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Home My WebLink AboutPermit Building 2010-12-30 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00936 IVR Number: 811166246006 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 .ISSUED: APPLIED: 12/30/2010 12/20/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 06/28/2011 $35,149.29 SITE ADDRESS: 208 ALLEN AVE, Springfield, OR 97477-1413 ASSES OR'S PARCEL NO: 1703233303600 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition of 363 s.l. Phone Number: OWNER: ADDRESS: SEYMOUR KATHRYN C 208 ALLEN AVE SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No lie Exp Phone # of Units: o BUILDING INFORMATION ~ # of Stories: 1 Height of Structure: 18 Type of Heat: Forced Air Gas Water Type: Range Type: Hazmat: Construction Type Occupancy Type Occupancy Comments Type VB R-3 363 s.f. # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: 363 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: 2008 Site Information ~ . 5 'IOU to On laIN reqUIle on tJtiliW P.,\n"10~'t Ole~ed b'l t\"1e Ole~eset \Olt\"1 ldiO"/ ,-,.\Ies ~~~~l. l\"1ose ru~e~P.R 952-00~- Wj\i\ics"on C ~ -OO~ 0 t\1l0~.9 501 tM rules b'l in Of\R 95~~~'1 obtain ~~r~:- t\"1e telep\"1~~~n 0090.. '/0 t\18 cente\. \ tJtiliW NOtl11? call1n9 \Ol tM ore90fl_332_2344). flu\"nbel ter is ~ _800 cefl Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: OR\<. Soils Heport Required:. "PIDc Ir 1\-1E \N 01 NU I Iv\.' p>.U.. E^ "c. \1 IS N 1\-\\S PER~~6 t~OER 1\-11S P6~~o rOR i\\J1\-10RI OR IS P>.8P>.NO "l~^MENCEO . c",\OO. "11'\0 OP>.'{ Pc. . Springfield Building Permit 12f30f201 12:35:47PM Page 1 of 5 SP~\~\~.FI~~ .~,~ ,:$',";-",,- OREGON www.ci.springfield.or.u$ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00936 IVR Number: 811166246006 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 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/20/2010 EXPIRES: VALUE: 06/28/2011 $35,149.29 SITE ADDRESS: 208 ALLEN AVE, Springfield, OR 97477-1413 ASSESOR'S PARCEL NO: 1703233303600 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition of 363 sJ. DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: 7.1 Sideyard Setback: Rearyard Setback: 76 Solar Setback: 2.5 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: 16 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion R-3 1 & 2 family Tvpe of Construction VB Unit Amount Unit Tvoe 363.00 Sq Ft Unit Cost 96.83 Value 35,149.29 35,149.29 Springfield Building Permit. 12/30/201 12:35:47PM Page 2 of 5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00936 IVR Number: 811166246006 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 12/30/2010 12/20/2010 Issued 12/30/2010 ISSUED: APPLIED: 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: 06/28/2011 $35,149.29 SITE ADDRESS: 208 ALLEN AVE, Springfield, OR 97477-1413 ASSESOR'S PARCEL NO: 1703233303600 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition of 363 s.t. FEES PAID ~ Date Paid ReciD! # 12/20/2010 2010001098 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 -~--'-'.'~ 12/30/2010 2010001179 12/30/2010-' 20-1000-1179 _._-----~~~---~_.- 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 12/30/2010 2010001179 DescriDtion Structural Plan Review Fee Residential -- . Admin fe! (10% of ap~licablefees) Planning - Minor Review. UGB Residential Fire (.05 Per Sq Foot) First Applianc::"",~ee Structural Building Permit Fee Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Balance of ~inimum Plumbi~EJ Permit Fees Sink/basin/lavatory State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) SDC: Reimbursement Cost. Storm Drainage SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Local Wastewater SDC: Total Sewer Administration Fee SDC: Improvement.Cost - Local'Wastewater Total Amount Paid Amount Paid $235.80 $1.82 $286.00 $18.15 $79.00 $362.77 $22.09 $53.01 $39.00 __,_'_~'0 $19.00 $6.96 $2.90 $62.66 $113.77 $106.22 $16.81 $53.57 $1,479.53 Plan Review I rP5biic"Works>Review";,, .'i" ::.12123/20"10 12123/.2'010- >"J 2/28/201 0 '";~ Approv,ed ;.,"'~r~~~~~"'~',;-' '.', r~\~q~~.~~~,:, ";Si2~~~~~ER;;T6'~E~'I~T~~G:~~~~~~~ .:~ ~r::~.j~~_,_ ~.f~l ," .::: "~~'fkt. ~ ,;~, '":~~, '?~j ". 0'~: Structural Review 12/23/2010 12/23/2010 12/28/2010 Approved Kip Kaufman Deoartment Application Acceptance Received Due Date Comoleted Result 12/20/2010 12/20/2010 12/23/2010 Application Accepted 12/27/2010 Approved h~tu~tLJ[_aL ~evi~w,:si~'" (.':: """'o..~ Permit Issuance Reviewer David Bowlsby Deyelte Kelly .~. .~~ f" ~- .;. -'12/21/}0.1q'," 12!2~/20~0', 12/28/2b1D.'~ .~,Add'I;IQfo ,Req~jr~~:;," .lSlfl.l<aufman ~-, _.~.i{;" .:_~.\.. '~''''-'''.{'':).""_.,,.''~,'~~ ;).~-,'. c' -"'~-,-;;"'..:'f:,'~ '~~''''-'';'_\:i:'~o .......,,~~.l(..e:-:~.r .~"... _. _ ~." , 12/28/2010 12/28/2010 12/30/2010 Issued Springfield Building P~rmit 12/30f201 12:35:47PM ,~ \.'.- .-r.:'3r~~ " . 1 ....,..- '. .'. J ',. . "',. , ;. , j .-,.;;,.," Nancy Machado Page 3 of 5 S~~~I.N.~.=.;;ij .~~~ -~t".OREGON www.cLspringfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00936 IVR Number: 811166246006 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 12/20/2010 EXPIRES: VALUE: 06/28/2011 $35,149.29 SITE ADDRESS: 208 ALLEN AVE, Springfield, OR 97477-1413 ASSESOR'S PARCEL NO: 1703233303600 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition of 363 s.t. INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 1110 Footing 1118 Footing Drain Footing: After trenches are excavated. 1170 Post & Beam Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, Post and Beam: Prior to floor insulation or decking. 1120 Foundation 1160 UFER Ground 1220 Underfloor framing 1240 Reinforcing Steel 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underiloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1450 Insulation Duct Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall 1630 Roof Sheathing 1999 Final Building Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 3500 Rough Plumbing 3999 Final Plumbing 4120 UFER Ground 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all'electrical work is complete. 3130 Footing/Foundation Drains 3130 Footing/Foundation Drains Springfield Building Permit 12/30f201 12:35:47PM Page 4 of 5 SP~IHG... fIE..~.D.-. lIrz ...'4i( ~ ~'L02< OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00936 IVR Number: 811166246006 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: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/20/2010 EXPIRES: VALUE: 06/28/2011 $35,149.29 SITE ADDRESS: 208 ALLEN AVE, Springfield, OR 97477-1413 ASSESOR'S PARCEL NO: 1703233303600 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition of 363 s.l. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify ,that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~ ~~~rnn~) Owner or Co ractor Signatur /;?-.- ;.&-u /0 Date Springfield Building Permit 12/30/201 12:35:47PM Page 5 of 5 Structural Permit Application ^';'. ~~~i1CrFY O~ SIl~INGRtEL6~0#tt~~'~~:;,l;'..I: .~~' \- . DEPARTMENT USE ONLY SlO -00 93 Permit no,: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of ssuan ear if work is suspended for 180 days. I,,' " :LOCA~99Y~~NM~Nf;i'ABe~<;ivA~f(i\;.;)~;1!!;~wi;g This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes IKI No ' ~\th~~#,~~~W~~t~'AtE13,9BY~QF~i.~,q~,$.;liRg,c,tt1.~;N~;fi~:,t,~d./I~',&i),~,1f;!~ g Residential 0 Government 0 Commercial :\,i~9B)Sfr.E; ,[NJ;'i:jR.MAfl()N!\ANR'i;4QCA.fI9~';:l:i~:i:\P?:i:; Job site address: :l.o, (j c: '/ i lie:.. City: :"J ) 225 Fifth Street. Springfield, OR 97477. PH(54I)726-3753. FAX(54I)726-3689 Subdivision: Reference: 170'3 Z '3 ~:l 03 PROPERTY OWNER" Name: C . 77 City: Phone: E-mail: iV;fi.../t:.CII. This instaJlatio 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: '- a.d0, U C ~ 4 "', I '." ""'. ... ',CONTRACTOR INSTALLATION, :r3 ,v Business name: Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: \\~-r_~:.:;;rt~;:-:i.n_'~i;;:'~0t;~$1\J~-.q0NJ.I]~G].Qf{CfN'F,qRMA\fjtQ~tr~[R'c~lG'~M:01rt~~ Name CCB License Number Phone Number Electrical Plumbing Mechanical Date: (U ,':::"FEE'SCHEDULE', I -_~ ,-,._ _. _. __... . .__ , 1:;yii!If~1(Will,foriiia-ii~n";:{'lj!\h;i:;2;, ",e;f,,;;;,"";; (a) Job description: b i rlold Occupancy i2- '3 Construction type: vB Square feet: :s- Cost per square foot: , . ,,: t' ~/.,:(::;~~::,;;;,:~. Other information: Type of Heat: G - Energy Path: / o new 0 alteration (b) Foundation-only permit' Total valuation: :'~2j\B,1:I.H~ ~ng-:.r~e.sl~~t.~~~}, ~:'~J;~f\~{f:!;~:}' \W~~;';::;t~~~t~/;. ':' :{;:; , (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number-of hours x fee per hour) (d) Enter 12% surcharge (,12 x [2a+2b+2c]): (e) Subtotal offees above (2a through 2d): $ $ $ $ $ ;1~V~~~~~1f~)~w;f~~~~~1:'~Ejli~~.tQ~~K;;:4:~!:i~2~Yf~~lfl~j;:f\~~:~~~i~~1;?~R1~j?, $ ZJ 5 e $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal offees above (3a and 3h): !i~):'M~~~c,~'f~.ij'~~'Hslf~~~,!?r~lr~fN3:,;';f:';i:;'t:~-{;:,':~~H:.i!~?,(r:;,\;,; (a) Seismic fee, 1%(.01 x permit fee [2a]): TOTAL fees and surcharges (2e+3c+4a): $ $ SP...~.I.~....G._....F I.E..~.D... ~,\.. . ."" (~ "/""OltEGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00936 208 ALLEN AVE CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@cLspringfietd,or.uS RECEIPT NO: 2010001179 RECORD NO: 81 I-SPR201O-00936 DATE: 12/30/2010 IQESCRIFtrIbN::~':'':.::.'''.=: <,,'~;d.,,; ~ ,,;: :",""..:::: i:\\! ;, '. . ,,'';CC:O_UN:'r.c.QOE;':''{'.:; ~.~. :'[1ii19JJlliJ~l,.IE~' . j SDC: Improvement Cosl - Local Wastewater 443-00000.448025 $53.57 SDC: Total Sewer Administration Fee 719-00000-426604 $16.81 --~,_.'_. SDC. Reimbursement Cost - Local Wastewater 442-00000-448024 $106.22 SDC: Improve[11ent Cost - Storm Draina~e 440-00000-448028 $113.77 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $62.66 Admin fee (10% o(applicable fees) 224-00000-426605 $1.82 I'~n."i.':g,: Minor Review - UGB ---" """-,-,,. 100-00000-425002 $286.00 Residential Fire (05 Per S9 Foot) .~ 100.00000-424005 $18.15 First Appliance Fee 224-00000-425604 $79.00 Structural Buildin~ Permit Fee 224.00000-425602 _,~~~ ~hnol~gYJeeJ5% of permit total) 100-00000-42.,5605 $~209_ !,,!,ate 5?!()r~g!,n Surcharg!: (12% of aeplicable fees) 821-00000-215004 $53.01 !l~!a.",,-,,-oL~!0~~ ~I!!..mbing. Perm.!!~ees ___. ,.~,2~~:.I?!l.?!l.~,425~~____._._~39.00 Sink/basin/lavatory _ 224.00.000-425603 $190? State of Oregon Surcharge (12% of aeplicable fees) 821-00000,215004 $6.96 Technology fee (5% of permit total) 100-00000-425605 $2.90 TOTAL DUE: $1,243,73 t;ctpA'iMENf TYPE\ "2PA'iOR2~CASHIER'NMACH1\g,61\:> ,..;,(;.Qr,.;M~Nt.$" .1 ::;;....:,. ';;,:!J~~ ;"'AMOUNtPAID+'~__..:....~ Check 3341 SEYMOUR KATHRYN C $1,243.73 $1,243.73