HomeMy WebLinkAboutPermit Building 2003-03-18Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003EXPIRESt 1110712003VALUE: $ 206,243.00
SITE ADDRESS: 3346 Falcon
ASSESSORTS PARCEL NO.: 1702193405800
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family House, Same as 3477 Falcon Drive
Springfield TYPE OF WORK: Single Family Residence
Residential
Owner:
Address:
RIVER VALLEY BUILDERS INC
PO BOX 2041 CORVALLIS OR 97339
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
RIVER YALLEY BUILDERS INC
G&EELECTRICINC
MIDWAY PLUMBING INC
RIVER VALLEY BUILDERS INC
MIDWAY PLUMBING INC
License
134566
54468
4687
4687
Expiration Date
04n5t2005
09n5t2003
07/2st2003
Phone
541-367-1618
541-967-7045
541-928-2423
07t2st2004 54t-928-7927
CONTRACTOR INFORMATION
BUILDING INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# ofStories: 2
Height of Structure 27,00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path I
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
1
R-3
u-1
VN
18.00
5.00
9.00
30.00
37.00
5,625
1,182
1,075
425
3963
Fully Improved
Yes
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
I
Yes
29.00
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARJflNG
Total: 2
Handicapped:
Compact:
Curbside 5'
To Storm Sewer
DEVELOPMENT INFORMATION
Notes:
Pase 1 of4
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003
EXPIRESz 1110712003VALUE: $ 206,243.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
$74.60
$19.60
Square Footage
2,653.00
425.00
Value
$197,913.80
$8,330.00
$206,243.80
Date Calculated
03t07t2003
03t07t2003
Fee Description
+ llYo Administrative Fee
+ 7%o State Surcharge
Plan Review Same As
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1998
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
Plan Review Residential
Plan Review/Residential Hourly
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ llYo Administrative Fee
+ 77o State Surcharge
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200200000000000s62
2200200000000000562
2200200000000000562
2200200000000000562
1200200000000000845
1200200000000000845
120020000000000084s
120020000000000084s
r20020000000000084s
120020000000000084s
1200200000000000845
120020000000000084s
120020000000000084s
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
120020000000000084s
1200200000000000845
1200200000000000845
r200200000000000845
120020000000000084s
120020000000000084s
120020000000000084s
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
r200200000000000845
1200200000000000845
120020000000000084s
120020000000000084s
1200200000000000845
120020000000000r143
1200200000000001143
$s.00
$3.50
$100.00
$s0.00
$10.00
$r29.s4
$90.68
$306.00
$8.00
$-18.73
$6.00
$913.40
$7s.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$s9.00
$493.71
$45.00
$-30.00
$470.12
$618.52
$10.00
$34.83
$332.86
$94.s6
$49.72
$709.81
$160.87
$75.00
$s67.38
$24.00
$1,000.00
$20.10
$14.07
3tst03
3tst03
3/5/03
3/5/03
3/18/03
3/18/03
3/18/03
3/18/03
3n8t03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/r8/03
3/18/03
3/18/03
3/r8/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
517103
5t7t03
Pase 2 of 4
Eees Paid
Valuation DcseriBtion I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003
EXPIRESz 1110712003VALUE: $ 206,243.00
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Curbcut - Overwidth Appl
Total Amount Paid
$106.00
$9s.00
$3s.00
$6,709.94
5t7t03
st7t03
st27t03
1200200000000001 143
1200200000000001143
120020000000000r32s
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
03t06/2003
03/06t2003
03t06t2003
03t06t2003
03t06t2003
03nu2003
03nU2003
03t07t2003
LLH
AJI)
DJW
DLM
APP
APP
APP
APP
Renrrirpd Insneefions
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 Site Inspection: To be made after excavation but prior to setting forms.
2 lJfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to floor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
1l Drywall: Prior to taping.
12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
15 Underfloor Plumbing: Prior to insulation or decking.
16 Underfloor Drain: Prior to cover or placement of concrete.
17 Rough Plumbing: Prior to cover and including required testing.
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
2l Final Plumbing: When all plumbing work is complete.
22 Underfloor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Temporary Electric: Approval required prior to Utility Company energizing pole.
Paee 3 of4
ffi
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003EXPIRf,Sz 1110712003VALUE: $ 206,243.00
29 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
30 Curbcut - Standard: After forms are erected but prior to placement of concrete.
31 Rough Electric: Prior to Cover
32 Electric Service: Approval required prior to utility company energizing service.
33 Final Electric: When all electrical work is complete.
front of
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 who are in compliance with ORS 701.005 will be used on this project.
requested at the proper time, that each address is readable from theI further agree to that all required
street, that card is located at and the approved set of plans will remain on the site at all
times (-27-o
Owner or Date
Page 4 of 4
rL
'..--.'.,
225 FIFTH STREET . SPRINGFIELD, Ok 97477 . PH:(541)726-3753 t
E L E CTRI CAL P E RMIT AP P LI CATI ON
CiryJobNumber La,LtZ-;:c ) <.C'l -- a Date
LO CA'T' I O N O F IN S T'AL I-AT'I O N
FAX: (511)726-3689
s sub mitte d has the tollowing
l::,:"J"I;l'J#r::?require sPeci{ic land use
u>c
I
33r{ b Un n^
-"(Ds-8&
1,1 1&{ =F(L
Permits are non-transferable and expire if rvork is
not started n'ithin 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
J
?c box IUBG
\ F: "r r.'t Phone 5Yt Qrol'?Gzl
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Serrce or
Feeder
ure
w
or Relocation
, unit.A.
06.00$/0a, oc
g€pD5s 19.00
$50.00
CO NT RACT O R INSTALIATI O N ONLY
6{F E\eLr(ic,}(200 Amps or less
Address
20t
401
601
Arnps
Amps
to 400
$ 63.00
$ 75.00
$ 125.00
$ r 63.00
$375.00
$ 50.004ttzt
SupervisorLicenseNumber & h 0 S
Expiration Date tt 3
Constr. Contr. Number w 5Ll qb OU
Expiration Date
Si gnarure of Supervising Electrician
t$
20 to 00 Arnps
0?401 Amps to 600 Amps
Over 600 or 1000 Volts
New Alteration or
One Circuit
Each Additional
Service or
s
D.\
r"-orl$
$ 50.00
$ 69.00
$ 100.00
$ 43.00
owners Name Pr vc-r\ t{*tL- V il rs
f,Z L0-
Address j5o O,< /
City G.>c,*LGs Phone
O\lTiER INSTALLATION
Tlie installation is being made on properry I own which
is not intended for sale, lease or rent.
Owners Signarure:
E.
Limited
$ 50.00
s 50.00
$ 2s.00
$ 45.00
Minimurn Electric Permit Inspection Fee is $45.00 * Surcharges
2o1,oC
/r-( . 0
4
7o/o State Surcharge
l0% Administrative Fee
rorAl 2SS tlInspection Request: 726-37 69
Shared Driv(T:)/Building Fonns/Electrical Pennit Application l -03.doc
Date
-O
pcrLEGAL DESCRIPTJON
_ l-7c z_){74
JOB DESCzutrTION
B. Services or Feeders -
ciq'
Alterations or Reiocatiou:
D. llrlnch Circuits
not included) -Each Installation
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00135ISSUED: 0311812003APPLIED: 03/0512003EXPIRES:. 1110712003VALUE: $ 206,243.00
SITE ADDRESS: 3346 Falcon Springfield TYPE OF WORI(: Single Family Residence
ASSESSOR'SPARCELNO.: 1702193405800
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single Family House, Same as 3477 Falcon Drive
Owner: RMRVALLEy BUILDERS INC
Address: PO BOX 2041 CORVALLIS OR 97339
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Contractor
RTVER VALLEY BUILDERS INC
G&EELECTRICINC
MIDWAY PLUMBING INC
RIVER VALLEY BUILDERS INC
MIDWAY PLUMBING INC
1
R-3
u-1
vll
#
License
134566
54468
4687 \t
2
27.00
Forced Air Gas
Gas
Gas
Path 1
Date Phone
541-367-1618
541-967-7045
541-928-2423
07t25t2004 541-928-7927
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
5,625
1,182
1,075
425
3963
Type
Water
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved
%o of
Sq
Type:
Surface Area:
PARKING
2
Curbside 5'
To Storm Sewer
18.00
5.00
9.00 \
30.00
37.00
Fully Improved
Yes
CONTRACTOR INFORMATION
Notes:
Paee I of4
Downspouts/Drains:
$@
\e
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003EXPIRES: 1110712003VALUE: $ 206,243.00
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
Value
$197,913.80
$8,330.00
Date Calculated
0310712003
03t0712003
$ Per Sq Ft Square Footage
$74.60 2,653.00
$19.60 425.00
Total Value of Project $206,243.80
Receipt Number
2200200000000000s62
2200200000000000562
2200200000000000s62
2200200000000000s62
120020000000000084s
120020000000000084s
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
120020000000000084s
1200200000000000845
120020000000000084s
r200200000000000845
1200200000000000845
120020000000000084s
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
120020000000000084s
r200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
120020000000000084s
1200200000000000845
1200200000000000845
1200200000000000845
1200200000000000845
r200200000000001r43
1200200000000001 143
Amount Paid Date PaiFee Description
+ l0oh Administrative Fee
+ 7Yo State Surcharge
PIan Review Same As
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7oh State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1998
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets l-4
Plan Review - Planning
Plan Review Residential
Plan RevieilResidential Hourly
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
+ l0o/o Administrative Fee
+ 7o/o State Surcharge
$5.00
$3.50
$100.00
$s0.00
$10.00
$129.54
$90.68
$306.00
$8.00
$-18.73
$6.00
$913.40
$7s.00
$6.00
$e.00
$12.00
$15.00
$4.00
$s9.00
$493.7r
$4s.00
$-30.00
$470.12
$618.52
$10.00
$34.83
$332.86
$94.56
$49.72
$709.81
$160.87
$7s.00
$567.38
$24.00
$1,000.00
$20.10
$14.07
3/5/03
3/5/03
3/5/03
3/s/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/r8/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
3/18/03
st7l03
517103
Paee2 of 4
Rpps Pcid
-
Valuation Descrintion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003EXPIRES: 1110712003VALUE: $ 206,243.00
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Total Amount Paid
$106.00
$95.00
$6,674.94
sl7l03
517t03
1200200000000001 r43
1200200000000001143
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
03t06t2003
03106t2003
03t06t2003
03t06t2003
03t06t2003
03nu2003
03nu2003
03t07t2003
LLH
AJD
DJW
DLM
APP
APP
APP
APP
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.
Site Inspection: To be made after excavation but prior to setting forms.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Pase 3 of4
I
2
3
4
5
6
7
8
9
10
11
t2
13
l4
15
t6
17
18
t9
20
2t
22
23
24
25
26
27
28
29
Rpnrrirpd fnsnpefinns
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00135ISSUED: 03/18/2003APPLIED: 03/0512003
EXPIRESz 1110712003VALUE: $ 206,243.00
30 Curbcut - Standard: After forms are erected but prior to placement of concrete.
31 Rough Electric: Prior to Cover
32 Electric Seryice: Approval required prior to utility company energizing service.
33 Final f,lectric: 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
times during construction.
Owner or Contractors Signature Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 120020000000000 I I 43 Date: 0510712003
coM2003-00135
coM2003-00135
coM2003-0013s
coM2003-00135
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7Yo State Surcharge
+ ljYo Administrative Fee
106.00
95.00
14.07
20.10
Item Total:$23s.17
Check G&E ELECTRIC INC djb In Person
Payment Total:
235.17
$235.17
5/7/2003 l0:10:39AM Page I of I cReceipt.rpt
)