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HomeMy WebLinkAboutPermit Building 2005-06-23CITY F Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541J26-3753 Phone 541-726-3676Rax 541:7 26-37 69 Inspe ction Line PERMIT NO: COM2005-00671ISSUED: 0612312005APPLIED: 06/0312005E)?IRES: 1212312005VALUE: $ 25,939.00 SITE ADDRESS: 245417TH ST Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1703243400320 TYPE OF USE: PROJECT DESCRIPTION: Bedroom/Bath/Study Addition to existing residence Single Family Residence Addition Residential Owner: Address: TIM HOVET 2454 17TH ST SPRINGFIELD OR 97477 PhoneNumber: 541-744-5541 r! nTl n-F iutH lniD rt { Ib AbAI!UUIIf U t UII Contractor TVpe General Contractor OWI\ER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontprd Setback Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Subdivision Not Accepted Street Storm Sewer Available: Special Instruction: 264 35 R-3 VN # of Stories: Height of Type of Heat: Water Type: Range Type: Enerry Path: Sprinkled I 13.00 Wall Heat Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GarageiCarport toATTENTIO follow rules *h pted 10 through 0090. You may obtain copies .?flqffiU^RKTNG 5.60 53.00 40.00 0.00 Partiallv ImDroved Yes Overtay Dist ci ,- , itlrhp.Eryin(FJote: ttrflt#phone # Street Trees f , ' ,i,,,.::;r.e,:Jon Utilitytkffi{9frRfl$:PavedDriveRqd: r . r, ;i r: 1-iiug-332-2f41p".t, Yo ofl,ot Coverage: Notes: Study and Bathroom addition-SDC impervious only; existing bedroom will become study(no new bedroom) no charges for fixtures draining into existing septic system: storm drainage piped to curb face 6/7/2005 CAS Sidewalk Type: DownspoutVDrains Curb and Gutter $ Per Sq Ft or muhip[er Square Footage or Bftl Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction l of 3 Value Date Calculated SHALL EXPIHT IF THE W 1 t ull,Lrll\b lt'trL[(]vrAr rur\| Valuation Description I OF SPRINGFIELD Building/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7264753 Phone 54l-726-3676Fax 541:7 2G37 69 Inspe ction Line PERIvtrT NO: COM2005-00671ISSUED: 0612312005APPLIED: 06/0312005E)OIRESt 1212312005VALUE: $ 25,939.00 Deck/Balcony Dwellings Deck V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Appliance Not Listed Building Permit Fixture Minimum/Adj ustment Mechanical Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet UGB Plan Rev Mj/lVIin - Planning Vent Fan Total Amount $17.00 3s.00 $96.00 250.00 Total Value of Project Date Paid $595.00 $24,000.00 $24,595.00 06/15/200s 06/03/2005 Amount Paid Receipt Number 1200500000000000767 1200500000000000893 r200500000000000893 1200500000000000893 1200s00000000000893 1200500000000000893 1200500000000000893 1200s00000000000893 1200500000000000893 1200500000000000893 1200s00000000000893 1200500000000000893 1200500000000000893 1200500000000000893 $140.79 $10.00 $36.23 $25.36 $18.00 $230.2s $42.00 $21.00 $8.87 $4.63 $92.69 $4s.00 $156.00 $6.00 6t3t05 6t23t0s 6t23t0s 6t23t05 6t23tus 6t23t05 6t23t05 6t23tos 6t23t05 6t23t05 6t23tos 6t23t0s 6123105 6t23t05 $836.82 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 06t06t2005 06t07t2005 06t07t2005 06t07t2005 06n5t2005 06t0712005 APP APP APP LLH TAJ cAs 06t07t2005 06/15/2005 APP JB Existing bedroom becomes study, no new bedroom, bathroom lixtures into existing septic systeml storm drainage piped to curb face 61712005 cAs Approved as noted on plans To Request an inspection call the24 hour recording at 72G3769. 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. 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. 2of3 Hees },aro I _t(equtred I nsDecnons I Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:72G3753 Phone 541-726-3676Fax 541:7 26-37 69 Ins pection Line PERMIT NO: COM2005-00671ISSUED: 0612312005APPLIED: 06/0312005 E)(PIRESz 1212312005VALUE: $ 25,939.00 Shear Wall Nailing: Before covering sheathing with finish materials. 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill 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 signaturer l 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 OCCUPAT\CY will be made of any sfructure without permission of the Community Services Division, Building Safety. I further certiff that only contractors and es who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all the street, that the permit card b at the proper time, that each address is readable from and the approved set of plans will remain on the site at all Owner Date 3 of 3 CITY OF -- TIINGFIELD SYSTEMS DEVELOPM dVORKSHEET JOURNAL OR JOB NUMBER: COM2005-00671 NAME ORCOMPAI.ry Tim Hovet LOCATION 2454 lTth St TAX LOTNUMBER:1703243400320 DEVELOPMENTTYPE SINGLE FAMILY RESIDENCE NEW DWELLING TINITS 0 BTIILDING SIZE I. STORM DRAINAGE DIRECT RTJNOFF TO CITY STORM SYSTEM 0 I TMPERVIous s-r,. x I zgg.oo RLNOFF COST PER S.F $0.3 r 0 COST PER S.F $0.310 COST PER DFU s24.04 $ 18.28 NUMBER OF UNITS 0 NUMBER OF LINITS 0 ADM. FEE RATE 5Yo CIIARGE $92.69 DISCOUNT RATE 50o/o $92.69 299 LOT SZE (SF): DISCOUNT $0.00 TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS x x x x x x x ITEM I TOTAL - STORM DRAINAGE SDC COST:A. x ITEM 2 TOTAL - CITY SA}IITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: B. IMPROVEMENT COST: NTIMBER OF DFU'S 0 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 $0.00 COST PER TRIP $ r 8.30 COST PER TRIP $80.72 $0.00 NEW TzuP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NLIMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD rTEMS l, 2, 3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $92.69 CIIARGE $4.63 SUBTOTAL $92.69 TOTAL SANITARY ADMINISTRATION FEE: ADMINISTRATION FEE: Cheryl Slaymaker 6/7/2005 IMPERVIOUS S.F. 0.00 NUMBER OF DFU'S 0 s92.69 $0.00 $0.00 $0.00 $0.00 4.63 s97.32 1070 l09t 1092 l 093 t094 1055 1056 1079 078 a trla \J (-) rrlFa E]d COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FD(TURES xUNIT EQUTVAIENT: DRAINAGE FXTURE UMTS FOR CALCLILATE ONLY THE NET ADDTTIONAL NO. OF FXTURES LINIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FD(TURE TINITS 0 *EDU 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 BEFORE 1979 $5.29 $s.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / 1000 $0.00 CREDITRATE $s.29 21979 1980 t98t 1982 1983 I 984 x1985 1986 1987 I 988 1991 1992 1993 1994 1995 t996 1997 1998 1999 1979 I 989 1990 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.5s $1.4s $1.25 $1.09 $0.92 $0.72 $0.48 $0,28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOLNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 TNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 I-ALTNDRY TUB 0 0 2 0 CLOTTIESWASHER / MOP SINK 0 0 3 0 CLoTr{ESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASI{ER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER. GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTTAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 T]RINAL, STALL / WALL 0 0 5 0 TOILET, PTIBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALI,ATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 IEI 2001 rJ 225 Fifth Street Springtield, Ore gon 97 47 7 541:12G3759 Phone City of Springfield Official Receipt ) evelopment Services D ePartment Public Works Department RECEIPT#: 1200500000000000893 Date: 0612312005 8:59:03AM Job/Jurrnal Number coM2005-00671 coM2005-00671 coM2005-00671 coM2005-00671 coM2005-00671 coM200s-00671 coM2005-00671 coM2005-00671 coM2005-00671 coM2005-00671 coM200s-00671 coM200s-00671 coM2005-00671 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Residential Building Permit Fixture Storm Sewer - lst 50 Feet Vent Fan Appliance Not Listed Minimum/Adjustrnent Mechanical -Mechanical Issuance Fee- UGB Plan Rev Mjilvlin - Planning + 7Yo State Surcharge + l0% Administrative Fee Amount Due 92.69 4.63 8.87 230.2s 42.00 4s.00 6.00 18.00 21.00 10.00 1s6.00 25.36 36.23 Item Total:$696.03 Payments: Tlpe of Palment Receirrd By Check Number Batch Number Auttorization Number How Received Amount PaidPaid By Check TIMOTHY D. HOVET ddk 3237 In Person Payment Total: s696.03 -$6e-6.o-r 6/2312005 lofl arxftrD ( Sl=lae6Ff;f:Et-Fi l;r.i::r":',i;.,r:l 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)72G3753 e FAX: (541)726-3689 E LE CT RI CAL P E RMIT AP P LICATIO]V Ciry Job Number brrta^.< - ooo 7/ :.:r::'r:rrr rl,,::: ::i :: '_ :l1. ...LAEAiTION AF II{STALI.dTTON "U S+ tf:z^ csfrz.e-r LEGAL DESCRIPTION /7o3 2( 3+ oo32b JOB DESCRIPTION rTursd-;* Permits are non-transferable and expire if work isI not started within 180 days of issuance or if work is Suspended for i80 days. Service Included 1000 sq. ft. or less Each acitiitionai 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or kiss 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to l0o0 AmPs Over 1000 Amps/Volts Reconnect Only TOTAL Date pr 3. a\e pei drrelling unit; . .A. $106.00 $ 19.00 constr. conrr. Number /1CZW Expiration Date {- of Owners Name Address N $50.00 $125.00 $163.00 $375.00 $ s0.00 C. Installation, dteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 60O Amps Over 600 Amps or 1000 Volts see "B" above. B. Servieei or E eeders - Installation, Alterationi or: R"locition: ' ' I $ 63.00 L3 - $ 75.00 ., Electrical Contractor Address qrz Wftt^" Supervisor License Number t Expiration Date City -) q{noo $ 69.00 $100.00 New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with ^Service or Feeder Permit b $ 3'oo a4- EXPI ISN WO RK r.:.- : : _ :':::' ' :t:'-a .'..: I,fisi'elleheo*fSe.*"fGdernotin1fuflf r"f,lnsta[ation. 00.OWNER INS The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation s 50-00 $YoState Surcharge b.q b l0% Administrative Fee 8. za /oa. aa NED FOR il0r THIS AUIII COMi ANY 1 Inspection Request: 726-3769 Shared Drive(t:/Building Forms/Electrical Permit Application I -03.doc -0 Sign/Outline Lighting Limited Energy,{Residential Limited EnergyiCommercial 4. Surcharges 9,7. -.. l, 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt _,fevelopment Services Department Pubtic Works Department RECEIPT #: 2200600000000000175 Date: 0210612006 2:39:34PM J'rb/Journal Number coM2005-00671 coM2005-00671 coM2005-00671 c oM2005-00671 Description + l0% Administrative Fee Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge Amount Due 8.70 63.00 24.00 6.96 Item Total:$102.66 P,ryments: T.,'pe of Payment Paid By uheckNumDer Authorization Received By Batch Number Number How Received Amount Paid C reditCard BEAR MTN ELEC lkw 4 035922 In Person Payment Total: $102.66 -Sio2.6-6- ri , .( .r; i 2/6/2006 Page I of I SFBllr(tFrtl-o City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Bax October 20,2005 HOVET 2454ITTHST SPRINGFIELD Job Number: Location: oR 97477 coM200s-00671 2454ITTHST TIM Project BedroomlBath/Study Addition to existing residence 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 at245417TH ST which is set to expire on 1212312005. 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 Safety Supervisor ..,.. - v ----.-.-.-v-v 325533-O4 C onstruction C ontractor-s Board 700 Summer St IYE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us rPermit #: Address: Issued by: 't4.\ Statement: lnformation 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 Constructton Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Ltcensed 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 34 or 38: w fl tr 3A.. Myge,neral contractor is (ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general conhactor. 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 immediatelynotiff the office issuing this building permit of the nurme of the contractor. I hereby certify that the above information is correct read and do understand the InformationNotice to Property Owners about the reverse side of this form. applicant) (White copy to issuing agenq) perrnitfile, pink copy to applicant.) 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction conkactor if the structure is sold or offered for sale before or on completion. Property_owner.doc 06-0 I -04 P Date: I o-t)A'(E ?.ti- I {,}-Sii }*Xi'3}u"&10'ii}adcrd ;. 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