HomeMy WebLinkAboutPermit Building 2006-09-14LD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2006-01000ISSUED: 0911412006
APPLIED: 08/0412006
EXPIRESz 0412512007VALUE: $ 19,926.00
SITE ADDRESS: 760 28TH ST
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
Springfield TYPE OF WORK: Single Family Residence
1703361 I 10800
TYPE OF USE: Addition Residential
New foundation and rebuild room. Reference COM2005-01135 for previous permit.
Owner:
Address:
PhoneNumber: 541-937-8014SCOTT WILLIAMS
PO BOX 2158
JASPER OR 97438
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
DONALD MARVIN HORTON
SUNSET ELECTRIC INC
OWNER
License
08699
116021
158859
Expiration Date
12n8t2006
0712512007
02t27t2008
Phone
541-937-14s2
541-915-4883
I.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 lmprovements:
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:
oh 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:
244
Curbside 5'
Curb and Gutter
R-3
VB
I
16.00
Wall Heat
Path I
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
9.40
60.00
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes: Storm drainage piped to curb face 8/2312005 CAS
Page 1 of3
t'UILUTNL; ll\l Ul(1vlA L lul\ |
CITY
Building/Combination Permit
PERMIT NO: COM2006-01000ISSUED: 0911412006APPLIED: 08/0412006
EXPIRESz 0412512007VALUE: $ 19,926.00
D
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Description
Dwellines
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Dryer Vent
Fire SF Fee - Residential
Fixture
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Vent Fan
+ lloh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Tvne of Construction
V Wood Bonus Rm
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$82.00 243.00
Total Value of Project
Amount Paid Date Paid
Value
$19,926.00
$19,926.00
Receipt Number
1200600000000001204
I 200600000000001419
1200600000000001419
1200600000000001419
I 20060000000000r41 9
120060000000000141 9
120060000000000141 9
1200600000000001419
I 200600000000001419
1200600000000001419
1200600000000001419
r 20060000000000 I 4 I 9
2200600000000001 500
2200600000000001 500
2200600000000001 500
2200600000000001 s00
2200600000000001 500
Date Calculated
0810412006
$120.51
$10.00
$32.46
$15.62
s24.99
$18s.40
$6.00
$r2.20
$s6.00
$45.00
$14.00
$6.00
$8.50
$4.25
$6.80
s43.00
$42.00
$632.73
8t4t06
9n4106
9n4t06
9n4t06
9n4t06
9n4t06
9fi4t06
9n4t06
9lt4t06
9tr4t06
9n4t06
9n4t06
r0t25106
10t25106
10t25t06
10t25t06
10t25106
Fees
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
08t04t2006
08t04t2006
08t04t2006
08t04t2006
08/15/2006
08/11/2006
08t04t2006 09n2t2006 APP RJB
No Planning issues
Impervious area & SDC fixtures
installed under previous permit,
COM2005-01 135. No additional
measures added. No SDC's
currently necessary.
done by Don M. in 9ll/05
APP
APP
APP
LLH
TAJ
JLP
To Request an inspection call the 24 hour recording at 726-3769, All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Pase 2 of3
Valuation Descriotion I
22lFifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Ci+., of Springfield Official Receipt
L :lopment Services DePartment
Public Works Department
RECEIPT #: 2200600000000001500 Date: 1012512006 2:58222PM
Job/Journal Number
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 57o Technology Fee
+ 8% State Surcharge
+ llYo Administrative Fee
Amount Due
43.00
42.00
4.25
6.80
8.50
Item Total:$r04.55
Payments:
Type of Payment Paid By Received By Batch Number
Check Number Authorization
Number How Received Amount Paid
Check SCOTT A. WILLIAMS njm l0l9 In Person $ 104.55
Payment Total: TiTiiF
cReceint I Page I of I 1012s12006
*liln r.rsFl*l"s
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01000ISSUED: 0911412006APPLIED: 08/0412006EXPIRES: 0412512007VALUE: $ 19,926.00
nsnections
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 lnsulation: 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 Drain: Prior to coyer or placement of concrete.
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.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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
Page 3 of3
Date
I
CitY of SPringfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541'726-3676Fax
April 19,2007
WILLIAMS
PO BOX 21s8
JASPER
Job Number:
Location:
SCOTT
oR 97438
coM2006-01000
760 28TH ST
Project New foundation and rebuild room. Reference COM2005-01135 for
previous permit.
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 760 28TH ST which is set to expire on
5l1612007. 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 inipection p.io, 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 S afety Management Analyst
t*w
$Plllhr, t)i- ]I:':':::
r"t' ..-'.- . *" "'
zoN
225 FIFrH STREET r SPRINGFIELD,OR97477 o PH:(541)726'3'l$f o FAX:(s41)726-3689
ELECTRI CAL PE RM IT AP PLI CATI ON
City Job Number Date t0 sio
3. COMPLETEFEESCHEDULEBELOW
A.NewResidential_SingleorMulti-Familyperdrvellingunit.
Service Included
7 6o Z8+L S-)-
LEGAL DESCRIPTION70336( I 10800
JOB DESCRIPTION
tee b
Permits are non-transferable and if work is
not started rvithin 180 days of issuance or if work is
Suspended for 180 daYs.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 AmpsA/olts
Recorurect Only
0
TNITIALS }J
DATE CJ
SOURCE
$106.00
$ 19.00
$s0.00
$ 63.00
$ 7s.00
$125.00
$163.00
$37s.00
$ 50.00
!r>
1.II{STALLATION:
-
2. coNr&Acror rNSTALlArroN 1NLY B. Services or Feeders - Iustallation, Alterations or Relocation:
Loi f,l LElectrical Contractor iDmr CL
Address
ru
City Phone 51 7-3057
Supervisor License Number
Expiration Date
Constr. Contr. Number
Expiration Date 7 a/
Signature of Supervising Electrician
5 C. Tempnrarl'Services or Feeders
L
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 AmPs S100.00
Over 600 Amps or 1000 Volts see "8" abol'e.
D. Branch Circuits
/1 )lz1 r
UOJ O]
stltt^t
xu0 ]H1 J
E.
New Alterll0ffif,,xvubglTfrfl"'
$ 43.00 q7I$fi66tssv sr
W$3.00 tlz
8r
NJ
IUOHl
Owners
Address
T(lCcs 26'*-
City S-OLQ A- phone- -\ ca-
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature
Inspection Request: 726-37 69
Pump or irrigation $ 50.00
Sign/Outline Lighting $ s0.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
I
8% State Surcharge
l0% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T)/Building Forms/Electrical
bouls
f
/oqg
ffi:H,%\"'
4.
Application 8-06.doc
o
CITY OF OREGON
Miscellaneous
(O,A ?-c{oe -f,\l
I
1-.,nJ.lJ-T /
included) -Each Installation
uollecutloN
CITY
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 I nspection Line
PERMIT NO: COM2006-01000ISSUED: 0911412006APPLIED: 08/0412006
EXPIRES: 0311412007VALUE: $ 19,926.00
SITE ADDRESS: 760 28TH ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1703361110800
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: New foundation and rebuild room. Reference COM2005-01135 for previous permit.
Phone Number: 541-937-8014Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
SCOTT WILLIAMS
PO BOX 2158
JASPER OR 97438
License
tt602t
158859
07t25t2007
02t2712008
541-937-14s2
541-915-4883
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
FronQard Setback
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvementsl
Storm Sewer Available:
Special Instruction:
R-3
VB
9.40
60.00
Fully Improved
Yes
# ofStories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage;
I
16.00
Wall Heat
Path I
nla
Downspouts/Drains:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
244
Curbside 5'
Curb and Gutter
REQUIRED PARKING
Notes: Storm drainage piped to curb face 8/2312005 CAS
Page I of3
Contractor
\ort
\q
Total:
UI-Y ll,Lurlvllll\ I ll\t'i(rt(lYlA r rvl\ |
sFBltt6Fr&L{}
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 I nspection Line
Building/Combination Permit
PERMIT NO: COM2006-01000ISSUED: 0911412006
APPLIED: 08/0412006
EXPIRESz 0311412007VALUE: $ 19,926.00
Valuation Descrintion
Description
Dwellines
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Building Permit
Dryer Vent
Fire SF Fee - Residential
Fixture
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Vent Fan
Total Amount Paid
Tvpe of Construction
V Wood Bonus Rm
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$82.00 243.00
Total Value of Project
Amount Paid Date Paid
Value
$19,926.00
$19,926.00
Date Calculated
08/04/2006
$120.51
$10.00
$32.46
$ 15.62
$24.99
$185.40
$6.00
$12.20
$s6.00
$45.00
$14.00
$6.00
8t4t06
9n4t06
9n4t06
9n4t06
9n4t06
9fi4106
9n4106
9n4t06
9lt4106
9n4t06
9n4t06
9n4t06
Receipt Number
r200600000000001204
r20060000000000141 9
I 20060000000000141 9
120060000000000141 9
120060000000000141 9
I 20060000000000 1 4 I 9
120060000000000141 9
120060000000000141 9
r 200600000000001419
120060000000000141 9
120060000000000141 9
1200600000000001419
$528.r8
Fees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
08/04/2006
08/04/2006
0810412006
08t04t2006
08/15/2006
08/r r/2006
08t04t2006 09n2t2006 APP RJB
No Planning issues
Impervious area & SDC fixtures
installed under previous permit,
COM2005-01 135. No additional
measures added. No SDC's
currently necessary.
done by Don M. in 9/l/05
APP
APP
APP
LLH
TAJ
JLP
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.
Rpnuirpd Insnecfinns
Page 2 of3
re
F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01000ISSUED: 0911412006APPLIED: 08/0412006
EXPIRESz 0311412007VALUE: $ 19,926.00
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Drain: Prior to cover or placement of concrete.
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.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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 at the front of the property, and the approved set of plans will remain on the site at all
Q-tLI ctL
Owner or Contractors re Date
Pase 3 of3
4
ffi h-i
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C' of Springfield Official Receipt
L ;lopment Services Department
Public Works Department
RECEIPT #: 1200600000000001419 Date: 0911412006 2:07:43?M
Job/Journal Number
coM2006-01000
coM2006-0 r 000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
coM2006-01000
Description
Fire SF Fee - Residential
Building Permit
Fixture
Storm Sewer - I st 50 Feet
Storm Sewer Each Addtl 100'
Vent Fan
Dryer Vent
--Mechanical Issuance Fee-
+ 870 State Surcharge
+ l0o/o Administrative Fee
+ 57o Technology Fee
Amount Due
12.20
185.40
56.00
45.00
14.00
6.00
6.00
10.00
24.99
32.46
15.62
Item Total:$407.67
Payments:
Type of Payment Received By
Check Number
Batch Number
Authorization
Number How Received Amount PaidPaid By
Check SCOTT WILLIAMS djb l0r s In Person
Payment Total:
$407.67ffi
cReceinl I Page I of I 911412006