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HomeMy WebLinkAboutPermit Building 2010-10-1 SP~I~:~L~ ~~ ~OR:EGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00209 IVR Number: 811158478889 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 10/1/10 APPLIED: 9/2/10 EXPIRES: 3/30/2011 VALUE: $10,000.00 SITE ADDRESS: 3452 DOUGLAS Springfield ASSESOR'S PARCEL NO: 1802062104900 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 50 s.f. Bathroom Addition Phone Number: OWNER: ADDRESS: CHATWOOD CRAIG E & DULlCE PO BOX 1502 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name THOMAS MICHAEL MCGINNIS C & SELECTRIC INC READY ROOTER DRAIN CLEANING & REPAIR SERVICE I Lie Type CCB ELECTRICAL CCB Lie No 131887 20-14C 92524 Lie Exp 1 Of22f201 0 07/01/2011 02/18/2011 Phone 541-744-0640 541-741-2236 541-744-7991 BUILDING INFORMATION I 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: . . ~:~ ~';~~1 Oregon law requires you to Site Informat", i . dopted 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. (Note: the telephone number lor the Oregon Utility Notification Center is 1-800-332-2344). # of Units: 0 Construction Type Occupancy Type Occupancy Comments Type VB R-3 $10000 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: ~\OOt!!.~~ea: . . skllsSRi?_qSKALl EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 10f1/2010 8:34:13AM. Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 50 '..,," ~"... ..:., Page 1 of 4 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00209 IVR Number: 811158478889 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: 101.11.10 APPLIED: 91.21.10 EXPIRES: 31.301.2011 VALUE: $10,000,00 SITE ADDRESS: 3452 DOUGLAS Springfield ASSESOR'S PARCEL NO: 1802062104900 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 50 s.f. Bathroom Addition DEVELOPMENT INFORMATION ~ 19.5 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Total: Handicapped: Compact: 14 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value Springfield Building Permit 10{1/2010 8:34:13AM Page 2 of4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00209 IVR Number: 811158478889 225 Fifth 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: 10/1/10 APPLIED: 9/2/10 EXPIRES: 3/30/2011 VALUE: $10,000.00 SITE ADDRESS: 3452 DOUGLAS Springfield ASSESOR'S PARCEL NO: 1802062104900 SCOPE: Bathroom VvORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 50 s.f. Bathroom Addition ~ ..'.;. ~{:~:~':~-;':rTF~5f:~~+:;4~~j-"i(Z"'S:;~~If~E~~rp~.p~~?-'D'';€~~-;~~~L~~20~t,~i.~~~.' '~'~~f :r'1~ Descriotion ~~E.rovement Cost - Storm Drainage SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Storm Drainage 'ReSideniia.iFi~e (.05 Per Sq Foot) - Structural Building Permit Fee Admin fee (10% of applicable fees) Sin~basin/lavatory Shower/Shower pan Water closet Bathtub First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Structural Plan Review Fee Residential __0,_~ffl Total Amount Paid Amount Paid $35.29 $2.50 $14.63 $2.50 $118.64 $0.25 $19.00 $19.00 $19.00 $19.00 $79.00 $32.84 $13.68 $77.12 $452.45 Date Pa id 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 09/02/2010 Receiot # 374460 374460 . 374460 374460 374460 374460 374460 374460 374460 374460 374460 374460 374460 299408 [ -'.,~7fl~\.,,::,;'"'' .,,, ,,',,' =:. ~,~", '" ~T~-::..:,. >;~wt"bl7f~~~;.:~":~;~~~:;E;;'::;':el:ri~i-ew. ~:,,1€f;?~:~'i:;~~!i-::Ij~_!+wf&/2{~r~~7;::. r:.0;:.:.;;k~;~j-~~~J Deoartment Structural Review Permit Issuance Application Acceptance I nitial Review Structural Review Planning Review Public Works Review Received Due Date Comolete Result Reviewer 09/30/2010 09/14/2010 09/14/2010 Approved Chris Carpenter 10/01/2010 09/30/2010 09/30/2010 Issued Nancy Machado 09/02/2010 09/02/2010 09/02/2010 Application Accepted Kip Kaufman 09/0212010 09/0212010 09/02/2010 Approved Kip Kaufman 09/02/2010 09/0212010 09/02/2010 Add'llnfo Required Kip Kaufman 09/17/2010 09/14/2010 09/14/2010 Approved Deyetie Kelly 09/23/2010 09/14/2010 09/14/2010 Approved Kaye Wilson Comments Provide truss engineering ani No Planning Issues. received on 9-17-2010 Storm Springfield Building Permit 10/1/2010 8:34:13AM Page 3of4 SP~~~..~.::L~ ~~ ~OREGON www.cLspringfield.or.US CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00209 IVR Number: 811158478889 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 10/1f10 APPLIED: 9/2110 EXPIRES: 3f30f2011 VALUE: $10,000.00 SITE ADDRESS: 3452 DOUGLAS Sprin9field ASSESOR'S PARCEL NO: 1802062104900 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 50 5.1. Bathroom Addition INSPECTIONS REQUIRED I Inspections 1110 Footing 1120 Foundation 1220 Underfloo, f'aming . 1260 Framing 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall 1440 Insulation Ceiling 1530 Exterior Shearwall 1999 Final Building 2300 Rough Mechanical 2999 Final Mechanical 3170 Underfloo, Plumbing 3500 Rough Plumbing 3999 Final Plumbing .4500 Rough Electrical 4999 Final Electrical 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 anyand 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 an the site at all times during construction. i/k t.~ ~ (' M:f;;j.tJJ-O-d Owner or Contractor Signature Date Springfield Building Permit 10/1/2010 8:34:13AM Page 4 of 4 Di:PARTMENT U!iEdN~Y 81.l-5M...Z8ta - Penn it no.: 00- Z8 4' Date: 9 - '2-- - i e- 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 suspenlled for 180 days. Structural Permit Application - 225 Fifth Street < Springfield, OR 97477 . PH(541)726-3753 < FAX(54 1)726-3689 ,;,: :'..; /:;; i':ii;'QCAL;99YE@MENij!;~F1i',R~yj,gf~!l'f!t:;.i~1.~~\~i This project has final land.:use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: D Yes D No Property is within flood plain: D Yes D No w;";;:":'.i~"::;i.:;'~!t...,;,/,,:;.,-,- ..' -",,-, ""'-....,...-- 'Ff"C .- "...... -:",- -','-~""~~ r,'ZiOl.i"j';/ :J;~f;,,~",:~ :~_,'- ~t~,~~'!l. ~.~ar~~~~~1J~~.9,~YfJ,9..~-,__.()_~~J1i~~,GII.QNfp.,i'tf:.:i;.i}~~Jf1r1.iiSi ~ Residential 10 Government 0 Commercial ~2f;{{;';i"r[!J.013':;.$ltE:..f!'l:E9RMATIO.r:i~ANQrr~o:eAi'iQN1:1~:~;~7ib11 Job site address: 3452 Douglas Drive '. City: Springfield State: OR I ZIP: 974'78 Subdivision: Hayden Gardens I Lot no.: 49 Reference: /8oz.of,'Z I I TaxlOI: lR QJ Qi :! 1)<l900 .. :". P,ROPERTv~Q.....NER .. i,'<'. . "'- '. : "'" Name: Dulcie Chatwood c- Address: 3452 Douglas Drive City: Springfield State: OR I ZIP: 97478 Phone: 541 - 736-8976 FaX: - - E-mail: c.chatwood@comcast.net This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exemp't from licensing requirements under ORS 701.010. . Sign here: .. : '. C;ONTRACJOR. .i~STAl:.-,::~iIQfolr",'''' --~ , '. . Business name: f!) Iii AI [; r:z Address : City: State: I ZIP: . Phone: - - Fax: - .. E-mail: . CCB license no.: Print name: Signature; ~;~~~!fk~':;~~(~1};~r,'$Jf~~G9'NltRA9itQ~~ff.fF9B~A:I(QJj*_~~iI~il~~01 Name CCB License NUl1Jbcr Phone Nl;Imber:' Electrical 3849 541-741-2236' Plumbing 092524 541-744-7991 Mechanical 'ii':"': ',:,:"\~";"n:,;<;~E~~s~~~QliL~r,-,:r':,:,: '-n-'.,.-,", '.. [::iJM~.t~Ji.~Kii)i1.~~f~'i!~Q:&~~!~t;t~:;~1#~{;1~~~I%::i~,~~'~~lI;::~}~M~il'f..~:':_.~ {~'~(. (a) Job description: 'EJ4"'''' 1l~ I l' 10,11.1 Occupancy , residential Construction type: addition , Square feet: 50 Cost per square foot: 200 Other information: Type of Heat: electricwall heater Energy Path: D new D alteration R1 a,~djtion (b) Foundation-only permit? D Yes ..ErN0 Tot.1 valuation: $l.tf,~ ~~::~ii.~,.i~ih'g~f~~~~t~fJWJ1!{~~1?tr~J1f:~1f;t~~~~~il1:{~;{~ . ~..';,~};~.~, ~/,,:'>~,.7::~.>fJ~ (a) Pennit 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 (2. through 2d): $ ii~;~~~1~~1~;~~~t~~glilft~~!~!~~1{~~~~~!~;:jjf;~~~~H~~ (a) Plan review (65% X permit fee [2a]): $ (b) Fire and life safety (40% xpeTTTlit fee [2.]): $ (c) Subtotal. of fees above (3. and 3b): $ ~~l:M)s~~!I~!!~Q!fslf~~e.~21t~~t{tItg-~;J?~~i't&~~:',~},:".; -:;" :;;.~~.~"'f.:~~\:.r~~~.~':,~,' (Il) Seismic f~e. 1%(,01 x permit fee [2.]): S TOTAL fees and,surcharges (2e+3c+4.): $ www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00209 3452 DOUGLAS DR CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci,springfield.or.us RECEIPT NO: 2010000452 RECORD NO: 81 I-SPR2010-00209 DATE: 10/01/2010 . "~-,,,":;;" ~ii7:&" ,'-<~ ""'~~~"s'A(:;_C6.UNL(;J:$bl:::'S!i" ',i - )''' 'A'MQVfITLbu E- . . 440-00000-448028 $35.29 719-00000-426604 $2.50 441-00000-448029 $14.63 100-00000-424005 $2.50 224-00000-425602 $118.64 224-00000-426605 $025 224-00000-425603 $19.00 224-00000-425603 $19.00 224-00000-425603 $19.00 224-00000-425603 $19.00 224-00000-425604 $79.00 821-00000-215004 $32.84 100-00000-425605 $13.68 TOTAL DUE: $375.33 ~,",f!~VMENT1.,(F!E-':" likPAVOR :i'Y"t~S.HIER.NMj\~HAD0t~EQMjVlE~;r~;-2t-ij-;r\rtf;'tY~;;: _;\;~ 2(i;AMQJI!:{tPAID' I DESCRIpTION'-"! '.--:i"".' > ~_.~ .""'';;;''4_'<. .SDC: Improvement Cost - Storm Drainage SDC: Total Sewer Administration Fee SDC: Reimbursement Cost. Storm Drainage Residential Fire (.05 Per SqFoot) Structural Buifdin~ Permit Fee Admin fee (10% of applicable fees) .~ink/b?sin/lavatory Shower/Shower pan Water closet Bathtub First Aepliance F~e State ~ Oregon SurchargO'j]2% of applicable fees) :rec~nology fee (5% of permit total) ...:'-r -. 'j Credit Card 01459c CHATWOOD CRAIG E & DULICE $375.33 $375.33