HomeMy WebLinkAboutPermit Building 2011-4-19
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR201.1-00620
IVR Number: 811162996306.
www.ci.springfield.or.us
PROJECT STATUS: .
STATUS DATE:
Issued
04/19/2011
ISSUED:
APPLIED:
04/19/2011
04/18/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,springfield.or.us
EXPIRES:
VALUE:
10/16/2011
$10,000.00
SITE ADDRESS: 1316 a ST 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703252301401
SCOPE: Apartment Building
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Roof repair - replace trusses
Phone Number: 541-741-4676
OWNER:
ADDRESS:
SUL T FAMILY LLC
1808 WESTHAVEN AVE NW
SALEM OR 97304
CONTRACTOR INFORMATION I
Contractor Type
General Contractor
Contractor Name
DAVIS CONSTRUCTION SERVICES LLC
Lie Type
GGB
Lie No
160347
lie Exp
06/14/2012
Phone
541-868-6294
BUILDING INFORMATION I
# of Units:
, 0
# of Stories: 2
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
<.
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specially 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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq FI Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
. N' Oregon law requir'fs yout.o Site Information
~TTENTIO . b the Oreg"I< ~''''')
Engineered'flill: rules adopted y tforth
. iolloW Th e rules are se
Fill VOlumJi,tilication Center. os AR 952-001-
Flood Hatar~1~,!laJ52-00i -OOi 0 throui~: ~f the rules by
Land Haz~,d<fre,\,ou may obtain coP. t I phone
. . . ). . ote the e e
Retaining \';1~lIing the center. (N '. . Notification
Soils Report Requiredjr the Oregon Utllit2Y344)
nUili<.JC' , . i 800-332- .
Center IS - _
I
f: 1\1t WOR\<.
~~\~I~ERM\1 S\1~ll ;X:\~~~~M\1 \S N01
AU1\10R\2ED UNDE: ABANDONtD fOR
COMMENCE3 ~~~\OD.
ANY 180 DAI
Springfield Building Permit
4/19/2011 1:08:39PM
Page 1 of 3
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www.ci.springfield:or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00620
IVR Number: 811162996306
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
04/19/2011
ISSUED:
APPLIED:
04/19/2011
04/18/2011
EXPIRES:
VALUE:
10/16/2011
$10,000.00
SITE ADDRESS: 1316 Q ST 1, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703252301401
SCOPE: Apartment Building
, WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Roof repair - replace trusses
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north properly 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
Tvee of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
DescriDtion
State of Oregon Surcharge {12% of appijcable fees)
Technologyfe~J5% of ~~r_lTli~otal)
Structural Building Permit. Fe=~
Structural Plan Review Fee Residential
Total Amount Paid
Amount Paid
$16.32
$6.80
$136.00
$88.40
$247.52
Date Paid
04/19/2011
04/19/2011
04/19/2011
04/19/2011
ReciD! #
2011000751
2011000751
2011000751
2011000751
(
Springfield BUilding Permit
4/19/2011 1:08:39PM
Page 2 of 3
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SPRIH.GFIE.l~' .
~h'_'
.~
.' \ ;REGOH
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00620
IVR Number: 811162996306
www.ci.springfield.or.U5
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.l.Js
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
04/19/2011
04/18/2011
Issued
04/19/2011
EXPIRES:
VALUE:
10/16/2011
$10,000.00
SITE ADDRESS: 1316 Q ST 1, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703252301401
,
SCOPE: Apartment Building
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Roof repair - replace trusses
Plan Review
~
OeDartment
Application Acceptance
Received Due Date ComoJeted Result
04/18/2011 04118/2011 04/18/2011 Application Accepted
Reviewer
Oavid Bowlsby
~~ ---.----...--
..."".......,
"
A"" .-~~~~ "d'S 1.lJw-"~~~---;.~1
:+~e91,1~- ;~,~~~':;I" /', :;_,:. - :.Y~' ow s Y'L,0_:"~;<-c,'__~"~ -~.-, '
. :,:::\,< ~ ? to, __-.... ~
Structural Review 04/18/2011 04/18/2011 04/18/2011 Approved Oavid Bowlsby
Comments: Engineering provided for truss, placement and engineers comment regarding mechanical allachment of truss to bearing
plate by Mirek Industries inc.
Permit Issuance -. -04/18/2011 "'04/18/2011 ,,04/19/2011'. Is,s.ued..'. ',/".
- ~~o.__-~' .. c,'~"'\f;i;; "~-./. "l~'- .
- ." ., .~ . - .' - ,. .
~-~~'_--'_'_""~~__~"","""W.,"_"__'~ . , _,,_~...,
ilnitial Review '.~ '. ....04/18/2011.. 04/18/2011"'04/18/2011
i .,. : -, - t .~ '.'. .' i\'"". t'. . ~ ", ',,-~' ..:' ..,.
INSPECTIONS REQUIRED ~
Inspections
1260 Framing
. Nancy Machado
/.';:
]
,-
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Ceiling Insulation: Prior to cover.
1440 Insulation Ceiling
1540 Gypsum Board/LathlDrywall
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Final Building: After all required inspections have been requested and approved and
the building is complete.
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.
1999 Final Building
~l"/tI
Date
",.
Owner or Contra tor Signature
Springfield Building Permit
4f19f2011 1:0B:39PM
Page 3 013
Structural Permit Application
'. .. "",,~'_ ,P~- w""'.<>n(,',"~ '+;:u' \~,,,,, :J.";;"
~- ~-- G:C ~~~ .J""j,:iiS';' ~ ~=r"" :..~~ ~~.. .<',q...&,. "':""'~~'~'~~if,.Ii,..~+~.;,;",..., ;;.. '1'!1ft"-,""
: '-: '- -ITY OF' PRINGE1ELD"'@REGON"'':';;'~~-'1:,t- .~.;.,<
. _~. _.:. -"" _ ..: ., ~. _......).",.,:.~..: _ __,,~ _._ -.._J4/'
&PRINGPlII!:L.O ~
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DEPARTMENT USE ONLY
S . Zotf-Oob2
Penmt no.:
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Date: ~ / si"
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 I 80 days,
- .;;,t0CAL'~'QYE~NM.ENt:A~FlR0V';"lh,'~;:' ,.'<ff"'3~~;;
This project has final land-use approval.
Signature:
This project has DEQ approvaL
Signature:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
t}it$Z~4:~}.J;~\~~6~GATE;g9.~~~q.~.t,.G,O~N$;I})~Q,9,[I.~~~~;t:~~:t;A~~;i;~~~~:k ~
~sidential 1 0 Government 0 Commercial
:,,;t;;;j',' M~:SljTE; iNF9RMATi0N~'ANQ!t:6~Aflc5N ti~<!if-;:''(;
Job site address: 13' (., tS) 5..
City: <;OH-" State: oIL
Subdivision: I Lot no.;
Reference: 17D3 ZSZ];raxlot: Cp../O I '
. , :, PROPERTY OVYNE~ '
,-". ,; S....T/S",I.Tf14-i)y LLC.
f/AIl.".-! ,..1. /808' l.)e;flJ;4l/(}{ J1
I ZIP: '17'" 7
'} 7)O~
Date:
Date:
I ZIP: <77'(77
Name:
Address:
5z5'
5!hO
.6>(1- 7'1/- '(Pc.
Fax:
State: 01
City:
Phone:
E-mail:
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
< CONTRACTOR It:lSl'Al:.LATlgNc." :.
Business name: DAvI\ ~C-'"'
Address: po€: 7l'f$r
City: E'., il'" State: D.
Phone: SV f - 8M3 -6'2.'1'1' Fax: - -
E-mail: f)Avlsco::L~ ~ co"""
CCB license no.: '" 73'12
Print name: )('07(" f).4vd
L. Jbf-- /J ...:...
, ,
I ZIP: q 71(.0 I
Signature:
.'fC,'"'" ""'''''''''5' 'U'b 'c'o N"T' R'ACuT'O'R'I'NFOR' 'MA'T'IO"Nu~,~,,,,,,<,""'''''~'''
;~';~~~~7..:r ~~...,~.;r' )1;;1-1.' .l: __.~:_~._ _ ,.___ ._:i..o;.:.~\..'~"c..""~l~;:H'J.",,:
Name
Electrical
Plumbing
Mechanical
CCB License Number
15n,"* C'1'<:T
Phone Number
", - .'cr~,".:~'j}/iFE'" SCHEpijL~0"':" .<;:."\..... .'.
.:i~~.ya~_u-~Ji.9P.".,-i~form_~';tiQ#:~~tJf'(~;;~~-\;~/~i;~~' '.:;i ~'~: :.:~'~:;:,n: .;.;~ .~~:,~ 1~\~<'
(a) Job description: l2.CD,= ktJfrrL
Occupancy vL )
Construction type: " 13
Square feet:
Cost per square foot:
Other information:
Type of Heat:
N/r-
,fA-
~n
DYes A:rNO
Energy Path:
o new 0 alteratio
(b) Foundation-only pennit?
Total valuatio.n:
~rZ:f~,J.Ui.I#Jng;.fe'~sJf.:tNi;t~:::~~}-f~~~>;~~:~~i\~\,t~~f'\!.~'::
$/O'L
"It'. .n... ~ -,
"/!'i'f".-i,::J~:t:~
rf-...
(a) Pennit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
$
$
(d) Enter 12% surcharge (.\2 x [2a+2b+2c]): $
(e) Subtotal of fees .bove (2. through 2d): $
'3'?>p"I'.1I"<V~. 'm~;!L~;:"I',,,~,~';f .....-~.;:$:t.c7$f...;,:t:X-;,i':'{pf$'J~i....;' J.;!~-:.@:1>'i'j ill':ilo.""0.'-;~
ij .;~ ,,_a~.~r.ey'I.~w'!~es~i!~~,~~i~~..~~;~;fIt-:O?~;:~~c;!';::f{,p-t.~~1lP'!
(a) Plan review (65% x permit fee [2a]): $ ~ 0 ...
(b) Fire and life safety (40% x pennit fee [2a]): $
(c) Subtot.1 of fees above (3. and 3b): $
~}!}~'M.i~f:~.ii.~:[~i9:~s}(~~~~i;~.~rlih7;~~~t\;~~,;.?tt1~~X::.: .~~: ~;':;,;~;. :~~;~"' ~(:, ':::"::':.'
(a) Seismic fee. 1% (.01 x permit fee f2a}): $
TOTAL fees and surcharges (2e+3c+4a): $
./
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfleld,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-00620
1316 Q ST 1
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000751 RECORD NO: 811-SPR2011-00620 DA rE: 04/19/2011
[DES<:;-RIP..TlbN~;t,:,:",,:;, ; .~". -";;.r'?;:"~'-':'';'',W_r-';-,7' :,:~i;-:""i-r;ACC0UN:r.::co5E'i>,- ,'" '(:;;;.::t:tAMOllNtbuE:: _ L.,' ;",~
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 16,32
Structural Building Permit Fee 224-00000-425602 136,00
Structural Plan Review Fee Residential 224-00000-425602 88.40
TechnologY fee (5% o!.permit total) 1 00-00000-425605 _~_~_.,.~~O
TOTAL DUE: 247.52
Q.l:>'~Y.N1Et'tl'cD:eE:~\ e.~y_6R';-CAS-H'ti"f;NMAaiAoO';":;.;;~~~". ~t_OMM~g:~J.s';::lif;ii:i.;"'''': :-',1&'.. ;: ';AMOUNrI?AID:',; ,.:~ i:" c.' . J
Credit Card DAVIS CONSTRUCTION 247.52
01501 D SERVICES LLC/Scotl Davis
TOTAL PAID:
247,52