HomeMy WebLinkAboutPermit Building 2004-8-27
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 863 Mint Meadow Way
ASSESSOR'S PARCEL NO.: 1703234313600
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00420
ISSUED: OS/2812004
APPLIED: 04/14/2004
EXPIRES: 02/23/2005
VALUE: $ 227,463.78
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: River Glen lot 168 - SFR. 3rd bath added 082705.db
New
Residential
Owner: DANIEL HILL
Address: 4765 VILLAGE PLAZA LOOP STE 20 EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor R:><t~ License
ARBOR SOUTi~~' JUJCTlON INC 59993
ROSE CORPO ' ~ ~ 54431
COMFORT ~' ~,~ 460
DONAL~~ "~ 33076
~~~~ ~~
~ ~ ~. I BUILDING INFORMATION I
~~~~
# of Units: ~. ~ ~~~~rQ'
Primary Occupa ~~ ~ ~~
Secondary Oc~W ~~<$> ~ ~YJ-l
Primary constrm;.~~ ~ <v~ VN
Secondary Constru ~ l\.'a
# of Bedrooms: \.) ~ 3
~
Contractor Type
General
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
5.00
23.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
No
Notes:
Phone Number: 541-913-0016
Expiration Date
04/28/2006
09/30/2004
06/27/2005
06/10/2007
Phone
541-913-0016
541-686-0905
541-726-0100
541-688-1931
# of Stories: 2 Lot Size:
Height of Structure 23.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas t9 Sq Ft 2nd Floor:
Water Type: G11f>~ .&~~t Basement:
Range Type: . ~1i::-.;:J$. ~ ~:t;arage/Carport
Energy Path: / ~~ 0 ~5 ~-o\her:
Sprinkled Building: A, t(Ir iin....A 4~ ~p~t }.oad:
~- ~0 ..0. ". ~JS..'(So" "...
I't . ~ ~ ~~ !',,'1J1'
I DEVELOPMENTINFO~ ~ d' ~ ~ "
O"....~ it~~0 ~O~.REQUIREDPARKING
OVer~aYD' D~~ 'I;~I'D"'~~<::o~d-0::f~fI" Total: 2
# Street e 'r9..d~JS 0>"'Y.&:~:f{ Handicapped:
Pave ~~!~ ~"~:"',jt. ~-:PO~ Compact:
% of L~~~..[~ ~ ~~ 9J (]' fI .20
, ~ ~~ 4.0 ~ ~ ...
~- ~ $o.rS"..r.-tb ,6:t
PUBLIC IMPROVEM~- Cj
8,470
1,972
676
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Pae:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00420
ISSUED: OS/28/2004
APPLIED: 04/14/2004
EXPIRES: 02/23/2005
VALUE: $ 227,463.78
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinf!s
Dwellinf!s
Garaf!e
Tvpe of Construction
V Wood Frame
V Wood Bonus Rm
Garaf!e
$ Per Sq Ft
or multiplier
$92.40
$78.54
$24.30
Square Footage
or Bid Amount
1,972.00
367.00
676.00
Value
Date Calculated
Description
Total Value of Project
$182,212.80
$28,824.18
$16,426.80
$227,463.78
04/14/2004
04/30/2004
04/14/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $576.81 4/14/04 1200400000000000478
-Mechanical Issuance Fee- $10.00 5/28/04 2200400000000000686
+ 10% Administrative Fee $156.17 5/28/04 2200400000000000686
+ 7% State Surcharge $109.32 5/28/04 2200400000000000686
2 Baths One or Two Family $254.00 5/28/04 2200400000000000686
Addressing Assignment $31.00 5/28/04 2200400000000000686
Appliance Vent $6.00 5/28/04 2200400000000000686
Boiler/Comp Up To 100,000 btu $12.00 5/28/04 2200400000000000686
Building Permit $981.65 5/28/04 2200400000000000686
Curbcut Permit $75.00 5/28/04 2200400000000000686
Dryer Vent $6.00 5/28/04 2200400000000000686
Exhaust Hoods $9.00 5/28/04 2200400000000000686
Furnace - up to 100,000 btu $12.00 5/28/04 2200400000000000686
Gas Fireplace $30.00 5/28/04 2200400000000000686
Gas Outlets 1-4 $4.00 5/28/04 2200400000000000686
Gas Outlets 4+ $3.00 5/28/04 2200400000000000686
Plan Review - Planning $71.00 5/28/04 2200400000000000686
Plan Review Residential $61.26 5/28/04 2200400000000000686
Plan ReviewIResidential Hourly $90.00 5/28/04 2200400000000000686
PW Mult Disc - 2nd Permit $-30.00 5/28/04 2200400000000000686
Residence Wiring 1000 Sq Ft $106.00 5/28/04 2200400000000000686
Residence Wiring Ea Addtl 500 $76.00 5/28/04 2200400000000000686
Sanitary Sewer - Improvement $499.09 5/28/04 2200400000000000686
Sanitary Sewer - Reimbursement $656.56 5/28/04 2200400000000000686
SDC MWMC Administration $10.00 5/28/04 2200400000000000686
SDC MWMC Improvement $214.23 5/28/04 2200400000000000686
SDC MWMC Reimbursement $314.63 5/28/04 2200400000000000686
SDC SanitarylStorm Admin $135.71 5/28/04 2200400000000000686
SDC Transpo Admin $52.09 5/28/04 2200400000000000686
SDC Transpo Improvement $727.42 5/28/04 2200400000000000686
SDC Transpo Reimbursement $164.89 5/28/04 2200400000000000686
Sidewalk Permit $75.00 5/28/04 2200400000000000686
Storm Drainage Impervious Area $1,169.14 5/28/04 2200400000000000686
Temp Power 200 amps or less $50.00 5/28/04 2200400000000000686
Paf!e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
Minimuml Adjustment Electrical
+ 10% Administrative Fee
+ 7% State Surcharge
Miscellaneous Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Total Amount Paid
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00420
ISSUED: OS/28/2004
APPLIED: 04/14/2004
EXPIRES: 02/23/2005
VALUE: $ 227,463.78
$12.00
$1,000.00
$4.50
$3.15
$25.00
$20.00
$5.20
$3.64
$52.00
$103.26
$135.04
$12.47
5/28/04
5/28/04
8/6104
8/6/04
8/6/04
8/6/04
8/27/04
8/27/04
8/27/04
8/27/04
8/27/04
8/27/04
2200400000000000686
2200400000000000686
1200400000000001192
1200400000000001192
1200400000000001192
1200400000000001192
1200400000000001273
1200400000000001273
1200400000000001273
1200400000000001273
1200400000000001273
1200400000000001273
$8,095.23
I Plan Reviews ,
Initial Review 04/15/2004 04115/2004 APP RJB
Planninl!: Review 04/15/2004 04/23/2004 APP TAJ Needs survey because of minimum
side setbacks.
Public Works Review 04115/2004 04/1912004 APP DJW
Structural Review 04115/2004 04/30/2004 POK TCM Refered to Don Moore for further
examination concerning wall
bracing.
Structural Review 04/29/2004 04/29/2004 WE DLM Sent letter requesting additional
information and clarification to the
architect. 4/29104 dim
Structural Review 05/07/2004 OS/27/2004 APP DLM Received response from architect
today with calrifications and
revisions.5/7 12004 dim
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.
~eouireCUn~nections .
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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.
Pal!:e 3 of 4
CITY OF SPRING~l~LD .
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00420
ISSUED: OS/28/2004
APPLIED: 04/14/2004
EXPIRES: 02/23/2005
VALUE: $ 227,463.78
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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.
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.
Low Voltage: Prior to cover.
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 aU
times dudo 0 ~
'6'- 2/-01
Date
?Q'woer Dr c\{'7 S~::O
Page 4 of 4
225 Fifth Street
Spri.ngfield, Oregon 97477
541-726-3759 Phone
Wi~
-'''y of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #:
1200400000000001273
Date: 08/27/2004
11:08:24AM
Job/Journal Number
COM2004-00420
COM2004-00420
COM2004-00420
COM2004-00420
COM2004-00420
COM2004-00420
Description
Miscellaneous Plumbing
+ 10% Administrative Fee
+ 7% State Surcharge
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC SanitarylStorm Admin
Payments:
Type of Payment Paid By
CreditCard DANIEL HILL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 091226 In Person
Payment Total:
Amount Due
52.00
5.20
3.64
135.04
103.26
12.47
$311.61
Amount Paid
$311.61
$311.61
8/27/2004
Page 1 of 1