HomeMy WebLinkAboutPermit Building 2003-10-15 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
SITE ADDRESS: 1172 Delrose Dr
ASSESSOR'S PARCEL NO.: 1703234409700
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Owner: SCOTT KENNETH L & KARLA C
Address: 2742 LOCUST ST SPRINGFIELD OR 97477
Contractor License Expiration Date
PETERSON DESIGN DEVELOPMENT 74534 06/1312005
ROSE CORPORATION 54431 09/30/2004
MARSHALLS INC 25790 12/23/2003
STEVEN DOUGLAS JACKSON 131109 08/24/2004
0\)\,......
BUILDING INFORMATION ~Q\l,{es 'll..l\i\i\'l
,a.W \ Otaqo\'l \\o{l
# of Stories: O{e90\'l w \"e ~ te ~()t~ize:
"7".!".,r ou'l \~c.a: ~ v
H~AAl\of~tr'u5\lN Sa {I!2S:0fl>.~ 'D<!- tJst Floor:
f>.Th~ oflHca'fP 'at .F.n-~ed~if.GJs .....eSil\'Ft'2~d Floor:
,.."N IV ref\\ o \\'1' v ,,' \\. A~
\Ow~~<<;{\J:,ype: ~ .00'\ opiE6as \8\€.~4'l't lS\\,\ement:
'~clU'~~?~l!.e;lO o'o\a.i\'l c o~'~ii~ \'Io~.ii~~arage/carport
,Itil~li!"I):>a.'l n\et .1..\'1 ,~t!i,I1I.$~ Ft Other:
0090.. ,,\\1e ce 0{e90\'l ":3'2--'2-3AYmpervious Surface Area:
_\\\(\~ . .he ....f\n...,:)
,
.....- r ,... . - . -
I DEVELOP.MENTiNIt6RMATION ,
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: I Handicapped:
Paved Drive Rqd: Y /Oo'?!t'act:
_.r-i:' p.n':~ I\-1E IN tI
% ofP.61Coverage1 S\-Il\ll EX 24:(1)' MIl IS NOT
1\1\S PERMI cR 1\-1\S PER
.~n"cn \ INO,- . ..n,"lcfl FOR
I PUBLIC IMPROMEMIDus,-R \~ 1\0"''--
, "U~l ER\O~.
F II I d · N'< 180 Sidewalk Type:
u v mprove t\
Yes Downspoutsillrains:
All storm drainage to go to weep holes and then curb and gutter
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I
R-3
U-I
VN
20.00
14.00
8.00
47.00
33.00
I CONTRACTOR INFORMATION I
2
Paee I of4
Residential
Phone
541-344-6638
541-686-0905
541-747-7445
541-683-7535
12,212
2,144
488
876
Curbside 5'
Curb and Gutter
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
TVDe of Construction
V Wood Frame
V Wood Bonus Rm
Garaee
Dwellines
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 100;0 Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1998
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
Plan Review Residential
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
'.
. Uli' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$90.60
$76.00
$23.80
Square Footage
or Bid Amount
2,144.00
488.00
876.00
Value
Date Calculated
$194,246.40
$37,088.00
$20,848.80
$252,183.20
09/15/2003
09/1712003
09/15/2003
Total Value of Project
Fppo, P..W
Amount Paid
$612.72
$10.00
$172.09
$120.46
$306.00
$8.00
$-22.56
$1,062.90
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$59.00
$78.17
$-30.00
$106.00
$1l4.00
$413.04
$543.36
$10.00
$34.83
$332.86
$130.63
$49.50
$727.42
$164.89
$75.00
$1,398.67
$50.00
$24.00
$1,000.00
Date Paid
Receipt Number
9/15/03
10115/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10115/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
1200200000000002121
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
Paee 2 of 4
'.
.
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/1512003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $7,683.98
I Plan Reviews I
Initial Review 09/16/2003 0911712003 APP LLH
Plan nine Review 09/1712003 09/23/2003 APP TAJ A LOMA was approved for
Orchard View dated 6/1/2001 whicb
gave a new flood zone of X
Unshaded for this lot. taj
Public Works Review 0911712003 09/18/2003 APP MS 9/29103 - Contacted contractor- he
decided to stick to original plan and
take storm drainage to weep holes
and then to street. -MS
9/17103 - Contacted contractor and
told him that storm drainage must
go weep holes and curb and gutter
instead of directly into the street.
He agreed this would be ok and I
marked tbis on the plans. Applicant
also agreed to reduce the size of
driveway throat to 24 feet so a
overwidth permit would not be
needed. -MS
9117103 - No part of any building,
foundation, or overhand shall be
permitted within any easements
associated with this property. -MS
Structural Review 09/1712003 10/02/2003 APP TCM L-DAP permit required prior to
excavation and building permit
issuance.
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.
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Site Inspection: To be made after excavation but prior to setting forms.
4 ErosionlGrading Inspection: After all erosion measures are in place.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Paee 3 of 4
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Lll l' 01' ~rKlr\jul'lJ'.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
II Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 UnderOoor Plumbing: Prior to insulation or decking.
16 UnderOoor Drain: Prior to cover or placement of concrete.
17 Rough Plumbing: Prior to cover and including required testing.
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
21 Final Plumbing: When all plumbing work is complete.
22 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Temporary Electric: Approval required prior to Utility Company energizing pole.
29 Rough Electric: Prior to Cover
30 Electric Service: Approval required prior to utility company energizing service.
31 Final Electric: When all electrical 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 tbe permit card is located at the front of the property, and the approved set of plans will remain on the site at all
tim:;;rin/n~i07'
f../4--4--~ /.0-1 S -03
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
C0M2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
COM2003-00894
-Wil:;~. ,."Sl!'~~' ',..,",.'.,,1,
,- ... !
.:,....'..,. j
.. - "
...~--,....,. -.
Receipt #: 2200200000000001660
Description
Plan Review Residential
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Mull Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Annexed 1998
Plan Review - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check PETERSON DESIGN
Received By
djb
l.:heck Number
Batch Number Authorization Number
City of Springfield Official Reel
Development Services Dep~rtm
Public Works Deparlm
, .
Date: 10/15/2003 9:56:54,
Amount Paid
Item T olal:
78.17
8.00
1,000.00
106.00
114,00
50.00
75.00
75,00
(3.
1,39
543.36
413.04
164.89
727.42
332.86
34.83
10.00
130.63
4950
(2256)
59.00
1,062.90
306.00
10
9. 0
6.00
4.00
15.00
12.00
10.00
120.46
172.09
$7,071.26
How Received
In Person
Payment Total:
Amount Paid
$7,071.26
$7,071.26