HomeMy WebLinkAboutPermit Miscellaneous 2011-1-7
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www.cl.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00043
IVR Number: 811168952499
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
$7,100.00
SITE ADDRESS: 909 4TH ST, Springfield, OR 97477.3949
ASSESOR'S PARCEL NO: 1703352107400
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Dryrot repair, plumbing and e~al repairs
OWNER:
ADDRESS:
OWNIT MORTGAGE LOAN TRUST
2141 5TH AVE
SAN DIEGO CA 92101
Phone Number:
# of Units:
o
CONTRACTOR INFORMATION I
Contractor Name Lie Type Lie No Lie Exp Phone
EQUITY HOMEBUILDERS lLC cee 176016 05/04/2011 541-382-0603
TOM'S PLUMBING SERVICE INC . r:~ 1 t;;\J I jUN:liJMBI~Gn law 1W;j~jBdS v(1"Oj'fP1/2011 541-607-8879
BUILDINgINF,6_Rr,;i,i:~i@:~.:.'''~ I~~ the, Oregon Utility
in OAR 9- e ru es are set forth
# of Stories: :>2-001-001 0 throughLJat~Size52-001_
0090. You may obtain copies ~f ". .
Height of Structure:ing th t (1 Sq Pt~s~Flooby
vall e cen er. \jate: thl::! t~lr.:nr.r.::;-,
Type of Heat: number for the Oregon Ut",'tSq Ft 2nd F!O'l>r:
" ' I V I~oliticatlon
Water Type: Center IS 1-800-332_~Svql~~!lasement:
Range Type: Sq pt Garage:
Hazmat: Sq Pt Carport:
Sq pt Other: 0
Occupancy Load:
Electrical Specialty Code Edition: 2008
Springfield Fire Code Edition:
Mechanical Specialty. Code Edition:
M ." II D 1'011 U IIl;tt:c~ d
UnlClpa eve opmen 0 e:
Plumbing speciki(J~J't.Pe~1ilri~HALL EYfo1?sE IF THE WORK
Residential spe~I~lrrb1iafmi~n~DER T~b~lERMIT IS NOT
I ;11I1i'1\JJ~~rr~n nR Ie: ABANDONED FOR
Structural Special~ Code Edition: v
Allli/1 Rn n~v D,Plnn
Site Information 14
Contractor Type
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
11712011 11:25:03AM
Page 1 of 3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00043
IVR Number: 811168952499
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
ISSUED:
APPLIED:
01/07/2011
01/07/2011
EXPIRES:
VALUE:
07/06/2011
$7,100.00
01/07/2011
SITE ADDRESS: 909 4TH ST, Springfteld, OR 97477-3949
ASSESOR'S PARCEL NO: 1703352107400
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Dryrot repair, plumbing and electrical repairs
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
Descrietion
Tvee of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
Description Amount Paid Date Paid
State of Oregon Surcharge (12% of app,!i,<;.able fees) $23,10 __~~2-______
Tech!2?I".9.y'!:e (5% of permi~total) _ _,_________.!96:J.________ 01/07/2011
Structural Building Permit Fee $116.50 01/07/2011
Water Line $76,00 01/07/2011
_,__
Total Amount Paid $225.23
Reciot #
2011000065
2011000065
2011000065
2011000065
Springfield Building Permit
1/712011 11:25:03AM
Page 2 of 3
.of
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00043
IVR Number: 811168952499
WWN ,cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/07/2011
ISSUED:
APPLIED:
01/07/2011
01/07/2011
-.-t.>~"""'" ....
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Insp.ection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
EXPIRES:
VALUE:
07/06/2011
$7,100.00
SITE ADDRESS: 9094TH ST, Springfield, OR 97477-3949
ASSESOR'S PARCEL NO: 1703352107400
SCOPE: Dryrot
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Dryrot repair, plumbing and electrical repairs
Plan Review
Deoartment
Permit Issuance
Received Due Date Comoleted Result
01/07/2011 01/07/2011 01/07/2011 Issued
Structural Review 01/07/2011 01/07/2011 01/07/2011
Comments: Over the counter permit
Not Required
Public Works Review
01/07/2011 01/07/2011 01/07/2011
Not Required
Comments: Over the counter permit
~~it!A~:Re;Yi~~,;~"~.~'i:,::~ ,:J;s~',~Y~}{~~}~I~~?1{?Z(~~t~,~t',~1 ~p~20f1"
Co,!,men~s:,~ Qv~rthe:couf,1t~c~ermlt<~~ :':''',4[7.:% ~,~ ~ -~~:/:..J~~:;,
~ . ",. . _.<____"'...,M
INSPECTIONS REQUIRED
Inspections
1260 Framing
~
Reviewer
Chris Carpenter
Chris Carpenter
Chris Carpenter
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
3315 Water Line
3999 Final Plumbing
Final Plumbing: When all plumbing work is complete.
By signature, I state and agree, that' 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 don,e 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 fhe property, and the approved set of plans will remain on the site at all times during
constru tion.
~ /7 /n
I /
Date
Springfield Building Permit
11712011 11:25:03AM
Page 3 of 3
,Structural Permit Application
'DEPARTMENTUSEONL Y,
SPR....GP1ELD &"tm.&i&l-:!'.
J,A"li1I't1zlJt4!\~
~ _'li~
f;" T'-,,!,-~'-::-" ~-_)-~~J!' ~ ~~!,~ -'i;~"'~i%ift'-,~U"i0"-~~\t~~4f'l::'\"fi?s.~c.'i.~
~\; ;l\tS!1t'Y.:~FjS.R~Il'{Gfl~ISbJi.€lRjR.;]W~;~11'f:,~l'i:-~\>4cc\':'~
Date: I / I
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuauce or if work is
suspended for 180 days.
<~:,~j}!,[[9C.Ajo:9QY'E.@M~t:.(f,i~PRRQ:v~~ti~j~ffl}J;rjJ:;li,!Hj
This project has finalland~use approval.
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
F;'''''.'~T,,'',:iJ;:\';'''.'4~~;''''''~ ' "~ ." -_"~'''~"i' ,',-Y.,:'. --"""'''",'''.--":,,'';' ,-,',~w'-''''':0:''~::':'"''':' ,'" r..-:'_:,,,: _ t
~~\<t~~~{,,~Tir~tJ~AT~.~,9J~X~,9.[4b~,ON~f(R~J;m19~~~JJ;l'L0*~::)~?}f,~
Residential 0 Government D Commercial
ji;H}':!i~!;'~flU'9B~iS'Ii'!gi..IN~~MAtiQNf*ANQ~'~Qffi"II9Ni~1~Iij.t~j;;;i;1
Job site address: S
City: -5 ~
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689
Subdivision:
Reference:
Name:S
Address:
City 'S>
Phone:
, PROPERTYOVVNER'
C~6
;0&
State: OR-
Fax:
ZIP:
E.mail:
This in'stallation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
, ,~ONTRAC[l"()R.,INST:AL:LA:r1Qt-l', ','
Business name: EQv, L\..I~
Address: l\~"!. !-4W Wllo s.~ Sv \
City: a->a State: Q{Z... ZIP:,,\'10 I
Phone: o"\l 3e"2. 0 'i3 0"3 Fax:
E-mail:
Print name:
~~\WOOD
~
Signature:
Name
Electrical
Plumbing
Mechanical
lJB-C(;)N,T~Cj[6R,I,JIl~.6,RMA:fIQJIl~Rlll1!i::1;'j'(~%\\t
CCB License Number Phone Number
Permit no. .s II - OOCJL-f,J
," ~.~ ~:-{:i'~:~t.;;:,~: tt~\~1~;:::,!.F,'g~'~'s'~'A'~.py~'~1}'~':;<:;,': ;':~\-);SiY~:\;.';'~~;~<;::';::':i~':"
(a) Job description: Da.i P- D"\ (?......y/'r,tf'-.5
Occupancy
1)
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new Q..tnteration
(b) Foundation-only permit?
D addition
DYes
ONo
Total valuation:
$'
~f~j;;~]:U~Ji'-glt~~.sJj~~t~1i'!~;~~~~~;S'nl%tj4~,~,~~~F~\,!,i.. '2:h;:l';~-;~fl:;{~;:A>-,:.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ 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):
$
$
$
"II-
(a) Plan review (65% x permit fee [2a]): $
(b) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal of fees above (3a and 3b): $
~~~Mi'sctHItlne'oifs'rfees~;W{l~~~~:1j;}':r,:~,;11~dr:)>:j;.:, ~,~~;tl";~~;,<':~":',":,:, : '
."<""_" ~,_. _>_'___'__'_'~,.. .',"'J'..'.,,' "..,~"c,..-,~ .;"r_'''', "..~_","""_.,'",,,,, ...~ '. ",.,>"~,."", "-'
(a) Seismic fee, 1 % (.01 x permit fee [2a]):
TOTAL fees and surcharges (2e+3c+4a):
$
$ Cj~1 F(
. Plumbing Permit Application
225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
"."""."~.,,.-,;:_~,_.,._..,..~..;. -"'-,' ,,";' \." "_'_"', ," c.-, "',..,_i"',V"": ",y,:.':':",'"
""''[lEPARTME'NT USE ONL Y;i;'jii:
.' ... - .. . .,.,
- We) <-f]
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or cOntractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
'({1Jili~:r;;,!i!!ocAt;'.GOVERNIVIENT:"!Af>pRb\tAIY~1??71~;'~::,:1
Zoning approval verified" 0 Yes 0 No
Sanitation approval verified? 0 Yes 0 No
CATEG,ORY.OF CONSTRUCTION
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,,-,'-j''';'
N-
'I'ROPERTWbwNER"Hi1';"'i"(0't\;,'~;n.:;?;\
o(i'.'T C~~ ~Q..v'
. Name:G
Address:
City:S
Phone:
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 requirements under OAR 918-695-0020.
ZIP:
Signature:
CONTRACTOR ,.INSTALLATlON_
.c(""
E-mail:
Plumbing license no,: 25c
Print name:
Signature:
L
440-2500-) (I 1/08/COM)
'Y~;.~~':t'~
!R~~~~::!-:;.:if:;~~~;'~J:~i~6;ifJ{~f~E-E-Efs:cH EDlJ E't:-;:j~h~),_~'.YM(~~~:~N~;'i?tJ,5)~~~yI
_,,\-,,:;\:''''.:,;,;;~-/~pi~>'1:-:,::i,~0-'';l'';;d~:\_;:/ ~",'i::,,~.",,~,,; .,'.',,';,' < :'.'C - f'-:;".' '-'i T'( {d"
"DeSCrlptlon)",,,,,),,,,,.,,....,.,_.,i";,,, "," Qty... oL. '''''' 0 a.,.
i;;i!t;::::.:e'-}~:'~\;;'~'ii~\,:,':,0?tft~'~i~;!//' tifT;,':'~' i~'i i;:,/;<;;Ht; ~-;,c :,.,<1; ,k (,L~a~.t~/;~;~:,_j~,~~_~J)I(.,
New residential
1 bathroorri/I kitchen (inciudes: first
100feel of water/sewer lines, hose $238.00 $
bibs, ice maker, under floor low-point
drains and rain-drain packages)
2 bathroomsll kitchen $374,00 $
3 bathrooms! I kitchen $439.00 $
Each additional bathroom (over 3) $95.00 $
Each additional kitchen (over I) $95.00 $
Residential fire sprinklers (includes plan review)
o to 2,000 square feet $58.00 $
2,001 to 3,600 square feet $116.00 $
3,601 to 7,200 square feet $174.00 $
7,201 square feet and greater $232.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and $58.00 $
water supply
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee $58.00 $
Each fixture $19.00 $
Miscellaneous fees :
100' storm, sewer, water line I $76,00 $ TJtpu'
Each fixture, appurtenance, and piping $19.00 $
Storm water retention/detention facility $19,00 $
Irrigation systems $19.00 $
Piping or private storm drainage $19.00 $
svstems exceediolZ the first 100 feet
Specialty fixtures $19,00 $
Reinspection (00. ofhrs. x fee per hr.) $58,00 $
Special requested inspections (no. of $58.00 $
hrs. x fee per hr.)
Each additional inspection: (I) $58.00 $
~'M~di~-~1::g~S}pi'prifg:if;.t~~(~@~~:;,~ga~iK4~'~-'; Mjnimum fee $
Enter value of installation and equipment $
Enter fee based on installation and equipment value. I $
'-""""~;i~,if~J:il"--'----'~"----''''''''''''"-''--'''1I\'~~B'' ..
~;,'iJ\,i%--.._ Y:ii"'l;,,~~~I:IQ~~;r!lilU_SE,~$ei$"''li, ,'Jil" e ;-~.
(A) Enter subtotal of above fees D
(Minimum Permit Fee $58.00) $ 7&0..--1-
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge_(.12 x [A+B]) $ 'j{ 2-
(D) Technology Fee (5% of [A]) $ 3":.0
TOTAL fees and surcharges (A through D): $ n 72-
SP~~)N. ::~~l~
Ii:t~
.. ,~ .,~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541.726-3753
www.ci.springfield.or.us
811-SPR2011-00043
909 4TH ST
permitcenter@ci,springfield.or.us
RECEIPT NO: 2011000065 RECORD NO: 811.SPR2011.00043 DATE: 01/07/2011
'O"ES'C'R ,I"TIO'N"'{"" .; '';\0.'' \"11;." ". .r"" ,p ",~ ;",( "',0'" ,.t'"",,,,,,.,,.', ~?'A"C"C' 0 U'N' T'e'OOE' '" " ~:' C,,:, :.',,:,.-,:_,'.,'i:'A'.M"O"U' NT.' ,,'O"U"E'.'..""""t,''<
,;0, ,;. <
~ ' r"", ~,0tc\.,._~;<L.S.f.'."' ''7;;;,~~:::..;cl'':':'''''''~~''d1:.;;_~iw~fi:.~... ,', _' ,n..' ';,,,..4;;'/''"' -'. "'L._ . T. ...........~...~_..;j
__..:>,I."te of Or~~?n Su.rcharge (12%cl applicabl~...!.ees)___ _._ ~.~~~~QO~21500~.__.,_.___ "'__.__3.~.1.0,_____,..
Structural Building!'errnit ~ee ,___'. __ ._~2~0.0900.~2~ ____.___.2:?~~__,..
Technology fee (5% of permit total) ._.__,~...200.00000.425605 __'_' ~~___. ..
Water line 224.00000.425603 76.00
-----
TOTAL OUE: 225.23
ri-:;;PAV.M..eKt :tYi~E~~'(OR",-"J:....~CASHIER~SCAR~ENfER.,%-J. C6J1'!OO~is,.'l~i\i~k1!.)Sjjt';;;..::':"'\'AM9J!"''TP~jO''", .'," ~
Credit Card Jim Prestwood $225.23
01598c
TOTAL PAlO:
$225.23