HomeMy WebLinkAboutPermit Building 2011-05-16
SP~:;:~~
.i~
.;4":~\, OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00419
IVR Number: 811181749970
www.ci.springfield.or.us
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
155 ued
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
05/16/2011
03/15/2011
05/16/2011
SITE ADDRESS: 353 S 68TH PL, Springfield, OR 97478-7387
ASSES OR'S PARCEL NO: 1702353307300
EXPIRES:
VALUE:
11/11/2011
$30,000.00
SCOPE: Miscellaneous
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Tree fell through house
Phone Number:
OWNER:
ADDRESS:
BRANDEL DAN & CONNIE
353 S 68TH PL
SPRINGFIELD OR 97478
,
CONTRACTOR INFORMATION
~
Contractor Type
General Contractor
Contractor Name
BELFOR USA GROUP INC
# of Units:
o
Lie Type
CCB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat: No
# of Bedrooms:
Sprinkled Building: No
Fire Alarms: No
Energy Path:
Electrical 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:
Lic No
146973
lic Exp
02/16/2013
Phone
503-408-8880
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
2008
Site Inform"ation
~
Engineered Fill: No
Fill Volume:
Flood Hazard Area: No
Land Hazard Area: No
Retaining Wall: No "-
Soils Report Required: No WORK
NOTICE: EXPIRE If 1HE
THIS PERMIT SHfI,LL THIS PERM\1 \S 1'101
AUTHORIZED UNOER fl,BfI,NOONEO FOR
~OMMENCED OR IS
'!\IY 180 O/W PERIOO.
. 'IOU to
on laW reqUIreS n \.ltil\W
EN'\OI'.\'. Oreg db'! tne Olego set lorth
1>-'\1' W rules adopte ,liose rules ~~ 952.-001-
\0 0 ,Centel. gh 0,," b"
Notilicatlon 01_0010tlirOU s olthe rules,
'n Ol>-R 952.-0 obtain COpl~ tlie telep\1One
10090, ,'/o~:ea~entel. lNot~ti\iW Notilicatlon
callIng \ r the oregon 332.-2.344)-
numbel 0 ter 'IS 1-600-
Cen
Springfield Building Permit
5/16/2011 10:24:33AM
Page 1 of 3
SP~I.N..~. FIE,LD ",
tl;1<I'" ,
',~ ..~
.:?f' OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00419
225 Fifth SI
Springfield,OR 97477
Phone: 541,726,3753
Inspection Phone: 541-726-3769
Fax: 541,726,3676
www.cLspringfield.or.us
IVR Number: 811181749970
permitcenter@ci.springfield.or.us
,
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
05/16/2011
03/15/2011
EXPIRES:
VALUE:
11/11/2011
$30,000.00
05/16/2011
SITE ADDRESS: 353 S 68TH Pl, Springfield, OR 97478-7387
ASSES OR'S PARCEL NO: 1702353307300
SCOPE: Miscellaneous
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback: 8
Sideyard,Setback: 12
Rearyard Setback:
Solar Setback: 0
Tree fell through house
. DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
. REQUIRED PARKING
No
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvpe
30,000,00 Bid
Unit Cost
1.00
Value
30,000.00
30,000.00
FEES PAID
I
Descriotion
Structural Plan Review Fee Residential
State of Ore~on Surcharge (12o/~~_applicabJe fee~)
Technology fee (5% of permit total)_
Structural Bui.~ding!:ermjt Fee~_
Total ~mount Paid
Amount Paid
$207.25
$38.26
$15.94
$318.85
$580,30
Date Paid
05/03/2011
05/16/2011
05/16/2011
05/16/2011
Reciot #
2011000859
2011000949
--_.~--~.~-
2011000949
2011000949
Springfield Building Permit
5/16/2011 10:24:33AM
Page 2 of 3
SPt.H.:....F. IE.~
L~~
~OREGON
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2011-00419
IVR Number: 811181749970
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
05/16/2011
ISSUED:
APPLIED:
05/16/2011
03/15/2011
EXPIRES:
VALUE:
11/11/2011
$30,000,00
SITE ADDRESS:' 353 S 68TH PL, Springfield, OR 97478-7387
ASSESOR'S PARCEL NO: 1702353307300
SCOPE: Miscellaneous
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Tree fell through house
Plan Review
~
Deoartment
Application Acceptance
Received Due Date
03/15/2011 03/15/2011
Comoleted
05/03/2011
Result
Application Accepted
Reviewer
Chris Carpenter
Planning Review 05/09/2011 05/09/2011 05/10/2011 Approved
Comments: No Planning issues, work is keeping to the original footprint.
Tara Jones
Structural Review
05/09/2011 05/09/2011 05/12/2011
Approved
Chris Carpenter
INSPECTIONS REQUIRED ~
~,~l!!ijJ1l$Su~~~C?e,)4?fr;;l~"7!;~.4~'()5~: Y2"9n1j~~~4-0~11.2L~Ql!:1ySAQ?/j ?~~91)':.;.",.f1~sue't;,w.~" ':j
~~~:<:c~1: '.~:; .:.~ F~':T~" ' ~,::, ~~ ,"","x~I~:~:i i't:e, '>.. ~t.> ~:'~t":w';J~~;~ ~7~,~;..;c~;':,:/t;/!f.?;:r;"'" q~;;'~ -:~
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1530 Exterior ShealWall
1829 Special Inspection
1999 Final Building
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 t and the approved set of plans will remain on the site at all times during
construction.
---:J~
S-)~/I
Owner or Contractor Signature
Date
Springfield Building Permit
5/16/2011 10:24:33AM
Page 3 of 3
D,EPARTMENT USE ONLY .
Structural Permit Application
_.
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Pennit no.: );, I - 't I '(
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of iss
suspended for 180 days.
Is,s:.:,,' .);,; :-~::~\~~0,~A~:}9~Q2-i;'~NM~~J~~~fiR._0Y~-~~~~m~i~W~w1~~~{~{:j
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.,
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
~~~~~~~t;~~~t9'Afr'~~,9J~Yl.~_fu{G:9Ng;tRP.GjljiQ_~~)J2~~'~fl~~~~_'t~t
~esidential 10 Government 0 Commercial
". -,- ;" _'< , - .". ," ","'".. ,', _,' ,,'_ -,.__'.....' _,,, .",,,.,',' -'-,-'"j.A .,- _-~J__'" . _"'" ....:....,''''"'i..''.'--,,~.,' .,' .,- .'1";';';ifi:<-~i"~-'
~;:~'trt:""P9BiSI;r~I'INf,9RMA:rIQI'!~ANE!~[(J,CA'T:IQIII1;N;',,;~i':k\1
Job site address: 7Z'-:;;~ OS (",'1(-\'-- 9\_ <..:r-
City: 50(:/_'" State: OiL I ZIP:
Subdivisio~: 1 Lot no.:/'70Z-rg3 157.:t. "
Reference: /702 3:S3~ Taxlot: D7:SCD
:, p,ROPERTY OWNE~' .' ., . ~.
..... . '. .
Name: t."A 4'. (' , - 'is, "",J ~ \
...u.\.A. ~
Address: '''', S {,~" -l..... ?l,^,:~ .
City: -=,(\[ jl:l State: O. ?-- I ZIP: "I,Lllg
.J .
Phone: 541- -'z5 -- ",,(ill. 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:
CONTRACifOR iNSTALLATION;.., .1, ..
- . - .. ~,. ".' ._,.... U."_ .... '. ,_., . ....,.. . .__ ~- H_" -, ~':.: ..,.'
Business name: ~"-Ir::,,r
Address: ~I?f ~~i\.
City: ~O{21 CJ State: OIL. I ZIP:<)7
Phorte<f-/t ~2 €. <))v ~ Fax;52j1 -/'tf 1'2.& -z
E-mail:
CCB license no.: ('1 ,,"i/S
Print name: ~c-o~ \- .-I"".J
Signature: ~~/
~1~\ly1'?J;!;j!;1j;1ljBSLJ.B'.GbNIi:RAG;rbR.'!Nr;QRMAfIQN~!J'i~~~~;
Name CCB License Number Phone Number
Electrica I
Plumbing
Mechanical
> ~':. -. b::.~;r ':''.~.~$'iFEg 7sc8EiJi:n::E''i'''i/f;, -""., C, ".:'
:l~x~)&~~i~9;[fifif6fffi1.~~,9~IiWjt~~:~kl~'t~~;:~~1XY;~~~~ii1~~11;i;f:;.r~,(;i,~1~~~;;;~
(a) Job description:'T~ ~.,.<; €' <<t"i+ , fL
Occupancy 12-
Construction type: VB
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
0 new Eralteration 0 addition
(b) Foundation-only permit? 0 Yes 0 No
Total valuation: I
.,'" '..~-',. ;'.: ..~~,.:~.';.:;.,r;"::h'i'i~:',' ',r';1j<f' f-\",.',:"i";'f"'"~;" - ", 'k1'." "" ," .': 4' ';i ;,i"j.:.i~~~1;;:':\
~;,.2;f'BuIldlng"fees"),,:fm';tt~ -'"_'11~jJih~~:hJi1!iti{{-'J;i~R'?;~J,~i~"", ,;-"~,\_,, ~\':
,...,_"..... h~~.'''' .' '._. .__.~.,..~ ...\0. -_.,,11'.',:1.", " .. ", .,'-';,_~.;!1. ._ . ",', _, '. ~~ 'J~:l' ~~
(a) Permit fee (use valuation table): $ 'Sf 8 l?~
-
(b) Investigative fee (equal to [2a]): $
(e) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge ( 12 x [2a+2b+2e]): $
(e) Subtotal of fees above (2a through 2d): $
0:3if'pT'&'>1i~lc"'~~;~ii;!it':;';:7.{~~?&i,~~E:fg'~~~~-t~M:'~k-:~:~fX0i'8Fit~:Wl~RV\tL:!ii':
'!. .__,',~,'" .~9,{Ie:YI~\V.;,.~,~.~.:o1.~~\t';'>4~F.!::'~~"'<'D~,~,\j<oJt~,,~-*~m:~:;~~~~~",.,);i:m\~,~~i
(a) Plan review (65% x permit fee [2a]): $ ?rn:E
(b) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal of fees above (3a and 3b): $
t~i:~1i~~'!f~~6Y~().4"s}f~r~21~;~,\g1;}~:*i.;'~~j~~s~~~~It;t~~;;%;,t~;~~i;~{:\<'/:~~t.:~.;;,,:~/i.':,:;';~~.
(a) Seismic fee: 1% (.01 x permit fee [2a]): $
TOTAL fees and su~charges (20+3c+4a): $
pC.Ar (I\...-\., E\:':'a.+
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www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00419
353 5 68TH PL
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541.726.3753
perm itcenler@ci.springfield.or,us
RECEIPT NO: 2011000949 RECORD NO: 811-SPR2011-00419 DATE: 05/16/2011
!D-ESCRII~JION_~~~ ;:,;: ~ '::. . :";'Y'~~";:. '".A';~';;"~',T'.J..AccO:iJt.lf:cODE ":...:Ei'kAI\IIOuf(@UE?' ...:'.....~
_..._~.!"te of Ore90n Surcharge (12% of applicable fees) _____._ 821-00000-215004._ 38.26 ____.
Structural Buildin~'permit Fee 224-00000-425602 ___318.:.5l~.___
Technol09Y fee (5% of permit total) 100-00000-425605 15.94
TOTAL DUE: 373.05
[0iiAYM,gHLfyp~::~~?PAYQR.~2(cAsHIER-:NMACHAD~'~,~~<foMMENTsh/;.;:t ,,".- "!.,,,,'''',j,.:.;AM901''fJ'iPAID: '''" ;.-:::;~ .t.y....,]
Check BELFOR USA GROUP INC 373.05
19253
TOTAL PAID:
373.05
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield, OR 97477
541-726~3753
www.ci.springfield_or.us
811-SPR2011-00419
353 S 68TH PL
permilcenter@ci,springfield.or.us
RECEIPT NO: 2011000859 RECORO NO: 811-SPR2011-00419 OATE: 05/03/2011
lo'e's' C"'R' "'P'T 10' 'N" _'_':'''','''',,,,,i,~,*'''''~'_,.Ap' '~ti'~'.i~','.r.,'J;-,'^."C"C'.O',U'NI,.'C',O-'O'E' ',,; ,,;'.-lg"0j4,"'7_'~ck"^.-M'O,U-N I'.'DUE" ,-"y, I
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Structural Plan Review Fee Residential 224-00000-425602 207.25
TOTAL DUE: 207,25
L~p~jMgN'LTf~,~,~;~d';:~,~2e~QR:;t;'CA"SHTER?C9~R~PENTER';"-:'r"n-~'..;'CQM.M_~~~I$\;::'I;'" -:,,~~,~;' ~l'~':~ i~1-~~.MOUNT,P~tQ ':i::" ,,-,-.. ~.--; ;_~,~" '1
Check Belfor 207,25
19251
TOTAL PAID:
207.25