Loading...
HomeMy WebLinkAboutPermit Miscellaneous 2011-1-7 S.PR..I.N~ FIELD~. ~A\. ;'," (~ "f .", OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00045 IVR Number: 811191714126 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 ,01/07/2011 ISSUED: APPLIED: 01/07/2011 01/07/2011 EXPIRES: VALUE: 07/06/2011 $2,000.00 SITE ADDRESS: 2915 YOLANDA AVE, Springfield, OR 97477.1784 SCOPE: '''',-Nf/O ASSESOR'S PARCEL NO: 1702193300'SO,OJW rul N: Oregon law . WORK INVOLVED: Nfl' es adopt re(!",,~_ . 0 r Ication C ed by the dYPE'OFJS~UCTURE: m OAR (I~" , enter. Tho regon Utilit PROJECT DESCRIPTION: Repair b\!.r9M!0,\~~fralTiirfg'-00In ,".~e rUles are ~'" ,_) .....Ul/1cW b . .......}JJ'uAR -.", SCHMIDT MICHAEL C & DONiiA~Jthe c 0 tam Copies Ofth 952-001. 2915 YOLANDA AVE nUmbe~ for th~n~r. (Note: the tel e rUles by SPRINGFIELD OR 97477 Center is ;~,f,,~n ^~tility Not~~~~~~e I CONTRACTOR"iNFORMATION OWNER: ADDRESS: Contractor Type # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Contractor Name XXLINC o Lie Type CCB BUILDING INFORMATION' # of Stories: Height of Structure: Type of Heat: Water Type: NOTICE: Range Type: THIS PERMIT SHAi:fazmai"IRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERE'i'e~trical Specialty Code Edition: Fire Damage Repair Residential Phone Number: ~ Lic No 109867 Lic Exp 11f09f2012 Phone 541-747-5413 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: Sq Ft 2nd Floor: Sq Fl Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information 1n12011 11:39:45AM ~ Page 1 of 3 S~RI,N.G,fIE,?ij ." , IJidl",_" "". .IM. !.:',!'\.!;;;i1 ..~,.7i OREGON www.ci.springfield:or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00045 IVR Number: 811191714126 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 01/07/2011 ISSUED: APPLIED: 01/07/2011 01107/2011 EXPIRES: VALUE: 07/06/2011 $2,000.00 SITE ADDRESS: 2915 YOLANDA AVE, Springfield, OR 97477.1784 ASSES OR'S PARCEL NO: 1702193300600 SCOPE: Fire Damage WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard'Setback: Solar Setback: Repair burnt floor framing DEVELOPMENT INFORMATION ~ 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: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Amount Paid $6.96 $58.00 $2.90 $67.86 Date Paid 01/07/2011 01/07/2011 01/07/2011 Reciot# 2011000066 2011000066 2011000066 State of Oregon Surcharge lL2:/O of applicable fees) Structural Building Permit Fee Technology fee (5% of permit total) Total Amount Paid Springfield Building Permit 11712011 11:39:45AM Page 2 of 3 . ,~" ,~k.._. .<(".....- .... ~ SP:I;N, ~l~ .i,~ , ''''z::~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00045 IVR Number: 811191714126 www.ci.sprlngfleld.or.us 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 01/07/2011 ISSUED: APPLIED: 01/07/2011 01/07/2011 EXPIRES: VALUE: 07/06/2011 $2,000.00 SITE ADDRESS: 2915 YOLANDA AVE, Springfield, OR 97477.1784 ASSES OR'S PARCEL NO: 1702193300600 SCOPE: Fire Damage WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair burnt floor framing Plan Review ~ DeDartment Application Acceptance Received Due Date 01/07/2011 01/07/2011 ComDleted' Result 01/07/2011 Over the Counter Planning Review 01/07/2011 01/07/2011 01/07/2011 Comments: Over the counter permit Not Required Reviewer Chris Carpenter Chris Carpenter Public Works Review Comments: Over the counter permit IEn,elg,y'code",I:l,~';;;;;:t";-;., "~i:t;-O,)j\!Zl2q1,1, '\2!/,9,J/,20), ~", ";O,1,j97/20i1'!-V1';--Not~-" ,C0~". .~'.~"., ..:","')1^",I:J~'" '0\'~-"'.~' '"';(,''''':1#' ~...,~ l'''~i-'''''" f< C:~_inf!1~~~t~L ":Rx~~r:~:~,,~:o~n~,~~l~!!~.: ~}~ ~ Jt ~:"__-~,,~:' ,,:~~:~_ Structural Review 01/07/2011 01/07/2011 01/07/2011 Not Required Chris Carpenter Comments: Over the counter permit ~ir€.~Re~i~'d~4;: ~~~lf:kijr:-" ',~~~b}/6?l~:~!0?/f.Ol1'<:[Q5jQ7,/20J~1t~Z~Nbt\F3~quJre-g"~~:~~l~~t~~nii~,':G]rp'~'hte?:~-~;~i~'~<fJL~;.~'/' s~ r: ,C'6~r'~~~~if~:~cf~n~~.n(~{~p~LTE1l,~~~:;:~' :"~:.:,'~~~_~~1~!;::~~~~~f~,.,=i~' _,:~t/d>I~~:I~~~:~:~~l~"~~,,':\,:~~~i,:"'~. ,,~~:~~:,}~~,{~~~~~::~.<.:~~.~:t INSPECTIONS REQUIRED ~ Inspections 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete, 1999 Final Building 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. S::~:t~~ 1-7- \ 1 , Date Springfield BUilding Permit 1/7/2011 11:39:45AM Page 3 of 3 " Str~ctu;;1 Permit Application DEPARTMENT USE ONLY SPRINQF1P-I;J J:~"'~ ~ ~ -~~., ~_~f 1- "'.l,' -. J .- .~ _~.1"" v .'!. ~". .~_~Il""l .t:....,.....:., . ~ _ . :: :<:;;~:" .- CITY 'OPSRRINGRIELD:.oREGON .L~","; :." "':;, :'" ,:t \ '.. ..-.-.~ '. - - - ~ -" .. " - 225 Fifth Street t Springfield, OR 97477 t PH(541)726-J75J tFAX(S41)726-J689 Pennit no.: >11 - OcJO <.()- Date: I / '7 / ) I This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofissuaoce or if work is suspended for 180 days. ..... ,', .!lOC'AI- . ~QY~RNM~Ni(A..Fii>,R9.'lA~1;~i~::;!\:i;:;,\(t81;\ 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 _-1~j;:,~-~~W~~lg.~t.E.~.9ftYAf.Q,F~,q,q~_~j17R~_C'trfi.~jj~~~~ift2)A~i~~~*-i~t; 0"Residential 0 Government 0 Commercial ~,.!L ..,{49~;'l\IJE .iN,;bRMAtIQN~;ANRj!-6.c:AfI9~r;\@4;:'i1y:1: z'\ Av~ City: State: 6 C2.... Reference: Name: PROPERTY OWt-lER S City: State: 0 7 Phone: Fax: 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 reqoirements under ORS 701.010. Sign here: ". CONTRACIORINSJALLATI9t-l" Business name: 6: ~ ,\~,,;,":;:,.i,!K'fi,sl!E!,C.0NJlMc!'E, R:INF().RMA~fqN:;-*,fJfff}f~;:~~*j;\ Name CCB License Number Phone Number Electrical Plumbing Mecb.qnical .. ,'" '::,' ,,",;/"'.1=1010 'SC@DUW.,;:....../\T' , J1.'jY.trl~:~~.joW;.'i.~.f~rDl.~.rl9.:n'.:.t~.tq:Yi~;;.;~.~~,<<~Jf,,,:;_'.;I~:-;.i;~-f~,~;f:'~:-~f-rJ.~ t{i;,: ,,;;-~ t ; ~,- , -'~,... (a) Job d .. - ~:.;- -y? 14. / /'Z. escnptJOn: 11 I2t Occupancy te- Construction type: \J~ Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: 0 new !2r'alteration 0 addition (b) Foundation-only permit? D Yes 0 No Total valuation: $ ..::;ecO :'t2~;~~tJ_ti~.id ~ii g\(e'~~;J~h\:J)~~~Ji~tjf~'f,'i;~:';>\W,j{;~t\~h~{J~"'\ ". ':\.:\i.';\ (a) Permit fee (use valuation table): $ ~- (b) Investigative fee (equal to [2a]): $ (e) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2e]): $IO~ (e) Suh!o!al of fees above (2athrough 2d): $ ;.1~~':;r._j~l;Il:t~~1~~~.t~~~~'~iW~~t;I,~fJ-~~i~rt~:.f,H~j-Efj'~{~i~~l~i~~11~t.~~~1~?~r:~, (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (e) Suhtotal of fees above (3a and 3h): $ ~(~~/M~t~~U~:#>~(;.~'Slf~~~,~m'r?;':?:\2+':_~:':',\~-::,:,,!;~:W;;\:":.\~I :;';,,~ ~:: "'~f,;~.;::";,i.2::~;:,,. -'~' (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and 'surcharges (2e+3e+4a): $ &7 7/# - .;>...... ;:; !city of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 Planning Division Information Sheet for Building Permits Commerciall Industria II Multi-Family Residential The Planning Division requires the following information for gJJ building permit submittals on properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. 1 Address: ASSESSOR'S MAP NO: Pro ert Address: l..'Cl-S- 612 Description of the proposed, work t~ be compJ~ted under this building permit: (€.~lC<.(...,,- f\cr;,?- ~~+:., Ck>-VA"'-'ij2-dJ.. \")0<-- +\e-e., Has this development proposal been reviewed by the Planning Division through an application process (i.e. MDS or Site Plan Review)? DYes D No If yes, Case #: If no, is this a change in use? DYes D No Prior A roved Use: Pro osed Use: Zonin TOTZ: Overla s: The proposed project requires submittal and approval of the following Planning application prior to building permit approval: D DWP Overlay District Development D Statement Letter Regarding DWP Exemption D MDS D MDS Land Use Compatibility Statement D Site Plan Review D Other: Reviewed b : Date: SP~I.NG..::.EL.~.D - ~_'H_ .~ ~ ".. '? ,;,,\ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield.OR 97477 541-726-3753 WWN.cLspringfield,or.us 811-SPR2011-00045 2915 YOLANDA AVE pe rmitcenler@ci,springfield,or.us RECEIPT NO: 2011000066 RECORD NO: 811-SPR2011-00045 lDES.CRIP..1ION . s. Co' . ' Yr' . ,.', , . " C'. '. ACCOUNTcCODE.. ".ilY"', State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 Structural Building Permit Fee 224-00000-425602 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: r' PAYMENT TYPE Credit Card 098894 " ,"PA YOR '-CASHIER:CCARPE~,TER? . c;Q1'I!1\'!~ff!'Jl.. _ ':'"-- David Allen Sparks DATE: 01/07/2011 - AMOUNT.DIJE_.2.....:.:.~ 696 58.00 2.90 67.86 AMOUNT PAID ,: '. $67.86 0"" TOTAL PAID: $67.86