HomeMy WebLinkAboutPermit Building 2002-06-250h/
Job# 02-00477-01
RESIDENTIAL PERMIT
Caty Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 3
Job Number: 02-00477 -01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03006
Subdivision:
SPRTIIGFIELD
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2574 00027th St Spr
AssessonsMap#: 17032441
Lot: Block: Addition
ctTY oF SPRINGFIELD, OREGOTV
Owner: John Wodskow
Address: 2574 27th Street
Scope Of Work: Single Family Residence
Bathroom and closet addition
Phone Number:
City/State/Zip:
Addition
541-988-1214
Springfield, OR97477
Value: $16,039
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Contractor
John Wodskow
2574 27th Street,
John Wodskow
2574 27th Street,
John Wodskow
2574 27th Street,
John Wodskow
Springfield ,o 4
Springfield,
2574 27th Street, Springfield, OR97477
Reg Date Phone
541-988-1214
541-988-1214
541-988-1214
541-988-1214
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
5RNW
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling # Of Buildings:
Zoning Code: LDR Occupancy Group: Dwelling
Bedrooms Forced Air Electric
215
To request an
a.m. willbe mr
working day.
inspection call the 24 hour recording at 726-3769.
ade the same working day, inspections req
r(
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling lnsulation
Framing
Walllnsulation
Drywall
Required lnspedtions
Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
-Prior to decking.
- Prior to cover.
-Prior to cover.
-Prior to Cover
-Prior to taping.
Range:\W-oa
FinalBuilding
Rough Electrical
Final Electrical
Underfloor Plumbing
Rough Plumbing
FinalPlumbing
Underfloor Mechanica!
Rough Mechanical
FinalMechanical
Job# 02-00477-01 Page 2 of 3
Required lnspections
-When all required inspections have been approved and the building is complete.
Electrical
-Prior to cover.
-When all electrical work is complete.
Plumbin
-Prior to insulation or decking.
-Prior to cover.
-When allplumbing work is complete.
Mechanical
-Prior to insulation or decking.
- Prior to cover.
-When all mechanicalwork is complete
Zoning: LDR
FloodPlain? [ Wetlands? f]
Journalnumberc
1: 2:
Comments:
Planner:
Urban Growth Boundary?[ Glenwood Area? [ J
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X lt. gray
Overlay District: Urban Fringe
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
Panel 1153 of2975
3:
Additional Requ irements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups : Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq
Main: 215 Accessory:
# Of Stories: 1 Height (feet): 13
Current Units:1 Proposed Units:
Census Code: Does not apply
Total215
Fee Paid On Receipt# Value/Quantity Fee Amount
PIan Check
04t23t2002 8702Residential Plan Check
Total PIan Check
16,039 $105.30
${05.30
Buildins
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
06t25t2002
06t25t2002
06t25t2002
9718
9718
9718
16,039 $162.00
$11.34
$12.96
$186.30
Electrical
Branch Circuits WO Feeder or Service
Branch Circuits With Feeder or Service
06t25t2002
0612512002
9718
9718
1
2
$43.00
$6.00
Buildinq
Job# 02-00477-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
06t2512002
06t25t2002
9718
971 8
$3.43
$3.92
$56.s5
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Plumbing
06t2512002
06t25t2002
06t2512002
971 I
9718
9718
4 $56.00
$3.92
$4.48
$64.40
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
06t25t2002
06t2512002
06t25t2002
06t25t2002
06t25t2002
9718
971 8
9718
971 I
9718
$39.00
$3.60
$6.00
$10.00
$3.1 5
$61.75
System Development
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
06t25t2002
06t25t2002
971 I
9718
230 $62.79
$3.14
$65.93
Planning
06t25t2002 9718 1Planning Plan Review
Total Planning
$55.00
$s5.00
Grand Total
PIan Check Type Checked By Date Completed Comment
lnitialReview-Res Lisa Hopper 0412412002
Engineering-Res Denny Wright 0511712002
Planning-Res Liz Miller 0412612002
Structural-Res Tom Max 0412712002
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 701.055 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
$595.03
/,-er- o>
Signature
set of plans will remain on the site at all times during construction.
Date
] Mechanical I
1
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST : 726-37 6s
OFFICE: 726-3759
CAL PERMIT
Citl'Joll Number
3. COMPLETE FEE SCHEDULE BELOW
A. Nov Rcsirlcntial-Singlc or
Multi-Family pcr drvclling unit.
Scrvice Included:
Itcms Cost
the tollowing'iJ{peg; ft.or less
Each additional 500
Sum
J
app
Permits are non-transferable and
2 CONTRACTOR INSTALLA
E
Address
Ci
Slrpcn,isor
Expiration Date
Constr Contr.
Erpiration
as submitted has
not require specific
a
-2{'
IT SHA
IZED UND
c ME 0Hl
1
e
$106.00 --
$ 19.00thereof
il'rvork is not started rvithigl$O
;ifl#* or if rvork is suspcnded-fe.isnature
Home or
Service or Fccder
B. Scryiccs or Fccdcrs
$ 50.00
$ 75.00
THIS P L L EX dJBHff; ffinE flffi 'fr,ff
*'
EH THIS PERMIT IS NOT
s ABAN00il6Dfgfl
100, 201 amps to 400 amps
401 anrps to 600 amps
601 anrps to 1000 amps $ 163.00
C. Tcmporary Services or Fccders
Installation, Alteration or Rclocation
200 amps or less $50.00
$69.00
4 $10o.oo
volts see
nfer rs t
OWNER INSTALLATION
The installation is being rnade on
property I orvn which is not intended
for sale, lease or rent.
"8
E. Mi.sccllancous (Service/fccder not included)
-Each installatiorr
Pump or irrigation
Sigr/Outline Lighting
Limited Energy/Res
Lirnited Energy/Comrn
f;:*::I:",lii,circuit
or rvitrt *{
$ 3 00 h_P
Orvncrs Signature:
$50.00
$s0.00
$2s.00
$45.00
I\{inimum Elcctric Pcrmit Inspcc
4. SUBTOTALOFABOVE
7%r Statc Surchargc
8%n Administrativc Fee
tion Fcc is 545.00 +
TOTAL 5u.35
APPLICATION
201 amps to 400 amps
17taY
Per PanelOrvners
*L$43.0043.oD
Tnn
. -1fi
City of Springfield
225 Fifth Sbeet, Springfield, 4R97417
541:726-3759 Phone
541-726-3676 Fax
August 25,2003
John Wodskow
2574 27th Street
Springfield
Job Nnrnber:
Location:
oR 97477
02-0M77-01
2574 00027th St
Project:Land Use: Single Family Dwelling, Zoning: LDR, Bathroom and closet
addition
Dem PermitHolder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid,
the work which has betn authorized by the permit must begin wthin I 80 days of the date of isuance, and an
inspection must be requested at least every I 80 days.
According to our records, you obtained a permit for a project at2574 00027th St which is set to expire on
911412003. Our records indicate thatyou have not requested an irspection within the past five (5) months. This
letter is written to notify you that your permit$) will be expiring shortly, Ifyou are ready to request an
inspection for your project, please phone the inqpection line at 541-126-37 69. If you do not request an inspection
prior to the expiration date, yourpennit(s) will expire and additional permit ftes will be required in order to
complete your project.
If you have any questions, please feel tee to phone me at 541-7263790.
Sincerely,
Lisa Hopper
Buildin g Safefy Sup ervisor
UDN,