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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-.. . center 15 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 .. .' 5 PRING f...lf~ a' ~ ~~ .. . .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_ " "'.'- ""'- ,".-- ~?_I .' ~ 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