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Home My WebLink AboutPermit Building 2005-11-14Bu\il\ng\Ctrrh\rrt\rt\r\ PDRMIT N O: COM)$$S-SD$SStatus lssued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line ISSUED: APPLIED: EXPIRES: VALUB: LLt1412005 09/02/2005 05t1412006 $ 3,840.00 SITE ADDRESS: 2467 }DTHST ASSESSOR'S PARCEL NO.: 1703244302302 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Addition PRoJEcr DESCRTPTIoN: Addition to existing single family residence r' Oregon law CS lt Residential uires Number:541 -726-5 2 7 Owner: Address: Contractor Type General Electrical MONTY MEGARGEL 2467 N 20TH ST SPRINGFIELD OR 97477 I ES a re set forth r0 0r{952-00 1 hg R Contractor BURRELL & SONS INC BURRELL BROS ENTERPRISES INC ris 1 PIumrbing DOUGLAS LEE JONES License 75279 736446 03t08t2006 08t20t2009 Phone 541-746-4702 541-747-2724 s4t-747-12s410460602fi7t2007 # of Units: Primary Occupancy Group: R_3secondary Occupancy Group: Primary Construction Type VNSecondary Construction iype: # of Bedrooms: c0 NY of Tvpd of # Type of Height iprinkled 40 Water Range 1Path nlaBuilding: Path:Energy Sq Ft Sq Ft Garage/Carport Other: Occupant Load: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1\fotes.. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd;1 %o ofLotcoverage: REQUIRED PARKING Total: Ilandicapped: Compact: Street fmprovernents: s;::il,';H:il;,':'.,AC Mat No Sidewalk Type: DownspoutsDrains: UGB no storm available. 40 .r D^ _ *4rrrccUe(r e/7/2005 cAs ,;tr{W Paqe 1 nr r I TI rh ta Status Issued 225 Fifth Street, SPringfield' OR 541-726-3753 Phone 541-726-3676Bax 541-7 26-37 69 InsPection Line Building/Combination Permi6 PERMIT NO: COM2005-01205ISSUED: llll4l2005 APPLIEDT 0910212005 EXPIRESz 0511412006VALUE: $ 3,840.00 Description Dwellings Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Building Permit Fixture Minimurn/Adj ustment Mechanical Minimum/Adj ustment Plumbing SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + 10o/o Administrative Fee + 1oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $96.00 Square Footage or Bid Amount 40.00 Value $3,840.00 $3,840.00 Receipt Number 1200500000000001296 2200500000000001322 2200500000000001322 2200500000000001322 2200500000000001322 2200500000000001322 2200s00000000001322 2200500000000001322 2200500000000001322 2200s00000000001322 2200s00000000001322 2200500000000001578 2200500000000001578 2200500000000001578 2200500000000001578 Date Calculated 0910212005 Amount Paid $39.39 $10.00 $1s.06 $10.s4 $60.60 $14.00 $39.00 $31.00 $0.32 $6.46 $6.00 $4.90 $3.43 $43.00 $6.00 9t2t05 9t23t05 9t23l0s 9t23los 9t23l0s 9t23105 9t23l0s 9t23l0s 9t23tos 9t23105 9t23tos tut4l05 tUt4t0s tut{l0s lut4l05 $289.70 tr'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09t06t200s 09t06t2005 09t06t2005 09/06/2005 09/rs/2005 09t07t200s APP APP APP LLH TAJ CAS No Planning review required. UGB no storm system available 40 sl no calcs required 91712005 CAS 09t061200s 09t23t2005 APP RJB To Request an inspection caII the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following wgrk day. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Pase 2 of 3 F Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01205ISSUED: tlll4l2005 APPLIEDT 0910212005 EXPIRESz 0511412006VALUE: $ 3,840.00 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 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. 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 Date Page 3 of3 f 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone nity of Springfield Official Receipt _-' evelopment Services Department Public Works Department RECEIPT #: 2200500000000001578 Date: 1111412005 2246:3ePM Job/Journal Number coM2005-01205 coM2005-01205 coM2005-01205 coM2005-01205 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + 10% Administrative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total:$57.33 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JASON BURRELL njm 074478 Phone $57.33 Payment Total: -557F i It ti, I tUt4t200s Page I of I 215 FIFTH STRIET , SPRINGFIELD, OR 9741',1 . PH:(541)726'3753 ' FAX:6d*) The lollowing A.lul(Jrlzgd slgnature L.l-, J)D \um L'LECTR]DRMIT APPLI rION IY Service Included I 000 sq ft. or less Each additional 500 sq. ft. or portion tlrereof Each Manufact'd Home or Modular Dwelling Service or Feeder Dare I t LOCA']'I 3o 1 a lj.t l t -:CiL DESCRIPTION A B, D, I +3 03 DESCRI TION $r0600 s 19 00clrt3U Ptrnrrr! are non-(ransferable and expire if work ls nor srarred rrirhin 180 days of issuance or if work is Suspended for 180 daYs. $50 00 $5ic( $ 7 5.00 401 Amps to 600 AmPs $ 125 0C 60 I Amps to I00O AmPs S 163 0U Over IOOO Amps/Volts 5-175 Otr Reconnect Only S 50 Ca 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 s or I000 Volts see "B" aboYe. :.irr.i. i: \i:r':llOn D3(e lir:rralron Dale , :,,:l,l ribh: :!i",- . I a ,:( Burrell Bros, Electric 4oi'59 Booth KellY Road Springf ield, Oregon 97 478 --l:Vl-\ )-i::-, riulr' Lrcense Number S C \s -;:.si: Ccrtrr Number \']-a$\\\, tnclan c Phone -5J1 O\\ \ER INST.A.l-LATION l'i-,c :rsiallatron rs beLng made on property I own which rs lct rntenied [or salc, lease or ren(. New frl{t&PERS,t rYs1tAet IF THEone Gtf$l{ORt Each$S servi416l Pump or inigation Sigr/Outline Lighting Limited EnergylResidential Lim ited Energy/Commercial Miaimum Electric Permit Inspection Fee is $45'00 + Surcharges 7% State Surcharge I0% Administrative Fee TOTA.L 6 rrt!i3 ol SuPervrsrng E : \at:'t 5z) do t $ 50.00 $ s0.00 $ 25.00 $ 4 5.00 61) Ll -qo 5'^ - 33 lrrspecticrn Req uesr: 776'3769 4 Sbarcd DnvdT:/Buildi-og Forcos/Electrical Perurit Applrcatioo I -ll rlut not requlre ,l : ::,- it. 3 i CO n rrac tOr L:l\ (-, O.i':rcr-s Signarure: Status Issued 225Fifth Streeto Springfield, OR 541-726-3753 Phone 541-726-3676Eax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-01205ISSUED: 0912312005 APPLIED-. 09t02t2005 EXPIRESz 0312312006VALUE: $ 3,840.00 SITE ADDRESS: 2467 20TH ST ASSESSOR'S PARCEL NO.: 1703244302302 Springlield TYPE OF WORIft Bathroom TYPE OF USE: Addition pROJECT DESCRIPTION: Addition to existing single family resideltdTEl'JTION: Oregon law requires you to follow rules adopted by the O utit Owner: Address: Contractor Type General Electrical MONTY MEGARGEL 2467 N 20TH ST SPRINGFIELD OR 97477 Contractor BURRELL & SONS INC BURRELL BROS ENTERPRISES INC in OAR 952-001-001 0090. You may obtain copies of the rules by Oregon Utility Notification r is 1-iii0-332-2344). Expiration Date 03/08/2006 0812012009 Residential Phone s4t-7464702 s4t-747-2724 License 75279 136446 # 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: # ofStories: I Lot Size: -Ileight ofStructure 10.00 Sq Ft lst Floor: Fif,#&Eleat: Wall Heat Sq Ft 2nd Floor: ITYffiePEHMTT R-3 \rN 40 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARJ<ING Total: Handicapped: Compact: AC Mat No Sidewalk Type: Downspouts/Drains Drywell - Provide Drywell Engineering Notes: UGB no storm available, 40 sf no calcs needed 9/7/2005 CAS PUBLIC IMPROVEMENTS Page 1 of3 -*rY -I'UILI.,IT\ U TN T UI(IY|A T TUN..] SHALL UNOEH f(ftcupant Load: Basement: ,Irl, V LtJlJrflILl\ l. lI\ I (rt(tYlA -l l(rl'l I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01205ISSUED: 0912312005APPLIEDz 0910212005 EXPIREST 0312312006VALUE: $ 3,840.00 Description Dwellings Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $96.00 Square Footage or Bid Amount 40.00 Value $3,840.00 $3,840.00 Date Calculated 09t02t2005 Total Value of Project Date PaidAmount Paid $39.39 $10.00 $1s.06 $10.54 $60.60 $14.00 $39.00 $31.00 $0.32 $6.46 $6.00 $232.37 Receipt Number 1200500000000001296 2200500000000001322 2200500000000001322 2200500000000001322 2200500000000001322 2200500000000001322 2200500000000001322 2200s00000000001322 2200500000000001322 2200500000000001322 2200s00000000001322 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7Yo State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Total Amount Paid 9tzt05 9t23t05 9t23105 9t23t05 9t23t05 9t23t0s 9t23l0s 9t23t0s 9t23t05 9t23t05 9t23t0s F'ees Paid Plan Reviews Initial Review Plannins Review Public Works Review Structural Review 09t06t2005 09t06t2005 09t06t200s 09t06t2005 09n5t2005 09t07t200s APP APP APP LLH TAJ CAS No Planning review required. UGB no storm system available 40 sl no calcs required 9/7/2005 CAS 09t06t200s 09t23t200s APP RJB 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. wiII be made the following work day. 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 Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Page 2 of3 Reouired fnsnections L L}- Valuation Description I F 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: COM2005-01205ISSUED: 0912312005 APPLIEDz 0910212005 EXPIRESz 0312312006VALUE: $ 3,840.00 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 Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Ptumbing: 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wi[ 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 the front of the property, and the approved set of plans will remain on the site at all times construction. ?'es-o( or Contractors Date Pase 3 of3 T JOURNAL OR JOB NUMBER: NAME ORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORMDRAINAGE DIRECTRUNOFFTO CITY STORM SYSTEM GITY OF Sl'^,NGFIELD SYSTEMS DEVELOPMENl -ORKSHEET coM2005-01205 2467 20thSt 1703244302302 SINGLE FAMILY RESIDENCE 0 BUILDTNG SrZE (SF. 40 LOT SIZE (SF)0 IMPERVIOUS S.F. x RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 40.00 NUMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 ADT TRIP RATE 9.s7 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $19.07 NIA4BER OF T]NITS 0 NUMBER OF LTNITS 0 CHARGE $0.00 DISCOUNT RATE 50o/" $6.46 DISCOUNT $6.46 x x x x x x x ITEM 1 TOTAL - STOR]VI DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $0.00 COST PER TRIP $r9.09 COST PER TRIP $84. I 9 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBURSEMENTCOST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NLIMBER OF FEU's 0 x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATryE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC 5. ADMINISTRATTVE FEE: SUBTOTAL $6.46 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 917/200s $0.00 $6.46 CHARGE $0.32 COST PERFEU $82.03 $0.00 $0.00 $0.00 $6.78 I 070 l09t 1092 1093 1094 1055 I 056 1079 l 078 aHno(-) &trlFa r!& I I IE COST PER FEU $865.31 ADM. FEE RATE 5Yo PREPAREDBY DATE TOTAL SDC CHARGES x SUBTOTAL (ADD ITEN{S I,2,3, & 4) DRAINAGE FDilURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT: DRAINAGE FD(TUREUNITS FOR REMODELS, CAICULATE ONLY TTIE NET ADDITIONAL NO. OF FIXTTIRES FXTURE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE T]NITS isa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE LINIT 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) 20 DRAINAGE FTXTURE UNITS 0 2 1979 *EDU BEFORE I979 1979 I 980 198 I 1982 1983 1984 I 985 I 986 1987 I 988 I 989 I 990 l99l 1992 1993 1994 1995 1996 1997 I 998 1999 $5.29 $5.1 9 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / IOOO $0.00 CREDITRATE $5.29 .29 2 x CREDIT FOR IMPROVEMENT (IF AI'TER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MIYMC CREDIT$1.s9 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOTNTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 TNTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAT'NDRY TUB 0 0 2 0 CLOTT{ESWASHER / MOP SINK 0 0 3 0 CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 sHowER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCTAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL / WALL 0 0 5 0 TOILET, PTIBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE .00 0 $0.00 2000 2001 225 Fifth Street S1,ringfield, Oregon 97 477 541-726-3759 Phone 'lity of Springfield Official Receipt -;evelopment Services Department Public Works Department RECEIPT #: 2200500000000001322 Date: 0912312005 10:44:21AM Job/Journal Number coM2005-0120s coM2005-0120s coM2005-01205 coM2005-01205 coM2005-0120s coM200s-0120s coM2005-01205 coM2005-01205 coM2005-01205 coM2005-01205 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture Minimum/Adjustrnent Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + lO% Administrative Fee Amount Due 6.46 0.32 60.60 14.00 31.00 6.00 39.00 r0.00 10.54 15.06 ' Item Total:$192.98 of Payment Paid By Received By Batch Number Number How Received Amount Paid C*reck TERRY BURRELL njm In Person Payment Total: $192.98 -sitt5il 2412 It \ x 91231200s Page I of I &&tu.rdoFr&La CheckNumber Authorization