HomeMy WebLinkAboutPermit Building 2010-10-1
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~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