HomeMy WebLinkAboutPermit Building 2011-2-22
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00273
IVR Number: 811109747401
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
02/22/2011
02/22/2011
Issued
02/22/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726~3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
EXPIRES:
VALUE:
08/21/2011
$0.00
SITE ADDRESS: 5294 CYNTHIA CT, Springfield, OR 97478-6229
ASSESOR'S PARCEL NO: 1702333400109
SCOPE: Interior
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
,
PROJECT DESCRIPTION:
Heat pump replacement and Tub - to - shower conversion
Phone Number:
, OWNER:
ADDRESS:
TERRY JOSEPH D & SARAH K
212 POPLAR AVE
HAYWARD CA 94541
Contractor Type
Contractor Name
LARRY KARL FOWLER
CONTRACTOR INFORMATION ~
Lic Type
CCB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
lie No
110961
Lie Exp
03/17/2012
Phone
541-953-3479
lot Size:
Sq Ft 1st Floor:
Sq Fl2nd 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:\TTfNTI0N: Orepon law requires you to
Municipal I Development Code: follow rules adopted by tile Oregon Utility
PI b' S . Ity C d Ed't' Notilication Center. Those rules are set forth
urn '"9 pecla 0 e I Ion:
". .. In OAR 952-001-00'10 through OAR 952-001-
Residential SpecIalty Code Edltl'1,n-i90, YoJ~,q~y obtain copies of the rules by
Structural Specialty Code Edition: calling the center. (Note: the teiephone
Site Information . I~., '~r'ci~~t~~t;i~; ~~O~~3~l~~~3~~)l~ljLiduun
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered'Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
. " \NO"'\<.
. ?\"'t. W i\\t. ~01
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Springfield Building Permit
2/221.2011 9:11:58AM
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00273
IVR Number: 811109747401
www.ci:springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
02/22/2011
ISSUED:
APPLIED:
02/22/2011
02/22/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
08/21/2011
$0.00
SITE ADDRESS: 5294 CYNTHIA CT, Springfield, OR 97478-6229
ASSESOR'S PARCEL NO: 1702333400109
SCOPE: Interior
WORK INVOLVED: Remodel
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Heat pump replacement and Tub - to - shower conversion
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Frontyard Setback:
I~terior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Valuation Description
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Sidewalk Type:
Downspout/Drains:
I
Unit Cost
Value
FEES PAID
I
. Descrivtion
Balance of Mi~~::m Plumbing Permit Fees
.stat~9~Qreg~~3_ur:c_~rge (12% of aPEl!.cable fees)
Technology fee (5% of pe!"mit total)
Showe~_Shower pan
First Appliance Fee
Amount Paid
Date Paid
02/22/2011
02/22/2011
02/22/2011
02/22/2011
02/22/2011
$39.00
$16.44
'." ._._._----~ "..~_.,-~.--.- .
$6.85
~~,__w_
$19.00
-------"
$79.00
$160.29
Total Amount Paid
Springfield Building Permit
2/22/2011 9:11:58AM
Recivt #
2011000319
2011000319
.---,------..-
2011000319
._~_.._~.~~,--~
2011000319
--......---.--. ._-~
2011000319
Page 2 of 3
Plumbing Permit Application
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689
:~'(',$'i_".,""'j:r -<.,~R?,'-"",,4iY ,'-':" <;';V'!{:;;~;',' 1" ~"",("""""i'o;,;,'l'.~~:,,,,,,,,
. .;' DEPARTMENTUSEONL:Y':f,;,tfi
. . .. ". -'.- " "~-_ - .. ,"... .'" .., .~ " '.'" ' - "'i"~ :.;
Permit no.: 511 - 2?S
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.
;10.tiiiif!Wi:~I.!!O.CAL;;GOVERNMENTIMPPRovAlii~i%l'(~?llf\Y"1
Zoning approval verified? DYes D No .
Sanitation approval verified? DYes D No
CATEGORY OF CbNSTRUCTION,'
..
Job site address:
Ci :
Reference:
~\i,~h~~~~i~(~J~~~:S~fdjD_ESCRIJ?;nbN:~rOF.,~W.oRKt~~~1;g:~~,~f$42')~:;i!::U:
""'-c 6Jtv SIr!
~el'
Address:
City:
Phone:
E-mail:
CCB license no.:ll ()
Plumbing license no.:
Print name:
ZIP:
BCD license no.:
Signature:
440-2500-) (I 1/08/COM)
New residential
1 bathroom/l kitchen (includes: first
100 feet of water/sewer lines, hose
bibs, ice maker. under floor low-point
drains and rain~drain packages)
2 bathroomsll kitchen $374.00
3 bathroomsl1 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
water supply
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee
$238.00
$
$
$
$
$
$
$
$
$
$
Each fixture
Miscellaneous fees
100' storm, sewer, water line
Each fixture, appurtenance, and piping
Storm water retention/detention facility
Irrigation systems.
Piping or private storm drainage
s stems exceedin the first 100 feet
Specialty fixtures
Reinspection (no. ofhTS. x fee per hr.)
Special requested inspections (no. of
hrs. x fee per hr.)
Each additional inspection: (I)
$76.00 $
$19.00 $
$19.00 $
$19.00 $
$19.00 $
$19.00 $
$58.00 $
$58.00 $
$58.00 $
M~nimum fee $
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Investigative fee (equal to [A])
(C) Enter 12% surcharge (.12 x [A+B])
(D) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through D):
$ $1l~
$
$ iPj.!!
$. z.. :.---
$ . 7~
This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
;Pi\;,i\'it~:;:'~i\j.CA']j1: G6RYil'Qf,)yc;brll$tRUCJj(jtif~~.~:~\;;"" .':
Residential 0 Government 0 Commercial
U':;\'i.~fi,ilJO~~sif!iE,'?INFQFl,i\Ii~iifIQrIlI1ANR:$Ki!6~GA'tIQN:t1~)t.~?:,,;
Job site address: - ~ rJ
Mechanical Permit Application
I
225 Fdlh Street. Springfield, OR 97477 . PH(541)726.3753 . FAX(541)726-3689
Business name:
Address:
ZIP:
-1{?'-3L/71
E,mail:
CCB license no.:
Print name:
Signature,
440-2545-J (II 10SICOM)
,;,i,1';~r'.-"'._' ;,..~-:~>' :!:t",i .. 1""",',,,,,,,.,,,-, "',''7''',~''':", "\', ~ ':-:'P" _ ."b';if',' .::-.,
~\"j;;PE~ARyMEN;r'USE'ONLy,:;".,:t\
.'.,' ....,'c~ i." .~",'_, '.', "'~'-'~',I'C_,,'1f".:-.I.~", .o).'-.'~
'.' -<: ('-' FEE SCH'EDUL.E ..
~ft~.~d,:~r,~~~~(~~~~!!;~~1~~~~~~<::~~(~~:Ai~*: ,9ri/ r~f4-:fi~~,~~~ ".;,l,~.tal",",
f.""7:COSt~;i.Y
First Appliance T $79.00 $ 'l'i
Furnace/burner including ducts and vents
Up to lOOk BTUlhr. $17.00 $
Over lOOk BTU/hr. $20.00 $
Heaters/stoves/vents
Unit heater $17.00 $
Wood/pellet/gas stove/flue $38.00 $
Repair/alter/add to heating appliance/
refrigeration unit or cooling system! $58.00 $
absorption system
Evaporated cooler $13.00 $
Vent fan with one duct/appliance vent $9.00 $
Hood with exhaust and duct $13.00 $
Floor furnace including vent $58.00 $
Gas piping
One to four outlets I $7.00 $
Additional outlets (each) T $4.00 $
Air-handling units, including ducts
Up to 10,000 CFM $11.00 $
Over 10,000 CFM $20.00 $
Compressor/ahsorption svstern/heat nurnn
Up to 3 hp/1 OOk BTU $17.00 $
Up to 15 hp/500k BTU $29.00 $
Up to 30 hp/1,OOO BTU $43.00 $
Up to 50 hp/1, 750 BTU $57.00 $
Over 50 hp/l ,750 BTU $95.00 $
Incinerators
Domestic incinerator T I $20.00 I $
:cOI :f ;'f"T C', ,e."/',"
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuatiori of mechanical system, etc. $
~i~ii~:{~f~~]~~~~~!~tf~!!~~%~[i~J,~~~1 it ',::i~XGI~,tCost~!;,- ~~ T.o,taly:(
,.:~~~ ;'~;i:;Vea:r.'2:'\7~ -, -"cost~,;.,..;
Reinspection $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (unclassed) $13.00 $
Each additional inspection: (1) $58.00 $
"iI'iif!;ililll"""ii!;l'~",("'"'APPi!iC:4NtCli'" "';I,i'%~''''''''~'':~'''!I~
~,?:X,;;.:;:,~\~!'ji},"l.;:',,~", )"ii,\8:ldsl., ',' ,,_ , " "",' ~:"tJS EJ;$i;:"".:;.\'r,f~t\c,.:,,.,~!lfJt~<<i, j'ill;~..,
(A) Enter subtotal of above fees (or enter set I)q~
minimum fee of $ 79.00) $
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $ i"!J
(D) Seismic fee, 1%(.01 x [A]) $
(E) Technology Fee (5% of [A]) $ 14..f.
TOTAL fees and ~,ur~~~rges (A through E): $ 02"1
rlOI'l ~ I
~v-r-
jl.\il'i \0" -
s:~~~~~~~
l~~
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.U5
811-SPR2011-00273
5294 CYNTHIA CT
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000319 RECORD NO: 811-SPR2011-00273 DATE: 02/22/2011
tOESC RlaTION' ;:' \ ; f;;;il 0. -:,l..~..' r/": 1'fCt.."..i, $.;c~coUNfJcOOE' n ," """, i ';'hoIVlOliNTcD.UE i :",,,
Balance of Minimum Plumbing Permit Fees 224-00000-425603 39.00
----'2'st Appli~nce Fee 224-00000-425604 79.00
~~_~~~~)?~n 224-00000-425603 19.00
_~~ate of Or_~gon Surcharge (12% .of applicable fees) 821-00000.215004 16.44
Technology fee (5% of permit ~tal)_ __.__100-02OO0.:.~2_5605 6.85
TOTAL DUE: 160.29
ti"';illlrENTi"Y~Ei..i"':ii::~~iQRi-~CASHIERcCAIlP.ENTER.l:.:t;':Y.;;zC.ciM.MENjtJii~:::.:~F:"ii' : ",> ;:.,AI\10ilLN}:PAI~' '.. :.:;;~ :i!'j "J
Credit Card TERRY JOSEPH D & SARAH K 160.29
010712 /
TOTAL PAID:
160.29