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Home My WebLink AboutPermit Building 2004-11-18Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line ITY Building/Combination Permit PERMIT NO: COM2004-01345ISSUED: llll8l2004APPLIED: 1012912004 EXPIRESz 1110912005VALUE: $ 13,997.00 SITE ADDRESS: 2815 WAYSIDE LN ASSESSORTS PARCEL NO.: 1703224400500 PROJECTDESCRIPTION: Garage Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential Owner: Address: Contractor Type General Electrical Plumbing HAROLD BERRY 2815 WAYSIDE LOOP SPRINGFIELD OR 97477 Phone Number: 541-968-0317 License Expiration Date PhoneContractor OWNER OWNER OWNER CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: A foll N in OA 0090. 52.00 38.00 0.00 Partially Improved No Provide drywell # of Stories: 1 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: 1 R-3 VN Ft 2nd Floor: Ft Basement: Ft Garage/Carport Ft Other: 576 Load: REQUIRED PARKING Total: Handicapped: Compact: Drywell - Provide ot Urban Fringe Sidewalk Type: Downspouts/Drains: Wpifthffi# PUBLIC IMPROVEMENTS Notes: Page I of3 I,utt t-rll\ (J rN r ul(Ivr,{. I r!2Nl Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01345ISSUED: llll8l2004 APPLIEDz 1012912004 EXPIRESz 1110912005VALUE: $ 13,997.00 Description Garage Type of Construction Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $24.30 576.00 Total Value of Project Amount Paid Date Paid Value $13,996.80 $13,996.80 Date Calculated r012912004 Fee Description Plan Review Residential + l0o Administrative Fee + 77o State Surcharge Garage/Carport PIan Review Minor - Planning Storm Sewer - lst 50 Feet + l0Yo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid $90.09 $18.36 $12.85 $138.60 $59.00 $45.00 $7.20 $5.04 $9.00 $63.00 $448.14 10t29t04 tu18l04 tu18l04 tUt8t04 tut&t04 tUt8t04 5t9t05 5t9t05 5t9t05 5t9t0s Receipt Number 2200400000000001352 3200400000000000344 3200400000000000344 3200400000000000344 3200400000000000344 3200400000000000344 1200500000000000590 1200500000000000590 1200s00000000000590 1200500000000000590 F'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Lu0U2004 ru0u2004 Lu0u2004 Lu0u2004 Lu08t2004 ru02t2004 APP APP APP LLH TAJ CAS Provide drywell for storm drainage 11/1/2004 CAS Lu0u2004 Lu05t2004 APP RJB 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. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Rpnrrirpd fnsneefinns Paee 2 of 3 Valuation Descrintion I Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2004-01345ISSUED: llll8l2004APPLIED: 1012912004EXPIRES: 11/0912005VALUE: $ 13,997.00 Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 times during construction. Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt )evelopment Services Department Public Works Department RECEIPT #: 1200500000000000590 Date: 05/09/2005 11:32:36AM Job/Journal Number coM2004-01345 coM2004-01345 coM2004-01345 coM2004-01345 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Adminishative Fee Amount Due 63.00 9.00 5.04 7.20 Item Total:$84.24 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check COUNTRY MANOR djb 2038 In Person 584.24 Payment Totat: -$E7i7I 51912005 Page I of I 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689 ELECTRICAL P ERMIT APP LICATTON f: ?-d 5'City Job Number Date I. LOCATIONLu{OF INS'TALIATION Iwfrv S rsc Lv 3. COMPLETE FEE A. New Service Included 1000 sq. ft. or less Each additional 500 sq portion thereof ft. or Each Manufact'd Home or C;rIClgfl03{Oa{mps Over 1000 Amps/Volts Reconnect Only ttfrrIt LEGAL DESCRIPTION r?of LZ\q DOsoo JOB DESCRIPTION CrACsr. Permits are non-transferable and expire if work is "' not started within 180 days of issuance or if work is Suspended for 180 days. ATTENIION: Electrical Contractor Address Phone Supervisor License Number Expiration Date Constr. Contr. Nufnber/ Hffi1f&: C. Temporar.v Services or Feetlers Installation, Alteration or Relocation 200 Amps or less $ 50.00 $ 69.00 l9 orb *l,rlrffifiiHft $ 63.00 $ 7s.00 $12s.00 $r63.00 $375.00 $ s0.00 *+ S100.00 [!i - see "B" above. s 43.00 $ 3.00 $ 50.00 s 25.00 $ 4s.00 v Ls City {iui'li Electrician fr$lYtl$o D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with ? Service or Feeder Permit )> E. Nliscellaneous (Service/feeder not ilcluded) -Each Installatiott ? Owners Address Name tlp'A- City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ?f ',vl'ol)?r(tr[S Pump or irrigation Sign/Outline Lighting Limited Energy/Resideutial Limited Energy/Commercial s 50.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges AZ 7o/o State Surcharge t0% Administrative Fee TOTAL 5d1 -77o BYZ:Inspection Request: 126-3769 4 Shared Drive(T:/Building Forms/Electrical Permit Application I -03'doc a Modular nJasb' CONTRACTOR drvelling unit. cdlhg tE Expiration Construction Contractors Board Permit -c\3-f5 Issued p"t", I l-l -c+ Statement: Information Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38: 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction conhactor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR K ,". I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. o 700 Sumner St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 \ileb Address: !Ery.g!,g!g!@! ( tr (Signature o @ate) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line SITE ADDRESS: 2815 WAYSIDE LN ASSESSOR'SPARCELNO.: 1703224400500 PROJECT DESCRIPTION: Garage Owner: HAROLD BERRy Address: 2815 WAYSIDE LOOP SPRINGFIELD OR 97477 PERMIT NO: COM2004-01345ISSUED: llll8l2004APPLIED. 1012912004EXPIRES: 05/1812005VALUE: $ 13,997.00 uflity Center License Expiration Date Phone Springfield 0 17 Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER CONTRACTOR INFORMATION ll /.t?t rt # 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: 52.00 38.00 0.00 Partially Improved No Provide drywell #of CED OR IHeight of Type of DAY PERIOD. Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Urban Fringe nla Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact: R-3 VN ALJIHORIZED UN D ALL EXPIRE IF THE WO EH IHiS IS AtsAN f&rtMil ls NoT B0H€Sffi&r: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: RK 576 Drywell - Provide Drywell Engineering BUILD] DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page I of3 are s8t ,ordt frgqrrgh OAR 9SEStrtial copies of the rulctcallingthe centee (Note: F PRIN 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: COM2004-01345ISSUED: llll8l2004 APPLIEDz 1012912004 EXPIRES: 05/1812005VALUE: $ 13,997.00 Description Garage Type of Construction Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $24.30 576.00 Total Value of Project Amount Paid Date Paid Value $13,996.80 $13,996.80 Date Calculated 10t29t2004 Fee Description Plan Review Residential + l0Yo Administrative Fee + 7oh State Surcharge Building Permit Plan Review Minor - Planning Storm Sewer - lst 50 Feet Total Amount Paid $90.09 $18.36 $12.85 $138.60 $59.00 $4s.00 $363.90 10t29t04 tut8t04 tut8t04 tUt8t04 tut8l04 tut8t04 Receipt Number 22004000000000013s2 3200400000000000344 3200400000000000344 3200400000000000344 3200400000000000344 3200400000000000344 E'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Lu0u2004 Lu0u2004 Lu0u2004 Lu0U2004 Ly08t2004 rU02t2004 APP APP APP LLH TAJ CAS Provide drywell for storm drainage 11/1/2004 CAS Lu0u2004 ru0st2004 0K RJB 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. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Pase 2 of3 Valuation Description I l(eoulreo I nsDectrons I F Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 lnspection Line Building/Combination Permit PERMIT NO: COM2004-01345ISSUED: llll8l2004 APPLIEDz 1012912004 EXPIRES: 05/1812005VALUE: $ 13,997.00 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 Iocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. //--,/4 -dr/ Owner or Contractors Date Pase 3 of 3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Oflicial Receipt ,velopment Services Department Public Works Department RECEIPT #: 3200400000000000344 Date: llll8l2004 9:18:14AM Job/Journal Number coM2004-01345 coM2004-01345 coM2004-0134s coM2004-01345 coM2004-01345 Description Building Permit Storm Sewer - lst 50 Feet + 1Yo State Surcharge + l0% Administrative Fee Plan Review Minor - Planning Amount Due 138.60 45.00 12.85 18.36 59.00 Item Total:$273.8r Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check COUNTRY MANORADULT FOSTER CARE nJm 4033 In Person Payment Total: $273.81 $273.8r tt/18/2004 Page I of I DET'3.D