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Home My WebLink AboutPermit Building 2011-3-31 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00532 IVR Number: 811151041966 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/31/2011 03/31/2011 Issued 03/31/2011 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: 09/27/2011 $2,000.00 SITE ADDRESS: 160 51ST ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203700 SCOPE: Single Family Residence WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair dryrot and freeze~damaged pipes Phone Number: OWNER: ADDRESS: MOGSTAD WENDY DIANE 160 51ST ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Lie Type OWNER BUilDING INFORMATION ~ # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: ATTENTION: Oregon law re!llliFeG;\ra~e~O Hazmat: follow rules adopted bY,the Slf~d~r~l!rt\lY Notification Center. Those ruls)1 ~\l,~eJ,.forth 0 In OAR 952-OO1-oD1 0 through OAl=lll!l,,-'001- 0090. You may obtain copiesCffi<t\'Rj'ra~,;M~f Electrical Speci'6lld~<tPiGliCIQnter. (Note: the telephone Springfield Firell1lllKlll8iklrr&f1e Oregon Utility Notification M h ' IS' l!y' C~"nt9r,l.. 1-800-332-2344), ec anlca pecla M;M"Ealtl8h: Contractor Type Contractor Name OWNER # of Units: o Occupancy Type Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 0000000 Phone Lic Exp 08/12/2025 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: _.. ';C-', ....'!', '~:,:,~>.1' .'-. NOTICE: TH IS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ,. COMMENCED OR IS ABANDONED FOR ANY 180 DAY' PERIOD. Springfield Building Permit 3/31/2011 3:03:10PM Page 1 of 4 ST~.:.~..E~ ~."'~~ me^. ~/,xP'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00532 IVR Number: 811151041966 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: 03/31/2011 03/31/2011 EXPIRES: VALUE: 09/27/2011 $2,000.00 03/31/2011 SITE ADDRESS: 160 51ST ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203700 SCOPE: Single Family Residence WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Repair dryrot and freeze-damaged pipes DEVELOPMENT INFORMATION ~ 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 ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Description Amount Paid Date Paid Reciot # Clothes washer $19.00 03/31/2011 2011000594 -------- ~ ----- ---------_.~,-~-"--.---~.-->-~-_._~,------~.~-,._-_. -~-~-~ ~<;!ur~B~i1~ing_ Permlt!_e~._______________._ ____ ~~C~Cl.-________~3/~:/201 ~ __ __ _ _ 2?_~ ~O2.5~4 Water heater $19.00 03/31/2011 2011000594 "-~~----~ .----- State of Oregon Surcharge (12% of applicable fees) .__._.___~~6.4 03/31/2011 2011000594 Technology fee (5% of permit total) __._~_ 03/31/2011 2011000594 Bathtub $19.00 03/31/2011 2011000594 Sink/basinnavatory $38.00 03/31/2011 2011000594 Water closet $19.00 03/31/2011 2011000594 Total Amount Paid $201.24 Springfield Building Permit 3/31/2011 3:03:10PM Page 2 of4 . S~~IN G, ,F IEL~ .~ '''''.- ,.'~ .-::i'}", OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00532 IVR Number: 811151041966 www.cLspringfield.or.us 225 Fifth St 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: APPLIED: Issued 03/31/2011 03/31/2011 03/31/2011 EXPIRES: VALUE: 09/27/2011 $2,000.00 StTE ADDRESS: 160 51ST ST,Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203700 SCOPE: Single Family Residence WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Repair dryrot and freeze.damaged pipes Plan Review ~ Deoartment Application Acceptance Received Due Date ComDleted 03/31/2011 03/31/2011 03/31/2011 Result. Over the Counter Permit Issuance Issued Reviewer Kip Kaufman 3j31i2P1~17~"'Over~theiCOun f~~~0~.,,~:,i~0~~W:;~~~~ 03/31/2011 Kip Kaufman Structural Review 03/31/2011 03/31/2011 03/31/2011 Not Required Kip Kaufman Comments: Over the counter permit ~!i;;;;;;;;g'Reitiew;, c':, J:,;R,03/31i2011':':03/31/20i,1iZ03/31/201'i;''T-'k Not'ReqUi~;;;:Q;:Kip'KiillfM;\,rY'::]l' t' ,',' '~d,: i ";,' "",0" ,I L:FS~~~~; '~ ~'ov~r~t{~~~u~ii:~~~~~iliji~~ ':,~;;~~~;it^~::~~~~~;1~~-;~~~~~)~~~~f;~r;;. :~~(:::;t_:'j~h:'~~~rr::':,_~;~-::~";Z1".'-;~:;' }':~,~,~~;,. ;~:' ,~l~i'~.' ;. ~.j INSPECTIONS REQUIRED ~ Inspections 1220 Underfloorframing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1420 Insulation Vapor Barrier 1999 Final Building Final Building: After all required inspections'have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 3500 Rough Plumbing 3999 Final Plumbing Springfield Building Permit' 3/31/2011 3:03:10PM Page 3of4 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 03/31/2011 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00532 IVR Number: 811151041966 ISSUED: APPLIED: 03/31/2011 03/31/2011 SITE ADDRESS: 160 51ST ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702333203700 PROJECT DESCRIPTION: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield , or. us EXPIRES: VALUE: 09/27/2011 $2,000.00 SCOPE: Single Family Residence WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential Repair dryrot and freeze-damaged pipes By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with.ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. d L1c/)"iJI 'JY/ ~ Owner or Contractor Signature Springfield Building Permit cBjg/ j/ I Date 3/31/2011 3:03:10PM Page 4 of 4 SPRINGFIEL.D ~~ ,~ A'~ t:Xbt;!0':i-"",,.,;,2{f.- .~~~" .~ Structural Permit Application - 225 Fifth St"et. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 Date: .3 - :;; f - ~- This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance Or if work is suspended for 180 days. "',' .~;:l!0~Ak~99YE@:M~@i"~~E~9YA~J;tl!'~~1'!l~i&.t~i0 This project has final land-use approval. Signature: This project has DEQ approval.. Signature: Zoning approval verified: DYes D No Property is.within flood plain: DYes D No ,~[~t~~~~;~;~,~~~it.G'~T.E."g~QJ~Y~:G.~;$.G:9'~]fuRP~ft'-9-~1~}}f~:;;'~:t~~~~!$:?}I2 !t;J Residential 0 Government 0 Commercial 1%ih'Ji.~j1;:i{:rQB?~I;i:El:.fN~@RMe.~19N.i?;ANR~-~Q:C::Atj9N;~~,:r.ik~1 &0 /~ Date: Date: zIP9?I1'if Name: Address: I b 0 City:::)/J.fO State: t}fZ ZIP1''71- 71 Phone: 5+1 - ,/11- ro3 L Fax: E-mail: This ins in d6-errremJentiil or'farm property owned by me or a 0 my imme ..family and is exempt from licensing req Ifements under ORS 701.010. ~ Sign here: "," :.:'~,\.-, . ", ',' ',' Business name; Address: City: Phone: E-mail; CCS license no.: State: Fax: ZIP: Print name: Signature: [[~~;{t~:1}~,';'i;i;'5~Y;istfB'~C$~jt~AGtr.9r{il_~F,(jJ~MAmn5.N~!iti1j~~1~M{i1t Name CCB Lic se Number Phone Number Electrical Plumbing Mechanical OT,c. (j1i' - ':;~ ': .\?',0:::~ ~.\.:~'i:"=~:$-'~>\F_E~" 'S"g 8 ~J?UL~:r?: :~\:- .~~:r'~ ~';i,'""">:;< , ;'", "':'-: '?(~y~,~ijWt~p~li~fJi~o~.tIQ:~WIIf;di'It~:~~{~{,:r~ili:{~'fi~l;,:A~:ij;~);i. \>3;~~t~:.~.3 Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new Cd alteration (b) Foundation-only permit? Total valuation: i{2:.l:;Buii{Hri'g':':fe;es~'~~~Zi,ff1.,;~:~~'~~~\iijf:~:i.~$,~~(~:i~~:":!;,}~;~:-,, c...... ,..,.. .-..... _".._.:r"""",;"";,~""""'~"""~'_"'~_"''''''',,...,''.,,, _ _C'" D addition DYes DNo $z.-~ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.]2 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ (aJ Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2.]): (c) Subtotal of fees above (3a and 3b): $ ~~}~;MJ.~s'e!~~!!~{}"~.~jf~~r~~~~~;~~.;~~;1:1~i,,-t~t~,~.~~';: ~~':,:~?:'L>,~i" ,'v (a) Seismic fee, 1 % (.01 x peJ:'mit fee [2a)): TOTAL fees and surcharges (2e+3c+4a): $ MJ. JJ , ~t.-p:T -t 'PW J/18:t::iI1C, Sf~~N~::~ L~~ . ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541~726-3753 www.ci.springfield.or.us 811-SPR2011-00532 160 51ST ST pennilcenter@ci.springfield,or.us :'~ "".l~ ,Jf2j,~~i21'1~~ACCO>i.jNftC:.ODE;;', 224-00000-425603 224-00000-425603 .2~4-00000-425603 621-00000-215004 224-00000-425602 - 100-00000-425605 224-00000-425603 224-00000-425603 DATE: 03/31/2011 ''''''.,.fh<i''f.,A,MOUN:folJE. -..., ,,', I 19.00 19.00 36.00 20.64 ~----'-'-'- 56.00 6.60 19.00 19.00 201.24 RECEIPT NO: 2011000594 [I5ESCRIR.TION c,i;.:{~,,:.-, ~., ~7{':V';; Bathtub Clothes washer _~ink/basin/lavatory "_ ~~te o!. Oregon Surcharge (12% of appli~ble fees) Structural Building Permit Fee TechnolC:9Y fee (5% of permit total) Water closet Water heater RECORD NO: 811-SPR2011.00532 TOTAL DUE: ~~'yrirEN;T!WgEtrS+;i~,"PAiQJ~~'#'~,CA'~,HI;ER'0~~Ui=MAN~~~!:~&9M'M(rll:I~~it~~L~1:;',fi~'~.': ~alt~QlJ~J"JjAIQ:"~~,'_~:,~~P:;<LF%f1 Check Wendy M09stad 3633 201.24 3633 TOTAL PAID: 201.24