HomeMy WebLinkAboutPermit Building 2005-5-17
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 935 HA YDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703261200500
. CITY OF ~rtOl'lld<t1i,LJJ
Building/Combination Permit
PERMIT NO: COM2005-00282
ISSUED: 05/17/2005
APPLIED: 03/11/2005
EXPIRES: 11/17/2005
VALUE:' $ 28,152.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: WALLY ACKERMAN
Address: 935 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Residential
Phone Number: 541-747-7969
I CONTRACTOR INFORM A TION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
COMFORT FLOW
OWNER
License
Expiration Date Phone
460
06/27/2005 541-726-0100
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VN
1
14.00
Electric
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
312
212
Path 1
nla
'DEVELOPMENT INFORMATION I
I PUBLIC IMPROVEMENTS I
Sidewalk Type: ,
ATTENTION: O~~~n 'ilw requIres YQGasbside 5
follow r\1fm~Bt'(.tft!ltlr~ie Oreg~I\'tl~I\~ Gutter
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notificatlon
Center is 1-800-332-2344).
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
73.40
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
Yes
Notes:
Storm drainage into existing to curb face 3/14/2005 CAS
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 4
REQUIRED PARKING
Total:
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
DwelIincs
Patio/Porch
V Wood Frame
Use Bid Amount
Fee Description
Plan Review Residential
-Meehanie.allssuance Fee-
+ 10% Administrative Fee
+ 70/0 Stute Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Plan Review Minor - Planning
Sanitary Sewer -Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Wood StovelInsert
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 10% Administrative Fee
+ 7% Stale Surcharge
+ 7% Stale Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$96.00
$1.00
Square Footage
or Bid Amount
212.00
7,800.00
Total Value of Project
]?pp<. P..W
Amount Paid
$161.07
$10.00
$40.98
$28.69
$43.00
$18.00
$247.80
$9.00
$56.00
$6.00
$59.00
$54.84
$72.12
$14.56
$164.30
$30.00
$10.00
$4.50
$4.60
$3.15
$3.22
$43.00
$3.00
$12.00
$33.00
$1,131.83
Date Paid
31ll/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
4/7/05
5/17/05
5/17/05
5/17/05
5/17/05
5/17/05
5/17/05
5/17/05
5/17/05
5/17/05
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00282
ISSUED: 05/17/2005
APPLIED: 03/1112005
EXPIRES: 11117/2005
VALUE: $ 28,152.00
Value
Date Calculated
$20,352.00
$7,800.00
$28,152.00
03/ll/2005
03/11/2005
Receipt Number
1200500000000000314
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
1200500000000000427
2200500000000000603
2200500000000000603
2200500000000000597
2200500000000000603
2200500000000000597
2200500000000000597
2200500000000000597
2200500000000000603
2200500000000000603
I Plan Reviews I
03/14/2005 03/14/2005 APP LLH
03/14/2005 03/25/2005 APP TAJ
03/14/2005 03/14/2005 APP CAS Storm drainage Into existing to curb
face 3/1412005 CAS
03/14/2005 03/25/2005 APP RJB
Pace 2 of 4
Initial Review
Planninu I{c\'iew
Public Works Review
Structural Review
.
. LI1 r OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00282
ISSUED: 05/17/2005
APPLIED: 03/11/2005
EXPIRES: 11/17/2005
VALUE: $ 28,152.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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?P~ Tn.opptin"iJ
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor 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.
\Valllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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.
Undcrfloor 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.
ROll~h I\'lcchanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Wood Slove: After Installation.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Paee 3 of 4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY 01< ~rKlr\(uNJi,LU
Building/Combination Permit
PERMIT NO: COM2005-00282
ISSUED: 05/17/2005
APPLIED: 03111/2005
EXPIRES: 11117/2005
VALUE: $ 28,152.00
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.
Gnln-. dvVl~
~wncr or Contra;tors Signature
Pa2e 4 of 4
~a:n
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
8~~
WiL.
Job/Journal Number
COM2005-00282
COM2005-00282
COM2005-00282
COM2005-00282
COM2005-00282
Payments:
Type of Payment
Check
co
5/17/2005
RECEIPT #:
......ity of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000000603
Date: 05/17/2005
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical [ssuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COMFORT FLOW
Received By
IIh
Page [ of I
Item Total:
Check Number AuthoriZation
Batch Number Number How Received
29860
[n Person
Payment Tota[:
2:04:45PM
Amount Due
12.00
33.00
10.00
3.[5
4.50
$62.65
Amount Paid
$62.65
$62.65