HomeMy WebLinkAboutPermit Building 2005-11-22Building/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: COM2005-01546ISSUED: 1112212005APPLIED: 11/0112005EXPIRES: 09/1012006VALUE: $ 24,000.00
SITE ADDRESS: 3228 VALLEY MEADOWS CT
ASSESSOR'S PARCELNO.: 1702302103800
PROJECT DESCRIPTION: Addition to existing residence
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
MERLENE EMMONS
3228 VALLEY MEADOWS CRT
SPRINGFIELD OR 97477
PhoneNumber: 541-741-3991
Expiration DateContractor
RODNEY H DE HART
MITCHS ELECTRIC INC
COMFORT FLOW
CRAIG ARNEY PLUMBING LLC
License
105501
t4674s
460
167015
t04t04t2006
0u18t2007
06t27t2007
r0t25t2007
Phone
541-746-7706
541-521-5690
541-726-0100
54t-736-9582
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I
250R-3
vN
Heat Pump
Path I
nla
ffiffiffiffiIni$llffiri*
Sidewalk Type:
Downspouts/Drains:
ARI(ING
Curbside 5'
Curb and Gutter
rrHQflsoo P
l'ilFtff:N01
p$ff'frcanned:
- Compact:
34.00
20.00
10.00
Fully Improved
Yes
DEVELOPMENT INFORMATION
Notes: Storm drainage piped to curb face 11/4/2005 CAS
Paee 1 of3
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Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2005-01546ISSUED: 1112212005APPLIED: lll0ll2005
EXPIRESz 0911012006VALUE: $ 24,000.00
Description
Dwellinss
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$96.00 2s0.00
Total Value of Project
Amount Paid Date Paid
Value
$24,000.00
$24,000.00
Date Calculated
1U01/2005
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 77o State Surcharge
Building Permit
Fixture
Minimu m/Adj ustment Mechanical
Minimum/Adj ustment Plumbing
Plan Review Minor - Planning
Sanitary Sewer - fmprovement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
+ l0oh Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$140.79
$10.00
$30.66
$21.46
$216.60
$42.00
$39.00
$3.00
$8s.00
$114.42
$150.42
$19.70
$129.20
$6.00
$4.60
$3.68
$43.00
$3.00
$1,062.53
11/1/05
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ty22t05
3t28t06
3t28t06
3t28t06
3t28106
Epps Pcid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
Lu02t2005
11/03/2005
Lu03t2005
ru03t2005
Lu0412005
tyt8l200s
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APP
APP
APP
APP
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.
Page 2 of 3
Valuation Descriotion I
Receipt Number
2200500000000001530
2200500000000001613
2200500000000001613
22005000000000016r3
2200s000000000016r3
2200500000000001613
2200500000000001613
2200500000000001613
2200500000000001613
2200500000000001613
2200s00000000001613
2200s00000000001613
2200500000000001613
2200500000000001613
1200600000000000353
12006000000000003s3
12006000000000003s3
12006000000000003s3
tu03l200s
11/10/2005 Keep construction activity away
from wetland area in the far east
corner ofthe lot.
Storm drainage piped to curb face
11/4/2005 CAS
Forwarded to Tom Marx for review
tutSt05
F
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676F2x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01546ISSUED: 1112212005APPLIED: 11/01/2005
EXPIRES: 09/1012006VALUE: $ 24,000.00
ffi
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.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to lilling trench.
Final Plumbing: When all plumbing work is complete.
Final Plumbing: When all plumbing work is complete.
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.
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 70f .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
Paee 3 of3
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
rity of Springfield Official Receipt
;velopment Services Department
Public Works Department
RECEIPT #: 1200600000000000353 Date: 0312812006 e:22:18AM
Job/Journal Number
coM2005-01546
coM2005-01546
coM2005-01546
coM2005-01546
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
43.00
3.00
3.68
4.60
Item Total:$54.28
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MITCHS ELECTRIC djb 038570 In Person $54.28
Payment Total:
-$m''
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3/28/2006 Page I of I
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: COM2005-01546ISSUED: 1112212005APPLIED: 11/0112005
EXPIREST 0512212006VALUE: $ 24,000.00
SITE ADDRESS: 3228 VALLEY MEADOWS CT
ASSESSOR'SPARCELNO.: 1702302103800
PROJECT DESCRIPTION: Addition to existing residence
Springfield TYPE OF WORI(: Single Family Residence
TYPE OF USE: Addition Residential
HIS PERMIT SHA LL 541-741-3991
AUTHORIZE D UNDEB
COf\4MENcED OR
Owner:
Address:
Contractor Type
General
MERLENE EMMONS
3228 VALLEY MEADOWS CRT
SPRINGFIELD OR 97477
Contractor
RODNEY H DE HART
License
105501
Expiration Date
0410412006
Phone
s4t-746-7706
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Heat Pump
Square Footage
or Bid Amount
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
250
Curbside 5'
Curb and Gutter
I
R-3
VN
Path 1
nla
34.00
20.00
10.00
19.60
Sidewalk Type:
Downspouts/Drains:
Fully Improved
Yes
Notes: Storm drainage piped to curb face 11/4/2005 CAS
$ Per Sq Ft
or multiplier
DEVELOPMENT INF(
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of3
Value Date Calculated
l' U ILI'IN U 11\ I' (JI(IVI.A I I(Ji\
li;sof
Valuation Description I
Buildin g/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2005-01546ISSUED: 1112212005APPLIED: 11/0112005EXPIRES: 0512212006VALUE: $ 24,000.00
Dwellinss V Wood Frame
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
Building Permit
Fixture
Minimum/Adj ustment Mechanical
Minimum/Adj ustment Plumbing
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Total Amount Paid
$96.00 250.00
Total Value of Project
Date Paid
$24,000.00
$24,000.00
lu0U2005
Amount Paid Receipt Number
2200500000000001s30
2200s000000000016r3
2200500000000001613
2200500000000001613
2200500000000001613
220050000000000r613
2200s00000000001613
2200s00000000001613
2200500000000001613
2200500000000001613
2200s00000000001613
2200s000000000016r3
2200s0000000000r613
2200s00000000001613
$140.79
$10.00
$30.66
$21.46
$216.60
$42.00
$39.00
$3.00
$8s.00
$rr4.42
$rs0.42
$19.70
$129.20
$6.00
11/1/0s
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tu22t05
tu22t05
$1,008.25
T'ees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
Lu02t2005
tl/0312005
lu03t200s
tU03t2005
tu03t200s
tut0t2005
tU04t2005
11/18/2005
APP
APP
APP
APP
LLH
TAJ
CAS
TCM
Keep construction activity away
from wetland area in the far east
corner of the lot.
Storm drainage piped to curb face
il/4/2005 CAS
Forwarded to Tom Marx for review
1l115/05
To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m.
wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
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.
Paee 2 of3
Keoutred !nsnectrons 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: COM2005-01546ISSUED: 1112212005APPLIED: 11/0112005
EXPIRESz 0512212006VALUE: $ 24,000.00
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.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Final Plumbing: When all plumbing work is complete.
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.
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 properQr, and the approved set of plans will remain on the site at all
times during construction.
-L-o
Owner or Signature Date
Page 3 of3
^'..n--s^\9^:
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN I WORKSHEET
JOURNAL OR JOB NUMBER: COM2005-01546
NAME OR COMPANYT Marlene Emmons
LOCATION 3228 Meadows
TAX LOTNUMBER:r 702302 r 03800
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING TINITS 0 BUILDING SIZE
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
7405
IMPERVIOUS S.F x
400.00
RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
COST PER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$ 19.07
NUMBER OF T]NITS
0
NLIMBER OF UNITS
0
ADM. FEE RATE
5Yo
304
CHARGE
$129.20
DISCOUNTRATE
50Yo
s129.20
LOT SZE (SF):
DISCOT]NT
$0.00
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
6
B. IMPROVEMENT COST:
NUMBER OF DFU's
6
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ST]BTOTAL
$394.04
x
x
x
x
x
x
x
x
x
ITEM l TOTAL- STORMDRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL - CITY SAI\-ITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
s264.84
COST PER TRIP
$19.09
COST PER TRIP
$84. r 9
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBT]RSEMENT COST:
NLII\4BER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
ITEM 4 TOTAL - MIYMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
$394.04
CHARGE
$19.70
TOTAL SANITARY ADMINISTRATION FEE
TATION ADMINISTRATION FEE:
Cheryl Slaymaker tU4/200s
COST PER FEU
$82.03
s129.20
$rs0.42
$0.00
$0.00
$0.00
$0.00
I
s413.74
1070
1092
r 093
1094
r 054
1 055
I 054
1 056
1079
1078
or!noU
&r!Fa
or!&
COST PER FEU
$865.3 r
PREPARED BY DATE
TOTAL SDC CIIARGES
1091
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x I.]NIT EQUIVALENT: DRAINAGE FXTURE UNITS
FOR CALCL}LATE ONLY THENET ADDITIONAL
NO. OF FIXTURES
LINIT
FIXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBEROF EDU'S
TOTAL DRAINAGE FXTT]RE I]NITS
lsa toa mit sel al 167
IVTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FTXTURE
UNITS
0
2
*EDU
BEFORE 1979
1979
1980
198',I
1982
1983
I 984
1985
l 986
1987
1988
I 989
I 990
I 991
1992
1993
1994
I 995
1996
1997
1998
1999
$5.29
$5.29
$5.19
$5.12
$4.e8
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
VALUE / 1OOO
$0.00
CREDITRATE
$5.29
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
2
1979
x
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
2001
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 0 0 3 0
0 1 0DRINKING FOUNTAIN 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
0 0 b 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
LAU.JDRY TUB 0 0 2 0
0CLOTHESWASMR/MOP SINK 0 0 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFzuG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWE& SINGLE STALL I 0 2 2
0 0 2 0SHOWER" GANG CNUMBER OF- HEADS)
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
0 0 2 0SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
LIRINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 1 0 3 3
6
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALT]E
0
00
2000
225Fifth StreetiI
' Springlield, Oregon 97 477
541-726-3759 Phone
-rty of Springfield Official Receipt
-evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001613 Date: 1112212005 2252:t7PNt
I Job/Journat Number
coM200s-01546
coM2005-01546
',coM200s-01546
- cotr,tzoos-ots+o
coM2005-01546
coM2005-01546
coM200s-01s46
" coM2005-01546
coM2005-01s46
coM2005-01546
.coM2005-01s46
Cbuzoos-o
coM200s-0
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Fixture
Minimum/Adjustment Plumbing
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ l0% Administrative Fee
Amount Due
129.20
t50.42
n4.42
19.70
85.00
216.60
42.00
3.00
6.00
39.00
10.00
21.46
30.66
$867.46
1546
t546
Item Total:
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check CORLEEN LEITZEL DDK 1334 In Person $867.46
Payment Total:
-5337id
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tt/22t2005 Page I of I
aDtMaSa
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225 FIFTII STREET o OR97477 o pH:(541)726-3753 o F.4,X: (541ELECTRICALPERMTT A.PPLICATION
City lob Number qA
1.
3Z2g 3.
u
Permits are non-transferable and expire if work is'' not started within lg0 days of i.rrrol" o.li wo.f< isSuspended for lg0 days.
Address
city 6Jca- ove Phote 5z l-sgz
Supervisor License Number 4 -77A
Expiration Date /-c L- ot
Constr Conr. Number iri tlQ 1-
ExpiratiouDate . Ol- t {- ct -7
Signature of Electrician
Installation, Alteration or Retocation
200 Amps or less
C.
Over 600 Amps or I 000 Volts see'Tl" above.
New Alteration or Extension per panel
One Circuit
Each Additional Circuit
or
_ $50.00
s 63.00
$ 75.00
$125.00
$163.00
$375.00
LEGAL DESCRIPTION
17c 3oz ( (>3 too
JOB DESCRIPTION
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to !000 Amps
Over 1000 AmpWolts
Reconnect Only
,
Electical Contractor
D.
$ 43.00 v)
LNe-
-
Owners Name
Address 3 ZZ r
City 5 P,2b
()A SN
Pao" Vl( -3??/
7%o State Surcharge
l0% Administrative Fee
TOTAL
$ 3.00 3
$ s0.00
$ 50.00
$ 2s.00
$ 4s.00
VL
36>
6o
s Ei
uA ED
IODc
OWNER IIYSTALLATION A Lighting
Limited Energy,lR esidentialThe instalarion is being made on property I own which Limited Energy/Commercialrs not intended for sale, lease or Minimum Electric permit Inspection F ee is $45.00 * SurchargesOwners Sigaature:
lowing
Inspection Request: 726-37 69
rent.
Shared Drive(T: /Building Forms/Electrical permit Application I {3.doc
SPRINGFIELD,
A 7 (\
Or
/hr+ iJt Ze : cv.
Yz
-
-
-