HomeMy WebLinkAboutPermit Building 2004-3-10
Status
Issued
.
.' CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00155
ISSUED: 03/1012004
APPLIED: 02/0912004
EXPIRES: 09/10/2004
VALUE: $ 13,305.30
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1464 QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703253201200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: BR extension; Bathroom addition
Owner: BURGE MERRILL E & CAROL J
Address: 1464 QUlNALT ST SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
JOHN GROSS
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
License
78172
Expiration Date
12/2712005
Phone
541.689-0129
BUILDING INFORMATION I
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surfaec Area:
VN
I DEVELOPMENT INFORMATION I
~. \f 1\'\~ WORK
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1\'1\1! S\ffi ~ 1\'1\S p~ fOR
r-.1.ll"ROO1i) o~f(lIS r-.Bt>.NOONEO No
4,206.00 CoM~~~'f~\eO. 23.80
0.00 t>.N'l18
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
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n law 16',-,\'" . '
^..-rENTION:Ore~~ ''''n'<M" )Jtlhty
,,\ 1 d tbuo;!YP~pouu,urall\s. ,rt'
follow rules a op Those rules are set 0 .
'-Iotification cent~~1 0 through OAR 952-00\
OAR 952-001- 'Ias of the rules
n btain cop
0090. You may 0 Note: the tele.~hO~e
calling the center. {on Utility Notification
number for the'01re8900_332_2344).
(",..rotor1':: -
Pa~e I 00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
V Wood Frame
Fee Description
Plan Review Residential
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Cire
Add, Alter, Extend Circ Ea Add
Appliance Not Listed
Building Permit
Fixture
Minimum/Adjustment Mechanical
Plan Review - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimhursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Vent Fan
Total Amount Paid
Initial Review
Plan nine Review
Puhlie Works Review
Structural Review
02/09/2004
02/09/2004
02/10/2004
02/09/2004
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00155
ISSUED: 03/10/2004
APPLIED: 02/09/2004
EXPIRES: 09/10/2004
VALUE: $ 13,305.30
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
144.00
Value
Date Calculated
Total Value of Project
$ 13,305.60
$13,305.60
02/09/2004
Fpp< P'\ilIJ
Amount Paid
Date Paid
Receipt Number
$90.09
$10.00
$31.96
$22.37
$43.00
$6.00
$9.00
$138.60
$42.00
$30.00
$71.00
$103.26
$ 135.84
$14.57
$52.20
$45.00
$6.00
2/9/04
3/1 0/04
3/1 0/04
3/10/04
3/1 0/04
3/10/04
3/1 0/04
3/10/04
3/10/04
3/1 0/04
3/1 0/04
3/10/04
3/10/04
3/1 0/04
3/10/04
3/1 0/04
3/1 0/04
1200400000000000177
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
1200400000000000289
$850.89
I Plan Reviews I
02/09/2004
03/03/2004
02/1212004
03/09/2004
APP RJB
APP T AJ
APP VRJ
APP DLM
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" In{',np,..ti1lll.l
I Footing: After trenches arc excavated.
2 Foundation: After forms are erected but prior to concrete placement.
Paee 2 of3
.
. CITY OF SPRINu,HI!,LD
Building/Combination Permit
PERMIT NO: COM2004-00155
ISSUED: 03/10/2004
APPLIED: 02/09/2004
EXPIRES: 09/10/2004
VALUE: $ 13,305.30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
3 Post and Beam: Prior to floor insulation or decking.
4 Floor Insulation: Prior to decking.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approyed.
6 Walllnsulation: Prior to cover.
7 Ceiling Insulation: Prior to coyer.
8 Drywall: Prior to taping.
9 Final Building: After all required inspections have been requested and approved and the building is complete.
10 UnderOoor Plumbing: Prior to insulation or decking.
11 UnderOoor Drain: Prior to cover or placement of concrete.
12 Rough Plumbing: Prior to cover and including required testing.
I3 Storm Sewer Line: Prior to mling trench.
14 Final Plumbing: When all plumbing work is complete.
15 Rough Mechanical: Prior to Coyer
16 Final Mechanical: When all mechanical work is complete.
17 Rough Electric: Prior to Cover
18 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 ofany 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!; Ie ted at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
1IVf\~~, A~ 5 -ltJ-Ot!
Owner or Contractors Signature Date
Pal1e 3 of3
< 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
.
Job/Journal Number
COM2004-00 155
COM2004-00155
C0M2004-00155
COM2004-00155
COM2004-00155
COM2004-00155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
COM2004-00 155
Payments:
Type of Payment
Check
,
,;
lt~
-..p~""".~.,~. _'u~ ".
~'
. .
, ,
I
." '-WJ
....._0'..."... .
,'"
Receipt #: 1200400000000000289
Description
Building Permit
Fixture
Storm Sewer - 1st 50 Feet
Vent Fan
Appliance Not Listed
-Mechanical Issuance Fee-
Minimum! Adjustment Mechanical
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review - Planning
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
L'heck Number
Batch Number Authorization Number
Paid By
CAROL JEAN BURGE
502
City of Springfietil Official Receipt
Development Services Department
Public Works Department
Date: 03/10/2004
9:40:10AM
Amount Paid
Item Total:
138,60
42,00
45,00
6,00
9.00
10.00
30.00
52.20
135.84
103.26
14.57
71.00
43.00
6.00
22.37
31.96
$760.80
How Received
In Person
Payment Total:
Amount Paid
$760.80
$760.80