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Home My WebLink AboutPermit Building 2010-7-22 Status Issued 225 Fifth Street; Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 284 S 71ST ST ASSESSOR'S PARCEL NO.: 1702353406700 PROJECT DESCRIPTION: Shed dormer Owner: ELLIS LORIANNE Address: 284 S 71 ST ST SPRINGFIELD OR 97478 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction CITY OF SPRINGFIELD Building/Combination Permit 'j;, '. .. PERMIT NO: COM2010-00959 ISSUED: 07/22/2010 APPLIED: 07/20/2010 EXPIRES: 01/22/2011 VALUE: $ 5,000.00 "A" 'I., .' ._~ Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Phone Number: 541-988-3965 I CONTRACTOR INFORMATION ~ License Expiration Date Phone R-3 BUILDING INFORMATION ~ . #iril1.TTE;NTION: Oregon law reqlJlreSi\lot:si~e: , '1011tlW'iiiles adopted by the Orego" I ';"i'\' , "HNlll1lie~ti6Wetmifer. Those rules are ~atF,~~~ Floor: . TIlP~~~-001-001 0 through OAR ;~~'!iFr(]:c~d Floor: V(llJ~O:r:YIlI:f may. obtain copies of the'SljiFi Basement. RaIUa'lf1il(!'~lle center. (Note: the telet~~G I%rage/Carport El1/illUlJll\tllJlr the Oregon Utility NOtif~~nt Rther: Sprinkled l5!liltli"ill1-800-33l!'~344). (liccWpant Load: I DEVELOPMENT INFORMATION I " .. REQUIRED PARKING VB Total: Handicapped: Compact: Overlay Dist: ' # Street Trees Rqd:. Paved Drive Rqd: , , % of Lot Coverage: "NOTICE: 'T'1l PU'''',''''' I K ..,,., "rH IS PERMIT IS NOT COMMENCED OR IS ABANDeil1:/yTM'ype: ANY 180 DAY PERIOD. Downspouts/Drains: '!.!:.'1.,.. -,-h::;!j"i:. ,;,~ii' ~\~';,; , ' , i~~h. '. ,.,r:.! :.' I Val~~~;on ~e~~riPtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I of 3 '_' ~: .1':. .' ,," " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00959 ISSUED: 07/22/2010 APPLIED: 07/20/2010 EXPIRES: 01/22/2011 VALUE: ' $ 5,000.00 ) ',: ... \ , ,~' ~ i ': : ! < '!(", Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 ;,.;18r ;:"\;'" . 5,000.00 $5,000.00 $5,000.00 07/20/20 I 0 , : ~T;?tal '! alu'e of Project ~ Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Building Permit Amount Paid Date Paid $56.71 $10.47 $4.36 $87.25 . 7120/10 7/22/10 7/22/10 '7/22/10 Receipt Numher 1201000000000000832 2201000000000000853 2201000000000000853 2201000000000000853 'Total Amount Paid $158.79 1'" :..1' Initial Review Plan nine. Review 07/21/2010 07/2112010 ,1"",Plan Reviews , 07/21/2010 APP 07/21/2010 APP CJC DDK Public Works Review 07/21/2010 07/21/2010 APP LKW Checked solar - OK No planning issues. No new surfaces or fixtures/No SDC's as noted on plans Structural Review 07/21/2010 07/21/2010 "APP CJC ,'I, .,'q.,,-' . I;.'~d: .!,."" ,.:,1. . . - '~rc .,( \: :,v. .. , . ') To Request an inspection call the 24 hour ,!:~.2rqi!Ig;~t726-3769. All inspections requested before 7:00 a.m. will be made the same working day, i1"~pectionS'request~d after 7:00 a.m. will be made the following work day. l...Peouired.Jnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections ,have .been' re'quested and approved and the building is complete. ". f.'~.~Y\'.~ . \.. 'J ~ ,',-, f,~ i; :l"~.,,'i . ; . ,...::JL;. :';":'Lv 1L~~..; . ;.1:" '.~ \'. ", ~ ' '~~f~.1 ':\!'f'C !, Paee 2 00 J Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone ,541-726-3676 Fax 541-726-3769 Inspection Line ".;;'~ \ r \,' "\'p', CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00959 ISSUED: 07/2212010 APPLIED: 07/20/2010 EXPIRES: 01122/2011 VALUE: $ 5,000.00 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 co....ect, 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 of any structure ""ithout 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 inspectionblre'requested at the proper time, that each address is readable from the street, that the permit card is located at the front or.th~;prope'rty, and the approved set of plans will remain on the site at all times during c truction. ::':".(;,;t. .~ .",~.'I:t~ '," . ~ ;.::' , Owner or Contractors Signature \ '---'-<7/Zc:./ro Date ., ""." ,>,' i.','i, S,!i--L ' .;L ,: , .\:~~;~t.:.. :\~:.~::~~i,',~~. .-\.:.::.;:'.~.' ;,.;.;...... \' ",:,.""" ;'.-' ., ( I ~ ' 1'''.1 .' ;...."'>': ~ \',) Paee 3 of3 . ".j ~. ~ t I '. ,:~.t: l,.' ..\.,.; . ~ , ,', ".;' 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 SPRINGFlEL.D ~~ g JAiJY~4-~ .' ' iii.."f,,:f+"d%i . ~'~ ,.,- DEPARTMENT USE ONLY CniAA 2010-00 7';1' Perrmt no.: Date: 7-20 '(0 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . j;'l,i~G;P'A~: "'!3~Qy~'~~lM~N.f~~~~e-8~Q:V~~~~';*(I~;b::t;,':;~Hf~~~W; This project has final land-use approval. Signature: Date: This project has DEQ approval., Signature: Date: Zoning approval vetified: D Ves D No Property is within flood plain: DYes D No !'jll.j:)j,J;:41'...;1.',J'l'.~Jt.:"i'CATEGdR'Y:.di6j;;:,cbNSTRUCirlbN~",k.;,',.i;:<ii,:,::~'. 'l;."i, :ti",?."W't"" '_';"o."..'<i_.I%h.._ ...,. .... ___.,._.."',",', ,.':_~......~,"",,, _,'.'" .' . ___'._.. ", .. . __.._ _,-,..,.~,.",'l"4I'_,JI.t.:;.....,..,"'<,y.~,. ~ Residential 0 Government 0 Commercial Yi\1:i;~':i::.:;iU9B;sl;i'I;'.If.l~~MA'rIQN.~'AN.D~'~9CA:fi6'NfZ;;;1;fl~)~'''! ':>T SIlL ZIP:q~'-I1- Reference: : ~. ' t. Name: Lolt-\ " State: 0 Fax: E-mail: o....-S \Y\,.L I h I'Y" This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.0]0. Sign here: 'f- ~~ ~ '. CONTRACIO~INST:AlLATli:lN: . . Business name: )< La 12-\ rz: \..L-\ s: Address: '-/ '>.'1-1 5. S~= ~ City: !Z.1....s'" (t Il \....0. State: o/<. Phone:S<-\\- '0'- '7'11..:- Fax: E-mail: Te;<. M.'~ L<.;)...t.. \ '7, c...-hOD ,e.o> "'"' CCB license no.: Print name: Lo~ \'CWs: Signature: ~~~ ;,~~:';1~Lf'~~::~lt~'GStJ~~G'q~jf~AG]O_RANff(JJ~MAtl:QN-:~~~:1J;~~'N;it~~~~;T Name CCO License Number Phone Number Electrical Plumbing Mechanical >.~"""'F.EE SCHEDULE':;"" ''', ",. >;,.... ,.' ~. rc',;, ';i::Yai~'~~~1()t~(i~fo~r!Jj'ij_t~9~~i.f;~%;r~'tr:{~B~i?J!,EH':~~{~:;<ljL~::~;l,~,{;J~~'~~~:~&~)~l~:.;_:~' (a) Job description: SM~ i>"I<~tU2. Occupancy Construction type:vg Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new 0 alteration (b) Foundation-only pennit? Total valuation: D addition DVes DNo (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) Suhtotal of fees above (2a through 2d): $ $ $ $ V-a. $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees ahove (3a and 3b): \},4'~\'M!~f~.lt~o_~~QU~1fie~iU~~~1f,i':;.~~!~::ft~i;W-~,::~:.~' $ $ $ ~:;:."~ J<t~, $ (a) Seismic fee, 1% (.01 x permit fee [2a1): TOTAL fees and surcharges (2e+3c+4a): $ ':City of Springfield Oevelopment Services Department. 225 Fifth Street Springfield, OR 97477 Planning Division Information She~t for Building Permits Com mercia (/Ind ustria II Multi-Fa mily Residentia I The Planning Division requires the following information for g]l building permit submittals on. properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. Re(p.iied_J'~fecUnformation_ - . ~ - :.-=... ---==--~ -~_=-~';;'(AI;Plica-"tf'co!PPlete. this set;.tion} A licant Name: La "'1.L\ S Phone: 5'-\\-"I'6~-~"'rlLS' Com an: t-Sc N - ILA e,L-E Address: .2'bY 5 - '1-\ '?T - - '>P\L\tJc'n.Ill.-1 Fax: ASSESSOR'S MAP NO: TAX LOT NO S Address: Description of the proposed work to be completed under this building permit: A ':>\-\1:.1> Dol<-""'U. I':. c..OI~", '" ~i2. ~U.I'-" To \1'-\~SiZ LIVlNl,SPfl<:-li- ON SEcilND S,o/V1 of' (t.li-SI(Hr,.Je-f. Th\<;' WILL ,.,)D' \NL~\z. 'l\--l.G. 501<-1<.01'" 1l--\1Z. 8c-ISf\,.,)(" S\T1'l- o\l~Au... T\-I.~ IC"MO LOAD 6~N" n>...Y'\-"< ""\.J2..<~'1 \U.\~n \JjILL i!.c jl,-L~ A-,.,lD Tl-ttt:.. FOOT- I'I'-INTw\\..\..ND\ L-\-I.'A-lJt..~.I\.\I'i(,OtSs~o..J ",6171-.)" PIULfO~MIUl ()'-! \-tDMEo..ut..:lU. Has this development proposal been reviewed by the Planning Division through an application process (i.e. MDS or Site Plan Review)? 0 Yes JEJ No if yes, Case #: If no, is this a change in use? DYes 00 No Prior A roved Use: Pro osed Use: .4. 4 I . I 1- Zonin TOTZ: Overla The proposed project requires submittal and approval of the following Planning application prior to building permit approval: D DWP Overlay District Development D Statement Letter Regarding .DWP Exemption o MDS 0 MDS Land Use Compatibility Statement Site Plan Review 0 Other: Reviewed b : Date: 225 Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone. "~""'!!'!'!!IJ!1,l>.ii..""".."..:. l*' if~ - ; ~'.Oj- '. . . .. . .,,,.........' .~ .~_.~w.._.~,,"C..._, ..~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000853 , Date: 07/22/2010 8:50:28AM Job/Journal Number COM2010-00959 COM2010-00959 COM2010-00959 Payments: Type of Payment Check cReceiotl Description Building Penn it + 12% State Surcharge + 5% Technology Fee Paid By LORI ELLIS 'j',,: Check Number Receiyed By Batch Number .yiyg ~1:g::0~,>' .';,;':... '" ' ........". tij.\' I : .r , ';d. .,Jh.-:.' .,"~,"""....,- . OJ', 1;"1:;:; ):~::; .,,:,' "r, . ~, . " t ': ~t,\-I \ I ~ ~U:,' ". ~ "..",.- ;,,~{t~:h?\ \':~., 1.\,.: ~j:'~:;,~,~" ':: ,.' IJ:n P~g~ I of 1 ....' Item Total: Authorization Number How Received 2178 , In Person Payment Total: Amount Due 87,25 10.47 4,36 $102,08 Amount Paid $102,08 $102.08 7/22/2010 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000832 Date: 07/20/2010 8:31:00AM Job/Journal Number COM20 1 0-00959 Payments: Type of Payment Cash Change Description Plan Review Residential Paid By LORI ELLIS LORI ELLIS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 56.71 $56.71 Amount Paid d.t; . .J '.( ajb $60.00 ($3.29) $56.71 In Person In Person Payment Total: Job/Journal Number COM20 1 0-00959 Payments: Type of Payment Cash Change cReceintl Description Plan Review Residential Paid By LORI ELLIS LORI ELLIS Check Number Received By Batch Number .,.~~djg',;:_"l t,;. ,. 'iidjli $,'J.oi.f.~ ,,~~;~~l il ~~'~,~: . 1~:~~"~ \1i..,~'1 Item Total: Authorization Number How Received Amount Due 56.71 $56.71 Amount Paid In Person In Person Payment Total: $60.00 ($3.29) $56.71 '-~;'. , ... !:;. {jIb \:'F.ti!!J ",..". ..( ",. .c/~" f'F:;b ,;. ',,;:', ,'I'~"i ~7j'::,:'~ .'~. r ~ ....~)-,lf... 'Co .-'<' : ./x~ -' ,'.'".. Page I of I 7/20/20 I 0 71Z PIC'. S. -71 s r -5- 7-�- C- F 7 a --D io rrl m •••A < i, 0 • 00:0.: 09 0 go 0000 LIN 0*00 0 0 0 0004 *000 0 in 0 0 n z n 0 > j > tri z L, z n lz n rri > ;I_k 'T C: < F G) 0 Z 9 77 <;u PIC'. S. -71 s r -5- 7-�- C- F 7 a --D •••A O0000* so 0 • 00:0.: 09 00 go 0000 0*00 0 0 0 0004 *000