HomeMy WebLinkAboutPermit Building 2011-5-12
.. ~
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00773
IVR Number: 811161532517
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
05/12/2011
05/09/2011
Issued
05/12/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.uS
EXPIRES:
VALUE:
11/07/2011
$6,250.00
SITE ADDRESS: 465 RIVERVIEW BLVD, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703341403400
SCOPE: Accessory Building
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Ramp
Phone Number: 541.747.3630
OWNER:
ADDRESS:
SCHULTZ DIETER KARL TE
465 RIVERVIEW
SPRINGFIELD OR 97477
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type o.f Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
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:
lic No
0000000
lic Exp
08f12/2025
Phone
Lot Size:
Sq Ft 1 st Floor:
Sq Fl2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 302
Occupancy Load:
2008
Site Information ~.
Engineered FiJI: No
Fill Volume:
Flood Hazard Area: No
land Hazard Area: No
Retaining Wall: No
Soils Rep3r.".Rl'guired: No ~XPIRE IF THE WORK
rHIS PERMIT SHtLL THIS PERMIT IS NOT
AUTHORIZED UNDER ABANDONED FOR
COMMENCED OR IS .
ANY 180 DAY PERIOD.
Springfield Building Permit
5/12/2011 9:44:44AM
~
. 5 yOU to
on laW requIre Utilit'{
ATlENT\ON.. o~e~ed by tlW oreg~~et lort\\
talloW ru\esc~~'\~r. T\105e rLJ\e~~~ 952-001-
No\iliCatlOn _001-0010 through olthe rules by
in OAR 952 may obtain cOPle\e telephone
0090, YO~M center. \Not~ii;ity Notilication
can,ng tM oregon "344)
number lor . 1_BOO-332-.. .
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Page 1 of3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00773
IVR Number: 811161532517
"
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/12/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
05/12/2011
05/09/2011
EXPIRES:
VALUE:
11/07/2011
$6,250.00
SITE ADDRESS: 465 RIVERVIEW BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703341403400
PROJECT DESCRIPTION: Ramp
SCOPE: Accessory Building
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
DEVELOPMENT INFORMA TION ~
Frontyard Setback: 36
Interior Setback: 7.5
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# StreetTrees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Hillside
REQUIRED PARKING
Total:
Handicapped:
Compact:
No
~
PUBLIC IMPROVEMENTS
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
DownspoutJDrains:
~
Valuation Description
Description
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvoe
6,250.00 Bid
Unit Cost
1.00
Value
6,250.00
6,250.00
FEES PAID
~
Description Amount Paid
SDC: Improvement Cost - Storm Drainage $101.50
~DC: Reir.!.l_~urse~~~t Cost - Storm Drai~~~.:.._,_""_____"__,,__ $69.76
Structural Plan Review Fee Residential $69.39
State of Oregon Surcharge (12% of applicable fees) $12.81
Technology fee (5% of per"2~~aD $5.34
Residential Fire (.05 Per Sq Foot) $15.10
Admin fee (10% of applicable fees) $1.51
SDC: Total Sewer Administration Fee $8.56
Structural Buildin2 Permit Fee $106.75
Total Amount Paid $390.72
Springfield Building Permit
5/12/2011 9:44:44AM
Date Pa id
05/12/2011
05/12/2011
~_._-
05/12/2011
05/12/2011
05/12/2011
05/12/2011
05/12/2011
.---
05/12/2011
0511212011
Reciot #
2011000925
2011000925
2011000925
2011000925
2011000925
2011000925
2011000925
2011000925
2011000925
Page 2 of3
..
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5 PRING f...lf~
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.. . .00'^ . OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541 ~ 726.3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2011-00773
IVR Number: 811161532517
permilcenter@ci.springfield.Of.US
PROJECT STATUS:
STATUS DATE:
Issued
05/12/2011
ISSUED:
APPLIED:
05/12/2011
05/09/2011
EXPIRES:
VALUE:
11/07/2011
$6,250.00
SITE ADDRESS: 465 RIVERVIEW BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703341403400
SCOPE: Accessory Building
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Ramp
Plan Review
~
DeDartment
Initial Review
Received
05/09/2011
Due Date
05/09/2011
ComDleted
05/09/2011
Result
Approved
Reviewer
David Bowlsby
Public Works Review
05/09/2011
05/09/2011
05/10/2011
Approved
Todd Singleton
Structural Review
05/09/2011
05/09/2011
05/11/2011
Waiting Internal
Chris Carpent~r
,~
Structural Review
05/09/2011 05/09/2011 05/12/2011
Approved
Chris Carpenter
INSPECTIONS REQUIRED ~
Inspections
, 1110 Footing
1260 Framing
Footing: After trenches are excavated.
Framing Inspection: Prior t6 cover and after all rough in inspections have been
approved.
Final Building: After all required inspections have been requested and approved and
the building is comple~e.
By signature, I state and agree, that I have ca~efully 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 atthe front of the property, and the approved set of plans will remain on the site at all times during
construction.
1999 Final Building
19--,~.l- p~ .-/~
Owner or Contractor Signature
s;-I'L-II
Date
Springfield Building Permit
5/12/2011 9:44:44AM
Page 3 of 3
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH (54 1)726-3753 . FAX(541)726-3689
, DEPARTMENT USEONl.:V
S PIL~II-oO{7:!
Penn it no,:
Date: S" - -f I
This permit is issued under OAR 918-460-0030. Permits expire if work is not started witbin 180 days of issuance or if work is
suspended for 180 days.
, ,,:4;hi;\q(')t:'Af:"(:;QYE@i.lE~]\~P'R~Q@~~~~il,,~1~lf~]jlj
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: 0 Yes 0 No
~~w~t~]ft{~c::&rE(:;J)~Y'iloE}19Q.N~T~Ijcif@N~l'~'i~,lit:~i~~~1ii6
[i' Residential D Government D Commercial
~~;::t~:~:j;:~?}:h:~.[~'P'E3'~;:S.It.,~}':fN1f9>RMA_11Q&~~~Q'~i:.Q-,SAIT.9_N~~~?~~~t~~
lob site address: tl G:>;>: KtV'l:-)!,"" "'-/4/
City: SI'"'A/N" _ "",7 R ZIP:
Subdivision: /;,AlFRn" /-fl<?' ltr) Lot no,: 7
)03 14 Taxlot:03'
" p,ROPERTYOW.!'lER'
I -e=rc-"" k SCHut.-
Address: 4'6s, (I/' l/iEt-u 7J?'-Jo'
City: ':;;//'",( N . F -"",,-1) State:
Phone: "747 3 <5 ~o 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.
,/
/ ~k .k:
Date:
Date:
,.;-,'.
ZIP: t}71'77
Sign here:
e-/I.
, , ~ONTRAqOR.I~STALLATI9N' ,-c,..: '
-t6'
Business name:
Address:
City:
Phone:
E-mail:
CCS license no.:
State:
Fax:
ZIP:
Print name:
Signature:
~~;~~~~{.t':n~i~~$Q_~~GqNj;B~~itOR:f_I.N~.QF{MAif:IQN~~fJi~1{:~
Name CCO License Number Phone Number
Electrical
Plumbing
Mechanical
'~'f~~ ~p:. ~-~::!;~':,;.:~;~'\,ij;::;;:l;ti.F~~~ ''^'S~H~9iJr:~g ;?'!j'"::,, '~?~~~;}1;?<I.~:':'_":J... ,.,:,,~'
,'f~~~~Va14~:ij.~wjnf(frrn~:iIQ.9~tl![~:JNi1tt~t:Jt~;.!~:~~:ikrtHf;-ilf:~"'~~'~~~,~~':
(a) lob description: pH y SIC. "" La CifAa,Ejo/
Occupancy
Construction type: L-J ,0 ',,),9
Square feet: ;l. !J'D
Cost per square foot: ~s;-'
Other in(ormation:
Type of Heat:
Energy Path:
o new 0 alteration ~addition
(b) Foundation-only permit? 0 Yes .0'No
Total valuation: I ~ ~ t--' $
~'~j;~Ii,~.H4J~'g~.f~"~~1~;~1Ji~~1@~~~~:Vi;:~~Bi~~~k~:~:~_:t-:~,:';~J;~':JJ:'!t;ti: t'~,;:!,. ;:::1>"
(a) Permit fee (use valuation table):
(b) Investigative fee (equai 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):
~'4TyMIs:~~^lfa:n~eoOsrfe~~~li 'i'c,_" - .,' .,".~..,."<;,i,..:~.,.~,~::','~.,,f,.:',,:,-,:..,'....l~'t,:!,:,-.'".:.;}':T,'cf.::~....',':'".
0".." .....~....."~..........___~_,,.,..",....,.._.,_;;.."""' 2.1~~'J;. '.~ . .... .... -"---" .~:. ,. '. ".
(a) Seismic fee, 1% (.01 x permit fee [2a)): $
TOTAL fees and surcharges (2e+3c+4a): $ (., ~
SPR\N ~,,:E,L~D
~AJ_ "
"'.'- ""'-
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.' ~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00773
465 RIVERVIEW BLVD
permilcenter@ci.springfield.or.us
RECEIPT NO: 2011000925
lDESCRIP..TION '.' - ,,-
Admin fee (10% of applicable fees)
Residential Fire (.05 Per Sq Foot)
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Storm Drainage
SDC: Total Sewer Administration Fee
State of Oregon Surcharge (12% of applicable fees)
Structural Building Permit Fee
Structural Plan Review Fee Residential
---
Technology fee (5% of permit total)
....>
RECORD NO: 811-SPR2011-00773
'4 .- ACCQUNU;ODE '1.
224-00000-426605
100-00000-424005
440-00000-448028
441.00000-448029
719-00000-426604
821.00000-215004
224-00000-425602
224-00000-425602
100-00000-425605
TOTAL DUE:
DATE: 05/12/2011
. 'AIVIOUNT_buE~-" 1
1.51
15.10
101.50
69.76
8.56
12.81
106.75
69.39
5.34
390.72
AMOUNT PAID ~7-, '" '1
390.72
~ _f~'(NLE!!LrYPE _ ':<~AYOR CASHIER!NMACHAOO ".,
Credit Card SCHULTZ DIETER KARL TE
36639Z
Q.O.rviI'llJ:JiT.S ,-
^r.' '-f..",",
..
TOTAL PAID:
390.72