HomeMy WebLinkAboutPermit Building 2005-12-22Status: Issued
225 Fiftlt Street, Springfield, OR
541:72G3753 Phone
541-726-3676Fax
541:7 26-37 69 Ins pe ction Line
Buildin g/Co mbination Permit
PERMIT NO: COM2005-017 64ISSUED: 1212212005
APPLIEDz 1212112005
E)GIRESz 0612212006VALUE: $ 8,000.00
SITE ADDRESS: 186 38TH ST
ASSESSOR'S PARCEL NO.: 1702314201300
PROJECT DESCRIPTION: Bath Remodel & dryrot repair
Springfield TYPE OF
TYPEOF USE:
Single Family Residence
Alteration Residential
- Owner:
Address:
GAROUTTE ROXIE
186 38TH ST
SPRINGFIELD OR 97478
to
(e
Contractor TVpe
General
Electrical
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Prim ary Construction Type
'" Secondary Construction
# of Bedrooms:
Frontlard Setbrck
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacla:
Street
Storm Sewer Available:
Special Instruction:
the
\S1
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkbd
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
t$0
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
77
rh'
Phone
521-1476
541-434-5600
541-607-8879\e
9zLA\
R-3
VB
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
lf $E
toB
Notes:
l of 3
-T
uiiltY
Contractor
RODERICK
DOUG PALMER
TOMS PLUMBING
b'j
0
(\ies Mt0912006
Date
ul, v lrl-(rrvll,l\ r rN{ ullwlA r r\,N I
CITY OF SPRINGFIELD
Buildin g/Co mbin ation Permit'
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspe ction Line
PERMIT NO: COM2005-017 64ISSUED: 1212212005
APPLIEDz 1212112005E)?IRESz 0612212006VALUE: $ 8,000.00
Description
Bid Amount
Fee Description
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Dryer Vent
Fixture
Minimum/Adj ustment Mechanical
Plan Review Residential
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bful Amount
$r.00 8,000.00
Total Value of Project
Amount Paid Date Paid
Value
$8,ooo.o0
$8,000.00
Date Calculated
1212u2005
$10.00
$26.48
$18.s4
$43.00
$15.00
$91.80
$6.00
$70.00
$39.00
$s9.67
$38.14
$50.14
$4.4r
12t22105
t2l22l0s
12t22t05
t2t22t05
12t22105
12t22t05
t2t22t0s
12122t05
12t22105
t2t22105
12t22t05
12t22t05
12t22t05
Receipt Number
12005000000000018sr
1200500000000001851
12005000000000018s1
1200500000000001851
12005000000000018s1
1200500000000001851
120050000000000r851
r200s00000000001851
1200500000000001851
1200s000000000018s1
1200500000000001851
1200s0000000000185r
120050000000000185r
$472.18
Paid
Plan Reviews
Structural Review 12t2u2005 r2l2u200s APP DLM See documents for Plan review
comments.
To Request an inspection call the24 hour recording at 726-3769. AII 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Finat Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
2of3
Valuation Description I
t(equlreo rnspe,cqQllil
Status: Issued
225 Flfth Street, Springfield, OR
541:72G3753 Phone
541-726-3676Fax
541:7 2G37 69 I nspe ction Line
Buildin g/Co mbinatio n Permit
PERMIT NO: COM2005-017 64ISSUED: 1212212005APPLIEDz 1212112005E)0IRESz 0612212006VALUE: $ 8,000.00
Final Mechanical: When all mechanical 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 certiS that any and all work performed shall be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY win be made of any structure without permission of the Community Services Division,
Building Safety. I further certi$ that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure required inspections are requested at the proper time, that each address is readable Iiom
the stree( that the at the front of the property, and the approved set of plans will remain on the site
at all
\? -Zz FZt>.u)- >
Owner or Date
3of3
!!at
during
CITY OF SPRINCFIELD. OREGON
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH;(541)72G3753 oFAX: (541
E LE CTRI CAL PE RM IT APPLI CATI ON
CityJobNumber CouZoOf - Ongrl Date lL- zL-aS
t
r \S
LEGAL DESCRIPTION
t7OZ3 lL{7 ot)d o
JOB
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
3.
HORIZ
N
L Ct
Permits are non-transferable and expire ifwork is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
At l?TFqI
o
B.
L 200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AnipsA/olts
Reconnect Only
/- $163.00qtcs Dv 5375.00rurro $ 50.00
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00Address-13q 2. BrA ltv e
City 2^q evtQ- prrone 43t3ooD'---------:f--
Supervisor License Number 2-1q25 C.
Expiration Date lo 2-oo-1
Constr. Cont. Number 4ott=
Expiration Date
Si gnature of Supervising Electrici an ll0TICE:D'
THIS PERM]a
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "B" aboye.
$ 43.00
$ 3.00
vvU
4"
15(o
Address tg 3 r+L
City }PF\Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
E.
Pump or imgahon $ s0.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
5a
lYo State Surcharge
l0% Administrative Fee
TOTAL
Vd)
S_EE
4
7 aInspection Request: 72G3769
Shared Drive(T:)/Building FormJElectrical Permit Application l-03.doc
I
A.
Owners Name
IMPERVIOUS S.F
0.00
RUNOFF ROUTED TO DRYWELL
IMPERVIOUS S.F
0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBIIRSEMENT COST:
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
x
NUMBER OF DFU's
2
x
B. IMPROVEMENT COST:
NUMBER OF DFU's
2
3. TRANSPORTATION
A. REIMBT]RSEMENT COST:
ADT TRIP RATE
9.57
x
x
COST PER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$ 19.07
NUMBER OF UNITS
0
NUMBER OF UNITS
0
ADM. FEE RATE
5%
CHARGE
$0.00
DISCOLINT RATE
5jYo
$0.00
CITY OF STRINGFIELD SYSTEMS DEVELOPMEI\ .',ITORKSHEET
Com2005-01764
Roxie Garoutte
186 38th
0
SINGLE FAMILY RESIDENCE
BUTLDTNG SIZE (SF) 0 LoT SIZE (SF):0 0
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x DISCOUNT
$0.00
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $88.28
x
x
x
x COST PER TRIP
s19.09
COST PER TRIP
$84.1 9
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER-MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
0
x
xx
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4\
5. ADMINISTRATIVE FEE:
$0.00
$8E.28
CHARGE
$4.41
SUBTOTAL
$88.28
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMIMSTRATION FEE:
Cheryl Slaymaker 1212U2005
COST PER FEU
$82.03
$0.00
4
s0.00
$0.00
$0.00
4.41
$92.69
I 070
l09l
1092
1093
1094
1054
105 5
1054
t 056
079
ar!
t--1
O
d.slFa
t!&
COST PER FEU
$865.31
PREPARED BY DATE
TOTAL SDC CHARGES
FIX'|URE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FXTURE I]NITS
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
FOR CALCULATE ONLY TTIE NET ADDITIONAL
NO. OF FIXTURES
UNIT
NEW OLD
NUMBER OF EDU'S
20
DRAINAGE
FIXTI]RE
TINITS
0
*EDU ls a toa mit set at I 67
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)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMC CREDIT
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
BEFORE 1979
1979
I 980
l98l
1982
I 983
I 984
I 985
I 986
1987
1988
1989
I 990
l99l
t99Z
1993
1994
1995
't996
1997
I 998
1999
$5.29
$5.1 I
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.7;3
$2.25
$1.80
0
1979
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 1 1 3 0
DRINKING FOUNTAIN 0 0 I 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
LAUNDRYTUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLoTHESWASHER - 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 CO}.{. SINK / DISHWASHER / ETC,0 0 3 0
SHOWER, SINCI,E STALL 1 0 2 2
sHowER, GANG (NUMBER OF HEADS)0 0 2 0
SNK: COMMERCIAL/RESIDENTI,AL KITCHEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASII BASIN/DOUIll.ll LAVA'IORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL IWN-L 0 0 5 0
TOILET, PTIBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE
$0.
0
2000
2001
225 Fifth Street
Spingfield, Oregon 97 477
541:726-3759 Phone
aiff of Springfield Official Receipt
-levelopment Services Department
Public Works Department
RECEIPT#: 1200s000000000018s1 Date: 1212212005 l0:08:52AM
Job/Journal Number
coM2005-01764
coM200s-01764
coM2005-01764
coM2005-01764
coM200s-01764
coM200s-01764
coM2005-01764
coM2005-01764
coM2005-01764
coM200s-01764
coM2005-01764
coM2005-01764
coM2005-01764
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Residential
Building Permit
Fixture
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7%o State Surcharge
+ l0% Administrative Fee
Amount Due
50. l4
38. l4
4.41
59.67
91.80
70.00
6.00
39.00
10.00
43.00
1s.00
18.54
26.48
Item Total:$472.18
Payments:
Trype ofPaynent Paid By
LnecKNumDer Aumonzatlon
Received By Batch Number Number How Received Amount Paid
Check RODERICK PEARSON
CONSTR
djb 2086 In Person
Payment Total:$472.18
s472.18
.:
'(
i
(.,.
rl
12t2212005 lofl
|,lm;*n
\
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-72G3676Fax
November 22,2006
GAROUTTE ROXIE
186 38TH ST
SPRINGFIELD
Job Number:
Location:
oR 97478
coM200s-0t764
186 38TH ST
Project:Bath Remodel & dryrot repair
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 186 38TH ST which is set to expire on
121612006. 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 pennit(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.
SincereI
Lisa Hopper
Building Safety Management Analyst
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676 Fax
May 04,2006
GAROUTTE ROXIE
186 38TH ST
SPRINGFIELD
Job Number
Location:
oR 97478
coM200s-0r764
186 38TH ST
Project:Bath Remodel & dryrot repair
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 186 38TH ST which is set to expire on
612212006. 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 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