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HomeMy WebLinkAboutPermit Building 2010-12-2 Structural Permit Application DEPARTMENT USEbNL Y pe~t~;;X::> 81 1i - \?~ :. -,<< v",;;r , w:~-~ r,o-":"'y -",",e"f\':~ ,,--~l'.r..,*,?L,"t.. ~~..;t~f&_.r~ ,m:i- :J:,l' ,,~,'l:Lll:.n:.f;O,,",_ ~~;,- :;,,~~JTY.pF SY;]J1iS'!f.1J:'I?P}~<i>R~~,Q~~""::::';1:;f:t- ::};1,_;,~ 225 Fifth Street. Spdngfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 Date: J - Z -/0 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 suspended for 180 days. ~~.;",~,., :;;;',~~; ;.~,:';'{1;'0,GA~:.;'~9~l~~NM.~.~'JJii~~,-~.[9Y~.~~T~:~~~':i'~:~;~t11{g~~~ 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: DYes D No ~~~'i!i~~9~t~~:Qgy:]g'ffi~KG.Q.N~f~P.~In,Gf.f~~1J;~*t:t~[~t{~~~~f Resid"entiaJ/ D Government D Commercial :i~1?~:~t~~:;::f~;::2;~:Q~~is,Ir.f~}' TNK91:{MA'tH:>~~~ANRr~9~C';~}tjQJ~~,i~~{1!i'1J;ft:~~{~:~. \ . Job.site.address:: _'fI _c./YMI!< /II A s: City: 'S Il./ ~\'" -" .- .' . . .~. . '.\ \ ,( State: Fax: I' I E-mail: \ (<.: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements u~ 701.0 Sign bere: ..-, ~ CONTRACiI;Q . A~1n:Al,LA1l9Nf. ,,' Business name: OW #lFfL Address: .\ City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: l~~~~~~:.;~~jJ.j;t;;~;~SVB-:Q_bNji]f3Aqm(jRH~F_9J~M.A~(9~N$!~Jt~:1~~S%~~*~ Name CCB License Number Phone Number Electrical ....n}... Plumbing '" Mechanical . ,,'::'\ ?~'!:;'(1!;,'r-~';';~~':'?}~JJ~'\.F'E~-~;'Sc~ H~,PO['I;;C?':i{;1-~-~' ?i'?~?Vi;'~'-, ~t./:, .i.:,', ,J!,;=$~aJ~~:tJ~'~fiD:fOY!DKfl9~~:~~~kif~r~}tJ.~i.ti~~:tf~#L~~'~~dJK~~+,:l;~~;~!~,~ (a) Job description:,j..... Occupancy e. "1 Construction type: cr Square feet: Cost per square foot: Other information: Type of Heat: (!t.(t'C.. T Energy Path: o new ~teration (b) Foundation-only permit? ~l."- D addition D Yes ~o Total valuation: ~l~~JJ.~U~Ing:JeA~~t~lfu~~:tfli~iir~G:0g1~k~~$it11.~~t:';,:i~h~);~:!~J:;i3Aji:i~,_A-~';I' ,>. (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ 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): $ ~'~_~;~I~mt~y)~1f:rr~~s~\~~~~11~itr;,~l~~~~fff.r~&~~!l~~~~i: (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): '" (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): _S CITY OF SPRINGFIELD Building [ Residential Permit PERMIT NO: 811-SPR2010-00816 IVR Number: 811144660639 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/09/2010 ISSUED: APPLIED: 12/09/2010 12/02/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 . permitcenter@cLspringfield.or.us EXPIRES: VALUE: 06/07/2011 $3,000.00 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478-5951 ASSESOR'S PARCEL NO: 1702323303000 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior remodel Phone Number: OWNER: ADDRESS: JONES THOMAS 4140 CAMELLIA ST SPRINGFIELD OR 97478-5951 Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type' Lie No Lie Exp Phone # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Wall Heat Water Type: Range Type: Hazmat: No o # of Bedrooms: Sprinkled Building: Fire Alarms: 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: No No Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: A TTE:~~fjb<ft!~J;~ . 10lJowSq Ft c"r~ort:gon law requires you to I ules aaopted by th 0 . . NotllicSn.fi,t Other; Th 1) e regon Utility \..:;;.~ I VCI Jlvr ose ruI in OARC!ecu - n t~ d es are set lorth 0090 v ~iU ROv ,'!) fhrough OAR 952-001- . IOU may obtam copie I h calling the center. (Note: t~~ t~':;~~~ebY numberclor the. Oregon Utility Notillcation enter IS 1-800-332-2344). 2008 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No No No No No Springfield Building Permit 12/9/2010 1:59:26PM NOTICE: PIRE \F 1HE \NORK THIS PERMIT SHJI,l~ ;X\-\\S PERMIT IS NOT Jl,UTHORIZED UNDES Jl,BJI,NDONED FOR COMMENCED Op~~IOD. Jl,NY 180 DJI,Y Page 1 of 4 S~RI.N....G..fIE..L:iJ .~ 11-' b~ .X~ . " ~:~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00816 IVR Number: 811144660639 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: STATUS DATE: Issued ISSUED: APPLIED: 12/09/2010 12/02/2010 EXPIRES: VALUE: 06/07/2011 $3,000.00 12109/2010 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478.5951 ASSESOR'S PARCEL NO: 1702323303000 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior remodel Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: . PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Sp'eciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvee of Construction NA Unit Amount Unit Tvee 3,000.00 Bid Unit Cost 1.00 Value 3,000.00 3,000.00 FEES PAID ~ Descriotion Structural Plan Review Fee Residential _._<< -. Clothes washer Water heater Structural Building Permit Fee Balance of Minimum Plumbing Permit Fees First Appliance Fee State of Oregon Surcharge (12% of applicable fees) !"echnologtfee (5% of permit total) Total Amount Paid Amount Paid $44.04 $19.00 $19.00 $67.75 $20.00 $79.00 $24.57 $10.24 $283.60 Date Paid 12/02/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 Receipt # 375025 375095 ----- 375095 375095 ~-,._- 375095 375095 375095 375095 Springfield Building Permit 12/9/2010 1:59:26PM Page 2 of 4 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00816 IVR Number: 811144660639 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 12/09/2010 12/09/2010 12/02/2010 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: 06/07/2011 $3,000.00 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478-5951 ASSES OR'S PARCEL NO: 1702323303000 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Interior remodel Plan Review I Deoartment Application Acceptance Received Due Date ComDleted 12/02/2010 12/02/2010 12/06/2010 Result Application Accepted Reviewer David Bowlsby Public Works Review 12/06/2010 12/08/2010 12/07/2010 Approved Todd Singleton Comments: Received 12/6/10. Interior only, no new fixtures. No PW issues. Structural Review 12/06/2010 12/06/2010 12/07/2010 Add'llnfo Required Chris Carpenter Comments: Need information on energy compliance- called owner 1217/10. '--~..,,:. . '. '. ...~-,--~---'''''"-.~~'~'~'-''':-:-''''' i?-pp/o.yed<:\"j"," /# ~ --"'-~-r.c-----~ G~~~~:~::e71~te,~1~r~;66?el';~~06~~~;~~,~i~ij~;~"t:3~?6:;0~~.~:' '.., .~,~~c_ 'D.~yette K;I!Y:;;>;:::~::;_~~~:J~':'.i Permit Issuance 12/08/2010 12/08/2010 12/09/2010 Issued Nancy Machado INSPECTIONS REQUIRED I Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. 1430 Insulation Waif 1440 Insulation Ceiling 1999 Final Building Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover 2300 Rough Mecha,nical 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Springfield Building Permit 12/9/2010 1:59:26PM Page 3 of 4 SP~IN..G..fIEL~ .f "1n?>~~ .}c,;,"C>;"''-" OR,EGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00816 IVR Number: 811144660639 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: STATUS DATE: 155 ued 12/09/2010 ISSUED: APPLIED: 12/09/2010 12/02/2010 EXPIRES: VALUE: 06/07/2011 $3,000.00 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478.5951 ASSES OR'S PARCEL NO: 1702323303000 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential . PROJECT DESCRIPTION: Interior remodel 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 1 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 constructi n. '7 (J o? J{) Owner or Contractor Sig ature Date Springfield Building Permit 12/9/2010 1:59:26PM Page 4 of 4 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00816 4146 CAMELLIA ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 pe rmitce nter@ci.springfield.or.us RECORD NO: SI I-SPR2010-00S16 ' . -."~..".,," '::'-:",:' ~.'Wc '>;'12 ,-;.~':;;~;;; ,'~>;;:~~,;~;'~04.AC:C_OJjijr~CPPE j. >>"" 224-00000-425603 224-00000-425603 224-00000-425602 224-00000-425603 224-00000-425604 821-00000-215004 1 00-00000-425605 --~._--~---- TOTAL DUE: $239,56 ~~~;Y;M.E"!:1.:Iy:gE::ZFj ..~M.j')J~~i.CAS~IER"~MACHADO'c:col'v1fviENJcS~~,:1;::1:i~i:&:i!l: Ji6M.ouIiJ~~~.I[);;'.i~~:J RECEIPT NO: 2010001012 DATE: 12/09/2010 lDESCRlfITfON' , Clothes washer -~- Water heater Structural BuildJ!2~ Permit Fee Balance of Minimum PI:!mbin~ Permit Fees First Applianc~ Fee State of Oregon Surcharge (12% of applicable fees) Technolo~y fee (5% of permit total) - ~'_AMQQN:ti:D(JE ,-', .,'':'::",;] $19,00 $19.00 $67,75 $20 00 $79,00 $24.57 $10.24 Check 7892 JONES THOMAS $239,56 $239,56