HomeMy WebLinkAboutPermit Building 2004-3-5 (3)
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01091
ISSUED: 03/05/2004
APPLIED: 10/28/2003
EXPIRES: 09/05/2004
VALUE: $ 7,978.20
"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 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
~
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION'
# ofVnlts: # of Stories: Lot Size:
Primary Occupancy Group: R-l Height of Structure Sq Ftlst Floor:
Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor:
Primary Construction Type VN Water Type: Sq Ft Basement:
Secondary Construction Type: Range Type: Sq Ft Garage/Carport
# of Bedrooms: Energy Path: Sq Ft Other:
Impervious Surface Area:
SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING
"', Front yard Setback: Overlay Dist: Total:
Side 1 Setback: 5.00 # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: 0.00
N OTIC . I PUBLIC IMPROVEMEN'lS):NTlOIII:uregon law requires you to
E. 1.1/. ,trul~ldo,e~ bv the Oregon Utility
Street 1m rove ents: ' . It:
p ,,1m r t R M ITS HA LL EXPI R E ~otiflcatlon m. ~8se rules are setforth
Storm Sewe"''4~~i'e~!~lED UNDER T IF THE WORK In OAR 952'D6WlGllqQ,1@~I!iy/liOAR 952-001-
Special Instr~f,tfv~PviENCEO OR HIS PERMIT IS NOT 0090. You may obtain copies of the rules b~
ANY 1 B IS ABANDONED FOR calling tho center. (Note: the telephone
Notes: 0 DAY PERIOD, number for thB Oregon Utility Notification
('\en.......'roo.. ~';'~ ~1,~ ~9~ ~j.
I Valuation Descriotion I
"t.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of3
..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Deck/Balconv
Estimate
Deck
Estimate
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
Plan RevlewlResidential Hourly
Total Amount Paid
Initial Review
Plannin!! Review
Public Works Review
Structural Review
Structural Review
.
10/29/2003
10/2912003
10/29/2003
10/2912003
0211112004
$16.60
$J.OO
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01091
ISSUED: 03/05/2004
APPLIED: 10/28/2003
EXPIRES: 09/05/2004
VALUE: $ 7,978.20
67.00
6,866.00
$1,112..20
$6,866.00
$7,978.20
03/04/2004
10/2812003
Total Value of Project
FpP~ tIiILI
Amount Paid
$54.60
$9.18
$6.43
$91.80
$59.00
$90.00
$311.01
I Plan Reviews I
10/29/2003
1111712003
10/30/2003
1112112003
03/0312004
Date Paid
Receipt Number
1200200000000002382
1200400000000000281
1200400000000000281
1200400000000000281
1200400000000000281
1200400000000000281
10/28/03
3/5104
3/5/04
3/5/04
3/5/04
3/5/04
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
Received response to request for
additional Information, Including
engineering.
APP VRJ
WE DLM
APP DLM
A separate electrical permit Is
required for any additions to or
modification of tbe 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
errect at the time of the original
conversion. Any new electrical wor~
shall comply with the present code.
See documents for plan review
comments.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01091
ISSUED: 03/05/2004
APPLIED: 10/2812003
EXPIRES: 09/0512004
VALUE: $ 7,978.20
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.
1 Footing: After trenches are excavated.
2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
3 Wall Insulation: Prior to cover.
4 Ceiling Insulation: Prior to cover.
5 Drywall: Prior to taping,
6 Final Building: After all required inspections have been requested and approved and the building is complete.
By signature, I state and agree, that I bave 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 he 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 ail
times ng construction.
. , /c14t'tuA1L0
tractors Sig~atu.v' . /
,~ lc::; /zeo4-
(
Date
Paee 3 of3
225 Fifth Street ..-
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2003-01091
C0M2003-01091
COM2003-O 1091
COM2003-O 1091
COM2003-0109 I
Payments:
Type of Payment
Check
Ji~~-!
WiE:- .. ;
. ,
- .................~----. "'-~. . !
Receipt #: 1200400000000000281
Description
Plan Review - Planning
Plan Review/Residential Hourly
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
Cbeck Number
Batch Number Authorization Number
Paid By
STEPHEN T LAUCH
1682
Cit)'of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/05/2004 3:08:53PM
Amount Paid
Item Total:
59.00
90.00
91.80
6.43
9.18
$256.41
How Received
In Person
Payment Total:
Amount Paid
$256.41
$256.41
.
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