HomeMy WebLinkAboutPermit Building 2005-02-17Building/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: COM2005-00028ISSUED: 02/1712005APPLIED: 01/1012005EXPIRES: 08/1712005VALUE: $ 25,000.00
SITE ADDRESS: 1519 lST ST
ASSESSOR'S PARCEL NO.: 1703263200300
Springfield TYPE OF WORK: Duplex
TYPE OF USE: Remodel
PROJECT DESCRIPTION: Interior remodel of duplex - 1519 side only
Owner:
Address:
Contractor Type
General
Electrical
Contractor
RUSSEL EDMONDS
REYNOLDS ELECTRIC
Expiration Date
10t0u2006
02t08t2007
Residential
Phone
s41 913-8636
541-343-7297
HOUSING AUTH & URBAN REN AGY OF LAN
I77 DAY ISLAND RI)
EUGENE OR 9740I
License
109265
17252
CONTRACTORINF(
# 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:
Fullv Improved
Yes
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Sidewalk Type:
Downspouts/Drains:
R-3
VN
center. (Note: the
Floor:
FIoor:
Load:
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Curbside 5r
I'l0TlcE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERT\,,IIiIs T,TCT
COMI4ENCED OB IS ABANDOT,TTO rON
"
ANY 180 DAY PERIOD.
PUBLIC IMPROVEMENTS
Notes: No SDC fee applied
Pase 1 of3
r:
ITUN I
.LrD Y.llIJLrrlllDr\ I ll\ I LlI(IVIA I ll_ll\ I
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00028ISSUED: 0211712005APPLIED: 01/1012005EXPIRESz 0811712005VALUE: $ 25,000.00
Description
Bid Amount
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 25,000.00
Total Value of Project
Amount Paid Date Paid
Value
$25,000.00
$25,000.00
Date Calculated
0U10t2005
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 1Yo State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adj ustment Mechanical
Yent Fan
+ l$Vo Administrative Fee
+ 7o/o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$145.86
$10.00
$33.64
$23.ss
$224.40
$6.00
$6.00
$70.00
$18.00
$12.00
$6.10
$4.27
$43.00
$18.00
ut3t05
2n7t05
2n7t0s
2n7t05
2fi7t05
2fi7tus
2n7t05
2n7t05
2lt7lvs
2il7tos
3/31/0s
3/31/05
3/31/0s
3t3u0s
Receipt Number
2200500000000000049
1200500000000000217
1200s00000000000217
1200500000000000217
1200500000000000217
1200500000000000217
1200500000000000217
1200500000000000217
1200500000000000217
1200500000000000217
2200s00000000000365
220050000000000036s
2200s0000000000036s
2200s0000000000036s
$620.82
tr'eps Peid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
01/18/2005
01/18/200s
01/18/2005
03/01/2005
01/18/200s
0u20t200s
0u2012005
03/18/2005
APP
APP
APP
APP
SKG
TAJ
CAS
TCM
Interior remodel, no Planning issues,
No SDC required
Plans actually received and routed
1/18/2005 and approved 21812005.
Entry was made by plan reviewer
that plans were reviewed in 2004
instead of2005. Entrywas changed
to reflect current year, but error war
not caught until March. March
dates were entered in order not to
create errors in monthly reports.
The number of days between
receiving the application and the
date the plan was approved is
accurate.
Pzse 2 of 3
Valuation Descrintion
F
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: COM2005-00028ISSUED: 0211712005APPLIED: 01/1012005EXPIRES: 0811712005VALUE: $ 25,000.00
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
WalI 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.
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.
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, Buitding 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
Page 3 of3
Keourreo lnsDectrons I
'rrr
rrr,n Street
Springfieid, Oregon 97 477
541-726-3759 Phone
Qity of Springlield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 220050000000000036s Date: 0313112005 TzSL:Z7ANI
Job/Journal Number
coM2005-00028
coM200s-00028
coM2005-00028
coM200s-00028
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7oh State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
18.00
4.27
6.10
Item Total:$71.37
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard ELLEN REYNOLDS djb 031312 In Person $71.37
Payment Totat:
-57TF
313U200s Page 1 of I
spElH6at&Lb
l
STEIING''ELEI
22s FIFTH STREET o SPRINGFIELD, OR 97177 e PH:$a\126-3753 o FAX: (541)726-3689
ELECTRICAL TION
Date
4"
City Job Number o f
,fe,
1.3.
eo
#lil -7 C r/L,-,*i f,S
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
LEGAL DESCRIPTION A.
lTOZZC/3 DoSoc>Service Included
JOB DESCRIPTION 1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
2oolhlffit0otffi,nderrr
4oi .OOOOpVm rryobtain
60r
i ) overl
19.00
ffiT-
$43.00 q )
00
,
Electncal Contractor
Address -l t -
1
B.
C.
D.
)-, tL t'.4\l\v ,.
City l- r- r ,-i r: 1-. -y- phone --
J
Supervisor License Number .l -;
Reconnect 50.00
---F l
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 or 1000 Volts see "B" above.
Expiration Date (,)
Expiration Date ">C)
Sigaature of
C:C"-l
Consf. Contr. Number \ -l af;a
)C,C--l
Electrician
Name Acsl
New Alteration or Extension per panel
One Circuit
Each Addifional Circuit or with
Service or Feeder permit b $3.00 (8
Address -r-S PJ
OWNER INSTALLATION
The instailation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Serviceifeeder not included) -Each InstallationI
- ,r'tr; ., i--..
Pump or irriganon S 50.00
SigruOudine Lighting S 50.00
Limrted EnergyrCornmercial S 45.00
City Phone
Minimum Electric permit Inspection Fee is 345.00 + Surcharges
1. SUBTOTAL OFABOUE
7o/o State Surcharge
l0% Administrative Fee
TOTAL
1
'a/s7Inspection Request: 726-3769
Shared Drive(T:)/Building FormvElectrical permit Applicarion l -03.doc
CITY OT
LOCATIAN O F INSTALIATIO N.'-, .'.,.,,]^
l;11 i/->r \+
zo1 fisffi{ffi0st"0010
\
F
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: COM2005-00028ISSUED: 0211712005APPLIED: 01/1012005EXPIRES: 081171200sVALUE: $ 25,000.00
SITE ADDRESS: 1519 lST ST
ASSESSOR'S PARCEL NO.: 1703263200300
PROJECT DESCRIPTION: Interior remodel of duplex - 1519 side only
Springfield TYPE OF WORK: Duplex
TYPE OF USE: Remodel Residential
Owner:
Address:
HOUSING AUTH & URBAN REN AGY OF LAN
177 DAY ISLAND RI)
EUGENE OR 97401
Contractor Type Contractor License Expiration Date Phone
CONTRACTORIl\
# 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:
o/o 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
vN
nla
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Curbside 5'
Notes: No SDC fee applied
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of3
Value Date Calculated
ul
I, u llult\ u rN r (,t(]YrA..;!:g..l
Valuation Description 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: COM2005-00028ISSUED: 0211712005APPLIED: 01/1012005EXPIRES: 0811712005VALUE: $ 25,000.00
Bid Amount Use Bid Amount
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 77o State Surcharge
Building Permit
Dryer Vent
Exhaust Hoods
Fixture
Minimum/Adjustment Mechanical
Vent Fan
Total Amount Paid
$1.00 25,000.00
Total Value of Project
Date Paid
1/13/05
2fi7t05
2n7t05
2tr7t05
2n7105
2lt7l05
2tr7t05
2n7t05
2n7tls
2lt7t05
Receipt Number
2200500000000000049
1200500000000000217
1200500000000000217
1200500000000000217
1200500000000000217
r200500000000000217
12005000000000002r7
1200500000000000217
1200s000000000002r7
1200500000000000217
$25,000.00
$25,000.00
0u10t2005
Amount Paid
$14s.86
$10.00
$33.64
$23.5s
$224.40
$6.00
$6.00
$70.00
$18.00
$12.00
$s49.45
tr'ees Paid
Plan
Initial Review
Planning Review
Public Works Review
Structural Review
01/r8/200s
01/18/2005
01/18/2005
01/18/2005
01/18/2005
01120t2005
0u20t2005
02t08t2004
SKG
TAJ
CAS
TCM
APP
APP
APP
APP
Interior remodel, no Planning issues,
No SDC required
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.
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.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reouired fnsnections
Paee 2 of 3
--t
-___r tl
F
Status Issued
225Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00028ISSUED: 0211712005APPLIED: 01/1012005EXPIRES: 0811712005VALUE: $ 25,000.00
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 at the front of the property, and the approved set of plans will remain on the site at all
times construction.
o-z-- \-\-\s
Signature Date
Paee 3 of3
JOURNAL OR JOB NTIMBER:
NAMEORCOMPANY:
LOCATION:
TAX LOTNI-IMBER:
DEVELOPMENTTYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RI.JNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F
0.00
RUNOFF
CITY OF SPilNGFTELD SYSTEMS DEVELOPMEN'r .dORKSHEET
& Urban Ren
l5l9 lst St
t7032632003W
SINGLE FAMILY RESIDENCE
BUILDING SIZE (SF; O LOT SZE (SF):
COST PER S.F.
$0.310
DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
CHARGE
$0.00
x x
ITEM I TOTAL-STORMDRAINAGE SDC $0.00
A REIMBI.IRSEMENT COST:
NLIMBER OF DFU's
0
COST:
$18.28
ITEM 2 TOTAL. CITY SANITARY SEVYER SDC $0.00
A REIMBT]RSEMENT COST:
B.
x
x
x
x
x
COST PER S.F.
$0.310
COSTPERDFU
$24.04
NUMBER OF TINITS
0
NI.JMBEROF I.]MTS
0
ADM. FEE RATE
5o/o
DISCOTINT RATE
50%
DISCOUNT
$0.00
ADTTRIPRATE
9.s7
SUBTOTAL
$0.00
COST PERTRIP
s18.30
COST PER TRIP
s80.72
$0.00
NEWTRIP FACTOR
1.00
x
x
B.IMPROVEMENT COST:
ADTTRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A COST:
COST:B.
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
MEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToIAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
$0.00
CHARGE
$0.00
TOTAL SANITARY ADMINISTRATION FEE:
ATION
Cheryl Slaymaker U2012005
FEE:
IMPERVIOUS S.F
0.00
NLJMBEROF DFt-l's
0
$0.00
$0.00
$0.00
$0.00
1070
1091
1092
1093
1094
1054
1055
1056
U)
rqaoU
r!Fa
o
E]&
I
IUTRIP F
1.00
NUMBER OF FEL-rs
0
COST PER FEU
$82.03
NUMBEROF FEU's
0
COSTPERFEU
$865.3 I
PREPAREDBY DATE
TOTAL SDC CIIARGES
x
x
x
x
x
DRAINAGE FD(TTJRE UNIT CALCULATION TABLE
NI.]MBER OF NEW FXTURES x I.]NTT EQUIVALENT - DRAINAGE FXTURE UMTS
ONLY THE NET ADDMONAL
NO. OF FXTURES
TINIT
FD(TI.]RE TYPE NEW OLD
MISCELLANEOUS DFUTYPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTI]RE T]MTS
$a unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COIINTY ASSESSED VALUE
BEFORE 1979
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
@nter I for Yes, 2 for No)
BASE YEAR
C].EDIT FORLAND (IF APPLICABLE)
DRAINAGE
Fxrunp
I-IMTS
0
2
2
1979
rmu
x
1983
1984
1985
1985
1979
1980
l98l
1987
1988
1989
1990
1991
1992
1993
1994
I 995
1996
1997
1998
t999
2001
VALUE / IOOO
$0.00
CREDITRATE
s5.29
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALUE i IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMCCREDIT
BAT}ITLIB 0 0 3 0
0 0 IDRINKING FOI.INTAIN 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE i OIL / SOLIDS / ETC.0 0 3 0
0 6INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0
LAUNDRYTI.IB 0 0 2 0
CLOT}IESWASFIER / MOP SINK 0 0 3 0
CLOTHESWASTIER - 3 OR MORE (EA)0 0 6 0
dOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 ,|0
RECEPTOR FOR COM. SINK I DISI{WASI{ER / ETC.0 0 3 0
SHOWER" SINGLE STALL 0 0 2 0
SHOWE& GANG (NI]MBER OF HEADS)0 0 2 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 0
SINK: COMMERCIALBAR 0 0 2 0
SINK: WASH BASIN/DOtIBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL/WALL 0 0 5 0
TOILET, PT]BLIC INSTALLATION 0 0 6 0
TOILET. PRryATE INSTALLATION 0 0 3 0
0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
2000
20
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r-rty of Springfield Official Receipt
rvelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000217 Date: 0211712005 2:14:39PM
Job/Journal Number
coM200s-00028
coM2005-00028
coM200s-00028
coM200s-00028
coM2005-00028
coM200s-00028
coM2005-00028
coM200s-00028
coM200s-00028
Description
Building Permit
Fixture
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
Minimunr/Adj ustment Mechanical
+ 7Yo State Surcharge
+ l0% Administrative Fee
Amount Due
224.40
70.00
12.00
6.00
6.00
10.00
18.00
23.55
33.64
Item Total:$403.59
Payments:
Type ofPayment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
Check RUS EDMONDS CONST dlm 1018 In Person $403.59
Payment Totat:
-520F
21t712005 Page I of I