HomeMy WebLinkAboutPermit Building 2004-7-6
Status
Issued
'CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT .No: cOM2004-00158
ISSUED::' 07/06/2004
APPLIED: 02/10/2004
EXPIRES: 01106/2005
VALUE: $ 202,791.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3664 Osprey Dr
ASSESSOR'S PARCEL NO.: 1702194309800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR, Lot 166 Ambleside, 1st Add
Owner: GREG LARKIN
Address: PO BOX 2041 CORVALLIS OR 97339
Phone Number: 541-726-0330
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General OWNER
Electrical G & E ELECTRIC INC 54468 09/15/2007 541-967-7045
Mechanical MIDWAY MECHANICAL INC 154166 01130/2005 541-928-2423
Plumbing MIDWAY PLUMBING INC 4687 07/2512004 541-928-7927
I BUILDING INFORMATION I
, ~~
# of Units: 1 ~~l;g~es: Lot Size:
Primary Occupancy Group: R-3 \~"\ ~~~t of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: . ~~\~~~~~~'T~~f Heat: Sq Ft 2nd Floor:
Primary Construction Type ~\)"t~~S ~~~\Vater Type: Sq Ft Basement:
Secondary constructtt'JYP~'O"~ ~~ '\ c:o~~\j Range Type: Sq Ft Garage/Carport
# of Bedrooms: ~,\'\ ~~\ ~~\j \'0 ~ , Energy Path: Sq Ft Other:
~ '\.\'0 ~x; ~\1-\:.\) \) \)~ o...\rv~' , Sprinkled Building: n/a \cPccupant Load:
~~\ i'\(\ f.Y. "V\' , _\\, l
~'0 ~*~\,.'\~~~ · I DEVELOPMENT INFORMATIO~\\f~ ~\)~'~~~
\) ~'-\ \CO ~~'t.}O~0QP 0~0\ ~f:)"'" REQUIRED PARKING
~ (:.\7). l{\0 ~ C?J~?: 'O~
Front yard Setback: 19.00 Overlay Dist: 0~O 'Oi '\l ~J..09JO~~ .J.,09J Total: 2
Side 1 Setback: 10.00 # Street Tr~~~O '~..o~0 ~~ !\. ~ \ ~o~~ Handicapped:
Side 2 Setback: 5.00 Paved~Q~9J~r0~' ~ ~~0>S'~09J OY~0~\\~~OCompact:
Rearyard Setback: 27.00 o/~~O\~vt93~~~f:)\f:). co~ 0.~3~0~
Solar Setbacks: 42.50 'O~.o~ ZJ.~O~,f:)f:)V O'O....~~ ~O~ \)~~ ~O&M.
J,e, :It ....,:.'\ .:ie(\. J)'~
I PUBLI~~~<YfiO'0~f:)f:)'~
.f ,..pv '. ~ . e.. '\
r..\j'" "'~ '0' \.... S'd Ik T .
F II I d v n.~'\ ~t \: .0~ I ewa ype:
u y mprove Cp ~v\ ,.~~..
Yes ~~~ v-
Street Improvements:
Downspoutsillrains:
Curbside 5'
Curb and Gutter
Storm Sewer Available:
Special Instruction:
Notes:
Pal!:e 1 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00158
ISSUED: 07/06/2004
APPLIED: 02/10/2004
EXPIRES: 0110612005
VALUE: $ 202,791.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrivtion I
DwelIinl!:s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!:e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,079.00
440.00
Value
Date Calculated
Description
Total Value of Project
$192,099.60
$10,692.00
$202,791.60
02/10/2004
02110/2004
;::.~
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $585.26 2/1 0/04 1200400000000000186
-Mechanical Issuance Fee- $10.00 3/1104 1200400000000000252
+ 10% Administrative Fee $5.00 3/1104 1200400000000000253
+ 10% Administrative Fee $128.84 3/1104 1200400000000000252
+ 7% State Surcharge $3.50 3/1104 1200400000000000253
+ 7% State Surcharge $90.19 3/1104 1200400000000000252
3 Baths One & Two Family $306.00 3/1104 1200400000000000252
Addressing Assignment $31.00 3/1104 1200400000000000252
Annexed 1979 or Before $-154.38 3/1104 1200400000000000252
Appliance Vent $6.00 3/1104 1200400000000000252
Building Permit $900.40 3/1104 1200400000000000252
!" Curbcut - Overwidth Appl $35.00 3/1104 1200400000000000252
-t;
Curbcut Permit $75.00 3/1104 1200400000000000252
Dryer Vent $~.OO 3/1104 1200400000000000252
Exhaust Hoods $9.00 3/1104 1200400000000000252
Furnace - up to 100,000 btu $12.00 3/1104 1200400000000000252
Gas Fireplace $15.00 3/1/04 1200400000000000252
Gas Outlets 1-4 $4.00 3/1104 1200400000000000252
Plan Review - Planning $71.00 3/1104 1200400000000000252
PW Mult Disc - 2nd Permit $-30.00 3/1104 1200400000000000252
Sanitary Sewer - Improvement $516.30 3/1104 1200400000000000252
Sanitary Sewer - Reimbursement $679.20 3/1104 1200400000000000252
SDC MWMC Administration $10.00 3/1104 ' 1200400000000000252
SDC MWMC Improvement $214.23 3/1104 1200400000000000252
SDC MWMC Reimbursement $314.63 3/1104 1200400000000000252
SDC Sanitary/Storm Admin $106.73 3/1104 1200400000000000252
, SDC Transpo Admin $50.81 3/1104 1200400000000000252
SDC Transpo Improvement $727.42 3/1104 1200400000000000252
SDC Transpo Reimbursement $164.89 3/1104 1200400000000000252
~j.,< Sidewalk Permit $75.00 3/1104 1200400000000000252
'f:
Storm Drainage Impervious Area $678.60 3/1104 1200400000000000252
Temp Power 200 amps or less $50.00 3/1104 1200400000000000253
Vent Fan $30.00 311104 1200400000000000252
Willamalane Single Family $1,000.00 3/1104 1200400000000000252
+ 10% Administrative Fee $20.10 4/23/04 1200400000000000532
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00158
ISSUED: 07/06/2004
APPLIED: 02110/2004
EXPIRES: 01106/2005
VALUE: $ 202,791.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
t, + 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 10% Administrative Fee
+ 7% State Surcharge
Backflow Device
Inspections - OT Hr Building
Minimum/Adjustment Plumbing
$14.07
$106.00
$95.00
$4.50
$3.15
$14.00
$67.50
$31.00
4/23/04
4/23/04
4/23/04
7/6/04
7/6/04
7/6/04
7/6/04
7/6/04
Total Amount Paid
$7,081.94
I Plan Reviews I
Initial Review
Planninl! Review
, Public Works Review
02/1112004
02/11/2004
02/1112004
02/11/2004
02/2712004
0211212004
APP
APP
RJB
TAJ
VRJ
~r
Public Works Review
02/1112004
02/1712004
APP
VRJ
Structural Review
02/11/2004
02/2812004
APP
DLM
1200400000000000532
1200400000000000532
1200400000000000532
1200400000000001036
1200400000000001036
1200400000000001036
1200400000000001036
1200400000000001036
Spoke with Greg Larkin 3:06pm
2/12/2004 regarding driveway and
RV paving. He plans to apply for
overwidth driveway permit. I will
place fee and blank application in
building file for Mr. Larkin to
complete prior to any curbcut work
in ROW.
Driveway throat approved for 24'
max. Mr. Larkin plans to apply for
overwidth driveway at building
permit pick up. PW will change
Building Permit if overwidth
application if approved.
See documents for plan review
comments.
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.
w
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Backflow Device: . Prior to covering and provide a copy of the test report on site at the time of inspection.
Site Inspection: To be made after excavation but prior to setting forms.
I
Pal!e 3 of 4
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2004-00158
ISSUED: 07/06/2004
APPLIED: 02/10/2004
EXPIRES: 01/06/2005
VALUE: $ 202,791.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfIll.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
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 contrac and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree t e ure that reqUl ed inspections are requested at the proper time, that each address is readable from the
street, that th it card i ocated t the front of the property, and the approved set of plans will remain on the site at all
times durin con ruction.
//(, -OJ!
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Owner~tractors Signature
Date
Pal!:e 4 of 4
ZZ5 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726.3689
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CityJObNumb:r.(O!41'zca\-Od L S~
Job Location 3004 O<;Vr~'-I DrlA..M-
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l-cOL\ C)L\ ~ Oc)Boo
Tax Lot
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Owner - " 0(, \.<.., '-"'\
Address V, (), G -0 X '6 ? L
City?JJee...' ':-\-f' rlVte_
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Zip . 7SY-y ,
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BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee)
Contractor I~t/or~ati\n . ~ (
V) ,ctWCUIl- ~ D( c/Le;
Contractor \ r J
Addressz42Z3 "5E ~~lqh-{ J2~J
City tA-1 b 0vVLc..f
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Construction Contractors Registration #
(1-'
t/l c..... I
Phollf~ Cf? ~-79 2- 7
State dr Zip q7~ 2 !
4ft:;<6'i
Expires
By signing this permit/application, I agree to call for an inspection once the backflow prevention
devise has been installed and is vi sib for inspection (726-3769). I also state that all information o.n
this permit/applicatio s correc
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Dat("'7-~-o4
I
For Office Use
p;;.....:.J1
~4't.J~ Date of Application
l,~~
t)) Checked for Delinquencie:-
,~
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Checked for Historical Statu:-
Shared Drive (f:)IBuilding FormslBackflow Preventionl-02,doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
(':ty of Springfield Official Receipt
'elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00158
COM2004-00158
~~~COM2004-00 158
COM2004-00158
COM2004-00158
Payments:
Type of Payment
CreditCard .
.:../.
:,\",
,~~"
7/612004
Iii
RECEIPT #:
1200400000000001036
Date: 07/06/2004
, Description
Inspections - OT Hr Building
Backflow Device
Minimum! Adjustment Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee.
Paid By
GREG D LARKIN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
000430
168489 In Person
Payment Total:
Jmp
Page 1 of 1
11:46:41AM
Amount Due
67.50
14.00
31.00
3.15
4,50
$120.15
Amount Paid
$120.15
$120.15