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Home My WebLink AboutPermit Building 2011-2-3 ~ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00224 IVR Number: 811191694774 www.cLspringfield.or.u$ PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/03/2011 09/03/2010 Issued 02/03/2011 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: 08/02/2011 $2,000.00 SITE ADDRESS: 1863 17TH ST B, Springfield, OR 97477-2698 ASSES OR'S PARCEL NO: 1703252403700 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRtPTION: Create opening between two dwelling units - convert to one unit Phone Number: OWNER: ADDRESS: PAUL KWAKE TRUST PO BOX 238 CHESHIRE OR 97419 Contractor Type General Contractor Contractor Name OWNER CONTRACTOR INFORMATION 1 lie Type OWNER BUILDING INFORM)>. TION 1 # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lie No 0000000 Lie Exp 08/12/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code:. Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: law requires youto _........1. ("'\ronon V _~n Iltlhtv . I e' ,c.""- 1- dbytrl8 Iv,"" th Site Inform-"i~i,~~., "'111p~ ad( ?te ru\es are set tor .,.. . Gerner. Those OAR 952-001- Noti~~~~~_001-001 0 throui~~ 01 the rules by In 00 You rnay obtain COfe' the telephone OO;a\\in9 the center.e l~~ Utility Notilicatlon nurnber lor the. O~ _~00_332-2344). Center \5 I # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT r'''''nnnICED OR IS ABANDONED FOR Springfield Building Permit_II. l 2/3/2011 9:51:56AM ~IV 180 DAY PERIOD. Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00224 IVR Number: 811191694774 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 STA TUS: STATUS DATE: Issued ISSUED: APPLIED: 02/03/2011 09/03/2010 EXPIRES: VALUE: 08/02/2011 $2,000.00 02/03/2011 SITE ADDRESS: 186317TH ST B, Springfield, OR 97477-2698 ASSES OR'S PARCEL NO: 1703252403700 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Create opening between two dwelling units - convert to one unit DEVELOPMENT INFORMA nON ~ 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 Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Description Amount Paid Date Paid Reciot # Structural Plan Review Fee Residential $37.70 09/03/2010 2010000231 Technology fee (5% of p~;;;;iit;la'i-'~---------'--$2.9o--'- 02/03i201i--.-----2011000223 s~c;;;9c;;;..s-u--;-;ha;:g~.F2%-oTaPpjic;abi;r.~--- ---. -$6.'96--------02i03i2ci1i------- - -- 2011000223 Planning - Minor Review $119.00 02/03/2011 2011000223 Structural Building Permit Fee $58.00 02/03/2011 2011000223 Total Amount Paid $224.56 Springfield Building Permit 2/3/2011 9:51:56AM Page 2 of 3 SP~IN..GFI El.~ ~;ilA'~" ':tx~ ~-=""""=' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00224 IVR Number: 811191694774 www.ci.springfield.or.us 225 Fifth 51 5pring(;eld,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/03/2011 09/03/2010 Issued 02/03/2011 EXPIRES: VALUE: 08/02/2011 $2,000.00 SITE ADDRESS: 186317TH ST B, Springfield, OR 97477-2698 ASSESOR'S PARCEL NO: 1703252403700 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: ,PROJECT DESCRIPTION: Create opening between two dwelling units - convert to one unit Plan Review f Deoartment Application Acceptance ~ Received Due Date ComDleted Result 09/03/2010 09/03/2010 09/15/2010 Application Accepted Reviewer David Bowlsby Planning Review 09/15/2010 09/15f201Q Approved Deyette Kelly Comments: This parcel went through Site Plan Review (1995-01-0001) and was approved for 5 triplexes. Please check with Planning to confirm that a~y additi,onal ~hanges conform '<Vith the o,rjginal.siteFI~n decision. ~~~li~+v,Yq~~-~~~i~~:~)~:,;.~1 ,; ;:,~~~~{~?!~;j,Q,9/:~~bk~E:~f~~j~~,~1,~~~,;p~+[~~~,q~ili, LI~!;\) 11]~:~~s,;_~~~,c~iv~~, '~i~4;~9.1 q$n,0',S~8~"i t', ',~ ~.:3'~:~~'5'f!,~};'~~i}~~ft:~~:s-",! Structural Review 09/15/2010 09/15/2010 09/29/2010 Approved Chris Carpenter perml1lssuadc~\>;' '''?':7~::~;"i~t0912g/20:1 02j'09/29f2Q1 0 ~~~'02/03120~11*",,' ii~ued Jb0'~'ii: ~';", ,:~,~ Nancy .'Macha'do~'~;~' .~~::::'~. i;;~:'?,~i$7i~':1 '!~~~~.l~:~~;,C' ,;.:l~~r3";,:,'7c:~~;~,~:~::~::;~t~:~t }~~~:'~~f:0~?l~,;.';~,J'~~~..'::~} it;! ~~'~~~L~,~~~- ;~' ,~, ,:,t;,::"{,.ft2::1::i,1~~"~, :i~iL6'~::;:~~~;?~~~}':~~' ,; "~'; Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required in~pections have been requested and approved and the building is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify ~hat all information hereon is true and correct, and J 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 t roperty, and the approved set of plans will remain on the site at all times during constructio INSPECTIONS REQUIRED ~ Inspections 1260 Framing 1999 Final Building Date Springfield Building Permit 2/3f2011 9:51 :56AM Page 3 of 3 Structural Permit Application .... . ,," ....-., DI:PARTMENTUSEONLY ~-", ,- VJ:""' lJt~iIl>'''''''^....-.-,ol(<..li~d''1:~'''<<:1:!;,-~,,~l.;'''''~y...f'''''d.,. ""'..Ei" j~lh-'! -;:.~~.;~ ';;,61'ryr:QF,' Sj~B:INGF:l~PD~~~];!2!'iP:~~~~.\jc~~' I ~ ~h'~3::,~i:" 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 , Penn it no.: 5/0 - ). 2. L( 'I iJ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0 suspended for 180 d'ays. , """~~;'f;;iSii.\~9:CA~:,f9~~:i~l~'8'N~~~~_tr!,~~ffi3~~v~k;_U~~\1~i;~?jt~~?t~~ 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 ~~j~i~~~;;~~tlGA'T~H~,9RY~9_'~~~_G,9N~illB1JClrl~~f:t~WJ~1~~r~~~?}i) Residential 0 Government 0 Commercial :~;;~;W~#l~,;~}i:I~'Q'~1:;:~'I_T_~l'''fNJr' ~MATHl)',~xA -~'P"~~Q:qA]!:9~~~~r~~?~~~~~, Job site address: '7 5' City: 5; SubdivIsion: Reference: Name: E-mail: This installation is being made on residential or farm property owned by me or a member of my immedia family, and is exe t from licensing requirements unde 01 O. Sign here: ',- Business name: Address: City: Phone: E-mail: CCB license no.: State: Fax: ZIP: Print name: Signature: \0j~z~4~~{~j~t)_'~'_!:,~~~:r~$~.~'~,~pNftj({AG:tbRJIN.~QJ~~ATIPJ~~i4~[iW1t~0:~1w,~~:! Name CCB License Number Phone Number Electrical Plumbing Mechanical ,~x,~~~ S~:~:\":'~:~~~?j~EE \'S'~H ~-pi.n::~:~;'''!:ftc~ ~:' ~l?YJ_~.&~t~~nii~.t6rDf~t~~,f.a~~;f.f)i':~*yt~~~lif$;~~{;~~'~~1W:~~lb;td;~~1~td~\:r;k (a) Job description:~T7::: CTf'fJVl (V ~ ~ ,Irs Occupancy ~ c..o "'~.- t-i' \AM . Construction type: V Square feet: Cost per square foot: Other information: Type of Heat:, Energy Path: o new alteration (b) Foundation-only permit? o addition o Yes ONo (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ ~3'''\tip'''''''I''''1F~F';~';~'';,;;';'.J<.~'~i::;-~r,1.~Ji~~'f:,{f;':<'dPi~""f$t'(~;''l-i?'0~j,:';~~.f~@~~Tilii''1!{,f';( ~i,'. ,'i._\,.a.:I:Ixr:~XII?,'YJle~s_[$.10Hf:;i;;%_'!~~r,~~';'~;\Rf:)~~I,;;!!~~_?+tt€::4ii"';j,;;?;,,~f\;~~:.v.s{V,';~1! $:1 7~ (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): $ $ (a) Seismic fee, 1 % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ TRANSACTION RECEIPT CfTY OF SPRfNGFfELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.u$ 811-SPR2010-00224 1863 17TH ST B permilcenter@ci,springfield,or.us RECEIPT NO: 2011000223 RECORD'NO: 811-SPR2010-00224 DATE: 02/03/2011 i[fESC:Rie.i;16N\it~~i(~4::J:~~~;f",\.,;;t::~~r:;t;l:g%:;{';'~~tf3;~';~.} :~;~:~t~ ~~J.\CC.0:UNT(C.ob'E1:':::(L/,~ i~J!lr<~:S;~<;;);MbUN;t1>.U E' "~ "",,~:",~f:J Planning - Minor Review 100-00000-425002 119.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6.96 Structural Building Permit Fee 224-00000-425602 58.00 Technolo~y fee (5% of permit total) 100-00000-425605 2.90 TOTAL DUE: 186.86 ~~P-AXM~Njil:Y:'~E~Z::i{]?.Ay'Q8ti!S:_~~H'II~.&ji~AGHKQ9~~~~J~~9M'Ni~NIS:~~f't:!~' .". ~<: A~C)~l~,P:A~t7~,:!/'~_' '~'~1t~ Check . PAUL KWAKE TRUSTITERAL INC. 186.86 1766 TOTAL PAID: 186.86 .. CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00224 1863.. 17TH ST B permilcenter@ci.springfield.or.us RECEIPT NO: 201000023 I RECORD NO: 811-SPR2010-00224 DATE: 09/03/2010 ~RI;l)CB!PTIQN:;:'~;', ",'<;':'~>;, " ~",,;.:.:,.:'T,f.,jt~'~':E.6.C:::cp'QjilT~C_ObE ':',;.\'''\','M'IIQl.!N:r~D.iJl;' ,'.d'? ,',..,:J Struclura! P!an Review Fee Residenlia! 224-00000-425602 $37,70 TOTAL DUE: $37.70 I;:PA)'MENTd:Y:PE~7i'8&AYORf:8c.f'sHI~RIC.CARPEfm~~:+-cb_MMENf~~a.: _' .,.--lA';""';;. ,AMOUNT,PAID' h _ '_ Check 1153 PAUL KWAKE TRUST ...~j~;!t:t '.. . ...t~ "r'.: . $37,70 ,:.~ , $37.70 " r" _ [ ) 1': ~ .,," .j' "I ,.-.::-r .- '.t~.;;~:., . j~ ~::'," . .iY., . .~" ~.~:<- ~ .. , ,. '. ".y " .-' ~ ",. '4" I,.' ". .,0'" \