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HomeMy WebLinkAboutPermit Building 2010-9-1 (2) c. '.:.,t 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP~~;~FI.E.~." '. ."i~~"<J>," dci:"'~ . "".7.. ," OREGON CITY OF SPRINGFIELD Buildin9Ji8.esidential Permit www.ci.springfield.or.us :<1 PERMIT NO: 811-SPR2010-00206 IVR Number: 811154719657 permitcenter@ci.sprlngfield.or.us PROJECT STATUS: Issued ISSUED: 9/1/10 APPLlE.D: 9/1/10 EXPIRES: 2/27/2011 VALUE: $2,000.00 SITE ADDRESS: 1717 MARKET Springfield ASSESOR'S PARCEL NO: 1703253213900 . , " . , _'. "'; :; SCOPE: Single Family Residence .'r::,;",:. WORK INVOLVED: Remodel ....;4," TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior bath/kitchen remodel OWNER: ADDRESS: ACKERMAN BARBRA A 1717 MARKET ST SPRINGFIELD OR 97477 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Contractor Name RICHARD ALAN ROUNDS ESTEVAN JON SLAUGHTER '<. Lie Type CCB ,. ~f'~ 1.;,1. 1 CCB Lie No 141736 189421 Lie Exp 03f26/2012 01f29/2012 Phone 541-726.5448 541-556-0106 ; BU!lQING INFqRMATION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Fire Alarms: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: ...,. ..... ... Sq Ft Other: 'F', e.,''" . _ ." Occupancy load: , ,('if" ATTENTION' 0 Elect~.i,c~1 Specialty Code Edition: follow rules ~d regon law requires you to Springfield Fire Code Edition: Not/ficat/ C opted by the Oregon Utility Mechanical Specialty Code Editio\\'i OAR 9~;0~1~ter, Those rules are set forth Municipall Development Code: 0090. Yo 0010 through OAR 952-001_ Plumbing Specialty Code Edifion: calling ~h may obtain caples of the rules by Residential Specialty Code Editionhumber f e t~enter. (Note:, the telephone Struct~ral.Specialty Code Edition: Cor e. Oregon Utility Notification enter IS 1-800-332-2344) I Site Information ~ . Range Type: # of Bedrooms: Hazmat: Sprinkled Building: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: .,. . "':'.:d~,'f'.' ..."....,;~ !,.. .' NOTICE: . .,.".,._ THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR . ANY 180 DAY PERIOD, . .~. ,', ;:1: _~:h'" :~, ~ "t. Springfield Building Pennit , ';"9i~;2010: !~~~':04:42PM '~~'~,',: r';' . Page 1 of3 ..:(..:_ t'; 1. '. .,. ;'1 ' ~':' '" ',',,;:., www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00206 IVR Number: 811154719657 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S~R.ING.FI.E.~.D. ' tAil ;C ,~ ,t~:OREGOH permitcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED:.91111.0 A~p"qE:P: 911ho,.f' . . ';., EXPIRES: 212712011 VALUE: $2,000.00 ,.' SITE ADDRESS: 1717 MARKET Springfield ASSESOR'S PARCEL NO: 1703253213900 SCOPE: Single Family Residence WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior bath/kitchen remodel DEVELOPMENT INFORMA TION ~ '.t.: ' REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlaywb'fst: : ~ # Street:TreesReqd: Paved.Dri;je Reqd; '., r \' ~ ' % of Lot'Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: ,i:.;,;:,;"':'I, i-' .,:,,1''')'~': ,,,,) j ,~' ',i'I" ':. . y" ~ Valuation Desc_ription ~ ., Descriotion Tvoe of Construction ,.y-D.~S ,,-,(- fr,~, ... HUnit Amount Unit Tvoe Unit Cost Value ;-"'!i: . I iJ ij'~.'~ , .r 1;;'-"-"7":'~"~-BS'c:::::--~-~::-"'-'yr~,...;> -'--:-::"'-:rs:"'~'~~c~'~""-"'-' -. _..~- ;'~'''''' ~._"_",o. "^"'j~ii.r.-"':>-'"'~-V""'j&t^"'~-f:'P"~"", ..- %""..',. ..., ~ -y ~,.,""_.~-t' "'" -")'1,/.", ~ f-- ... Y';J;:'V'''' - .. --.: --~O' ':l .... :=:! 0~:.i<S'iCs'7';'5:~"i4~;B~",,'g:,'.~b},;;.,,~ 1t,4~~~~:::i'..::'t.~tp: "_' t,: .rtA.EI;I;S:~J.\II;)l',;:(,~,;;~i:~:tt::::~~:t"'~~t:~lS.~"'0~'i'X;i'd'r "" -_ . -'2>~ --.:""'''~ Descriotion Amount Paid Date Paid Receiot # Slructural Building Permit Fee $50.00 09/01/2010 299403 Permit Fee Adjustment - Structural $8.00 09/01/2010 299403 State of Oregon Surcharge (12% of applicable fees) $6.96 09/01/2010 299403 Technology fee (5% of permit tolal) $2.90 09/01/2010 299403 FirslAppliance Fee $79.00 09/01/2010 299403 Single-duct exhaust (bathrooms, toilet compartments, utili .$18.00'; . 09/01/2010 299403 Stale of Oregon Surcharge (12% of applicable fees) $11.64 - 09/01/2010 299403 Technol09Y fee (5% of permit total) j , ,.$4.85. 09/01/2010 .299403 Total Amount Pai~ ,',;- ,'$181,35 Springfield Building Permit 9/1/2010 2:04:42PM Page 2 of 3 I CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us t'.. Building kResidential Permit " :' .b! ~': '. ", . ,i. ~ I ~" ..~ ..:' "'. . ' PERMIT NO: 81.1-5PR2010-00206 ..- .. . .' -';. IVR N~i\'iber: 811154719657 perm itcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/1/10 APPLIED: 9/1/10 EXPIRES: 2/27/2011 VALUE: $2.000.00 SITE ADDRESS: 1717 MARKET Springfield ASSESOR'S PARCEL NO: 1703253213900 SCOPE: Single Family Residence WORK INVOLVED: Remodel . TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior bath/kitchen remodel r5~'1~T;~~, ~,~_~"~,- ;::'~ Go~>':-"~~""'-~jJ;?~~~~t"Jit~;~Z~4~p. 'Ia'. ~nc'iRe.'v-'I'e.""w"<'lf.!l'f.'~~-~~~~;)":$k'~;#t"5i?iM'F~~~F"~~,;'~:;:::: i} (~""_'" :~.. ....'4: "--'l i>.,. ., !!:.. ',..'Fr.,.~,".,v._3=".,.,,,,"',,,,,,,,,,,,,,,,, -.:=;......,~, .~~..~->.__----'--.~.~r' -, 'Jt:::Jb~." -'-,; ',-, ..',"', "":;"0'- l'."P:". ..,- .....~....,_.,..;..."'~'-" -"< _ ." '". .~," ComDiet~ 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 DeDartment Application Acceptance Initial Review Planning Review Public Works Review Structural Review Permit Issuance Received 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 Due Date 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 Result Over the Counter Over the Counter Not Required Not Required Not Required Issued Reviewer Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Chris Carpenter Comments Over the counter permit Over the counter permit Over the counter permit Over the counter permit Inspections 1260 Framing 1999 Final Building 2300 Rough Mechanical 2999 Final Mechanical INSPEC;rIONS REQUIRED 'W"'.h'" . ::!.,:' \ ,'.:' ,.... ---. ~ ,'~ t1, ?.J"\~i~: \ ;J:lf~'~~'t 3500 Rough Plumbing 3999 Final Plumbing 4225 Service or Feeder ,-,:, 4~00 Rough Electrical '". 4999 Final Electrical I;l:~,l' ~.:, II,<:-}g:~:: . ". ';' " By signature, I state and agree, that I have carefully ex'afnii;i!d 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 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 during construction. " _ ~ ~\L A '<~1:3:JY~~:'~'q - /-/0 Owner or Contractor Signature "....,~~_;.,7_. -.." ._~ "'Date ",.~n'~~ Springfield Building Permit 9f1f2010 2:04:42PM '\ Page 3 of 3 > "-. Structural Permit Application I @UW@}'~(Q1Ma:~ 225 Fifth Street + Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-3689 DEPARTMENT USE ONLY Ir~ . ~ "iIU' Permit no.: .~l 0 - 20 \0 Date: /0 This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days ofissuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: D Yes D No CATEGORY OF CONSTRUCTION Residential o Government ZIP: City: Phone: ZIP: ~")iftlS I E-mail: c.J CAo~ 6..J.,..,.....,,,"- This installation is being made on residential or farm property owned by me or a member of my immediate f: ily, and is exempt from licensing requirements under ORS 701.010. Sign here: CONTRACTOR INSTALLATION City: Phone: E-mail: 6~ Print name: Signature: Name Electrical Plumbing Mechanical ceB License Number Phone Number FEE SCHEDULE I. Valuation information (a) Job description: Occupancy Construction type: Square feet: Cost per square foot Other information: Type of Heat: j AJ \l-'t. Energy Path: D new alteration (b) Foundation-only permit? Total valuation: D addition DYes DNo .2. Building fees (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) Subtotaloffees above (2a through 2d): 3. Plan review fees (a) Plan review (65% x permit fee [2a]): (b) Fire and life safely (40% x permit fee [2a]): (e) Subtotal offees above (3a and 3b): 4. Miscellaneous fees 5-% ~ (a) Seismic fee, 1% (.01 x permit fee [2a]): TOTAL fees and surch,arges (le+3c+4a): $,)-bS 0 60 - $ $ $ $ /p'ic" .-- $ $ $ $ :)....!- $ stefl ~. SP.RINGFIEL~.D . .- ',~. . ., OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00206 1717 MARKET ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us .r;_ RECORD NO: 81 I-SPR2010-00206 DATE: 09/01/2010 . -',.,., - '''i''''''''''''F'''''''A'C-CO' UNT'C'O'DE ,',,,, . A,M.O'._U',N.T._D,U'.'!,,','.~'.;. ...j - "0".,~' .' '.~'i.~~.:.tIl-::;;ID'.._ _ _ ',m;,.l.:.'.__' -',,'- '- ____ __ ," '- ,:",,". : 1 ,i" 224-00000-425602 $50.00 224-00000-425602 $8.00 821-00000-215004 $6.96 100-00000-425605 $2,90 224-00000-425604 $79,00 224-00000-425604 $18.00 821-00000-215004 $11.64 100-00000-425605 $4.85 TOTAL DUE: $181,35 '~''':';''', -,' 'i;"-,_,,, ;'-- ','-AMOUNT, PAID'> _,_ _' ~ RECEIPT NO: 2010000212 I DEScRIPTlm.C,::.' . '1;f:<;.., Structural Building Permit Fee Permit Fee Adjustment - Structural State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) First Appliance Fee Single-duct exhaust (bathrooms, toilet compartments, utility rooms) State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 1"'PAYIVIENT"TYpe'",,_' PAYOR -',C CASHIER:CCARPENTER.: 'C,QMMI;.NTS Credit Card 05599b Louann Harrack $181,35 $181,35 .,..... i:.:::r. .~!f:-:~. . ..(, '\;.r}: .' 'I.. :X -'. .'~ ,,'~ . I .- 'j' ,I .,., , ;~" '," ;: ;,':' '" ....:... ~~'. ~Y'. ... . " , "