HomeMy WebLinkAboutPermit Building 2010-9-1 (2)
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225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
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CITY OF SPRINGFIELD
Buildin9Ji8.esidential Permit
www.ci.springfield.or.us
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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
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, _'. "'; :; SCOPE: Single Family Residence
.'r::,;",:. WORK INVOLVED: Remodel
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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:
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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 Pennit
, ';"9i~;2010: !~~~':04:42PM
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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
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permitcenter@ci,springfield.or.us
PROJECT STATUS: Issued
ISSUED:.91111.0
A~p"qE:P: 911ho,.f'
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EXPIRES: 212712011
VALUE: $2,000.00
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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:
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Valuation Desc_ription ~
.,
Descriotion
Tvoe of Construction
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,,-,(- fr,~,
... HUnit Amount Unit Tvoe
Unit Cost
Value
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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
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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
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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'" .
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3500 Rough Plumbing
3999 Final Plumbing
4225 Service or Feeder
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4~00 Rough Electrical
'".
4999 Final Electrical I;l:~,l' ~.:, II,<:-}g:~:: . ".
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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. " _
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Owner or Contractor Signature "....,~~_;.,7_. -.." ._~ "'Date
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Springfield Building Permit
9f1f2010 2:04:42PM '\
Page 3 of 3
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Structural Permit Application
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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"
.--
$
$
$
$
:)....!-
$
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SP.RINGFIEL~.D .
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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,::.' .
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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
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