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Home My WebLink AboutPermit Building 2011-4-19 .. SP...~.IN GfIE~.lO' ~'h_ .,.. hi>.:.. ~'~i1;' ~ "'" ";i'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00640 IVR Number: 811148784980 www.ci.springfiel.d.or.us , 225 Fifth SI Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 pe rmitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04f19fZ011 ISSUED: APPLIED: 04f19fZ011 04f19fZ011 EXPIRES: VALUE: 10f16fZ011 $7,000.00 SITE ADDRESS: 2158 LOCH DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251202400 SCOPE: Single Family Residence WORK INVOLVEO: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Unpermitted Conversion to Family Room by previous owner. Phone Number: OWNER: ADDRESS: FICEK KATHLEEN M 2158 LOCH DR SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone BUILDING INFORMATION I # of Units: o # 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: No Fire Alarms: Energy Path: 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: lot Size: Sq Ft1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: 2008 Site Information . I Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NOTICE:, :(~';';"""w ;G~~6~RMIT SHALL EXPIRE IF THE VJORK . COMM fZED UNDER THIS PERMIT IS NOT ,', ANY ENCED OR IS ABANDONED FOR .. " 180 DAY PERIOD. ..":'. Springfield Building Permit 4/19/2011 2:56:22PM ATTENTION: Oregon law requires you 10 foll.ow rules adopled by Ihe Oregon Ulility ~otlflcatlOn Center. Those rules are set forth In OAR 952-001-0010through OAR 952-001- 0090.. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notifiealion Center is 1-800-332-2344). Page 1 of 4 '. S.P~IN.G.:I. E.~D . . ~.1'". .+,'~ .s~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00640 IVR Number: 811148784980 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 04/19/2011 ISSUED: APPLIED: 04/19/2011 04/19/2011 EXPIRES: VALUE: 10/16/2011 $7,000,00 SITE ADDRESS: 2158 LOCH DR, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703251202400 SCOPE: . Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Unpermitted Conversion to Family Room by previous owner. DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Frontyard Setbac~: Interior Setback: Sideyard Setbac~: Rearyard Setback: Solar Setback: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewal~ Type: Downspout/Drains: Valuation Description Descrfotfon Bid Tvpe of Construction NA Unit Amount Unit Tvoe 7,000.00 Bid I Unit Cost 1.00 Value 7,000.00 7,000.00 FEES PAID I Descriotion .State of Oregon ~~~~harge (12% of applicable fees) !echnology fee (?~/o of permit total) Structural Building Permit Fee First Appliance Fee Amount Paid $22.29 $9.29 $106.75 $79.00 $217,33 Date Paid 04/19/2011 ~.~..._-_... 04/19/2011 ----,-"'"_._,."".- 04/19/2011 04/19/2011 Reciot # 2011000755 2011000755 .-..-""".--- 2011000755 2011000755 Total Amount Paid Springfield Building Permit 4f19/2011 2:56:22PM Page 2 of 4 S.P~..IN.G.=.~~ ~'I'l.'.. '!It! ~ ^^~~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00640 IVR Number: 811148784980 www.ci.springfie\d.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued 04/19/2011 ISSUED: APPLIED: 04/19/2011 04/19/2011 EXPIRES: VALUE: 10/16/2011 $7,000.00 SITE ADDRESS: 2158 LOCH DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251202400 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Unpermitted Conversion to Family Room by previous owner. Plan Review Deoartment Application Acceptance Received Due Date Comoleted 04/19/2011 04/19/2011 04/19/2011 Result Application Accepted ~ Reviewer Kip Kaufman '~ Initial Review 04/19/2011 04/19/2011 04/19/2011 Over the Counter Comments: Over the counter permit Kip Kaufman Public Works Review 04/19/2011 04/19/2011 04/19/2011 Comments: Over the counter permit Not Required Plannin9 Review 04/19/2011 04/19/2011 04/19/2011 Comments: Over the counter permit Not Required Kip Kaufman INSPECTIONS REQUIRED ~ Inspections 1260 Framing ~:,.. , ~/: Kip Kaufman .h'_ '"... , Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1450 Insulation Duct Ceiling Insulation: Prior to cover. 1999 Final Building 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 mechanical w?rk is complete. 2300 Rough Mechanical 2999 Final Mechanical Springfield Building Permit 4/19/2011 2:56:22PM Page 3 of 4 ,-. .. www.ci.springfield.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00640 IVR Number: 811148784980 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 04/19/2011 ISSUED: APPLIED: 04/19/2011 04/19/2011 EXPIRES: VALUE: 10/16/2011 $7,000.00 SITE ADDRESS: 2158 lOCH DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703251202400 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Unpermitted Conversion to Family Room by previous owner. 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. ~~~~ ~ /;91// Owner or Contractor Signature Date sprin9field Building Permit 4/19/2011 2:56:22PM Page 4 of 4 Structural Permit Application ...:-' '<t~",,~ C~,J":.~--.;1f~:>'<S"~,"4~ "~SM'~;f"~~lf"":75e::S"~~~~!U"~'" ':~~::",,,: -;'~~J . -. IT"j"F PRINGFIE'"D"OREG"'N ",-...}.. .,y, '>. ". I.. . _..;:J~~. .~~ ,J;--~._ _._ -::0. ~ L._..,!,. . _,~~3><.,.!'j."~~V_~...3<1:.-,',,'t~.;.~~"1f,;; ~.~~~NG~.LD ~ ,'. ..... ,;-. -.~ - 'W1' DEPARTMENT USE ONLY 'i }..~ ~ -s1>t2-'U:?-f,J..- Permit no.: b ftT 1- Jf I This permit is issued llnder OAR 918.460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 Fifth SITee!. Sp,ingfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 I ,.. . ..'-. " ." ., ,,-"", .,,, .....- . "-,', ," \".,>-,-,. " -. ,-, ".' -"',"- '"_.~ -.'f .:' '.' . __" -"C'~'..'~. ':' ,~~ :',,~~/!4qGA!;/;~9Y~,~NM~NT~;,J.\~R~9Y~J!t;j;~\~I~iti:(!~~~~:~:&;#.~ 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 ~;A;~1iif~l~i(:~~ic'Ar.E9.Q.R:WJp,~~~~,G:ON'~'jfRi.iCt'i.Qj:n:fi~PJ.,~jGSlir;;~~~ff": Residential [j Government 0 Commercial ~?,:;;~ ;'.,:r~913,:SIj:~, IN ~O~MAtI6N,iAN p{tO.cA:t19N{i:')\';;~K:,'" 1<.1 Reference' Name: Address: E-mail: ra. r is being made on residential or farm propert me or a member of . . exempt from licensing , en sunder ORS 701.0 I Sign~ here: CONTRACTOR .1~STAtLA 'f1~)N;. ",;; '.' Business name: Address: City:' Phone: E-mail: CCS license no.: Print name: State: Fax: ZIP: Sign~l.ture: :~~'!~~t'i\('i'~~(MUB-C0NJR.6.C:rORIN~.oRMATIQN~~f1)r~t>'i~\'!~; Name CCB License Number Phone Number Electrical Plumbing Mechanical o WAf~--O Date: " -;.. - .. " ~'!,'.'- :.-\".,_';~~'is ~f~E SCHEDULE'''''', '/\,':, .... . . ~i"~:Y_ai.u~tioinritorm~~i~iif;~:.~'t)ir~i~1:~~1~j:~~;-'~~:l >':it~:~[:;.tf~ '~/:~-~",,:{'f; ~ (a) Job description: z.eye 5. F. A-l:reM"'f"k)). Occupancy f....- 3 Construction type: I/""'; Square feet: ~ """"- ." F- Cost per square foot: Other infonnation: Type of Heat: Energy Path, 0 new ~lteration 0 addition (b) Foundation-only permit? 0 Yes 0 No Total valuation: $ ~~7_;~~.Gtl~ .iilg:r~~~t~;~~;~~~~~~Si;':t;;',j;~:;Fck~l1};~'~'~';":;):" :i!~;~-;~1 '"""L';..:. ;/' , (a) Permit fee (use valuation table): $ (b) Investigative ree (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): $ ~~~)~)~~1r:eYJ~~J~E{s~(;~~;f1~~:}~1l~~~~1E~~~~~~~~1i~~;~i (a) Plan review (65%x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ ~~~i:;1VI~i~eif~D"~"O:ii~sj'f~esJ;~;J~S~i~~%~1~~~gj~;i;;i.~~,r~:, ~_:~::/r'~\y1': - ~'~,'< ~T::'/:::~_': ': (a) Seismic fee. 1%(.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): sZU-. :;3 S.Pi~N...~.IEl~ .i~ -:?00, OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-375:3 www.ci.springfield.or.us 811-SPR2011-00640 2158 LOCH DR permitcenter@cLspringfie\d.or.us RECEIPT NO: 2011000755 RECORD NO: 811-SPR2011-00640 DATE: 04/19/2011 IOESCRIP..TION:' ;;.:;:''';;1:':;1'3:,''. '~D";';T-i'&'I~:l!::::,.:.;iSilAcCOUN:r~CODE:J.'''iC*;::';' (. . <AMotJNT;OtJE';. , '. 1 First Appliance Fee 224-00000-425604 79.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 22.29 Structural Building Permit Fee 224-00000-425602 106.75 Technology fee (5% of permit total) 100-00000-425605 9.29 TOTAL DUE: 217.33 ~~~Y_Mg-NjJi~~~4"~:f<(e~Y-QB2~CASHIER~~K~liFMA~^t:T~~is:'G.QM~Mg:r~f$;r:s".:rCI'",:?'/ ;j"'f'~z~~~'-,;' ,'~MOUNT P.AIO"~' , _;c F : :., i\ '<.,1 Check Connie Cottrell Ck #4011 217.33 4011 TOTAL PAID: 217.33