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Home My WebLink AboutPermit Building 2011-5-6 . , sr:~IN:~L~ ~~~ ~OREGOH CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00705 IVR Number: 811138960024 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.us PROJECT STA TUS: STATUS DATE: ISSUED: APPLIED: Issued 05/06/2011 05/06/2011 04/28/2011 EXPIRES: VALUE: 11/02/2011 $15,000.00 SITE ADDRESS: 3847 RICHLAND ST, Springfield, OR 97478 ASSESOR.S PARCEL NO: 1802064200119 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom Addition Phone Number: 541-868-4306 OWNER: ADDRESS: LEWELLEN SHEILA A 2467 Dumas Drive SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor Name HAROLD & MADISON ING KEVIN COHEN PLUMBING INC NEW REYNOLDS ELECTRIC INC Lic Type eeB eeB eGB Lie No 168164 176311 184921 Lie Exp 01/2012012 05/30/2011 01f01f2013 Phone 541-688-3648 541-607-9208 541-343-7297 BUILDING INFORMATION I # of Units: o # of Stories: 1 Height of Structure: 13 Type of Heat: Water Type: Range Type: Hazmat: Construction Type Occupancy Type Occupancy Comments Type VB R-3 102 s,f Bathroom # of Bedrooms: Sprinkled Building: No Fire Alarms: Energy Path: Electrica' Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: sq Ft 1st Floor: 102 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 _ Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to foHow r~/es adopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the teleohone number for the Oregon Utility Notiiieation Center is 1-800-!ilB)2lrfl3~).911AM Springfield Building Permit NOTICE: E IF THE WORK THIS PERMIT S\-IA~~ ~~~ PERMIT IS NOT AUTHORIZED UNO ABANDONED FOR COMMENCED OR IS ANY 180 DAY PERIOD. Page 1 016 www.ci.springfietd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00705 IVR Number: 811138960024 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci .springfield. or. u s PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/06/2011 04/28/2011 EXPIRES: VALUE: 11/02/2011 $15,000,00 05/06/2011 SITE ADDRESS: 3847 RICHLAND ST, Sprin9field, OR 97478 ASSESOR'S PARCEL NO: 1802064200119 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom Addition DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: 8.5 Rearyard Setback: 57 Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: Urban Fringe REQUIRED PARKING No Total: Handicapped: Compact: 13 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Storm water to existing Sidewalk Type: Downspout/Drains: Valuation Description ~ Descrietion Bid Tvee of Construction NA Unit Amount Unit Tvee 15,000.00 Bid Unit Cost 1.00 Value 15,000.00 15,000.00 Springfield Building Permit 5f6/2011 10:49:11AM Page 2of6 sr~~N~;~~~~ a\~ .. .AS' OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00705 IVR Number: 811138960024 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 05/06/2011 ISSUED: APPLIED: 05/06/2011 04/28/2011 EXPIRES: VALUE: 11/02/2011 $15,000.00 SITE ADDRESS: 3847 RICH lAND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802064200119 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom Addition FEES PAID I Description Amount Paid Date Paid Recio! # Structural Plan Review Fee Residential $120.09 04/28/2011 2011000824 -~'-- First Appliance Fee _ $79.00 05/06/2011 2011000897 Balance of Minimum Plumbing Permit Fees $1.00 05/06/2011 2011000897 Water closet $19.00 05/06/2011 2011000897 Shower/Shower pan $19.00 05/06/2011 2011000897 Sink/basin/lavatory .. $19.00 05/06/2011 2011000897 Re~i~"'.ntial Fire (.05 Per Sq Foot) $5.10 05/06/2011 2011000897 ~~~s..uildi~g.Permit Fee $184.75 05/06/2011 2011000897 Adm!-,,!ee.J10.o/.~c:t.~J)p'I~cable.fees) ._ $0.51 ....____.~~!l.6~201~_._______. _ _ 2011..000897 ~t~te of Oregon Surcha~g!..(! 2% of applicable.!-,,~___. ",._, $~92.... ___!l.s~06/2012-._.___ ._.__...!011000892, Technology fee 15% of permit total) __.___...2.~9.1~~__.. 05/06/2011 2011000897 SDC: Total Sewer Administration Fee $3.40 05/06/2011 '---261iooo897 Planning.. Minor Review.. UGB $286.00 05/06/2011 2011000897 Branch circuits without service or feeder - each additional $6.00 05/06/2011 2011000897 Branch circuits without service or feeder - 1 st circuit $55.00 05/06/2011 2011000897 SDC: Reimbursement Cost - ~torm Drainage $27.72 05/06/2011 2011000897 SDC: Improvement Cost.. Storm Drainage $40.33 05/06/2011 2011000897 Total Amount Paid $930.97 Springfield Building Permit 5f6/2011 10:49:11AM Page 3 of6 " sp. RING...FIEl~' ~~.-.. "';t,' .~ -;~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00705 IVR Number: 811138960024 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfleld.or.us PROJECT STATUS: STATUS DATE: Issued 05/06/2011 ISSUED: APPLIED: 05/06/2011 04/28/2011 EXPIRES: VALUE: 11/02/2011 $15,000.00 SITE ADDRESS: 3847 RICHLAND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802064200119 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom Addition Plan Review ~ DeDartment Initial Review Received Due Date Comoleted 04/28/2011 04/28/2011 04/28/2011 Result Approved Reviewer Kip Kaufman Structural Review 04/2812011 04/28/2011 04/28/2011 Waiting Internal Kip Kaufman Comments: Planning and Public Works ~QnlngR,evle~_ _ ~- {::~~~.~~4Ii8/2,011~":rPj~28i20'11$;;_65/o2/201;1" ~:- fAPw~ved~.~ 7,,-g~;J"" ~ Ta~ra,Jones c--:--:~ - ~~-"-:r~~ "~- Cl Cgmments: ~ThlS prope~y 15 .~ontlgu)ous,~t~)[eiJa~per Slotgh whl~D has 311f!1ltatlons -,1--~,_:f~~~on of thlS:lot 'Fm'zone AE (:0_0 yr .. - :" ~,. FP) H5L~ever th~',!~~lt~r IS 10c~tE;ld 2~t:lde theJloC!dPlam~~2~ The sIO~y!l.,~~ a).so a t.:.ocaJly S~gnlficant \-yeti and, but~ the ',{. _ I co. ""~- addition IS farther than,25' from the'boundary of the wetland 3 ~ The sJough'ls'a Water Quality 12lmlted Watercourse, but, : - ~.::: ' ih~se regulations do'h~t ;pply"to SrR~r.:, __" ~ s-' "":i-: -." ~1."'::.';:!~. ',' - '1"01# '< ~ ?- ,- -t -"'""# ^ , :!!,~ "):=~~"~7'~'__~~~rl:'~~~'I\:t:~.l__;:~^;:~~~~:~~':';_t_~~':;-",-":-(r~""t;~~'~-~~%";- b~,~~X;"7%V;: ~., '":" - - 4-~ '~'"' ~FuturEL~y'~19Rment on this lot \YJ!Lt!ave'to address'these hmltatlons' ,,( "^'''''_-_~'A f~ ~ . Public Works Review 04/28/2011 04/28/2011 05/04/2011 Approved Ben Gibson Comments: Storm water to existing Permit Issuance 05105/2011 05/05/2011 05/06/2011 Issued Chris Carpenter Springfield Building Permil 5/6/2011 10:49:11AM Page 4 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00705 IVR Number: 811138960024 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: Issued 05/06/2011 ISSUED: APPLIED: 05/06/2011 04/28/2011 EXPIRES: VALUE: 11/02/2011 $15,000.00 SITE ADDRESS: 3847 RICH LAND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802064200119 SCOPE: Single Family Residence WORK INVOl VED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom Addition INSPECTIONS REQUIRED I Inspections 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation 1170 Post & Beam 1260 Framing Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1530 Exterior Shearwall Ceiling Insulation: Prior to cover. 1630 Roof Sheathing 1999 Final Building Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover 2300 Rough Mechanical 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete Springfield Building Permit 5/6/2011 10:49:11AM Page 5of6 SPRINGFIEL~ . ~-\_"~"f '-~ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00705 IVR Number: 811138960024 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us ISSUED: APPLIED: I SITE ADDRESS: 3847 RICHLAND ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802064200119 PROJECT STATUS: STATUS DATE: Issued 05/06/2011 0~/28/2011 EXPIRES: VALUE: 11/02/2011 $15,000.00 05/06/2011 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom Addition 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. f 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 CO~~dL 1-~-// . Qwner or Contractor Signature Date Springfield Building Permit 5/6/2011 10:49:11AM Page 6 af6 Structural Permit Application .' . CITY OF SPRINGFIELD, OREGON . , DEPARTMENT USE ONLY ~ ~"(,i~O.sPt'C--U;J}; 225 Fillh Slrecl . Springfidd, OR 97471. PH(54 I )726-3753 . FAX(54 1)726-3689 Dale: This pel'mil is issued under- OAR 918M460-0030. Vcrmits expil'c if worl, is lIot started within 180 days 0 suspended for I till dllYS. LOCAL GOVERNMENT APPROVAL This projccl has linullulld-usc uppruvul. Signature: Dale: This project has DEQ approval. Siglluture: Date: Zoning upprovul verilied: 0 Yes 0 No Property is wilhillllood pill in: 0 Yes 0 No CATEGORY OF CONSTRUCTION 'Residential o Govcnunenl D Commercial Job sih: address: City:. ~.~,~ Suhdivision: Rclcrcncc: e Nunw: ,.., Address: D Slnh.:o-IZ Fa.x: E-mail: This inSll1l1uliulI is bcillg made un rcsitkntial or farlll )JlopcrLy uwned by me or u member of my immediate fumily, and i:-i c'xempllrmll licensing rcqui....:J1ll.lnts under ORS 701.010. Signlicre: CONTRACTOR INSTALLATION Businl.l:,is llurnc: ,-f-c.......cJ.c( j 1l{(4;(~x\'" .:G.ltl. .DBA ~ is ~ t$.,:rl"1 Add,,,,, ZGSo 1'~..,-(1 is\ ~ LO",";r.-- City: Stule,:!> e. ZII'97'40Z Pho"o$"<tf . f:If- KG. rr i5.d'/.6fP;- 7'-90 E.llluil: I'rillluumc: 16f-lb C( ~-1!k SUB.CONTRACTOR INFORMATION CClllicense 110.: Sigllulurc: Naill" PbulIC Number (':Icdl'kal l'lulUbing Mecllanical ceu Liccnse Number FEE SCHEDULE J. Valuation information (a) Job descriptiun: /3~f..f."oo ,~ /1cr;( ,. ,t,;.;- (kcupancy IJ... -3- Cl!ilstrucliolllypC: 1/0 5l~L.X17' Sq~;tre feel: !.--...9 ?~ <":F: Cost pel' square IllOl: Other information: Type or Ileat: Ellt'rgy Path: Dllew D alteratiun Ji:f addition (b) Foundation-unly ~rmit'! DYes ON" Tutul valuation: $/<7" (Z(J 2. 8uilding fees (3) Permit fee (use valuulion table): $ (h) Investigative tce (equal 10 L2al): $ (e) Rcillspcctioll ($ per hour): $ (nnmber ofhoUlS x let': per hour) (d) Enter 12% surcharge (.12 x L2a-t'2h+2cJ): $ (e) Subtotal ol'tces above (211 through 2d): S 3. Plan review fees (3) Plnn review (65% x permit fee f2a)): $17~.a-' (b) Fire ~U1d lite salety (40% x permit lee pun: I (.:) Subtotal 01" l'ecs ahove (3a lllld 3b): . $ 4. Miscellaneous fees (3) Seismic fcc, 1% (.01 x penuil fee L2uj): I TOTAL fees and ~ul"chllrges (2e+3c+4a): $ f.b'WovP-> D1?(/-t"f!-r;c.. ~1f:t:.N CO\.\t^, PWMGRJC,.. SP:I~~. :::.~ .:i~EGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00705 3847 RICHLAND ST pe rmitcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-00705 DATE: 05/06/2011 ,;" ''''~'' . '.AC.COUNLC.ODE " '>~'AMOUNT_DUE~~ 224-00000-426605 0.51 224-00000-425603 1,00 224-00000-426102 55.00 224-00000-426102 6,00 224-00000-425604 79.00 100-00000-425002 286.00 100-00000-424005 5,10 440-00000-448028 40.33 441-00000-448029 27.72 719-00000-426604 3.40 224-00000-425603 19.00 224-00000-425603 19,00 821-00000-215004 45,93 224-00000-425602 184.75 100-00000-425605 19,14 224-00000-425603 19.00 TOTAL DUE: 810,88 . 'AMOUNT PAID 810.88 RECEIPT NO: 2011000897 ~DESCRjpJION . ~_:":''''-'-..:..:i'''; ..- Admin fee (10% of applicable fees) Balance of Minimum Plumbing Permit Fees Branch circuits without service or feeder - 1 st circuit Branch circuits without service or feeder - each additional First Appliance Fee Planning - Minor Review - UGB Residenlial Fire (.05 Per Sq Foot) SDC: ~'pro~~ent Cost. Storm Drainage SDC: Reimbursement Cost - Storm Drainage SDC: Total Sewer Administration Fee __~~we~Showerpan Sink/basin/lavatory State of Ore90n Surcharge (12% of applicable fees) Structural Building Permit Fee Technology fee (5% of permit total) Water closet L:"~~YM.E:tiLTY~E~~~.y'QB CASH"'ER,.CCARPENTER' Credit Card LEWELLEN SHEILA A 460332 . cj:>_l'i1l'v1fNTS " J ,., TOTAL PAID: 810.88 SP:I;G....:L~ ~.,I;.. .,~: ('!:1i ;d'\ OIU:GON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541.726.3753 www.ci.springfield.or.us 811-SPR2011-00705 3847 RICHLAND ST permitcenler@ci.springfield.or.us RECEIPT NO: 2011000824 lbESCRI~TION '" ., Structural Plan Review Fee Residential RECORD NO: 811-SPR2011-00705 , ;.'ACCQUNLCODE 224-00000-425602 TOTAL DUE: DATE: 04/28/2011 AMOUNLD.UE 120.09 120.09 AMOUNT PAID 120.09 lfl,YMENLTIEE Check 3190 ~." p~YQff .'~ CASHIER:KKAUFMANc "~ . ..;i~h~-CQMM.ENTS'" Harold and Madison, Inc ck #3190 TOTAL PAID: 120.09