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Home My WebLink AboutPermit Building 2003-01-24Status: Issued 225 Fifth Street Springfield, OR 541.:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line SPRING Buildin g/C ombin ation Per mit PERMIT NO: 02-01161-01ISSUED: 0112412003APPLIEDz 0912712002E)PIRESz 0712412003VALUE: $ 54,159.00 SITE ADDRESS: 567 00019th St Spr TYPE OF ASSESSOR'S PARCEL NO.: 1703361309100 TYPEOF USE: PROJECT DESCRIPTION: Bedroom, Dining Room and Bathroom Addition Owner: Susan Conk[n Miller Address: 567lgth Street Springfield OR 97477 License Single Family Residence Addition Residential Phone Number: (541) 747 -1371 PhoneNumber: 541-687-2446 Expiration Date Phone (s4r) 461-278s 0sn6t2004 344-4928 (s{r) 747-r37t Contractor Type General Electrical Owner Contractor Scott W Rude SAVE ON ELECTRIC INC Susan Conklin Miller CONTRACT OR INF ORMATI ON # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Alailable: Special Instruction: Fully Improved Yes 726R-3 #of Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carportr Sq Ft Other: Impervious Surface Area : 9,400 PARKING 7 YNSpr Path I 55.00 5.00 15.00 95.00 0.00 Type: Notes: 1of 3 Curb and Gutter f 1 TY SPRINGFIE Buildin g/C ombin ation Permit Status: Issued 225Ftth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541':7 26-37 69 Inspection Line PERMIT NO: 02-01161-01ISSUED: 0112412003APPLIEDz 0912712002E)PIRESz 0712412003VALIIE: $ 54,159.00 Descrbtion Dwellinss Type of Construction V Wood Frame $ Per Sq Ft Square Footage $74.60 726.00 Total Value of Project Value $54,159.60 $54,159.60 Date Calculated 10t0312002 Fee Description Residential Plan Check -Mechanical Issuance Fee- + 7%o State Surcharge + 87o Administrative Fee Building Permit Dryer Vent Gas Outlets 1-4 Minimum/Adj ustment Mechanical Plan Review - Planning SDC Sanitary Improvement SDC Sanitary Reimbursement SDC Sanitary/Storm Admin SDC Storm Storm Sewer - lst 50 Feet + l0oh Administrative Fee + lYo State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Receipt Number 10738 r200200000000000r26 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 r200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000600 1200200000000000600 1200200000000000600 1200200000000000600 Amount Paid Date 9t27t02 10t24t02 10124t02 10t24t02 10t24t02 10t24t02 10t24t02 10t24t02 10t24t02 10t24t02 10t24t02 t0124t02 10t24t02 10t24t02 u24t03 u24103 u24t03 ll24t03 $253.60 $10.00 $33.61 $38.41 $390.1s $6.00 $4.00 $3s.00 $55.00 $100.74 $132.s4 $22.83 $223.34 $4s.00 $9.30 $6.s1 $30.00 $63.00 $1,459.03 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 10t03t2002 r0t03t2002 10t03t2002 r0t03t2002 1010312002 10t08t2002 1010912002 10t2u2002 LLH AJD VRJ TCM APP APP APP APP SDC's only, no PW permits. 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. 1 Site Inspection: To be made after excavation but prior to setting forms. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 2 of 3 Valuation Description I r ees ralo I Kequrrcq rnsBceuons l G Buildin g/C ombin ation Permit Status: Issued 225 Fifth Street SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line PERMIT NO: 02-01161-01ISSUED: 0112412003APPLIEDz 0912712002E)PIRES: 0712412003VALUE: $ 54,159.00 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. l1 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Rough Plumbing: Prior to cover and including required testing. 14 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on Iile. 15 Final Plumbing: When all plumbing work is complete. 16 Underfloor Mechanical. Prior to insulation or decking and including required testing. 17 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 18 Rough Mechanical: Prior to Cover 19 Final Gas: When all gas work is complete. 20 Final Mechanical: When all mechanical work is complete. 2l Rough Electric: Prior to Cover 22 Final Electric: When all electrical work is complete. 23 Rough Electric: Prior to Cover 24 Electric Service: Approval required prior to utility company energizing service. 25 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 certi$ 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 hereiq and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ that only contractors and employees who are in compliance wittr ORS 701.06 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 hcated 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 3 of 3 i y2412003 10:24:37ANI City of Springfield Development Services Department Public Works Department Official Receipt?:n#tir,fr,::rs7477 Receipt #z 1200200000000000600 Date: 0112412003 Line Payments: NumberJi o2-oll6r-0t 02-01161-01 02-01161-or 02-0116l-01 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 1Yo State Surcharge + lUYo Administrative Fee Amount Paid 63.00 30.00 6.51 9.30 Tlpe of PaYment Paid By Check SAVE ON ELECTRIC INC djb Received By Check Number Confirm No Line Item Total: How Received In Person Total: $108.81 Amount Paid 108.81 08.81 Page I of I cReceipt.rpt Status: Issued 225Fflh Street, Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: 02-01161-01ISSUED: 1012412002APPLIED: 0912712002E)PIRES: 0412412003VALUE: $ 54,159.00 SITE ADDRESS: 567 00019th St ASSESSOR'S PARCEL NO.: 1703361309100 PROJECT DESCRIPTION: Bedroom, Dining Room and Bathroom Addition Owner: Susan Conklin Milter Address: 567l9th Street Springfield OR 97477 spr TYPE OF TYPE OF USE: Single Family Residence Addition Residential Phone Number: (541) 747-1371 Phone Number: 541-687-2446 Contractor Type General Owner Contractor Scott W Rude Susan Conklin Miller Expiration Date Iil Phone (s4t) 46r-278s (s{t) 747-1371 License # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearaard Setback: Sohr Setbacks: Street Storm Sewer Availabh: Spechl Instruction: Notes: Description Dwellings R-3 OAR Path 1 Size: lst Floor: 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport: Sq Ft Other: Impervious Surface 9,400 726 VNSpr Fully Type of Construction V Wood Frame tl' 1 Yes $ Per Sq Ft Square Footage $74.60 726.00 Total Value of Project l of 3 Sidewalk Type: DownspoutVDrains REQIIIRED PARI(NG Total: 2 Handicapped: Compact: Curb and Gutter Date Calculated 10t03t2002 55.00 s.00 15.00 9s.00 0.00 DEVELOPMENT INFORMATION L (r1'r r r(AL r (,K rN Il rr_5n!4!!!lN I ale in i-e 1 Overlay Dist: # Street Trees Drive Value $54,159.60 $54,159.60 Valuation Descrintion I FTELD Buildin g/C ombination Permit Status: Issued 225 Fifth StreeQ SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line ees Paid Fee Description Gas Outlets 1-4 Dryer Vent -Mechanical Issuance Fee- SDC Sanitary/Storm Admin + 7o/o State Surcharge Minimum/Adi ustment Mechanical + 87o Administrative Fee Storm Sewer - lst 50 Feet Plan Review - Planning SDC Sanitary Improvement SDC Sanitary Reimbursement SDC Storm Buildins Permit Total Amount Residential Plan Check Total Fees Paid Prior to 9130102 Amount Paid Date Receipt Number 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 1200200000000000126 10738 Received By $4.00 $6.00 $10.00 $22.83 $33.61 $3s.00 $38.41 $45.00 $ss.00 $100.74 $132.54 $223.34 $390.1s $1,096.62 $2s3.60 $2s3.60 t0/24t2002 10t24t2002 10t24t2002 10t2412002 10t24t2002 10t24t2002 10t24t2002 10t2412002 10t24t2002 10t24t2002 10t24t2002 10t24t2002 10t24t2002 dib diu dib dib djb dib diu dib dib dib diu dib dib 09t27t2002 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 10t0312002 10t03t2002 t0t03t2002 10t03t2002 10t03t2002 t0t08t2002 t0t09t2002 t012u2002 LLH AJD VRJ TCM APP APP APP APP SDC's only, no PW permits. To Request an inspection call the24 hour recording at 726-3769. AII 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. I Site Inspection: To be made after excavation but prior to setting forms. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. l0 Drywall: Prior to taping. 11 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Underfloor Plumbing: Prior to insulation or decking. 13 Rough Plumbing: Prior to cover and including required testing. 2of3 PERMIT NO: 02-01161-01ISSUED: 1012412002APPLIEDz 0912712002E)PIRESt 0412412003VALUE: $ 54,159.00 I(equrreo lnsDecttons l Status: Issued 225 Fifth Street, SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line TY F FIELD Buitdin g/C ombination Permit PERMIT NO: 02-01161-01ISSUED: 1012412002 APPLIEDz 0912712002E)CIRESz 0412412003VALIJE: $ 54,159.00 t4 15 16 t7 18 t9 20 2t 22 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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 hereiq and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiS 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 DateIk4,/0 -a{*o t- 3 of 3 225 FTFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELEC'TRICAL PERMIT APPLICATION City Job 3. COMPLETE FEE SCFIEDI.JLE BELOW LEGALi7 DESCRIPTIONo34.r3 b7/ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: or less additional500 portion Each Manufd Home or Modular Dwelling , Service or Feeder Items Cost Sum $106.00 s 19.00 $ s0.00 2_t2) 0 are if work is not started of issuance or ifwmk 180 days. ga\8 2. CONTRACTOR ,0, Expiratiur -0 Signatrne of Supervising Electician B. ServicesuFeeders Installation, Alterations m Relocation: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 Limited Enerry/Res $25.00 Limited Enerry/Comm _ $45.00 5. SUBTOTALOFABOVE lYo State Surdrarge &t'Adminis$ative Fee 200 amps or less /-$ 63.00 b'' az) 201amps $ 7s.00 sl2s.00 $163.00 $375.00 $ s0.00 the a32 Iess $s0.00 $69.00 $100.00 amps to400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "Bt'above 5 ONLY Elecrrical c."rrd,. {ht/L ofl Ew. 1,7,tt//*D. Branch Cir$its .- <u9 N$RK ilithm_*,ffi*Ww*",*,.. ;il-llffiitlgtJ circ,it q with *b_r r, *7 l! 1 Ad&ess rl Phone v7-t3'7 6n-zw6OWNER INSTALLATION The installation is being made or property I own which is not intended .,,:fo ole lease or rent, Owners Sigrratwe: f ,m) t\ )/d TOTAL 'o8 8t I Supervisor License Number Expiration Constr Conh. of the rules CITY OF SPRIN GFIEr-JYSTEMS CHA WORKSHEET a E]aoU & E]FV) (, E]& 1070 l09r r092 I 093 1094 1055 1056 lo79 NAME OR COMPANY: LOCATION: TAX LOT NTIMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS SF - AdditionRESIDENCESINGLEFAMILY Susan Conklin Miller 170336 13 tl9l00 567 lgth Street SF LOT SIZE: O OB UILDING SIZE: O JOURNAL OR JOB NTIMBER:02-0ll61-01 IMPER VIOUS S.F T PER S.F DISCOUNT RATE 0.00 .282 50Vo IMPERVIOUS S.F 792.00 COST PER S.F. -$o-r8-$223.34 x x x DR DIRECT RUNOFFTO R UNOFF ROUTED TO CITY STORM SYSTEM YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IITEM TOT AL STORM GEDRAINA SDC 6 16.79 100.74 NUMBEROFDFUE 6 COST PER Dil $22.09-- 132.54 x x COST:A. COST:B IMPROVEMENT TOTAL)ITEM CITY SANITARY SEWER SDC ADT TRIP RATE NI.IMBER OF UNITS COS T PER TRIP NEW TRIP FACTOR.57 0 t7 r.00 ADT TRIP RATE 9.57 NUMBER OF LINITS 0 COST PER TRIP $r6.8I FACTORNEWTRIP 1.00 x x x x x x COST:A. REIMB URSEMENT COST:B. TOTAL TA3ITEMTRANSPOR SDCTION $0.00 00 $0.00 NUMBER OFFEU's 0 COST PER FEU $3-2.s6- $0.00 NUMBER OFFEU's 0 COST PER FEU $34.83 x x SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT COST:B COST:A. REIMB URSEMENT MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SANITARY4ITEMALTOTMWMC SDCSEWER 6.62 SUBTOTAL (ADD ITEMS 1,2,3, &4 83 22.83 SUBTOTAL $4s6.62 ADM. FEE RATE 5Vo x TOTAL TRANSPORTATIOJ!ADMINISTRATION FEE: TOTAL SANITARY ADMINISTRATION FEE: $479.4sTOTAL SDC CTIARGESSteveTemPlin SDC COORDINATOR 101912002 DATE t078 DRAINAGE FIXTURB UNIT TABLE MWMC CREDIT CALCULATI ON TABLB: BASED ON COUNTY ASSESSED VALUE EQUIVALENT UNITSFIXTUREDRAINAGEUNITxFIXTURESNEWOFNUMBER FOR REMODETS,CAITULATEONLY THE NET ADDTTIONAL NO.OF FIXTURES DRAINAGE FIXTURE UNITS( *uew - #oLD ) UNIT ^ peuwlLgllt FIXTURE TYPE 0 )3 0 BATHTUB 0 x, x x x x x x x (0 0 )0 DRINKING FOUNTAIN .,)0 FLOOR DRAIN (0 0 J 0 INTERCEPTORS FOR GREASE I ON- ISOLIDS tsrc. (0 0 I EUTO WASH IETC.0 0 )6 0 INTERCEPTORS FOR SAND 0 )2 0 LAUNDRY TUB (0 (0 0 -)0 CIOTHBSWASHER /MOP SINK )6 0 CLOTHESWASHER -3 ORMORE (EA)0 0 (0 0 )x x x x x x t2 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 RECEPTOR FOR REFRIG / WATER STATION /ETC (0 0 J 0 FORCOM. SINK /DISHWASHER /ETC. (0 0 RECEPTOR I 0 )a 2 SHOWER,SINGLE STALL ( 0 OF HEADS)(0 0 )2 SHOWER, GANG (NUMBER 0 -1 0 SINK:KITCHEN 0 0 0 )x x x x x x x 2 0 SINK:COMMERCIAL BAR 0 )0 SINK:DOMESTIC BAR (0 (0 0 2 0 WASH BASIN I 0 )I I LAVATORY 0 0 )5 0 URIN AL, STALL / W ALL ( 0 ALLATION (0 0 6 TOILET,PUBLIC INST 0 -1 J TOILET, PRIVATE INSTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDU's*0( 0 -a)*20 TOTAL DRAINAGE FXTURE UNITS = xEDU (Equivalent Dwelling Unit)is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons Per daY 6 $0.00 $0.00 $0.00 YEAR ANNEXED CREDIT RATE PER $ 1,000 ASSESSED VALUE YEAR ANNEXED cneotr RATE PER $1,000 ASSES SED VALI.]E 1980 198 I 1982 1983 $4.83 $4.77 $4.64 $4.47 $4.30 I l99l t992 I 993 1994 1995 $1.64 $1.45 $ 1.31 $1.t3 $0.97 1984 1985 1986 I 987 I 988 I 989 $4.09 $3.78 $3.41 $2.98 $2.s2 t996 1997 1998 1999 2000 $0.82 $0.63 $0.41 $o.22 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) TOTAL MWMC CREDIT = 0.000 x x $0.00 AFTERttrlPnOVgUeNrSIF ANNEXATION DATE,SEPARATELYCALCULATECREDIT CREDIT RATE $0.00 VALUE / IOOO 0.000 I 1 I - 1979 OR BEFORE