HomeMy WebLinkAboutPermit Building 2010-8-10
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I,Residential Permit
PERMIT NO: COM2010-00625
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED:
APPLIED: 5/17/2010
EXPIRES:
VALUE:
2/5/2011
$45,000.00
SITE ADDRESS: 879 RIVER KNOLL WAY , Springfield
ASSESOR'S PARCEL NO: 1703234304000
SCOPE: SFD
WORK INVOLVED: ADD
, , TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
Addition to Single Family Dwelling
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lie No
Lie Exp
Phone
BUILDiNG 114FORMAtlON . " ~
# of Units: 0
. i R'E- ,j!d(~'l.;
# of Stories:
I Height of Structure:
Type of Heat:
Water Type:
2
25.00
FG
Lot Size:
Sq Ft 1 st Floor:
Sq Ft2nd Floor:
261
Fire Alarms:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
ATTENTIO~I: C$reFt&~avy requires yOU to
foilow rules ada'/Hea oY'ihe Oreg~~~ Utility
Notification Cen98,~uPi\':'-"Yd~<me~ are set forth
Electrical Specialty Code Edi.tio}l:\R 952-001-0010 through OAR 952-001-
Springfield Fire Code Ed'itioofl090. Yau may obtain copies of the rules by
N!e~,~~~ical Specialty Code EdiY..q~::ng the center. (Note: the telephone
Municipal I Development Codlflumber for the Oregan Utility Natification
Plumbing Specialty Code Edition: Center is 1-800-332-2344).
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Range Type:
# of Bedrooms:
Hazmat:
N
Sprinkled Building: N
I i
Energy Path:
Site Information
~
'."..1..,;'....-- .'
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
. ,
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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Springfield Building Permit
8/10/2010 ...9:36?~.~M' i;
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: CQM20~.O~00625.
:;~C~'J~'" "l_"-:rr-;;~~\\'.\ ~ J,
.1\(.RNumber:
225 Fifth st
springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726,3769
Fax: 541-726-3676
S:~~H~~E.~~
~~
~-OREGON
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSU'ED:
APPLIED: 5/17/2010
EXPIRES:
VALUE:
2/5/2011
$45,000.00
SITE ADDRESS: 879 RIVER KNOll WAY Springfield
AssEsOR's PARCEL NO: 1703234304000
SCOPE: SFD
WORK INVOLVED: ADD
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Addition to Single Family Dwelling
DEVELOPMENT INFORMATION I
'. ..
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Frontyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
12.00
Overlay Dist: :
# Str~et"Tr~es Reqd:'
Paved Dri'Ve Reqd:
% of Lot Coverage:
Highest point on structure to
north properly line:
;~ "
REQUIRED PARKING
41.80
25.00
Total:
Handicapped:
Compact:
0.00
PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
. ~...
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"H\.I.R'" i:m.1J~'i,,;';
Sidewalk Type:
i "
Downspout/Drains:
'::'r;""
Valuation Description ~
i ,..~. ...,."
Descriotion
Tvoe of Construction
: Unit Amount Unit TVDe
Unit Cost
Value
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Springfield Building Permit
8/10/2010 9:36:27AM
Page 2 of 4
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www.cLspringfield.Of.US
CITY OFSPRINGF.iELD
Building, I~esidential Permit
PERMIT NO~'" 60M201 0-00625
IVR Number:
225. Filth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield,or.us
PROJECT STATUS: Issued
ISSUED:
APPLIED: 5/17/2010
EXPIRES:
VALUE:.
2/5/2011
$45,000.00
SITE ADDRESS: 879 RIVER KNOLL WAY
ASSESOR'S PARCEL NO: 1703234304000
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SCOPE: SFD
" WORK INVOLVED: ADD
TYPE OF STRUCTURE: RES
~ c'
PROJECT DESCRIPTION: Addition to Single Family:Dwelling
L:.zt~ T .;~-' -~_" ';'1;, ,~');""':'_ .;:.m~'~:~_:.::~~E~~:::1i{[~s}l!AYP~i~~':;-~~~:-[-';-~':-:::;~~_~." ,~ ~.~ .;': ;"?&.,~ _':~'~'~~~ '~~h:.C':J
DescriDtion Amount Paid Date Paid Receipt #
SDC Storm - Reimbursement $30.88 06/10/2010 60563
----_.~-_._._-_.~-- ~~-----_...
+ 5% Technology Fee $27.38 __-96/10/:z~__~_605~~___
+ 12% State Surcharge $51.44 06/10/2010 60563
SDC Storm -Improvement $111.06 06/10/2010 .__~0563__
+ 5% Technology Fee $3.95 07/21/2010 51203
+ 12% State Surcharge $9.48.' 07/21/2010 51203
Add, Alter, Extend Circ Ea Add $24.00 07/21/2010 51203
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Add, Alter, Extend Circ r'! ..l $55.00" 07/21/2010 51203
Plan Review Residential "" . $278.62 05/17/2010 69859
T
Building Permit "$428.65 06/10/2010 605.62__
Plan Review Minor - Planning $119.00 06/10/2010 60563
SDC Sanitary/Storm Admin $7.10 06/10/2010 60563
Balance of Minim':'..m Plumbing Permit Fees $20.00 08/10/2010 224402
Fixture $38.00 08/10/2010 224402
StateOfOregon Surcharge (12% of applicable fees) $6.96 08/10/2010 224402
Technology fee (5% of permit total) $2.90 08/10/2010 224402
Total Amount Paid \"'-.;} Si:?14;42 f
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Department
Initial Review
Issue Permits
Planning Review
Public Works Review
Structural Review
Structural Review
Received Due Date
OS/20/2010
06/10/2010
OS/21/2010
OS/26/2010
06/07/2010
06/03/2010
Complete Result
I. \.~,.{\, ~ APP
OK
APP
APP
APP
WE
INSPECTIONS REQUIRED ~
Reviewer
Comments
Storm SDC's are all that appl
Provide signed electrical perr
Provide: 1) Engineer's Adder,
Inspections
1260 Framing
,:~1;
1510 UFER
,.t',.," .'\ ",ti-v;,'tz::'::.."
1110 Footing
1170 Post & Beam
3500 Rough Plumbing
3999 Final Plumbing
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Springfield Building Permit
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.U5
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00625
perrnitcenter@ci.springfield.or.us
IVR Number:
PROJECT STATUS: Issued
ISSUED:
APPLlE~: 5117i20jO .
. EXPIRES:
VALUE:'
2/5/2011
$45,000,00
SITE ADDRESS: 879 RIVER KNOll WAY Springfield
ASSESOR'S PARCEL NO: 1703234304000
SCOPE: SFD
WORK INVOLVED: ADD
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Addition to Single Family Dwelling.
Signature language:
By signature, I state and agree, that 1 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_[wor~,p~r?rmed shall be done:in accordance with the Ordinances of
the City of Springfield and the Laws of the State or Oregon p,ertaini~gfto,tne work described herein, and that NO OCCUPANCY will
be made of any structure without permission of the Comrri~'njtYiSefVi~:~s Division, Building Safety, I further certify that only
contractors and employees who are in compliance with OJ1_s.fo1 ;o05'ii~i11 be used on this project. 1 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
of e property, and the approved set of plans will remain on the site at all times during construction.
xii D/I 0
Date
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Springfield Building Permit
8/10/2010 9:36:27AM
Page4of4
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
permitcenter@ci,springfield.or.us
RECEIPT NO: 2010000027 RECORD NO: ,COM201 0-00625, DATE: 08/10/2010
. i" '-i "f '.:' ','
IDESCRIfi,;tl0N~~~~~~~~~~'Cj~.Q.cr/:jTic.QQE~~MQU):jl!:Li:tiJj;~~",,,,~
Balance of Minimum Plumbing Permit Fees 224-00000-425603 20.00
Fixture .. '. 224-00000-425603 38.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004' 6;~~_
Technology fe_e (5% of permit Iotal) 100'00000-425605 2.90
TOTAL DUE: $67.86
~'F!A:Y:M~~jjjii'Thv;eglAi~f~~",Qi3*,BCf's1)TERlCCAR"ENTER~C:0MMENjS~JL~~$,jl!!~7:SMQ\..IN'iA~~ID_,tih;f~
Credit Card deanna lannan $67.86
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 12/10/2010
VALUE: $ 45,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 879 RIVER KNOLL WAY
ASSESSOR'S PARCEL NO.: 1703234304000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to Single Family Dwelling
Owner: LANMAN MARC T & DEANNA
Address: 879 RIVER KNOLL WAY
SPRINGFIELD OR 97477
I CON'fRAeT0RINFORMATION ~
Contractor Type
General
Electrical
Contractor
PLEASANT HILL CONSTRUCTION LLC
FIRST LIGHT ELECTRIC INC
License
184107
179416
Expiration Date
10/01/2010
11127/2011
Phone
541-988-4938
541-726-2961
BUILDING INFORMATION ~
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories: 2
Height of Structure 25.00
Type of Heat: Forced Air Gas
Water Type: '
Range Typ~:::' ,
Energy Path,." ,
Sprinkled Building: No
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
261
1
R-3
288
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Set hack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
,,' X~.,of~tS.?v:erage: 25.00
.~.u:r:t ~.1.'.1t."\1.." , to
"~~~.A~;\"i:A\:-C law requires you..
, h r
R J;l.l;lGlIMPR'" ,ENTS les are set forth
Nog~~~5~_OO; ~'Oij16 through OfAt~~f~~~~\vpe:
In btain copies 0
0090. You may 0 (Note: the tllleplU9~8uts/Drains:
calling the cen~r. on Utility NotificatiOn
number for tthelB r1e8g 00-332-2344). ,
Cen ar -
NOTICE: E WORK
THIS PERMIT SHALL EXPIRE IF TH
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR,
ANY 180 DAY PERIOD.. '
12.00
Total:
Handicapped:
Compact:
41.80
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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CITY OF SPRINGFIELD
Building/Combination Permit
,:i';::;7,'I~.j"(
- Status
Issued
I,ji: )
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PERMIT NO: COM2010-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 12/10/2010
VALUE: $ 45,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description ~
Estimate
TVRe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
.or Bid Amount
45,000.00
Value
Date Calculated
Description
Total Value of Project
$45,000.00
$45,000.00
OS/20/2010
~
Fee Descriotion
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
Amount Paid
Date Paid
Receipt Number
1201000000000000476
1201000000000000657
1201000000000000657
1201000000000000657
1201000000000000657
1201000000000000657
1201000000000000657
1201000000000000657
$278.62 ,
$51.44.:',~.;
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$27.38i...r..
$428.65 ~
$119.00;.
$7.10
$111.06
$30.88
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5/17/10
6/10/10
, , 6/10/10
6/10/10
6/10/10
6/10/10
6/10/10
6/10/10
Total Amount Paid $1,054.13
Structural Review OS/20/2010
Ioitial Review OS/20/2010
Plannine Review OS/20/2010
public Works Revjew
OS/20/2010
Storm SDC's are all that apply. No
other public works issues.
Structural Review
06/03/2010
Provide: 1) Eugineer's Addendum
for notching engineered beams, 2)
Special Inspection Form.
Structural Review
06/07/2010
Provide signed electrical permit
application.
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
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CITY OF SPRINGFIELD
"',~.. .
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Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00625
ISSUED: 06/10/2010
APPLIED: 05/17/2010
EXPIRES: 12/10/2010
VALUE: $ 45,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,"
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Remii~ed IilsDections ~ '
L '"
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected, hut prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finisii'~aterials.
Framing Inspection: Prior to cover and after, all rough iri'inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspection<h~ve"'eJ::n requested and approved and the building is complete.
Rough Mechanical: Prior to Cover ;:!'~;]i: ''::''('k\:',;
'~$',':O,"iJt.; ",: '1f$iJ;tn'.. '.
Final Mechanical: When all mechanical work' is com'plete.
UfoI' Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
,
City Building Inspector.
Epoxy Anchors: To he done by Certified Spci~Unspec,tor: Provide Inspection results to City Building Inspector.
Special: See Plan Reviewer or Inspectors ~o~es for specific requirements.
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 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 ~f..,tl\~P,!~PH,tyl'~!ld/he approved set of plans will remain on the site ai all
. uring onstruetion.:;;;;,;:;: ~ /
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Owner or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000657
2: 13:23PM
Date: 06/10/2010
Job/Journal Number
COM20 1 0-00625
COM20 I 0-00625
COM20 I 0-00625
COM20 I 0-00625
COM20 10-00625
COM20 I 0-00625
COM20 I 0-00625
Payments:
Type of Payment
CreditCard
cReceiotl
Description
Plan Review Minor - Planning
SDC Storm - Improvement
SDC Storm - Reimbursement
SDC Sanitary/Storm Admin
Building Permit
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
DEANNA LANMAN
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Amount Due
119.00
111.06
30.88
7.10
428.65
51.44
27.38
$775.51
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
01055p In Person
Payment Total:
$775.51
$775.51
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