HomeMy WebLinkAboutPermit Building 2011-12-08sP*li.lt!rilSL$
s*tG0
www. springfield-or.gov
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR201 1-02646
IVR Number: 811112395485
ISSUED: 12l0&l201'l
APPLIED: 11129120'11
225 Fifth St
Springfield,OR 97477
Phone: 54 1 -726-3753
I nspectio n Phone: 541 -7 26-3769
Fax: 541-726-3676
permitcenter@springf ield-or. gov
&sr;dr
lssued
12108t2011
EXPIRES
VALUE:
06125t2012
$35,000.00
SITE ADDRESS: 2778 19TH ST, Springfield,ORg7477 SCOPE: Single Family Residence
ASSESOR'S PARCEL No: 1703243102000 woRK |NVOLVED: Addition
ryPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: lnterior addtion into/over garage of 1st and 2nd floors- no new footprint area, no new
plumbing fixtures, only relocated fixtures.
OWNER:
ADDRESS:
JACKSON DANIEL L & SHANNON L
2778 N IgTH ST
SPRINGFIELD OR97477
PhoneNumber: 541-554-0918
CONTRACTOR
Contractor
Electrical Contractor
Contractor Name
ER
Lic Type Lic No
CCB 000000
Lic
0810112025
Phone
Mechanical Contractor RYAN SHARKEY CONS TRUCTION LLC CCB 1 80492 021081?012 541-707-9960
General Contractor RYAN S CONSTRUCTION LLC ccB 180492 0210812012 541-767-9960
BUILDING INFORMATION
# of Units
Construction Type
Occupancy Type
Occupancy
Comments
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
0
Type VB
R-3
1st floor expands into
existing garage
# of Stories;
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
2 Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
'110
0
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal / Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
2011
Site lnformation
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Walt:
Soils Report Required:
ORISI R
Springfield Building permit
111712012 2:4i:O4pM
Page 1 of4
luires you to
)regon UtilitY
)s are set forth
oAR 9s2-001-
of the rules bY
e telephone
y Notification
1344).
C
A
ffiffi GITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR201 1-02646
IVR Number: 811112395485
ISSUED: 12108120'l'l
APPLIED: 1112912011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
I nspection Phone'. 541'7 26-3769
Fax. 541-726-3676
permrtcenter@sPrin gf ield-or. gov
www. springfield-or. gov
PROJECT STATUS:
STATUS DATE:
lssued
12t0812011
EXPIRES: 0612512012
VALUE: $35,000.00
SITE ADDRESS: 2778 19TH ST, Springfield' OR 97477
ASSESOR'SPARGELNO: 1703243102000
SCOPE: Single FamilY Residence
WORKINVOLVED: Addition
TYPE OF STRUCTURE: Residential
PRoJECT DESCRIPTION: lnterior addtion into/over garage of 1st and 2nd floors- no new footprint area, no new
Frontyard Setback:
lnterior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
fixtures,relocated fixtures
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Flood Plain
No
REQUIRED PARKING
Total:
Handicapped
Compact:
OEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Street lmprovements:
Storm Sewer:
Storm Sewer Available:
Special lnstructon:
Subdivision Accepted:
Notes:
Description
Sidewalk Type:
DownspouUDrains
Valuation
Tvpe of Construction Unit Amount Unit Type Unit Cost Value
Springfield Building Permit 1l'1712012 2:41:04PM Page 2 ol 4
ruffi CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 81 1 -SPR201 1 -02646
IVR Number: 81 1112395485
ISSUED: 12108120'11
APPLIED: 1112912011
225 Fifih st
Springfield,OR 97477
Phone: 541-726-3753
I nspection Phone: 541 -7 26-3769
Fax. 541-726-3676
permitcenter@springfield-or. govwww.springfield-or.gov
PROJECT STATUS:
STATUS DATE:
lssued
12t0812011
EXP!RES:
VALUE:
06t2512012
$35,000.00
S|TE ADDRESS: 2Z7g lgTH ST, Springfield, OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1703243102000 WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: lnterior addtion into/over garage of 1st and 2nd floors- no new footprint area, no new
umbin fixtures on
Description
Structural Plan Review Fee Residential
First Appliance Fee
Fixture
Residential Fire (.05 Per Sq Foot)
Structural Building Permit Fee
State of Oregon Surcharge (12o/o ol applicable fees)
Technology fee (5% of permit total)
Branch circuits without service or feeder - 1st circuit
Branch circuits without service or feeder - each additional
State of Oregon Surcharge (12% ot applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
relocated fixtures.
Amount Paid
$231 .04
$79.00
$1 14.00
$5.50
$355.45
$65.81
$27.42
$55.00
$24.00
$9.48
$3.95
Date Paid
11t2912011
12t0812011
1210812011
12t08t2011
12t08t2011
12t0812011
12t08t2011
01t17t2012
01t17t2012
01t17t2012
01t17t2012
Recipt #
2011003082
2011003146
201 1 oO31 46
201 1 oO31 46
2011003146
20l 1 oo31 46
2011003146
201 2000091
201 2000091
201 2oOOO91
201 2oo0o91
$970.65
FEES PAID
Plan Review
Department
Application Acceplance
Received
11t29t2011
Due Date Completed
11t29t2011 12t02t2011
Result
Application Accepted
Reviewer
David Bowlsby
David Bowlsby
Chrrs Carpenter
Public Works Review 1210212011 121A212011 1210612011 Approved
Comments: No lssues
lnitial Review 1210212011 1210212011 1210212011 Approved
Structural Review 12t02t2011 12tO212011 12t05t2011
lnspection 1210812011 1210812011 1212112011
Comments: lnspection in process
Todd Singleton
Planning Review 12102t2011 1210212011 1210712011 Approved Tara Jones
Comments: This house is located in flood zone AE, but not Floodplain Overlay approval is required because the addition is entirely
the second floor. There is no expansion into the floodplain.
Permit tssuance 12lOBt2O11 12lOBt2O11 12lOAt2O11 lssued Chris Carpenter
Struclurat Review 1210212011 1210212011 1210812011 Approved Chris Carpenter
Waiting lnternal
ln Process
on
Springfield Building Permit 111712012 2:41:04PM
Robert Castile
Page 3 of 4
$effi CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR201 1-02646
IVR Number: 811112395485
ISSUED: '121081201'l
APPLIED: 1112912011
225 Fifth St
Springfield,OR 97477
Phone'. 541-726-3753
I nspection Phone: 541 -726-3769
Fax 541-726-3676
permitcenter@springtield-or. govwww. springfield-or. gov
PROJECT STATUS:
STATUS DATE:
lssued
12t08t2011
EXPIRES
VALUE:
06t2512012
$35,000.00
S|TE ADDRESS: 2tt8 lgTH ST, Springfield, OR 97477 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1703243102000 WORK INVOLVED: Addition
ryPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: lnterior addtion into/over garage of 1st and 2nd floors- no new footprint area, no new
n fixtures on relocated fixtures.
INSPECTIONS REQUIRED
lnspections
'1 11O Footing Footing. After trenches are excavated
1260 Framing Framing lnspection
approved.
Prior to cover and after all rough in inspections have been
141 0 Underfloor insulation
1420 lnsulation Vapor Barrier
'1430 lnsulation Wall Wall lnsulation: Prior to cover
1440 lnsulation Ceiling Ceiling lnsulation: Prior to cover
1 530 Exterior Shearwall
1 540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. LathiPlaster: To be made after all lathing and gypsum
board,interior and exterior are in place, but prior to plastering.
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical Final Mechanical: When all mechanical work is complete
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
3999 Final Plumbing Final Plumbing: When all plumbing work is complete.
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical 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 rs 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 or 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 durtng
- t7-/A
Owner or Contractor Signature Date
Springfield Buildrng Permil 111712012 2.41 04PM Page 4 ol 4
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.32s (2))
I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities'
and I hereby certify that the information on this homeowner statement is true and accurate.
u1r
Print me of
/-rz -/
nt Date
it
of
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants, exempt from Iicensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit'
Please check the appropriate box:
I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB#Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
AOr,'*Jl
1\/ lh{ will be performing work on property I own, a residence that I reside in, or a residence that I willY v reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
Permit #:,5tt - Zo4o
Address:27?T / ?n Jr
JfiauantrD 17- lZvt?
lssued oy: *L: aate
This Copy for Permit Offices
i-
www.springfield-or.9ov
RECEIPT NO: 2012000091
TRANSACTION RECEIPT
811-SPR201 1-02646
2778 19TH ST
RECORD NO: 81 1 -SPR20'l 1 -02646
CITY OF SPRINGFIELD
225 Fifth Sr
Springfield,OR 97477
541-726-3753
permitcenter@springfield-or.gov
DATE. 01t17t2012
Branch circuits without service or feeder - 1st circuit
Branch circuits without service or feeder - each additional
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
224-00000-426102
224-00000-426102
821-00000-21 5004
1 00-00000-425605
1 004
1 004
'1099
2099
55.00
24.00
9.48
3.95
TOTAL DUE:92.43
JACKSON DANIEL L & SHANNON L 92.43
2579
TOTAL PAID:92.43