HomeMy WebLinkAboutPermit Building 2005-9-27
.
"'."
,o~o r:,0
...~0 ,,0-.)
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 P~rmit
PERMIT NO: COM2005-01195
ISSUED: 09/27/2005
APPLIED: 09/01/2005
EXPIRES: 03/27/2006
VALUE: $ 5,544.00
SITE ADDRESS: 936 OLD ORCHARD LN
ASSESSOR'S PARCEL NO.: 1703234303600
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Patio cover and enclosure
Owner: FRIED HELM GERLACH
Address: 936 OLD ORCHARD LN
SPRINGFlELD OR 97477
Phone Number: 541-746-6036
Contractor Type
General
Electrical
I CONTRACTOR INFORMATION'
ATTENTION: Oregon la~ requires you to
Contractor follow rules adopted by fnbC~.l1~~on u'1tiwiration Date
L YN PHILLIP GUTmR.fii...~tion Center, ThosJ~~~Jg are set fort~?/3012005
GROUNDED ELECirnJ,!';j;l O"?_nn1-''''l1n th.^l~\\l!l!4^D Q"" nn~2/24/2006
Phone
541-747-9882
541 726-6858
VN
-
I~BL'LumG,INFORMAl"ION,)f the rul"s bv
calling me cemer. (I'lote: me telephnc .;
nurlllofstories: Oregon Utility Nct,f" .', .Lot Size:
Heig!1tofer is 1-800-332.234~). Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled n/a Occupant Load:
308
II of Units:
Primary Occupancy Group:
, Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION'
Frontyurd Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
. IPUBLIC 1~~ENTSl o~ "i'HE WORK
. .. MIi SIi LL ~~'P.E I NOT
Street Fullv Improved 1\-115 PER UNDER it1l!r'l"l!R~eIS
Storm Sewer Available: Yes ~U1\-10R\ZEOO OR IS ~,Q~s
Special Instruction: COMMENCE E"\OO
AN'{ 180 DA'{ P n .
Notes: Storm drainage piped to curb face 9nt2005 CAS'
Setback 5'
Curb and Gutter
1 of 3
.
. CITY OF SPRINGFlliLlJ'
Building/Combination Permit
PERMIT NO: COM2005-01195
ISSUED: 09/27/2005
APPLIED: 09/0112005
EXPIRES: 03/27/2006
VALUE: $ 5,544.00
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
PatiolPorch
Type of Construction
Use Bid Amount
I Valuation Descriotion I
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 5,544.00
Total Value of Project
Value
Date Calculated
$5,544.00
$5,544.00
09/0112005
Fp.es PaidJ
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $49.53 9/1105 1200500000000001282
+ 10% Administrative Fee $7.62 9/27/05 2200500000000001343
+ 7% State Surcharge $5.33 9127/05 2200500000000001343
Building Permit $76.20 9127/05 2200500000000001343
+ 100.10 Administrative Fee $4.50 10/11/05 1200500000000001503
+ 7% State Surcharge $3.15 10111/05 1200500000000001503
Add, Alter, Extend Clrc $43.00 10/11/05 1200500000000001503
Minimum/Adjustment Electrical $2.00 10/11/05 1200500000000001503
Total Amount $191.33
I Plan Reviews I
Initial Review 09/02/2005 09/06/2005 APP LLH -
Plannlnl! Review 09/0612005 09/15/2005 APP TAJ No Planning review required.
Public Works Review 09/0612005 09/07/2005 APP CAS Storm drainage piped to curb face;
encroachment permit required for
excavation In ROW 9nt2005 CAS
Structural Review 09/06/2005 09/2112005 APP RJB
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.
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough In inspections have been approved.
Final Building: After all required Inspections have been requested and approved and the building Is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work Is complete.
2 of 3
~ii<
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01195
ISSUED: 09/27/2005
APPLIED: 09/0112005
EXPIRES: 03/27/2006
VALUE: $ 5,544.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wiD 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 wiD remain on the site
at ail times during constructiolL
Owner or Contractors Signature
Date
3 of 3
225 Fifth Street
Sptirigfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01195
COM2005-01195
COM2005-01195
COM2005-01195
Payments:
T)1Ie of Pa)1llent
Check
"
,/
"
"
'(
'f
'i
'(
10/1112005
"
.
RECEIPT #:
~
~ity of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000001503
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Paid By
GROUNDED ELECTRIC
Received By
djb
I of I
Date: 10/11/2005
Item Total:
Lheck Number AuUlortzatioD
Batch Number Number How Received
1210 In Person
Payment Total:
11:40:31AM
Amou nt Due
3.15
4.50
43.00
2.00
$52.65
Amount Paid
$52.65
$52.65
-WIL.~'NGI~a;o
, 1_
, ' .
. -., . - -'~'
,
.
. Ll1 r OF ~r1Ul'\jt.FIELD
Building/Combination Permit
PERMIT NO: COM2005-01195
ISSUED: 09/27/2005
APPLIED: 09/0112005
EXPIRES: 03/27/2006
VALUE: $ 5,544.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 936 OLD ORCHARD LN
ASSESSOR'S PARCEL NO.: 1703234303600
Springfield TY~E OF WORK: Single Family Residence
PROJECT DESCRIPTION: Patio cover and enclosure
TYPE OF USE: Addition Residential
NOfIC~:
T'"(' oco~^IT ~\-IAll EXPIRE IF THE WOR~
AUTHORIZED UNDER THP'ilfJetM1l.1b'~.l~~~1-746-6036
COMMENCED OR IS ABANDONED I'OR .
ANY 180 DAY PERIOD.
Owner: FRIEDHELM GERLACH
Address: 936 OLD ORCHARD LN
SPRINGFIELD OR 97477
.
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
L YN PHILLIP GUTRIDGE
GROUNDED ELECTRIC
License
136875
158804
Expiration Date
0913012005
02/24/2006
Phone
541-747-9882
541 726-6858
BUILDING INFORMATION I
VN
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of HeatATTENTION: Oregon la~fuf.'t~!!.4;~l9um
Water Type: d t d by tS!! f,trBas~~t:ty
Range Type:follow rules a op e ~iLE~GiiageJq!!l'\lurt
Energy Path':Jtification Center. Thos S!l.lft-o.'her:-~_001_ 30ll'
- '" 952 001 nD10 thra"",n V"" ~"
Sprinkled Building: ' 'nla . Occup.ant T .oad: by
..."n,("I V"...., I rn~\I nhtam COP Ie::; UllIlBl'Ul.......
I DEVELOPMENT INF,ORMA:TION", . (Note: tne telepnu'.'"
. numoer IUI "'" vregon Utility NJiit'Q'tll:'I&D PARKING
Center is 1-800-332-2344).
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Setback 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 9/7/2005 CAS
~
Paee 1 of3
.
. CITY OF SPRIl~'.d'lJ!.LU
Building/Combination Permit
PERMIT NO: COM2005-01l95
ISSUED: 09/2712005
APPLIED: 09/0112005
EXPIRES: 03/27/2006
VALUE: $ 5,544.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description Tvpe of Construction
PatiolPorch Use Bid Amount
$ PerSq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
5,544.00
Value
Date Calculated
Total Value of Project
$5,544.00
$5,544.00
09/0112005
If pp< PIIiliLI
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$49.53
$7.62
$5.33
$76.20
9/1/05
9127/05
9/27/05
9/27/05
Receipt Number
1200500000000001282
2200500000000001343
2200500000000001343
2200500000000001343
Total Amount Paid
$138.68
I Plan Reviews ,
Initial Review
Planninl! Review
Publlc Works Review
09/02/2005
09/06/2005
09/06/2005
09/0612005
09/15/2005
09/07/2005
APP LLH
APP TAJ
APP CAS
No Planning review required.
Storm drainage piped to curb face;
encroachment permit required for
excavation In ROW 9/712005 CAS
Structural Review
09/06/2005
09/21/2005
APP RJB
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.
Rp~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building Is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
~
Pal!e 2 of3
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01195
ISSUED: 09/2712005
APPLIED: 09/0112005
EXPIRES: 03/27/2006
VALUE: $ 5,544.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 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 ofany 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.
~ ~4v 9/z}fl>~-
Owner or Contractors Signature Date
Paee 3 00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005.0 1195
COM2005-0 1195
COM2005-0 1195
Payments:
Type of Payment
Check
"
'h
.
';
.
'I<
"
9/27/2005
.
RECEIPT #:
Descrlptioo
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
NU-LOOK CONSTRUCTION
.P~.'~I!!~~.~' ___ '.'.
~.,
" ~
. .".-....1
;
.. ....", ..'
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200500000000001343
Date: 09/27/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 2954 In Person
Payment Total:
Paj1,e I of I
10:16:58AM
Amount Due
76,20
5.33
7.62
$89.15
Amount Paid
$89.15
$89.15