HomeMy WebLinkAboutPermit Building 2007-7-19
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00514
ISSUED: 05/09/2007
APPLIED: 04/09/2007
EXPIRES: 01/1712008
VALUE: $ 42,848.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 797 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703341409800
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition
Owner: DONA RENNICK
Address: 797 PRESCOTT LN
SPRINGFIELD OR 97477
Phone Number: 541-747-5877
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor License
DA VID ZARZYCKI GENERAL CONTRACTIll05626
REYNOLDS ELECTRIC 17252
BUILDING INFORMATION I
Expiration Date
04/26/2009
02/08/2009
Phone
541-688-0243
541-343-7297
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
14.00
Wall Heat
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
416
R-3
Path 1
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback: Overlay Dist:
Side 1 Setback: 5.00 # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setb~AfrENTION: Orego/1 ',~W requires r?:lSftbot Coverage:
Solar Setbacksfollow rules adopteoOt9Y' the Oregon Utility
:~o~~~a~~~_~;1n_~~'1 ~ ~~r~eu~ul~TlBUG~V:ROVEMENTS I
Street ImprovP~-tsYou may obtain copies of the rules by
c~lIing the center. fN9f~qmr~~~hone
Stor~ Sewer A~b~ for the Oregon Utility N'bYlfication
SpecIal Instruction: Center is 1-800-332-2344).
26.80
Sidewalk Type:
Downspouts/Drains:
Setback 5'
Curb and Gutter
Notes: Storm to curb & gutter.JLP APP 4/17/07
NOTICE: XP\RE IF THE WORK
TH\S PERMIT S~~~~ ;H\S PERMiT \S NOT
AUTHORlZED UOR \S ABANDONED FOR
COMMENCED
ANY 180 DAY PERlOD.
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-00514
ISSUED: 05/09/2007
APPLIED: 04/09/2007
EXPIRES: 01117/2008
VALUE: $ 42,848.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
V Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
416.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$42,848.00
$42,848.00
04/09/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $214.31 4/9/07 1200700000000000376
+ 10% Administrative Fee $40.95 5/9/07 1200700000000000547
+ 5% Technology Fee $25.04 5/9/07 1200700000000000547
+ 8% State Surcharge $31.10 5/9/07 1200700000000000547
Building Permit $329.70 5/9/07 1200700000000000547
Fire SF Fee - Residential $20.80 5/9/07 1200700000000000547
Fixture $14.00 5/9/07 1200700000000000547
Plan Review Minor - Planning $112.00 5/9/07 1200700000000000547
Sanitary Sewer - Improvement $39.58 5/9/07 1200700000000000547
Sanitary Sewer - Reimbursement $52.05 5/9/07 1200700000000000547
SDC Sanitary/Storm Admin $12.37 5/9/07 1200700000000000547
Storm Drainage Impervious Area $155.73 5/9/07 1200700000000000547
Storm Sewer - 1st 50 Feet $45.00 5/9/07 1200700000000000547
+ 10% Administrative Fee $5.60 7/19/07 3200700000000000489
+ 5% Technology Fee $2.80 7/19/07 3200700000000000489
+ 8% State Surcharge $4.48 7/19/07 3200700000000000489
Add, Alter, Extend Circ $48.00 7/19/07 3200700000000000489
Add, Alter, Extend Circ Ea Add $8.00 7/19/07 3200700000000000489
Total Amount Paid $1,161.51
I Plan Reviews I
Initial Review 04/10/2007 04/13/2007 APP LLH
Planninl! Review 04/1312007 05/02/2007 APP TAJ
Public Works Review 04/13/2007 04/16/2007 WI JLP
Public Works Review
04/1712007
04/17/2007
APP JLP
JP out ill 4/13--fiIe placed in basket
4/1312007---Waiting in order PW
rcvd for rvw---Iogged in on4/16.JLP
WI 4/16/07
Storm to curb & gutter.JLP APP
4/17/07
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield
Structural Review
04/27/2007
05/08/2007
APP LLH
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00514
ISSUED: 05/09/2007
APPLIED: 04/09/2007
EXPIRES: 01/17/2008
VALUE: $ 42,848.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/13/2007
04/27/2007
10
LLH
Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Reouired Insoections 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.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and incl.uding required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
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 the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 3 of 3
cfty of Springfield
Electrical Authorization To Begin Work
E-mailedTo:dan@reynoldselectric.com
Receipt # EC514269
7/19/20071:33:42 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[K] Addition/alterationlreplacement
I. Description
Qty.
Ea.
Total
lliJ 1 or 2 family dwelling
D Multi-family
D Commercial/Industrial
11,000 sq_ ft, or less
lEa, addl 500 sq, ft or portion
I-Limited energy, residential
(with above SQ, ft)
I-Limited energy, multifamily
residential_(with above sq, ft) .
1:!t<"'<1{i!%IU~V'fi0<<;-~~;:'~-"'- .,;; --":"'-'--''','' ""'~<<I'%~"%%0Y;)<W;--~--:,f--- ':-,'>_ '__ " "-""'''~',:~'-:-'V:''i"!(i~'i'ii~ " - ;'___OOn,"':,"-"'_' ---":" ""';':~:<':i_':_,~,-,:(
-, "v;"'--;"
~~nJ~~,~.:~.~>f~q~r~J~~.t~!!~t.ion,il!'t~rl!.l~2.~.~~~J?lOR.t;~12~p~n .
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
Job no.: 18423 I Job address: 797 PRESCOTT LN
I City/State/ZIP: SPRINGFIELD, OR 97477-3690
I Suitelbldg./apt.no.:
I Project name: Rennick
Cross street/directions to job site: Centennial to prescott
I Subdivision:
Tax map/parcel no.: 1703341409800
I Lot no.:
I 200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
Small remodel
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit
B_ Fee for branch circuits
without service or feeder fee,
first branch circuit;
I each addl branch circuit
I Name: dan
IPhone: (541) 343-7297
I Email: dan@reynoldselectric.com
I Fax:
$48.00 $48.00
2 $400 $8.001
I
1
I
I
I
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or limited-
energy panel, alteration, or
EI.lic.no.: 20-155C !CCBlic.no.: 17252
I Business Name: REYNOLDS ELECTRIC INC
I Contact: dan
I Address:
I City/State/ZIP: EUGENE OR 97402
I Phone: (541 )3437297 I Fax: None
I Email: dan@reynoldselectric_com
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 2520S
/Supervising electrician's name: JOHN A REYNOLDS, JR
I
I
I
* City Of Springfield
Subtotal I $5600
State Surcharge (8% of pennit fee) $4.481
City Of Springfield fees *1 $8.40
TOTAL PERMIT FEE I $68.88 I
10% Local Admin Fee; 5% Local Technology Fee
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
COM. ::) (,T) { - roSl '+'
-- \ -
t...J<6''1
RCPT #. S 2-CJV { .-
~\o,-O-'
DATE PROCESSE .
PROCESSED BY: fb I ~ I/l,
This Authorization To Begin Work must be posted at the job site until rE'Pla~ by a Permit.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
225 Fifth Street
Springfield, Oregon 97477
541-726';3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200700000000000489
Date: 07/19/2007
1 :50:28PM
Job/Journal Number
COM2007-00514
COM2007-00514
COM2007-00514
COM2007-00514
COM2007-00514
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
48.00
8.00
2.80
4.48
5.60
$68.88
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
nJm
ONLINE
reynolds Online
elect
Payment Total:
$68.88
$68,88
cReceint I
Page 1 of I
7/J 9/2007