 Final Plumbing: When all plumbing work is complete.
8 Rough Mechanical: Prior to Cover
9 Final Mechanical: When all mechanical work is complete.
10 Rough Electric: Prior to Cover
11 Final Electric: When all electrical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed applicatioo and do hereby certify that all
information hereon is true and correct, and 1 furtber 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.
1 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.
~ _~ . ff!ZO/63
v
Owner or Contractors Sign t re
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00458
COM2003-00458
C0M2003-00458
COM2003-00458
Payments:
Type of Payment
Check
"~"''''''''D '
~,r"'~"~'.',"",!
i'.', ;
, .
""'.._,_.. ., "r.., ".
Receipt #: 1200200000000001987
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Fixture
Minimum! Adjustment Plumbing
Paid By
TAMMY CRAFTON
Received By
djb
l.:heck Number
Balch Numher Authorlzalion Number
City of Springfield OffiCial Receipt
Development Services Department
Public Works Department
Date: 08/20/2003 10:S0:09AM
..
Amount Paid
Item Total:
3.15
4.50
14.00
31.00
$52.65
How Received
In Person
Payment Total:
Amount Paid
$52.65
$52.65
.
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