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HomeMy WebLinkAboutPermit Building 2002-07-05Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line CITY Building/Combination Permit PERMIT NO: 02-00742-01ISSUED: 0710512002APPLIED: 0612012002EXPIRES: 10/1012003VALUE: $ 54,212.00 SITE ADDRBSS: 1872 00017th St Spr TYPE OF WORIC Single Family Residence ASSESSOR'S PARCEL NO.: 1703252403001 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Land Use: Single Family Dwelling, Zoningz MDR, Addition to existing house (Fam.Rm, M.Bed Rm,l-car Garage) - NO LDAP REQUIRED ON ADDITIONS Owner: Todd Thomas Address: lST2l7thStreet Springfield OR 97477 PhoneNumber: (541)741-8462 Contractor Type General Electrical Mechanical Owner Plumbing Contractor Todd Thomas Todd Thomas Todd Thomas Todd Thomas Todd Thomas License Expiration Date Phone (s4t) 741-8462 (s4t) 741-8462 (s4t\ 741-8462 (s4t) 74r-8462 (s4t) 741-8462 CONTRACTOR INFORMATION # 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: # ofStories: 2 Height of Structure 23.00 Type of Heat: Forced Air Elect Water Type: Range Type: Energy Path: Path 1 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 640R-3 VN SR-1 12.25 5,663 330 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Vo ofLot Coverage: REQURED PARKING Total: Handicapped: Compact: 24.00 Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of3 I' U ILI-'II\ U T1\ T UKIYIA.J:.g.J o SPRIN FIELD Building/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: 02-00742-01ISSUED: 0710512002APPLIEDz 0612012002EXPIRES: 10/1012003VALUE: $ 54,212.00 Description Tvpe of Construction $ Per Sq Ft Total Value of Project Date Pai Square Footage 6t20t02 7t5t02 7t5t02 7t5t02 7t5t02 7tst02 715102 7t5t02 7t5t02 7t5t02 7t5t02 7tst02 715t02 7tst02 7tst02 7/5102 7t5t02 7t5t02 7t5t02 7tst02 5t9t03 5t9t03 st9t03 5t9t03 Yalue Date Calculated Receipt Number 9673 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 9846 1200200000000001160 r200200000000001160 1200200000000001160 1200200000000001160 Fee Description Residential Plan Check 87o Admin Fee - Electrical 87o Administrative Fee - Mechan 87o Administrative Fee - Plumbi 8% Building Administrative Fee Branch Circuits WO Feeder or Building Permit Mechanical Issuance Minimum Mechanical Permit Number of Fixtures Planning Plan Review Residential - Single Family - 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 Vent Fan to One Duct + l0Yo Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $253.60 $4.88 $3.60 $6.72 $31.21 $61.00 $390.15 $10.00 $33.00 $84.00 $ss.00 $r91.92 $113.68 $149.59 $22.76 $4.27 $3.15 $s.88 $27.31 $12.00 $1s.60 $10.92 $30.00 $126.00 sL,646.24 Fees Peid Plan Reviews Eneineerins-Res Initial Review-Res Planning-Res Structural-Res 06t27t2002 06t2U2002 06t27t2002 07t02t2002 Appr Appr Appr Appr DW LH LM DM 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. 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: 02-00742-01ISSUED: 0710512002APPLIEDz 0612012002EXPIRES: 10/1012003VALUE: $ 54,212.00 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 Springlield 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. 0wner or Contractors Signature Date Pase 3 of3 Keourreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services DePartment Public Works Department Official Receipt Receipt #: 120020000000000 1 1 60 Date: 0510912003 02-00742-01 02-00742-01 02-00742-0t 02-00742-01 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7%o State Surcharge -r l0o/o Administrative Fee r26.00 30.00 10.92 15.60 ItemTotal: -ffiCreditCardTODD THOMAS djb 000063 l 14595 In Person Payment Total: r82.52 $182.s2 s19/2003 ll:34:26ANI Page I of I cReceipt.rpt ( 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o F E LECT:RI CAL P ERM IT AP P LICATI O N City Job Number fi.-CtC, 7q Z -A I Date T3. COMPLET'E l8-7L l1#- s+ adl6tltpr$sfrfSpc! as submitted has the tolowingzoiing.'and does not require specific land use >/rA:approval City i7O3 ZS Z Y O lc\ol JOB DESCRIPTION sen e/e>r- / to cru k Permits6re non-transfeiable and expire if work is not started rvithin 180 days of issuance or if work is Suspended for 180 days. 2. coArrl{ac?'oR rNSTALlArIoNoNrr' 1. LOCAT'ION AT: INS'TELI,AT'ION LEGAL DESCRIPTION Electrical Contractor Address Phone Supervisor License Number Expiration Date Consff. Contr. Numbe0 d- Expiration Date Signature of Supervising Electrician g\\' ownersNrro" -TIJJ -' ho,,n^,a ! Address t87?tzl( :f- City )?f.i\ Phone OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale. lease or rent. Owners Signature Zoning Lb'L A. Nov Residential - Single or N'Iulti-Farnih'per dnelling unit. 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 $ 106.00 $ 19.00 $s0.00 B.Sen,ices or Feeders - Installation, Alterations or Relocation: Z $ 63.00 i7L $ 75.00 $125.00 $ 163.00 s37s.00 $ s0.00 tion or Relocation $ s0.00 $ 69.00 $ 100.00 600 Amps or 1000 Volts see "B" above. Branch Circuits New Alteration or One Circuit Extension Per $ 43.00 Each Additional $ 3.00 J L-Service or Feeder tr,@ 61 o 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only to 400 Amps to 600 Amps C. N ,*l D\ E.-[ach Installatiou \{\((\$ s0.00 $ 50.00 s 25.00 $ 45.00 I '\(\ \o go 6 /o?z7oh State Surcharge l0% Administrative Fee TOTAL I8Z 53 tf6U^ Inspection Request: 726-3769 4. Shared Drive(T:)/Building Fonns/Electrical Pennit Application I -03.doc OREGONCITY OF Date or Feetlers JK \$ Inspection Fee is $45.00 + Surcharges &t/ SPNINGF!ELD Job# 02-00742-01 RESIDENTIAL PERMIT City Of Springfield Commun ity Services Division Building Safety Page 1 of 3 Job Numbe r: 02-007 42-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot#: 03001 Subdivision: 225 Fifth Street Springfield, OR97477 Location Of Proposed Site: 1872 00017th St Spr AssessorsMap#: 17032524 Lot: Block: Addition: crTY oF SPRTNGFTELD, OREGOI' Owner: Todd Thomas Address: 1872 17lh Street Scope Of Work: Single Family Residence Contractor Type GeneralContr Phone Number: City/State/Zip: Addition 541-741-8462 Springfield, OR97477 Value: $54,212 Addition to existing house (Fam.Rm, M.Bed Rm, 1-car Garage) - NO LDAP REQUIRED ON ADDITIONS Contractor Todd Thomas 1872 17th Street, Springfield, OR 97 477 Todd Thomas 1872 17lh Street, Springfield, OR 97 477 Todd Thomas 1872 17th Street, Springfield, OR 97 477 Todd Thomas 187 2 17th Street, Springfield, OR 97 477 Expiration Date Phone 541-741-8462 541-741-8462 541-741-8462 541-741-8462 ElectricalContr MechanicalContr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW (VN) Wood Frame Office Use Land tSot Buitdings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 640 To request an inspection call the 24 hour a.m. will be made the same working day, working day. Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall 769. All inspections requested before 7:00 requested after 7:00 a.m. will be made the following Required lnspections Buildinq -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -.,g\N0* \$ Hold Downs lnstalled FinalBuilding Rough Electrical Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Fina! Plumbing Rough Mechanical FinalMechanical Zoning: MDR FloodPlain? ! Wetlands? i] Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? [] Job# 02-00742-01 Page 2 of 3 Required lnspections Buildi -when all required inspections have been approved and the building is complete Electrical -Prior to cover. -When all electricalwork is complete. Plumbing -Prior to insulation or decking. -Prior to cover or placement of concrete. -Prior to cover. -When all plumbing work is complete. Mechanical -Prior to cover. -When all mechanicalwork is complete. 3 Planner: Urban Growth Boundary?f] Glenwood Area? f] Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1153 of 29tS Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main: 640 Accessory330 Care Facilities Evacuation # Of Stories: 2 Height (feet): 23 Current Units:1 Proposed Units: Census Code: Does not apply Tota!970 Fee Paid On Receipt# Value/Quantity Fee Amount ResidentialPlan Check Total Plan Check 06t20t2002 9673 54,212 $253.60 $2ss.60 Buildinq Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 07t05t2002 07t05t2002 07t05t2002 9846 9846 9846 $390.1 5 $27.31 $31.21 $448.67 Minimum Electrical Permit Fee 07t05t2002 9846 54,212 $.00 Electrical Job# 02-00742-0'l Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical Branch Circuits WO Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 07t05t2002 07t05t2002 07t0512002 9846 9846 9846 7 $61.00 $4.27 $4.88 $70.,l5 Plumbing Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing 07t05t2002 07t05t2002 07t05t2002 07t05t2042 9846 9846 9846 9846 6 $.00 $84.00 $5.88 $6.72 $96.60 Mechanical Minimum Mechanical Permit 8% Administrative Fee - Mechanical Vent Fan to One Duct Mechanical lssuance State Surcharge - Mechanical Total Mechanical 07t05t2002 07t05t2002 07t0512002 07t05t2002 07t05t2002 $33.00 $3.60 $12.00 $10.00 $3.1 5 $6{.75 9846 9846 9846 9846 9846 2 System Development Residential- Single Family - Storm SDC Administrative Fee Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 07t05t2002 07t05t2002 07t05t2002 07t05t2002 9846 9846 9846 9846 703 $191.92 $22.76 $149.59 $113.68 $477.95 7 7 Planning 07t05t2002 9846 1Planning Plan Review Tota! Planning $55.00 $55.00 Grand Total Plan Gheck Type Checked By Date Completed Comment lnitialReview-Res Lisa Hopper 0612112002 Engineering-Res Denny Wright 0612712002 Planning-Res Liz Miller 0612712002 Structural-Res Don Moore 0710212002 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 701.055 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. $1,463.72 fu fr.,*" Signature of issuance 180 days. 2 LEGAL DESCRTPTION 17o 3ZSz\ 63 o o I JOB DESCRIPTION Nerv Residenti AL B. Services or Feeders Installttion, Alt Rek-rcation: 200 amps or 201 amps to 401 amps to 1 amps ,,B" abo\rg D. Branch AI Multi-Family per drvelling unit. Service Included; Items Cost sq. ft or portion or Feeder Permits are non-transferable and if r.vork is u,ithin 180 days aPProval ' explre }oning rvork is suspend&ffft ^J(nollzed gignature crr ising Electrician {\ c\ Date or rvith S not in cction Fee is S-t5'00 * Surch:rrges EnergyiComm /r 225 FTFTH STREET SPR]NGFIELD. OREGON 97.+77 726-3769 . 726-3759 w EL L- ['RIC N- PERMIT APPLICATION Electrical Contractor.=--._-=..---- Citv Job volts see ''vVZ4 { $ 19.00 - s 50.00.-- OWNERINSTALLATION The installation is being made on propertY I olvn rvhich is not intended lor sale. lease or rent' 3. COMPLETE FEE SCHEDULE BELOW I LOCATION OF tg*n.. I 7 +t_ INSTAITATIONs+-. l or One Circuit $ 63.00 $ 75.00 $125.00 $.50,00 Per Panel $43,00 fr Lighting 0r E. OtYners Signature' s50.00 $50.00 .._-- $25.00 -.-qJ5 ()0 TOTAL City of Springlield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax September 20,2005 Todd Thomas 187217th Street Springfield Job Number: Location: oR 97477 02-00742-01 t872 00017th st Project:Single Family Dwelling, Zonrng MDR, Addition to existing house @am.Rm, M.Bed Rm, l-car Garage) - NO LDAP REQUIRED ON ADDITIONS Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid" the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 1872 00017th St which is set to expire on 1012112005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to noti$ you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 54I-726-3790. Sincerely, Lisa Hopper Building S afety Supervisor City of Springlield 225 Fifth Street, Springfield, OR97477, 541-726-3759 Phone' 541-126-3676Frx March 16,2005 Todd Thomas 1872l7th Street Springfield Job Number: Location: oR 97477 02-00742-0t t872 00017th st Project:Land Use: Single Family Dwelling, Zoning: MDR, Addition to existing house (Fam.Rm, M.Bed Rm, l-car Garage) - NO LDAP REQLIRED ON ADDITIONS Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 1872 00017th St which is set to expire on 412212005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safefy Supervisor