HomeMy WebLinkAboutPermit Building 2004-7-26
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00434
ISSUED: 07126/2004
APPLIED: 04/16/2004
EXPIRES: 03/07/2005
VALUE: $ 15,523.00
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 624 TINAMOU LN
ASSESSOR'S PARCEL NO.: 1703221309900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Addition to existing SFR - L.R. extension
Owner: SANDRA BRYAN
Address: 624 TINAMOU LN SPRINGFIELD OR 97477
Phone Number: 541-747-6927
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
License
Expiration Date Phone
I BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat: Forced Air Gas
Water Type:
Range Type:
Energy Path: Path 1
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:
168
R-3
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
20.40
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
Storm Self1tK~~~ Oregon law requires you to
Special If~lr8itii?u~'~' ~do~U~B"b~~~~on Utility
. Notification Center. Those rules are set forth
Notes. in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the tel~pho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Dwelline:s
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
Add, Alter, Extend Circ Ea Add
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Not Covered Mechanical
Perm ServlFdr 200 amps or less
Plan Review - Planning
Plan ReviewIResidential Hourly
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
+ 10% Administrative Fee
+ 7% State Surcharge
Total Amount Paid
Initial Review
Initial Review
Plannine: Review
Structural Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00434
ISSUED: 07/26/2004
APPLIED: 04/16/2004
EXPIRES: 03/07/2005
VALUE: $ 15,523.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
168.00
Value
Date Calculated
Total Value of Project
$15,523.20
$15,523.20
04/16/2004
~
Amount Paid Date Paid Receipt Number
$100.23 4/16/04 1200400000000000491
$10.00 7/26/04 2200400000000000971
$6.00 7/26/04 2200400000000000971
$154.20 7/26/04 2200400000000000971
$4.50 7/26/04 2200400000000000971
$0.75 7/26/04 2200400000000000971
$45.00 7/26/04 2200400000000000971
$63.00 7/26/04 2200400000000000971
$71.00 7/26/04 2200400000000000971
$45.00 7/26/04 2200400000000000971
$2.44 7/26/04 2200400000000000971
$48.72 7/26/04 2200400000000000971
$45.00 7/26/04 2200400000000000971
$31.32 9/9/04 2200400000000001139
$21.92 9/9/04 2200400000000001139
$649.08
I Plan Reviews I
04/16/2004
07/13/2004
04/19/2004
04/16/2004
07/13/2004
04/29/2004
APP RJB
APP SKG
APP TAJ
Revised drawing
Setbacks are not shown on plot plan
and it's not drawn to scale, but
based on the addition in relation to
the existing house, it more than
meets setback miniums.
Sent letter to owner regarding
additional required information.
Received revised plans and
structural calcs 7/912004 Review
completed 7/22/04, still need Lane
Co approval for septic
clearances. dIm
04/1912004
04/27/2004
WE TCM
07/13/2004
07/26/2004
APP DLM
Pae:e 2 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00434
ISSUED: 07/26/2004
APPLIED: 04/16/2004
EXPIRES: 03/07/2005
VALUE: $ 15,523.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
L..-Reouired InsDections 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.
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 Drain: Prior to cover or placement of concrete.
Storm Sewer Line: Prior to filling trench.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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 ofthe property, and the approved set of plans will remain on the site at all
tim~dUriD _~O::ctiO~/ ~.~ 9 or. 0 i
Owner or Contractors Signature
Date
Page 3 of3
225 Fifth. Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00434
COM2004-00434
Payments:
Type of Payment
Check
9/9/2004
RECEIPT #:
Description
+ 7% State Surcharge
+ 10% Administrative Fee
.,:;:=~
WIL. .
~~y of Springfield Official Receipt
'~elopment Services Department
Public Works Department
2200400000000001139
Date: 09/09/2004
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
STEVEN BANNING KUNKLE dIm 3371 In Person
Payment Total:
Page 1 of 1
11:38:30AM
Amount Due
21.92
31.32
$53.24
Amount Paid
$53.24
$53.24