Loading...
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 ~._~--- ----- --. 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 "1 .'.;, - , ~, .,..:'..... Robert Castile Page 3 of4 SP~~N~.=~~ ~,~ ~.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 - _. ".'1 L:fl~YMENt.J"YPE~^ r;~: ^ 'PAYOR:-:'c- . ~-cAsH1~~IpBOWLs'BY Check 6749 ACE EQUIPMENT AND SPECIALlY SERVICE INC $67.86 $67.86