HomeMy WebLinkAboutPermit Building 2011-3-2
CITY OF SPRINGFIELD
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Building I Residential Permit
PERMIT NO: 811-SPR2011-00327
IVR Number: 811112403086
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/02/2011
ISSUED:
APPLIED:
03/02/2011
03/02/2011
EXPIRES:
VALUE:
08/29/2011
$2,000.00
SITE ADDRESS: 272 44TH ST, Springfield, OR 97478-5947
ASSESOR'S PARCEL NO: 1702323100900
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Garage conversion to living space - self-disclosed by owner as built w/o permits by
previous owner
OWNER:
ADDRESS:
GREENE SCOTT M & COLLEEN
737 SilVER LN
EUGENE OR 97404
Phone Number:
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
STEVEN ROBERT CORNELIUS
lie Type
CCB
lie Exp
01/23/2013
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code MIiiNTION: Oregon law requires you to
Municipal I Development ...fg"pw rules adopted by the Oregon Utility
'fIotilication Center. Those rules are set forth
Plumbing Specialty Code M~\!.'1i 952-001-0010 through OAR 952-001-
Residential Specialty Codl{)I:iMi,oiy-oU may~fuin copies of the rules by
Structural Specialty Code EcOOOJi;,g the center. (Note: the telephone
'" ~'I.".. I'" ...!~'
# of Units:
o
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Occupancy Type
Construction Type
R-3
Type VB
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Lic No
185248
Phon"e
541-461-5949
Lot Size:
Sq Fl1 st Floor:
Sq Ft 2nd Floor:
Sq 'Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2008
Site Information
"
Cen er is 1-800-332-2344).
~IOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
1137~3')~ 180 DAY PERIOD.
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
3/2/2011
Page 1 of 3
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WWW.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00327
IVR Number: 811112403086
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
03/02/2011
03/02/2011
EXPIRES:
VALUE:
08/29/2011
$2,000.00
03/02/2011
SITE ADDRESS: 272 44TH ST, Springfield, OR 97478.5947
ASSESOR'S PARCEL NO: 1702323100900
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Garage conversion to living space ~ self~disclosed by owner as built w/o permitS by
previous owner
I DEVELOPMENT INFORMATION 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:
DownspoutfDrains:
Valuation Description
I
Description
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvee
2,000.00 Bid
Unit Cost
1.00
Value
2,000.00
2,000.00
FEES PAID
,
Descriotion
State ~~ Oregon Surcharge (12!o of applicable fees)
Structural BUil?ing Permit Fee
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$6.96
$58.00
$2.90
$67,86
Date Paid
03/02/2011
03/02/2011
03/02/2011
Reciot #
2011000378
2011000378
2011000378
Springfield Building Permit
3/2/2011 11 :37:33AM
Page 2 of3
StrdctJtil Permit Application
DEPARTMENT U,SE ONLY
SPRINGFIELD n~;;::"'"
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Date: '3 )..
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0
suspended for 180 days. '
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
.~~jf~~.~~r~!.l=AT~g.9t~~~t~#'€~~P:~t~$I~._l.i,G-m(g>.~~~~~~<~t:~t,~~~~J_!;f+;'~&~
esidential 0 Government 0 Commercial
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225 Fifth Street _ Springfield, OR 97477 _ PH(541)726-3753 _ FAX(541)726-3689
Reference:
PROPERTY OWNER
City:
Phone:)' ].. Fax:
E-mail:
This installation 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:
CONTRAc;rgR,INS:rALLATlgN,
Business name: {O~&.,..,
Address: C cv'fI-v__
,..-.'
ZIP:
State:
Fax:
CCB license no.:
Print name:
Signature: :--
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Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
Pennitno,Sl (- 527
',., '.,", ,.' '<.::"iFEE ,SCHEDUL.E';';' '
.':';l;:~Y~t~'~:t.~~..~r'i~(Qrm:~>tm~;:}11;l~;:Mi;.~;;\f(((,1}i';I,~:;i:~-:r:;ii.':J,f~
(a) Job description'
Occupancy
" .-;".;':
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OvJlJt.
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new alteration
(b) Foundation-only permit?
Total valuation:
D addition
DYes
(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):
$
tP (,.
(0) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a aod 3b):
;':~;';'-M~,~~'~ii~:~~6ii~l't~~~;Nt~~~~';t:::~T'::~-;;~~~.;,.W~i:rf;~;{~f.~:;,it.,;,_;;:,\,':,~
(a) Seismic fee, 1 % (.01 x permit fee [2aD:
TOTAL fees and surcharges (2e+3c+4a):
$
$
$
':!2.fJ~:
$
$ (P 7 ?if:-
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.ci.sprjr"lgfield.or.us
811-SPR2011-00327
272 44TH ST
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000378 RECORD NO: 811-SPR2011-00327 DATE: 03/02/2011
'O'E'S,C'R','-"TI'O N' :t;;-+':''''~''''''e:~~'';,';l",'1A,'-'t'',''i-~~'; ,'~;'i-"'''Z'' ,,"3('A"C"C"'O' u"N'r:c'O'o' 'E' ,; '., ';'"<'J:',S"A'M"OU'N'T'O',,U' 'E' ,.',"~- '-" I
t . ~, ,,",,'~ ,...."".--.,,.-'..,.. ,".... ,~_~:_~:..::::t:t~~.:,<t;,d;~;. ..,' .:+,',. ""","- ... _ ," ,J
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6,96
Structural Building Permit Fee 224-00000-425602 58,00
Technology fee (5% of permit total) 100-00000-425605 2,90
TOTAL OUE: 67,86
~:PAYMItl'r',TYftE;1';;":: ]PAYOR:~CAsHIER::CCARP.ENtER'il'F~ifcqMM~1'!iS~;';f;,;",':r, r" ,_~;AMoO~t'eAjb,,~j';;( ,yO'::' ;~4
Credit Card STEVEN ROBERT COflNELlUS 67,86
011663
TOTAL PAID:
67,86