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Home My WebLink AboutPermit Building 2008-5-7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00050 ISSUED: 04110/2008 APPLIED: 01114/2008 EXPIRES: 11/0212008 VALUE: $ 20,000.00 L--~( ,--<' ~ ,/ I'~~\()~ ...... Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1072 56TH ST ASSESSOR'S PARCEL NO.: 1702331100168 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Fire Damage & Bedroom/Bath Addition TYPE OF USE: Repair Residential Owner: GOLBEK CHERYL A Address: 1072 N 56TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing License 173615 149834 62196 103816 Contractor PACIFIC FIRE & FLOOD INC MAG ELECTRIC INC CLIMATE CONTROL INC RS PLUMBING CONTRACTING BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building. 1 12.00 Electric Electric Electric Path 1 n/a R-3 VN I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 29.50 Phone Number: 541-953-8914 Expiration Date 12/28/2008 12/13/2009 10/25/2009 01/04/2010 Phone 541- 726-5896 541-461-0387 503-453-4822 541-461-4714 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS l JPrTEN'{ION: .0'''9.on law requires you to Street Improvements: foll.ow ~iHbJ)(el:fby the Oregon Utility Storm Sewlf~!tIe: f lHE WORK Notlfi~tlMQf<sifOOHirules are set forth Special Ins!.r.~fg~RMrr SHAll EXP\RE \ MIT IS NOT In OAR 952-00'-0010 through OAR 952-001. , t1 ZJ;O UNDER THIS PER 0090. You may obtain copies of the rules by Notes: St~~\i9tWle~"OW fSi~EO fOR calling the center. (Note: the telephone r.OMMEN 00 number for the Oregon Utility Notification -~NY 180 DAY PERl · Center 18 1-800-332-2344). Pa2e 1 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00050 ISSUED: 04/10/2008 APPLIED: 01/14/2008 EXPIRES: 11/02/2008 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Value Date Calculated Description Total Value of Project $20,000.00 $20,000.00 03/12/2008 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $10.30 1/22/08 3200800000000000048 + 12% State Surcharge $12.36 1/22/08 3200800000000000048 + 5% Technology Fee $5.15 1/22/08 3200800000000000048 Add, Alter, Extend Circ $48.00 1/22/08 3200800000000000048 Service Reconnect $55.00 1/22/08 3200800000000000048 Plan Review Residential $132.89 3/12/08 2200800000000000317 -Mech Iss 2+ Appliances- $40.00 4/10/08 2200800000000000433 + 10% Administrative Fee $51.74 4/10/08 2200800000000000433 + 12% State Surcharge $62.09 4/10/08 2200800000000000433 + 5% Technology Fee $25.87 4/10/08 2200800000000000433 1 Bath One & Two Family $160.00 4/10/08 2200800000000000433 Boiler/Comp Up To 100,000 btu $14.00 4/10/08 2200800000000000433 Building Permit $204.44 4/10/08 2200800000000000433 Dryer Vent $7.00 4/10/08 2200800000000000433 Exhaust Hoods $10.00 4/1 0/08 2200800000000000433 Fixture $80.00 4/10/08 2200800000000000433 Furnace - up to 100,000 btu $14.00 4/10/08 2200800000000000433 Heat Pump $14.00 4/10/08 2200800000000000433 Sanitary Sewer - Improvement $142.83 4/10/08 2200800000000000433 Sanitary Sewer - Reimbursement $187.83 4/10/08 2200800000000000433 SDC Sanitary/Storm Admin $21.18 4/10/08 2200800000000000433 Storm Drainage Impervious Area $92.99 4/10/08 2200800000000000433 Vent Fan $14.00 4/10/08 2200800000000000433 + 10% Administrative Fee $9.20 5/7/08 2200800000000000606 + 12% State Surcharge $11.04 5/7/08 2200800000000000606 + 5% Technology Fee $4.60 5/7/08 2200800000000000606 Add, Alter, Extend Circ Ea Add $92.00 5/7/08 2200800000000000606 Total Amount Paid $1,522.51 / Plan Reviews I Initial Review 03/12/2008 03/12/2008 APP NJM Public Works Review 03/12/2008 03/13/2008 APP TSS Stormwater drains to existing eaves. Pal!:e 2 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00050 ISSUED: 04110/2008 APPLIED: 01/14/2008 EXPIRES: 11/02/2008 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PIanninl! Review 03/12/2008 03/24/2008 APP T AJ No Planning issues Structural Review 03/12/2008 04/07/2008 APP RWC To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. L.Jl.eouiredJ nsnections , Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. Slab: To be made after all insIab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Water Line: Prior to filling trench 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. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00050 ISSUED: 04/10/2008 APPLIED: 01/14/2008 EXPIRES: 11/02/2008 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. Owner or Contractors Signature Date Pal?:e 4 of 4 CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET. SI'RJNCFIELD. OR !l7477 . P8.(541)726..3753 . F'AX: (S41)n~3689 ELEl.;l ~C1t- PERMIT APPUCATION City lob Numberl 0Yl) 0rf6 -- fY',,{1c:=.o ..:....to ". _ -. ...:." '~l--...---''-r_''---'-':: ~ ,..... 1. ':~0f:4TlPNPF I?!STAL4T1(J!f.::. -.' ,".;~ . -"."...-., ~- -~'~ ~ ..,.....--" ..~.... . - .~""'-"... ~--, ~ ~ \Cf7/. ,90 ~ -- LEGAL DESCRIPTION: d' \I()~ ,~'3 \ \ e)b \(06 JOB DESCRIPTION: {lftrl ClYU1; rs J r'- cO.MPifT..'t~iB.' SCHEDuLE.:JJ_ iLOWV~';'r",~-"',:,:~~;_'5'~;;.;-~),",,"",~ . _....._.__~_.._, .. .'__, '.' '_ c___._.,h>::.!.~' .>..........._ ":':;-'.- .'.......t.:".i_.'l'.o<>i.<r..... -"".. -) - ,_:" _....:. 1........ "I/-~ '.."... ......-.J'.,':,.-i'tJ -.'-"~}<('-::-'~i!..;" ,''':-,.1t~t A. .. ~!'~.:lJ!~~~,~q~!~ _S!f1~~~~.~,ld~:!.~~~~}::.~~~~~~l~~..-~1t.:::~ Servicllwt:lIlded 1000 sq. ft. or less Each ad4.itional 500 sq. ft or portion thereof Permits are aoa-trausferable and expire if work is Each Manufact'd Home or Dot started within 180 days of issuuce or if work is Modular Dwelling Service or Suspended for 180 days. Feeder ...I"~".~"'~'-"_"',"c.'\r::J-~.._,.)-t."I"""'''' ,I...;"" -... ,,!.,y'1'" . :- ,...:,..'1"..,' l':~..'r'....e-;":"\:;-;''''''J''~''-I''ro.!...-t''':''J''' ".r~'~.-i -~':~"I'"\"-''''MM';'I-~'~'I?-:'.. L 2. ~. CP.1tf.r~CT9R !1'!SfALI4TIO!f.;t;JlVI:Y.: B. ':$er~c~_~,l: ~ellderj,:~Jl5tii1l~J~)1...4J,te!"~~D6~ltIo,!i:,;-~ ...-- .,,-"',.~ .. ..,~:~ '" .".~. j-----, ~ . .~--.-~- -. --~. .-. -~~..~..ATIErH ~~I~~~"'~e~~~\;:fJregonmlft'(y~.~,<&. Electrical Contractor l /Ln\ ,I,J I \^ IlOJj G{Qt+r$ 200 Amps oJ~~W ~UlesC ntePr Th"co n,l$eYl~ set forth . LlliJ.. ~ Ration e .' - 001 201 Amps t 52-001-00W thrn.ug& S)M.6 952- . . Address ~Q ~lla 'j\{). L,r\ S 'krl-~ C 401 Amps t may obt~in cooie$lO!~ rules oy .., 601 Amps to l~i~P'tle center. (Note:'~18 'h~~;il~- City tU~(JA\Q.., Phone 9-1 ~ Vld-0387 Over lOoo~. for the Oregon Ull~ I ..... o Reconnect Only Center is ,-ijuu-,;)$% . . $117 _00 $ 21.00 $55.00 SUplll'VlSOr LIcense Nwnb&er -t 7 Lj 6t) I () / I / 8D 10 Iw.tf{I!J1PK:~~eraltioll or RelocatioD I . I 2OOM~ q?~\IIIT SHALL EXPIRE IF l${B.WORK COttSlJ'.Conrt.Number I ~q ><3L.j 201 A5'~-fel~ll:~~NDER n~l~ DI=QMl'V6l-S0NOT Exp"a"o. DM' I <Q(.L'> / Olai1 ~i:~=~~~:~:~~';~'~-:""<r'-'~ ='~~;'h" D_~~;~~~;;:;~:;:~.:~_'~~~~iti ~ - . a Each Additional CU"Cuit or with 2. ~ q;+. Own." N_ (' h.Q~~ C~ d ~ s.m~. ~r ~~"::t _", ,w,' '." ,"'~ <~:o,~.. ,'~' ',<;- _,,, Address \ O/? _ ~ r) ~ E. .~c~l!~~~~~~_~~~reed~r:~~~ ~~~~~e.~J2~~~~~~I,O~~~. City ?J-{) !,~ ~L Phone q 0 ~ - ~q J t Pump or irrigation $ S5 00 C)\lU C.f7 (' / Sign/Outline Lighnng $ 55.00 OWNER INSTALLATI6t7 6 Limited Energy/Residennal $ 28.00 The instaUation is being made on property I own wmch Limited Energy/Commercial $ 50.00 is not Intended for sale, lease or rent. Minimum Electric: Permit Inspection Fee is $50.00 + Surcharges 4. 'SUBTOTiioF~OW ~'-~,,~,:}r:\'~}r:' qi') 60 OWDc:rs SIgnature: M. &.. _J,,-I..'--' ..... ..........-...__ ~M...tl~_'~J""~&-1':....i....J....-:"'..r""!..' _M ~ .. i 0 ~\e .>urCllarge <l f.o U .I).t~,-~w~~.~vll Fee II . oY' ~% Technology Fee 6f - ? () TOTAL Jt;J 1& ' gq Slw'ed Dnve(T:)lBuilding FormslElcclnW Permit AppW:~1101l 7.07.doc " ,~",,_, h. ->..., -, ......... ~.,...... ",_, .. .)_(lJ;'-~j(...'"I';'-: ~;,1!t.:{[ '..<~Zirt,4;'r!:~JJlpliJl':U~/.tt C. - Tempo'rarv. ~frvice9 9r'Feel:lers:-r';:1-'1';;~r-~1.j15~}.<~" .>/':;l,)".......jJ>V.",::-, t:~ :.. ::.,."... _-.-.:..:.J!d~.. ..~..~_J........::._.'w .. ....Jt.:;;--..'~]~~K:Skcts....t..~.:,.'-..ClJ'_,...,..Io;..fiJ,;"t!i..~~ Expiration Date Inspection Request: 726-3769 10 39l;1d al3Ij9NI~dS jO ^lI~ 9L9E9U E1:60 L00l/p1/11 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00050 COM2008-00050 COM2008-00050 COM2008-00050 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000000606 Date: 05/07/2008 DescriptIOn Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By CHERYL GOLBECK Item Total: Check Number AuthorizatIOn ReceIVed By Batch Number Number How Received nJm I1sa 614445 In Person Payment Total: Page 1 of 1 12:43:56PM Amount Due 9200 460 11 04 920 $116.84 Amount Paid $11684 $116.84 5/7/2008 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00050 COM2008-00050 COM2008-00050 COM2008-00050 Payments: Type of Payment Cred ItCard cRecemtl RECEIPT #: 2200800000000000606 Date: 05/07/2008 Description Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee Paid By CHERYL GOLBECK Item Total: Check Number Authorization Received By Batch Number Number How ReceIved nJm hsa 614445 In Person Payment Total: Page 1 of 1 12:43:56PM Amount Due 9200 460 11 04 920 $116.84 Amount PaId $116 84 $116.84 5/7 /2008