HomeMy WebLinkAboutPermit Building 2009-3-4
~~
Status
Issued
CITY vr ~rKll~GFIELD .
Building/Combination Permit
PERMIT NO: 02-00995-01
ISSUED: 03/04/2009
APPLIED: 08/16/2002
EXPIRES: 09/04/2009
VALUE: $ 132,713.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
541-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADDRESS: 204 WESt
ASSESSOR'S I'ARCEL NO.: 1703352302000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Replacing an existing home that will be demolished. Existing garage to remain.
Willamalane exempt.
Owner: Robert Fassell
Address: PO Box ]607
Springfield OR 97477
Phone Number: (541) 726-75]5
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
Robert Fassell
Robert Fassell ATTENTION: Oregon law requires you to
Rnbert Fassell follow rules adopted by the Oregon Utility
JOHN THE PLUM~EI!.i!1S:Qi~~ 9~.nt;~.. r~~_s_e .ullf~~~e ,,~e~~~~~ 07/2412009
~;1J'lILnjJif~l. Nf(l"'M~TJON" the rules by
t!d1lfrl(f Ifftf 'I!MiJl: \(~ulL 1I,J'telephone
nurrW Ston'e~ Oregon Utility Nolifi<!1tiol\..ot Size:
HeiE\Ml~Sj~h{l9P-332-2341ll.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carpnrt
Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/a Occupant Lnad:
License
Expiration Date
Phone
(54]) 726-7515
(541) 726-7515
(541) 726-75]5
54] -686-4888
# of Units:
Primal')' Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
3,921
1,779
VN
2
I DEVELOPMENT lr.rVl",IATlON I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: ] O?~Handicapped:
Paved Drive Rqd: R~ 't~~ ~ O:r::ompact:
~"UiE4-ovrf~'r>.\..\.. ~?, E~ ,S ~
,HIS PE~~... II~E\\ 1~~;,~('\~E\) fOR
I PUBLI~t'~~'~~~~~~'
t-.tW \ 80 \) Sidewalk Type:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
23.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Applicant is required to sign an improvement agreement for street improvements on water street
before issuance of building permit. Storm SDC 1393.75 - 770 = 623.75, one full bath credited.
Notes:
Pa~e I of 4
-ri.~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54]-726-37691nspection Line
Description
Tvpe of Construction
Fee Description
Residential Plan Check
8% Admin Fee - Electrical
8% Administrative Fee - Meehan
8% Administrative Fee - Plumbi
8% Building Administrative Fee
Building Permit
Dryer Vent
Hood and Exhaust
Less than 100,000 BTU
Mechanical Issuance
One to Four Outlets
Planning Plan Review
Residential - Single Family -
Sanitary Sewer SDC Improvement
Sanitary Sewer SDC Reimburseme
SDC Administrative Fee
State Surcharge - Electrical
State Surcharge - Mechanical
State Surcharge - Plumbing
State Surcharge For Building P
Two Bathrooms
Vent Fan to One Duct
Wiring Footage] ,000 Sq Ft or
Wiring Footage Each Add'l 500
Wood stove
+ ]2% State Surcharge
+ 5% Technology Fee
Renew Building Permit
Renew Plumbing Permit
Total Amount Paid
Initial Review-Res
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00995-01
ISSUED: 03/04/2009
APPLIED: 08/1612002
EXPIRES: 09/04/2009
VALUE: $ 132,713.00
I Valuation Oescrintion I
$ Per Sq Ft
or multiplier
Square Fnotage
nr Bid Amount
Date Calculated
Value
Total Value of Project
~. P.irll
Amount Paid
Receipt Number
10326
1200200000000000]37
1200200000000000137
1200200000000000]37
]200200000000000]37
12002000000000000137
'1200200000000000137
1200200000000000137
1200200000000000]37
1200200000000000]37
1200200000000000137
1200200000000000]37
]200200000000000137
]200200000000000]37
]200200000000000137
1200200000000000137
1200200000000000137
]200200000000000]37
1200200000000000137
1200200000000000137
1200200000000000137
1200200000000000137
]200200000000000137
1200200000000000137
]200200000000000]37
2200900000000000219
22009000000000002]9
22009000000000002]9
22009000000000002]9
Date Paid
$437.39
$11.52
$6.32
$20.32
$53.83
$672.90
$6.00
$9.00
$]2.00
$10.00
$4.00
$55.00
$175.90
$117.53
$154.63
$22.40
$10.08
$5.53
$]7.78
$47.]0
$254.00
$]8.00
$]06.00
$38.00
$30.00
$55.61
$23.17
$336.45
$127.00
8/1 6/02
10/25/02
10/25/02
10/25/02
10/25/02
10/25/02
] 0/25/02
] 0/25/02
10/25/02
10/25/02
10/25/02
10/25/02
10/25/02
10/25/02
] 0/25/02
] 0/25/02
10/25/02
10/25/02
10/25/02
] 0/25/02
10/25/02
10/25/02
10/25/02
10/25/02
10/25/02
3/4/09
3/4/09
3/4/09
3/4/09
$2,837.46
I Plan Reviews I
08/19/2002
Appr LH
Pal!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00995-01
ISSUED: 03/04/2009
APPLIED: 08/16/2002
EXPIRES: 09/04/2009
VALUE: $ 132,713.00
-~~
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phnne
54]-726-3676 Fax
54]-726-3769Inspcctinn Line
Initial Review-CIlIP
08120/2002
DB
Info
Plannine-Res
Aoor AD
08120/2002
Ene:ineerine:-Res
08/2112002
Wait VJ
Eneineerine-Res
08/2]/2002
Aoor VJ
Structural-Res
08/27/2002
Aoor TM
.
Willamalane SDC exempt per
Rebecca Gershaw at Willamalane
per phone call 08]902. DB
Applicant is required to sign an
improvement agreement before
issuance of building permit. Survey
Division is writing agreement.
Spoke with applicant 8/21/02
regarding improvement agreement
requirement.
Applicant is re1luired to sign
improvement agreement prior to
building permit issuance. The
recording fee is $36.00, please have
applicant make check to Lane
County Deeds and Records for
$36.00 and our survey department
will record the agreement and send
a copy to them.
To Request an inspection call the 24 hour recording at 726-3769. 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
work day.
UeollirerUnsnections I
Footing: After trenches are excavated.
Foundatinn: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Drywall: Prior tn taping.
Shear Wall Nailing: Before covering sheathing with finish materials.
Ceiling Insulation: Prior to cover.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Final Building: After all required inspections have been reqnested and approved and the building is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company ellergizing service.
Final Electric: When all electrical work is complete.
Paee 3 of 4
-iiiC~
CITY OF ~rKll"\..yNELD
Status
Issued
Building/Combination Permit
PERMIT NO: 02-00995-01
ISSUED: 03/04/2009
APPLIED: 08/16/2002
EXPIRES: 09/04/2009
VALUE: $ 132,713.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Gas: After line is installed and required testing and capped if not attached 10 an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Gas Service: After line is installed and line has heen connected to a minimum of one appliance including required
lesting. Presure test do lie at this point.
Underground Plumbing: Prior 10 filling the trench and including required testing.
Rough Plumhing: Prior to cover and including required testing.
Water Line: Prior 10 filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
Floor Insulalion: Prior to decking.
Wall Insulation: Prior to cover.
Wood Stove: After Installation.
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thaI all
information hereon is true and correct, and I further certify that allY and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of lhe State of Oregon pertaining to the work described herein, and
lhat NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only cOlllractors and employees who are in compliance with ORS 701.005 will be used on this projecl.
1 further agree to ensure that all required inspections are requested at lhe proper time, that each address is readable from the
street, that the permit card is localed at the front of the property, and the approved set of pia liS will remain on the site at all
times during construction.
10t.J ~
,3) '-//1)9
I I
Owner or Contractors Signature
Dale
Paee 4 of 4
225 Fifth Street
.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
02-00995-0 I
02-00995-01
02-00995-01
02-00995-0 I
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Renew Buildillg Penn it
Renew Plumbing Penn it
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ROBERT FASSETT
~~
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000219
Date: 03/04/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
In Person
Paymenl Total:
4532
Page 1 of 1
1I:02:48AM
Amount Due
336.45
127.00
23.17
55.61
$542.23
Amount Paid
$542.23
$542.23
3/4/2009