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HomeMy WebLinkAboutPermit Building 2010-12-30 . . '. S!'.R..INGFIE~ ~.h._. ;0':f. t~ 1jf~t'< ..:1f!i1 f; :':"&OREGON 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 ~I"',. iJi" ."i!iJ '"'%;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 !IPAINOFlItLD ";;"'~"7; ;~. ,::j'::;, ',:~;;e:.: ::..,::,~~"r~;": '.',tW"i> ~ "; ,u;:t;:!,:",\,;;,;"t::>~):,:';:;";;:~:~"','<~;"i";. - ',.i;:., 7,~~.;';'.j.;;:':ic,.'~"'+;:"'t 'i:J31t"1 '.'\i,.gDERARTMENT:'USE:0ri1L:Yi~.i'! ,'t>f!,;>.r';v.;I;:,,- >~''',o''" ,'\.",~,;,'r,:""", P;,,:/~'7' ",~";-:,^\i'~~'''''~';!J",g't'^l~ 9 'f'( 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