HomeMy WebLinkAboutPermit 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
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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
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LEGAL DESCRIPTION: d'
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JOB DESCRIPTION:
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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
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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'-'~
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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
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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