HomeMy WebLinkAboutPermit Building 2010-12-15
S:~~\N G~EL~
~~~~
.~.~. ~
: ':~<;^.mm OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/15/2010
12/06/2010
Issued
12/15/2010
EXPIRES:
VALUE:
06/13/2011
$15,000.00
SITE ADDRESS: 497 68TH PL, Springfield, OR 97478-7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
Phone Number: 541-746-8525
OWNER:
ADDRESS:
CORRIS TERRY A & JANA L
497 68TH PL
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION ~
Contractor Type
General Contractor
Contractor Name
PAUL KENNETH HAMPSHIRE III
Lic Type
CCB
Lie No
154996
Lie Exp
05/19/2011
Phone
541-998-3430
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code E~~iiion:tn()N: Oreg I .
f~ II on aw reqUires yo t
Municipal I Developr1]ent Code?W rules adopted by the 0 u 0
. Nnt.f1~aj' C regon Utility
Plumbing Specialty C"ode Edition: '':)0 enter, Those rules are s t 1
III U;'\H 9b2~001-nMO e orth
Residential Specialty Code Edition:,U" 2008 through OAR 952-001
--vv..u may obtai' -
Structural Specialty Code Edition:g the oent nlNcoPles 01 the rules by
,,",,-; _ er. off=!' tho t,..,.......r
I Site Information -_."",v~I~~j~1a, Oregon Utility N~tifi~~~i~t1n
Ir S 1 -800-332-2344).
# of Units:
BUILDING INFORMATION ~
# of Stories: 1
Height of Structure: 16
Type of Heat: Electric
Water Type:
Range Type:
Hazmat: No
o
# of Bedrooms:
Sprinkled Building: No
Fire Alarms: No
Energy Path:
Engineered Fill: No
Fill Volume:
Flood Hazard Area:
Land Hazard Area: No
Retaining Wall: No
Soils Report Required: No
,
Lot Size: 4070
Sq Ft 15t Floor: 182
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Fl Other: 0
Occupancy Load:
";rCE:
I,~ .PER_~I/IT SHAll EXPIRE IF THE WORK
1 .'IORIZED UNDER THIS PERMIT IS NOT
. ''''IEI~CED OR IS ABANDONED FOR
12/151201 U4:24PM -: : 80 DAY PERIOD. Page 1 of 4
Springfield Building Permit
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
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:
STATUS DATE:
Issued
12/15/2010
ISSUED:
APPLIED:
12/15/2010
12/06/2010
EXPIRES:
VALUE:
06/13/2011
$15,000.00
SITE ADDRESS: 497 68TH P~, Sprin9field, OR 97478-7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
Frontyard Setback: 10
Interior Setback: 7
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
43
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvpe
15,000.00 Bid
Unit Cost
1.00
Value
15,000.00
15,000.00
FEES PAID
~
Descriotion
Structural Plan Review Fee Residential
_..,...__w...._~____
Residential Fire (.05 Per Sq Foot)
Admin fee (10% of applicable fees)
Structural Building Permit Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Planning - Minor Review - City
SDC: Reimbursement ~,?,~t - St<:~~...~~~~.~~_
SDC: Improvement Cost - Storm Drainage
SDC: Total Sewer Administration Fee
Total Amount Paid
Amount Paid
$120.09
$9.10
$0.91
$184.75
$22.17
$9.24
$119.00
$45.35
----
$82.34
$6.38
$599.33
Date Paid
12/06/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
Receipt #
375045
375137
-,--~-
375137
375137
375137
375137
375137
375137--
-...~~;_.._-_....._,-
375137
375137
Springfield Building Permit
12/15/201 1 :14:24PM
Page 2 of4
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/15/2010
ISSUED:
APPLIED:
12/15/2010
12f06f2010
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES:
VALUE:
06/13f2011
$15,000.00
SITE ADDRESS: 497 68TH PL, Springfield, OR 97478.7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
Plan Review
~
Department
Application Acceptance
Completed
12/09/2010
Result
Application Accepted
Received Due Date
12/06/2010 12/06/2010
Structural Review
12/14/2010
Approved
Chris Carpenter
12/09/2010 12/09/2010
Reviewer
David Bowlsby
t~~u~~c:,~~:~~:~e;~je~>~~_;~~~&;~':~:12/~:~~1-e~::.~;~O~(22~,?'_,':1~'~}~/~01 O/!-:f',:~EBr?~~,?Y y;:it.: '~;_ _~~~~~;: ~llson '
1 ~~of!1inents,:_?~ Stor~,'waterto'e~is.tjng,~x~~r:n(B;.ce~v"e9}~~lO,:f910 ~'~?":'7~:: J"~~z,/,,'/:c~)~} :,<:E; >ti;'~_ :~'., ,^,'., , .',,:
"'__...._~O<<'~.,.~~,."...."........._~~~~~~=~-"_--"_~~__.~
Initial Review 12/09/2010 12/09/2010 12/09/2010 Approved David Bowlsby
f?ernJltilss'uahce~,"!?'''''' r . if:.-
,,', ->:' <'"i'.:<:"'~H;/id"c
,'. '~. -~:F:- ",'
12/14/21110\ 12/14iz01O'1:' 12/15/2OTo ~: -lssJed' -_-:- ,_
'\:: ~~',. ":";~/~'- :~:&7:~~~'~LL''l~.'~:! _~'_:; ":' ,~;J~,:~':~'~~~-
.- -, "]
',,'" ,,""J -"", . "...., '::""0'--+?+"....
c'i'~ : ~0", :,*:.'.,'~~{~-::;::~,.,~':P~~.~
""'-~~_----:."'"--.:;;.","-'!._-,;,.;. -~
Chris Carpe.nt~,(,'--"-~~7,,~~,,_;:-~~: h'. -', ^~::J,
'C~-_.....,.,.'tt.,,.. ';'-." j' .'':.:--y. '.. '_ '. ",.:-1
,..~:,- .... '~.j;~'" '-:...--J
INSPECTIONS REQUIRED ~
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab buJlding service equipment, conduit piping and
other equipment items are in place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Inspections
1020 Zoning/setbacks
1110 Footing
1120 Foundation
Footing: After trenches are excavated.
1150 Slab/Flatwork
1260 Framing
1410 Undertloor insulation
1430 Insulation Wall
Wall Insulation: Prior to cover.
1440 Insulation Ceiling
1530 Exterior Shearwall
Ceiling Insulation: Prior to cover.
1999 Final Building
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
4500 Rough Electrical
4999 Final Electrical
Springfield Building Permit
12/15/201 1:14:24PM
Page 3 of 4
SPfl..N.G flE~ ..
.~"
ci:.' ~
"5:~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
InspeCtion Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/15/2010
ISSUED:
APPLIED:
12/15/2010
12/06/2010
EXPIRES:
VALUE:
06/13/2011
$15,000.00
SITE ADDRESS: 497 68TH PL, Springfield, OR 97478-7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
~.j4-~Q-Y
Owner or Contractor Signature
/Z.;;~// 6
I I
Date
Springfield Building Permit
12/15/201 1 :14:24PM
Page4of4
S. Permit Application
DEPARTMENT USE ONLY
2:O/u -00 'Z,
Penn it nObO
~ .- "- ,'. .;:,....:. 'j~ '''>'!~~ ""~""" .:.
.:!:.< ~'o:'CITYOF.sPRINGEIELD;;.OREGbN':;;"" ; ',;A:'; ,'~ '"''
"... . ~ ~ .
Date: Il-
This permit is issued uuder OAR 918-460-0030. Permits expire if work is nut started within 180 days of issuance or if work is
suspended for 180 days.
i',';,: : LOCA'- '~qYE~NM~Ni\Ae~R.@YAL!J~i,;; ,',\'ii:i:11!,'tfi
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
,~~~Ji~h'~;~i?~;.~~~'~t~:g.9)~X~:~_g_ifJIP"Q.~_$J7~~.C_mi.~~~~~~.t,:;;ti:W;di~:i~;4*_'~1~;ci;
rt::l'Residential D Government 0 Commercial
~'i:';;;;'~9~j~I;rE INFORMATION~ANQi~Qe'
'4 I /oJ,
225 Fifth Street + Springfield, OR 97477 + PH(54 ])726.3753 + FAX(541)726-3689
ZIP:
ZIP:
E-mail:
This installat.ioq is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010,
Sign here:
. CONTRAc:rO~ uINSTALLATION", ,
Business name: .
Signat
NtS:'~r."i?:1~';~i,$lIB-CGNiliMc:j;QR;INFQJ{MAi:lQi>l~;it~W1\fJ~,'i\1fBi\?
Name CCB License Number Phone Number
Electrical :-...
Plumbing (t '\.) "
Mechanical "\'"
" ',;,:;}',iFEESCHEOiJLE' "',U ','
!t:;y~t4~i~p:~r"lh'9+r~W#f9.#:,H~i~;::\':i~H1~k1r.;.;.,)~,:,:~;\"~~~;;~;i/,;~}:ii_~::,t.~':"'~,;~;J!i:;:~~:~::
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
tt:...
Energy Path:
o new 0 alteration
(b) Foundation-only permit?
Total valuation:
:'~:2~;\B,ti: (lain g'::; e~sxA:;~j~,\:S';~~~ff;{;:~'l";";I;b>.;{:~)!;':~t~~t;i .;, ~ i:r: '.
addition
DYes ):31'0'
(a) Permit fee,(use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$ /'li
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) 'Fire and life safety (40% x permit fee [2.]):
(c) Subtotal of fees above (3a and 3b):
;,~~::;Mj~~~lf~H~,~#~If~~:~}\~i~'ri;W:::~:t{_l;~;~~~~~y>xr~;,Ct,') ,;'
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and 'surcharges (2e+3c+4a): S
www.ci.springfield.or.us
TRANSACTION RECEIPT'
811-SPR2010-00829
497 68TH PL
CITY OF SPRINOFIELD
225 Fifth SI
Springfield,OR 97477
541-726-3753
permilcenter@ci,springfield.or.us
RECEIPT NO: 2010001051
RECORD NO: 811-SPR2010-00829
DATE: 12/15/2010
'~:~-:6.~-')9_V~T""CJ)6J~:'Y"-'-l:' 'AMOIJNt[>-UI;,;'~i- '::, I
100-00000-424005 $9,10
224-00000-426605 $0,91
224-00000-425602 $164,75
621-00000-215004 $n17
100-00000-425605 $924
100-00000-425002 $119,00
__'_'W
441-00000-446029 $45.35
,--.- ,+..., -...-.,-.-.,---.--",,"-'"
440-00000-446026 $62.34
719-00000-426604 $6.36
TOTAL DUE: $479.24
f0I?AYMENf):YPE"~bt;pAY;0R'-'c:CAS8@R"Qc;e:R~~~TER:""jcoMME'Nfffif:Et;':,0i{-;'[?E"~:Vr:~S11':'iAMQIJNT'I?Alb,: ::"',0':""";',,;,1
IOESCRIPTI0N.; :.t ,:.''::::;:'TI::~:~. ;~; ~:::";-f:~,-;;-Z:~:/0.kn' ,:'"
Residential Fire (.05 Per Sq Foot)
Admin fee (10% of applicable fees)
Structural Building Permit Fee
State of Oregon~~urcharge (12% of applicable fees)
Tech~olo9.X fee (tj% ~permit total)
Planning - Minor Review - City.
SDC: Reimbursement Co~~w St~~ Draina~~_~_______,"_
SDC: Irrprovement Cost ~ Storm Drainage
SDC: Total Sewer Administration Fee
Credit Card
004571
PAUL KENNETH HAMPSHIRE
III
$479.24
$479.24
www.ci.springfield;or.us
TRANSACTION RECEIPT
811-SPR2010-00829
497 68TH PL
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield.or.us
RECEIPT NO: 2010000971
RECORD NO: 81 I-SPR2010.00829
DATE: 12/06/2010
!Q!:~~Rr~:H(>!l :~\'; ..' '~<':~''i''Q2 it:",.':';;J-
Structural Plan Review Fee Residential
-"";;: ,i\C:C.O,llNTlC_OOE:./: :~-~' ';'8MQUl'ltJiuE~fG:2.:.:'". .;. 1
224-00000-425602 $120.09
TOTAL DUE: $120.09
! ,PAvrili:NT-TYPE: . ;, i?AVOR ";JCAS,~IEB,6BOWLSBY '. '''C,OMI'i1i::-''iT5..: ' .' ".rn-,,_,," _ _ _ AMOUNT"PAID:'
I
Credit Card
011163
PAUL KENNETH HAMPSHIRE
III
$120.09
$120.09
.
SP,R I,N, ~ FI,~L#,~
~'-l\,'>
". .",' ,,,....
~. H<" \S:1
.",Y+:~, OR E GON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
www.ci.springfield.or.us
225 Fifth 51
5pringfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
12/15/2010
ISSUED:
APPLIED:
12/15/2010
12/06/2010
EXPIRES:
VALUE:
06/20/2011
$15,000.00
SITE ADDRESS: 497 68TH PL, Springfield, OR 97478-7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
Phone Number: 541-746-8525
OWNER:
ADDRESS:
CORRIS TERRY A & JANA L
497 68TH PL
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION ~
Contractor Type
General Contractor
Plumbing Contractor
Contractor Name
PAUL KENNETH HAMPSHIRE III
ACE EQUIPMENT AND SPECIALTY SERVICE INC
Lic Type
CCB
PLUMBING
lie No
154996
20-424PB
Lie Exp
05/19/2011
07101/2011
Phone
541-998-3430
541-485-8930
# of Units:
BUILDING INFORMATION ~
# of Stories: 1
Height of Structure: 16
Type of Heat: Electric
Water Type:
Range Type:
Hazmat: No
o
# of Bedrooms:
Sprinkled Building: No
Fire Alarms: No
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lot Size: 4070
Sq Ft 1st Floor: 182
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2008
Site Information
~
"-,'-'-
'. "
, 1\-\t. 'N01i\\
NOi\Cf.: S\-\p,,\..\" t."lZPllit. ~~WI\1 IS NOl
1\-11S PER~~6 UNOER 1\11~60NEO fOR ,
fl,U1\-\ORI OR IS pJ3fl,
COMMENC~~ PERIOO. '
ANY \ 80 0 Page 1 of 4
Engineered Fill: No
Fill Volume:
Flood Hazard Area: , ,~'" > _ SI J81U88
Land Hazard Area: (vv8CNo,8 OO~ ~ '8LlI JOj J8qwnu
Retaining WaO,IB:Jlj!ION A1N'I,n UO) ~JOIU8:J 8111 5UIIIB:J
, -..~dD'91 8l" 810N J9 '
50115 ReportReqUlre~: NOd' ~lqo ABW no' '0600
Aq S8jnJ 841)0 S8! O:J U!o A UI
->Q0'cS61:1VO 45noJ41 0 ~OO- ~00-cS61:1VO '
LlPOjl8S 8JB s81nJ 8soLll 'J8jU88 UOI1B:J!mON
Alljlln U058JO 841 Aq paldoPB S81nJ ::"01101
O'l'noA s8J!nbaJ MBj u05aJO :NOI1N3JJ.V
Springfield Building Permit
1f3/2011 2:48:22PM
sr~.~.t..:.... FIEL..~
l,~*
~OREGON
www.cLspringfieJd.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
12/15/2010
12/06/2010
EXPIRES:
VALUE:
06/20/2011
$15,000.00
12/15/2010
SITE ADDRESS: 497 68TH PL, Springfield, OR 97478-7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
Frontyard Setback: 10
Interior Setback: 7
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
43
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvoe
15,000.00 Bid
Unit Cost
1.00
Value
15,000.00
15,000.00
Springfield Building Permit
1/3/2011 2:48:22PM
Page 2 of4
S:~H.~FIE~
~,~,. c3M
C'lL v:!fi}
.. ~\.'H. OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
www.ci.springfield.or.us
225 Fifth St
Springfreld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541,726-3769
Fax: 541-726-3676
permitcenter@ci,springfield:or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/15/2010
12/06/2010
Issued
12/15/2010
EXPIRES:
VALUE:
06/20/2011
$15,000.00
SITE ADDRESS: 497 68TH PL, Springfield, OR 97478-7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
FEES PAID
I
DescriDtion
Structural Plan Review Fee Residential
Technology fee (5% of permit total)
State of.Oregon Surcharge (12% of applicable fees)
Structural Building Permit Fee
Admin fee (10% of applicable fees)
Residential Fire (.05 Per Sq Foot)
Planning - Minor Review - City
SDC: Total Sewer Administration Fee
~ -.
~:~y~o~ment C~~_?!?!~~!ainag=--___."
SDC: Reimbursement Co~~-=-S_t9~~ Drainage
Technology fee (5% of permit total) _
State of Oregon Surcharge (12% of applicable fees)
Hose bibb
Balance of Minimum Plumbing Permit Fees
Total Amount Paid
Amount Paid
$120.09
$9.24
$22,17
$184.75
$0.91
$9.10
$119.00
$6.38
$82.34
$45.35
$2.90
$6.96
._----_.--'-
$19.00
,-,
$39.00
$667.19
Date Paid
12/06/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
12/15/2010
01/03/2011
01/03/2011
01/03/2011
01/03/2011
ReciD! #
2010000971
2010001051
2010001051
2010001051
2010001051
2010001051
2010001051
2010001051
2010001051
2010001051
---------
2011000008
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2011000008
2011000008
2011000008
Plan Review
I
DeDartment
Application Acceptance
Received Due Date
12/06/2010 12/06/2010
Result
Application Accepted
ComDleted
12/09/2010
Reviewer
David Bowlsby
Planning Review
12/09/2010, 12/09/2010 12/10/2010 Approved
Deyette Kelly
~.~~Jic W6tk~~~~\~'1~" ' ' '"'1.}2/~9i2019 ',.1?/O.9!20101l' '1~/13!?010'f ,v. '.f.pproved/k" ';h :~: ' ---Kaye;Wi!son~ f:::;:'~'-""-:-~'7"~'~"'""
1" cO"!"len~;;:>i"<Stdrmw~t~~)2_}~ri~tlng syst~~!1e9,:ived12:"lg"2ql0"~"*ti~; ~ '. ~~~ -~ < ~'jJ~;>t - "~' " ;. ,. - 'i.~,; ~ _ ~);.f':~" '"'~').. 0,: ~ .
Structural Review 12/09/2010 12/09/2010 12/14/2010 Approved Chris Carpenter
Inspection
12/15/2010 12/15/2010 12/21/2010
In Process
Comments: Inspection in process
Springfield Building Permit
1/3/2011 2:48:22PM
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Robert Castile
Page 3 of4
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~.OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00829
IVR Number: 811130690527
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/15/2010
ISSUED:
APPLIED:
12/15/2010
12/06/2010
EXPIRES:
VALUE:
06/20/2011
$15,000.00
SITE ADDRESS: 497 68TH Pl, Springfield, OR 97478.7121
ASSESOR'S PARCEL NO: 1702352310000
SCOPE: Duplex
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
INSPECTIONS REQUIRED I
Inspections
1020 Zoning/setbacks
1110 Footing
1260 Framing
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement,
Slab: To be made after all Inslab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1120 Foundation
1150 Slab/Flatwork
1410 Underfloor insulation
1430 Insulation Wall
1440 Insulation Ceiling
153Q Exterior Shearwall
1999 Final Building
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
4500 Rough Electrical
4999 Final Electncal
1110 Footing
Final Building: After all required inspections have been requested and approved and
the building is complete. .
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Footing: After trenches are'excavated.
1120 Foundation
Foundation: After forms are erected but prior to concrete placement.
1160 UFER Ground
Ufer Electrical Ground: Install ground rod at footing and call for inspection in
conjunction with footing and/or foundation inspection.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
3500 Rough Plumbing
3999 Final Plumbing
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 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 locate at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
/ ~5~ / /
Owner or
Date
1/3/2011 2:48:22PM
Page 4 of4
. . ' .
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00829
497 68TH PL
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 20 I 1000008
RECORD NO: 81 I-SPR2010-00829
DATE: 01/03/2011
~SCRIP1;lQl:{;-0",:>:, '; ;r'5)''''
Balance of Minimum Plumbing Permit Fees
Hose bibb
----'-
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
';~l~l~:,>'.''''-; ~ -AC1::Qi.iN:f:'C_QO[:;-.~: -) ':::_;:~MQ@'r:'Q,Ui:
224-00000-425603 $39.00
---
224-00000-425603 $19.00
821-00000-215004 $6.96
100-00000-425605 $2.90
-~-~-
TOTAL DUE: $67.86
.',' -C_O_MNiENl:S~Z:~':"-j;;:';;?'.i1-J:!1.9UNT pAID -
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L:fl~YMENt.J"YPE~^ r;~: ^ 'PAYOR:-:'c- . ~-cAsH1~~IpBOWLs'BY
Check
6749
ACE EQUIPMENT AND
SPECIALlY SERVICE INC
$67.86
$67.86