HomeMy WebLinkAboutPermit Building 2002-10-04Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: 02-00782-01ISSUED: 1010412002APPLIED: 0710112002E)?IRES: 0712712003VALUE: $ 135,326.00
SITE ADDRESS: 3403 Parker Ln Spr TYPE OF Single Family Residence
ASSESSOR'S PARCEL NO.: 1702193403200
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: 13, Subdivision: Ambleside, Land Use: Single Family Dwelling, Zoning: LDR,
SFR
Owner: Tom Wirfs Enterprises Inc
Address: Po Box 237 Springfield OR 97477
Phone Number: (541\ 747-8704
PhoneNumber: 541-606-4446
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
Tom Wirfs Enterprises Inc
Bills Electric
Home Comfort Heating & Air Conditio
Tom Wirfs Enterprises Inc
Home Comfort Heating & Air Conditio
License Expiration Date Phone
(s4t) 747-8704
(s41) 687-18s1
(s41) 34s-2838
(s4t)747-8704
(s41) 34s-2838
CON TRACT, OR IN Ti. ORMA'I'I UN
; INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS 1
Frontyard Setback:
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sheet
Storm Sewer Availabh:
Special Instruction:
1
R-3
u-1
VN
22.00
# of Stories:
Height of
Type of Heat:
Overlay Dist:
1
20.00
Forced Air Gas
Gas
Electric
Path I
the
tor
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq tr't Basement:
Sq Ft Garage/Carport:
Sq Ft Other:
Impervious Surface Area:
5,625
1,700
434
3
t0s
REQTIIRED PARKING
Total:
Curbside 5'
number
IF{80FMENT INFORMAT rON
Notes:
Fully Improved
l of 3
Center is 1'
Curb and Gutter
Water Type:
Status: Issued
225 Fifth Stuee( SpringfieH, OR
541:726-3753 Phone
541-726-3676 Batx
541:7 26-37 69 Inspection Line
CI
Buildin g/C ombination Per mit
PERMIT NO: 02-00782-01ISSUED: 1010412002APPLIED: 0710112002E)GIRESz 0712712003VALUE: $ 135,326.00
Description Tvpe of Construction $ Per Sq Ft Square Footage
Total Value of Project
Fee Description
Same As Plan Review
8% Admin Fee - Electrical
87o Administrative Fee - Mechan
8% Administrative Fee - Plumbi
8% Building Administrative Fee
Additional Plan Check
Address Assignment
Building Permit
Dryer Yent
Gas Fireplace
Hood and Exhaust
Less than 100,000 BTU
Mechanical Issuance
Multiple Permit Discount - 2nd
MWMC Administrative Fee
New Curbcut
New Sidewalk
One to Four Outlets
Planning Plan Review
Residential - Improvement
Residential - Reimbursement
Residential - Single Family -
Residential Improvement MWMC
Residential Sanitary MWMC
S.F. Residence - Willamalane
Sanitary Sewer SDC Improvement
Sanitary Sewer SDC Reimburseme
SDC Administrative Fee
State Surcharge - Electrical
State Surcharge - Mechanical
State Surcharge - Plumbing
State Surcharge For Building P
Temporary: 200 Amps or Less
Two Bathrooms
Vent Fan to One Duct
+ lDYo Administrative Fee
+ 7o/o State Surcharge
Residence Wiring 1000 Sq Ft
Amount Paid Date
Value Date Calculated
$100.00
$4.00
$4.64
$20.32
$s4.61
$s83.00
$8.00
$682.65
$6.00
$9.00
$9.00
$12.00
$10.00
$-30.00
$10.00
$75.00
$7s.00
$4.00
$55.00
$710.00
$160.87
$719.9s
$34.83
$332.86
$1,000.00
$33s.80
$44r.80
$137.31
$3.s0
$4.06
$17.78
$47.79
$s0.00
$254.00
$18.00
$16.30
$11.4r
$106.00
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3
Receipt Number
9792
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
2200200000000000026
I 200200000000000638
1200200000000000638
1200200000000000638
2oI
Valuation Description I
F ees rard I
Status: Issued
225 Fifth Stueet, SpringlieH, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspectbn Line
SPRING
Building/C ombination Permit
PERMIT NO: 02-00782-01ISSUED: 1010412002APPLED: 0710112002E)PIRESz 0712712003VALUE: $ 135,326.00
Residence Wiring Ea Addtl500
TotalAmount
2t3t03 1200200000000000638
Plan Reviews
Engineering-Res
Initial Review-Res
Planning-Res
Structural-Res
07nst2002
07t02t2002
07nu2002
07n0t2002
Appr DW
ApDr LH
Appr
Appr
LM
TM
Still out of signed electrical permit
applications for Bills electric.
Cannot include electrical permit
until we receive them. I only
included temporary application in
initial review.
Needs to pick up LDAP currently
processing
To Request an inspection call the24 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 Rough Electric: Prior to Cover
2 Electric Service: Approval required prior to utility company energizing service.
3 Final Electric: When all electrical work is complete.
Reorfred fnsnections
By signature, I state and agree, that I have carefully exarnined the completed application and do hereby certiff 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
hereiq and that NO OCCUPAI\CY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiS that only contractors and employees who are in compliance with ORS 701.005 win 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 hcated at the front of the property, and the approved set of plans will remain on the site
at all times during cfrrstruction.
Owner or Contractors Signature Date
3 of 3
$s7.00
$6,151.48
2/3/2003
8:06:36AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #z 1200200000000000638
Date: 0210312003
Line ltems:
Job/Journal Number Description Amount Paid
02-00782-01
02-00782-01
02-00782-01
02-00782-01
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7o/o State Surcharge
+ lDoh Administrative Fee
Payments:
106.00
57.00
I l.4l
16.30
$r90.71
Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check COZY HOMES INC djb In Person 190.71
Total:$190.71
Page 1 of I cReceipt.rpt
*rrBli.{{3Ft#t_r}.
Line Item Total:
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
CITY
Building/C ombination Permit
PERMIT NO: 02-00782-01ISSUED: 1010412002APPLIED: 07i0112002E)PIRES: 0410412003VALUE: $ 135,326.00
PROJECT DESCRJPTION:Lot: 13, Subdivision: Ambleside, Land Use: Single Family Dwelling, Zoning: LDR,
SFR
SITE ADDRESS: 3403 Parker Ln
ASSESSOR'S PARCEL NO.: 1702193403200
Owner: Tom Wirfs Enterprises Inc
Address: Po Box 237 Springfield OR 97477
Contractor Tvpe
TYPE OF WORK Single f,'amily Residence
TYPEOFUSE: New
Phone Number: (541) 747-8704
License Expiration Date
General
Plumbing
Mechanical
Electrical
Contractor
Tom Wirfs Enterprises Inc
Tom Wirfs Enterprises Inc
Home Comfort Heating & Air Conditio
Home Comfort Heating & Air Conditio
Bills Electric
Phone
(s4t) 747-8704
(s4t) 747-8704
(s41) 34s-2838
(s41) 34s-2838
(541) 687-18s1
C ontractor Information
It U ILDING IN T''ORMA 'ION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
I
R-3
u-1
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
Yo ofLot Coverage:
1
20.00
Forced Air Gas
Gas
Electric
Path I
Lot Size:
Sq F't lst tr'loor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface
5,625
1,700
434
Curbside 5'
Curb and Gutter
3
REQUIRED PARKING
Total:
Handicapped:
Compact:
22.00
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
37.00
Sidewalk Type:
DownspoutVDrains
PUBLIC
Valuation Description
lof2
Value Date Calculated
DE\rELOPMENT
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541:726-37 69 Inspection Line
CITY OF FIELI)
Buildin g/C ombinatio n Permit
PERMIT NO: 02-00782-01ISSUED: 1010412002APPLIED: 0710112002E)PIRESz 0410412003VALUE: $ 135,326.00
Total Value of Project
Fee Description
Total Amount
Engineering-Res
Initial Review-Res
Planning-Res
Structural-Res
Amount Paid Date
07nst2002
07t02t2002
07nu2002
071r0t2002
Receipt Number
Appr DW
Appr LH
Received By
Still out of signed electrical permit
applications for Bills electric.
Cannot include electrical permit
until we receive them. I only
included temporary application in
initial review.
Needs to pick up LDAP currently
processing
Appr
Appr
LM
TM
Fees Paid
Plan Reviews
To Request an inspection call the24 hour recording at 72G3769. 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.
Required Inspections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 perhining 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 emphyees 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 hcated at the front of the property, and the ap
at all times during construction.
of plans will remain on the site
l( -{ -d L-
C)wner or Contractors Signature
2of2
OW
Permits are -transferable exptre
if work is rvithin 180 davs
of issuance
180 daYs.
lvork is susPended for
ALLATION
Super-v'ising Electrician
1000 sc1.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manufd Home or
Modular Drvelling
Sewice or Feeder
B. Ser.rices or Feeders
Installltion, Al
Relocation:
200 amPs or
201 amPs to
40i amPs
1 amps
Over
"B" above
D. Branch
N
MultiFamilY Per drvelling unit.
Service Included Items Cost
$106;00
s 19.00
s 50.00
not includE.
n
4.
TOTAL
':
5-1.e)
or rvith
7%o State
liL
LEGAL DESCRIPTIONt20zt93'l r:3zo
JOB DESCRIPTION&>€
Permits are ,transferable and expire
if work is
of issnance
180 days.
Electrical'
Address
Date
ZonrnO
Modular Drvelling
Service or Feeder
Items Cost
| $l06.00
3 $ 19.00
$ 50.00
Multi-Family per du'elling unit.
Manufd Horne or
Sig$atule
Sup
TALLATION ONLY B. Sen'ices or Feeders
Installation,
Relocution:
200 amps or
201 amps to
401 amps
1 amps
D.Bwr
7
-gfu'I
Fee is S.15.00 +
TOTAL l?oL