HomeMy WebLinkAboutPermit Miscellaneous 2005-9-7
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.. CITY OF 1)r'Kl1'1\j1<1~LD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 09/07/2005
APPLIED: 01/21/2005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
SITE ADDRESS: 1084 Diamond Street
ASSESSOR'S PARCEL NO.: 1703342102800
Springfield TYPE OF
Foundation
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Foundation. Single family resldence.,Temporary occupancy Issued 090705 valid for 30
days from date of Issuance.
Owner:
Address:
DJS INVESTMENTS LLC
2860 MARTINIQUE AVE
EUGENE OR 97408
Phone Number: 541-485-2655
ATTENTION: Oregon law req\Jlrgg V!:l/.! ~
follow rules adopted by Ihe Oregori Utility
~1f"\+:I:...,.,t;f"'I'" r-,..,_+~.. T"-""'....,.. .1__ ....__ __... 1__..1_
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'~olX:ORtli{;\'~jli IN~'UKMA1:iuN r-OOl.-
, . ". .. . ' . '. .es by
Contractor calling the center. (Note:tE1cfeils'ehonfExpiration Date
DJS INVESTMENT~~Ec for the, Oregon Utll'i3t7f.1lflc;atHI.f,l 10/09/2006
BOB FISHER ELECTRlC~NC!er.ls 1-600-3329~Hs)' 01/2512006
SCHELSKYS LANDSCAPE AND IRRlGATIOU170 0813112005
MARSHALLS INC 25790 1212312005
JAMMAL INC 158262 01/1212006
~ILUlNG lNl<'URMATlUNI
Phone
541-485-2655
541-689-7973
541-744-7135
541-747-7445
541-484-7440
Contractor Type
General
Electrical
Landscape
Mechanical
Plumbing
# of Units: 1 # of Stories: 2 Lot Size:
Primary Occupancy Group: R-3 Height of 27.00 Sq Ft Ist Floor: 1,488
Secondary Occupancy U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 878
Primary Construction Type VN Water Type: Gas Sq Ft Basement:
Secondary Construction Range Type: Electric Sq Ft Garage/Carport 607
# of Bedrooms: 3 Energy Patb: Path 1 Sq Ft Other:
Sprinkled nla Occupant Load:
IDEVELUI'MENTINI<URMATlUN I
REQUIRED PARKING
OV~fLaY. PJ~t: PIRE IF lHE WOfl{tal: 2
# Str~t;I;r!:~M\1 SHI\LL EX S p~F.~,^11 IS NHandlcapped:
Paved\Drive,Rqd: UNDER lH\ Yes 0 FOD Compo act:
"I 1'1' l\l.U.._.... d "Nr\/Il\.... n
% ofJ:.Ot Coverage:JR IS 1\0" 30.60'
CO\'l\lVitl~I.JL:"
^ MV 11'.0 01\'1 PERIOD.
Front yard Setback:
- Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
SoIar Setbacks:
21.30
5.60
5.60
5.60
0.00
Subdivision Not Accepted
S treel
Storm Sewer Available:
Special Instruction:
(pUBLIC IMPRUVEMENTS,
Fullv Improved
Yes
, Sidewalk Type:
Downspouts/Drains
Curbside 5'
Curb and Gutter
Notes: No Hook-up to City Infrastructure until Public Improvements accepted by the City 1/25/2005 CAS
1 of 5
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. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 09/07/2005
APPLIED: 01/21/2005
EXPIRES: 03/1412006
VALUE: $ 5,000.00
Status: lssued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Bid Amouat
Dwellinl!s
Garal!e
Type of Construction
Use Bid Amount
V Wood Frame
Garal!e
$ Per Sq Ft
or multipHer
$1.00
$96.00
$24.30
Square Footage
or Bid Amount
5,000.00
2,366.00
607.00
Value
Date Calculated
Total Value of Project
$5,000.00
$227,136.00
$14,750.10
$246,886.10
08/1612005
01121/2005
0112112005
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Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $667.65 1121/05 3200500000000000029
-Mechanical Issuance Fee- $10.00 2/22/05 1200500000000000233
+ 10% Administrative Fee $164.12 2122/05 1200500000000000233
+ 7% State Surcharge $114.88 2/22/05 1200500000000000233
3 Baths One & Two Family $306.00 2/22/05 1200500000000000233
Addressing Assignment $31.00 2122/05 1200500000000000233
Appliance Veat $6.00 2/22/05 1200500000000000233
Building Permit $1,027.15 2122/05 1200500000000000233
Curbcut Permit $75.00 2122/05 1200500000000000233
Dryer Vent $6.00 2122/05 1200500000000000233
Exhaust Hoods $9.00 2122/05 1200500000000000233
Furnace - up to 100,000 btu $12.00 2122/05 1200500000000000233
Gas Fireplace $15.00 2122/05 1200500000000000233
~ Gas Outlets 1-4 $4.00 2122105 1200500000000000233
Plaa Review Major - Planning $103.00 2122/05 1200500000000000233
PW Disc - 2nd Permit (Street) $-30.00 2122/05 1200500000000000233
Residence Wiring 1000 Sq Ft $106.00 2122/05 1200500000000000233
Residence Wiring Ea Addtl 500 $76.00 2/22/05 1200500000000000233
Sanitary Sewer - Improvemeat $493.56 2122/05 1200500000000000233
Sanitary Sewer - Reimbursement $649.08 2/22/05 1200500000000000233
SDC MWMC Administration $10.00 2122105 1200500000000000233
SDC MWMC Improvement $865.31 2122/05 1200500000000000233
SDC MWMC Reimbursement $82.03 2122/05 1200500000000000233
SDC SanitarylStorm Admin $132.69 2122/05 1200500000000000233
SDC Transpo Admin $62.75 2/22/05 1200500000000000233
SDC Transpo Improvement $772.49 2122/05 1200500000000000233
SDC Traaspo Reimbursement $175.13 2122/05 1200500000000000233
Sidewalk Permit $75.00 2122/05 1200500000000000233
Storm Drainage Impervious Area $861.18 2122/05 1200500000000000233
Temp Power 200 amps or less $50.00 2122/05 1200500000000000233
Vent Fan $24.00 2/22/05 1200500000000000233
~ Willamalane Siagle Family $1,000.00 2122/05 1200500000000000233
+ 10% Admiaistratlve Fee $4.50 4125/05 2200500000000000485
+ 7% State Surcharge $3.15 4/25/05 2200500000000000485
2 of 5
Status: Issued
225 Flftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low Voltage - Residential
Minimum/Adjustment Electrical
" + 10% Administrative Fee
+ 7% State Surcharge
Foundation Permit
Plan Review Residential
Deposit
Temp Occy I & 2 Family
+ 10% Administrative Fee
+ 7% State Surcharge
Backflow Device
Minimum/Adjustment Plumbing
Total Amount
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 09/07/2005
APPLIED: 01121/2005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
$25.00
$20.00
$6.84
$4.79
$68.40
$44.46
$250.00
$100.00
$4.50
$3.15
$14.00
$31.00
4/25/05
4125105
8/18/05
8/18/05
8/18/05
8/18/05
9/7105
9/7/05
9/14/05
9/14/05
9/14/05
9/14/05
$8,535.81
I Plan Reviews I
Initial Review 01/2412005 01/2412005 APP SKG
Plan nine Review 01124/2005 02/1512005 APP TAJ
~ Public Works Review 0112412005 01125/2005 APP CAS
Public Works Review 08/17/2005 08/1712005 APP SB
Structural Review
Structural Review
08/17/2005
02/02/2005
08/1712005
03/0112005
APP DLM
APP JB
2200500000000000485
2200500000~00000485
3200500000000000498
3200500000000000498
3200500000000000498
3200500000000000498
1200500000000001316
1200500000000001316
1200500000000001346
1200500000000001346
1200500000000001346
1200500000000001346
Needs survey because of minimum
side setbacks.
No hook-up to City Infrastructure
until Public Improvements accepted
by the City 1/2512005 CAS
Design mod to add retaining wall to
back of lot. Approved, however,
maintenance will be required to
ensure weep-holes stay opea over
time. If property owner to South
complains of standing water,
additional drainage will be required.
Retaining wall at rear of property.
Actual review days for this plan was
1/25/2005 and completed on
212112005. Entry was not made la
computer but I could not "back
date" entry for February. I
calculated the working days to be
accurate (19).
To Request an inspection can 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. win be made the following
work day.
I l?PI1~
Sidewalk. Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Rough Gas: After line Is installed and required testing and capped If not attached to an appliance.
3 of 5
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CITY OF ISrlUl'll.l'IELD
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 09/07/2005
APPLIED: 0112112005
EXPIRES: 03/14/2006
VALUE: $ 5,000.00
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 comp'lete.
Masonry:
Special: See Plan Reviewer or Inspectors Notes for specific requirements.
Low Voltage: Prior to cover.
Footing: After trencbes are excavated.
Foundation: After forms are erected but prior to concrete placement.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Foundatioa: After forms are erected but prior to coacrete 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.
Perimeter Foundation Draias: After gravel and mter cloth Is Installed but prior to backfill.
Underfloor Plumbing: Prior to iasulatlon or decking.
p Underfloor Drain: Prior to cover or placemeat of concrete.
Rough Plumbing: Prior to cover and including required testing.
4 of 5
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00091
ISSUED: 09/0712005
APPLIED: 0112112005
EXPIRES: 03/1412006
VALUE: $ 5,000.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 treach and including required testing.
Storm Sewer Line: Prior to mling treach.
Fiaal Plumbing: When all plumbing work Is complete.
UnderfIoor Mechanical. Prior to insulation or decking and Including required testing.
UnderfIoor Gas: After line Is Installed and required testing and capped if not attached to an appliance.
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 wiD 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 I further agree to ensure tha~al"J. uirid spections are requested at the proper time, that each address is readahle from
the street, that the perm~'t c d;S) cated, t the front of the property, and the approved set of plans wiD remain on the site
, at all times durin~nstr I (,'!- ;) A ~ ,
/1/U, I.//t/I / J06Co~
1/ Date;
Owner or Coatractors Signature
/
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5 of 5
~ 215 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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ap'~A1N<!"'!!-O..., "
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,/iIity of Springfield Official Receipt
.velopment Services Department
Public Works Department
RECEIPT #:
1200500000000001346
Date: 09/14/2005
9:25:41AM
JOO/Joor08I Number
COM2005-00091
COM2005-00091
COM2005-00091
COM2005-00091
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Backflow Device
Minimum/Adjustment Plumbing
Payments:
Type of Payment
CreditCard
Paid By
SCHELSKYS LANDSCAPE
Received By
djb
Item Total:
Lbeck Number AUlborizatlon
Batch Number Number How Received
114142 In Person
Payment Total:
Amoo nt Due
3.15
4.50
14.00
31.00
$52.65
Amount Paid
$52.65
$52.65
"
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9/14/2005 '
I of 1
225 FIITH STREIT. SrRlNGFIELD, OR 97477 . rH:(541)726-3753 . FAX: (54])726-3689
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SPRINGFIELD . .
:' '. ' . ! . CITY:OF: SPRINGFIELD; OREGON' . ~ . :
, " ."
City Job Number COIVl ZOO~ - 000 9- (
Job Location III $<'-/ ;J4/>vv1i'>/
J7o'33Lf2.. (
Tax Lot
02 g-OO
ownefll kJ~,~ !cn:-iif/'~~
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Aft.
Zip
Statp
City
BACKFLOW PERMIT I~ffEm/OO~~des Permit Fee, State Surcharge & Administrative Fee)
f " . regon law requires you to
N Ot'foW ~ules adopted by the Oregon Utility
C ,r.' 0 Ilcatlon Cente~ Thos I
ontractol' InJormatlOn }j'n~952-O . e ru es are set forth L
01-o01~th 9hOAR952-0~ .
r J 9 '. You ma obtaif opies of the ru,Ws -
Contractor ;:::::;r _h(J " II, 6. th . ............if.'J" _ /"t> .0/1
/J ~N ---"uth~r for the Oregon Wity N~;;fi~~tj~"n -.......J ./
Address k6 7Qtd"S L~~ris1-800,::!;.l??'W) Phonp "R'yt712'J
Cil'.' ,e;;" ~A-P State ~ Zip c?'77b /
.;.. '-...)
Expires 01/.;75 ~6
i /
Construction Contractors Registration #
.tZ~ ')
By signing this permit/application, I agree to call for an inspection once the backflow prevention
devise has been installed and is visible for inspyption (726-3769). I also state that all information on
this permit/application is correct. NOrICE1/' I
J / I' 1{(i~S P 'RMIT SHI\LL EXPIRE IF lHE WORK
-t- " ' // A ~II~;' (fZEO UNDER THIS PERMIT IS NOT C'--'
Signature ,/, .Ar./ \ .L/';/?'. .rX.'r-rr.. no 1<: MI~~In()NFn FO~ Datp /~k'1 Q-,
. -'ANY~DAY PERIOD. I
For Office Use
Date of Application
~~/"'-
Checked for Delinquencil'<
I ______ Checked for Historical Statu<
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Shared Drive (T:YBuilding FonnslBackflow Pn::vcmionl-03.doc