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Home My WebLink AboutPermit Building 2011-5-19 S.p~.:~:-..FIE~ ~~ ~.OReGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01014 IVR Number: 811166020180 www.cLspringfield.or.us 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Readv to Issue 06/01/2011 ISSUED: APPLIED: 05/19/2011 EXPIRES: VALUE: 11/14/2011 $5,809.80 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323303000 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom addition Phone Number: OWNER: ADDRESS: JONES THOMAS 4140 CAMELLIA ST SPRINGFIELD OR 97478-5951 CONTRACTOR INFORMATION ~ Contractor Name Lie Type Lie No Lie Exp Phone OWNER OWNER 0000000 08/1212025 OWN ER OWN ER 0000000 08112/2025 OWNER OWNER 0000000 08/12/2025 OWNER OWNER 0000000 08/12/2025 BUILDING INFORMA nON I Contractor Type General Contractor Mechanical Contractor Plumbing Contractor Electrical Contractor # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Type Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal f Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Ha{arn ".6:rO-'=. Retainin9-w~il:PE-RMIT SHALL EXPIRE IF THE WORK Soils RePt?t~\)'WrL'ED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 6/2/2011 11:55:01AM Lot Size: Sq Ft 1st Floor: 60 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 7QoaENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ~l:~j~~""::,.!i'?r C''?ntljlr ThQC'1j' P "A~ ~rA ~ot fnrth ~ in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of 4 SP4~~:::E~ ~,~ ~OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01014 IVR Number: 811166020180 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Readv to Issue 06/01/2011 ISSUED: APPLIED: 05/19/2011 EXPIRES: VALUE: 11/14/2011 $5,809.80 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323303000 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom addition Frontyard Setback: Interior Setback: Sideyard Setback: 25 . Rearyard Setback: Solar Setback: 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: STORM WATER TO EXISTING Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriction R-3 1 & 2 family TVDe of Construction VB Unit Amount Unit TVDe 60.00 Sq Ft Unit Cost 96.83 Value 5,809.80 5,809.80 Springfield Building Permit 6/212011 11 :55:01AM Page 2 of 4 SP~I.N... G. FIE.~D -. .- "- ~ \_: ~ .;t,.,\ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01014 IVR Number: 811166020180 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 STATUS: STATUS DATE: Readv to Issue 06/01/2011 ISSUED: APPLIED: 05/19/2011 EXPIRES: VALUE: 11/14/2011 $5,809.80 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323303000 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom addition FEES PAID ~ Descriotion Structural Plan Review Fee Residential SDC: Total Sewer Administration Fee Residential Fire (.05 Per Sq Foot) Sink/basin/lavatory !ldmin fee (10% of applicable fees) ~~?werIShower pan Water closet Balance of Minimum Plumbing Permit Fees First_~ppli~~.-:~_.______.___ State of Ore90n Surcharge (12% of applicable fees) Technology fee (5% of permit total) SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater sac: Improvement Cost - Storm Drainage sac: Reimbursement Cost - Storm Drainage Structural Building Permit Fee Amount Paid $63.05 $70.30 $3.00 $19.00 $0.30 $19.00 $19.00 $1.00 $79.00 $28.08 $11.70 $450.03 $922.04 $20.17 $13.86 $97.00 $1,816.53 Date Paid 05/19/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 ReciDt # 2011001153 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 2011001407 Total Amount Paid Plan Review ~ Deoartment Initial Review Received OS/24/2011 Due Date OS/24/2011 ComDleted OS/24/2011 Result Approved Reviewer David Bowlsby -.... "'.,~'- '-~-'.'~ -..,>':--':_' -,..._-................."'!:~---...-,-..,....----".-----c-r-. ',,' .' ~ ;A_PPIi~tj~~ Acc~Ptan~.~"i .,<,. <::" ,05/:1::~.01,~:~~. ;05/1~~(~1 ~-,:~;:Y~/2~!2~11,: .<:tp~~_~a~lon.Acc~~t~?~;: "D~'Yi<j B~~~~by..'},.; L:..- ..~ -' _____.;::' '. I'. -. '~""-"___"",-_." . '_ .. II .~,' Public Works Review OS/24/2011 OS/24/2011 OS/27/2011 Approved Ben Gibson Comments: STORM WATER TO EXISTING StructU~al 'Review" '~';o5/24/2011j '05/24/2P1.1 . -'06/01/201,1" ,~ . ., ., '-, . :",..' ' !o..;' .Approved ..",'~; /'If: j Plannin9 Review OS/24/2011 OS/24/2011 06/01/2011 Comments: No Planning issues Approved Plan~in'g :R~vie":,,, ~ ....05/24/2011 ': OS/24/2011. .06/01/201.1 .. ... .. '{";r.' " ;';J, '\-1Approved ;:. U" ,.~ Springfield Building Permit 6/2/2011 11:55:01AM Chris Carpen!er ,,-,' . ,:i-: 'P'!" c, Tara Jones ::Ta[~Jon~~s.~:~ ~";,.,., Page 3 of 4 5P~~N~~~~ ~.~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01014 IVR Number: 811166020180 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfiefd.or.u$ PROJECT STATUS: STATUS DATE: Readv to Issue 06/01/2011 ISSUED: APPLIED: 05/19/2011 EXPIRES: VALUE: 11/14/2011 $5,809.80 SITE ADDRESS: 4146 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323303000 SCOPE: Bathroom WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Bathroom addition INSPECTIONS REQUIRED ~ Inspections 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1150 Slab/Flatwork Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1260 Framing 1400 Perimeter Slab Insulation 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1530 Exterior Shearwall 1999 Final Building 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. UndersJab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. 3150 Underslab Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work 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 J 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 lime, 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. /\/2. {It I II Date Springfield Building Permit 6/2/2011 11 :55:01AM Page 4 of 4 SP~:~....G..~.fIEL~ ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 811-SPR2011-01014 4146 CAMELLIA ST permitcenter@ci.springfield.or.us www.ci.springfield.or.us RECORD NO: 811-SPR2011-01014 DATE: 06/02/2011 RECEIPT NO: 2011001407 lDESCRII~JION:'- -. ..... " ~.;. _ '+. ;. . Admin fee (10% of applicable fees) Balance of Minimum Plumbing Permit Fees First Appliance Fee Residential Fire (.05 ~er Sq Foot) SDC: Improvement Cost - Local Wastewater sac: Improvement Cost - Storm Drainage sac: Reimbursement Cost ~ Local Wastewater sac: Reimbursement Cost - Storm Drainage SDC: Total Sewer Administration Fee ShowenShowerpan Sink/basin/lavatory __State of Oregon Surcharge (12% of applicable fees) _~ruct~~al B~ildi~~~~~~~.:!-_ Technology fee J5% of permit total) Water closet ,;;; 'L " A'C,c.ciuNT~c.oDE 7_-' .'~ - - ;..AM0.UNJ;O.UE 224-00000-426605 0.30 224-00000-425603 1.00 224-00000-425604 79.00 100-00000-424005 3.00 443-00000-448025 450.03 440-00000-448028 20.17 442-00000-448024 922.04 441-00000-448029 13.86 719-00000-426604 70.30 224-00000-425603 19.00 224-00000-425603 19.00 821-00000-215004 28.08 224-00000-425602 97.00 ~----- 100-00000-425605 11.70 224-00000-425603 19.00 TOTAL DUE: 1,753.48 ~ ." ....MOUNT PAID 1,753.48 l PA'Q'vtElIT'rYPE Check 109 , ~ ~ YOR, _' CASHIER'NMACHADO ".' 'J<OI\1M.ENTS ~~" UNDERPASS MINISTRIES TOTAL PAID: 1,753.48 -I SPRIN..G. FIEL~..D .~ ';::~ ..'. OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01014 4146 CAMELLIA ST CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541.726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011001153 tDESCRI~TION .E Structural Plan Review Fee Residential ,,' - -ACCQUNT-CODE;, 224-00000-425602 TOTAL DUE: DATE: 05/19/2011 +, AMO:UNT~D.UE' , I 63.05 ----- 63,05 AMOUNT,PAID 63.05 RECORD NO: 811-SPR2011-01014 L~~'\'MJ~/'KTYPE~~'y_QR... CASHIER'DBOWLSB,. . Credit Card paul gross 192782 C.QMMgN.IS ~~. ^. .,. TOTAL PAID: 63,05 Structural Permit Application "'. [.., :g....,.Ai',._ ~ -". -~'l:i. .;"~~"';'"' ;- _,,:,~. :;';~:rr.~;~ ~~7.r-.~~ "'~~ -:. .:-;;.-' ;...~.J)if~" Qf"&p,~I:NQFl,Il,Eq;"~~Es;!g~,,t,~t '~~~" .t,t';'f.':"~, DEP ARTMENT USE ONLY ~t::f;,:f;~ II -00 10;'1 Date: S- -/ -I This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is , suspended for 180 days. '",,-';, ,;;, Lqq'AL 'C3'9yg@r.i~~Tj;'~~F[Royi,\t\(:;l;h;;t\b:~~~; 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 ~rlt~~~~~~~~!)~'ATE~3i~Y:~:O_FJ1~,oN$):~W.c_itH~Fi~1tl;~~;iii~';M-~~l, Residential 0 Government 0 Commercial i'~':tiJ~::;~i;.(6Bisl;j-E?iN1fbRMATION~ANt!kLo:C;ATi9Njir},~,'tri:i:: I (,. I~t; Jr City: -/1{.A4 225 Fifth Street. Springfield, OR 97477. PH(54 ])726.3753' FAX(54 ])726.3689 City: Phone: ZIP, Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements ~1.010. , ~ \ Sign here: l I " , c:ONTRAc-.:OR,INSTALLATI9N~""" '.' Business name: OW AI Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: ~~Pl'~:~$UB"CQNJ;~CTOR.:IN~ORMATIQN:1';:1i\r"',*1>il~"jlF Name CCB License Number Phone Number Electrical Plumbing Mechanical c.' , ','_' t,' "',):,',;iFEESCHf6uLE,i"'f' :,~",.,"; .','" c', ':i;:;Va.~.~'~~(o'~'(n_'fo~r.D!1i_tio~~~~J~~:~\~~~;i1;}i;:1;'~;i.it:.;*::;t;;~4;;JJt'~;S::!;J~~);iJ1J~~~~ (a) Job description: -zA-'I+- A-()~ I 1/0/\,1 Occupancy ~ "3 Construction type: "IS Square feet: t-, 0 Cost per square foot: '1h8 :x Other information: Type of Heat: Energy Path: 0 new 0 alteration ~dition (b) Foundation-only permit? 0 Yes ....81"'> - Totol valuation: $ s;;6U 7 t' . '";'-'.:-: '.:...:"..-.~:'..~:.,(.-...-..,"_~..-'-,,,,:.;-.....;:...-,: 'l..'." .~.... -'" /,,', " ' " !..2:.'BuIldlDgfeesJ..;J..t~~"?',.:::f~s.y~;~"~~\~~i~'-;j"\.~..(.,.foO. ' ~;';~';', _. ....__... ___" ,,-_..'_~ _, I" .~.".~..~.",..'" ..'. ,.1_, ." .-'~' (a) Permit fee (use valuation table): $q?~ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (It.t:! <e) Subtotal of fees above (2a through 2d): $ ~-.~, 'VIr~"""~ ~_.,..~'i:;~?!:;-;"" ~""-"~~&:""'.:J:,)~--~;;;'" .",.~ '~.,,"-"'~ 1(' >,;:}~~~J~(Q ..,t:e~'1~w;fe~s~,1.f~1~~2}Dtmtt.?i f~ftq:r;t{;t-:i~LJiiJ~;' ";S~ pSi _ (a) Plan review (65%x permit fee [2a]): $b":> (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ Z~gMi~f~lfiIDeQ.us)t~~~,~t,~,T' "; "'," ~':;;:\9\u;, .;, (a) Seismic fee, 1%(,01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+40): $ !J>'ft7/f MN t:~~5 l'l ffv /l44/lP#,(:.. #? &ao:..#e tJl;f11 yt?ft' I Iff. g'lf-lr'~$Jl'1