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Home My WebLink AboutPermit Miscellaneous 2003-6-16 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 553 EDGEMONT WAY ASSESSOR'S PARCEL NO.: 1703341300500 .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00503 ISSUED: 06/16/2003 APPLIED: 06/16/2003 EXPIRES: 12/16/2003 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas stove and gas piping Owner: BROWN SUZANNE Address: 553 EDGEMONT WAY SPRINGFIELD OR 97477 Contractor Type Mechanical Owner Contractor MIDGLEY'S BROWN SUZANNE # of Buildings: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notcs: Description Tvpe of Construction I CONTRACTOR INFORMATION I ~s ,/oU to e License,QUlrExpiration Date ^..-rE.I'l \ 101'1:\)1 goi936,$le Oregu1 I ilizo/2003 ", , dopteu -, are 5"" .~lInW rules a .__ 'ThOSe rule: "~oc;?-OO' BUlIlDING 'INFORMA:,l1I@N'1 O~91~~; t\1e rules p. in UI"" ;' - ay obt3\1' "Opl~ \1e telep\10~e #,;oJ:Stories':'.~~ center. ~Note. \ Nb!!t,Siie:Jn Height 'of Slrudur't, Oregon UtIlI\)' 3ASq Ft 1st Floor: TYP'~.!'f"Heat\on[\;iS 1_BOO-332-2 S'.i'Ft 2nd Floor: Water Type~e!lte Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: Phone 343-1131 I DEVELOPMENT INFORMATION , REQUIRED PARKING Overlay Dist: Total: # Street Tre.MR;rJ,cE: SHfl,LL EXPIRE IF IJIt\iiIWlP~~: Paved Drive ~16 PERMIT R THIS PERf:illlpji!qooT ^";r,~ORIZEO UNOE R % of Lot cOCO~MENCEO OR IS fl,BANOONED FO ...v illn nAY PERIOO. I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: I Valuation Descriotion I $ Per Sq Ft Square Footaee Value Date Calculated Paee 1 of2 .' Status Issued 225 Fifth Street, Springfield, OR 541-726--3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Appliance Vent Gas Fireplace Gas Outlets 1-4 Minimum/Adjustment Mechanical Total Amount Paid . . CITY 01' ~ndNGFIELD Building/Combination Permit PERMIT NO: COM2003-00503 ISSUED: 06/16/2003 APPLIED: 06/16/2003 EXPIRES: 12/16/2003 VALUE: Total Value of Project Fp.p.s Paid I Amount Paid Date Paid Receipt Number 2200200000000001065 2200200000000001065 2200200000000001065 2200200000000001065 2200200000000001065 2200200000000001065 2200200000000001065 $10.00 $4.50 $3.15 $6.00 $15.00 $4.00 $20.00 6/16/03 6/16/03 6/16/03 6/16/03 6/16/03 6/16/03 6/16/03 $62.65 I Plan Reviews I 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 Rp'l1uirp.d Tmnectinns I 1 Rough Mechanical: Prior to Cover 2 Gas Service: After line is instaUed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 3 Final Mechanical: When aU mechanical work is complete. By signature, 1 state and agree, that 1 have carefuUy examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify that any and aU work performed shaU 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that aU 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 ".:;;;;:;ru:'.~ ____ (oj; (,10 ~ Owner or Contractors Signature Date Pal!e 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00503 COM2003.00503 COM2003.00503 COM2003.00503 COM2003-00503 COM2003.00503 COM2003.00503 Payments: Type of Payment Check 6/16/2003 PaidDy MIDGLEYS 1O:20:40AM , City of Springfield- Development Services Department, Public Works Department' Official Receipt Receipt #: 2200200000000001065 Description Appliance Vent Gas Outlets 1-4 Gas Fireplace Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By djb Date: 06/16/2003 Amount Paid Item Total: 6.00 4.00 15.00 20.00 10.00 3.15 4.50 $62.65 . Check Number Conlirm No How Received In Person Payment Total: Amount Paid 62.65 $62.65 . Page I of I cReceipt.rpt ~ SPRINGFIELD . ' JOB NUMBER 79lf1 ~ 7 . RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 225 Fifth Street Springfield, Oregon 97477 LOCATION OF PROPOSED WORK: _.<::;::",~ ~p .mflAt- ASSESSORS MAP: /7 b ~ 341 ? LA 'IrA\ J / co 50 0 TAX LOT: LOT' BLOCK' SUBDIVISION: OWNER: LorK,y_ 6n'X.A. )r1 ADORE""" ,<:).a::;g '7d.(AP mol"1"'t- tJ.bJ./ CITY- -:; ori (\.fi eJ t1I U S"'T'" ' \ - '7';) ~ -O(ofu PHONE: tc)~ OJ 74'7 '7 ZIP: DESCRIBE WORK:~&41 U -D(o~~ _ Or1rf ~~. ~ "l'f-lPI/ tM'lCc-. ""'" . - _c \ . OTHER NEW REMODEL ADDITION DEMOLISH CONST. CONTRACTOR . CONTRACTOR'S NAME ADDRESS EXPIRES '::" PHONE GENERA' . PLUMBIN'" MECHANICAL:.fi:]a(ShiUlls I-b.trll&l ~IJD O/!J:rl1t?/LJ:r/-. #<.~CjD ELECTRICA' . ~ V I ;fJt2ld ?Cf7 -I2/' 7'lqs- - OFFICE USE - aRK ~1i\&'&;. p.U:.E"P\REIl'iHE~N01FLOOD PLAIN: ~1Se~myYt>J"'I"'C:RiH\SPER~~~.f\R ZONING CODE: OR\l.l:U 1 - {>.NOUN""'" rv ~~ T.Y.Plbl'\C\!';!>S . OF BDRMS: I r:-flMMI;!ilvt:V- H'!:'A'fSQl.i~PFR\OO. SECONDARY HEAT: P"N'< "\tiU RANGF' SQUARE FOOTAGE: QUAD AREA' . OF BLDGS: OCCY GROUP' . OF STORIES: WATER HEATER' " .' I " TO request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m, made the same workIng day. Inspections requested after 7:00 a.m. wllb9Et;IfT\"a4de the following work day. , ", rAOU\1 . ,~..\\h/ - REQUI FtEID\'1 N\ SBECliI0NS,\\'I ' f,M\ \\.II"~' cl tl~ \ '" ' -Ie Se\ 'Vl o Temporary Electric 1'-11 GlllE-ROUgh'lMechanlcal\e=~{.\or'to.001' 0 Final Plumbing _ When all 10\\0\" cover:el. \I'V~-llg\'lOI'< "'~\es b~ plumbing wprk Is complete. Notilicat~~~~O~':OO~ 0 t\'l;Or:\ies 01 tne III One D Site Inspection - To be mado. op..E~T'Rough..)Ehictrlc'1l -:-rP-rt6r.ftSn . n after excavatlon, but prior to ,0 90 lvlcover. tel ~NO\e~."..1;; Not\l\ca\\O selling forms. 00 '. gt\'le cen . On llt\\l\~ ) ca\\ln . I tl'le aleg 0 "32-2344 . O _l.-.anO .. p.O "v Underslab Plumblng/Electrlcall nlP""l' ~~!'.9!.rtc.1 Service _ Must be Mechanical - Prior to COVer. L...J approved to obtain permanent electrical power. will be D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical ,work Is complete. o Footing - After trenches are excavated. o Final Building - When all required Inspections have been approved and building Is completed. ~therCA-5 o Fireplace - Prior to facing materials and framing Insp. o Masonry - Steel location, bond beams, grouting. o Framing - Prior to cover. . IJM1I I I D Foundation - After forms are erected.but- prior to concrete placemont. o Wail/Ceiling Insulation - Prior to cover. o Underground Plumbing - Prior to filling trench. o Drywall - Prior to taPing.. . MOBILE HOME INSPECTIONS O Underlloor Plumbing/Mechanical' , - Prior to Insulation or decking. 0 Wood Stovo - Aftar Installatlon. o Post and Beam - Prior to floor @ Insulation or decking. nsert - After fireplace approval and Installation of unit. o Floor Insulation - Prior to dacklng. o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been con nected to water and sewer. o Curbcut & Approach - After forms are erected bllt prIor to placemont of concrete. o Sanitary Sewer - Prior to filling trench. o Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Sidewalk & Driveway - After excavation Is comploto, forms and sub.base material In place. D Storm Sewer - Prior to tilling trench. O Water Line - Prior to filling trench. \ . o Fence - When C01Y'Ipleted. o Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. o Rough Plumbing - Prior to cover. \, o Slreel Tree. - Wh.n all required trees Bre planted. . .,,;' ". . '",. ~ .J Lot (aces LoI Type . Interior Setbacks I P.L I HSE GAR ACC I N I I S I I I W I I ~_L=-_-= ..AHE PROPOSED WORK tN THE _ "ORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Lot sq. ftg. lot coverage Corner Topography Total height \' Panhandle Cul-de-sac APPROVED' BUILDING PERMIT ITEM SO. FT. Of X S/SO. FT. _ VALUE . .., 'I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Main Carport Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number: State Surcharge Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is, du.e on all undeveloped properties within I.ho City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residenllal Bath(s) N' Sanitary S~wer Water FT. FT. l)(A 11~ - # 31(~2r>-EQ Storm Sewer FT_ Mobile Home PlumbIng Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove~~rePlace Unlf Dryer Vent (;A-5 ~/ , , Mechanical Permit J<"_()O 10. ()r> /.~ }/)' 2-&. n> By sIgnature, I state and agree, that I have carefully examined the completed eppllcatlon 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 Orogon perlalnlng to tho work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees WhO are In compliance with ORS 701.055 will be used on this proJect. Issuance State Surcharge Total Permit (0) I further agree to ensure that all required Inspections are requested at the proper tlme, that each address Is readable from the street, that the pormlt card Is loceted at the front of the property, and the approved set of plans will remain on the site .at :i times during construction. Signature //J,rt',~ ~~ //r7-/~ tl MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk fI Date Curbcut fl Demolition State Surcharge VALIDATION: RECEIPT NUMBER l) 51.(17 7 DATE PAIf' 7/(2-/'1 r . AMOUNT RECEIVED -LJ 2' r- oj RECEIVED BY ~ CJ~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding olectrlcal) (A, B, C, 0, and E Combined)