HomeMy WebLinkAboutPermit Building 2004-1-12
'"
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01169
ISSUED: 01/12/2004
APPLIED: 11/21/2003
EXPIRES: 07/12/2004
VALUE: $ 204,784.00
SITE ADDRESS: 662 72nd St
ASSESSOR'S PARCEL NO.: 1702352409700
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: MIKE BLANKENSHIP
Address: 8063 THURSTON ROAD SPRINGFIELD OR 97478
,
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 541-746-0194 .
I CONTRACTOR INFORMATION I
Contractor
MIKE BLANKENSHIP CORP
G MILLER ENTERPRISES INC
JUNG ENTERPRISES INC
DOUGS PLUMBING INC
Phone
541-746-0194
541-741-2596
541-741-0002
541-688-3385
Yes
% of Lot Coverage: , 32.P8qutres you to
ATTENTI()~~:~~nh:;:Uil Oregon Utility
. I PUBLIC IMeIDW~~~ler. Those rules ::.e 9S;~':;;; ,
OAR 952_0U':OO1'],~h'_l:l~.~h~O, l
Fully Improved ~090 You may obtal1{<I!'~IlJP~he rutes Curbside 5'
No i the Center.I~~imillditWmRno~l\o Culvert - Provide
Driveway throat approved for 24'ItA\lU~g f the Oregon Utility Notification Drainage Plan
nulflDer or 344)
r~,~'M;e 1_llnn-~32-2 '. .
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
"
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
'":
License
78966
87145
102455
110163
Expiration Date
01/09/2006
11/10/2004
10/04/2004
11/24/2005
1
R-3
U-l
VN
I BUILDING INFORMATION I OR\<..
\C~:' IR 1t1I-1E W
# of Stories: ~Ol ERM\1 SI-Ip.,\i. E t~';M\1 IS \'101
Height ofStrii~\&.P \7 Q ~~1.9o.R 1\S t t\jJ\IpPOR
Type of Heat:p.,1.l1\-\Ji\ll.t'e~~a~ p.,fS'Ii n'\rFloor:
Water Type: COMMENC ~IOO.Sq Ft Basement:
Range Type: p.,N'{ ~ 8Q oEll(, rlc Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Impervious Surface Area:
576
6,032
1,356
1.329
3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
2
17.00
17.00
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
4
Total:
Handicapped:
Compact:
24.00
28.00
Pal!e 1 of4
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"~
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
".
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1979 or Before
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
.
. LI1 i' OF ~rK.lNu.l1l~L1J
Building/Combination Permit
PERMIT NO: COM2003-01169
ISSUED: 01/12/2004
APPLIED: 11/21/2003
EXPIRES: 07/12/2004
VALUE: $ 204,784.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,109.00
576.00
Value
Date Calculated
$191.075.40
$13,708.80
$204,784.20
11121/2003
11121/2003
Total Value of Project
Fpp<, PiWLI
Amount Paid
$589.49
$10.00
$153.29
$107.30
$306.00
$8.00
$-159.23
$6.00
$906.90
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$59.00
$-30.00
$106.00
$76.00
$464.67
$611.28
$10.00
$214.23
$314.63
$112.67
$50.49
$727.42
$164.89
$75.00
$915.24
$50.00
$24.00
$1,000.00
Date Paid
Receipt Number
.11121/03
1/12104
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12104
1/12/04
1/12/04
1/12/04
1/12/04
1112/04
1/12/04
1/12/04
1/12/04 '
1/12104
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1/12104
1/12/04
1/12/04
1/12/04
1/12/04
1/12/04
1200200000000002504
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
1200400000000000040
Paee 2 of4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01169
ISSUED: 01/12/2004
APPLIED: 11/21/2003
EXPIRES: 07/12/2004
VALUE: $ 204,784.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$7,006.27
Plan Reviews I
Initial Review
Planninl! Review
1l/24/2003
1l/24/2003
1l/24/2003
12/31/2003
APP
APP
LLH
TAJ
OK to bump out into the street side
setback for the fireplace only
(considered an architectural
extension).
Driveway throat approved for 24'
max.
Public Works Review
1l/24/2003
12/08/2003
APP
VRJ
Structural Review
1l/24/2003
12/17/2003
APP TCM
To Request an inspection call the 24 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 Curbcut - Standard: After forms are erected but prior to placement of concrete.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection. '
4 Footing: After trencbes are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underfloor Plumbing: Prior to insulation or decking.
15 Underfloor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Underfloor Mechanical. Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
24 Rough Mechanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete.
'27 Temporary Electric: Approval required prior to Utility Company energizing pole.
28 Rough Electric: Prior to Cover
Pal!e 3 of 4
.
. CITY OF ~rK.lNGN~LD .
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-01169
ISSUED: 01/12/2004
APPLIED: 11/21/2003
EXPIRES: 07/12/2004
VALUE: $ 204,784.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
29 Electric Service: Approval required prior to utility company energizing service.
30 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 t front of the property, and the approved set of plans will remain on the site at all
"mm'"ri.~~ { frJ;
Owner or Contractors Signature Date
Paee40f4
225 Fifth Street.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01169
COM2003-01169
COM2003-0l169
COM2003-01169
COM2003-01169
COM2003-0l169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-01l69
COM2003-01l69
COM2003-01l69
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-0 1169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-0 1169
COM2003-0 1169
COM2003-0l169
COM2003-0 1169
COM2003-0l169
COM2003-01169
COM2003-01169
COM2003-01169
COM2003-01l69
COM2003-01l69
Payments:
Type of Payment
Check
T':~~'
Wi, n,n.,'.',.,"" ',' ,..,.,.. '..'..
'.: <', j
.m~' i
i ", ')
,', ,
......""..........,j """',,"} .."
Receipt #: 1200400000000000040
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Annexed 1979 or Before
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Paid By
MIKE BLANKENSHIP CORP
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/12/2004 2:17:42PM
Amount Paid
Item Total:
8.00
1,000.00
106.00
76.00
50.00
75.00
75.00
(30.00)
915.24
611.28
464.67
164.89
727.42
314.63
214.23
10.00
112.67
50.49
(159.23)
906.90
306.00
12.00
24.00
9.00
6.00
6.00
4.00
15.00
12.00
10.00
107.30
153.29
59.00
$6,416.78
.
.
How Received
In Person
Payment Total:
Amount Paid
$6,416.78
$6,416.78