HomeMy WebLinkAboutPermit Building 2011-6-1
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'.c,<-,..~-::-, OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00811
IVR Number: 811113775289
www.ci.springfield.or.us
225 Fifth SI
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:
155 ued
06/01/2011
ISSUED:
APPLIED:
06/01/2011
05/13/2011
EXPIRES:
VALUE:
11/27/2011
$27,000.00
SITE ADDRESS: 3262 PARTRIDGE WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703221309200
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
Phone Number: 747-4823
OWNER:
ADDRESS:
WILLIAMS TINA R
3262 PARTRIDGE WAY
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
EASTSIDE ELECTRIC INC
DON LEWIS PLUMBING SERVICE LLC
PEACOCK CONSTRUCTION lLC
Lie Type
CCB
CCB
CCB
Plumbing Contractor
General Contractor
Lie No
117770
167921
192524
Lie Exp
10/04/2011
01/06/2012
01/12/2013
Phone
541-741-1499
541-688-1931
541-515-2151
BUILDING INFORMA TION ~
# of Units: 0 # of Stories: 1 Lot Size:
Height of Structure: 15 Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Fl Basement:
Range Type: Sq Ft Garage:
Hazmat: No Sq Ft Carport:
.- Sq Ft Other:
Occupancy Load:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
# of Bedrooms: Municipal J Development Code:
Sprinkled Building: No Plumbing Specialty Code Edition:
Fire Alarms: No Residential Specialty Code Edition: 2008
Energy Path: Structural Specialty Code Edition:
170
60
o
Engineered Fill: No
Fill Volume:
OTlctrUlOd Hazard Area: No
II ~~d Hazard Area: No..
S prR.ia'iH1r(9~lIl EXPJRE ~o.-
'THOf!?9.!!!,[J'!J\'J'~rf!t'm'S I Nc! HE WORK
~~~Ng;~ gE~:~tBANcio~~~/~b~ NOT
Site Information ~ I w requireS you to
AI I t:i" ,~... oreflo; b~ the Oregon Utility
follow rules adop e e rules are set forth
NotiHcation Center. Thos hOAR 952-001-
in OAR 952-00j-Ogt~~~~~~i~S olthe rules by
0090.. You may 0 Note: the telephone
callmg the cen~r. (on Utility Notification
number lor. the rjesgOO_332-2344).
Center IS -
Springfield Building Permit
6/1/2011 11:01:53AM
Page 1 of 4
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00811
IVR Number: 811113775289
SPRIN.G ~FIELD"
~i\.j,'
{C ~
~,.;,:"'- OREGON
www.cLspringfield.or.l.Is
225 Fifth 51
Springfield, OR 97477
Phone: 541.726.3753
Inspection Phone: 541.726.3769
Fax: 541.726.3676
permitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/01/2011
ISSUED:
APPLIED:
06/01/2011
05/13/2011
EXPIRES:
VALUE:
11/27/2011
$27,000,00
SITE ADDRESS: 3262 PARTRIDGE WAY, Springfield, OR 97477
ASsESOR'S PARCEL NO: 1703221309200
PROJECT DESCRIPTION:
Addition
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
DEVELOPMENT INFORMATION ~
Fronlyard Setback: 18025
Interior Setback:
sideyard Setback: 5
Rearyard Setback: 52.5
Solar Setback: 0
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Urban Fringe
REQUIRED PARKING
No
24.2
Total:
Handicapped:
Compact:
15
~
PUBLIC IMPROVEMENTS
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
~
Valuation Description
Descriotion
Bid
Tvpe of Construction
NA
Springfield Building Permit
6/1/2011 11:01:53AM
Unit Amount Unit Tvpe
27,000.00 Bid
Unit Cost
1.00
Value
27,000.00
27,000.00
Page 2 of4
SPRIH.G... FIE.L~D-
.-
-t!Jf;
.,\ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00811
IVR Number: 811113775289
www.ci.springfield.or.us
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
06/01/2011
ISSUED:
APPLIED:
06/01/2011
05/13/2011
EXPIRES:
VALUE:
11/27/2011
$27,000.00
SITE ADDRESS: 3262 PARTRIDGE WAY, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703221309200
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
FEES PAID
~
Description
Structural Plan Review Fee Residential
-----.-.
Clothes washer
Sink!.~c:sin/lavatory
Admin fee (10% of applicable fees)
Water closet
Water heater
Single-duct exhaust (bathrooms, toilet compartments, utili
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology lee (5% of permit total)
Residential Fire (.05 Per Sq Foot)
SDC: Total Sewer Administration Fee
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Sto..!~ Drainage
Structural Building Permit Fee
Amount Paid
$192.98
$19.00
$38.00
$1.15
$19.00
$19.00
$9.00
$79.00
$57.59
$23.99
$11.50
$10.14
$120.16
$82.58
$296.89
$979.98
Total Amount Paid
Date Paid
05/13/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
06/01/2011
Recio! #
2011000935
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
2011001379
Plan Review
I
Deoartment
Received
Due Date
Completed
Result
Approved
Planning Review 05/18/2011 05/18/2011 05/18/2011
Comments: No Planning issues
initial.Review ':~i;:),'c ' '05/.18/2011".~05/18/2011:k,05/18/2011., i,; Apijroved~' _J\J'j-,
_'- '-'~,,-- ..0"~.;:~,.. .,t';:~..--.. "~':.'-""-"=''i;~.;i!","~';:-~i:; ,~-
Application Acceptance
05/13/2011 05/13/2011 05/18/2011
Application Accepted
Reviewer
Tara Jones
):~~~~;,~,{, ()~~Vjd{~~~,~~!,;'~~~' ~,
,,~.,~~... "
~-'--"'-=
'.
David Bowlsby
~~b~:::~~:: Re~~:;m' wai~ri~ ~~::i~r~~:~~~5:18/~Ol'1
Lo.__ ." '. . ,. .--
Structural Review 05/18/2011 05/18/2011 05/31/2011
Approved
Chris Carpenter
Issued :,'
~ N~lnC;:y Machado.
--~~'1
,
, ,
~_J
rermillsssnce
05/31/2011
Q5/31/2011. 06/0.1/2011
Springfield Building Permit
6/112011 11:01:53AM
Page 3 of 4
SPRIN.G.FIEL~
~"----
,,"-' '-.
/..:': \.~
.t.. ~ OREGO....
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00811
IVR Number: 811113775289
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitcenter@ci.springfield.or.us
,
PROJECT STATUS:
STATUS DATE:
Issued
06/01/2011
ISSUED:
APPLIED:
06/01/2011
05/13/2011
EXPIRES:
VALUE:
11/27/2011
$27,000.00
SITE ADDRESS: 3262 PARTRIDGE WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703221309200
SCOPE: Single Family Residence
WORK INVOLVED: Addition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Addition
INSPECTIONS REQUIRED I
Inspections
1020 Zoning/setbacks
1110 Footing
1120 Foundation
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
1220 Under/loor framing
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall
1440 Insulation Ceiling
1530 Exterior Shearwall
1999 Final Building
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
2300 Rough Mechanical
2999 Final Mechanical
Final Building: After all required inspections have been requested and approved and
the building is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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.
3500 Rough Plumbing
3999 Final Plumbing
4500 Rough Electrical
4999 Final Electrical
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, and the approved set of plans will remain on the site at all times during
construction.
.@/-.~.
Owner or ontractor Signature
b -I ~//
Date
Springfield Building Permit
6/1/2011 11:01:53AM
Page 4 of 4
Structural Permit Application
225 Fifth Street. Springfield. OR 97477. PH(54 \ )726-3753 . FAX{541 )726-3689
.r< _ _., r~_' ,-,-,. < _-,.-_., y ....?<o ,....>'~'" --,...._.".,.,.., ......","...,.', ~-.. '1,->
~;'.. .QITX Q{,~~~I~i:;r~ELD. O"~I}GO~~; . ;::":' ,-.:
DEPARTMENT USE ONLY
5'~z.o/l-oO 8/ I
Penn It no.:
Date: 5' - ( :3 - / /
This permit is issued under OAR 918M460~0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
lOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Dale:
Zoning approval verified: 0 Yes D No
Property is within nood plain: DYes 0 No
CATEGORY OF CONSTRUCTION
IX Residential D Government 0 Commercial
JOB SITE INFORMATION AND lOCATION
.301 ';),
.\-U.\ <\
Reference:
PROPERTY OWNER
Name: 'c..M. <::.
Address: o..r~'("'~ \"Jo....
City: ~.....Io\ State: Q ~ ZIP:'l1'/17
Phone: $~ 1-147 '-t g:l. 3 Fax:
E-mail: \.J;\\\~~;..~r.\C.J e (, ~.\ .<..oM
This installation is being made on residential or farm property owned by
me or II member army immediate family, and is exempt from licensing
requirements under ORS 701.0 I O.
Sign here:
CONTRACTOR INSTAllATION
Business name: P ~c:;. Ul) L '(. c..tt l"'\.S. \.,-. ,J c..+. '01\
Address: :l'\ S 3 Co. (be",", ~\-
City: ~ v L"-\ State: De
Phone:S~I-L.-~- ';)'1'1 Flll(:I.'"-b~q.
E-mail: (\ \<.~ ,;)l.. Q ~"'(\(). Lcd'.-"\
CCB license no.: I C\ '1 S;;)4
Print name: \<...,<..'" L
LLL
Zlp:q?~oY"
S'I4S""
Signature:
SUB-CONTRACTOR INFORMA nON
Name
Electrical
Plumbing
Mechanical
FEE SCHEDULE
1. Valuation information
(II) Job description: Q J...,k,'\-, 0 "-
Occupancy <),~I... s.- "'; \ '"
Construction lype: ~)(<..I
Square feet: (,00
Cost per square foot: tjS-~
Other information:
Type of Hcal:
Energy Path:
Dnew o alteration ~ addition
(b) Foundation-only permit? DYes IlilNo .- -
Totol valuation: 1$27 'V'...
2. Building fees <> '"
(a) Permit fee (use valuation lable): $ ~C(fn 1- '1
(b) Investigative fee (equal 10 [2a]): $
(c) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2cj): $ (J5" ~
(e) Subtotal orfees above (23 through 2d): S
3. Plan review fees 8
(3) Plan review (65% x permit fee [2a]): $ I( Z.
(b) Fire and life safely (40% x pemlil fee [2a]): $
(c) Subtotal of fees abo\'c (3a and 3b): $
4. Miscellaneous fees ':>7~ ItU1' /1./ 07
(a) Seismic fee, J% (,01 x pennit fee [2a)): $
TOTAL fees and surcharges (2e+JC+411); S J'lf7.J ~
dII..
S~1~N.F~
~et>
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00811
3262 PARTRIDGE WAY
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011001379
(DESCRIPTION . '" ',~l.,-._;..~__ 0_:" _,,"~~i.~'.~~~"
Admin fee (10% of applicable fees)
Clothes washer
First Appliance Fee
Residential Fire (.05 Per Sq Foot)
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Storm Drainage
SDC: Total Sewer Administration Fee
_~i~~~-duct exhaust (bathro9ms, toilet compartments, utility roar
___ Sin_k1~~sin/la~~?ry
.___SJ~te of O!~~9,,-~u~charg_e (12% of applicable fees)
__ Stru~!:,~al ~uilding Permit Fee
Technology fee (5% of permit total)
Water closet
Water heater
RECORD NO: 811.SPR2011.00811
DATE: 06/0112011
'~ .ACCOUNLCODE_,_~_'-:.:-.....-:.~AMOUNI.DUE~--.A.:
224-00000-426605 1.15
224-00000-425603 19.00
224-00000-425604 79.00
100-00000-424005 11.50
440-00000-448028 120.16
441-00000-448029 82.58
719-00000-426604 10.14
224-00000-425604 9.00
224-00000-425603 38.00
821-00000-215004 57.59
224-00000-425602 296.89
----~._.-_._~--------~"--_...._._---- _. -
100-00000-425605 23.99
224-00000-425603 19.00
224-00000-425603 1 g.OO
TOTAL DUE: 787.00
_ . . 'AMOUNT PAID
787.00
r.
r P~YMj~.tiT TY.P.:E". 7: PAYOR CASHIER: NMAcHADo . -"
Credit Card PEACOCK CONSTRUCTION LLC
05586c
CQ""1MENTS _. .
TOTAL PAID:
787.00