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HomeMy WebLinkAboutPermit Building 2003-9-24 SITE ADDRESS: 897 S ST ASSESSO~~~reg6~~~a~syouto PROJEC~i~,.rMp~iW..Qpt~Q,RY the Oregon Utility Notification earlier. 'fHose rules are set.fort' -. :;.\n ~H} ~~1' ~'-'~'-' 1~~?':~lo. ':'^? '.'i'J 'i'." Owner:OO!MJlCID\im)aJlDtlrmn copies 'oMhe rules ,.t Address: ~M~r?g~~1:e{iRm:~Itne<mecptf~71e ......,"L.,..., h:,,:h.:. S~.:.;.:.;, Ut~~tJ P'.:1:{:':3[::1 Center is 1-800-332-234fcONTRACTOR INFORMATION. Contractor, Type Contractor ~O!ICE;M'T SH~':~PIRE IlfW~l~tt9~f<Pate General MICHAEL HIATT CONSTKJli"tf~ ZED UN~ :-O~rlIS PERMrP~G~~~94 Electrical THOMAS LEE BALCOM J~UTHORI 'i '1~~ . -o:wMI2003 Mechanical COMFORT FLOW COMMENCED O~ ANDONt 06127/2005 Plumbing SURRETTS PLUMBING ING\NY 180 DAY PE~ 7 ' 01114/2004 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 3 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 5.00 12.00 , 29.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved No Notes: ,! CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00497 ISSUED: 09/24/2003 APPLIED: 06/13/2003 EXPIRES: 03/24/2004 VALUE: $ 151,007.00 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 541-741-0384 Phone 741-0384 541-461-2590 541-726-0100 541-741-3553 I BUILDING INFORMATION' # of Stories: 1 Height of Structure 19.00 Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: Path 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: 7,470 1,465 528 I DEVELOPMENT INFORMATION. REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 29.80 I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Pal!:e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garal!e , Garal!e Dwellinl!s Garal!e Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge, 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Copies ~ Ea Addtl @ 50 Cnts Ea Copy 1st @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement ' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + 10% Administrative Fee I Valuation DescriDtion I $ Per Sq Ft or multiplier $90.60 $23.80 ' $23.80 Square Footage or Bid Amount 1,465.00 528.00 240.00 Total Value of Project ~ Amount Paid Date Paid $464.85 $10.00 $112.27 , $78.59 $254.00 $8.00 $8.00 $734.65 $4.00 $0.75 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $59.00 $-30.00 $369.38 $485.98 $10.00 $34.83 $332.86 $95.16 $50.04 $709.81 $160.87 $75.00 $800.32 $50.00 $18.00 $1,000.00 $2.10 6/13/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 7/14/03 ,7/14/03 7/14/03 9/24/03 Pal!e 2 of 4 , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00497 ISSUED: 09/24/2003 APPLIED: 06/13/2003 EXPIRES: 03/24/2004 , VALUE: $ 151,007.00 Value Date Calculated $132,729.00 $12,566.40 $5,712.00 $151,007.40 06/13/2003 06/1312003 07/1112003 Receipt Number 1200200000000001524 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 1200200000000001752 2200200000000001567 ~.l?J~Ii!,I,~S!"~J~~1 ""_~,,,"^,..~, l ' , '. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00497 ISSUED: 09/24/2003 APPLIED: 06/13/2003 EXPIRES: 03/24/2004 VALUE: $ 151,007.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 $12.30 $1.47 $8.61 $21.00 $85.00 $38.00 9/24/03 9/24/03 9/24/03 9/24/03 9/24/03 9/24/03 2200200000000001565 2200200000000001567 2200200000000001565 2200200000000001567 2200200000000001565 2200200000000001565 Total Amount Paid $6,197.84 I Plan Reviews , Initial Review 06/16/2003 06/17/2003 APP LLH No initial plan reviews completed on 6/16/03. I was out of office. Planninl! Review 06/17/2003 07/01/2003 APP TAJ accessory building has proper setbacks Public Works Review 06/17/2003 06/18/2003 APP DJW Public Works Review 07/03/2003 07/04/2003 APP DJW Added impervious area for shop added to building permit. Structural Review 06/17/2003 07/09/2003 APP TCM Structural Review 09103/2003 09/03/2003 OK TCM Change order for shop 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. Ul-eouiredJ'nsnections. 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insu!ation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Underfloor Plumbing: Prior to insulation or decking. 15 Underfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17, Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19, Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Underfloor Mechanical. Prior to insulation or decking and including required testing. Pal!e 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00497 ISSUED: 09/24/2003 APPLIED: 06/13/2003 EXPIRES: 03/24/2004 VALUE: $ 151,007.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 30 Final Electric: When all electrical work is complete. 31 Rough Electric: 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 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 4 of 4 , ' d haS the tollOwing , , , t s submltte d use ' 225 FIFTH STREET The following prolec~~ require specific Ian , ELECTRICAL PERMIT APPLICATION , SPRINGFIELD, OREGON 91A~i~9, and does n , ' /l~" ,. ' INSPECTION REQUEST: 7~69, J-,~ ' Ci ty Job NumbeL-()/??~633, '--(JO Cf97 OFFICE: 726-3759 zon\l1g-r:,_~<;_D&-: .- . ' -~ . _COMPLETE FEE SCHEDULE BELOV 1. ~~ATION. OF INSTALOOTmr--.- ature _ <t<J - - " ' ''17 ,5 \..i+rte;/mthOrized SIgn . A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: .I I D~:::?lp /6 () g-.J.(Sl) Jow\jjiStefil16tJJaNregon law requires you tu , . follow rules adooted by thA ()rag')R..(Jt.ility , " Notification cent~er. hOGrUle~r ~tfnrl PermljMJjA.:W99~lhr\f- JW.! lIe a 'Ire' ' if w~~6s\.A19It~:SlartKq tJf . 00 of issuan~~o~J!TIPV OOi.'ftn~~~n.tles .t 180 day~~ Ing tne center. (Note: the telephone, number for t~e Oregon Util!ty-"~.otification ' 2. CONTRACT~ril'5~SM~4)' ,B. Services or Feeders 'j' .",1' L" "- Installation, Alterations Electrical Contractor nr;r()ul)~ ~/e.d((G..J-f'G or Relocation: Address3D3? v.vi()-'t:crLr&JK ',NOTICPloo amps or l(j!g~ Ie TW' H10nK $ 50.00 , ' 'CO ru\s PE~~T~&llt&Y400tamp~ L ~~. ,~I $ 60.00 CitYJu.~n6' Phone ~f)1 -500l;1'UTH080~~E~-\Ol'lti~.opampJ.\1I~ I~UT'$100.00 ' , '.\ 1fo<As1J~~oa1l!V>fOR $130.00 SUPE1!rvi.s License Number l~)1 6 COMM 100 O?-.mP'1}voi'ts $300..00 () ,I ANY 1 ~~YlI~ ably $ 40.00 Expiration Date I - ,JOD,.., Con::;tr Contr. Number 13CJ.O<j'j- Expiration Date ;}- i". OJ.! Signature of Supervising Electrician a Iz::/%~ own:rs Na~ r l~ W p, iJ J/; if Address Sf7 0'...s -I-nRxr- ' Ci ty ~f.2--/ Phone '();0-- OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: D17r.17TP'I' it! 1000 sq.ft. or less, Each additional 500 sq. ft or portion thereof Each Manuf'd Bome. or Modular 'Dwelling Service or Feeder CostdJ' Sum /00. fJr ~ / 9. (fO Ai."-' 2 '$ lS.fifi '.:- Items r ,$ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' .OT less $ 40.00 . 201 amps to, 400 amps $ 55.00 Over 401 to 600 'amps $ 80.00 Over 600 amps or 1000 volts see "B"above 'D. Branch Circuits ," New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Addi tional Circuit or with Service ,or Fe~der Permi t ' $' 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee $ 40.00 $ 40.00 $ 20.00 , $. 36.00, . 60 ~',' -. ...... "/'II/J - .'\~ ,7' -, /- (j 1&( <,L?s 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00497 COM2003-00497 COM2003-00497 'City of Springfield Official Receipt Development Services Department- Public Works Department Reccipt#:2200200000000001567 Description Residence Wiring 1000 Sq Ft + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By JAMES R. HARDING Received By nJm LflecK l~umoer Batch Number 000178 Date: 09/24/2003 1l:00:20AM Amount Paid Item Total: 21.00 1.47 2.10 $24.57 Authorization Number How Received In Person Payment Total: Amount Paid 024758 $24.57 $24.57 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00497 COM2003-00497 COM2003-00497 COM2003-00497 Receipt #: 2200200000000001565 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment CreditCard Paid By JAMES R. HARDING Received By nJm -- ...... . LneCK l~umDer Batch Number Authorization Number 000178 024587 City of Springfield Official Receipt Development Services Department A Public Works Department. Date: 09/24/2003 " 10:31:03AM Amount Paid Item Total: 85.00 38.00 8.61 12.30 $143.91 How Received In Person Payment Total: Amount Paid $143.91 $143.91