HomeMy WebLinkAboutPermit Building 2003-01-15Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541:726-Y 69 Inspection Line
FIELD
BuildinglC ombination Permit
PERMIT NO: 02-00892-01ISSUED: 0111512003APPLIEDI 0712512002E)CIRESz 0711512003VALUE: $ 13,171.00
SITE ADDRESS: 321 S 00040th St Spr TYPE OF Carport
ASSESSOR'S PARCEL NO.: 1702314400408
TYPE OF USE: Remodel Residential
PROJECT DESCRIPTION: Land Use: Duplex or 2-Family Hs, Zoning: MDR, Replace carports and add storage to
both units
Owner: Tom Robinson
Address: 87746 Collins Ln Springfield OR 97478
Phone Number: (541') 747-8225
Contractor Type
General
Electrical
Owner
Contractor
Tom Robinson
NEW WAY ELECTRIC INC
Tom Robinson
License
s1088
Expiration Date
06t27t2003
Phone
(s4r) 747-822s
541-686-2365
(s4t) 747-822s
CONTRACTOR INFOR]VIATI ON
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
r$
Storm Sewer Amilable:
Spechl Instruction:
# of Stories:
Height of
Ilpe of Heat:
Water Type:
Range Type:
Energy Path:
I Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
8,371
u-1 13.00
31.00
VN
672
REQUIRED PARKING
Total:
Handicapped:
Compact:
1 \\\S r0R
r\9
Notes:
1of 3
180 0N\
EUILDING INTlIJT(IYIA t IUl\ I
Status: Issued
225 Fifth Street, SpringfieH, OR
541:726-3753 Phone
541-726-'3676 Fax
541:726-37 69 Inspection Line
FIELD
Building/C ombination Permit
PERMIT NO: 02-00892-01ISSUED: 01/15/2003
APPLIEDT 0712512002
E)GIRESz 0711512003VALUE: $ 13,171.00
Description Type of Construction $ Per Sq Ft Square Footage
Total Value of Project
Amount Paid Date
Fee Description
Residential Plan Check
8%o Building Administrative Fee
Building Permit
Planning Plan Review
State Surcharge For Building P
+ l07o Administrative Fee
+ 1Vo Sttte Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount $3s8.30
Value Date Calculated
$90.09
$11.09
$138.60
$ss.00
$9.70
$4.60
$3.22
$43.00
$3.00
7t25t02
8t6t02
8t6t02
8t6t02
8t6t02
utsl03
ut5t03
1/15/03
Utsl03
Receipt Number
10042
10188
10188
10188
10188
12002000000000005s1
1200200000000000551
12002000000000005s1
1200200000000000551
Fees Paid
Plan Reviews
Engineering-Res
Initial Review-Res
Planning-Res
Structural-Res
08t0u2002
07t26t2002
07131t2002
08t02t2002
Appr
ADpr
Appr
Appr
VJ
LH
AI)
DM
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.
1 Rough Electric: Prior to Cover
2 Final Electric: When all electrical work is complete.
Reouired Insnections
2of3
Valuation Description I
OF
Status: Issued
225 F ifth Stree t, SPrin gfi eH, O R
541:726-3753 Phone
541-726-3676 Fax
541 :7 26-37 69 InsPection Line
Buitding/C ombin ation Permit
PERMIT NO: 02-00892-01
ISSUED: 01/15/2003
APPLIEDz 0712512002
E)GIRESz 0711512003
VALtiE: $ 13,171.00
lf,l"r::H'::1';::."'ethat ail requirerr ins.pections'-':. *1-i':1"-1-:t^:T.Y:'s::T:::?';T,i: ll,Ts"is
readabre rrom
the street, that the permit card is located at the front of the propertn *o ilr" approned set of plans will remain on the site
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 Perform ed 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
hereint and that NO OCCUPANCY will be made of anY strucfure without Permission of the Com munity Senices Division,
BuiHing SafetY. I further certiS that only contractors and emPloYees who are in comPliance with ORS 701.005 will be
at all times during construction'
Owner or Contractors Signature Date
3 of 3
11512003
8:34:l7AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
;f,:T#::1*ffi:H s7477
Receipt #: 120020000000000055 1
Date: 0111512003
Line Items:
Payments:
Job/Jo urnal Number
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0o/o Administrative Fee
Amount Paid
43.00
3.00
3.22
4.60
Typu ofpaymeni Paid By
Cash
Change
TOMROBINSON
TOMROBINSON
djb
djb
Received By Check Number Conlirm No
Line ltem Total:
How Received
In Person
In Person
Total:
$53.82
Amount Paid
60.00
(6.18)
-82
Page I of2 cReceipt.rpt
02-00892_01
02_00892_01
02_00892_01
02_00892_01
225 F'ifth Street
lf,Tff'jf;,offi s7477
Ut5/2003
8:34:l7AM
City of Springfield "
Development Services Department
Public Works Department
Oflicial Receipt
Receipt #z 120020000000000055 I
Date: 0111512003
02-00892-01
02-00892_01
02-00892_01
02-00892_01
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ llYo Administrative Fee
Payments:
43.00
3.00
3.22
4.60
Line Item Total:$s3.82
Typu ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid
Cash
Change
TOM ROBINSON
TOM ROBINSON
djb
djb
In Person
In Person
60.00
(6. l 8)
Total:$s3.82
Page2 of2 cReceipt.rpt
Number Amount Paid
--Z- oo 872-ol
LEGAL D
DESCRIPTION
Permits are and expire
if work is within 180 days
Service
ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
Ilems Cost
s106.00
$ 19.00
$ 50.00
Fee is $45.00 +
ofissuance
180 dap.
Electrical
work is zuspended for
Date
ONLY B. SerYices or Feeders
Installation,
Relocation:
200 amps or
201 anrps to
401 amps
amps
Over
D. Branch
c.5s
7o/o
8%ffi#
53 s3TOTALI
il/
SPBINGFIELD
225Fiftn Street
Springfield, OR97477
Location Of ProPosed Site:
AssessorsMaP#: 17023144
Lot: Block:
Owner: Tom Robinson
Address: 87746 Collins Ln
Scope Of Work: CarPort
Gontractor TYPe
GeneralContr
RESIDENTIAL PERMIT
CitY Of SPringfield
CommunitY Services Division
Building SafetY
321 S OOO40th St SPr
Job#02-00892-01 Page I ol 2
Job Number: 02-00892-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 00408
Subdivision:Addition:
Phone Number: 541-747-8225
City/State/Zip: Springfield,OR97478
Remodel Value: $13'171
Replace carPorts and add storage to both units
Contractor
Tom Robinson
B7746Collins Ln, Springfield, OR 97478
Registration #Expiration Date Phone
541-747-8225
Quad Area: 3RSC
# Of Units:
Constr. TYPe: (VN) Wood Frame
Water Heater:
working daY
Office Use
-
Land Use: DuPlex or 2-FamilY Hs
Zoning Code: MDR
Bedrooms:
Range:
# Of Buildings: 2
OccupancyGroup: PrivateGarage/Ci
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769
;;. ;ilib" ;adethe same worring day, inspections requested
All inspections requested before 7:00
after 7:00 a.m. will be made the following
Required lnsPections
Buildi
Framing
FinalBuilding
-Prior to cover.
-wn"n all required inspections have been approved and the building is complete'
$$
$s -..<roNorssonw$$:1"'i'lil'-"
"rrEN
t tv_'^46eto?J::;
ru\es a[j{2A01-
[y**i''Hi: : ILiilJn. 9ll J G,
N otrt 1cl:ii--s0 1 -0o-t u'' *ooies otl;;on on e
\n .olH
v'"-", *
i"$i:li}lflTica*on
0UY".,,-., the Cettt"
6Slltrrv-r^.169 U
numbeliln1er is
C'TY OF OREGON
Job# 02-00892-01 Page 2 of 2
Land Use: Duplex or 2-Family Hs
Pave Driveway? l)
Zoning: MDR
FloodPlain? [ Wetlands? [
Journalnumbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Overlay District:
# of Street Trees:
2:
Additional Requirements:
I Glenwood Area? f l Required Attachments:
Source Locn:
Material:
FIood Plain FEMA:
3
Construction Types(VN) Wood Frame
Occupancy Groups: Private Garage/Carp/Stor
# Of Buildings: 2 # Of Stories: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory672 Total672
Gurrent Units:
Census Gode: Does not apply
Height (feet): 13
Proposed Units:
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
07t25t2002 10042 13,171 $90.09
$e0.09
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Buildinq
08t06t2002
08t06t2002
08t06t2002
10188
10188
10188
13,171 $138.60
$9.70
$11.09
$,l59.39
Planning
08t06t2002 10188 1Planning Plan Review
Total Planning
$55.00
$55.00
Structurat-Res
Grand Tota!
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Don Moore
Date Completed
07t26t2002
08101t2002
07t31t2002
08t02t2002
Comment
$304.48
Ir 6L-