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
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