HomeMy WebLinkAboutPermit Building 2004-5-20
.
. CITY OF ~rK1NGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-00601
ISSUED: OS/20/2004
APPLIED: OS/20/2004
EXPIRES: 11120/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2555 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703244100200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Final inspection approvals needed for expired permit #00-00751-01
Residential
Owner: HUNTER ROGER 0 & LYNN M
Address: 2555 HAYDEN BRIDGE RD SPRINGFIELD OR 97477
;
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
R-3
nla
I DEVELOPMENT INFORMATION I
~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speci~tl~N i,vllJ: Oregon law requires you to
fol1OW'rUIes adopted by the Oregon Utility
Not~ Center. Those rules are set forth
:.. e:.:-::ee :"~.?"~9:~~:._:.1": ':'An ~':':' ,:","ol
OO9OC8I'IIVou...~Obtetain(NCotPi~tShoftthle rtl'Va~t'iation Descriotion I NTHOITS'~:~MIT SHAll EXPIRE IF THE WORK
ng u... cen r. 0 e.,. e e ep ,- . - ER THIS PERMIT IS NOT
~for the Or!lj;!on !,ltillty Notlflc;stm Sq Ft Square Footag.AUTHORIZED UNO ABJlli~&wa, .
Descrlp IOn Cen1lt\a'f~~~S'44). or multiplier or Bid AmountCOMMEN~R IS
ANY 180 DAY PERIOD.'
Sidewalk Type:
DownspoutslDrains:
Total Value of Project
Paee 1 of2
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00601
ISSUED: OS/20/2004
APPLIED: OS/20/2004
EXPIRES: 11/2012004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I FfP.f' raid I
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Miscellaneous Mechanical
Other Electrical Permit
Amount Paid
Date Paid
$10.00
$13.50
$9.45
$45.00
$45.00
$45.00
5/20/04
5/20/04
5/20/04
5/20/04
5/20/04
5/20/04
Receipt Number
1200400000000000773
1200400000000000773
1200400000000000773
1200400000000000773
1200400000000000773
1200400000000000773
Total Amount Paid
$167.95
I Plan Reviews I
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 Rp.ouired Insnp.r.tions I
1 Final Building: After all required inspections have been requested and approved and the building is complete.
2 Final Mechanical: When all mechanical work is complete.
3 Final Gas: When all gas work is complete.
4 Final Electric: When all electrical 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
limes duog~~nstrUC:iO~^ _ ~ J- s ~ 20-'0 Y
Owner o~ ~rs Si~nat~e - Date
Pa~e 2 of2
'225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
fi!P~<liIINQ~IELD"<
~l~""'''.'--:".
.. !
'""', "" ~
"""""-.............-- . .
Jili..ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200400000000000773
Date: OS/20/2004
1:31:27PM
Job/Journal Number
COM2004-0060 1
COM2004-0060 1
COM2004-0060 1
COM2004-0060 I
COM2004-0060 1
COM2004-0060 1
Description
Other Electrical Permit
-Mechanical Issuance Fe....
+ 7% State Surcharge
+ 10% Administrative Fee
Building Permit
Miscellaneous Mechanical
Payments:
Type of Payment Paid By
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
Amount Due
45.00
10,00
9.45
13.50
45.00
45,00
$167.95
~,
Amount Paid
Check
LYNN M HUNTER
dIm
1242
In Person
Payment Total:
$167.95
$167.95
$
5/20/2004
Page 1 of 1
SPRINQFlELD ~
1 '
\w.~,,~~1i .'
?t~1a. ~ ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 .. FAX: (541)726-3689 .
ELECTRICAL PERMIT APPliCATION'
City Job Number CMZ/l)f-cJg &LJ I Date ~- '2.0 - 6V
1. ~'t(jC)fTION7lE.1NsTAiJi!A,"ilON:rt1if!r.~ 3. !',%-COMP1.ETKFBESCHEDiiEEqJEW'W:~~~~~~':i$~b
lI.l,;,i.";,,<,- ""'-~.~'ILii"~~""'- =r1U~;iii:t~o..(<t7:i~ ~~""'~'~"~"_"'_"""i~..:l~~"'~'>:'fS~~~W~h~""Mff1i1~~~
ZS5:\" f(}iyJt.U M ~d-.'
LEGAL DESCRIPTION
/7fJ '3 7- 4 -1-( t='::Jf) 2. b1)
. .
JOB DESCRIPTION r1F-C~-oo757-o/) 1000sq,ftorless
ft.: _./ k.,A - ~ J:::';' '~ !/ , Each addll10nal 500 sq, ft, or
7UJ"t. ~~ ....t1ZL ~ /Al portion thereof
~Of)O
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
A. ~~JIrffi~~,'g1"~~,ivi~1tirff~t~y~,p;:1;~r5'g~~
~~~~':"~~""'~-:li~:n=--.-r.A~~l~'~~"~' - .'
Service Included
$106.00
$ 19.00
$50.00
~if~AAcrORdNSTA:L. ;<(1:A.'!."TION'Oi2{t~
2.- , -. ~~"f'IV.<t..-'i~~~~""llj>\;;':!':~l!liH"'fL'.." ','
Electrical Contractor -4r'&g'Y"
B. rse~~i~;~~F~~;1~an~lr~fi'.}ri;jAit~itl~~~~~:Rt;i~~tiliir:~
~~~~~~~~~=-~~~-;.~,",~'''l4''~..,.-daY..~~>t__"tlO:., .:.l'!':..::<"'<<'1;J
Expiration Date
Tn" to\loVflll9>~\,oie
zoning. and 0
approva\.
oning -
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
the 1o\\Owing
Ubmitled nas d use60 I Amps to 1000 Amps
sS iht \an
t require spec Over 1000 AmpsNolts
I.:.\) ('2.. Rp-"onnect Only ,
~ ~t?- \-0 ~ c:rGili.~iir'3";JS"iHt~t!ii~IF~eai!~~~r
~'J,.,~~JI..~A:.il.~.."....._'n... ~"
e-'
Authorized Signature Installation, Alteration or Relocation
/
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50,00
''''il(~i~~\!~~.~~i<~~-,f''l!
~\4i~~L.~.'t((ttlfA..:;;~
Address
City
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps ,
$ 50.00
$ 69,00
$100.00
Over 600 Amps or 1000 Volts see "B" above,
D. ~fWi:ilrCh-~it's~:t.\1'J!w",~),,~...~ . ',.',.,~f~!~~~';.,~ilL~;jt.~~
">>' .~___'"'-'..r.~~,_~~l~~~".~~'
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with '
Owners Name RoC\,Q,Y- ~ \AK1t~ r . Service or Af'itNl'iaW:Oregon 1,... '~'1Jtr~J~u.~:.
Address d~ Ul-\~'\ 2 n~~\dq,t~ E.lM1~~A~\tYf~~MI1~~~~..ri~;.~);~ii~il~~;
Ci~(\ Nk;e\d Phone 1-4 7 _ (" /lUg Pump orllhQm~52-001-0b01? thrO~g~ ~~~~~r~~~~~
\I J" , S'gnI0 gR~Qi\~ ~qu may 0 tam Cv..'~v $ 00 '
I ut c81lW6'tRe center. (11.:/.:': tr.z, tel~~non:
OWNER INST^ttbt~~~ Limited En~oo;1N~Vbm Orego~ I ''''''y ~illl!tiQn
The instal1ation i~fggpl'\<!~~Q ~ ~~lth THE WOIi~ited Energy/Col!ll!l\'fCi'\h 1-800~132-234lt~.00
is not intended fQrA'\'l\fl~fL'l~15eUtNDER 1HIS PER~6Tf\rI't~~Jm Electric Permit Inspection Fee is $45.00 + Surcharges
, COMMENCED OR IS ABANDON ~.".~.; '-' '"".'~ "~"".~,"'''''''''~t~}~~~'''''r''''';'''''.:''.''~ .-1 ......,
Owners Signature. ERIOD 4. ,SUBTOTAbOFfABOVElt",jj}Jt/z"'~'!;i,'~~ C-v...
l'\k~~:~ ~:t :::::;::M~"~~"''"~ ~~~
Inspection Request: 726-3769 ex.pl'ad \ (\ 2000 TOTAL 5?,,~)
Signature of Supervising Electrician
$ 43.00
Shared Drive(T:)/Building Forms/Electrical Permit Application 1.Q3.doc
.~-
. City of Springfield .
Building Permit & Inspection Summary
5/20/2004
1:11:44PM
Job #: 00-00751-01
Job Address: 2555 Hayden Bridge Rd
Scope of Work: Garage
Description of Work: Land Use: Single Family Dwelling, Zoning:
LDR, Two story shop - has been reviewed in
June of 1999. They had not picked it up and
plan review expired. Now it must be
rereviewed
06/02/2000 06/02/2000 Appr ST
225 Fifth Street
541-726-3753 Phone
541-726-3676 Fax
Project Status: Expired
Engineering-Res
Plannine-Res
Structural-Res
06/02/2000
06/07/2000
06/02/2000
06/08/2000
Appr
Appr
Insoections Conducted
Insoections
Rough Plumbing
Underlloor Plumbing
Footing
Footing
Comments
CKED PIL WITH TOM AND
ARE CORRECT
Foundation
Slab
Verify Ground Rod
Hold Downs Installed
Sanitary Sewer Line
Rough Gas
Framing
meter relocation
NEED CLIPS AT STICK
FRAMING AND HANGERS AT
THE RIDGE BEAM
epoxy bolts done by B2
Construction Consulting 1nc,
pend cln for final
pend exhaust fan in utility room
Special
Rough Electrical
Rough Mechanical
Rough Plumbing
Framing
Shear Wall Nailing
Wall Insulation
Drywall
Progressive
Left card, may be ready for
finals?
FllJ1t'l- et-~.
rlllJ.*L Itv~6.?
FI,.u;+(. lU~tI-,
Fl1U7I-C /jaq.
20f2
Spr
EXISTING DRIVEWAY
ACCESS SHALL BE
CLOSED PRIOR TO
OCCUPANCY
AW
WS
Date Result Insoector
07/1 0/2000 Wron TM'
0711 0/2000 OK TM
07112/2000 Info TM
07/12/2000 OK BB
07112/2000 OK BB
07/12/2000 OK BB
07/12/2000 OK BB
07/12/2000 OK BB
07117/2000 OK SG
09125/2000 OK TM
09/28/2000 Part BB
1010312000 OK TM
10117/2000 OK DG
10117/2000 OK DG
10/20/2000 OK SG
10/23/2000 OK TM
10/23/2000 OK BB,
10/23/2000 OK TM
10/26/2000 OK TM
12110/2001 Info SG
'if~1
. City of Springfield ..
Building Permit & Inspection Su~ary
512012004
1:11:44PM
Job #: 00-00751-01
225 Fifth Street
541-726-3753 Phone
541-726-3676 Fax
Job Address: 2555 Hayden Bridge Rd Spr
Scope of Work: Garage
Description of Work: Land Use: Single Family Dwelling, Zoning:
LDR, Two story shop - has been reviewed in
June of 1999. They had not picked it up and
plan review expired. Now it must be
rereviewed
Project Status: Expired
Name
OWN Roger Hunter
Owner & Contractor(s)
Address
2555 Hayden Bridge Road
City. State. Zin Phone
Springfield OR 97477 (541) 747-617
Valuation ofProiect
Occuoancv
Construction Tvoe
Cost Per So Ft So Ft~
Date
Valuation Calculated Staff
Fees Paid
Descriotion Amount Paid Date Paid Receiot #
Garage/Carport $211.00 06/0812000 2075
Residential Plan Check $137.15 06/08/2000 2075
Building Administrative Fee $6.33 06/08/2000 2075
Permanent: 200 Amps or Less $50.00 06/08/2000 2075
Branch Circuits With Feeder or $6.00 06/08/2000 2075
Sanitary Sewer Footage $25.00 06/08/2000 2075
Vent Fan to One Duct $3.00 06/08/2000 2075
Administrative Fee - Mechanica $0,45 06/08/2000 2075
State Surcharge - Mechanical $1.05 06/0812000 2075
State Surcharge For Building P $14.77 06/08/2000 2075
State Surcharge - Electrical $3.92 06/08/2000 2075
Administrative Fee - Electrica $1.68 06/08/2000 2075
Number of Fixtures $20.00 06/08/2000 2075
Storm Sewer Footage $25.00 06/08/2000 2075
State Surcharge - Plumbing $4,90 06/08/2000 2075
Administrative Fee - Plumbing $2,10 06/0812000 2075
Minimum Mechanical Permit $12,00 06/0812000 2075
Mechanica11ssuance $10,00 06/0812000 2075
Total Amount Paid $534.35
Plans Reviewed
Deoartment Received Due Date Comoleted Result Reviewer Comments
Initial Review-Res 05123/2000 05123/2000 Appr LH This proposed structure
cannot exceed the height or
square footage of the
residence.
lof2