HomeMy WebLinkAboutPermit Building 2003-02-14Buildin g/C ombin ation Per mit
PERMIT NO: COM2003-00043Status: Issued
225 Fifth Sheet Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541-7 26-Y 69 Inspection Line
ISSUED:
APPLIED:
E)PIRES:
02n4t2003
0y27t2003
0811412003VALUE: $ 122,016.00
SITE ADDRESS: 6878 Simeon Dr
ASSESSOR'S PARCEL NO.: 1702341108400
PROJECT DESCRIPTION:
TYPEOF
TYPEOF USE:
SFR - same as942 66th Pl job # 02-01026-01
Single Family Residence
Residential
Owner: DENNIS R MINIUM
Address: 8745 THURSTON RD SPRINGFIELD OR 9478
Phone Number: 541-747-8495
Phone Number: 541-7 47 -8495
Contractor Type
General
Electrical
Mechanical
Owner
Contractor
DENNIS R MINIUM
STEVE HAUCK
HOME COMFORT HEA
DENNIS
DON
\t
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Expiration Date
12nu2003
04t30t2003
06t25t2003
12fiu2003
06/10/2003
Phone
541-747-8495
541-221-2665
541-345-2838
541-747-8495
541-688-1931
62682
33076
I
19.00
Forced Air Gas
Gas
Gas
Path I
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Ft Other:
Surface Area:
6,458
1,520
# 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:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
440
I
\T.{
VN
3 .,
18.00
s.00
15.00 Compact:
PARI(ING
7
Curbside 5'
Curb and Gutter
14.00
8.00
x'ullv Improved Sidewalk TYPe:
Yes DownspoutVDrains
No part of building eave or footing is allowed to encroach in PUE.
CONTRACT OR INFORMATI ON
PUBLIC IMPROVEMENTS
Notes:
l of 4
is1
(u\es
are
Status: Issued
225 Fifth Stree! Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-Y 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-00043ISSUED: 0211412003APPLIED: 0112712003E)PIRESz 0811412003VALUE: $ 122,016.00
Descrbtion
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
Value
$113,392.00
$8,624.00
$122,016.00
Date Calculated
0u27t2003
0U27t2003
$ Per Sq Ft Square Footaqe
$74.60 1,520.00
$19.60 440.00
Total Value of Project
Fee Description
PIan Review Same As
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 77o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Ifoods
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review - Planning
Plan Review/Residential If ourly
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Amount Paid Date
$100.00
$10.00
$109.34
$76.s4
$2s4.00
$8.00
$6.00
$640.40
$7s.00
$6.00
$9.00
$12.00
$4.00
$s9.00
$4s.00
$-30.00
$r06.00
$38.00
$319.01
$419.71
$10.00
$34.83
$332.86
$86.60
$50.49
$709.81
$160.87
$75.00
$754.77
$18.00
$1,000.00
u27t03
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Receipt Number
1200200000000000613
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
1200200000000000700
Total Amount $5,500.23
2of4
Valuation Description I
Fees raro I
Status: Issued
225 Fifth Street Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541:7 26-37 69 Inspection Line
FIELD
Buildin g/C ombinatio n Per mit
PERMIT NO: COM2003-00043ISSUED: 0211412003APPLIEDz 0112712003E)PIRI,Sz 0811412003VALUE: $ 122,016.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
0u28t2003
0u28t2003
0u28t2003
0u2812003
02t03t2003
02t06t2003
APP
APP
APP
LLH
AJD
VRJ Spoke with Dennis Minium Feb. 6th
am regarding no footings or eaves
encroaching into l4' PUE located
along the southern part of the lot.
He is planning to have a I foot eave
on the south side of building to stay
clear of the PUE. VJ.
Structural Review 0u28t2003 02n2t2003 APP DLM
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
I
3
4
5
6
7
8
9
10
11
t2
13
t4
l5
t6
t7
18
19
20
2t
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
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.
Underfloor 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.
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 Mechanical: Prior to Cover
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.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Underground Electric: Prior to cover
Electric Service: Approval required prior to utility company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
,1,
23
24
,<
26
27
3of4
Kequrreo rnspecrrons I
Status: Issued
225 Fifth Stree( SpringfieH, OR
541:726-Y53 Phone
541-726-3676 Fax
541:7 26-Y 69 Inspection Line
Buildin g/C omb in ation Permit
PERMIT NO: COM2003-00043ISSUED: 0211412003
E)OIRES: 08/1412003VALUE: $ 122,016.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiS 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
hereir5 and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certi$ 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 card is located at the front of the property, and the approved set of plans will remain on the site
at all
Z?-7
Owner or Contractors Signature Date
- ,//.-/
4of4
2lt4/2003
9:33:l2AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
Receipt #: 1200200000000000700
Date: 0211412003
Line ltems:
Job/Journal Number Description Amount Paid
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Plan Review - Planning
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
8.00
1,000.00
106.00
38.00
59.00
75.00
75.00
(30.00)
754.77
419.71
319.01
160.87
709.81
332.86
34.83
Page I of3 cReceipt.rpt
sffig;|m,.*I
2/14/2003
9:33:l2AM
City of Springfield
Development Services Department
Public Works I)epartment
Oflicial Receipt
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #z 1200200000000000700
Date: 0211412003
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
coM2003-00043
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets l-4
+ 7%o State Surcharge
+ l0o/o Administrative Fee
Plan RevieWResidential Hourly
-Mechanical Issuance Fee-
10.00
86.60
50.49
640.40
254.00
12.00
18.00
9.00
6.00
6.00
4.00
76.54
109.34
45.00
10.00
Page 2 of 3
Line Item Total:$5,400.23
cReceipt.rpt
2114t2003
9:33:l2AM
City of Springfield
Development Services Department
Public Works Department
Oflicial Receipt
225 F'ifth Street
Springfield, Oregon 97 477
541:726-3759 Phone
Receipt #: 1200200000000000700
Date: 0211412003
Payments:
Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid
Check DENNIS MINIUM djb In Person 5,400.23
Total:
Page 3 of3 cReceipt.rpt
*IlrttxsFlstr"$
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPE
1.L
LEG D
B DES
are non rble and expire
if u'ork is not'sttrrted rvithin 180 days
of issuance or ifrvork is suspended for
2
Electrical'
Supen'i
Date
The installation is being made on
properry-I o'ivn rvhich not intended
for sale,lease or rent.
Job
Rcsiden
Multi-Family per drrelling unit.
Serrice Included:
Items Cost
tq bo
rules ado
EL
p
1000 sq.ft. or less
Each additional 500
sq. ft or portion
tltereof
Each Manufd Home or
lvlodular Drvelling
Serv'ice or Feeder
L$re.oo
$ 106.00
$ 50.00
INSTALLATION ONLY B. Services or Feeders
Instirllittion,
Relocrrtion:
6e 5+200 amps or less
201 trmps to 400
401 anips
1 amps
up crrising Electrician
Over
IBI
D. Bt'itnclt
\ iiul\:ur
tion Cent
in OAR952-001-
009(J" Yougit
callingthe
952"001
t included)
Liniited Energl',Ees
Limited Energv/Comm
I\Iinimum Electric Permit Inspcction Fec is S-15'0{) * Surchrrrgcs
4. SUBTOTALOFABOVE
77o State Surchrtrge
8 %o Administratil'e Fee
oc)
TOTAL \\n8+F
s50.00
$50.00
$25.00
q-ri on
180 davs.
nurnberforthe
Center
you to
*ootonto' ae
Estimated Base Flood Elevation & Disclaimer
The calculated Base Flood Elevation (BFE) forlot#51-, Levi Landing -
Second Addition is7l2,7 feet above mean sea levei, based on the current
225 SIN ST,4EEI, SPfiIi\iGFTEID , AR 97477
ffi(547 ) 726-3753
FAX(511 )726-3676
Date 7'/q q+
FEMA datum information. The floor level of the residence to be placed on
the lot must be certified at least one foot above the Base Flood Elevation as
indicated above. (Please note - the City's surveyed benchmark datum information and
the FEMA benchmark datum are not the same for this area. Add 0.30ft to the City's
benchmarks to adjust to the FEMA benchmark elevations. )
The estimated base flood elevations in this area are based on interpretation
of scientific and engineering evaluations known to the city at this time.
Larger floods can and will occur on rare occasions. Flood heights may be
increased by human-made or natural causes. The Ctty's estimation of a
base flood elevation does not imply that land within this area will be free
fromflooding or flood damages or that conforrnance with the requirements
of the City will protect the property fromflooding or flood damages.
The City, its fficers, agents and employees shall not be liable for any flood
damage that may result from estimation of base flood elevation or any other
administrative decision made regarding administratton of the City's
Floodplain Development Code. The developer of this property may elect to
perform additional scientific and engineering studies for consideration by
the City to further refine the estimated base flood elevation for this properQ.
The developer of this property may also elect to undertake additional
development and construction measures in addition to those required in
article 27 of the Springfield Development Code designed to avoid or
minimize the potential for flood hazards and damage. Such additional
measures are subject to City approval.
Acknowledgment:
I hereby acknowledge receipt of a copy of this document:
Signature
(This copy to by Owner's authorized agent and retained in City address file)
Name (print)
(