HomeMy WebLinkAboutPermit Building 2002-12-23Status: Issued
225 Fifth Street Springfield, OR
541-726-3753 Phone
541-726-'3676 Fax
541 -726-37 69 Inspection Line
FIBLD
Building/C ombination Permit
PERMIT NO: 01-01340-01ISSUED: 1212312002APPLIED: 1210512001E)PIRES: 0612312003VALUE: $ 15,000.00
SITE ADDRESS: 200 00037th St Spr TYPE OF Single Famity Residence
ASSESSOR'S PARCEL NO.: 1702314202800
TYPE OF USE: Remodel Residential
PROJECT DESCRIPTION: Land Use: Single Family Dwelling, T,oningz LDR,Interior alterations
Owner: George Wallace
Address: 20037th Street Springfield OR 97478
Phone Number: (541) 741-4481
Contractor Type
General
Electrical
Owner
Contractor
George Wallace
George Wallace
George Wallace
License Expiration Date Phone
(s4t) 741-4481
(541',) 741-4481
(s4t) 74r-448r
CONTRACTOR INFORMATI ON
ION
BUILDING INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Sohr Setbacks:
Street
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Att
800 A\
Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
I
R-3
VN
Nr
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains
Notes:
l of 3
Basement:
\r 1HE Garage/Carport
Other:
t$HtrPervious Surface Area:
N€$$:
tSlSSt
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Buildin g/C ombination Permit
PERMIT NO: 01-01340-01ISSUED: 1212312002APPLIEDz 1210512001E)PIRESz 0612312003VALUE: $ 15,000.00
Description TVpe of Construction $ Per Sq Ft Square Footage
Total Value of Project
Fee Description
Residential Plan Check
8% Admin Fee - Electrical
87o Building Administrative Fee
Branch Circuits With Feeder or
Building Permit
Permanent: 200 Amps or Less
State Surcharge - Electrical
State Surcharge For Building P
+ 87o Administrative Fee
Renew Building Permit
Renew Electrical Permit
Amount Paid Date
Total Amount $496.s1
Value Date Calculated
$9s.16
$7.44
$11.71
$30.00
$146.40
$63.00
$6.s1
$10.2s
$9.34
$73.20
$43.s0
t2tst0t
U3t02
U3t02
U3t02
U3t02
u3t02
u3t02
u3t02
12t23t02
12t23t02
t2t23t02
Fees Paid
Plan Reviews
Initial Review-Res
Structural-Res
r2t07t2001
12n0t200t
Appr LH
Appr TM BWOP project.
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.
2of3
Valuation Description
Receipt Number
7420
7671
7671
7671
767t
7671
7671
7671
1200200000000000450
12002000000000004s0
1200200000000000450
l(eorureo lnsDectrons I
Status: Issued
225 Fifth Streef SpringfieH, OR
541-726-3753 Phone
541-726-'3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: 01-01340-01ISSUED: 1212312002APPLIED: 1210512001E)PIRES: 0612312003VALUE: $ 15,000.00
LD
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 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 tipres during;onstruction.ltu,J,,D /2" zs -
Owner or ffi Date
3 of 3
t2/23/2002
l:53:38PM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
Receipt #z 1200200000000000450
Date: 1212312002
Line Items:
Job/Journal Number Description Amount Paid
0l-01340-01
0l-01340-01
0r-01340-01
Renew Building Permit
Renew Electrical Permit
+ 8% Administrative Fee
Payments:
73.20
43.50
9.34
Line Item Total:$126.04
Tlpe ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid
Cash
Change
WENDY TEIGEN
WENDY TEIGEN
djb
djb
Line ltems:
In Person
In Person
126.05
(0.01)
Total:$126.04
Job/Journal Number Amount Paid
0l-0r340-01
0 I -0 1340-0 I
0l-01340-01
Renew Building Permit
Renew Electrical Permit
+ 8% Administrative Fee
73.20
43.50
9.34
Page I of2
Line Item Total:$r26.04
cReceipt.rpt
- ,"1
Description
1212312002
l:53:3SPM
City of Springfield
Development Seroices Deparhn ent
Public Works Department
Official Receipt
225Filth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Receipt #: 1200200000000000450
Date: 1212312002
Payments:
Type ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid
Cash
Change
WENDY TEIGEN
WENDY TEIGEN
djb
djb
In Person
In Person
126.0s
(0.01)
Total:
Page2 of2 cReceipt.rpt
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST: 726-3
ELEU^RICAL PERMIT
City JobNumber Ct*A
A. Nov Rcsidcntial-Single or
1\Iulti-Famill' per drt'elling unit.
Sct-l'ice Includetl:
OFFICE: 7.26-3'7s9
1. LOCATION OT
ZO C)
LEGAL DESCRIPTIONlfoZ ziL{Z OZToo
JOB DESCRIPTION
4b i\ r/ L Cr Czc'. rT-s
Permits are non-transferable and expire
t3
€? /:b
{ou:
OWNER INSTALLATION
The installation is being made on
propertv I orvn which is not intended
for sale, lease or rent
l_'l
3. COMPLETE FEE SCHEDI]LE BELOW
Over
S
Pnrnp or irrigation
Sign/Outline Ligltting
Limited Energv/Res
Limited Energv/Comm
4. SUBTOTALOFABOVE
77o State Surchirrge
87o Administrative Fee
Items Cost Sum
$ 106.00
Ul Perame
not include
00_
00_
00--
00_
$50
-
$50.
-
s25.
$-15
Nlinimum Electric Permit Inspection Fee is S{5'00 * surchnrges
lblt
73o0---Ts7-
'?.41
Orvners
TOTAL /06.75
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
$ 19.00 _
Modular
t
\S $07
2. CONTRACTOR
Electrical OR \S or
Expiration
Signuturc of Supen ising Electrician
200 arnps or less
201 aurps to 400 amps
401 anrps to 600 amps
6() l arnps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C. Temporarl' Scn'ices or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
401 amps
1000 volts see
L$63.00 ll,ao
$l2s.oo _
$375.00 _
$ so.0o _
DhY
Supen'isor
Expiration
License
Corclr.Conu.
Orvners
s4
SPR!NGFIELD
Job# 01-01340-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of3
Job Number: 01-01 340-0'1
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02800
Subdivision:
€n
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 200 00037th St Spr
AssessorsMap#: 17023142
Lot: Block: Addition:
ctTY oF SPRTNGFTELD, OREGON
Owner: George Wallace
Address: 200 37th Street
Scope Of Work: Single Family Residence
lnterior alterations
Phone Number:
City/State/Zip:
Remodel
541-741-4481
Springfield, OR 97478
Value: $15,000
Contractor Type
GeneralContr
ElectricalContr
Contractor
George Wallace
200 37th Street, Springfield, OR 97478
George Wallace
200 37th Street, Springfleld, OR 97478
Registration # Expiration Date Phone
541-741-4481
541-741-4481
t
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
(VN) Wood Frame
Office Use
Land Use: Single F
Zoning Code: LDR
Bedrooms:
Range:
EXPIRE ENOT
FBSerring
DAY
To request an inspection callthe 24hour recording at726-3769. All inspections 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
working day.
Required lnspections
Post and Beam
FIoor lnsulation
Ceiling lnsulation
Framing
Walllnsulation
Drywall
Firewall
FinalBuilding
Rough Electrical
Electrical Service
Final Electrical
-Priortoftoori.r#l
- Prior to decking.
- Prior to cover.
- Prior to cover.
- Prior to Cover
- Prior to taping.
-Located and constructed according to plans.
-When all required inspections have been approved and the building is complete
Electrical
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork is complete.
Zoning: LDR
FloodPtain? ! Wetlands? [
Journal numbers
1: 2:
Comments:
Planner:
Urban Growth Boundary?!
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Job# 01-01340-01
Overlay District:
# of Street Trees:
Glenwood Area?
Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? E
3
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory
# Of Stories: 1 Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Total
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
1210512001 7420Residential Plan Check
Total Plan Check
15,000 $95.16
$95.16
Buildinq
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
01103t2002
01t03t2002
01t03t2002
7671
7671
7671
15,000 $146.40
$10.25
$11.71
$168.36
Minimum Electrical Permit Fee
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
01t03t2002
0110312002
01103t2002
0110312002
01t03t2002
7671
7671
7671
7671
7671
1
10
$.00
$63.00
$30.00
$6.51
$7.44
$106.9s
Grand Total
Plan Check Type
lnitial Review-Res
Structural-Res
$370.47
Checked By Date Completed Comment
Lisa Hopper 1210712001
Tom Max 1211012001 BWOP project.
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further ce(ify 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. I further state 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 the project 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.
Job# 01-01340-01 Page 3 of 3
Date
/,
S'rg" t*. -7 77
City of Springfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
547-726-3676Fax
June 09, 2003
George Wallace
200 3:7th Street
Springfield
Job Number:
Location:
oR 97478
01-01340-01
200 00037th st
Project:Land Use: Single Family Dwelling, Zoning: LDR, Interior alterations
Dear Permit Holder:
i
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 wthin 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 at200 00037th St which is set to expire
on 612312003. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notiff 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 Supervisor