Loading...
HomeMy WebLinkAboutPermit Building 2019-08-29SPRINGFIELD City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 OREGON Building Permit 541-726-3753 Residential 1 & 2 Fam Dwelling (New Only) Permit Number: 811-19-001736-DWL IVR Number: 811044349224 Web Address: www.springfiield-or.gov Email Address: permitcenter@springfield-or.gov Permit Issued: August 29, 2019 I TYPE OF WORK j Category of Construction: Single Family Dwelling Type of Work: New Submitted Job Value: $102,866.40 Description of Work: New Single Family Residence (Replacement) ]OB SITE INFORMATION Worksite Address Parcel Owner: OLGUIN TIMOTHY S & 422 4TH ST 1703352409900 BETTY GORACKE Address: 407 C ST Springfield, OR 97477 SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone PAUL H REA - Primary CCB 127173 541-554-1352 PENDING INSPECTIONS Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural IMechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 8/29/19 Page 1 of 3 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-001736-DWL Page 3 of 3 PERMIT FEES Fee Description Quantity Fee Amount Residential wiring 840 $186.00 Technology Fee $128.20 Balance of minimum permit fees - mechanical $57.00 Clothes dryer exhaust 1 $13.00 Range hood/other kitchen equipment 1 $19.00 Ventilation fan connected to single duct 1 $13.00 Plan Review - Major, City 1 $251.00 Single Family Residence - Baths 1 $333.00 Address assignment - each new or change requested externally, per each 1 $54.00 Fire SDC - New Res Construction Sq Ft fee - enter sq ftg 840 $50.40 Structural building permit fee $992.68 Structural plan review fee $645.24 Willamalane fees - Single Family Detached, per unit 1 $3,805.00 State of Oregon Surcharge - Plumb (12% of applicable fees) $39.96 State of Oregon Surcharge - Mech (12% of applicable fees) $12.24 State of Oregon Surcharge - Elec (12% of applicable fees) $22.32 State of Oregon Surcharge - Bldg (12% of applicable fees) $119.12 Total Fees: $6,741.16 VALUATION INFORMATION Construction Type Occupancy Type Unit Amount Unit Unit Cost lob Value VB R-3 1 & 2 family 840.00 Sq Ft $122.46 $102,866.40 Total Job Value: $102,866.40 Printed on: 8/29/19 Page 3 of 3 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-001736-DWL Page 2 of 3 Inspection Inspection Group Inspection Status 2999 Final Mechanical 1_2 Famdwell Pending 3999 Final Plumbing 1_2 Famdwell Pending 4999 Final Electrical 1_2 Famdwell Pending 1530 Exterior Shearwall 1_2 Famdwell Pending 1260 Framing 1_2 Famdwell Pending 2300 Rough Mechanical 1_2 Famdwell Pending 3170 Underfloor Plumbing 1_2 Famdwell Pending 4500 Rough Electrical 1_2 Famdwell Pending 1020 Zoning/Setbacks 1_2 Famdwell Pending 1090 Street Trees 1_2 Famdwell Pending 1110 Footing 1_2 Famdwell Pending 1120 Foundation 1_2 Famdwell Pending 1160 UFER Ground 1_2 Famdwell Pending 1220 Underfloor Framing/Post and Beam 1_2 Famdwell Pending 1410 Underfloor Insulation 1_2 Famdwell Pending 1430 Insulation Wall 1_2 Famdwell Pending 1440 Insulation Ceiling 1_2 Famdwell Pending 1999 Final Building 1_2 Famdwell Pending 3200 Sanitary Sewer 1_2 Famdwell Pending 3300 Water Service 1_2 Famdwell Pending 3400 Storm Sewer 1_2 Famdwell Pending 3500 Rough Plumbing 1_2 Famdwell Pending 4220 Electrical Service 1_2 Famdwell Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811044349224 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Printed on: 8/29/19 Page 2 of 3 C:\myReports/reports//production/01 STANDARD 4-0 N ++ I, M > Y 0 N V1 O Lr- LO Ch n O1 CL U) M, 0 to U L GC C0 N O O ^ N N LL w a Ln v O p N N Ln C T C N 0) a Uc L �L U) w ) C. CD CL C O 0 U m r N > E CO Q) � y LL r [1 4-0 O O O O O O CL v co to O •4) O N r 4) 0N N m r O O co o L: � co D U) m M M ti � C. CD G� V m r N � CO (p LL r O O vi CA fA _a C 00 O O O O O O N v co N O O O O O O O O O O M N m r O O N CCO N N m M M m M M ti � N � N_ O m r N � CO (p N_N O O vi CA fA _a tfT 4 C> 0 CU ,a 01 4fT 6% (V O O O 5f3 Efl 0I 64 (0 MM C •L C00 (AV), (0 61). 619, N �0 IL V! U3 64 O r 69 U) IT 69m IT IT coNcoN i N � L2 r -- Z OOOOO O CN O LL O O ff ^^> V cm m O O O O 0 Z LL to N LL N Cl) 'O M m N O 0 0 0 r H 0 0 Q ca C 00 O O O O O O N v co N O O O O O O O O O O M N m r O O N CCO N N (0 O M M m M M ti � N � N_ O m r N � CO (p N_N O O vi CA fA v tfT 4 C> 0 aUi ,a 01 4fT 6% (V O O O 5f3 Efl O O 64 (0 MM (A64 C00 (AV), (0 61). 619, N �0 IL 4/ U3 64 O O 69 6-J.63 IT 69m IT IT coNcoN i N � N OOOOO LL O O O O O O O Z LL C 00 O O O •• O O O N d• co N O O O 3 (0 O O O O O O M N O 7 O O N O N (O M m M M FI- N_N O O M v N 4 C> 0 00 O U o (V O O O C O O R mM (00 MM (A64 C00 (AV), (0 61). 619, N N — 4/ U3 64 O O 69 6-J.63 IT 69m IT IT coNcoN i N � N OOOOO LL O O O O O O O M -t r O O O O M M co co co M M O O O O O O O O O r r O i i o O N N M 0 0 4 C> 0 00 O U o (V O O O C O O (00 (00 (00 COO C00 d N co N N N N N - O O O O O O IT IT I IT IT coNcoN i N � N OOOOO 41 O O O O O O O O O O O :3 0 0 0 0 0 4 0 0 0 Q N N NN � N N N N OD m CL CD O M O O O O C O O O i d '. IL i i � v v N i N to O O O O O o c o o o (00 ((00 LO LO LO LO LO N N N U o (V O O O O O O O O O O O O O N v O O O O O O V O N E - i coNcoN co � N N O ID a E a C r N ++ O) m m m m O m m O m O) O) m m c° d '. IL ` N N N N N N N N N N N N N N 5 F- ao CO CO 00 00 00 00 coCO OO 00 OD coOo 0o a` c O o c o o o C U o (V v o co C � O E N v L U N E i v Lm � v O r 4) w a a 3 m :3 m L m 2) � 2) N O ..- U C) U Q .mac L L t U C) C1 Q :O Y C N O7 7 3 7 O C m N p L in !/i V1 f!J ca C "a?•+ C L O U X C O C O C O C O i C) C) C Ty N N w O(0T N w d w N� N LL TC E O d d N CO 0 1O C N U O N w O r O r O m CA 0C m 0) c L , cm c 0 c Ca CL 0 (/1 fn U m U (6 U N (/1 R Cn md Q H U U GG �L O O w U) d w w w ¢ w w w w w w O O O O O O O O O O O O O O O O O O O O O O O O O O O O r O r r r r r r r r r r r r OD N O ID a E a C Q' N ++ O) m m m m O m m O m O) O) m m c° ` N N N N N N N N N N N N N N 5 F- ao CO CO 00 00 00 00 coCO OO 00 OD coOo 0o a` ) e z / a- § S g q G °® E 6 ® § 7 2 S R li2 % 2 a 00 E e . < CL ( k S k \ E § 2 .CL ® 6 ® 2 ; . LL / \ \ .\ \ § / 7�9 / . 2:d V R CL § � � % % 3 m cr R z 2, § o E \ LL (Df z $ : 3 f J o kfu $ § kms oc � E � U) � \ OL : ) k ■ r U)/ $ R q E © 6 G $g § oQ $ �� 2 ■ < a a cc k (a § § § k C $ k _ a) ¢ k�§ k d d / k e■ c c C o ) e z / a- Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPRINGFIELD . OPHIGOH This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 1 suspended for 180 days. b. t � LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION Residential I ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: If 2 2. 9 +� St, City: S lr` a If,p State: C) ZIP: Subdivision: J, I Lot no.: -7 Q D 5Z Reference: Taxlot: OCIL100 PROPERTY OWNER Name: MWI 014w ii Address: 0 C City: State: ®R zlP:qJqA Phone: - 3 Fax: - - E-mail: d. c) Building Owner or Owner \! agent authorizi gthis applicatio Sign here: This installation is being made on residential r arm property owned y me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTORp INSTALLATION Business name: / !V1_, Address: City: y State: Phone:'5--,// I L Fax: - - E-mail: C d CCB license no.: z Print name: L— f0F^ Signature: (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ TOTAL fees and surcharges (2e+3c+4a+b): $ SUB -CONTRACTOR INFORMATION Name CCB License # Phone Electrical Plumbing r Last edited 5-5-2019 BJones 7 DEPARTMENT USE ONLY Permit no.: 1 Date: 2- t R 80 days ot issuance or if work is Mechanical - �0 1M me.Ar 71- 189734 5 1-5 -3Si FEE SCHEDULE 1. Valuation information (a) Job description: Yl �mA Occupancy R Construction type: 5 Square feet: ei Cost per square foot: Other information: Type of Heat: - c-11eciris Energy Path: 0'rile a new ❑alteration ❑ addition (b) Foundation -only permit? ❑ Yes W No Total valuation: $ I (D2 2. Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): $ 3. Plan review fees (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (65% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee, 1% (.O1 x permit fee [2a]): $ (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ TOTAL fees and surcharges (2e+3c+4a+b): $ Qac• L� i o �.-� � �. t IM MDR Vct 14ic)tJN. Ga Aug 01 2019 12:03 HP Fax page 1 Electrical Permit Application D . EPARTMENT USE 0 . NLY S 46 L 225 Fifth Stteeto Springfield, OR 974776PR(541)72637536FAX(541)726-3689 Date: This permit is issued under OAR 919-309-8000. Permits are nontransferable. Permits expire if work is not started within 180 days of Issuance or If work Is suspended for 180 days. I Last edited 711/2019 Rjones -Number d wipi Zoning approval verified? E] yes 0 No T7777777 iCATEGRY '"OF CONSTRUCTVON.' riWcsidentiat [] Government ❑ Commercial JOB SITE 'INFORMAT ION --AND - WcATmN Job site address: .4g!- Cityr-fL*6t State- ZIP: Reference: l7- -ZS - -7.gi, Taxlat.-0==,,M, DESCRIPTION .:OF: WORK PTY': -ROPIMb1i11WX1k Name: -rw_t p - Address: An7 City. state, n Services or feeders: Installation, alteration, relocation Phone544 - 91% Fax: 11-inail:krj_0j,.r T !kV q tj a%fAlApp This installation is bring made'on residential or ftun property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479.540(l) and479.S60(1). Siguature'... R. M ON Business name: Mmat. one 601 to 1,000 amps (2) City: State: t=),Q— ZIP: PhonQ-541--CAD 55� t 7 Fax -.SM E-mail: I CCR license no.: BCD Ticense no.: C-SVI? Signing supervisor's license no,: "o 1SS Print name of signing supervisor: Ritic, 12Vb&4t( Signature of signing supervisor. Last edited 711/2019 Rjones -Number d wipi Toro t.. Residential, per unit, service included: 1,000 sq. ft. or less (4) 5186.00 $ Each additional 500 sq, it or portion thereof P6.00 $44.00 $ Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) :t goo $ Services or feeders: Installation, alteration, relocation 200 amps or less (2) $112,00 S 201 to 400 amps (2) $13140 S 401 to 600 amps (2) $221.00 $ 601 to 1,000 amps (2) 1$235.00 $ Over 1,000 amps or volts (2) $654.00 $ Reconnect only (2) $ ---L$89.00 Temporary services or feeders; instaliation, alteration, relocalfon 200 amps or less (2) $ --$99.00 201 to 400 amps (2) $122.00 $ 401 to 600 amps (2) $177.00 $ Over 600 amps or 1,000 volts, see services or feedeir. section above. Branch elmilts. neat alteration, eriensionperpanel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit b. Fee for branch circuits without purchase of a service ord fee CT fee: First branch circuit (2) $89-00 $ Each additional branch circuit $8-.00 $ NIkeellaneous fees: -service orfeeder not hichided Each pump or irrigation circle (2) $89.00 Each sign or outline lighting (2) $102.00 $ Signal circuit or a IL-nited-energy panel, -alteration, or extension (2) S102AO S Each additional Inspection: (1) $102A0 $ ARTM T,'U E' (A) Enter subtotal of above fees (Minimum Permit Fee $102.00) $ �7-- -- ---- (B) Enter 12% surcharge (.12 x [A]) (C) Technology Per (5*/o of [A]) $ rTOTAL fees and surcharges (A through D): § / a- Ftp@& - kk(§( k� § w £ �k0~co ) �� � » Ln - § c ■ 4 0 qla Ln O £ ƒ { k b E u ) g ( E k f £ § c § ■ �/ E$ �® 2 Cl) � e co V \ _ CL Co 0$ 2 3:/ 2§ � CO) k § $ Ma U. M D _k o to $ 0 2 E & F- § m cc§ � : 7 IA § o § § k / \ 7 k 2 . a / \2 00 �o § �CN kk §k o� N � ■ o ¢ - $ a % ] § z = � c © a � © � 2/ « k a E b _«. \� kk m § \ � CL L) § / a- spc- County Lane #607 �+�V Theme Historic District Historic Name Carrion Name Address 432 N. 4th S rin field,Ore 97477 Present Owner Hugo Kr-iekis Trustee Address 246 East H. St. Springfield 9-7477 Original Use. Residence 1,100sgft.-lst fl/ 1100 2nd Date of Construction ca. 1905 O-Lrilz cr UEtk-A V 1NVENTOPY HISTORIC SITES AND BUILDINGS State Historic Preservation Office Oregon State Parks, Salem, Oregon 97310 Physical description of property and statement of historical significance: Once a pre -1907 single-family residence in the Homestead tradition, this two-story rectangular -plan structure has been converted into an apartmmt house. It has a full pitch gabled roof with a narrow open eave and plain vergeboard. The exterior is finished with plywood on the sides and drop siding on the facade and has a narrow corner trim. One -over -one double -hung windows throughout have a narrow trim. A full -width, hipped -roof verandah.has turned posts, lintel molding, and a"picket railing. A new apartment building has been constructed on the same lot. Early deeds indicate that Simeon Tuttle owned this property before 1890, at which time his widow sold the property to D.D. Poill, a prominent Springfield citizen. In 1896 Poill sold to C.J. Anders for $100. In 1907 Polly J. Anders ( C.J.'s daughter) sold to George Rein for $400. It is presumed that in 1907.the house had been built by Anders. Since the neighborhing house, 442 N. 4th St., had the same history it is possible that the Anders family -occupied two houses. There were six children, one, J.L. Anders, was married. Between 1907 and the present there have been twelve owners including.E.E. Bratain, from a prominent Springfield family and J..B. Hamlin, postmaster 1919-23, who lived next door. The most remembered residents were the Seaverson's who rented the house around 1932. they were a family -with seven daughters. Apparently the house has been primarily a rental property. Recorded by pave role Date June 1984 Sources consulted: For State Historic Preservation Office LCC Photo: S3B./L78-322 ca. 1907 Map Designation and Number WD- Map 3D 216 P 1907 Sanborn Map Township 17 Section 35 4 Sec. 26jot 9'900 Sam Sweeney — --w 225 Fifth Street This application can be emailed to LDS@springfield-or.gov. Springfield, Oregon 97477 You will need to complete application, save as, then attach to Engineering & Transportation Services Division email or print and bring to Public Works City Hall. Phone (541) 726-3753 You will need to come to Public Works, city Hall to process permit. Step 1 -Location of Work l y� Who is filGog_otat the application...? 1� ^ — ®v 1 In this section, you will need to identify the Applicant, Owner of the abutting property, and the Contractor, if applicable. Example: John Doe is the owner of the abutting property. You would need to put name, address and contact information. Jane Doe is the Applicant. This is the person filling out the application and filing for a permit. You would put in the contact information. Utility Doe is the utility company that is doing work in the right of way and would be an considered an applicant. You would put in the contact person's information. Contractor Doe is the contractor who will be doing the work in the right of way. You will need to put this contact and license information. Site Address or Location: 4 9a i q310 11-,1 U 9f. _ Tax Map 1763- 52 y Applicant: `r , Tax Lot iJq9C)Q Email Address: _ ' A k „ y� �40,C-6m Phone: Sy1-7I �7iF�3 Owner: 1 IYi d1 a taA,n _ Phone: Address: LA 0_7 � ^F City: r I y} }j State: _(�K- ZIP: Contractor: 010fil-t' LLC Phone: 4�'t,/1-7UG Contractors Registration (CCB) #: d Expiration Date: I /?- I Project Supervisor: To vc_ ol o Phone: Insurance I Proof of Insurance, minimum $500,000 coverage limit Utilities Does your utility company have a franchise agreement or license with the City? Please identify which type of agreement you currently have with the City. j- Franchise Agreement r- License Name of other utilities if this is a joint project: Intent of project for other utility who will own any facilities placed in right of way: Step 2: Description of Project What type of work do you need to do? In this section you will describe the location, intended use, and what measures you are implementing, such as traffic control measures, dust control measures, and types of backfill material to be used. -Provide the start and end dates, start time of day and end time of day, of your project. It is important that you give time of day that you are requesting for your project work. There are codes and inspections that are time sensitive. -Identify your method of intrusion into the surface of the right of way, such as cut, bore, or drilling. -Describe the surface area length, width, depth, and height of your project. -Identify what type of surface material is currently there, what you will do with this material, what is the replacement type of surface material you will use, and what type of backfill material you will be using. -Any required separation from other facilities. lacing new facilities in the right of way F-1 Repairing/maintaining existing facilities '5torrvi W e.��v' Cs�n�c ie� 0 �h s� lI 3f/-54vrhl re.;n Army) 4 +b- b�k�epp`w� 6�-s1n k►cr�e�-- �ti y�� �)�-�►,�.v„ Project _ O(5 T���f�:�,k wj 4I 6e-re-ritvek , lk b�.ic ik of 4 S -form 6"In Description: �,, C*ye Arita WA +Low _;n 1 ixcLI C�60V +(Q_ OL-! 6,11 00L L cuv ItN A Ve y1 �evtl� o��- Se�-�� cif �vi�e troll die I �•�wk{+.J�- -io & 3 Y pIX swc_ *+4 fly -r— Ave3 hw�- n4ve. -%rJ4r lir► -a -K4— c,.I t% b�iyj The TCP shall be a legible hand drawing, or a computer aided design with the following information: Traffic Control Plan form is located at www.springfield-or.gov/rnerluonlineforms A vicinity map: That includes the north arrow, road names, intersection/driveway access points, curb lines, the work zone, and any special features such as buildings, access points, sight obstructions, that could affect the TCP. Location: Where will the TCP be active? This can be a line drawing of the work zone(s) and/or a map that clearly indicates where traffic control devices will be placed, including spacing and cone tapers. Attachments of the appropriate traffic control diagram(s) as shown in the current MUTCD and/or the ODOT Oregon Temporary Traffic Control Handbook that reflect the work zone may be included as a standard reference. ODOT's Traffic Control Handbook website: www. ore.ion..ovMOT HWY/TRAFFIC-ROADWAY/docs/pdf/OTTCH 04.pdf?oa–t F_ Traffic Control Plan attached in email to Land Development; LDS@springfield-or.gov No Traffic Control Plan F There are no public traffic safety issues with this application. Step 3 -Submit a Work Pan What kind of work plan do you need? You will need to submit a copy of the work plan, which includes: rte location and vicinity map Identify extent of excavations include North arrow. or bore locations. Outline limits of disturbance/ F of work area. Show location of utilities within right of way. Identify pipe size and type, mainline connection location, and identify staging/material connection type. F storage areas. Work Plans attached in an email to Land Development; send to LDS@springfield-or.gov. Reference site location and name in subject line. *Construction of ADA ramps or other ADA facilities require submittal of detailed topographic survey and design sheets stamped by a Professional Engineer licensed in the State of Oregon. Design of ADA facilities shall at a minimum meet the current federal Technical Requirements as described in the United States Access Board's 2011 Proposed Accessibility Guidelines for Pedestrian Facilities in the Public Right -of -Way Notice of Proposed Rulemaking (NPRM). Information Fee Encroachment/Placement Permit $345.00 Fees that may apply -A 5%Technology Fee will be applied to the total cost of the permit for processing the application. -A $1061.00 Asphalt deposit is required when the asphalt will be disturbed. -Additional financial security may be required. Deposits and Financial Security Projects involving work within public right of way ih the City of Springfield are subject to deposits or other approved forms of financial security that may include performance bonds, set-aside letters, or irrevocable letters of credit. The type of financial security is determined by the project's size, scope, and potential impact to public infrastructure. Examples of typical impacts that will require financial security include asphalt trench cuts and sewer repairs that involve cuts to a main line. Warranties Financial security is held by the City during a warranty period that typically lasts one year and begins when the project passes final construction inspection. The warranty period allows the City to monitor the structural integrity of repairs and determine their long-term viability. Financial security provides the City with the means to repair infrastructure should failures that remain uncorrected by the applicant or applicant's representative occur during the warranty period. A final warranty inspection will be conducted eleven months after the final construction inspection. Financial security will be released when the warranty period has passed final inspection. Restoration of City facilities It will be determined by the Public Works Director at the time of the 11 month inspection as required in Municipal Code 3.222 that the work area in the public right-of-way is in as good a condition or better than it was before the issuance of the encroachment permit.. Municipal Code 3.210 (2). When do you need an Encroachment permit? Municipal code 3.208 Work On cr Under Surface ._Enlroachment Permit Required ihtWv/www.gcode.us/codes/si.rin:;field defines when you need an encroachment permit. When do you need a Placement permit? Municipal code 3.224 Placement of Devices or structures in the Public Way 1 httpil./wwwacode.uslcodes/springfield/S defines when you need a placement permit. Step 5: Signature Signature Date: 1s /& M Check one: F-, owner I— Applicant f–Contractor F_ Utility Project Manager You are required to call: The Lane Utilities Coordinating Council's "One Call Number" 1-800-332-2344, — —� 48 hours before before digging. Page 3of 3 225 Fifth Street, Springfield, Oregon 97477 Permit Number Transportation & Engineering Section, Public Works Department Phone: 541 726-3753 Issue Date: SITE INFORMATION II 4 Location of Work: 92Z +43L ITV} S�,.�_ 3✓C s V 5 Applicant: OL L,4Y1 Phone: S`11 -113-75Q Address: L4 b L' _ City: State: b 4 ZIP: 7 L 7 Tax Map 1 X70 3'-k ,S F 9 Lk Tax Lot U� Subdivision — Owner: Y4 Address: City: state: 0 ZIP: REQUESTED PERMITS: F- Sidewalk Amount of sidewalk in excess of 90 feet F Sidewalk Repair F- Curb Cut/Driveway: Number of Driveways F- Multiple Permit Discount each: (Maximum 2) Multi permit discount good for one site and one site inspection only applies to 2nd and 3rd permits only. Not sidewalk repairs j— 5%Technology fee r Proof of Insurance: $500,000 Minimum if work is done by property owner (- Facility Meets 2011 PROWAG For ADA Compliance Phone: 591—q/3 -760 3 Fees $125.00 7#f+ @$0.12 SF 1$23.00 fu.srv- X $125.00 1st Cut X $67 2nd Cut $42 Total due with permit $ CONTRACTOR'S INFORMATION 01 Name: �CLn �Lwbrj-.--�, U C, Phone: N1 -74 J 30 Address: City: PI � State: ZIP: % SS Contractor Registration # & Expiration date: 1 Z Project Supervisor 7Y/ c, GL -e,- Phone: 5l1 1 - q 19 ,/ L17/ INSPECTIONS: An inspection request should be made prior to pouring concrete, after the proposed work has been formed and made ready to pour. Curb cut and sidewalk inspections call: 541 726-3769 (recording) State your designated City job number/permit number, job address, type of inspection requested, and when you will be ready for inspection, Contractor's or Owner's name, and phone number. Requests received before 7:00 am will be made the same day, requests after 7:00 am will be made the next working day. Inspections are to be called in after excavations are made and form work is in place, but prior to pouring concrete. You are required to call: The Lane Utilities Coordinating Council's "One Call Number' 1-800-332-2344, 48 hours before before digging. 1 SIGNATURE: Amount Received: Receipt No. Date Paid: Received By: By signature, I state and agree that I have carefully examined the completed application and do here by certify that all information herein 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 applicable City Standard specifications and drawings and the laws of the State of Oregon pertaining to the work described herein, I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used. The City may inspect the work site described in this permit at any time during a one year period following receipt by the City of notice of completion of the described work and specify, at the City's sole discretion, any additional restoration work required to return the site to a standard acceptable to the City. The permittee will be notified in writing of any work required and will have thirty days (30) from the date of the notice to complete the work not completed at the end of the thirty days will be performed by the City and the costs will be billed to the permittee. I further agree to ensure that all required inspections are requested at the proper time that project address is readable from the street and the approved set of plans will remain on the site at all times during construction. Signature Date: STATE OF OREGON INVENTORY ro- Yom'`- HISTORIC sITEs AND BUILDINGS X71 State Historic Preservation Office !� Oregon State.Parks, Salem, Oregon 97310 County Lane #608 There Historic District Historic Name Cannan Name Address 442 N. 4th ri ri i Pl Ore 97477 Present Owner Huqo Kriekis Trustee Address 246 E. H. St. Springfield,Ore 97477 Original Use Residence 950 sq.ft.lst fl/760 2nd Date of Construction ca. 1905 Physical description of property and statement of historical significance: This two story frame house has lines that resemble the Hanestead Tri -Gabled Ell `` of the earl twentieth century. ury. This house appears on the 1907 Sanborn maps but is not discernable in early photographic panoramas of Springfield, of that date. An inside, corner, hipped roof, wraps x•7ithin a raised entrance portion. Original vergeboard detail reflects a queen Anne influence. The building has drop siding with new plywood siding on one elevation. A frieze and columns enhance -the exterior of this residence. Various early additions have been attached to the rear. The original building has been converted to a duplex. In 1946, a detached apartment was built in the rear, on the same lot. The history prior to 1907 was the same as 432 N 4th Street since the property was originally designated lots 1 and 2 of Block"29. This property is the north 1� of those lots. In 1907 Polly J. Anders sold the property to George Rein on Warranty Deed for $375. She regained the title in 1911 and 1921 sold to Ethel Myers. This house has had only four owners since 1921 but apparently has been rental property. Recorded by Dave Cole Date June 1984 Sources consulted: C. For 1907 Sanborn Plap St�tP Hi Stt�ricPrPGPrzrat-i nn Of i c -P Map Designation and Number WD- Map 3D/#218 P _ Township ---3--( Section �5 3%��� 24 Lot # 10000 Job Name: 422 4th St Spri BUILDING COMPONENTS Flat ceilings Vaulted ceilings Conventional wood -framed walls Mixed or Other wall types Underfloor Slab edge & Underslab Insulated Concrete Eorm Walls OR 97477 2017 ORSC Additional Measure 6 Calculator For demonstrating com liance with Additional Measure 6 only. If any assembly does not meet Table N1101.1(1), Table N1104.1(1) must be us compliance first. Permit #: Standard Base Case BUILDING COMPONENTS Flat ceilings Vaulted ceilings Total area of ALL Wall Surfaces 85% of Total wall area Windows=15% of Total wall area Underfloor Slab edge (enter lineal feet) Skylights Exterior Doors Doors with >2.5ft2 glazing Areas U -factor Areas x U 840 0.021 17.64 17.64 0.033 0.00 939 0.00 R-21 Intermediate 798.15 0.059 47.09 140.85 0.300 42.26 840 0.033 27.72 0 0.520 0.00 0 0.500 0.00 18 0.200 3.60 0.400 0.00 Sum 138.31 Proposed Alternative R -Value Construction Type Areas U -factor _A_..rea..s x U R49 Conventional 840 0.021 17.64 -SELECT ITEM 0 0.000 0.00 R-21 Intermediate 876.54 0.059 51.72 SEE Walls Overall U -Factor Tab 0 0.000 0.00 R-30 840 0.033 27.72 SELECT ITEM 0 0.000 0.00 TOTAL WINDOW. DOOR AND SKYLIGHT (input on Window, door and wall _tabs) (provide product cut sheets) Windows from Window Tab Skylights from Skylight Tab Exterior Doors from Door Tab Doors with >2.5ft2 glazing Sum 122.21 PASS or FAIL: PASS Ye, - _1 1.6% e:-11.6% Building Codes Division ♦ Department of Consumer and Business Services ♦ State of Oregon 1535 Edgewater St. NW, Salem, OR 97304 ♦ P.O. Box 14470, Salem, OR 97309-0404 503-373-0205 ♦ Fax: 503-378-2322 ♦ bcd.oregon.gov _ _ _ Average Window U -Factor Window Designation Area of window(s) U -Factor of Assembly Window - 1 .9.70 0.29 Window - 2 9.70 0.29 Window - 3 .10.79 0.29 Window - 4 10.69 0.29 Window - 5 21.68 0.29 Window - 6 25 0.32 Window - 7 25 0.32. Window - 8 25 0.32 Window - 9 Window - 10 Window - 11 Window - 12 Window - 13 Window - 14 Window - 15 Window - 16 Window - 17 Window - 18 Window - 19 Window - 20 Window - 21 Window - 22 Window - 23 Window - 24 Window - 25 Window - 26.. Window - 27 Window - 28 Window - 29 Window - 30 Total: S uare Feet 62.46 Average U- Factor 0.290 EXAMPLE Average Window U -Factor Window Designation Area of Window(s) U -Factor of Assembly Window - 1 .25 0:32 Window - 2 20 0.30 Window - 3 15 0.35 Window - 4 30 0.32 Window - 5 10 0.30 Window - 6 25 0.32 Window - 7 25 0.32. Window - 8 25 0.32 Window - 9 Window - 10 Window - 11 Window - 12 Window - 13 Window - 14 Window - 15 Window - 16 Window - 17 Window - 18 Window - 19 Window - 20 Window - 21 Window - 22 Window - 23 Window - 24 Window - 25 Window - 26 Window - 27 Window - 28 Window - 29 Window - 30 Total: S uare Feet 175 Average U- Factor 0.319 Instructions: 1. Enter area of window type in yellow area. 2. Enter U -Factor of window in yellow area. 3. Value in green cell will be automatically entered into Table N1104.1(1) spreadsheet under "Standard Base Case". 4. Value in blue cell will be automatically entered into Table N1104.1(1) spreadsheet under "Proposed Alternative". Note 1: Window that have the same U -Factor may be combined into one entry. For example two wood framed windows, one 25ft2 and one of 30ft2, both having a U -Factor of 0.32 can be entered as one wall with a combined area of 55ft2. Doors without Glazing Averaae Exterior Door U -Factor Door Construction ADoo�(s) U -Factor Designation Door Type - 1 Door Type - 1 Wood 18 0.39 Door Type - 2 0.600 Door Type - 3 Door Type - 3 Door Type - 4 0.600 Door Type - 5 insulated metal Door Type -6 Door Type - 5 Door Type - 7 Door Type -8 Door T a-9 Door Type - 7 Door Type - 10 Square Average Feet U -Factor Total: r•==- 8 0.390 Instructions: 1. Enter brief description of door construction in yell 2. Enter area of door type in yellow area under "Area 3. Enter U -Factor of door in yellow area under "U -Fac 4. Value in green cell will be automatically entered int "Standard Base Case". 5. Value in blue cell will be automatically entered into "Proposed Alternative". Note 1: Doors that have the same U -Factor may be combined and one of 20ft2, both having a U -Factor of 0.600 can Doors with >2.5ft2 glazing Averaae Exterior Door U -Factor F -Door 9 nation Construction AreaDoors) Of U -F. Door Type - 1 Door Type - 1 solid wood Door Type - 2 0.600 Door Type - 2 Door Type - 3 20 0.600 Door Type - 4 insulated metal 20 Door Type - 5 Door Type -4 Door Type - 6 Door Type - 5 Door Type - 7 Door Type - 8 Door Type - 9 Door Type - 7 Door Type - 10 Door Type - 8 Total: Square Ave Feet U -F; . _ 0.( )w area under "Construction". of Door(s)". for". o Table N1104.1(1) spreadsheet under Table N1104.1(1) spreadsheet under into one entry. For example, two solid wood doors, one ' >e entered as one door with a combined area of 38ft2. Note 2: Sliding Mass door and swinging Mass doors. including glazed french doors with. NFRC labels are considered windows, not doors. EXAMPLE 1 Doors without Glazing Aupranp Frtprinr r)nnr U -Factor Door Designation Construction Area of Door(s) U -Factor Door Type - 1 solid wood 18 0.600 Door Type - 2 solid wood 20 0.600 Door Type - 3 insulated metal 20 0.420 Door Type -4 Door Type - 9 Door Type - 5 Door Type - 6 Door Type - 7 Door Type - 8 Door Type - 9 Door Type - 10 or EXAMPLE 2 Doors with >2.5ft2 glazing Averaae Exterior Door U -Factor Door Designation Construction Area of Doors) U -F: Door Type - 1 solid wood 38 0.E Door Type - 2 insulated metal 20 0 Door Type - 3 Door Type - 4 Door Type - 5 Door Type - 6 Door Type - 7 Door T e - 8 Door Type - 9 Door Type - 10 I A- N! n n s s m m C-) n pr X, a 1+ m m O_ O D O ! 3 m N Q' O � N m N a� oq CDN w C N C_ 03 C 0 C1 Q O C N N O N CD ,+ `A O _ cu m CLO rt Naq . rt 3 N a) a7 fu �. M m CL O rt s O CO N O CL Q m o u o ,..p m 0-a yrr S O cocCLr a a O O O al n Q m CL N o m � s m �* 3 y. O C Q. m m CD A CD rD m X 0 r+ as 3 o m 3 r+ Q N rh rr =- o CD M N Q ,1 3 0'Q (D n 3 O r+ O m �_ a) a) 0 CL N -h CD 3 CD o rt o 3 O_ a) m mN n3 O 0 m = O z �* I3 � O m N -S W o C N m a Q' [D � z N m O F-, N N' CKOl 0t � K � m � s Z CD m m 7rD o, rF rr 7r -r pr O �Nn 77�Q �FfD n N rD N r -r N r+ �- s s c CD Di � s O r- rm+ n O Q rte+ r� rr m< N O I O 0 p N Q d # ._C Ort... m... O n fu 3 O N y r�D 3 CL _� �, y 3 �; N 0 n, 3" p m m a -" F. 3 y D -p O 7 � -4 — v,' m cn -n -V C`p' oa oq � N c m o n -� r+ o s n m 3 Lan) w- =r m C CSD r+ v O a `^ v00 = c N' rD EL m 3 0 m n Q "'' 3 CD m O X s m 0 3 g r+ o 3. m rD -b 1,,1lu rD c m oo '0 = r+ =n =r of CL 3 Q O O'O N O an =m CD a m M g a, rt n m n o ® -o > F y s v -N+, 3 70 s S m m H 0 0 f�D n � y �. O_ C m m, n 0 �r s 0rD aq m n c< 3 MrD 0 a) < O 0 m N MO_ Ort al a) N n ,m+ N rn 3 0- a rt Ort O N 0 O =. a) s N C n a� a `< rD °q 0 Q p 0 N O C' m — C m a- mCL m NQ a _ O s n 0 X O 0 C m p O m = 3 ao N 3.. '" rt O m N O =h s rD 0 �; S C s m m v m v m 3 Q Gi 0 N m w N p Q Ocr = < 3 w rD cu rD n 0 M 0 0 0 qq. m S Q m O m � '� Sc N N 3 0 m .* m -+ m 3• O Z 3 N 0 `+ n s m N ILO, �e s� 1i or CDONM VA sale p V m �O mm mm�n�nnnn, m ;: ;rm :. �. �. CD o m o 0 0 o 0 < 000 O EL O m 3 # -h 0,..K 3 C m o, _ CD N N [0D H N rrtj s rD m s Ac m v3, arti 3 m a g ov3 m r+ c s N 1., 0' QO O r+CD 3 p 00 00 w m m 3 N rN + 00 rsr rD = r+ p m O_ -0 ;r s -h Vrti 0" rD O O O. O s r --h ma 0 am Q ,=r 0•c a C N y 3 n m N S m N a < v 3 e°1+ :� o D rAi o N ami n o 3' N N a .O N rD 3 O A' O 3 O n rt O Ort 0 s �0 �' m CL 3 N r+ (D -a rt 'a s m '+ s rby o + O tt 0 0 n 7C CD O_ 000 r+ % N m Ort r+ rt � to C cr rD N Ln CD ,+ r N O_ 7 N tet, O 3 p m m r+ m m n CL mn CL < rDCL CU 0 N M. Z M a :3 m m h m CL rt 3 rr n� o N � m Q -0 O 0 O_ 0' m C s n C N' CKOl 0t � K � m � s Z CD m m 7rD o, rF rr 7r -r pr O �Nn 77�Q �FfD n N rD N r -r N r+ �- s s c CD Di � s O r- rm+ n O Q rte+ r� rr m< N O I O 0 p N Q d # ._C Ort... m... O n fu 3 O N y r�D 3 CL _� �, y 3 �; N 0 n, 3" p m m a -" F. 3 y D -p O 7 � -4 — v,' m cn -n -V C`p' oa oq � N c m o n -� r+ o s n m 3 Lan) w- =r m C CSD r+ v O a `^ v00 = c N' rD EL m 3 0 m n Q "'' 3 CD m O X s m 0 3 g r+ o 3. m rD -b 1,,1lu rD c m oo '0 = r+ =n =r of CL 3 Q O O'O N O an =m CD a m M g a, rt n m n o ® -o > F y s v -N+, 3 70 s S m m H 0 0 f�D n � y �. O_ C m m, n 0 �r s 0rD aq m n c< 3 MrD 0 a) < O 0 m N MO_ Ort al a) N n ,m+ N rn 3 0- a rt Ort O N 0 O =. a) s N C n a� a `< rD °q 0 Q p 0 N O C' m — C m a- mCL m NQ a _ O s n 0 X O 0 C m p O m = 3 ao N 3.. '" rt O m N O =h s rD 0 �; S C s m m v m v m 3 Q Gi 0 N m w N p Q Ocr = < 3 w rD cu rD n 0 M 0 0 0 qq. m S Q m O m � '� Sc N N 3 0 m .* m -+ m 3• O Z 3 N 0 `+ n s m N ILO, �e s� 1i or CDONM VA sale p V m �O 7 LM �.< �;, x n n S C �* 3 °� g a) A _ °i O rD S fD S fD S (D SI lD al fD fD C fD s CD G% S- N i fD A Lu r -t (D T` y fD A n A A A ^ A A 01 m A O O L O. O CL -fi p T T. F F T. T. W D oC O �_ fD f<D "O O -Oa to < C" O O O C p Uq -h :?9 '' �• r -t Lu Ln O '� rDzs 'N-1' — "n - �_ N °f O (D 3 �_ fD N fD = O (D rr O a) `+ is gyp' M ID i r" A T7 l'1 Q. a) N O r+ �—^ n W ;ID N C N O C O (lm n ` �• rt O (D m 7 r+ t7a �- r -o• O< m O cOn S (D N• y LII A sv N C 3 =� O O Cz < S r r- O Ln r+ N O -s fD 3 Z p. 2 oq O X * tl) r+ C7q n fD r+ CD fD p Om Lu N N OQ t i7 c O O n S -CS ID lD p1 N lD rD O rF O cn S • N [D a'+ N LU fD M N N O O fa fD 0 f UQ W Q c i f< -D' - Q — O � m N t m C O S 3 0l' N fv m 3 vp fD i -0 ai CCD C �' CD O — < rDM rD :E a 0 O !v n C rD `< N � S O Pr rD CD O . (D•. O N• � O a) ` :3..o O rt O+ ' OR (D N CM r0+ M D O iZ fD 3' rD C <-•,fD .-C ' 7 ,p1 m �^ S (D, CD O r+ a p N cr O U � A rD SZ O La fD fD C n fD j < � s fD - N A O CND t r+ O rD ti < D n p D -n , a Z� _r r` O {c O, O O ct O O 3 O a t CL Lu '* CD L2 nrr+ m n O 7 o n O O 3 O O N CT C 5. O L s su O N fD n N it N -3s, X O C Ln m sZ =r go O a0—i .. a`+i Lm n rr+ O N O Ln _ iv n C g= W rt r�r O A fD O :D O rA tin :E 2. C 3 fD M [� (D (D rj I^ 3 O r .y+ (D (p eSr S fl) n n '+ (D p r+ rD fD QI -a °� rte+ N rD Lu -h C W O fa O O 3 Q N N Lri fD N fD N S= j N Lu S. O 3 N CA r O r+ p a o m- m °' m nrD 3— :�'+ a can � �* O v O CD CD rt ol 3 =1. n —_ fD Ln TI O O N Oq O rOy r�r O S CD 7 vOi N S y O fD C r+ Q` CD Lu �. N L7 C N O T O 7 N =f . _ Q O LLn _ � (DD rD ; d m n� CL z o Ln r+ 3 010 CD = -15 -s r'1' - fD S rt Q .+ S O O A0+ d a r O E fD v O' N CU S (D fD CL Lu N r Lu -I t i n O rD r+ (A O:,ro .' (D fD m O O sa3. — rD ni p wan N fD S M =r, f' r+ Lu Cl r) O< fD G A — aQ N -S r+ r rD S• fD C[i ❑. �_ N -0 r0+ n CD :v "A -S N O fl C pj O o ., N N - (O.I _ CD (DCL rD COD N O Lib O (D -h ,C rD CL (D O C N fD r�o° ^ n r+ N o s C QrC+ O as. CZ O 1s °° n Lu O O CD (D ,may C N `< ...h CT ((D O '- rD CD ` Q 1+ - (D (D �' 0 a O i�1 p ` CD v(D s, N (D N e -hS 3 f7 p O ,* O C CD -0/ n E Oo = O L3'; O G O M N N L CL Q N Q A S p FN aq o° CZ - p t r+ O r+ n O 3 0, O N < 0 F =A Z C Cr N (D fD 4 VI rD -h OriC ... D fD.. O fD R ,_7: N CD (D 0 �A- O a1 ' a s � 7 LM W SMITH Thayne From: Tim Olguin <tim_olguin@yahoo.com> Sent: Thursday, August 29, 2019 1:45 PM To: SMITH Thayne Subject: Fw: Window Changes on Plans for 422 & 436 4th St, 355 D St ----- Forwarded Message ----- From: Tim Olguin <tim olguin(cDyahoo.com> To: SMITH Thayne <tsmith(cD-springfield-or.qov> Sent: Thursday, August 29, 2019, 1:03:12 PM PDT Subject: Window Changes on Plans for 422 & 436 4th St, 355 D St Thayne, I approve the following changes to the windows on the plans: Bedroom #1= 21049 Bedroom#2= 21049 Living Rm= 2-21049 (two double hung) Kitchen= 3635 Utility= 3635 Tim Olguin 541-913-7883 PA- ®LAf `SJR( C 0 1(/x �- i 10.33 yllb),"q K 103S � LAO(RM (b.ub l lq1 �Aybd L� dam