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Home My WebLink AboutPermit Building 2005-09-02F PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2005-01135ISSUED: 0910212005APPLIED: 08/1912005 EXPIREST 0310212006VALUE: $ 19,926.00 SITE ADDRESS: 760 28TH ST ASSESSOR'S PARCELNO.: 1703361110800 PROJECT DESCRIPTION: New foundation and rebuild room. Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Owner: Address: Contractor Tvpe General Electrical Mechanical Plumbing BEVERIDGE DOUGLAS S T 760 28TH ST SPRINGFIELD OR 97477 Contractor DAN JOHNSON CONSTRUCTION *OWNER OWNER OWNER Residential ATTE foilow NTION:Oregon law requires in oAR 9 52-001 -001 Those rules ti,,tyon Center. 0090 are set forth You may 0 through oAR 952 -001-obtain rth License 110404 12n312005 5414840869 BUILDIN( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VB Wall Heat Path I nla REQUIRED PARKING Total: Handicapped: Compact: Fully Improved yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Storm drainage piped to curb face 8/2312005 CAS Page 1 of3 [J FTHEI 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: COM2005-01135ISSUED: 0910212005APPLIED: 08/1912005 EXPIRESz 0310212006VALUE: $ 19,926.00 Description Dwellings Fee Description Plan Review Residential -Mechanical Issuance Fee- + lOoh Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Encroachment Permit Fixture Minimum/Adjustment Mechanical SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Vent Fan Total Amount Paid Tvpe of Construction V Wood Bonus Rm $ Per Sq Ft Square Footage or multiplier or Bid Amount $82.00 243.00 Total Value of Project Amount Paid Date Paid Value $19,926.00 $19,926.00 Date Calculated 08/r9l2005 $120.51 $10.00 $34.s4 $24.18 $18s.40 $6.00 $130.00 $s6.00 $33.00 $0.21 $4.20 $4s.00 $14.00 $6.00 8/19/0s 9t2t05 9t2t05 9t2t05 9t2t05 9t2t05 9tzt05 9t2t05 9t2t05 9t2t05 9t2105 9t2t0s 9t2105 9t2t05 Receipt Number 2200s00000000001131 2200s00000000001209 2200500000000001209 2200500000000001209 2200s00000000001209 2200s00000000001209 2200500000000001209 2200s00000000001209 2200s00000000001209 2200500000000001209 2200500000000001209 2200500000000001209 2200s00000000001209 2200s00000000001209 $669.04 ['ees Pqid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 08t22t2005 08t22t2005 08t22t2005 08t22t200s 08t22t200s 08/25/2005 08/2312005 APP APP APP SKG TAJ CAS No Planning review required. Encroachment permit required for storm pipe to curb added to permit fee's CAS 812312005 See documents for plan review comments. APP DLM 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. Encroachment: After item(s) have been removed to inspect condition of public right of way. Footing: After trenches are excavated. Paee 2 of3 fnsneefions V a I u atio nl)eseription--] Fees Associated V'!+h Case #: COM2005-I 35 760 28TH ST BEVERIDGE DOUGLAS S T t0/s12006 7:34:25AM 541-726-3153 Phone 541-726-3676Fax Description Plan Review Residential Encroachment Permit Storm Drainage Impervious Area SDC Sanitary/Storm Admin _rl Building Permit 4B,? y'Fixture Vent Fan Dryer Vent M inimumiAdj ustment Mechanical -Mechanical Issuance Fee- Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + 7%o State Surcharge + 10o/, Administrative Fee Revenue Account Number 224-00000-42s602 201-00000-428060 440-00000-448028 7 t9-00000-426604 224-00000-425602 224-00000-425603 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425603 224-00000-425603 821-00000-215004 224-00000-426605 Amount Due 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 \0.hA,v5= 0L.rto b\rP 15a \f,lp Trans Code 1061 tt43 1 178 l 190 1002 1005 1006 1006 1006 1087 1005 1005 1099 1098 By TD2 CAS CAS CAS DLM DLM DLM DLM DLM DLM DLM DLM DLM DLM Date Calculated 811912005 8/23/2005 81231200s 812312005 9nl200s 9/t/2005 91112005 9lU200s 91U2005 9/v2005 9ly200s 91U2005 9/U2005 91U2005 Calculated Original Amount t20.51 130.00 4.20 0.21 185.40 56.00 6.00 6.00 33.00 10.00 45.00 14.00 24.18 34.54 Total Due: 5 UAC\ \I\DQ {n 5 Qt(tb UU)Q [no l..,tng \\edn C m4 $ttbP UM 5q o0 uAdrruh' 5\uxL b.u, I tooq, b40;\D z L \*dN s :\TidemarkVorms\casefees I . rpt Page 1 of I $ \W,'U) ,rnblFn*l.s b 5ilCIfi ft V City of Springfield Building Permit & Inspection Summary 101512006 7:34:55AM Job #: coM2005-01135 225Fifth Street 541-726-3753 Phone 541-726-3676Fax Project Status: Issued Stnrctural Review 1012212005 Job Address: 760 28TH ST Springlield Scope of Work: Single Family Residence Description of Work: New foundation and rebuild room. See documents for plan review comments.Actual plan review completed 9/l/2005. Used actual number of days to calculate plan review turnaround, but had to change calendar days because structural plan review was not entered. Could not back date entry. DLM1013U2005 1013112005 APP Inspections Floor Insulation Wall Insulation Ceiling Insulation Drywall Final Building Final Plumbing Rough Mechanical Final Mechanical Framing Inspection Shear Wall Nailing Footing Foundation Permit About To Exp Ltr Mailed Post and Beam Rough Plumbing Underslab Plumbing Underfloor Plumbing Framing Inspection Framing Inspection Shear Wall Nailing See address file for copy ofletter Left card no access to building Inspections Conducted Comments Date Result Inspector 0910612005 091t4t2005 0Uzs12006 03t0612006 03/2U2006 0312812006 04119/2006 04/2412006 0710512006 07/0612006 RIB RJB LLH RJB SKG SKG SKG RJB RWC RWC OK OK IO OK IO UGE POK IO UGE OK 2of2 /2-"1-AC n-Z €al.-{+-- 3/o /,4.a /M#et +oJu*eh>>,- C g, ffL_ 7z yyf /t"r-. f?- ?ls--fotfH* 9-Er-?tr-r>??A?, f V.'gtuid Brr;d;y fu71,*,4 Dfr .+ 2 /ort Za{ TZ LJ/'o',, i* m->7 erzcar*' '/5 z r---"&zs#, E -y a=-- Jr^^ /u--,Q- r,<4/u*,*+/&Js /o.r- *rl. frz,r/*l-/ ,eu, { "/rfr*ffi"ff;;;,'3,93r:?6ob'V** SolJ *{z Aeo,se ,'1? ?odt-u;//,>^-s, rJ/,D 52a-n*J /.f yocr^. 72eaz'+'i#, s-s A,L u.-a,r* rua-Az- k4< ,{, /rri*) ,azrzy ^0u7,*-,IaL- b)_ -T eprc.;ar* /eoc-r:egrr4> ryar6a q/-/ns rua:>1L_ S;2"tuE, a+- ocT 4 2006 pnrr*, .- ?tg- 5066 - CitY of SPringfield 225 Fifth Street, Springfield, Ox-97477 541'726-3759 Phone 541-726-3676Fax January 25,2006 BEVERIDGE DOUGLAS S T 760 28TH ST SPRINGFIELD OR 97477 coM2005-01135 760 28TH ST Job Number: Location: Project:New foundation and rebuild room Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain yalid, 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 at760 28TH ST which is set to expire on 311412006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify 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 inipection 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 or David Bowlsby at 541-736-1029 after February 1,2006. Sincerely, ( Lisa Hopper Building Safety Supervtsor Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01135ISSUED: 0910212005APPLIED: 08/1912005 EXPIRESz 0310212006VALUE: $ 19,926.00 Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Underfloor Drain: Prior to cover or placement of concrete. 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. 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. 1- z-ot Owner or Signature Date Pase 3 of3 (.i*-.*r,Af Y,Al2 Construction Contractors Board Permit 700 Summer St I\fE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:ryb'$g1!4g -\rl /3 Address: 1bC: 2 Sf IssuedOr,W 12-z F tr tr Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engtneer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, md either box 3,{ or 38: l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction conhactor if the structure is sold or offered for sale before or on completion. 3A.. My general contractor is (Name)(ccB #) p 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 immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ?.e-o{ @ate) (White copy to issuing agency pennitfile, pink copy to applicant.) Date I will instnrct my general conhactor that all subcontactors who work on the structure must be licensed with the Constnrction Conhactors Board. OR 38. I will be my own general contractor. Property_owner.doc 06-0 l -04 JOI.JRNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEYELOPMENTTYPE: NEW DWELLING TINITS 1. STORM DRAINAGE DIRECTRI.]NOFF TO CITY STORM SYSTEM CITY OF SPRINGFI ELD SYSTEMS DEVELOPMEN ! WORKSHEET coM2005-01135 760 28th Street I 703361 I I FAMILYRESIDENCE 0 BtrrLDrNG S\ZE (SF) 243 LOT SITE (SF):7000 IMPERVIOUS S.F. x RUNOFF ROUTED DRYWELL DESIGNED x ITEM 1 TOTAL - STORM DRAINAGE SDC COST PER S.F $0.323 COST PER DFU s25.07 $19.07 NUMBER OF UNITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 5% CHARGE $4.20 TO CITY STANDARDS $4.20 x DISCOUNT $0.00 A B. x x x x x x ITEM 2 TOTAL. CITY SAI\ITARY SEWER SDC 3. TRANSPORTATION A REIMBURSEMENT COST: COST: ADTTRIP RATE 9.57 SUBTOTAL 94.20 $0.00 COST PER TRIP $19.09 COST PER TRIP $84. l9 $0.00 NEW TRIP FACTOR 1.00 xx xx A B.IMPROVEMENT COST: ADT TRIP RATE 9.s7 ITEM3 TOTAL - TRANSPORTATTON SDC COST: B.IMPROVEMENT COST: NLIMBER OF FEt-Is 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE ITEM 4 TOTAL - MVTMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS l, 2, 3, & 4\ 5. ADMIMSTRATIVE FEE: $0.00 $4.20 CHARGE $0.21 x TOTAL SANITARY ADMIMSTRATION FEE: TRANSPORTATION ADMIMSTRATION FEE: CherylSlaymaker 8/231200s IMPERVIOUS S.F 0.00 DISCOTINTRATECOST $0.3 NLIMBEROF DFU's 0 s0.00 $0.00 $0.00 0.2t $4.41 1070 1091 1092 1093 1094 1055 1054 1056 1079 1078 aHooU IrlFo rI]& IENUMBEROF DFU's 0 TRIP 1.00 NUMBER OF FEU'S 0 COST PER FEU s82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CIIARGES FD(TTIRE TYPE DRAINAGE FD(TT]RE UNIT CALCULATION TABLE NUMBEROFNEW FXTURES x LJNTTEQLJTVALENT = DRAINAGE FXTUREUNITS FOR CALCI'I.ATE ONLY THENET ADDMONAL NO. OF FXTURES LTNIT NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FD(T[]RE T]NITS .EDU a toa mit 167 BEFORE 1979 DRAINAGE FIXTLIRE UNTIS 0 2 2 1979 MWMC CREDIT CALCULATION TABLE: BASED ON COIINTY ASSESSED VALUE IS T-AND ELGIBLE FORANNEXATION CREDIT? @nter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 1985 l9M 1986 1979 1980 1981 1982 i983 1987 t988 1989 1990 l99l $1.59t992 1993 1996 1997 CREDIT FOR LAND (IF APPLICABLE) VALI.IE / 1OOO CREDIT RATE $0.00 x $5.29 $3.67 $3.22 CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUEi 1OOO CREDITRATE $0.00 x $5.29 $1.80 $1.4s 1994 1995 1998 1999 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOLINTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTT#SWASHER / MOP SINK 0 0 3 0 CLOTIIESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTORFORREFRIG / WATER STATION / ETC.0 10 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER GANG TNUMBER OF HEADS)0 20 0 SINK: COMMERCI,ALIRESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIALBAR 0 0 2 0 SINK: WASH BASIN/DOTIBLE LAVATORY 0 20 0 SINK: SINGLE LAVATORY/RESIDENTTAL BAR 0 0 1 0 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION b00 0 TOILET, PRTVATE INSTALLATI ON 0 0 3 0 0 YEAR ANNE)(ED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 2000 EI] 2001 TOTALMWMC CREDIT 20 $5.1 e $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $2.73 $2.2s 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone eity of Springfield Official Receipt /evelopment Services Department Public Works Department RECEIPT#: 2200500000000001209 Date: 0910212005 e:38:53AM Job/Journal Number coM2005-01135 coM200s-0113s coM2005-01135 coM2005-01135 coM2005-01135 coM200s-01135 coM2005-01135 coM2005-01135 coM2005-01135 coM2005-01135 coM2005-01135 Couzoos-ot trs coM2005-01l3s Description Encroachment Permit Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture Vent Fan Dryer Vent Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + 7%o State Surcharge + l0% Administrative Fee Amount Due 130.00 4.20 0.21 185.40 56.00 6.00 6.00 33.00 10.00 45.00 14.00 24.18 34.54 Item Total:$s48.s3 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check DOUGLAS BEVERIDGE njm 4244 In Person $548.53 Payment Total: -SSZiiF I 9/2/200s Page I of I *lllEd3s