HomeMy WebLinkAboutPermit Building 2008-5-16
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00189
ISSUED: 03/10/2008
APPLIED: 02/07/2008
EXPIRES: 11/16/2008
VALUE: $ 56,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4171 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802052200406
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Family Room & Garage Addition
TYPE OF USE: Addition
Residential
Owner: BLOOD JOSEPH D & DARLA J
Address: 4171 FORSYTHIA ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
Contractor Tvpe
General
Electrical
Mechanical
Contractor
TOM WIRFS ENTERPRISES INC
BILLS ELECTRIC
HOME COMFORT HEATING & AIR
License
32947
21351
84164
I BUILDING INFORM:,\TION .
. AI I c.NT10N: Oregon 1~Ulf8~~Utility
# ~fUmts: follow ules adoptecWbll!he~g ~forth 1
Primary Occupancy Group: otifiC~o1, Center. TtbighIlUJP~~9 ~O 1- 19.00
Secondary Occupancy Group~ OAR 9~-00i -001 O~~~ ~c~~tir Electric
Primary Construction Type ~090 ~ may obta\lW1tle'r~~~ t r~~ne Electric
Secondary Construction Type: calimg the cent~r. R1'~~g~~i~8(:.eo~tcation Electric
# of Bedrooms: number3tor the oreEnerk'Y\P.ll~h~~~ Path 1
i ....nn.'4'9 ~~4. .
Center IS -Sprnrlde<r8Ul mg n/a
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
33.00
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Expiration Date
06/29/2008
04/28/2008
06/25/2011
Phone
541-747-8704
541-501-5650
541-345-2838
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
$q Ft Garage/Carport
Sq Ft Other:
Occupant Load:
400
500
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Curbside 5'
Fullv Improved
Downspouts/Drains:
Connect the new improvements to the existing storm system down spouts .
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Paee 1 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00189
ISSUED: 03/10/2008
APPLIED: 02/07/2008
EXPIRES: 11/16/2008
VALUE: $ 56,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl.!:s
Garal.!:e
V Wood Frame
Garal.!:e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
400.00
500.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$42,000.00
$14,000.00
$56,000.00
02107/2008
02/07/2008
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $282.15 2/7/08 1200800000000000114
-Mechanical Issuance Fee- $20.00 3/10/08 1200800000000000218
+ 10% Administrative Fee $63.51 3/10/08 1200800000000000218
+ 12% State Surcharge $70.81 3/10/08 1200800000000000218
+ 5% Technology Fee $35.30 3/10/08 1200800000000000218
Add, Alter, Extend Circ $48.00 3/10/08 1200800000000000218
Add, Alter, Extend Circ Ea Add $8.00 3/10/08 1200800000000000218
Building Permit $434.08 3/10/08 1200800000000000218
Fire SF Fee - Residential $45.00 3/10/08 1200800000000000218
Not Covered Mechanical $50.00 3/10/08 1200800000000000218
Plan Review Minor - Planning $116.00 3/10/08 1200800000000000218
SDC Sanitary/Storm Admin $19.34 3/10/08 1200800000000000218
Storm Drainage Impervious Area $386.85 3/10/08 1200800000000000218
Storm Sewer - 1st 50 Feet $50.00 3/10/08 1200800000000000218
+ 10% Administrative Fee $1.60 5/16/08 2200800000000000682
+ 12% State Surcharge $1.92 5/16/08 2200800000000000682
+ 5% Technology Fee $0.80 5/16/08 2200800000000000682
Fixture $16.00 5/16/08 2200800000000000682
Total Amount Paid $1,649.36
I Plan Reviews'
Initial Review
02/07/2008
02/07/2008
APP NJM
Public Works Review
02/07/2008
02/12/2008
APP BRC
SDC Worksheet attached. BC
Structural Review
02/07/2008
03/05/2008
APP DLM
See documents for Plan review
comments
Planninl.!: Review
02/07/2008
03/06/2008
APP T AJ
Pal.!:e 2 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00189
ISSUED: 03/10/2008
APPLIED: 02/07/2008
EXPIRES: 11/16/2008
VALUE: $ 56,000.00
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 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.
Reouired Inspections I
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
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.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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
t;m" during cn~
r:/; ~ /;; f
/ -/
Owner or Contractors Signature
Date
Pal.!:e 3 of 3
225, Fifth ~Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00 189
COM2008-00 189
COM2008-00 189
COM2008-00 189
Payments:
Type of Payment
Check
cRecelOt 1
RECEIPT #:
DescriptIOn
Fixture
+ 10% Administrative Fee
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
COZY HOMES INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000682
Date: 05/16/2008
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
42258
In Person
Payment Total:
Page 1 of 1
1:12:07PM
Amount Due
1600
160
080
1 92
$20.32
Amount Paid
$20 32
$20.32
5/16/2008