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HomeMy WebLinkAboutPermit Building 2004-09-09Building/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: COM2004-01030ISSUED: 0910912004APPLIED: 08/1912004 EXPIRESz 0412612005VALUE: $ 32,000.00 SITE ADDRESS: 544 SPRINGDALE AVE ASSESSOR'S PARCEL NO.: 1703224205900 PROJECT DESCRIPTION: Bedroom and Bath Addition Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Owner: FLECKJOINT TRUST AGREEMENT Address: 544 SPRINGDALE AVE SPRINGFIELD OR 97477 Contractor Tvpe General Electrical Contractor MOIR CONSTRUCTION EASTSIDE ELECTRIC INC sU \o CONTRACTOR INFORMATION '.1 License 41570 117770 131109 T\1 S\\ Expiration Date 02n4t2006 10t04t200s 08124t2006 Phone 541-3434396 541-915-9828 s41-683-7535 $\i toSTEVEN DOUGLAS 9e\ hNl g\ Units:of# GroupOccupancyPrimary OccupancySecondary TypeConstructionPrimary Type:ConstructionSecondary Bedroomsof# Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 144 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Path: Sprinkled Building:nla Overlay Dist: s.00 # Street Trees Rqd: 49.00 3.00 yes Storm sewer will hookup to existing. I "1tD u\ h1 Sidewalk Type: Downspouts/Drains: Notes: Pase I of3 ffi.i N\ \e\ nA\ PARJilNG Paved Drive %o of Lot B Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-01030ISSUED: 0910912004APPLIED: 08/1912004 EXPIRESz 0412612005VALUE: $ 32,000.00 Description Type of Construction Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7oh State Surcharge Building Permit Fixture Miscellaneous Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area + lOoh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200400000000001236 2200400000000001138 2200400000000001138 2200400000000001 138 2200400000000001 138 2200400000000001 138 2200400000000001 138 2200400000000001138 2200400000000001138 2200400000000001138 2200400000000001138 220040000000000r r38 1200400000000001514 1200400000000001514 1200400000000001s14 120040000000000r514 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $172.48 $10.00 $38.03 $26.62 $265.35 $70.00 $45.00 $s9.00 $18.28 $24.04 $4.94 $56.42 $s.20 $3.64 $43.00 $9.00 8n9t04 9t9t04 9t9104 9t9t04 9t9t04 9t9104 9t9104 9t9t04 9t9t04 9t9t04 9t9104 919t04 10t26t04 10t26t04 t0t26t04 10t26t04 $851.00 ['ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 08t2012004 08t20t2004 08t2012004 08t2012004 08t27t2004 08t2412004 SKG TAJ MS 08t2012004 09t0712004 APP DLM 812412004 - Storm drainage to hookup to existing. - MS See documents for plan review comments 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Page 2 of 3 Renrrirpd Insnecfions Valuation Descrintion APP APP APP Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01030ISSUED: 0910912004APPLIED: 08/1912004 EXPIRESz 04126/2005VALUE: $ 32,000.00 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 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. Owner or Contractors Signature Date Paee 3 of3 < 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Oflicial Receipt evelopment Services Department Public Works Department RECEIPT #: 1200400000000001514 Date: 1012612004 9:18:35AM Job/Journal Number coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + 10Yo Administrative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ROGERKING djb 015704 In Person $60.84 Payment Total: -TGTIdTI t0/26/2004 Page I of I SFlllr{cFrELo si*f?tsrdlslg!-D 225 FIFTH STREET . SPRING.FIELD, OF.g7477 ' PH:(541)726-3753 ' FAX: (54 1)726-3689 E LE CTRICAL P ERMIT AP P LICATION Date /0-76<>clCity Job Number '6iy7oa q- opao 1 J I l/\3no LEGAL DESCRIPTION A. 17c 3 ZZ\Z Ot ZOO service JOB DESCRIPTION 1000 sq. ft. or Asl Ll A{-r' t FS Each additional 500 sq. portion Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. ,, Electrical Contractor Address X)s3 go1C City SPFcO rTYzt Phone 7 tl(-/nq Over 1000AmpWolts Reconnect Only Supewisor License Number ,1 7) 7s Expiration Date lo- ConsE. Contr. Number t7 7 7 0 Expiration Date l0- 0 i- os Signature of Supenrising Electrician I $ 63.00 $ 75.00 sl2s.00 $163.00 s375.00 s 50.00 $ 50.00 - $ 69.00 $100.00 5Z s6r7Yo State Surcharge l0% Administrative Fee TOTAL owners Name t/g-\c J.o.^+\ e-^^+5 C. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts D. u< s 43.00 t ) . 3 $3.00 7 $ s0.00 s 50.00 $ 2s.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges Address sY Y 3?A'^J+le City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: E. 5zoLInspection Request: 726-37 69 4. Shared Driv(T:/Building Forms/Electrical Permit Application I {3.doc \he 7 to or or \l < the the to 600 Amps New Alteration or One Circuit Each Additional Service or Feeder \$ SLTBTOTAL OF ABOVE Pump Limited Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01030ISSUED: 0910912004APPLIED: 08/1912004EXPIRES: 03/0912005VALUE: $ 32,000.00 SITE ADDRESS: 544 SPRINGDALE AVE ASSESSORTS PARCEL NO.: 1703224205900 PROJECT DESCRIPTION: Bedroom and Bath Addition Owner: FLECK JOINT TRUST AGREEMENT Address: 544 SPRINGDALE AVE SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential LicenseContractor Type General Electrical Plumbing Contractor MOIR CONSTRUCTION EASTSIDE ELECTRIC INC STEVEN DOUGLAS 5.00 49.00 3.00 'i{eF\n 41570 Expiration Date 02n4t2006 r0t04t2005 08t24t2006 eq\17770e0J' J Phone s4t-3434396 541-915-9828 541-683-7535o( # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Path: Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: 0 h'( Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Type: REQUIRED PARKING Total: 144 hu1 Yes Storm sewer wiII hookup to existing.\s0 Notes: Page I of3 *Y t jL L \r 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: COM2004-01030ISSUED: 0910912004APPLIED: 08/1912004 EXPIRES: 0310912005VALUE: $ 32,000.00 Description Tvpe of Construction Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 7o/o State Surcharge Building Permit Fixture Miscellaneous Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 1200400000000001236 2200400000000001138 2200400000000001 138 220040000000000r138 2200400000000001 138 2200400000000001138 2200400000000001 r38 2200400000000001138 2200400000000001 138 2200400000000001 138 2200400000000001138 2200400000000001138 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $172.48 $10.00 $38.03 $26.62 $265.35 $70.00 $45.00 $s9.00 $18.28 $24.04 $4.94 $s6.42 8n9104 9t9t04 9t9t04 9t9104 919t04 9t9t04 9t9t04 9t9t04 9t9t04 9t9104 9t9t04 9t9t04 $790.16 Eees Paid PIan Reviews Initial Review Planning Review Public Works Review 08t20t2004 08/20/2004 08t20t2004 08t20t2004 08127t2004 08t24t2004 APP APP APP SKG TAJ MS Structural Review To Request an inspection caII the 24 will be made the same working day, day. 08t20/2004 09t07t2004 APP DLM 812412004 - Storm drainage to hookup to existing. - MS See documents for plan review comments hour recording at 726-3769. All inspection requested before 7:00 a.m. inspections requested after 7:00 a.m. will be made the following work 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved.Wall Insulation: Prior to cover. Paee 2 of3 \m L-l Valuation Descriotion I 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: COM2004-01030ISSUED: 0910912004APPLIED: 08/1912004EXPIRES: 03/0912005VALUE: $ 32,000.00 Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 Springlield 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 70f .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 card is located at the front of the property, and the approved set of plans will remain on the site at all times Owner or Signature Date 0 Paee 3 of3 qI 225 Fifth Street Springfield, Gregon 97 477 541-726-3759 Phone ctty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT#: 2200400000000001138 Date: 0910912004 10:56:32AM Job/Journal Number coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 coM2004-01030 Description Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Fixture Miscellaneous Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0% Administrative Fee Amount Due s6.42 24.04 18.28 4.94 s9.00 265.35 70.00 45.00 10.00 26.62 38.03 Item Total:$617.68 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MOIR CONSTRUCTION djb 446t In Person $617.68 Payment Totat : -56115-8- 9t912004 Page I of I -t JOURNAL OR JOB NUMBER: NAME ORCOMPANY: LOCATION: TAXLOTNI.]MBER: DEVELOPMENT TYPE: NEW DWELLING UNITS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET 130 Tax Lot 05900 Addition to SFR BUTLDTNG SZE (SFl 0 LOT SZE (SF):0 9584 DIRECT RUNOFF TO CITY STORM SYSTEM RUNOFF ROUTED TO DRYWELL IMPERVIOUS S.F 0.00 COST PER S.F $0.310 COSTPERDFU $24.04 $18.28 NUMBER OF TINITS 0 NUMBER OF TINITS 0 I II\,tPERVIous s.e- xf rsrro CHARGE $56.42 AND CONSTRUCTED TO CITY STANDARDS x DISCOI.INT RATE 5OYo ss6.42 x x x x x DISCOT]NT $0.00 ITEM I TOTAL - STORM DRAINAGE SDC A. REIMBT]RSEMENT COST: NLIMBER OF DFU's I B. IMPROVEMENT COST: NUMBER OF DFU's I ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 ITEM 2 TOTAL - CITY SAi\ITARY SEWER SDC A REIMBTIRSEMENTCOST: s42.32 COST PER TRIP $18.30 COST PER TRIP $80.72 $0.00 NEWTRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER. MWMC A.COST: NUMBER OF FEU's 0 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 I, 2, 3, & 4\ SUBTOTAL $98.74 TOTAL SANITARY ADMIMSTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE: Matt Stouder 8/24/2004 s0.00 $98.74 CFTARGE s4.94 x x COST PER S.F $0.310 COST PER FEU $82.03 Fleck $56.42 s24.04 $18.28 $0.00 $0.00 $0.00 4.94 $103.68 1070 1091 1092 I 093 1094 1055 1054 1056 1079 1078 a 14 oO d E]F U) o rq& I COST PER FEU s865.3 r ADM. FEE RATE 5% PREPARED BY DATE TOTAL SDC CHARGES x