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Home My WebLink AboutPermit Building 2011-2-8 S~;~N~~:.E~ ~~ ~'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00196 IVR Number: 811143219534 www.cLspringfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726~3769 Fax: 541-726-3676 permitcenter@ci,springfield.OLUS PROJECT STATUS: STATUS DATE: Issued 02/08/2011 ISSUED: APPLIED: 02/08/2011 02/07/2011 EXPIRES: VALUE: 08/07/2011 $8,000.00 SITE ADDRESS: 695 57TH ST, Springfield, OR 97478-6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Master bath addition- already constructed- applicant self-disclosing and wishes to legalise through full inspection. SEE 511-186 for electrical. OWNER: ADDRESS: THORNTON WAYNE A 695 57TH ST SPRINGFIELD OR 97478 Phone Number: 541-556-7583 Contractor Type General Contractor Mechanical Contractor Plumbing Contractor Contractor Name OWNER OWNER OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER OWNER OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazrnat: No # of Units: o Occupancy Type Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: No Fire Alarms: No 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: Lie No 0000000 0000000 0000000 Lie Exp 08/12/2025 08/12/2025 08/12/2025 Phone 541.558.7583 541.558.7583 541-558.7583 Lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: ATTJEION: Oregon law requires youto Land Hazard Area: f II Illes adopted by the Oregon UtJilty Retaining Wall: 0 t~'w .on Center. Those rules are set forth Soils Report ReqUirtJJ:l~~c '02-001-0010 through OAR 952-001- ~090 You may obtain copies of the rules by '. ter (Note: the telephone calling tfhe tChen Or~gon Utility Notification number or e 4) Center is 1_800-332-234 . ." '":...,...... NOTICE: THE WORK THIS PERMIT SHAll EXPISR~~~M\T IS NOT AUTHORIZED UNDER THI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 2/8/2011 1D:12:16AM Page 1 of 4 Sf RING, F. IE~D ~14_" a""'- 't,. \.:;e k!\.OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00196 IVRNumber: 811143219534 225 Fifth SI 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: 02/08/2011 02/07/2011 EXPIRES: VALUE: 08/07/2011 $8,000.00 02/08/2011 SITE ADDRESS: 695 57TH ST, Springfield, OR 97478.6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Master bath addition- already constructed- applicant self-disclosing and wishes to legalise through full inspection. SEE 511-186 for electrical. I DEVELOPMENT INFORMA nON 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: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value ,- Springfield Building Permit 2/8/2011 10:12:16AM Page 2 of 4 S..PRIH. G.F.I...EL~..-. . flat - \.~, . m.~... OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00196 IVR Number: 811143219534 www.ci.springfield.or.us 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 02/08/2011 02/08/2011 02/07/2011 ISSUED: APPLIED: EXPIRES: VALUE: 08/07/2011 $8,000.00 SITE ADDRESS: 695 57TH ST, Springfield, OR 97478-6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Master bath addition- already constructed- applicant self-disclosing and wishes to legalise through full inspection. SEE S11M186 for electrical. I FEES PAID I Descriotion Sink/basin/lavatory ~alance of Minimum Plumbing Perm~_Fees Fir;;t Appliance F~e 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: Improvement Cost - Local Wastewater SDC: Total Sewer Administration Fee Shower/Shower pan Water closet .Stru~~l!!al Building~!!mit Fee Amount Paid $19.00 $1,00 $79,00 $30.42 $12.68 $13,86 $20,17 $790.32 $385,74 $60.50 $19.00 $19,00 $116.50 $1.567,19 Total Amount Paid Date Paid Reciot # 02/08/2011 2011000247 --------- 02/08/2011 2011000247 02/08/2011 2011000247 ----------~-----~-------- --.-.--- .02/08/2011 2011000247 02/08/2011 2011000247 02/08/2011 2011000247 -.--- 02/08/2011 2011000247 02/08/2011 2011000247 02/08/2011 2011000247 02/08/2011 2011000247 02/08/2011 2011000247 02/08/2011 2011000247 02/08/2011 2011000247 Plan Review , Structural Review 02/07/2011 02/07/2011 02/07/2011 Information Only Chris Carpenter Comments: Over the counter permit - applicant will expose completed construction to facilitate inspection. ~~9!~2:~~V!~vi T,,_ :'i:,;/~-.!~;~?~IO"i~~l ,:1" :':)?~iO?t/~3~~;1: -~~tI97j201}, ~>.: ~~_.~E~:e;~ir~d~ - c4~," -;,'. _.:~~~ri,S'~:~~~~~:~~t'--:~.~; ~" ~: ~~. ~7\>:"- ~0 ;t;2" ~ t.,~C<?mme,:,t~.:. o.~erJne;c~nt:rperrn!t,. i ,,'. ,\f5/~ t,,-,~ ~ ';. ~ ':--,,;-;;'f>~-'-~: i" ,<' "_'';'~:;.~.':;',' ~ ~.i'~_-"'<;!.::.':._ '.- i .'.~2'" :"~~." Publlc Works Review 02107/2011 02/07/2011 0210712011 Information Only Ben Gibson Comments: Over the counter permit- stormwater to eXisting system Department Initial Review Received Due Date Completed Result 02/07/2011 02/07/2011 02/07/2011 Over the Counter Comments: Over the counter permit Reviewer Chris Carpenter 'l - i Springfield Building Permit 2/8/2011 10:12:16AM Page3of4 . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00196 IVR Number: 811143219534 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 02/08/2011 ISSUED: APPLIED: 02/08/2011 02/0712011 EXPIRES: VALUE: 08/07/2011 $8,000.00 SITE ADDRESS: ,695 57TH ST, Springfield, OR 97478.6821 ASSESOR'S PARCEL NO: 1702331400300 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Master bath addition- already constructed- applicant self-disclosing and wishes to legalise through full inspection. SEE 511-186 for electrical. I INSPECTIONS REQUIRED I Inspections 1020 Zoning/setbacks 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Undertloor insulation 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1530 Exterior Shearwall Ceiling Insulation: Prior to cover. 1999 Final Buildin9 Final Building: After all required inspections_ have been requested and approved and the building is complete. Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete. 2999 Final Mechanical 3999 Final Plumbing 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. L~~;~ d-~ f)-\ \ Date Springfield Building Permit 2/8/2011 10:12:16AM Page 4 of 4 SCi~~:G._.~f.IE~.. ~t~. ~OReGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00196 695 57TH ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfieJd.or_U5 RECEIPT NO: 2011000247 RECORD NO: 811-SPR2011-00196 DATE: 02/08/2011 tbESC::RIe.TION,:~ ;;~"i_,?'~,,:; '. '.' "-I~i'ib,'" "t'.Ai:;c::O:(jNT~C:::ODE,'.;, d,"~>.k'AIIiIO:UNTj)UE:.~.~,_,.j'j Balance of Minimum Plumbing Permit Fees 224-00000-425603 1.00 First Appliance Fee 224-00000-425604 79.00 SDC: Improvement Cost - Local Wastewater 443-00000-448025 385.74 SDC: Improvement Cost - Storm Drainage 440-00000-448028 20.17 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 790.32 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 13.86 SDC: Total Sewer Administration Fee 719-00000-426604 60.50 ___~~~~e!!Sh~~~____ ___~24-00000-425603 _~D____ Sink/basin/lavatory ~_. 224-00000-425603 19.00 State of Oregon Surcharge.i12.!? of ar:!'~~~.~_~es) ___.83.1-00000-215004 30.42 224-00000-425602 116.50 ___~___~___~_v____._.__ 100-00000-425605 12.68 ._----~-~-_.- 224-00000-425603 19.00 TOTAL DUE: 1,567.19 et'RAYMf~lJyj,E . ~i;,'~'d5RP': CASHiIiRfDBOWtSBy4f",~-;f;~:'COMMENTS;~;::-,f ,,':,!;-n'.';ii?'.1 AMOUNTPAIP/'i5-'!::-ii.: Credit Card wayne thornton 1,567.19 02209z Structural Buj~ing Permit F~~~__ Technology fee (5% of permit total) Water closet ] TOTAL PAtD: 1,567.19 Structural Permit Application DEPARTMENT USE ONLY SPRINGFIELD l::~~ , .~ ~ .< . I . ;C- " CITY OF SPR!NGFiEUf,\oimaON ,;.., "/ ' 1. \;:~:,~; . . Pennitno.: 51) - /CJb Date: 2- 7 )f This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is , . suspended for 180 days. 225 Fifth Street. Springfield, OR 97477. PH(54J)726-J75J. FAX(54J)726-J689 , .,' ',119.CAL.'9QYE@M~Nii;APP~Q,{AU~;S.;ih:.'.ii\:iE~i(iMi' This project has finalland~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 ~~k~~j{f.J:~~'G'At~'~,9iiy~g.F,A(GP~~;t.Rti.GmiJ~t~~~~~}+si(;;~i;)l~i~~7-~ Residential 0 Government 0 Commercial \~}i~l' ....;;;iiQ~;sl"[E;i@oRMA'[lqN~A~R'i~6.~"'fiqNhl:;t\il!::;'::\;\ 't 'I-ST City: ~ ZIP:~7Lj7tl Sign here: CONTRAC'[ORIt;lSTALLATI9N ClW tJe----rL Business name: Address: City: Phone: E-mail: CCB license no.: State: Fax: ZIP: Print name: Signature: ;;~;{,;{:'.u::.~'~\?y~r?~:';;0$-Q.~-G~0t{i18.:~qmpf{~i.Nf,p,j~_M!\mfq~~~t~ill~'ij~~~~';r Name CCB License Number Phone Number Electrical ~ Plumbing - Mechanical . '.. ; U'J''',}/'.iFEE'SCHEOUI..1;'' ::l::,:;y~_t~'~!i.9"~:jp'9~~.tIi'~,H9)~i(:~t[.t{;~i':~~;k.;t;~0~!l:;;i3L:~}g~,j{;i/},id:M.';-~a,-,ty~&,~";:..:,, (a) Job description: b~ /,,\~\':)tv Occupancy R.... f\~ \) ~ lA: .....;E l"I-l<J Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: o new ration (b) Foundation-only permit? Total valuation: o addition DYes ONo (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 (20 through 2d): $ $ $ - i;I~~?"~1~9:f:r~y~~1t~~sI~BU~Jf~~j~~0~rB~lt~:~~ri~~rm1[~~#~i~~~~{~~~ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): :;:4;Mjs.~hlia;~~';:;1s;r~~~\,;,;;!:i' (a) Seismic fee, 1% (.01 x permit fee [2a]): TOTAL fees and surcbarges (2e+3c+4a): $ $ $ 1;;21', $ $ ILl ~b ~'L.r- 5 G'P~I'\' n.' PM! l) tAl IVICYl- 131.." r- V trJ tJ 1.-:1'- Ii' CI Tom's Plumbing Service, lnc ~~g~~:' ~6~~7401 ~C,~r'" ~ Phone: 541-607-8879 ':n:,,; Fax: 541-607-1166 'f;'>>:: I Customer Information: ,-1~<}~::t~- ':~ - ) l'O 1,- 10260 ~e...... Terms:Dd_~/lipon completion. All special order ,iY""<"':'__' items mus(be:paid for in advance. ':~:-~:;;:::)~ . Description ,~.c";_:c~o ~', ,+ :PI .iV~ WJ ok tIJn.J-< of Work Performed,'}: ~ .1 ~ ./ .. - ;N~llt\ fl.';; S\'s4e,.,.-,. ;; L;) /.ir,-/ 0L~!~h-Ud (.,(1-;.v <:.(. n\1)\., --C i/l--'-I"-' I\.. " e. II P c\ (f ~ aR.k .\'" C Ofllr>\' (Ill S\f<h::"".. ~ 'j/ cZ)n'.(r~~f1A(" J'l I .".:':::,::;) ,:c';~:;'r:~J.;,' Labor ,:f~i;:t~Hours Rate Amount Labor 7;; i; Hours Rate Amount ThtM. jt~~l ";:),CU ., in,; ;:1; (~ .-,~ - l?1. w -<g<1l .." (: ,'k Total 22 t qt> \, :~: , ,,:;'i;:" , ~ ow rill ,1_ Material Description Unit Price Total ;-"J ~, ~ -l... =I / /) , ff. mlJ t~ i!ii!Fft( ;/lllt:r tJi I /l/~ ~i '7:i,~lj' ,_ " ~ , v / ~ [ti! ...,.... : tf)d cJt , bS'1' -1-1 '"1 .J. ~ ?Y0~ -F ," '!O~ . ',<, ,oj . :~: " . I, ,/, " !; :, " Total r\1at~:Iial ".' 'J"l,',"I,;:.'i':'_h ';, J,~{ TotaH2aoor f:12. r DO ~', \~:'" ,.:cu;, I;' Tqi'al p~e 0 ;<:. .~>,,""'~' Work Ordered By: .ip:t;'.~ , ~,fZ,::2~~; - I hereby acknowledge )1l~0~lliect~ ~mpletion fthe work describedS3:bove, ,..., , - 4,;ii.u:k~ - 7"1 I P:o. Nu~~:~i;~ ~,',~j~J~~~ s x +~9~ l' _ tG.. --'I U, Date \;::}5 \ \