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Home My WebLink AboutPermit Building 2011-3-1 www.ci.springfleld.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00222 IVR Number: 811106936588 Issued 03/01/2011 ISSUED: APPLIED: 03/01/2011 02/11/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us EXPIRES: VALUE: 08/28/2011 $27,000.00 SITE ADDRESS: 3856 EST, Springfield, OR 97478-5640 ASSESOR'S PARCEL NO: 1702311301000 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential Addition Phone Number: OWNER: ADDRESS: HAMBRICK GILBERT G & SUE 3856 NEST SPRINGFIELD OR 97477 Contractor Type General Contractor Mechanical Contractor Plumbing Contractor # of Units: Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type Construction Type # of Bed rooms: Sprinkled Building: Fire Alarms: Energy Path: Lot Size: Sq Ft 1st Floor: 546 Sq Ft 2nd Floor: 546 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: 2008 Springfield Fire Code Edition: CONTRACTOR INFORMATION ~. Contractor Name OWN ER OWN ER OWN ER Lie Type OWNER OWNER OWNER BUILDING INFORMATION I # of Stories: 2 Height of Structure: Type of Heat: Electric Water Type: Range Type: Hazmat: o Type VB 546 s.f Family Room (2nd floor) R-3 546 s.t. Garage (1st floor) U Type VB Lic No 0000000 0000000 0000000 Lie Exp 08/12/2025 08/12/2025 08/12/2025 Phone Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edjtion: 2008 Residential Specialty Code Edition: 2008 Structural Specialty Code Edition: \ you to 1&'~1 rpMlJ res \ .t SIte Informabon ATTEN:IUI1: ~~~{:d'bY the Oregon ~\;rih 10\\0'1'1 I .~- a Those rules are s 1 ~0~~~~~~_~~~:~~1 0 thrO~i~~ ~~~e9(3~~0 by \~090 You may obtain ~~te' the te\epho~e \'1' g the center. ( ut' '\'ty Notilicatlon ca In h Oregon I I number lor t e, 1_BOO-332-2344), center IS No Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: 1\. ""-"l:'"ICE' RetaininglWall: . Soils Reifq~~<fq)l!~~!H SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 3/1/2011 8:53:07AM Page 1 of 5 CITY OF SPRINGFIELD 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00222 IVR Number: 811106936588 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/01/2011 ISSUED: APPLIED: 03/01/2011 02/11/2011 EXPIRES: VALUE: 08/28/2011 $27,000.00 SITE ADDRESS: 3856 EST, Springfield, OR 97478-5640 ASSESOR'S PARCEL NO: 1702311301000 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 25.75 11.00 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Yes REQUIRED PARKING Total: Handicapped: Compact: 162.00 20 20 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: OownspoutJDrains: Valuation Description ~ Descriotion Bid Type of Construction NA Unit Amount Unit Type 27,000.00 Bid Unit Cost 1.00 Value 27,000.00 27,000.00 Springfield Building Permit 3/1/2011 8:53:07AM Page 2 of 5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00222 IVR Number: 811106936588 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/01/2011 ISSUED: APPLIED: 03/01/2011 02/11/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@Ci.springfield.or.us EXPIRES: VALUE: 08/28/2011 $27,000.00 SITE ADDRESS: 3856 EST, Springfield, OR 97478-5640 ASSESOR'S PARCEL NO: 1702311301000 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition - I FEES PAID ~ Description Structural Plan Review Fee Residential ......"~-_._.~._-----_.~~~-, Residential Fire (.25 Per Sq Fo~tL___. SDC: Total Sewer Administration Fee - . SDC: Improveme~t.Sost - Storm Drainage SDC: Reimbursement Cost ~ Storm Drainage Planning - Minor Review - City Structural Building Permit Fee Sink/basin/lavatory :Admin fee ~~% of ap~licable fees) Water closet Balance of Minimum Plumbing Permit Fees Pla~_ Review ~~justm.:.~~ Residential State of Oregon Surcharge (12% of applicable fees) Techri?j;,_gy !~-.; (5"0/0 of perrni!.total) .~--- First !-pplianc~ Fee Amount Paid $132.76 "__'"'__._,"~._'m.._. $54.60 -"._..._-_..~- $20.08 $237.96 $163.55 $119.00 $296.89 $19.00 $5.46 $19.00 $20.00 $60.22 $59.29 $24.71 ----"._-_.._._~ $79.00 $1,311.52 Date Paid Reciot # 02/11/2011 2011000269 03/01/2011 2011000368 ~""-._-"---'_. ~-~.- _.~ 03/01/2011 2011000368 ----~~----" 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 03/01/2011 2011000368 _______w_~_. 03/01/2011 2011000368 ----.--- -.--.- 03/01/2011 2011000368 .~--_._.~-_._---- 03/01/2011 2011000368 Total Amount Paid Plan Review I Deoartment Application Acceptance Received 02/11/2011 Result Application Accepted Comoleted 02/16/2011 Due Date 02/11/2011 Reviewer David Bowlsby 02/16/2011 02118/2011 Add'llnfo Required Kip Kaufman Comments: Meeting with owners. Provide construction details for the following: 1) floor framing, 2) roof framing. "":1:~---"-~__-'''''--~~<f^~....__'n-,,",,__ . -. ',' . . "."...-.~.',-'~ _.. ,..-"~~-"'J,,-,'~-'-"'.'-r_'-~ Pl~{nl~g Revl~~;,,/\,~ -~'._ :~,,92/1~!t01~1,: ..O~11?{~b~~ _~' -:02118~~P~J\.' ~P?r~"~~~i~~:~~ i;",?:; -j'~~~<~~;:y;ette'~;~!};lj?/l:,(",~ ",j:;<;i:-::'" _ . -,~ ',! , _Co_~men_t~~;.~,er0_th,~ S'pC!~gfi~ld'D;~V~I.?Rm.~n! Co(je~;,;~tre,~~,?: J:S: .0qJ;1~.clnv.eY"~y:mu~t+~_~.sp.~...v~td.:,~;^S,'.:-'d',r-^}....'-",. . ,;'.\ ,~f(,,?;f":'~~"j:;_.:~,~; -; :,. '.?;'.~,,~ " "l _. - - - ,~-~~~~~,-~,g-,_. - - ^~"",-,-",-,",---------~,",--""""..---~------"----"'~'.............-".. Public Works Review 02/1612011 02/16/2011 02/22/2011 Approved Kaye Wilson Comments: Storm water to existing system. No structure or overhang allowed in 7" pue located on the east side of lot. Easement #201 Strucfural;R'evil~w-\ ~..,>' ,,~f~'? ,. Permit Issuance 02/2812011 02128/2011 03/01/2011 Issued Springfield Building Permit 3f1/2011 8:53:07AM Nancy Machado Page 3 of 5 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00222 IVR Number: 811106936588 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 03/01/2011 ISSUED: APPLIED: 03/01/2011 02/11/2011 EXPIRES: VALUE: 08/28/2011 $27,000.00 SITE ADDRESS: 3856 EST, Springfield, OR 97478-5640 ASSESOR'S PARCEL NO: 1702311301000 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition INSPECTIONS REQUIRED ~ Inspections 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1150 Slab/Flatwork 1160 UFER Ground 1220 Underlloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1430 Insulation Wall Wall Insulation: F:rior to cover. 1440 Insulation Ceiling 1530 Exterior Shearwall 1540 Gypsum Board/LathlDrywall Ceiling Insulation: Prior to cover. 1550 Firewall Drywall: Prior to taping. Lath/Plaster: To be made after aU lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed according to plans. 1560 Firestop Assemblies 1630 Roof Sheathing 1999 Final Building Roof Sheathin9 Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechar"lica.1 work is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete. 2300 Rough Mechanical 2999 Final Mechanical 3170 Underlloor Plumbing 3500 Rou9h Plumbing 3999,Final Plumbing Springfield Building Permit 3/1/2011 8:53:07AM Page 4 of 5 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00222 IVR Number: 811106936588 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: 03/01/2011 02/11/2011 EXPIRES: VALUE: 08/28/2011 $27,000.00 03/01/2011 SITE ADDRESS: 3856 EST, Springfield, OR 97478-5640 ASSESOR'S PARCEL NO: 1702311301000 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informa~on hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all ~equired inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the f(. nt of the property, and the approved setof plans will remain on the site at all times during construction. ../ , I ::;-j-;:0/J Owner or Contractor Signature Date Springfield Building Permit 3/1/2011 8:53:07AM Page 5 of 5 ~ ttructural Permit Application lvv'V\, 225 Fifth Street. Springfield, OR 97477 . PH(54 I )726-3753 . FAX(541)726-3689 DEPARTMENT USE ONLY ') Ptl ro ( ( - c) 0 Z. '2.:z.... Perrmt no.: _ CITY OF SPRINGFIELD, OREGON : Date: 2.-- This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' !,,".' ,.,' "'LOCA~,' ~9yg8NM$Nij;...:eeRQYAIl\:~:i'i:;!'\~EJ~jbMJ .. ....... This project has final land-use approval. . :;..'.:1'.:',...;,";....:( ,......, ", "h:.';";':", , , . . " 'FEE SCHEDULE :.' ';. " .' J.. " Signature: Date: ," <,., "}..,,,,(,,(,....,'" f ,.."t'''''''',~;.D,.''''';\;"",,; "'),"'..-,,,:.'; ','.-' ',","', This project has DEQ approval., . .~..,a ua lonln orma lon'c;c<':'~_'>"'~'i.I'-~ c",":",!,' ,'#~;: "~;t'i.;'!-"J,,. '~~"'J".,..t,1' .. ."_ ._,.._....._.,u, .".. .... . .......... .,., "-'-".- '.,-'::'..."."._ ... "_"'-'.' ,">,:'J.. .... ,','.!'. , Signature: Date: (a) Job description: A-DDlT \ u"f Zoning approval verified: 0 Yes 0 No Occupancy .P 3 /lA. Property is within flood plain: 0 Yes 0 No Construction type: I \1 is. ~~~~~}~~!k~~~{9At_~'g,9,~YiQ,fJ1~:oN$.;tR:p,G,fffl.9.N~i~~~ItG~t~tWi,{Ei:~ Square feet: t...E:rResidential 10 Government 10 Commercial Cost per square foot: 1r~'/;i/,:,..\}J'9J3.~:'$I,t~-i i~F,9RMA tiC:iNJ;:M\lQ[t9.~'i'19t:l~;1\!\!1~6":; Other infonnatio" . 3gS-b t=::: S -- Job site address: /fYpe f:{.~c.. / wl\(.L ""'" S~rl:::::". StateM ZIP: ., 7l{ I If of Heat: City: I Lot Energy Path: Subdivision: no.: 0 0 .EJa'dd ition Reference: I 702- '3 (( 3. I Taxlo!: 0/ coo new alteration (b) Foundation~only permit? 0 .rE:J"No PROPERTY OWNER " Yes .~ Name:'::::".b .L r:... \ ho r-t \ \.., . hr- ,.J::- Total valuation: ..01 Address:~v<L _~ )^~n 'Vl <T~~ ~_~j,,~.u,UCi~~'g .fe~slI~~~f!?:?m~~f,!~R~~~K~.:;!~;:~~\~.'~~,~:',!j~ ,'...v;.... ::'\,:..':..'-'.. City:C,1l yo: IY V",.V,o State: fl,e. ZIP:4/ " (a) Permit ree (use valuation table): $ Phone: '-';UIJ,,(.J 'J./'nl (b) Investigative fee (equal to [2a]): $ Fax: . - E-mail:\. I ;/)L ,',~ J ~ !i-I>.__M, t. V), +- (c) Reinspection ($ per hour): $ (number of hours x fee per hour) This installation is being made 1m' residential or farm property owned by (d) Enter 12% surcharge (.12 [2a+2b+2c]): x $ me or a member of my immediate family, and is exempt from licensing requiremend.ORS 701.0 I O. (e) Subtotal of fees above (2a through 2d): $ Sign here: r;/ ~ Jw.':d ) ;3"j>i"~"""""""-''''<I't''''''''''\I.''''~~''>'W~il''':l1'''''\tc..",,,,,.,,;;,,,,,~~~\!~" '; ," .. a-'llr_evl.~~.:,_~~~?i',,,, jh;';":,,,,{!,{,;'r.,' ,,je,tl"".,,~f,N~~ 'fiJ!!.. CONTRAC[OR .INSTALLA1'lQN " '.' (a) Plan review (65% x permit fee [2a]): icr2.-!fS7 $ J.:. .. _ y../ Business OWNeoL (b) Fire and life safety (40% x permit fee [2a]): $ -'1' name: Address: (c) Subtotal of fees above (3a and 3b): $ n, ' -: ." ~ .. IZIP: ;~~I,'M.i~5,~if~:~~~~~1:t~~~1~J~:~~~i~f{(~'_:: ~J~~,;;?l:~';~: ~,('-f:,"\~r ,,',' , City: State: r.,.. Phone: Fax: (a) Seismic fee. 1%(.01 x permit ree [2a]): $ - - - - E-mail: TOTAL fees and surcharges (2e+3c+4a): $ CCB license no.: Print name: Signature: :~~~{~-:.C~;~~?J,i;~('~1~Sl.lB-tCDNJj@G;tOf(JNJ7.0R_MA~lQN~J~;~W~:~~ Name CCB License Number Phone Number .Electrical i~b Plumbing ()c,.JN~~ Mechanical OW N& S~~~~.~.=_~ ~..,~ i.':.'~.. ,~, OREGON CITY OF SPRINGFIELD 225 Fifth $t Springfleld,OR 97477 541-726-3753 TRANSACTION RECEIPT 811-SPR2011-00222 3856 E ST www.ci.springfield.or.us permitcenter@ci.springfield.or.us RECEIPT NO: 2011000368 rDESCRIe..tlbN\1~~::4~ ->~"fL";~?Z;'i}:r;,,!!',t'i:_"'. -;":+J'?,~~~;":':;':;-; " Admin fee (10% of applicable fees) Balance of Minimum Plumbing Permit Fees First Appliance Fee Plan Review Adjustment - Residential Planning - Minor Review - City ~~id~Fire (.05 Per Sq Foot) SDC: lmproveme:nt ~ost - Storm Drainage SD~w~ Reimbursement Cost - Storm Drainage sac: Total Sewer Administration Fee ~~~k/ba~~Y?!.t State of O~egon Surcharge (12% of applicable feesL_ Structural ~uilding Permit Fee Technology fee (5% of?ermit total) Water closet RECORD NO: 811-SPR2011-00222 [:~AYIViE.~JjX~E""-:';RAYQR:':CASHIER7'~MA:2HAD6';:];, Check HAMBRICK GILBERT G & SUE 1342 ".:,(>" .' :-I\-t~C,6.UNj]~.6bE ;i~~2f::4:'<~, 224-00000-426605 224-00000-425603 224-00000-425604 224-00000-425602 100-00000-425002 100-00000-424005 440-00000-448028 441-00000-448029 719-00000-426604 224-00000-425603 821-00000-215004 224-00000-425602 100-00000-425605 224-00000-425603 TOTAL DUE: ".. ."'.~.-.. . "'-"'~.. --. <:,. .: ''''<:''''rv,<. CQ~~E~~~~~;AFZ~~? DATE: 03/01/2011 ~r:iAM()ONtDUEi.f..A2i2:cl 5.46 20.00 79.00 60.22 119.00 54.60 237.96 163.55 20.08 19.00 ---_._--- 59.29 296.89 24.71 19.00 1,178,76 - A_"110UNIP ....,D _', i.~ 'j._~{:,;? ~l 1,178.76 TOTAL PAID: 1,178.76 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00222 3856 E ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726.3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000269 tDESCRIP..tI6N::L~ ,,:T-. .,:..,,,,!::::P" "','<( . Structural Plan Review Fee Residential RECORD NO: 811-SPR2011-00222 DATE: 02/11/2011 ,,~'!'.t1k~SL:},~::;:ACc6uN:f.i.CODE~~~: "--:~Aivl60NtjOUEi.":-:',; 'J 224-00000-425602 132.76 TOTAL DUE: 132.76 .tRAy6Fi', CASH-'ER'DB()WLsayi?,,/:_~S 'c;_()MIV1EN:rs~:;, " __ - ."::AMOUNTPAID.'-' ,"~:' " J HAMBRICK GILBERT G & SUE 132,76 L:IRAYJ'jIgili'r('PE' " Check 1337 TOTAL PAID: 132.76 ,1.\ ~ Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.055 (4)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: ~ I own, reside in, or will reside in the completed structure and my general contractor is: ,~ CCB# Expiration Date D I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Su e ~Ctlrhbrir):: ~~2J Signature of ennit App lcant 3-1-~/1 Date Permit #: . \ -- 00 z:z; Address: Issued by: M Date: :;2 This Copy for Permit Offices