HomeMy WebLinkAboutPermit Building 2011-4-27
S.P;~ING....FIE~ 0
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~':,'\ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00660
IVR Number: 811144093121
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone; 541 ~ 726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permilcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
04/27/2011
04/21/2011
04/27/2011
SITE ADDRESS: 918 66TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702341200100
EXPIRES:
VALUE:
10/24/2011
$3,000.00
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Adding Rear Covered Porch
Phone Number:
OWNER:
ADDRESS:
DAVIDSON J CHRISTOPHER & CRAIG DAWN B
918 66TH ST
SPRINGFIELD OR 97478
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
Lie Type
Lie No
Lie Exp
Phone
# of Units:
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
Construction Type
Occupancy Type
Occupancy
Comments
Type VB
R-3
(2) Covered Porches
# 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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 252
Occupancy Load:
2008
Site Information
~
. eS yOU 10
on laW reqUlr Utility
I\.TTENTION: ore~ed by ti1e oregon ellonn
lollow rules ~~~~r. Those rules a~ ~52-001.
NotilicatlOn _~01-001 0 through 0~i1e rules by
in 01\.1'1952 may obtain cOPle\~ telephOne
OO;~;Ii:~~he center. l~~t~~i;ity Notilication
number lor ti1e, 0\~~OO_332-2344).
center IS Page 1 of 3
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
S 'I R ""'RTI"".~':-I
015 eport. eqUlre",:
T'HIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
_.._OT.
Springfield Building Permit
4/27/2011 12:42:02PM
SP..\lING....fIE.~.
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,:th ~
. ;:t.~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00660
IVR Number: 811144093121
225 Fifth St
Springfield,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
155 ued
ISSUED:
APPLIED:
04/27/2011
04/21/2011
EXPIRES:
VALUE:
10/24/2011
$3,000.00
04/27/2011
SITE ADDRESS: 918 66TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702341200100
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Adding Rear Covered Porch
DEVELOPMENT INFORMATION ~
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
~
Description
Bid
Tvpe of Construction
NA
Unit Amount Unit Type
3,000.00 Bid
Unit Cost
1.00
Value
3,000.00
3,000.00
FEES PAID
~
Descriotion Amount Paid Date Paid
Structural Plan Review Fee Residential $44.04 04/21/2011
~,!!:".!."!::~(10~-"~"J:I'~c..?!..fees) ______. $153 ___~i~7!z.<l1_~
SDC: Total Sewer Administration Fee $8.68 04/27/2011
-....-----~--~
~ta!e_of()~e9.9n.~u~<:.h_arge (12% of app!icable fees) _ $8.13 ___~2:'!0.1.1
Te,:hnol,:~ fee (5!~0!.F!rmit total) _____ $3.3.~___ 04/27/2011
~DC,_Ii:,'pr."~_"2ent CO_S!.- Storm Drainai).:..__. $102.85 04127/2011"
SDC Reimbursement Cost. Storm Drainage $70.69 04/27/2011
Structural Building Permit Fee $67.75 0412712011
Residential Fire (.05 Per Sq Foot) $15.30 04/2712011
Total Amount Paid $322.36
ReciDt #
2011000773
2011000818
2011000818
2011000818
2011000818
2011000818
-- ----~
2011000818
2011000818
2011000818
Springfield Building Permit
4f27/2011 12:42:02PM
Page 2 of 3
SP".RING.FIEL~. --.
tIi..JJ!'...~'
-~
F.'~OREGON
www.ci.springfiefd.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00660
IVR Number: 811144093121
225 Fifth St
Springfield.OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
04/27/2011
ISSUED:
APPLIED:
04/27/2011
04/21/2011
EXPIRES:
VALUE:
10/24/2011
$3,000.00
SITE ADDRESS: 918 66TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702341200100
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Adding Rear Covered Porch
Plan Review
~
Department
Initial Review
Received Due Date
04/25/2011 04/25/2011
Como'eted
04/25/2011
Result
Approved
Reviewer
Kip Kaufman
~"I"'~""'~"'''~'-~'::"~~'~~-
l\P~lb1;'!tO!~~.~s~:,~,i~4~~<"~\~7~ _,~_f.~f~~~~~~t+g;,O~!?,~~201-1
t'7,~Comments:'Storm,water toexlstlng'7<,,(~:,c' -~-._ ~ ~,
~4~''''''---'.-'''"''''''''-''--'''''''.0''~'''''' ..,....."..--".,
Application Acceptance 04/21/2011 04/21/2011 04/25/2011
Application Accepted
Kip Kaufman
.'1,
:.-f(::
J
~-'~ J
Permit Issua;Tc;;,7f;'~:),;, _ 0~/26129!,1~,::64/26/2bl \1";9~/2ii'2OiP 1&' I,,,suedi.' ~~'i;x',: c;r; Nancy Mac~a,a;;" -'; -,
:~,,~': ,,~(*.' ,~. -;.~~: ,';~~~~.~~?: t.~_~ . ~f "~1k:;;',.t~!f!?~:: ~~l r"i~hi':'['? i~~(~':~t:f~':_":::'.~:<~i: ,.':~~':,:; ~.~:.~ .'~ ~ ': '.:',,;-'" ~st'-i ~~.~.
INSPECTIONS REQUIRED I
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
Roofing: Prior to installing any roof covering.
Slab: To be made after all ins lab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
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 loc ed at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
Inspections
1110 Footing
1260 Framing
1620 Roofing
1150 Slab/Flatwork
1999 Final Building
J-,J 7-/(
Date
4/27/2011 12A2:02PM
Page 3013
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Date:
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.
t' ,"""---'"'''' """"/' ",,- """"", "14:",,"
;';!L9C,Al:.'1:;9)(E:I'lt-lI'vlE:t-l1;;AI?~R.9\1P,;W1)~V<i11!;";;,:;:S!I::
This project has final !and~use approval.
Signature: Date:
This project has DEQ approval.,
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: DYes D No
~~~~~~~r:~~~.Arl;g,Q~~i~.9_F~lG~9N:$JtRP.cltl.~:I~p~i4l?~~~~iEJfk~j,~_~
Residential 0 Government 0 Commercial
~~};~~~k~) '~':i;r~)'~:;i~J~,~1 :!NJfpJ{M~ trQN-~;(AN --:~~Q~A~tjQ.Nt~1~i~:~lf~~I:\;~;
\ Job site address: q (3
, City:
-- ~ Subdivision:
City:
Phon
State:6
Fax:
E~mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
Print name:
Signature:
J]RAC.i:ORJIt-lfO~MAJ]IQN!\Wi~~~~jJ'1.J!Jj;:
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
~
.....:;:;0(FEESCH~pi3LE'c'<. :';""'V-"':'., '
.;',i~:~Y.~~~'~t(op:;'i~'fc1r,ill~t(~_n.~~:~~~~~V&Akt;\:li~;:jir:i! ~~;if2t:-.t,~I; '~i~,{~~~/>~'
(a) Job description:
Occupancy (2...-
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new D alteration
(b) Foundation-only permit?
Total valuation:
dition
DYes ~ ~
$
~7~.~)~:uH#ilrgite~~lJ~~~1!~:;r:gix~1f~1;f~~tA[.~:~1~~:;:'~,;~' )\)\'~':;xr.:,,;;::i"t:t;)::,,~~ '" '"
(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):
$
$
$
$
$
(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):
$
$
$
(a) Seismic fee, ] % (.01 x permit fee [2a]):
$
TOTAL fees and surcharges (2e+3c+4a): $
,J
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00660
918 66TH ST
CITY OF SPRINGFIELD
225 Fifth St
Sprjngfield,OR 97477
541-726-3753
permitcenter@ci.springfield,or,us
RECORD NO: 811-5PR2011-00660 DATE: 04/27/2011
:::.J/~.:~r;; ;:'~ACCOUNJ=c6DE=.::2.-..':'.L'..~::~;AMOUNJ~DUE;~. ~.=-.::=
224.00000.426605 1.53
100-00000-424005 15.30
440.00000-448028 102.85
441-00000-448029 70.69
719.00000-426604 8.68
821.00000..215004 8.13
224.00000.425602 67.75
100-00000.425605 3.39
TOTAL DUE: 278.32
t3A):MENfLtiP'EC~':.'7~eA.Y9R.';;CASHiER:;~.M~~~~Q;;i.:,"L ,:.:' C.OMM!'.N:TS ~~. ... :"'''' " ".l"-t.,;L,,"bM()l!t:lT~~lI?~;:~:..Ji( ;j
..Select.. Kevin Journey 278.32
055892
RECEIPT NO: 2011000818
tDESCRIPj'ION,....!....,=.:-..,' ::';, ,';C,, ;;:;,.;
Admin fee (10% of applicable fees)
Residential Fire (.05 Per Sq Foot)
SDC: Improvement Cost - Storm Drainage
SDC: ReifT2,bu~~ement Cost -. Storm Drainage
SDC: Total Sewer Administration Fee
State of Oregon ?urcharge (12% of applicable fees)
Structural Building Permit Fee
Technol09Y fee (5% of permit total)
TOTAL PAID:
278.32
www.ci.springfield.or.us
TRANSACTION RECEIPT
811 -SPR2011 -00660
918 66TH ST
CITY OF SPRINGFIELD
225 Fifth St
Springfleld,OR 97477
541-726-3753
permitcenler@ci.springfield,or.us
RECEIPT NO: 2011000773 RECORD NO: 811-SPR2011-00680 DATE: 04/21/2011
[[)ESC;RI~TION,-,::":'."l~':;:<::A<~~'i;7f!2'; ;';:,4\;;;~;:t;;;'l".~Jl.tC;()lJi;if~CO[)E~2"L:AM()UNI'b.uC._'. .: ,I
Structural Plan Review Fee Residential 224-00000-425602 44.04
TOTAL DUE: 44.04
Lr~YMEf.j'rn:~E ,. ,,",,:
Credit Card
05680Z
e~i9JI;~ &:CP;S'HiER::K'KKijf.M:e;jf?~~~1:.::iCOM~.ijI~f'~~~h_'~l'~'$~ii~:l~' <:AJiJ!OMNT'I:'AIO,".~ ~,,~~;Jfr "
Kevin Journey 44.04
i
TOTAL PAID:
44.04