HomeMy WebLinkAboutPermit Building 2005-9-9
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01l29
ISSUED: 09/09/2005
APPLIED: 08/19/2005
EXPIRES: 03/09/2006
VALUE: $ 21,946.00
Status
Issued
225 Fifth Street, Springfield, OR
\' 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6828 HOLLY ST
ASSESSOR'S PARCEL NO.: 1802031106100
ATTENTION: Cfr~~~rmi\\:IS~1uireAl~tian Residential
PROJECT DESCRIPTION: Pour concrete slab in basement and finish basement\as'an""'ten~QJoflthe existing
. .. TOIIOW tUlt:::-< ctuVtJLvU.....1 ~l.... ~-"5 "yo
slOgle dwelling umt. Notification Center. Those rules are se~ f?~.h
'In OAR 952-001-UU1 u mrouy" v"'" ""~ uu' .
"hon. Number 541-741-0802
0090. You may obtain copies 0 rr,,,-rw,,,,-,,,Y' .
calling the center. (Note: the telepho~e
___,__, ,__ .h~ rhonnn IIli1itv Notification
..-- . ~__'M:e' onn.<l<l?-2344).
I CONTRACTOR INFORMATION I
Springfield TYPE OF WORK: Single Family Residence
Owner:
Address:
ROY LUNDBLAD
361 S 68TH PL
SPRINGFIELD OR 97478
, Contractor Type
General
Mechanical
Contractor
WYATT DUANE LEDBETTER
KENTEC HEATING CONTRACTOR INC
License
126938
63621
Expiration Date
01122/2006
07/09/2006
Phone
541-935-2774
503-982-5927
VN
BUILDING INFORMA nON I
# or Stories: .., . :. Lot Size: WORK
Height of ~~rllct~r~ ,\\ T SHP.LL EXF\R~i~t' ~,~rf\0,l\'31
Type of Heat:' r_... 0 U,"'-.ER lH\S SqFf2ndlFloor:
. {,KLt I~U_, ~.r"I' \- In
Water Type:' t,. ' o.co O~ \S ,1\3ANSq'Ft:Basement:
Range Type: ....v"v\.. pC~\OO. Sq Ft Garage/Carport
Energy Path:,' i b~ Uh'! ~ Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
'PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No new fixtures no SDC Fee's
Paee I of3
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01I29
ISSUED: 09/09/2005
APPLIED: 08/19/2005
EXPIRES: 03/09/2006
VALUE: $ 21,946.00
f
.
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
Use Bid Amount
Estimate
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
6,946.00
15,000.00
Bid Amount
Estimate
Total Value of Project
l.Fppo P~ilU
Value
Date Calculated
$6,946.00
$15,000.00
$21,946.00
09/02/2005
08/19/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $95.16 8/19/05 1200500000000001216
-Mechanical Issuance Fee- $10.00 9/9/05 3200500000000000542
+ 10% Administrative Fee $31.60 9/9/05 3200500000000000542
+ 70/0 State Surcharge $22.12 9/9/05 3200500000000000542
Building Permit $201.00 9/9/05 3200500000000000542
Dryer Vent $6.00 9/9/05 3200500000000000542
Fixture $70.00 9/9/05 3200500000000000542
Minimum/Adjustment Mechanical $33,00 9/9/05 3200500000000000542
Plan Review Residential $35.49 9/9/05 3200500000000000542
Vent Fan $6.00 9/9/05 3200500000000000542
Total Amount Paid $510.37
I Plan Reviews ,
Initial Review
PIanninl! Review
08/22/2005
08/22/2005
APP SKG
APP T AJ
08/22/2005
08/25/2005
Public Works Review
08/24/2005
APP CAS
08/22/2005
Structural Review
08/22/2005
APP DLM
09/06/2005
A house cannot have two kitchens.
The kitchen must be removed or
apply for and be approved for an
Accessory Dwelling Unit.
No SDC fee's no new fixtures
8/24/2005 CAS
Plan review based on no new
dwelling unit being created by this
permit. 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.
~ellllirerunsne("tinns I
Pal!e 2 of3
.
. CITY OF ~rKll~GFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01l29
ISSUED: 09/09/2005
APPLIED: 08/19/2005
EXPIRES: 03/09/2006
VALUE: $ 21,946.00
Status
Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
FI~or Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections bave been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and .do hereby certify tbat all
information hereon is true and correct, and 1 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.
1 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.
C//;{dJ;J~7
~
Ower or Contractors Signature
Date
Page 3 of3
f
I ,;i 225 Fifth Street
.. ; '<Springfield, Oregon 97477
541-72b-3759 Phone
.. \
i"
Job/Journal Number
COM2005-01129
COM2005-01129
. COM2005-01129
; COM2005-01129
. COM2005-01129
COM2005-01129
. COM2005-01129
COM2005-01129
COM2005-01129
i [I.payments:
~,'!pe of Payment
Check
.. ,
~
I,
l'
.
;!'
If~
.'.-,
.'i
,
j :;
!
"
~~
I
1
H1.
1 ,~')
. 1
, "
1 !
,
~;,
\;
,
,
9/9/2005
~
Wit
.
RECEIPT #:
3200500000000000542
Description
Plan Review Residential
Building Permit
Fixture
Vent Fan
Dryer Vent
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ROY W. LUNDBLAD
Check Number
Batch Number
Received By
njm
Page 1 of 1
~ty of Springfield Official Receipt .~
"elopment Services Department ,
Public Works Department
Date: 09/09/2005
Item Total:
Authorization
Number
How Received
3593
In Pernon
Payment Total:
1l:47:22AM
Amount Due
35.49
201.00
70.00
6.00
6.00
33.00
10.00
22.12
31.60
$415.21,
"
Amount Paid '.
$415.21
$415.21