HomeMy WebLinkAboutPermit Building 2002-9-10 (4)
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
e
a. CITY OF SPRINGFIELD
_J
Building/Combination Permit
PERMIT NO: 02-00919-01
ISSUED: 09/10/2002
APPLIED: 07/30/2002
EXPIRES: 06/02/2003
VALUE: $ 153,337.00
SITE ADDRESS: 7288 Forsythia St
ASSESSOR'S PARCEL NO.: 1802022101600
Spr
TYPE OF
Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: 64, Subdivision: McKenzie Hills, Land Use: Single Family Dwelling, Zoning:
LOR, SFR same as 857 S 67th 02-00667-01
Owner: Scott Hansen
Address: 633 Rowen Ave SpringfieW OR 97478
Contractor
Scott Hansen
Steve Hauck Electric
Scott Hansen
Scott Hansen ~~
THOMAS ANTHONY RYDER .~ ~<::j_,0>'\
.').~:' ~ ,
BUILDING INFORMktION'h.
". I!'~
~'V ~,. ~
I # of Stor~~ S ~~ ~<<.,~ 2 Lot Size:
R-3 HeighMf '\~ ':S:-~<::j 24,00 Sq Ft 1st Floor:
U-I . T~PS-"6!-<<at,~~ Wall Heat Sq Ft 2nd Floor:
VN ~,tV<<-~W'!l.~T',~'~ s;)~. Electric Sq Ft Basement:
~t:::> ~~~~i}1 ~ Electric Sq Ft Garage/Carport
3 '\~C;;, ~<::>~~!i~ll : Path 1 Sq ~!,O~h~r:..,
:-0"' ~<<:; <::j Impervious,Surface Area:
~ "'~ .:<:::. ,.,1{' .~,v .,,\" ~'\'
I DEV.F)~OPMENT INFORMATION I .,,~"; '':;..'S~.'l,':.,_c(f'> 'Q"I
,..-.;. 1"........ C ;. ,r .~ ".."
.v....:~ ;",' ",'~QUlRED_PARKING
.... .......""..., ...(~'. C',t"::- ,.t:~ .:~..o'
, ',.' . ..Hillside..o" (.) Total: vf(;~
.." ... .'-.' ,'" ,.'- c. . "'. ,'.:'\,...
# Street Trees i: ',or' ,:', ,~1' "..~J..~Ha,ndlcapped:
P d D' R d ," 'b- ", >~ (". '.' . .".
aye rIVe q. :.~.. (':S ,...... r) v'~" .1':,. .".Compact:
''''/'' ~. ,.e '~ lIes d. . .""v c':'
,.c', -<." J~' 'v .",,- 'J' n.~
% of Lot Cov,erage': \c\i- 5:)\i ,0'8,00" r-~ _ '"v
~';J_ ,~ :"ll;' q;.') .r~'? .()~...("-~.J
,0 .""c, -?lJ ~ c,'Z' d" ~~J'"
....~ () ~ _\.\ r. ,.. .. ~"lJ
IPUBLlC lMPROVEMENTSI,-<:,.(j''-\o''\.';(i.''-:>
~ ..~ ~-' ~, ~~
\,J' vI} ~Q;. -,0
F II I d .,,-~ SIdewalk Type:
u v mprove <:-"
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: (541) 741-8546
ICONTRACfOR INFORMATION I
License
Expiration Date
Phone
(541) 741-8546
(541) 741-1085
(541) 741-8546
(541) 741-8546
(541)343-0975
17,424
1,896
430
Overlay Dist:
22.00
Downspouts/Drains
Curbside 5'
Curb and Gutter
1 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
Same As Plan Review
8% Admin Fee - Electrical
8% Administrative Fee - Mechan
8% Administrative Fee - Plumbi
80/0 Building Administrative Fee
Address Assignment
Building Permit
Dryer Vent
Hood and Exhaust
Hourly Plan Review
Less than 100,000 BTU
Mechanical Issuance
Multiple Permit Discount - 2nd
MWMC Administrative Fee
New Curbcut
New Sidewalk
Planning Plan Review
Property Annexed 1979 or Befor
Residential - Improvement
Residential - Reimbursement
Residential - Single Family -
Residential Improvement MWMC
Residential Sanitary MWMC
S.F, Residence - Willamalane
Sanitary Sewer SDC Improvement
Sanitary Sewer SDC Relmburseme
SDC Administrative Fee
State Surcharge - Electrical
State Surcharge - Mechanical
State Surcharge - Plumbing
State Surcharge For Building P
Temporary: 200 Amps or Less
Two Bathrooms
Vent Fan to One Duct
Wiring Footage 1,000 Sq Ft or
Wiring Footage Each Add'l 500
, + 5% San & Storm Admin Fee
+ 7% State Surcharge
e
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00919-01
ISSUED: 09/10/2002
APPLIED: 07/30/2002
EXPIRES: 06/02/2003
VALUE: $ 153,337.00
I Valuation Descriotion I
$ Per Sq Ft
Amount Paid
$100,00
$17,04
$3,60
$20.32
$59,29
$8,00
$741.15
$6,00
$9,00
$45,00
$12.00
$10.00
$-30.00
$10.00
$75.00
$75.00
$55.00
$-139.68
$709.81
$160.87
$774.94
$34.83
$332.86
$1,000,00
$402.96
$530.16
$140.84
$14.91
$3.15
$17.78
$51.88
$50,00
$254,00
$18.00
$106,00
$57.00
$7.78
$3.15
Square Footaee
Value
Date Calculated
Total Value of Project
Fees Paid I
Date
Receipt Num ber
7/30/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/1 0/02
9/10/02
9/10/02
9/1 0/02
9/10/02
9/1 0/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/1 0/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
9/1 0/02
9/10/02
9/10/02
9/10/02
9/10/02
9/10/02
11/13/02
11/13/02
2 of 4
10098
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
10562
1200200000000000231
1200200000000000231
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
+ 8% Administrative Fee
Fixture
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Temporary Occupancy
Total Amount
Engineering-Res
Engineering-Res
Initial Review-Res
Initial Review-Res
Planning-Res
Structural-Res
Structural-Res
e
$3.60
$28.00
$17.00
$67.16
$88.36
$100.00
$6,051.76
_ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00919-01
ISSUED: 09/10/2002
APPLIED: 07/30/2002
EXPIRES: 06/02/2003
VALUE: $ 153,337.00
11/13/02
11/13/02
11/13/02
11/13/02
11/13/02
12120/02
1200200000000000231
1200200000000000231
1200200000000000231
1200200000000000231
1200200000000000231
1200200000000000446
I Plan Reviews I
08/08/2002
08/08/2002
07/31/2002
08/0112002
08/06/2002
09/09/2002
09/06/2002
Wait VJ
Called applicant, 8/8/02, regarding
driveway. Plans reflect 30 foot
driveway, Overwidth Application
has NOT been submitted, Holding
plans for return call,
Applicant (Scott Hanson) called
8/8/02, No overwldth driveway,
driveway curbcut is for a 24ft throat
only. SDC's and PW permits reflect
24ft driveway,
Plan and application do not match.
Application is submitted for lot 1801
McKenzie Hills, plan indicates lot
18, but the drawing Is lot 64, Owner
will be contacted by David Bowlsby
for clarification on which lot is being
submitted for construction.
Appr VJ
Wait LH
Appr LH
Appr AD
Wait BB
NEED ELEVATION DRAWING
FOR HOUSE CALLED JACK AND
WILL LET HIM KNOW WHAT
WE NEED 2ND OR THIRD TIME
TALKED TO DOM M, ABOUT
THIS, DON SAID THAT HE HAD
DONE THE LAST TWO AND
THAT WE ARE NOT GOING TO
DO ANY MORE. CALLED
GRASSROOTS ON 8/13/02
Received revised bldg elevations on
8/21/02; no grades shown on
elevations; revised elevations in
house to reflect approximate grades
based on discussion with the
superintendant, Completed review
by BB 09/09/02 dim
Appr BB
3 of 4
e
e CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00919-01
ISSUED: 09/1012002
APPLIED: 07/3012002
EXPIRES: 06/0212003
VALUE: $ 153,337.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
IR..n~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiJy 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 ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described
herein, and that NO OCCUP ANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiJy that only contractors and employees who are in compliance with ORS 701.005 wiD be
used on this project.
I further agree to ensure that all required inspections are requested at the proper tilne, 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 (;;;~=:,n. /2-/ '20 I" 2-
Owner or Contractors Signature
Date
4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
02-00919-01
Payments:
TWe of Payment
Check
Paid By
Description
Temporary Occupancy
SCOTT HANSEN
Receipt #: 1200200000000000446 .
Date: 12/20/2002
Received By
Check Number Confinn No
djb
Page I of I
12/20/2002 '
2:17:54PM.
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
100.00
Line Item Total:
$100.00
How Received
Amount Paid
In Person
100,00
$100.00
Pavment Total:
.
.
cRec:eipt.rpt