HomeMy WebLinkAboutPermit Miscellaneous 2011-1-7
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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 ." ,
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..~,.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
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SP:I;N, ~l~
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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
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:<:;;~:" .- CITY 'OPSRRINGRIELD:.oREGON .L~","; :." "':;, :'" ,:t \ '..
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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 -
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,;,,\ 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