HomeMy WebLinkAboutPermit Building 2006-4-24
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01124
ISSUED: 04/24/2006
APPLIED: 08/18/2005
EXPIRES: 08/06/2008
VALUE: $ 90,996.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 309 10TH ST
ASSESSOR'S PARCEL NO.: 1703351415400
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Replace garage and add 2nd floor BR & Bath
Owner: TERESA SMITH
Address: 309 10TH ST
SPRINGFIELD OR 97477
Phone Number: 541-747-1790
I ~ONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
OWNER
GARY ALAN MUSTIN
License
8699
Expiration Date
12/18/2010
Phone
541-747-6638
129990
06/24/2008
541-463-7568
'...!!UILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VN
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
2
28.00
Wall Heat
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
79
630
576
Path 1
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: .(~ ~ Compact:
% of Lot Covera~!J80!lrJON ~l!Jn uoteJ If J81U8O
, 8~04d8'81 84i .:8JON) .~ue:: :aw...:!!'
. 'llRJ 8lfi ,e . . J ~ ...
I PUBLIC IMPROVENlm~ Wo ';6~o~:: A8w noA '0800
......~I,..,.JI sam. MINI&-,. JOO-~ WO UI
Street Improvements: Fully Improved Allllln U06eJcr34;1qp.~:S80 UOII8Oy:nON Curbside 5'
Stor~~~fft~~ailable: Yes OJ noA I8J1ntJllJ~ lWI.!'''' MOIijI Storm Sewer
SpeciL1\Vs ~on: oftul.LN.iL.l..V
THIS PERMIT SHAll EXPIRE IF THE WORK
Note~UT~(3RtiHfMINDfifqJrcH"~B fS ~oym 8/22/2005 CAS
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
38.00
52.00
27.00
35.00
Pal!:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01124
ISSUED: 04/24/2006
APPLIED: 08/18/2005
EXPIRES: 08/06/2008
VALUE: $ 90,996.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description'
Description Tvpe of Construction $ Per Sq Ft Square Footage
or multiplier or Bid Amount
Dwellin!!s V Wood Frame $96.00 630.00
Dwellinl!:s V Remodel $43.00 209.00
Dwellinl!:s V Wood Frame $99.00 79.00
Garal!:e Gara!!e $23.80 576.00
Value Date Calculated
Total Value of Project
$60,480.00
$8,987.00
$7,821.00
$13,708.80
$90,996.80
04/10/2006
08/18/2005
02/06/2006
04/10/2006
~
Fee Descrip(ion Amount Paid Date Paid Receipt Number
Plan Review Residential $304.30 8/18/05 3200500000000000504
Plan Review Residential $15.21 2/7/06 1200600000000000124
+ 10% Administrative Fee $5.00 3/29/06 2200600000000000402
+ 8% State Surcharge $4.00 3/29/06 2200600000000000402
Temp Power 200 amps or less $50.00 3/29/06 2200600000000000402
-Mechanical Issuance Fee- $10.00 4/24/06 1200600000000000533
+ 10% Administrative Fee $64.56 4/24/06 1200600000000000533
+ 8% State Surcharge $51.64 4/24/06 1200600000000000533
Building Permit $530.55 4/24/06 1200600000000000533
Dryer Vent $6.00 4/24/06 1200600000000000533
Fixture $70.00 4/24/06 1200600000000000533
Minimum/Adjustment Mechanical $33.00 4/24/06 1200600000000000533
Plan Review Minor - Planning $85.00 4/24/06 1200600000000000533
Plan Review Residential $25.35 4/24/06 1200600000000000533
Sanitary Sewer - Improvement $133.49 4/24/06 1200600000000000533
Sanitary Sewer - Reimbursement $175.49 4/24/06 1200600000000000533
SDC Sanitary/Storm Admin $3.24 4/24/06 1200600000000000533
SDC Sanitary/Storm Admin $16.41 4/24/06 1200600000000000533
Storm Drainage Impervious Area $19.12 4/24/06 1200600000000000533
Storm Drainage Impervious Area $64.86 4/24/06 1200600000000000533
Vent Fan $6.00 4/24/06 1200600000000000533
+ 10% Administrative Fee $6.80 8/6/07 2200700000000001237
+ 10% Administrative Fee $7.00 8/6/07 2200700000000001238
+ 5% Technology Fee $3.40 8/6/07 2200700000000001237
+ 5% Technology Fee $3.50 8/6/07 2200700000000001238
+ 8% State Surcharge $5.44 8/6/07 2200700000000001237
+ 8% State Surcharge $5.60 8/6/07 2200700000000001238
Add, Alter, Extend Circ $48.00 8/6/07 2200700000000001237
Add, Alter, Extend Circ Ea Add $20.00 8/6/07 2200700000000001237
Perm Serv/Fdr 200 amps or less $70.00 8/6/07 2200700000000001238
Total Amount Paid $1,842.96
Pal!:e 2 of 4
Building/Combination Permit
PERMIT NO: COM2005-01124
ISSUED: 04/24/2006
APPLIED: 08/18/2005
EXPIRES: 08/06/2008
VALUE: $ 90,996.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl!: Review
Planninl!: Review
I Plan Reviews I
08/19/2005 08/22/2005 APP LLH
08/2212005 09/06/2005 APP TAJ
02/06/2006 02/14/2006 APP TAJ
02/06/2006 02/14/2006 APP CAS
08/22/2005 08/22/2005 APP CAS
08/22/2005 08/30/2005 WE DLM
02/06/2006 04/10/2006 APP DLM
Public Works Review
Public Works Review
Structural Review
Structural Review
CITY OF SPRINGFIELD'
Revised plans submitted- larger
addition No Planning issues.
Revised plans submitted - larger
addition
Storm drainage piped into existing
system 8122/2005 CAS
Plans inadequate. Requested add'l
info. from applicant. 8/30/05 dim
Submitted revised plans in response
to requested info 2/6/06 Owner in no
hurry for permit dim. See
documents for Plan review
comments.
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.
~eouiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
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 including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pal!:e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01124
ISSUED: 04/24/2006
APPLIED: 08/18/2005
EXPIRES: 08/06/2008
VALUE: $ 90,996.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temporary Electric: Approval required prior to Utility Company energizing pole.
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.
~~~ 1-6.0i"
Owner or Contractors Signature
Date
Pal!:e 4 of 4
~~'., ~ 'I'.
4.i!: ~~
~~.~ ..,'f~~I!!I~
~\.
:, .
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001238
Date: 08/06/2007
9:13:08AM
Job/Journal Number
COM2005-01124
COM2005-01124
COM2005-01124
COM2005-01124
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
CreditCard
Paid By
TERESA SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70,00
3.50
5.60
7.00
$86.10
Amount Paid
nJm
069598 In Person
Payment Total:
$86.10
$86.10
cReceint I
Page I of 1
8/6/2007
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2005-0 1124
COM2005-01124
COM2005-01124
COM2005-01124
COM2005-01124
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200700000000001237
Date: 08/06/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
TERESA SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 067658 067658 In Person
Payment Total:
Page 1 of 1
9:03:17AM
Amount Due
48.00
20.00
3.40
5.44
6.80
$83.64
Amount Paid
$83.64
$83.64
8/6/2007
ZON Lm.....
INITIALS - N M
DATE Z-::k/O'"
SOURCE fY'1>5 f'--
Date <6\ h\ nT
CITY OF SpRINGFIELD, OR~GON
\
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726.3753 . FAX: (541)726.3689
ELECTRICAL PERMIT APPLICATION
City Job Number CO YY\ ~05 - CS-I \ 7-Lf
1. LOCATION OF INSTALLATION:
~ r~ 30Q 16fu.~-
LEGAL DESCRIPTION:
\ 7 Os s5 Ilf I 5'1 02J
JOB DESCRIPTION:
~~\~; 7f\r0
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~
Address 3D-q l ~'^' U--
City 7JML Phone 1lf7 --\1 q 0
Superwsor License Number
. ----- .,~
. Expiration Date __________ .,' ..
~
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name -tjf~~ ~~
Address ~q 1 ~ 151-
Phonel Lf7---1 ( 90
City?1- ~
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
wners Si~~ ature,:
f4. . .
":~~15 FERMIT SHALL EXPIRE IF THE WORK
.AUTHORIZED UNDER THIS PERMIT IS NOT
Inspectio.cR~~M~~~W3~ IS ABANDONED FOR
ANY 180 DAY PERIOD.
..
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
.
Service Included
IOQO sq. ft. orless
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
B. S,ervices or Feeders -Installation, Alterations or Relocation:
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
T
$ 70.00' ~~ ";&
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
,.'
,:.J
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per panel/'
One Circuit $ 48.00 4~. 00
Each Additional Circuit or with t::
Service or Feeder Permit\7SC:-Z8S-n0h-l)SI j~l4-'ml ZO. 00
\1/ I - 6 a4l JO! Jsqwnu
uo!r8~)g'10N Al-!\Hn uo ~jO 6 eo
E. Miscellane~fc!~~oUit~"fkfe~de!l4ilblf) int~'d~) '!\\'\.JX ~~-gOBation
f..q selnJ EllH!O s81doo U!Blqo BW no u
Pump or irrigraenG96 1:1'\1'0 46noJ4l 0 ~OO-I$)515~6 ~~? I
SignlOutlin~jgp~iatg aJB SalnJ as,041 ':U~~~~~~~B;1;~I,,~a
Limited Ener~~i~aRtMO a4l ^q ~CI~eJ6PUlIl N3.J.lY
01--""'< SaJlobaJ M~I u .m;1U.
Limited Energyl\;oliiinercal $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges ov
4. SUBTOTAL OF ABOVE (/1 g " '
8% State Surcharge ~ S . \.f 0
10% Administrative Fee S' 4-- '-f
5% Technology Fee . ct: '- XV
TO!AL j S.~y
Shared Drive(T:)/Building FormslElectrical Permit Application 7-07.doc
~:~
T~ ...._
ZON ~
INITIALS tJM
DATE ~.....tP/o1
SOURCE~/
. '
. CITY OF SPRINGFIELD, OREGON
225 FIFfH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689
ELEcl1<lCAL PERMIT APPLICATION
City Job Number C!.O\'V\ 2.-0.:55' - a ( I 'Z-Lf Date
Cb ~ aT'
1. LOCATION OF.lNSTALLATION:
3. COMPLETE FEE SCHEDULE BELOW
\~ ~
3Jq
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
LEGAL DESCRIPTION:
IJn3~6\Lt ISLtOO
JOB DESCRIPTION:
(lQlLG ~ vv0
$117.00
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or.
Modular Dwelling Service or
Feeder
$ 21.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$55.00
CONTRACTOR INSTALLATION ONLY
B. Services or Feeders -Installation, Alterations or Relocation:
2.
10, ozJ
/
Electrical Contractor ~
Address 3cTl1 I ~ ~.
City ~ J~ Phon:7lF7 i.1 q 6
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
C. Temporary Services or Feeders
Supervisor License Number
Expiration ~ /'
Constr. Contr. Numb~
Expiration Date ~ ~
Signa~''''i'ing Elre,ri"an ~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 55.00
$ 76.00
$110.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00
Owners Name-r-LV~~~
Address 2i?ct \ ~ 99\..
City ~\A -" Phone 14'7- ) 7 (to
E. Miscellaneous (Service/feeder not included) -Each Installation
.......-...........
Pump or irrigation $ 55.00
Sign/O~t1ine Lightin_1h _ ~ 81 JGlUfl':) $ 55.00
Limited h;~f~;~~iB~ie!O '8L1l JOl Jaqwn$l28.00
qq!1~O\l1l0N 14!mll'" 1 5ulll-e~
. ~Utl~a~~lrS~~qlJll.o/cIalllUaO .8L1t . 1 ~ 50.00
Minil&'tfflI~JestnifcPefQiitl~d~(mtUb~~~e ~~~O~SUrChargeS
4. ..~teJ}t~ ffiPg~r~g;~2g-~;ll-eOqIlON -:-70 o-V
l.llgpes aJe SalnJ awl:{ , . . "/~ '
1l\15t~!fe.aJig~l f\q paldop-e salnJ MOllO! :> - 5 0
~~~R'YLIJil~1~~tUo5aJO :NOllN311V 5 _ rO 0
500 Technology Fee 7 ~ (JV
TOTAL f< (0, / 0
Shared Drive(T:)/Building FonnslElectrical Pennit Appli~on 7-07.doc
OWNER INST ALLA TION
The installation is being made on property I own which
. is not intended for sale, lease or rent.
~..,~
~~LL 2~PIRElr THE WORK
... '~"7~ '11\'nr.ER TUlc DCDl\IiIT IS NOT
Aut' Ivi ill-L.~'" , I I I \J I .... "....t I
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Inspection Request: 726-3769
,)