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