HomeMy WebLinkAboutPermit Building 2007-7-11
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00478
ISSUED: 05/03/2007
APPLIED: 04/03/2007
EXPIRES: 11/24/2007
VALUE: $ 28,222.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3049 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1702193200207
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Addition
TYPE OF USE: Addition
Residential
Owner: BARTH MICHELLE L & RONALD L
Address: 3049 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
PAGE REMODELING & CONSTRUCTION I 68337
G MILLER ENTERPRISES INC 87145
CHITTIM ENTERPRISES I INC 47396
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure:
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
VB
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Phone Number: unlisted
Expiration Date
02/07/2008
11/10/2008
03/08/2009
Phone
541-688-8787
541-741-2596
541-461-2101
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
274
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements: Sidewalk Type:
mTemo~.Qr~on taw requires you to
Storm Sewer Available: R\'\'~" "'D~'(" ~Y~ijloogon Utility
Special~r900)1: fgll~)lN rules a 0 e rules are set forth
n-l&P~RM1T. SHAll EXPIRE IF THE WORK .. NOOfl02tIOn.g~r!ri~1 T~~~u hOAR 952.;001,. " '
Notes: Al w. '", 11m1~ePt 'WftS1p(~4StN@To eXlstmg SyJn.oAUP&i\PB8t~C8P.~~ tUl6(jtbf
C(~( IYcM"~'At!AW~if01\tn. Must provide Qf)fil~\e~gMt\rI,:t~N8t~~u\jwtd~artment. JLP
ANY 180 DAY PERIOD. number for the Oregon Ut"~ '
Oemer~1~~. r '
Paee 1 of 4
CITY OF S~J{ll~GFIELD
Building/Combination Permit
PERMIT NO: COM2007-00478
ISSUED: 05/03/2007
APPLIED: 04/03/2007
EXPIRES: 11/24/2007
VALUE: $ 28,222.00
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
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
274.00
Dwellinl!:s
Total Value of Project
~
Value
Date Calculated
$28,222.00
$28,222.00
04/03/2007
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $161.07 4/3/07 1200700000000000353
~Mechanicallssuance Fee~ $10.00 5/3/07 2200700000000000652
+ 10% Administrative Fee $37.95 5/3/07 2200700000000000652
+ 5% Technology Fee $18.29 5/3/07 2200700000000000652
+ 8% State Surcharge $29.26 5/3/07 2200700000000000652
Building Permit $247.80 5/3/07 2200700000000000652
Exhaust Hoods $9.00 5/3/07 2200700000000000652
Fire SF Fee - Residential $13.70 5/3/07 2200700000000000652
Fixture $28.00 5/3/07 2200700000000000652
Minimum/Adjustment Mechanical $36.00 5/3/07 2200700000000000652
SDC Sanitary/Storm Admin $4.35 5/3/07 2200700000000000652
Storm Drainage Impervious Area $86.92 5/3/07 2200700000000000652
Storm Sewer - 1st 50 Feet $45.00 5/3/07 2200700000000000652
+ 10% Administrative Fee $8.40 7/11/07 3200700000000000467
+ 5% Technology Fee $4.20 7/11/07 3200700000000000467
+ 8% State Surcharge $6.72 7/11/07 3200700000000000467
Add, Alter, Extend Circ $48.00 7/11/07 3200700000000000467
Add, Alter, Extend Circ Ea Add $36.00 7/11/07 3200700000000000467
Total Amount Paid $830.66
I Plan Reviews I
Initial Review
Planninl!: Review
Public Works Review
04/04/2007
04/10/2007
04/08/2007
APP NJM
APP T AJ
APP JLP
04/04/2007
04/04/2007
04/04/2007
Pal!:e 2 of 4
No Planning issues.
Rcvd 4/4/2007---Waiting in order
PW rcvd for rvw.JLP4/4/07 ***
New impervious area only. Storm
H20 tied to existing system. Owner
responsible for obtaining "Septic
Responsibility Form" from LC
Sanitarian. Must provide completed
form to either LC Sanitarian, or
City Building Department. JLP
APP4/8/07
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00478
ISSUED: 05/03/2007
APPLIED: 04/0312007
EXPIRES: 11/24/2007
VALUE: $ 28,222.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/04/2007
04/27/2007
10 LLH
Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
Reviewed by Dave Mortier at the
Building Department under contract
with theCity of Springfield
Structural Review
04/27/2007
05/03/2007
APP LLH
To Request an inspection can the 24 hour recording at 726-3769. An 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,
~eolliredJnsoections I
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.
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.
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.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00478
ISSUED: 05/03/2007
APPLIED: 04/03/2007
EXPIRES: 11/24/2007
VALUE: $ 28,222.00
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 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.
Owner or Contractors Signature
Date
Pa!!e 4 of 4
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gglamiller@comcast.net
Receipt # J:C513794
7/10/20079:27:50 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[K] Addition/alteration/replacement
D Multi-family
D Commercial/Industrial
[X] 1 or 2 family dwelling
. JOB SITE'iNFOR!"'ATION ANlhOCAl'id~ · ..i:
Job no.: I Job address: 3049 HAYDEN BRIDGE RD
1 City/State/ZIP: SPRINGFIELD, OR 97477-6712
Suite/bldg.lapt.no.:
Project name:
Cross street/directions to job site:
;,,' i'~' :X: :'i/l ~:i':: 'i::~;1
[ Subdivision:
[Tax map/parcel no.:
[
add space to kitchen
I Lot no.:
1702193200207
. ..' DES~RiPTION OF WQ~K', .....
" i' :'::i'kl,"-:'" ","''': ,^ -, -;-:<<-- - _' ,', _'n",,'"
I Name: gary miller
I Phone: (541) 954-4459
[Email:
I Fax: 954-4459
1 EI. lie. no.: 20-284C I CCB lie. no.: 87145
I Business Name: G MILLER ENTERPRISES INC
I Contact:
[ Address:
1 City/State/ZIP: SPRINGFIELD OR 97477
[Phone: (541 )7412596 I Fax: None
I Email: gglamiller@comcastnet
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 3654S
I Supervising ~Iectl'~cian's name: GERARD G MILLER
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I Description
I
Total I
Qty.
Ea.
11,000 sq. ft or less
1 Ea. addl 500 sq. ft or portion
I-Limited energy, residential
(with above sq ft)
I-Limited energy, multifamily
residential fwith above s9. ft.) .
[Services ,c;>ll.~e~~rs'installation, l\lte~l\t1l!~; ~/6RrelocatilJU . .
1 200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
1200 amps or less
1201 amps to 400 amps
[401 amps to 599 amps
BrancIi1ci~uitS: NEW,ldterationiOR'e~tensio~, per, pa~el '
i",_';'''~'''::',\<h< _"Ii:,::,:>,,,," \---- '__'_m-;_'_-,-:_ " m' -',',::c",,,:,,'<"',',',;;, .'", - __ _ '-, "",,",
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits $48.00 $48.00
without service or feeder fee,
first branch circuit;
each addl branch circuit 9 $4.00 $36.00
I Service reconnect only
I Each manufactured or modular
dwelling. service and/or feeder
1 Pump or irrigation circle
1 Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension.
. ELE:~J'RI~AL .~E:RMiTFEES .
Subtotal $84.00
State Surcharge (8% of penn it fee) $6.72 I
City Of Springfield fees' $12.60 I
TOTAL PERMIT FEE $103.321
10% Local Admin Fee; 5% Local Technology Fee
I
I
I
· City Of Springfield
COM. 8 Obl 00 47 ~
RCPT#. <-320-01- 407
DATE PROCESSED: '7 - i I - 0 7
PROCESSED BY:~ ,n/~ ~
U
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
22S Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00478
COM2007-00478
COM2007 -004 78
COM2007-00478
COM2007-00478
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
3200700000000000467
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/11/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
NJM
Page 1 of I
ONLINE G MILLER Online
ENT
Payment Total:
8:14:40AM
Amount Due
48.00
36.00
4.20
6.72
8.40
$103.32
Amount Paid
$103.32
$103.32
7/1 1/2007