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