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Home My WebLink AboutPermit Building 2005-03-15Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITEADDRESS: 74021STST ASSESSOR'S PARCELNO.: 1703361211100 PROJECT DESCRIPTION: Add bath in detached PERMIT NO: COM2005-00133ISSUED: 03/15/200sAPPLIEDz 0210212005EXPIRES: 09/1512005VALUE: $ 1,000.00 ResidenceATTEIsEOtgn6i[' tollow rules '" Notitication i' tlnnobnn gse"' Residential 541-747-8627 m calling the 'on UtilitY NOwner: Address: Contractor Type General Electrical Mechanical Plumbing ANITA HALLOCK 740 21ST ST SPRINGFIELD OR 97477 fu*'J::[ "' tl juo-tt 2-2s4 4\' Contractor OWI\ER OWI\ER Owl\tER OWNER License Expiration Date Phone CONTRACTOR INFORMATION # 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: U VN nla Fullv Improved Yes Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: Handicapped: Compact: )RMATION DEVELOPMENT INFOR}IATION PUBLIC IMPROVEMENTS Notes: Page I of3 Curbside 5' EIT are set gn&Q8ler n coPies ol the rules by Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2005-00133ISSUED: 03/15/2005APPLIED: 0210212005EXPIRES: 09/151200sVALUE: $ 1,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount$1.00 1,0oo.oo Total Value of Project Amount Paid Date Paid Value $1,000.00 $1,000.00 Date Calculated 02t02t200s Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid $29.25 $10.00 $19.s0 $13.6s $43.00 $6.00 $4s.00 $6.00 $56.00 $39.00 $109.68 $144.24 $12.70 $534.02 2t2t05 3/1s/0s 3/15/05 3/15/05 3/15/05 3/1s/0s 3/15/05 3/rs/0s 3/15/05 3/15/0s 3/15/05 3/15/05 3/1s/os Receipt Number 1200500000000000133 1200500000000000330 1200s00000000000330 1200500000000000330 r200500000000000330 1200500000000000330 1200500000000000330 1200500000000000330 1200s00000000000330 1200500000000000330 1200s00000000000330 1200500000000000330 1200500000000000330 Fpps Pcid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 02t03t2005 02t03t2005 02103t2005 02t03t200s 02t0312005 02n7t200s 02t03t200s 03/03/2005 APP APP APP WE SKG TAJ CAS JB JB Interior remodel, no exterior site impacts. Not to be considered an additional dwelling unit. Left Message additional information needed 03/r0/200s 03fiu200s APP 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. Wall Insulation: Prior to cover. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Ceiling Insulation: Prior to cover. Pase 2 of 3 uaFlEr h Valuation Descriotion I Keourred lnsnections I ililotl3LD Building/Combination Permit Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00133ISSUED: 03/15/2005 APPLIEDT 0210212005 EXPIRES: 09/1512005VALUE: $ 1,000.00 Drywall: Prior to taping. Final Buitding: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. 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, 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. /rrh"ld//rL 3-/5--O 5 Owner or Contractors Signature Date Pase 3 of3 LI JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RLTNOFF TO CITY STORM SYSTEM CITY OF SRINGFIELD SYSTEMS DEVELOPMEN ,ORKSHEET 133 Anita Hallock 740 2lst Street r703361211100 SINGLE FAMILY RESIDENCE 0 BUILDING SIZE (SF, O LOT SZE (SF):0 IMPERVIOUS S.F. x RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED CITY STANDARDS COST PER S.F $0.3 r 0 COST PER S.F $0.310 COST PER DFU $24.04 NUMBER OF LINITS 0 NUMBER OF TINITS 0 ADM. FEE RATE 5Yo CHARGE $0.00 IMPERVIOUS S.F 0.00 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 SLiBTOTAL $2s3.92 x x x x x x x DISCOI.INT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC s0.00 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: NUMBER OF DFU's 6 B.IMPROVEMENT x $ 18.28 ITEM 2 TOTAL. CITY SAI\IITARY SEWER SDC $253.92 3. TRANSPORTATION A. REIMBTIRSEMENT COST: xx xx COST PER TRIP $r 8.30 COST PER TRIP $80.72 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT 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 1,2,3, & 4\ 5. ADMINISTRATIVE FEE: $0.00 s253.92 CHARGE $ r 2.70 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRAN SPORTATION ADMINISTRATION FEE: GherylSlaymaker 2/3/2005 DISCOUNTRATE 5OYo NUMBER OF DFU's 6 $0.00 s144.24 $0.00 12.70 00 s266.62 1070 1091 1092 I 093 1094 1054 1055 1054 I 056 1079 I 078 a E]oo(-) &r!Fa orrl& COST PER FEU s82.03 COST PER FEU $865.3 r PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x UMT EQUTVALENT: DRAINAGE FD(TURE UMTS FOR CALCUI.A.TE ONLY TIIE NET ADDITIONAL NO. OF FIXTURES UNIT FIXTURE ryPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIXTURE UNITS 0 2 1979 *EDU BEFORE 1979 1979 I 980 l98l 1982 1983 I 984 I 985 I 986 1987 I 988 1989 I 990 1991 1992 1993 1994 I 995 1996 1997 I 998 t999 $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 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 2 VALUE / IOOO s0.00 CREDITRATE $5.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.0s BATHTUB 0 0 3 0 DRINKING FOLINTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 TNTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 6 0 LAL]NDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTHESWASHER.3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (l PER TRATLER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, STNGLE STALL 1 0 2 2 sHowE& GANG (NUT4BER OF HEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL K]TCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTTAL BAR 1 0 1 1 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 PRIVATE INSTALLATION 1 0 3 3 6 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 00 2000 2001 20 Construction Contractors Board 700 Summer St I\E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: lgtq"gslt4t9.or.uq Permit #: ( O vttr?-o Y5 -9 d t 33 Address: 7Ll() Zt >f =f- Issued by:Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. Ihis statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, md either box 3A or 38: W l. I own, reside in, or will reside in the completed structure. Dl 2.I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3,A.. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Conhactors Board. OR Krr.I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. J-t-05 (Signature of permit applicant) (Date) (LVhite copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt )evelopment Services Department Public Works Department RECEIPT #: 1200500000000000330 Date:03/15/2005 2248:26PM Job/Journal Number coM2005-00133 coM2005-00133 coM2005-00133 coM2005-00133 coM2005-00133 coM2005-00133 coM2005-00133 coM2005-00133 coM200s-00133 coM2005-00133 coM2005-00133 coM2005-00133 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + lUYo Administrative Fee Amount Due 144.24 109.68 12.70 45.00 56.00 6.00 39.00 10.00 43.00 6.00 13.65 19.50 Item Total:$s04.77 Payments: Tvpe of Payment Paid By rc Received By Batch Number IuthorE aion Number How Received Amount Paid Check ANITA W. HALLOCK nJm 1579 In Person $504.77 Payment Total: -55d2i7 311512005 Page I of I sErflBFr*o '"L ' It/c5 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 o FAX: (541 E LECTRI CAL P E RM IT AP P LI CATON Ciry Job Number (Orvlz-bc)s-ooli3 ^DateO.or" t.3. COMPLET'E LEGAL DESCRIPTION A. Nerv Residential-70336t2 tlloo Service Included JOB DESCRIPTION 1000 sq. ft. Each portion ir:atietn Center. T vs?tsil-a?roNLOCA:TION OF'1, -)LtC' Z(51- el 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 Address Superuisor License Expiration Date Constr. Contr. N Expiration Owners Name Address 7ct O 'Z s .{-Sts City >N /.:N Phone at17-8\zl OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 ,fi Each Mariufiipti&m6efi01 -00 1 0 th rou gh Modular Wdhgearnnq/ebtai n copies of Feeder g;.,l,lnC the center. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only 7o/o State Surcharge l0% Administrative Fee TOTAL o Oreg or rth-- 1. ne- City $ 63.00 $ 7s.00 $12s.00 $ 163.00 $375.00 $ 50.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel onecircuit I s+:.oo ll^, l,q ilA t/-. (.Each Additional Circuit or with n Service or Feeder Permit '-1 $ 3.oo (O E. lfiscellaneous (Service/feeder not included) -Each lnstallation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges $ $ $ $ 50.00 50.00 25.00 45.00 / Owners^Sisnature:1\ Zrrrh-"tzll 4q,UD Supervising Electrician Inspection Request; 7 26-37 69 4. Shared Drive(T:)/Building Fonns/Electrical Pennit Application l -03.doc INSTALI-4ffONONI]1' B. Servicee by uIlrt. City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 547-726-3676 Fax November 22,2006 HALLOCK 740 21ST ST SPRINGFIELD Job Number: Location: oR 97477 coM200s-00133 740 21ST ST ANITA Project:Add bath in detached shop 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 at740 21ST ST which is set to expire on 121512006. 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 Management Analyst '*< City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676F.ax l|l4.ay 04,2006 HALLOCK 740 21ST ST SPRINGFIELD Job Number: Location: oR 97477 coM2005-00133 740 21ST ST Project Add bath in detached shop 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 7 40 21ST ST which is set to expire on 61912006. 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) willbe 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 ANITA