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Home My WebLink AboutPermit Building 2003-06-24Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00404ISSUED: 0612412003APPLIEDz 0512312003EXPIRES: 0310212004VALUE: $ 21,000.00 SITE ADDRESS: 1935 7TH ST ASSESSOR'S PARCEL NO.: 1703261301700 PROJECT DESCRIPTION: Addition to SFR AXTON RONALD RAY 3722222ND AVESOUTH FEDERALWAY WA Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential ION:Oregon law requtres You rv AT'IENTeToi?o* tut es adopted bY the Oregon UtilitY set fof 010 through OAR Owner: Address: Contractor Type General Electrical Plumbing Contractor GARY E BRANSON NEAL INVESTMENTS LTD callin!,ltBrS0 nte nurnbeTf06the grDSStar is '1-B n copies ol the 02117t2004 rules ! trone ^6f,fione541-729-3450 541-485-2472 541-726-9854BARNES HIGH TECH PLUMBING INC 83311 BUILDIN( # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: NOTICE: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path I Sq Ft Other: R lHIS ABAN DONED FflFq"*" Total: 0 Handicapped: No 22.00 Compact: Sidewalk Type: Downspouts/Drains I R-3 VN Area: PARKTNG Overlay # Street Paved Drive Rqd: oh ofLot Coverage: #Bff'f,fi$ onv PERIOD MENCED , 0.00 Gravel No PUBLIC IMPROVEMENTS Notes: Page 1 of3 [:L.J Buildin g/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: COM2003-00404ISSUED: 0612412003APPLIEDz 0512312003 EXPIREST 0310212004VALUE: $ 21,000.00 Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 21,000.00 Total Value of Project Amount Paid Date Paid Value $21,000.00 $21,000.00 Date Calculated 05t23t2003 Fee Description PIan Review Residential -Mechanical Issuance Fee- + lUYo Administrative Fee + 7o/o State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Plan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + l0o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $12s.58 $10.00 $28.32 $19.82 $193.20 $42.00 $39.00 $3.00 $s9.00 $100.74 $132.54 $14.13 $49.3s $6.00 $s.s0 $3.85 $43.00 $12.00 $887.03 5t23t03 6t24t03 6t24t03 6t24t03 6t24/03 6t24/03 6t24t03 6t24t03 6t24t03 6t24t03 6t24t03 6t24t03 6t24t03 6t24t03 10t29t03 r0t29t03 r0t29t03 10t29t03 Receipt Number 1200200000000001314 r200200000000001617 12002000000000016r7 1200200000000001617 12002000000000016r7 1200200000000001617 1200200000000001617 1200200000000001617 r200200000000001617 1200200000000001617 r200200000000001617 1200200000000001617 1200200000000001617 1200200000000001617 120020000000000238s 1200200000000002385 120020000000000238s 1200200000000002385 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 05t27t2003 05/27/2003 06t06t2003 05127/2003 0st27t2003 06t06t2003 06t09t2003 06fiz12003 APP APP APP APP LLH AJI) DJW TCM 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 Footing: After trenches are excavated. 2 Post and Beam: Prior to floor insulation or decking. Reorrired Insnecfinns Paee 2 of3 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: COM2003-00404ISSUED: 0612412003 APPLIEDz 0512312003EXPIRES: 0310212004VALUE: $ 21,000.00 3 4 5 6 7 8 9 10 1l t2 13 t4 15 Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. WalI 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. 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 property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pase 3 of3 E T 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci!/ of Springfield Official Receipt Development Services Department Public Works Department coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + 70oh Administrative Fee 43.00 12.00 3.85 5.50 Item Total:$64.35 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check GARY BRANSON CONSTRUCTION ddk In Person Payment Total: $64.3s $64.35 225FIFTHSTREET . SPRINGFIELD, OF.97477 o PH:(541)726'3753 cF E LE CTRI CAL P ERMIT AP P LICATI O N ciry job Number COfnaCrU3 - fvYOr-f Date 03 3. approval as submitted has the lollowing not require specific land use tA>L o- Zoning ate LEGAL DESCzuPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Address Supervisor License Number q57* 3 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 A. JOB City ou to $ 106.00 $ 19.00 s50.00 4z l) Expiration Date O. Pl - o Jotif ication . dAkAm D. Center ose ru or less 10 through OAR l@-963.oo oo00l +6taq+a{P0btam cop ies of the rulq;75.96 6flltihgnne 6$'imp(Note s 125.00 r'6llfibortltutfmGtUPn pn,," lsi-'2t/72 over lo0FAiffsnrtr8nn-33?-^2 Expiration Date ./lt ?z^o4 of Electrician Owners Name Address Ciry lp,-rs Phone --.1' OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: UtilitY IiotiliEatgsr.ooT.T $37s.oo Reconnect Only s 50.00 Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps S100.00 Over 600 or 1000 Volts see "B" above. fiEiration or Extension Per Panel One Bffiiliiil SitA $ 43.00 Service or C $ 25.00 Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 55,6D 395lYo State Surcharge 10% Administrative Fee TOTAL $ s0.00 s 50.00 4.qD b4,3ctInspection Request: 726-37 69 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc ]::1 : i1. LOCATTON OFT.NS'{A!L47'r0N ,. :: lc'lbr; Ait \1t ttl Constr. Contr.Numb", ? ?? 5 3 Pump or irrigation SigniOutline Lighting Limited EnergyiResidential 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: COM2003-00404ISSUED: 0612412003APPLIEDz 0512312003 EXPIREST 1212412003VALUE: $ 21,000.00 SITE ADDRESS: 1935 7TH ST ASSESSOR'S PARCEL NO.: 1703261301700 PROJECT DESCRIPTION: Addition to SFR Owner: AXTONRONALDRAy Address: 3722222ND AYESOUTH FEDERALWAY WA 98003 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Contractor Type General Electrical Owner Plumbing Contractor GARY E BRANSON NEAL INVESTMENTS LTD AXTON RONALD RAY BARNES HIGH TECH PLUMBING INC License 97706 93953 8331r Expiration Date 03124t2005 t0t22t2004 Phone 541-729-3450 541485-2472 02n7t2004 541-726-98s4 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN I Path I 0 No 22.00 REQUIRED PARIflNG Total: 2 Handicapped: Compact: Gravel W$W No PUBLIC IMPROYEMENTS Notes: Page 1 of3 t ult ull\u lNr(uI(lYlAIr(rl\ l fi,*:. i:;:s tV'-e 0.00 qt) Building/Combination 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: COM2003-00404ISSUED: 0612412003APPLIED: 0512312003EXPIRES: 1212412003VALUE: $ 21,000.00 Description Bid Amount Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 21,000.00 Total Value of Project Amount Paid Date Paid Value $21,000.00 $21,000.00 Date Calculated 05t23t2003 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing PIan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Total Amount Paid $12s.58 $r0.00 $28.32 $19.82 $193.20 $42.00 $39.00 $3.00 $s9.00 $100.74 $132.54 $14.13 $49.3s $6.00 st23t03 6t24t03 6t24t03 6t24t03 6t24t03 6t24t03 6124t03 6t24t03 6t24t03 6t24t03 6t24t03 6t24t03 6124t03 6t24t03 Receipt Number 12002000000000013r4 1200200000000001617 1200200000000001617 1200200000000001617 r200200000000001617 1200200000000001617 1200200000000001617 1200200000000001617 1200200000000001617 120020000000000r617 1200200000000001617 120020000000000r617 1200200000000001617 r20020000000000r617 $822.68 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 0s127t2003 05t27t2003 06106t2003 0s127t2003 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 workday. I Footing: After trenches are excavated.2 Post and Beam: Prior to floor insulation or decking.3 Floor Insulation: Prior to decking. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.5 Wall Insulation: Prior to cover.6 Ceiling Insulation: Prior to cover. 05t27t2003 06t06/2003 06t09t2003 06fiz/2003 LLH AJD DJVY TCM Paee 2 of3 Il.,IIiD Valuation Descrintion Building/Combination Permit Status Issued 225 Fifth Street, Spring{ield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00404ISSUED: 0612412003APPLIED: 0512312003 EXPIRESz 1212412003VALUE: $ 21,000.00 7 8 9 r0 11 t2 13 t4 15 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. 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 wilt 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 Owner or Signature Pase 3 of3 I ta. 6/zo / oz Dat{I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt Development Services Department Public Works Department #: 1200200000000001617 Date: coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 coM2003-00404 Plan Review - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixhrre Vent Fan Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Minimum/Adjustment Plumbing + 1Yo State Surcharge + 1006 Administrative Fee 59.00 49.35 132.54 t00.74 14.13 r93.20 42.00 6.00 39.00 10.00 3.00 19.82 28.32 Item Total:$697.10 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check GARY BRANSON djb In Person Payment Total: $697. l0 $697.10 NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS LOT SIZE 00srzE (sF) 0 JOURNAL NUMBER: Ron Axton 193-5 7th Sr, r703261 COST PER S.F $0.282 CHARCE $49.35 COST PER S.F. $0.282 DISCOUNTRATE 50Vo DISCOUNT $0.00 IMPERVIOUS S.F. 0.00 ITEM 1 TOTAL. STORM DRAINAGE SDC RUNOFF x x TO DR YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS DIRECT RUNOFF TO CITY STORM SYSTEMI IMPERVTous s,F. x I 175.00 NUMBER OF DFU's 6 COST PER DFU $22.09 NUMBER OF DFUb 6 COST PER DFU $ r 6.79 t233.28 B. IMPROVEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC x x A. REIMBURSEMENT COST: ADTTRIP RATE 9.57 NUMBER OF UNITS 0 COST PER TRIP $ t6.81 NEW TRIP FACTOR r.00 ADTTRIP RATE 9.57 NUMBER OF UNITS 0 COST PER TRIP $74.t7 NEW TRIP FACTOR r.00 B. IMPROVEMENT COST: ITEM 3 TOTAL - TRANSPORTATION SDC x x x x x x COST:A. NUMBER OFFEUT 0 COST PER FEU $332^86- NUMBER OF FEU'; 0 COST PER FEU$rr- A. REIMB COST: COST: x B. x ITEM 4 TOTAT - MWMC SANITARY SEWER SDC = MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS t, 2, 3, & 4) I SUBTOTAL- $282-ADM FEE RATE 5Vo CHARGE- 14.t3$ x SANITARY ADMINISTRATION FEE: TION FEE: TOTAL TOTAL 76TOTAL SDC CHARGESPREPARED BY DATE 6t9t2003D.W right CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN I WORKSHEET ar!n UiltqFa rrl& r070 l09l t092 1094 105.s 1054 1056 t079 ffi 1. STORM DRAINACE .D}'U NUMBER OFNEW FIXTURES X UNIT EQUIVALENT = DRAINACE FIXTURE UNITS NEWFIXTURE TYPE OLD FOR NO. OF FIXTURES CAI-CUI-ATE ONLY THE NET FIXTURE AGE UNIT IVALENT 0030BATHTUB 0100FOUNTAIN 0030DRAIN 0300FOR GREASE / OIL //ETC. 0060WASH / ETC.FOR SAND / 0200LAUNDRY TUB 0030ASHER /SINK 0o00ASHER-3ORMORE 00120 0100 PARK TRAP I PER ATER STA ETC.TIONREFRIGFORw 0300 2201 ASHER ETC.SINK DISHWCOMFOR SINCLE STALL OFGANG 0020 0300 0200 0200 1101 0500 0600 BARATORY/RESIVSINGLE PUBLIC SINK: SINK: BAR LAVATORY ALL/ WALL 3301ATE INST 6 TOTAL DRAINAGE FIXTURE UNITS set at 167toalsa 020 unit*EDU MISCELLANEOUS DFU TYPE NUMBER OF EDU'S DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMCCREDITCALCULATIoNTABLE:BASEDoNCoUNTYASSESSEDVALUE -cReotr Rers/$l,ooo ASSESSED VALUE - YEAR ANNEXEq- $4.92BEFORE 1979 $4.92t979 1980 $4.77198 I 1982 $4.471983 $4.301984 $4.091985 1986 $3.41r987 $2.981988 $2.521989 r990 t.64t99l .451992 I .31l 993 $l.lt994 I 995 1997 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes' 2 for No) IS IMPROVEiIITNT nLCtsLE FOR ANNEX' CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR IMPROVEMENT OF AFTER VALUE/ IOOO CREDITRATE s4.92 TOTAL MWMC CREDIT 0 CREDIT FOR LAND ALUE l 000 0 1979 $0.00 ANNEXATION) x $4.92 $0.00 x 2000 $2.Q8- $0.97so'82-1996 $0'41-1998 t999 s0.04