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Home My WebLink AboutPermit Building 2004-09-02Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 8045 THURSTON RI) ASSESSOR'S PARCEL NO.: 1702362000206 PROJECT DESCRIPTION: 200sf addition to existing sfr Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-726-4901Owner: Address: BURNETTECECILA&DM 8045 THURSTON RD SPRINGFIELD 9c Contractor TYpe General Electrical Mechanical G # 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: [q ,o # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved o//o rU24l200s Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: i$o\\Expiration Date 0U09t2006 tUt0t2004 Phone 54t-746-0194 541-741-2596 741-0002 541-688-3385 ARISNG a"t.t 8714s 110r63 VN $ R-3 45.00 90.00 5.00 1 14.00 Path I nla 200 Sidewalk Type: Downspouts/Drains:yes Storm drainage to existing, to low point in property DEVELOPMENT INFORMATI Notes: Paee I of4 m PERMIT NO: COM2004-00976ISSUED: 0910212004APPLIED: 08/0912004 EXPIRESz 0310212005VALUE: $ 18,480.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00976ISSUED: 0910212004APPLIED: 08/0912004 EXPIREST 0310212005VALUE: $ 18,480.00 Description Dwellinss Tvpe of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 200.00 Total Value of Project Amount Paid Date Paid Yalue $18,480.00 $18,480.00 Receipt Number 1200400000000001198 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001300 1200400000000001299 1200400000000001299 1200400000000001299 1200400000000001299 1200400000000001299 r200400000000001299 1200400000000001299 1200400000000001299 r20040000000000r299 r200400000000001299 1200400000000001299 1200400000000001299 1200400000000001298 1200400000000001298 1200400000000001300 1200400000000001298 1200400000000001298 1200400000000001300 Date Calculated 08t09t2004 Fee Description PIan Review Residential -Mechanical Issuance Fee- -Mechanical Issuance Fee- + l0o/o Administrative Fee + l0Yo Administrative Fee + lYo State Surcharge + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ Ea Add Building Permit Building Permit Fixture Fixture Not Covered Mechanical Not Covered Mechanical Refund - -Mechanical Issuance Refund - + l0o/o Administrative Refund -+loh State Surcharge Refund - Add, Alter, Extend Ci Refund - Add, Alter, Extend Ci Refund - Building Permit Refund - Fixture Refund - Not Covered Mechanica Refund - Sanitary Sewer - Impr Refund - Sanitary Sewer - Reim Refund - SDC Sanitary/Storm Ad Refund - Storm Drainage Imperv Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Drainage Impervious Area $115.44 $10.00 $10.00 $33.86 $33.86 $23.70 $23.70 $43.00 $43.00 $3.00 $3.00 $177.60 $177.60 $70.00 $70.00 $4s.00 $4s.00 $-10.00 $-33.86 $-23.70 $-43.00 $-3.00 $-177.60 $-70.00 $-4s.00 $-127.96 $-168.28 $-18.s6 $-7s.02 $127.96 $168.28 $3.7s $18.56 $7s.02 $75.02 8t9t04 9t2t04 9t2104 9t2t04 9t2t04 9t2t04 9t2t04 9t2t04 9tzt04 9tzt04 9t2104 9t2t04 9t2t04 912104 9t2t04 9t2t04 9t2t04 9t2t04 9t2t04 9t2t04 9t2t04 9tzt04 912t04 9t2t04 9t2t04 9t2t04 9t2t04 9t2t04 9tzt04 9t2t04 9tzt04 9t2t04 912t04 9t2t04 912t04 Fees Paid Pase 2 of 4 Valuation Descrintion 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: COM2004-0097 6ISSUED: 0910212004APPLIED: 08/0912004 EXPIRESz 0310212005VALUE: $ 18,480.00 Total Amount Paid $600.37 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 08fi0t2004 08n0t2004 08/10/2004 08n0t2004 08n9t2004 08n2t2004 OK APP APP RJB TAJ MS 811212004 - Storm drainage to existing as per telephone conversation w/applicant on 811212004. Existing drainage is piped to a low point in the property. -MS See documents for plan review comments. 08n0t2004 08t2st2004 APP DLM To Request an inspection call the24 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. 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 Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. red fnsneefions Paee 3 of4 ffi 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: COM2004-00976ISSUED: 0910212004APPLIED: 08/0912004 EXPIRESz 0310212005VALUE: $ 18,480.00 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 front of the property, and the approved set of plans will remain on the site at all times during construction. ?7- Owner or Contractors Signature Date Pase 4 of 4 % \ 225 Fifth Street Springiield, Oregon 97 477 541-726-3759 Phone nrty of Springlield Official Receipt rvelopment Services Department Public Works Department RECEIPT #: 1200400000000001300 Date: 0910212004 8:53:58AM Job/Journal Number coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 coM2004-00976 Description Building Permit Fixture Not Covered Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Amount Due 177.60 70.00 45.00 10.00 43.00 3.00 23.70 33.86 75.02 3.75 Item Total:$484.93 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MIKE BLANKENSHIP CORP djb 9106 In Person S484.93 Payment Total: -$iEZiEi- 9/2t2004 Page I of I atrar*n 225 FIFTH STREET . SPRINGFIELD, OF.g7477 o PH:(541)726-3753 o FAX: (541)726-3689 PERMIT APPLICATION City Job Number Date Ca() 1.LOCAT'ION OF INST'ALI-47'ION 3. COMPLET'E I'EE SCHEIIL\LB TSELAV. \o o6 A. Nerv ltesidential - single or Plulti-Family pcr drvelling unit. JOB DESCRIPTION Service Included 1000 sq. ft. or less I- d dr-$ 19.00 Permits are non-transferable and expire if ffietbI $s0.00 or Relocation: $ 106.00 not started within 180 days of issuance or if Suspended for 180 daYs. 2. g0NTRACTORTNSTALT,A?I0N ElectricalContractor 6g -d €rr /4"dr-*, 8- B4 201 Amps to 400 Amps 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect Only Installation, Alteration or Relocation 200 Amps or less g?l $s or Extension Per Panel $ 63.00 $ 75.00 $125.00 $163.00 $37s.00 $ s0.00 50.00 69.00 100.00 t/ $ 43.00 $ 3.00 s',tu $ 50.00 $ s0.00 YA c Address City r d phone 7/ -2s4 Supervisor License Number s6 s{s Expiration Date /A -,/- o<l Constr. Contr. Number 87/9 s Expiration Date //^/o^ b 4 Signature of Supervising Electrician Owners Name OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ciry %. Ph""" 726.472/ One Circuit Each Additional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting E. 4s,* Address ws T-tltasrrd rp]I\,Iiscellaneous (Sen'ice/feeder not included) -Each lnstallatiolt Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTOTALOFABOVE 7o/o State Surcharge l0% Administrative Fee TOTAL /a ao 2-> Go 57.8zInspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Pennit Application I -03.doc ' CITY OF',OREGON , r C. Temporar,v Services or Feeders "B" above.