HomeMy WebLinkAboutPermit Correspondence 2005-8-3 (2)
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,. City of Springfield
225 Fifth Street, ~pringfield, OR.97477
, ; 5~1-726-3759Phone
541-126;'3676 Fax
August 03, 2005
DOLBIN WILLIAM P & RHONDA K '
4725 DAISY ST
SPRINGFIELD OR 97478
Job Number:
Location:
COM2004-0 1049
4725 DAISY ST
Project:
Garage and bedroom addition.
Dear Permit Holder:
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 within 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 at 4725 DAISY ST which is set to expire
, on 8/7/2005. Our records indicate that you have not requested an inspection within the past five (5)
months. This letter is written to notify 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 Safety Supervisor
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SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S4I)726-3753 · F~: (S41)9~sal~ '
ELECTRICAL PERMIT APPLICATION ' ~v,.?o ~-& . ~', '-:OO~9-&c>l'
City Job Number C.OoM '2.00 Y ...- 0 104 0, Date / ...:?~ \ ~ "0",:15' ~
1. ,.,~~0:.!IONOFINSiAi.cATiO~-~H_\""M'" 3. '.:C!!A1!i~!l}~El}$&,.t" BE~;~~1
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A. . New Residential- Single or y pe~1V'~ling unit.,
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Service Included (!) 'a->
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LEGAL DESCRIPTION ..
1702. :3 Zl{ s
08'70.3
A2b D '3
c( (Lc:...v"~ h
1000 sq, ft. or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
06.00
'\. '\.'
'\. $ 19,00
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days ofissuance or if work is
Suspended for 180 days.
$50.00
f' ~ .-., ..~.. ~.. '. .'~ .' ~..'.- ~. -,' ...: ~., :_._.~. ,--,,-..,.....,. ..'....;.~ ,-, ~-- -~ ~.-..-~... .~.,... .,~-,.~- ._-"" .~.
, CONTRACTOR INSTALLATION ONLY. .
2.
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B. ,. Services or Feeders - Insta]lation, Alterations or R~location:
. ::......:~ ~.,_" ,. .,,~' .".,,~...~~.,.~, ~ _. . _" ~ ~. .. """'>T~", ". . ''''~,,::..._~;.,,~_~, .,~~ _.._~...._,. ~~. ., .,- '-' ". .,. ., ..' ~.. '.,~ - . -~:...- ..
Electrical Contractor
'.~". .
,200 Amps or less
201 Amps to 4?0 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
. Over Hioo AmpsN olts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163.00
$375:00
, $ 50.00
Address
;?
, City
/
Phone
/'
//
Supervisor License Num1ier
, /
Expiration Date //'
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Constr, Contr, umber
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c. L!~~,P.~r~~~~~~~I_c,es..?~l?e.~~~rs. : .
Expiration
.. .! EI. ,j ! tl'lll'\It' .nr8Al....t:ln 1'2'M 'l;1crnr..nc b'ti()~+O
I' ns a a lon, /'U erallun OIl'n.\:tuC!;O In
,llJ;lf?\"f {6WX~~0J;)~~~ by the Oregon Utility $ 50.00
:\Jotllcallul1 vt:.'nter, '6:ose rules are set TOrt"
In OAR ~lb2!tm~~6?J1 ~ trtr~8~h OAR 95;:::-UU1- $ 69.00
0090. 'dJU~HY'ot9tgW&rles of the rull:'~ 0 $100.00
callinqi~~~~;s(~tQ.Ml:\iY~1~ltepti'&llib~ve.
nu~~r lwattM\ er~ Utility Notification
'CentefiS 1:800- -:2 - ..'., -... -
New AlteratIon or Mfen~~9}Per Pane,
One Circuit .
Each Additional Circuit or with
. Service or Feeder Permit
$ 43,00
'13-
b
Signature of Supervising Electrician'
Owners Name Vltlt//lfl1/ J11k;
Address If? 7- S- t-"1a.. ') ~
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Phone 7$/7-2/17
.2..
$ 3,00
?~~"_'~'":""",-::'_"_'__"r--:-,~:-~'-:.'Y"_~~'~';:,"'~ '7 '':,,' , -." - ~ -- .
E. '. Misc,eHaneous (Service/feeder not included) -Each Installation
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City 5;&JI
OWNER INSTALLATION
$ 50.00
$ 50.00
$ 25.00
is not intended for sale, lease or rent.
~:a:T ~~,
. 7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Pcmlit Application I-03,doc
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-01049
ISSUED: 09/17/2004
APPLIED: 08/24/2004
EXPIRES: 05/19/2005
VALUE: $ 67,103.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4725 DAISY ST
ASSESSOR'S PARCEL NO.: 1702324308903
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Garage and bedroom addition.
Owner: DOLBIN WILLIAM P & RHONDA K
Address: 4725 DAISY ST SPRINGFIELD OR 97478
Phone Number: 541-747-2117
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
CONTRAC R I U to
Ii. . d by the Oregon tility
ionow rutes adoptelhose rlri~n~set f_iration Date Phone
Notification Center. h gh OAR 952-001-
'n OAR 952-001 ~~~~nt c~o~es of the rules by
0090. You may (Note' the telephone
ca\\ing the cen~~~, ,..,n ,,;mtv Notification
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. 'BUlL . ~11~~ .
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# of Stories: 2
Height of Structure 27.00
Type of Heat: Baseboard Elect
Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
575
575
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
24.00
6.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: Yes
% of Lot Coverage: 24.70
NO~\~r:""., ~\ ',;,l'- ~VD\RF IF HIE WORK
PUBm~IMPRny' M1<',NI ST~IS PERMlllt> \~U I
- -, .VII m\-\"It' I FOR
COMME'NCEO OR IS A AN[\~~JJ1lk Type:
AN'< 180 OA'< PERIOO. Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
37.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pae:e 1 of3
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-01049
ISSUED: 09/17/2004
APPLIED: 08/24/2004
EXPIRES: 05/19/2005
VALUE: $ 67,103.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax .
541-726-3769 Inspection Line
I Valuation Description I
Description
Dwelline:s
Garae:e
Tvpe of Construction
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
575.00
575.00
Value
Date Calculated
Total Value of Project
$53,130.00
$13,972.50
$67,102.50
08/24/2004
08/24/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $286.55 8/24/04 2200400000000001089
-Mechanical Issuance Fee- $10.00 9/17/04 1200400000000001355
+ 10% Administrative Fee $60.09 9/17/04 1200400000000001355
+ 7% State Surcharge $42.06 9/17/04 1200400000000001355
Building Permit $440.85 9/17/04 1200400000000001355
Fixture $70.00 9/17/04 1200400000000001355
Minimum/Adjustment Mechanical $39.00 9/17/04 1200400000000001355
Plan Review Minor - Planning $59.00 9/17/04 1200400000000001355
Sanitary Sewer - Improvement $182.80 9/17/04 1200400000000001355
Sanitary Sewer - Reimbursement $240.40 9/17/04 1200400000000001355
SDC Sanitary/Storm Admin $22.77 9/17/04 1200400000000001355
Storm Drainage Impervious Area $32.24 9/17/04 1200400000000001355
Storm Sewer - 1st 50 Feet $45.00 9/17/04 1200400000000001355
Vent Fan $6.00 9/17/04 1200400000000001355
+ 10% Administrative Fee $4.90 1/11/05 1200500000000000042
+ 7% State Surcharge $3.43 1/11105 1200500000000000042
Add, Alter, Extend Circ $43.00 1111/05 1200500000000000042
Add, Alter, Extend Circ Ea Add $6.00 1111/05 1200500000000000042
Total Amount Paid $1,594.09
I Plan Reviews I
Initial Review 08/26/2004 08/26/2004 APP SKG
Plannine: Review 08/26/2004 09/0112004 APP TAJ
Public Works Review 08/26/2004 08/27/2004 APP MS
Structural Review 08/26/2004 09/16/2004 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.
Pae:e 2 of3
_~~!:"~r.I~~~ ..
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
<
PERMIT NO: COM2004-01049
ISSUED: 09/17/2004
APPLIED: 08/24/2004
EXPIRES: 05/19/2005
VALUE: $ 67,103.00
I Reouired Inspections'
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.
Underfloor Plumbing: Prior to insulation or decking.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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. the front of the property, and the approved set of plans will remain on the site at all
times during construction. .
~ ,4/J.-L----' /-I/-cJS~
Owner or Cont'ractors Signature
Date
Pae:e 3 of 3
225 Fifth Street
.
Springfield, Oregon 97477
.
541'~726-3759 Phone
.
JlLty of Springfield Official Receipt
"elopment Services Department
Public Works Department
RECEIPT #:
1200500000000000042
Date: 01/11/2005
9:57:15AM
Job/Journal Number
COM2004-01049
COM2004-0 1 049
COM2004-0 1 049
COM2004-0 1 049
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
43.00
6.00
3.43
4.90
$57.33
Amount Paid
Check
WILLIAM DOLBIN
djb
2965
In Person
Payment Total:
$57.33
$57.33
.
1/11/2005
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