HomeMy WebLinkAboutPermit Building 2005-7-15
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: , 07/15/2005
APPLIED: 01/05/2005
EXPIRES: 01/15/2006
VALUE: $ 330,873.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3180 Hayden Bridge Rd
ASSESSOR'S PARCEL NO.: 1702190000700
Springfield TYPE OF
Single Family Residence
PROJECT DESCRIPTION: Single Family Residence
TYPE OF USE: New
Residential
Owner: AL & TA WNYA PRATT
Address: 1021 OLD ORCHARD LANE
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
OLDFIELDS INC
JUNG ENTERPRISES INC
STEVEN DOUGLAS JACKSON
License
129736
102455
131109
I BUILDING INFORMATION'
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of 34.50
Secondary Occupancy U-l Type of Heat: t Forced Air Gas
Yrimary Construction Type VN n 'aWlttroi~YOU..O Gas
Secondary Construction ATTENTION'. Oreg~ b~~~ Utlll~h Gas
# of Bedrooms: follOW ruleS4\dopteTh .fa~petfo 1 Path 1
Notification Center. t~~cm~~R 952-00 . n/a
-.. ",,~f'lf'l1 0 III '" .. .Ioc: hV
inUf\n::Jv'- J- ,,' "'~""'j;'~ _'~'-
90. You may ~~Er.'QP~l\ORMATION I,
00 \ling the cen el. \IW'U! flihl NotificatlOl'
ca the Oregon I.,
numb~2.bl1 . 1-80~~~31i%:'
3ocoonter IS # Street Trees
26.00 Paved Drive Rqd:
62.00 % of Lot Coverage:
79.00
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Floodplain
3
Yes
10.00
IPUBLIC IMPROVEMENTS I
AC Mat
No
Phone Number: 541-988-9889
Expiration Date
06/09/2006
10/04/2006
08/24/2006
Phone
541-485-6000
541-937-2688
541-683-7535
Lot Size: 19,002
Sq Ft 1st Floor: 1,500
Sq Ft 2nd Floor: 1,969
Sq Ft Basement:
Sq Ft Garage/Carport 480
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains Drywell- Provide
Drywell Engineering
~~Ol\Cf:. XP\RE IF 1HE WORK
llilS PERM\I SHfi.,~~ \H\S PERM\1 \S NOI
fi.,1J1'r\OR\IEO IJNO IS I\BI\NOONEO fOR
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1 of 5
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: 07/15/2005
APPLIED: 01105/2005
EXPIRES: 01115/2006
VALUE: $ 330,873.00
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
Type of Construction
$PerSqFt
or multiplier
$92.40
$1.00
$24.30
Square Footage
or Bid Amount
3,433.00
2,000.00
480.00
Value
Date Calculated
Dwellin2s V Wood Frame
Foundation Only Use Bid Amount
Gara2e Gara2e
Total Value of Project
$317,209.20
$2,000.00
$11,664.00
$330,873.20
01/06/2005
01/06/2005
01/06/2005
~
Fee Description Amount Paid Date Paid Receipt Nwnber
+ 10% Administrative Fee $4.50 12/30/04 2200400000000001561
+ 7% State Surcharge $3.15 12/30/04 2200400000000001561
Foundation Permit $45.00 12/30/04 2200400000000001561
-Mechanical Issuance Fee- $10.00 1/10/05 1200500000000000040
+ 10% Administrative Fee $197.39 1/10105 1200500000000000040
+ 7% State Surcharge $138.17 1/10/05 1200500000000000040
3 Baths One & Two Family $306.00 1/10/05 1200500000000000040
Addressing Assignment $31.00 1/10/05 1200500000000000040
Appliance Vent $6.00 1/10/05 1200500000000000040
Building Permit $1,309.90 1/10/05 1200500000000000040
Dryer Vent $6.00 1/10/05 1200500000000000040
Exhaust Hoods $9.00 1/10/05 1200500000000000040
Furnace - up to 100,000 btu $12.00 1/10/05 1200500000000000040
Gas Fireplace $15.00 1/10/05 1200500000000000040
Gas Outlets 1-4 $4.00 1/10/05 1200500000000000040
Heat Pump $12.00 1/10/05 1200500000000000040
Plan Review Major - Planning $103.00 1/10/05 1200500000000000040
Plan ReviewIResidential Hourly $90.00 1/1 0/05 1200500000000000040
Residence Wiring 1000 Sq Ft $106.00 1/10/05 1200500000000000040
Residence Wiring Ea Addtl 500 $114.00 1/10/05 1200500000000000040
SDC Sanitary/Storm Admin $32.11 1/1 0/05 1200500000000000040
SDC Transpo Admin $47.38 1/10/05 1200500000000000040
SDC Transpo Improvement $772.49 1/10/05 1200500000000000040
SDC Transpo Reimbursement $175.13 1/10/05 1200500000000000040
Storm Drainage Impervious Area $642.24 1/10/05 1200500000000000040
Temp Power 200 amps or less $50.00 1/10/05 1200500000000000040
Vent Fan $24.00 1/10/05 1200500000000000040
Willamalane Single Family $1,000.00 1/10/05 1200500000000000040
Refund - Willamalane $-1,000.00 1/20/05 VOUCHER #85870
+ 10% Administrative Fee $4.50 4/11/05 2200500000000000410
+ 7% State Surcharge $3.15 4/11/05 2200500000000000410
Low Voltage - Residential $25.00 4/11/05 2200500000000000410
Minimum/ Adj ustment Electrical $20.00 4/11/05 2200500000000000410
Deposit $750.00 7/14/05 1200500000000001003
2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-00015
225 Fifth Street, Springfield, OR ISSUED: 07/15/2005
541-726-3753 Phone APPLIED: 01/05/2005
541-726-3676 Fax EXPIRES: 01/15/2006
541-726-3769 Inspection Line VALUE: $ 330,873.00
Temp Occy 1 & 2 Family $100.00 7/15/05 1200500000000001018
Total Amount $5,168.11
I Plan Reviews I
Plannine Review 01/06/2005 01/06/2005 APP EMM Conditions of Floodplain
Development need to be met before
issuance (septic permit, engineered
fill, etc.) Remainder of planning
review done. FEMA Elevation
Certificate is an Occupancy
condition. Septic Permit approved.
LDAP has condition for engineered
fill. 12/15/2004 emm (forgoing
comments transferred from original
permit # COM2004-01456 dim)
Public Works Review 01/06/2005 Oi/05/2005 APP CAS See previous permit #
com2004-01456 for more info
1/5/2005 CAS
Structural Review 01/06/2005 01/06/2005 WE DLM No engineering submitted. Lateral
wall design requires engineering.
Called designer, who said that the
engineering was given to the
applicnat with the drawings. Called
applicant & requested the
engineering documents.12/21/2004
dim (forgoing comments transferred
from original permit#
COM2004-01456) Received
engineering from applicant 12/22/04.
Found descrepancies between the
engineering and the const. drawings.
Contacted designer & engineer
12/29/04 dim.
Structural Review 01/06/2005 01/06/2005 APP DLM FOUNDATION ONLY - 12/30/2004.
Resolved foundation descrepancies
w/ engineer by phone 12/29/2004
dim. Remainder of building not
approved for construction as yet.
Engineer still needs to provide
additional documentation regarding
descrepancies between submitted
engineering and construction
documents for remainder of
structure. 1/6/2005 dim
Structural Review 01/06/2005 01/10/2005 APP DLM Received revised engineering
information 1/7/04 dim Added notes
from original engineering that was
absent on const.dwgs. dim
3 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00015
ISSUED: 07/15/2005
APPLIED: 01105/2005
EXPIRES: 01115/2006
VALUE: $ 330,873.00
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 Reouired_InsDec~
Erosion/Grading Inspection: After all erosion measures are in place.
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.
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 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.
Line to Septic Tank: Prior to filling trench and required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
4 of 5
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: 07/15/2005
APPLIED: 01/0512005
EXPIRES: 01/15/2006
VALUE: $ 330,873.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 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:;approv d set of plans wiD remain on the site
at all times during ~truction. ,D / L I , ;/
~/~L-:ttLf(Yt:LU 'ULj !.t), ~eJ~
( I I I
Owner or Contractors Signature V Date
5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726~3759 Phone
Job/Journal Number
COM2005-000 15
Payments:
Type of Payment
Check
7/15/2005
RECEIPT #:
~::i;~~~, QO gij", ' '".
WiL~,,<", ,
.u '_"
>.~ ,-' '-'''''''''-~ -".. -'
l"":ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
1200500000000001018
Date: 07/15/2005
Description
Temp Occy 1 & 2 Family
Paid By
AL PRATT
Received By
djb
1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
5741 In Person
Payment Total:
3:22:18PM
Amount Due
100.00
$100.00
Amount Paid
$100.00
$100.00