HomeMy WebLinkAboutPermit Building 2004-06-17Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Ftx
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-00525ISSUED: 0611712004APPLIED: 05/0512004
EXPIRES: 01/0812005VALUE: $ 8,500.00
SITE ADDRESS: 2583 15TH ST
ASSESSORTS PARCEL NO.: 1703243200319
PROJECT DESCRIPTION: Porch addition
Owner: HOLMES RICHARD E
Address: 2583 N 15TH ST SPRINGFIELD OR 97477
Springfield TYPE OF WORI(: Single Family Residence
TYPE OF USE: Addition Residential
PhoneNumber: 541-968-0544
Contractor Type
General
Electrical
Contractor
GEMSTONE BUILDERS INC
REYNOLDS ELECTRIC
License
82340
17252
Expiration Date
0611712005
02t081200s
Phone
541-343-s788
541-343-7297
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:
15.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
nh
law Fqulrss
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARICNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
)PMENT INFORMATION
Description Type of Construction
Page 1 of3
Value Date Calculated
ff
by
Yaluation Description I
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: COM2004-00525ISSUED: 0611712004APPLIED: 05/0512004EXPIRES: 01/0812005VALUE: $ 8,500.00
Patio/Porch Use Bid Amount
Fee Description
Plan Review Residential
Building Permit
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ l0o/o Administrative Fee
+ 77o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$1.00 8,500.00
Total Value of Project
Date Paid
$8,500.00
$8,500.00
Receipt Number
2200400000000000485
2200400000000000796
2200400000000000796
2200400000000000796
1200400000000001056
r20040000000000r056
1200400000000001056
1200400000000001056
05t05t2004
Amount Paid
$64.74
$99.60
$3.48
$69.60
$4.60
$3.22
$43.00
$3.00
$291.24
5t5104
6n7t04
6n7t04
6fi7t04
7t&t04
7t8t04
7t8t04
7t8t04
['ees Peid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
05t0512004
96t0u2004
06t01t2004
05/05/2004
05/05/2004
06t0u2004
06t0u2004
0st27t2004
OK
APP
APP
APP
RJB
TAJ
VRJ
RJB
Minimal review, no Planning plan
check fee not charged.
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Renrrirpd fnsneefinns
Paee 2 of 3
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-00525ISSUED: 0611712004APPLIED: 05/0512004
EXPIRES: 01/0812005VALUE: $ 8,500.00
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 during construction.
Owner or Contractors Signature Date
Pase 3 of3
:.
225-Fifth Street
Springfield, Oregon 97 477
511-726-3759 Phone
RECEIPT #: 1200400000000001056 Date: 0710812004 10:27:53AM
Job/Journal Number
coM2004-00525
coM2004-00525
coM2004-00525
coM2004-00s25
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0% Administrative Fee
Amount Due
43.00
3.00
3.22
4.60
ltem Total:$53.82
Payments:
Type ofPayment Paid By
ChecLNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard ELLEN REYNOLDS djb 000434 008413 In Person
Pavment Total:
$s3.82
-sffi
71812004 Page I of I
rea ctty of Springfield Official Receipt
velopment Services Department
Public Works Department
City of Springfield
225 Fifth Street Springfield, Ox.97477' 5+l-726-3759 Phone
541-726-3676Fax
January 06, 2005
HOLMES RICHARD E
2583 N 15TH ST
SPRINGFIELD oR 97477
Job Number:
Location:
coM2004-00525
2583 15THST
Project:Porch addition
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 at2583 15TH ST which is set to expire on
21612005. 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 S afety Supervi sor
225 FIFTH STRIET . SPRINGFIELhOR 97477 . PH:(541)726-3753 r FAX: (54
ELECTKTCAL PERMIT APPLICATION
Ciry Job Number CDrU ZcA\-OGSZfP26
1..ZS<3 t S+1"SI
LEGAL DESCRIPTION
t ? 03 ztl3z oo3t1
qFIrrO
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B.
. 200 AmPs or less
201AmPs to 400 AmPs
401 AmPs to 600 AmPs
601 AmPs to 1000 AmPs
Pump or irrigation
SigriOutline Lighting
Mlnimum Permit Inspection
$106"00
$ 19.00
ss0.00
$ 63.00
$ 75.00
JOB DESCzuPTION
Z CJ-rvi
Permits are non-transferable and erpire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
2.
citv &ass e Phone ryr!t$'#.1"#.tffiI?,' rn, w,il lT'il'f
Electrical Contractor
Address 3t w aa4 ttQ ,
AUTHORI
Supervisor License Number *sAo- 5 co MhlErft
ANY 180
Expiration Date o
Constr. Coutr. Number /7 2-52
Expiration Date o o
Signature of Supendsing Elecrician
Name
Address ztg3 I S+'- sr E.
City 5? Fa Phone
OW}IER INSTALLATION
The insallation is being made on Property I own which
is not intended for sale, lease or rent
Orvners Signailre:
0AY,[,F$1"08'AI
te ratio n or Relocation
200 Amps or less S 50'00
201 Amps to 400 AmPs S 69'00
401 Amps to 600 AmPs $ 100.00
Over 600 or 1000 VolB see "B" above.
D.
$125.00
$163.00
$ 43.00
$ 3.00
s 50.00
s 50.00
$ 25.00
45.00
New Alteration or Extension Per Panel
One Circuit I .
Each Additional Circuit or with .{
Service or Feeder Permit
L(3
+ Surcharges
ln Llb
$eHeptEIE
Notificathr
5 EZ-TOTALlnspection Request: 726-37 69
0os
Shared Driv{T:)tsuilding FormVElecdcal Permit Application I 43'doc
3 at/ Bccf, lne
2'ZZ
Ll6o
Status Issued
225 Fifth Street, SPringfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 InsPection Line
Building/Combination Permit
PERMIT NO: COM2004-00525ISSUED: 0611712004
APPLIED: 05/0512004
EXPIRES: 1211712004VALUE: $ 8,500.00
SITE ADDRESS: 2583 15TH ST
ASSESSOR'S PARCEL NO.: 1703243200319
PROJECT DESCRIPTION: Porch addition
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
Owner: HOLMES RICHARD E
Address: 2583 N 15TH ST SPRINGFIELD OR 97477
Contractor Type
General
Contractor
GEMSTONE BUILDERS INC
License
82340
Expiration Date
0611712005
Phone
541-343-5788
Valuation
# 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:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Value
$8,500.00
$8,500.00
u-l
VN
nla
ATTENTION:6,ogonm*o@
treet ImprqgppflFftiles adopted bythe Or.egon Util1y
,orm Sewl$lA$Ofl{hgCentef. Thogc rules are set forth
rccial InsmrGti& 952-00 1'001 0 thratgh O A R 952-00 1'
00:10. You may obtaln copies ol the rules by
tes: caiiing the center. (Note: thl :elephone
l.lotification
15.50
Type of Construction
Use Bid Amount
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 8,500.00
Total Value of Project
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
I'IOTICE:
Tr,i5 PLHi"liT SHALL EXPIRE lF THE W0RK
i.U il"i0HiZEL) UitDtR lHlS PERlvllT lS h,lOT
ANY 180 DAY PERIOD.
ription
'iolPorch
Date Calculated
05/05/2004
\
I'EYI,LUTryIUN I INIiUr(rVTATTUN I
Status Issued
225 Fifth Street, SPringfield' OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 InsPection Line
Fee Description
Plan Review Residential
Building Permit
SDC Sanitary/Storm Admin
Storm Drainage ImPervious Area
Total Amount Paid
Amount Paid
s64.74
$99.60
$3.48
$69.60
$237.42
Date Paid
5t5104
6n7104
6n7t04
6n7104
Building/Combination Permit
PERMIT NO: COM2004-00525ISSUED: 0611712004
APPLIED: 05/0512004
EXPIRESz 1211712004VALUE: $ 8,500.00
Receipt Number
2200400000000000485
2200400000000000796
2200400000000000796
2200400000000000796
Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
05/0s/2004
0610112004
06t0y2004
05/05/2004
05/0s/2004
0610112004
0610112004
05t2712004
OK
APP
APP
APP
RJB
TAJ
VRJ
RJB
Minimal review, no Planning plan
check fee not charged.
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
witt 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building 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 all required inspections are requested at the proper time, that each address is readable from the
street, that the permit ts at the front of the property, and the approved set of plans will remain on the site at all
times
G.tac/
Signature
Pase2 of2
Date
Fees raro I
JOURNAL OR NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
crTY oF SprurucH ELD SYSTEMS DEVELOPMENiWORKSHEET
Richard Holmes
2583 l5th Street
17032432 tl 319
SFD Addition
BUILDING SIZE (sF) 0 LoT SIZE (SF):0 0
a
E]o
U
&t!Fa
rl.)
DIRECT RUNOFF TO CITY STORM SYSTEM
CHARGE
$69.60
DISCOUNT RATE
50%
$69.60
I TMPERVIoLJS s-F
I z+o.oo
NUMBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADT TRIP RATE
9.5'7
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
NUMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU'S
0
SUBTOTAL
s69.60
COST PER S.F
$0.290
x
x
x
x
x
x
x
RUNOFF ROUTED TO DR YWELL DESIGNED AND CONS TRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
A. REIMBURSEMENT COST:
COST PER S.F
$0.290
COST PER DFU
$22.64
COST PER DFU
st7.21
NUMBER OF UNITS
0
NUMBER OF UNITS
0
COST PER FEU
s3 14.63
COST PER FEU
$214.23
ADM. FEE RATE
5%
x DISCOUNT
$0.00
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
1 070
109 I
r092
1093
1094
l 056
xx
xx
COST PER TRIP
st7.23
COST PER TRIP
s76.01
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =
SUBToTAL (ADD ITEMS 1,2,3, & 4')
$0.00
$69.60
CHARGE
$3.48
x
TOTAL SANITARY ADM INISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich 6/112004
079
078
$69.60
$0.00
$0.00
$0.00
$0.00
$0.00
3.48
00
$73.08
PREPARED BY DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES X I-]NIT EQUIVAIENT: DRAINAGE FXTURE L]NITS
FOR CALCULATE ONLY THE NET ADDITIONAI
NO. OF FIXTURES
UNIT
FIXTURE ryPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
isa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINACE
FIXTURE
UNITS
0
*EDU
BATHTUB 0 0 3 0DRINKING FOUNTAIN n 0 1 0FLOOR DRAIN 0 0 3 0
FORINTERCEPTORS GREASE OIL SOLIDS ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
TUB 0 0 2 0
ASHER / MOP SINK 0 0 3 0
CLOTHESWASHER - 3 OR MORE 0 0 6 0
MOBILE HOME PARK TRAP 1 PER 0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 0
RECEPTOR FOR COM. SINK / DISHW ASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK:COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIP
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIP
(Enter I for Yes, 2 for No)
BASE YEAR
0
0
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO
s0.00
CREDIT RATE
$5.04x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.04 =t 0
TOTAL MWMC CREDIT
BEFORE I979 $5.04
t979 $5.04
I 980 $4.95
l98l $4.88
I 982 $4.75
l 983 $4.58
1984 $4.41
I 985 $4.20
I 986 s3.88
1987 $3.50
I 988 $3.07
l 989 $2.60
I 990 $2. l4
l99l $ l.7l
t992 $1.52
I 993 sl.38
t994 $l.r9
I 995 $1.03
t996 $0.87
t997 $0.68
I 998 $0.46
1999 $0.27
2000 $0.09
200 l $0.04
I so.oo
I-$0-d6-
225 Fifth Street
Springlield, Oregon 97 477
541-726-3759 Phone
'rty of Springfield Official Receipt
-rlevelopment Services Department' Public Works Department
RECEIPT #: 2200400000000000796 Date: 0611712004 12:02:49PM
Job/Journal Number
coM2004-00525
coM2004-00525
coM2004-00525
Description
Building Permit
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Amount Due
99.60
69.60
3.48
$172.68
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MERLE M GARGES dlm 000413 017860 In Person $172.68
Payment Total:$172.68
6lt7/2004 Page I of I
3PEll{OflllD
Item Total: