HomeMy WebLinkAboutPermit Building 2004-3-5
-~;.-
~,.~
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01091
ISSUED: 03/05/2004
APPLIED: 10/28/2003
EXPIRES: 03/27/2005
VALUE: $ 7,978.00
Status
Issued
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3263 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221319900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Structural improvements to 2nd story bedroom.
Alteration
Residential
Owner: LAUCH STEPHEN T & JILL R
Address: 3263 RALEIGHWOOD AVE SPRINGFIELD OR 97477
.n
:-"av.,.""
I CONTRA0TQR'INFORMATION I
\~"'" O\~'" ':>'" R)"
O~\ ",'0 '(l.\'o ~.CJ .
Contractor . Ot0~ 6'0'1 \\. \0.\0':> \>0'" ~'O ~'o':> 'OLtcense
OWNE~,,\\O~' 609\0 ,,\'r'o0,:>0 0.Q,'r'o 0 \'r'o'o \U 0<:0'0
O~ ~e.s.:~0(' \'r'otO. e':> 0' e\e9'f' :\\0<:0
T~t~~l}(;f$iWJ~~fi/.,e :"'\o'i.\~\,,-a: 159425
~~\~~~'Z.~~.. iJii1.iil;Nill~r'hm\iATION I
\~O 'to\) 11\0"'" ot~'" O~...-
# of Units: O~'~~\~~~ \O,~0 ./I.~f'S~ories:
Primary Occupancy Group: c:.'ii~'00' C0~\0t ifeight of Structure
Secondary Occupancy Group: ~ Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path:
Sprinkled Building:
Contractor Type
General
Electrical
Plumbing
Expiration Date Phone
05/12/2006 541-607-8879
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# Street Trees Rqd: ~r::,'r-.~
Paved Drive Rqd: 1( '\\\'t. ~r::,'\
% of Lot Coverage: 't.iS)\'r-.~~'r-.~\\ ~~'r-.
. ..c.' _ "-~\\\.\.n "I.\\\S A\~'t.'V
I' ,
I pUBm~i~~ovmt3~iS;II>-'O\"'~
\ ~~'\\~~C.'t.\ ~'t.'r-.\r::,'V' Sidewalk Type:
C.\)~ \ 'O\) 'i)!' DownspoutslDrains:
\\~--{
Total:
Handicapped:
Compact:
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e I of3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Deck
Estimate
DecklBalconv
Estimate
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
Plan ReviewlResidential Hourly
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Initial Review
Plannine Review
10/29/2003
10/29/2003
Public Works Review
Structural Review
10/29/2003
10/29/2003
. CITY OF SPRtl'\jljt<U,LD
Building/Combination Permit
PERMIT NO: COM2003-01091
ISSUED: 03/05/2004
APPLIED: 10/28/2003
EXPIRES: 03/27/2005
VALUE: $ 7,978,00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$16.60
$1.00
Square Footage
or Bid Amount
67.00
6,866.00
Value
Date Calculated
$1,112.20
$6,866.00
$7,978.20
03/04/2004
10/28/2003
Total Value of Project
Fpp< tiilLI
Amount Paid
$54.60
$9.18
$6.43
$91.80
$59.00
$90.00
$5.60
$3.92
$56.00
$5.20
$3.64
$43.00
$9.00
$437.37
Date Paid
Receipt Number
1200200000000002382
1200400000000000281
1200400000000000281
1200400000000000281
1200400000000000281
1200400000000000281
1200400000000001102
1200400000000001102
1200400000000001102
1200400000000001393
1200400000000001393
1200400000000001393
1200400000000001393
10/28/03
3/5104
3/5/04
3/5/04
3/5/04
3/5/04
7/19/04
7/19/04
7/19/04
9127/04
9127/04
9/27/04
9/27/04
Plan Reviews ,
. 10/29/2003
11/1712003
10/30/2003
11121/2003
APP LLH
APP TAJ
No plot plan. Have called the
applicant and left message to find
out setback for the addition.
received info on 11/12.
No PW's fees.
Contacted applicant requesting
additional Information needed to
complete the review. Made app't.
for Tues. 11/25 to convey the
requirements to him. dim
APP VRJ
WE DLM
Paee 2 of3
-r:......~
-.,:
.
. ~1l f OF >srKJ1'1lJl'1ELU
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-01091
ISSUED: 03/05/2004
APPLIED: 10/28/2003
EXPIRES: 03/27/2005
VALUE: $ 7,978.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
02111/2004
03/03/2004
APP DLM
Received response to request for
additional information, including
engineering.
A separate electrical permit Is
required for any additions to or
modification of the existing wiring
system. The location of existing
electrical receptacle outlets and
other devices as well as all existing
wiring shall meet the Residential
Code requirements that were in
effect at the time of the original
conversion. Any new electrical wor~
shall comply with the present code.
See documents for plan review
comments,
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.
~irp.d Imnp.p.~
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and tbe building is complete,
Rough Plumbing: Prior to cover and including required testing.
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 furtber 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 tbe 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
PaKe30f3
225 Fifth Street
Springfi\!ld, Oregon 97477
54i~726-3759 Phone
Job/Journal Number
COM2003-0 1091
COM2003-0 I 09 I
COM2003-0 1091
COM2003-0 1091
Pnyments:
Type of Payment
CreditCard
9/27/2004
.
RECEIPT #:
~.
,ty of Springfield Official Receipt
velopment Services Department
Public Works Department
1200400000000001393
Date: 09/2712004
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
STEPHEN LAUCH
Item Total:
Check Number Authorization
Received By Batcb Number Number How Received
djb 8505 I I In Person
Payment Total:
Page I of I
11:36:15AM
Amount Due
43.00
9.00
3.64
5.20
560.84
Amount Paid
560.84
560,84