HomeMy WebLinkAboutPermit Building 2010-12-30
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00944
IVR Number: 811150579335
www.ci.sprlngfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
1213012010
1212112010
155 ued
1213012010
ISSUED:
APPLIED:
EXPIRES:
VALUE:
0612812011
$2,000.00
SITE ADDRESS: 4645 IVY ST, Springfield, OR 97478-7629
ASSES OR'S PARCEL NO: 1802051305300
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Partial Garage Conversion: 138 s.f. room (conditioned, habitable space) in garage.
Phone Number:
OWNER:
ADDRESS:
CONTRERAS RALPH J & JENNIFER KAY
4645 IVY ST
SPRINGFIELD OR 97478
Contractor Type
Electrical Contractor
General Contractor
. Contractor Name
OWNER
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
OWNER
BUILDING INFORMATION I
# of Units:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Electric
o
Construction Type
Occupancy Type
Occupancy
Comments
Type VB
R-3
Adding 138 sJ. room
(conditioned, habitable
space) in garage.
# 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 CodeEdition:
Structural Specialty Code Edition:
Lic No
0000000
0000000
Phone
Lic Exp
08/12/2025
08/12/2025
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Fl Carport:
Sq Fl Other:
Occupancy Load:
o
2008
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard ArmTENTION: Oregon law requires you to
Retaining Wall:follow rules adopted by the Oregon Utility
Soils Report ~~\!'~if!l<jjtion Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
12/30/201 1:30:59PM
NOTICE: : .,.,
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 4
5Pi.I.N...G~. FI..ELD
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'"'%;A, OREGO~
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00944
IVR Number: 811150579335
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
12/30/2010
ISSUED:
APPLIED:
12/30/2010
12/21/2010
EXPIRES:
VALUE:
06/28/2011
$2,000.00
SITE ADDRESS: 4645 IVY ST, Springfield, OR 97478-7629
ASSESOR'S PARCEL NO: 1802051305300
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Partial Garage Conversion: 138 s.f. room (conditioned, habitable space) in garage.
DEVELOPMENT INFORMATION I
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
REQUIRED'PARKING
Total:
Handi~apped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvoe
2,000.00 Bid
Unit Cost
1.00
Value
2,000.00
2,000.00
Springfield Building Permit
12/30f201 1 :30:59PM
Page 2 of4
SPRIN. G..FIE.L~.D.
Iii?
....~
d . . OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00944
IVR Number: 811150579335
www.cLspringfield.or.us
225 Fifth St
Springfield.OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@ci.springfjeld,or,us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/30/2010
12/21/2010
Issued
12/30/2010
EXPIRES:
VALUE:
06/28/2011
$2,000.00
SITE ADDRESS: 4645 IVY ST, Springfield, OR 97478-7629
ASSESOR'S PARCEL NO: 1802051305300
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
FEES PAID
Partial Garage Conversion: 138 s.f. room (conditioned, habitable space) in garage.
~
PROJECT DESCRIPTION:
Descriotion . Amount Paid Date Paid Recio! #
Structural Plan Review Fee Resi'dential $37.70 12/21/2010 2010001105
_~ _w'__"___"_ _",,_"_~_"___'_'____'.W'__~~___'_____--'-__ _'_~___
Branch circuits without service or feeder - 1st circuit $55.00 12/30/2010 2010001181
Branch cir~s-;ithOu~;~r-~~e~Ch~~~'-~"-$6.00-- --"-~/201O- ------ ~--~-201 00011-8'1
-~----,-----_.-..- _.~--,---,--,---- ----
~~tural Building Permit Fee $21.22 12/30/2010 __ __ 2!l10001~81
Str~ctural Building Permit Fee $36.78 12/30/2010 2010001181
SDC: Reimbursement Cost - Local Wastewater $106.22 12/30/2010 2010001181
State of Oregon Surcharge (12% of applicable fees) $14.28 12/30/2010 2010001181
SDC: Improvement Cost - Local Wastewater $53.57 12/30/2010 3,010001181
SDC: Total Sewer Administration Fee $7.99 12/30/2010 2010001181
Technology fee (5% of permit total) $5.95 12/30/2010 2010001181
Total Amount Paid $344.71
Plan Review
~
DeDartment
Application Acceptance
Received Due Date
12/21/2010 12/21/2010
Result
Application Accepted
Comoleted
12/23/2010
Plannin9 Review 12/23/2010 12/23/2010 12/27/2010
Comments: No planning issues
Approved
Permit Issuance
12/30/2010 12/30/2010 12/30/2010
Issued
~pringfield Building Permit
12/30/201 1:30:59PM
Reviewer
David Bowlsby
Deyette Kelly
David Bowlsby
. - .'~
Page 30f4
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00944
IVR Number: 811150579335
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: " Issued
STATUS DATE: 12/30/2010
ISSUED:
APPLIED:
12/30/2010
12/21/2010
EXPIRES:
VALUE:
06/28/2011
$2,000.00
SITE ADDRESS: 4645 IVY ST, Springfield, OR 97478-7629
ASSES OR'S PARCEL NO: 1802051305300
SCOPE:" Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Partial Garage Conversion: 138 s.f. room (conditioned, habitable space) in garage.
INSPECTIONS REQUIRED ~
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved"
1400 Perimeter Slab Insulation
1430 Insulation Wall
Wall Insulation: Prior to cover.
1440 Insulation Ceiling
1540 Gypsum Board/Lath/Drywall
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
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.
1999 Final Building
4500 Rough Electrical
4999 Final Electrical
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
]~k kklv'Q
Owner or Contractor Signature
~~-~~ \6
Date
Springfield Building Perrryil
12/30/201 1:30:59PM
Page 4 of4
Electrical Permit A
225 Fifth Street+Springfield. OR 97477+PH(541)726-3753+ FAX(54I)726-3689
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'.'\i,.gDERARTMENT:'USE:0ri1L:Yi~.i'!
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Sib -00
Permit no.:
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
'";~;""-"lf0GAE<"G0\1ERNMENif"~P,RRO\lAI[~.V;'''N:!1:P
;.i4~t6L~~'i~l;;J c' '.' ',,, ,'~__ ,'c_ ,'__ __."""., ,.,; 'J;{.,' p_ ,\" ," ,.__ ~ ,.~':::/;;~l.~~:'\}~i;,a
Zoning approval verified? D Yes D No
'~'i':l\Il"""'\i1lCA[E.G-0' -"-0 "C'O' S' . cb~"~j,,':'i!i";';"'"
~i(;);;~'lJt...!",i!:r~ :__' ,'! i ,_ ',R)(i';., f::r-s','N rrRU.' }l71.' Nt"J:>J'I:",,{,fJJ:,.ti'fi?%.i;
I--d Residential I D Government I D Commercial
:f!~~~1!IJOBfiSITE\INF,ORNiA[ION',"ANb\n::b<:;MlbN'~\!1ii'1:\~{(:
Job site address: 4c..l{~ Xu '1 ST
City:~- r.. .~I I State: o-e. I ZIP c\ll{78
Reference: Ic8cz 0 ~ ( 3 I Taxlot.:6S3b<:>
*1I.,'j:"J!!~;z~t~fZ~~~DESGRIRiI'lbN\fl,OF,~\WORK7.1;{~'~~~~~~~i~
,~ OlJ 2- c lrC......:7"n.
"'''..i'.,'''..."i''i''.i';''....!ff+!F?RORERty;'''OWNER'.~'~~~'''''''''i..'
i~,~;X;;/~~~:;;,;;~;,EtliiJ:.\~~'..:;,~l .;.' ,~ : \' ~;'. ., . rJ;,'.Oi~" k:", ~"il' \l~"?-;"",'}t!f
Name: '2o..\oltl.. r ",,~.u '" S
Address: 4lnLlc:; j;u'1 ~...
City:SW',,,,,,,CL.u.,^ I State: ae- I ZIP: ""Ll '8
Phone: S'(l-7Zlr In \I I Fax: - -
E-mail: &.... G.(.."" tf) c~"''\\ ,.,ue.'\
This installation IS being made on residential or farm property
owned by me or a member afmy immediate family. [his
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1 ).
Signature:
~1itk,~~_CbN:tR:6:C[0R"[NS;rAl!EA'I!lbNiI'i5i'iYit1,ft:,~i,'4!'if~1i'j
,.!io,._ll.~;., <i:W",:.",'"". '.' .L:.', __. ,,',^.. .",.',"..". .1.:.--' ..,. ,,'_',C... ..... .'!>''''''~';'G\1r.Mo;>;;;,,/,,1t4 -"'<'!'
Business name: ot.-N~
Address:
City: I State: I ZIP:
Phone: - - I Fax: - -
E-mail:
CCB license no.: I BCD license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~~~\Y
'J~
440-2584.) (9108/COM)
i"'Ii':jt!t9:""~~J;']i#!I,",:':\FEE!l.SCj;lEDl'li!!E~!!;c;'tJiTfl"'y'.'",'\'!i'~~"'"
91':-',:flB'fr~wt>:l~",1'..i'..;L;.,,' ,\;k2~ "" _. : . _:_ J . _. <_. __.: ._.. \t''''''''c:<b;:;2::t~'f!Jf:"j .,," CiA:
S';.:t~W~1f#~.(~1}tt;i~~~f,t~;Z,~.~~~~J~ f'~+>'}1i '!f&/'Cost~I':1h~T(hal~
\tiNum6er:,of,ms ectlOnSj er,ltem, \ t,:?;, .". 'i.i:J.." U".. ~ .: ,:;;Y;,,'- " ';-r-",
;;.';;;;~.;5i,:l"'$'.K!:':tft::.:..!Il,~:i:f.l')if,,"':;tt,.~.E.;R,,F,;:.t;'-~!{i~.L~bSt;; ;~R:;;:: ~,^,~~ !;:!!l.~~~I~;;'?:~.~~t\f:i5:
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: instal/ation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit I $ 6.00 $
b. Fee .for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) I $ 55.00 $ sS-
Each additional branch circuit { $ 6.00 $ b
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
~~.."~~~,,._,--_..._-".~~ '\!l&1,i
,'dO. 2,"'~.<: ';""i1WABgL!IGAN;J;,~USE~:., 1'1!L~.;, '"
(A) Enter subtotal of above fees
(Minimum Perm it Fee $58.00) $
(8) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of [A]) $
TOTAL fees and surcharges (A through C): $
StructuP'M Permit Application
DEPARTMENT USE orilLY
.P.:~G~=.~"~ S/o.oc Yy
Permit no.:
J~ "'~':"~.l€IT'Y'()F:Sp,RQ\lGFLELD~:.6RifG~N.,;;:'~~:":!' f'~. ,~~:. ::-,'
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is uot started withiu 180 days of i
suspeuded for 180 days.
, . .:;,l:0CA~i>QYE~NM~Ntft<.lieRQ;vA~j:: )j:hi,\'!i!:lf\i:,}j!
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 floodplain: 0 Yes 0 No
~~~~~~'~1j~lc;;At.I;:9,9,f!YJLQffi~jJ:.QN,~;tR.~,g:rrt(3),'~~1~i;:,:;;D:~~i!:~';~~J>;'r;/
esidential 0 Government D Commercial
~~':',:,;;;. ;;.;U9~:.~I:rE iNJt9RMATI9N~\ANRi'l9cAIi9Nr;:(';:i;ii;!;;::
Job site address: .....lr "" <; 'i., .
City: 0<\ State: C)e ZIP: Cl("7<-(7t!
Lot no.:
Reference: 8o'Z. C:> "5 r 'J 0'$ ;3 00
PROPERTY OWNER'
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54I)726-3689
Name:
~ ~"i
City: "'"'\ d.
Phone: 9-" -1lf. - 0'1 \ ~
E-mail: B.. .. oQ .............~
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 under ORS 701.010.
Sign he~~"-\J
'. CONTRAc::rOR uiNSTALLATlgN'
Business name: O\lr.,),.,J l:Z...
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
ZIP:
State:
Fax:
Signature:
~~;~~:~~~!H:.{)']:~~t;Dt's.J;i,~~~~0N:m.RAG!9R/I, N,f.c):~NI,AmtQ~~$;~7W2fi;}1ft:$t?{~~t"
Name CCB License Number Phone Number
Electrical , OLol ~~
Plumbing
Mechanical
.<':.';, ...... FEE SCHEDULE' '.
~:i.:;Yllliiitib~il!fO'iOj~#Q'Ii;ti'i;:':1ifjl;):\:.;'.i,:\:;':A:.
(a) Job description: B\lL1'AL. GMI..IrW
Occupancy ~_ "3
Construction type: \I g
Square feet:
'~\..';:; ..
'1.:(,' """:(;.;_:,~.,".:,:;.';t.:;.,::.'~,
"""',""0; ',~',,"
t:..c",tV .
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new _Zaiteration
(b) Foundation-only permit?
Total valuation:
o addition
DYes /0 No
$ 2'~
,.,. ,,'. .-;,;,
;.'" ?,~:..: " ":,, ~.." -,,-', , '
"""'.--'''. ~
:'~2.;:~B,4U4 #ig'J~~~~~~'~;},~:l"i}{\;\;?~:\0~i,~~~:iWi~}i;'~~;dt~,/ji \ '., ,{'; , 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):
$
$
$
$
$
;j~}".R_~.~~1~:~t!J~wft.~~~~~~t11'~?tfi~~~~}.1,j,:~~~~~y~~~:~W&~~)~~;r~,
(aJ Plan review (65% x permit fee [2a]): $ .s I
(b) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal of fees above (3a and 3b): $
~4;!1\iI~celi..ii~~ii's':f~e~}'m:;;~;Et< ,) ;':W'fJ,(,;':'" ,.... '. ,',:' .'.
(a) Seismic fee, J% (.01 x permit fee [2a]): $
TOTAL fees and'surcharges (2e+3c+4a): $
SP~~N~~.D
.'~\'~
..'J, "',',,, OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00944
4645 IVY ST
CITY OF SPRINGFIELD
225 Fifth SI
Springfield.OR 97477
541-726-3753
permitcenter@ci.springfield,or.us
RECORD NO: 81 I-SPR2010-00944' DATE: 12/30/2010
-<-:'''::~C.CPlJNT::.c_6)~E~;:'' 0;\~:d';MOiJNTDUE:{., _
719-00000-426604 $7.99
443-00000-448025 $53.57
442-00000-448024 $106.22
224-00000-426102 $55.00
224-00000-426102 $6.00
224-00000-425602 $21.22
~...~------_.-
224-00000-425602 $36.78
---------".-.---.-...,.-.,..--..-..--.---.------
100-00000-425605 $5.95
821-00000-215004 $14.28
TOTAL DUE: $307.01
1:{~AYMENT;f~';';~1~F1J\YOR~p6;fCASHfE~; DB6~~X~;!!c5QMMg&lf$-'!'~:~l;-~4;;;,;-'''~,.;-;;.;{...~~:fMOQNT;PA10.;;;::,-:.'::::::;J
RECEIPT NO: 2010001181
j
Branch circuits without service or feeder -1st circuit
Branch circuits without service or feeder. each additional
Structural Building Permit Fee
~uctura.~Build~g Permit Fee
Technolo~y fee (5% of permit tala I)
State of Oregon Surcharge (12% of applicable fees)
Cash
CONTRERAS RALPH J &
JENNIFER KAY
CONTRERAS RALPH J &
JENNIFER KAY
$250.00
Credit Card
08123a
$57.01
$307.01
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00944
4645 IVY ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or.1.Js
RECEIPT NO: 2010001105
RECORD NO: 81 I-SPR20 I 0-00944
DATE: 12/21/2010
'DESCRiPTio-N:c":~~:\'.. :"; :.":''''',:
l!i!_-----...._..__.
Structural Plan Review Fee Residential
':;L ;;:::V:o+:Z~"'.,,~ ,.:i!.c,c.oyti:e:C:ODJ!" b _";:"::";:~~~6.\.tr;iTil;iuE;:-'_d::= "~
224-00000-425602 $37.70
TOTAL DUE: $37.70
~ Q.OJylMEN:CS-" ',';':'; -; - t ~ -, <_~,~: ' " ,AM9U!lTP~lD 0< '_:: ;::~~
r ,;PA YMEII!LL'(PE'; ,.:; F'A YORk: '.9~SHiER DBO,W[S'BY;'.
Check
1008
CONTRERAS RALPH J &
JENNIFER KAY
$37.70
$37.70