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Home My WebLink AboutPermit Building 2011-6-6 . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01312 IVR Number: 811198271074 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 06/06/2011 ISSUED: APPLIED: 06/06/2011 06/06/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676. perm itcenler@ci,springfield.or,us EXPIRES: VALUE: 12/02/2011 $2,000.00 SITE ADDRESS: 186317TH ST B, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703252403700' SCOPE: Garage Conversion WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: OWNER: ADDRESS: Garage conversion to sleeping room Contractor Type General Contractor Plumbing Contractor Mechanical Contracto;:-*---ca:tt. Electrical Contractor Lie Type OWN ER OWN ER OWNER OWNER BUILDING INFORMATION ~ # of Stories:. Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Occupancy Type Construction Type R-3 Type VB No NOTICE: " - . 'EI~iiri~~(Speeially Code Edition: THIS PERMIT SHALL EXPIRE IFpriMJjie'llJlil!?kode Edition: AUTHORIZED UNDER THIS PEm\Mllnl:il.N.i;lJ'eially Code Edition: # of Bedroom€OMMENCED OR IS ABANDOtoltOeFJ;lfl.oeveiopment Code: Sprinkled Buiiltlilg: 180 DAY PERIOD. . , Plurribing:S~~'e'ially Code Edition: Fire Alarms: No Residential Specialty Code Edition: Energy Path: Structural Specialty Code Edition: Phone Number: Lic No 0000000 0000000 0000000 0000000 Lie Exp 08/12/2025 08/12/2025 08/12/2025 08/12/2025 Phone Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 2011 16200 o 2008 Site Information I Engineered Fill: No Fill Volume: Flood Hazard Area: No Land Hazard Area: No Retaining Wall: No Soils Report Required: No Springfield Building Permit 6/6/2011 2:33:27PM Page 1 of 4 .SP..R. INGfIE~ ~.~.~.- .:..~ . '.0 . OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01312 IVR Number: 811198271074 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 06/06/2011 ISSUED: APPLIED: 06/06/2011 06/06/2011 EXPIRES: VALUE: 12/02/2011 $2,000.00 SITE ADDRESS: 186317TH ST B, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703252403700 SCOPE: Garage Conversion WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: . Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Garage conversion to sleeping room DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: I Valuation" Description I Descrlotion Bid Tvoe of Construction NA Unit Amount Unit Tvoe 2,000.00 Bid Unit Cost 1.00 Value 2,000.00 2,000.00 FEES PAID I Description Amount Paid Structural Plan Review Fee Residential $37.70 Fixture $38.00 ^...._~" .....,.~._,^..,"....._._-,..- _._..-.._--'-_.._-_...~..,~..._--~.._.._,.."--_.._- Balance of Minimum Plumbing Permit Fees $20.00 Branch circuits without service or feeder -1st circuit $55.00 Branch circuits without service or feeder - each additional $6.00 State of Oregon Surcharge (12% of applicable fees) $30.72 Technology fee (5% of permit total) $12.80 Structural Building Permit Fee $58.00 ~irst Appliance Fee $79.00 Total Amount Paid $337.22 Date Paid 06/06/2011 06/06/2011 06/06/2011 06/06/2011 06/06/2011 06/06/2011 06/06/2011 06/06/2011 06/06/2011 Recip! # 2011001458 2011001458 ~......_._._,~...-_...,,_..- 2011001458 2011001458 2011001458 2011001458 2011001458 2011001458 2011001458 Springfield Building Permit 6f6/2011 2:33:27PM Page 2 of 4 .5PRING..F.IE~ ..~ .~~* . "~>>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-SPR2011-01312 IVR Number: 811198271074 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/06/2011 ISSUED: APPLIED: 06/06/2011 06/06/2011 EXPIRES: VALUE: 12/02/2011 $2,000,00 SITE ADDRESS: 1863 17TH ST B, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703252403700 SCOPE: Garage Conversion WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Garage conversion to sleeping room Plan Review ~ Deoartment ,Application Acceptance Received Due Date 06/06/2011. 06/06/2011 Comoleted 06/06/2011 Result Over the Counter Reviewer Chris Carpenter ~~'my!e"VVi E:'5QO~fu'nien ' Permit Issuance Comments: No planning issues per T.J. t, Structural Review 06/06/2011 06/06/2011 06/06/2011 Not Required Chris Carpenter Comments: Over the counter permit r. ~~~Q.ing~V;;;~, '....~;:. ,'.';., -- :~.09/Qffi~~O,~/O?!~Of~if'~?~)J~,ry7" -_,~~~~~Rf~Jfi~~~' {~:1x ':. 'Chns~'C~rpenter-~t ,: C?~~~~.t?~~e' co~~,ter,~L' J[} :';.~'-.'~I~j01*\",0:/J::t;jl<4't'?J:~4~A:ift1t~~~:"i. ' ,.-" '. ~'1t:~ _ _ j I INSPECTIONS REQUIRED I ~.- ~:-~~:: I , . '.:..:.I '\:';';"';;0:,' Inspections 1220 Underfloor 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 Wall Insulation: Prior to cover. 1440 Insulation Ceiling 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When aU 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 Springfield Building Permit 6/6/2011 2:33:27PM Page 3 of 4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01312 IVR Number: 811198271074 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/06/2011 ISSUED: APPLIED: 06/06/2011 06/06/2011 EXPIRES: VALUE: 12/02/2011 $2,000.00 SITE ADDRESS: 186317TH ST B, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703252403700 SCOPE: Garage Conversion WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Garage conversion tc? sleeping room 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 locate the front of the prop 1 and the approved set of plans will remain on the site at all times during construction. ?~d Date Springfield Building Permit 6f6f2011 2:33:27PM Page 4 of 4 DEPARTMENT USE oNLv. 'tructural Permit Application ,- 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 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. ..'....... . .t'O'C'A'L: 'G'O'y"'E'R' 'N'M--E"N""''''A;P''P--R.'O'''Y'A'''.b;('i'':;,i,:,~_};'''i;;!\' . ... .., ,--, , """ ",' _. '_"""',;_'_ .."_...~"_..~..+....,,.'I_h,,_-, _ .K"~... ''''''''':J,,,L+:h~'''''''~"'-''''!'.'~~';'l\.,t'sL', This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: DYes DNa Property is within flood plain: DYes DNa ~~,~~~6!~;ki'tc::AtE@9~Y;{iQ~f:QN~;tR~ctrit9i-jlj;;,'i~:,';f;\\!,hi;';1;1.') o Residential D Government D Commercial i\ ;;;~i( ',;,.jtis .SrrE: 'j N~0:RMA TlgN'f,'AN o\i.o'cMIQN!:j:r:iHY,;'>\' '7 7'tJ Job site address: 1/ City: Reference: Name: Address: City: Phone: 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: '. CONTRAC'rOR iNSTALLATION'..' '".'.' Business name: Address: State: Fax: ZIP: City: Phone: E-mail: CCB license no.: Print name: Signature: Name Electrical Plumbing Mechanical 0N:)~ \, :",Git.PR.4NF.O'B~A:t{Q~~~~[{#J~;h}\~~?)T CCB License Number Phone Number SPRI~GFlEL.D ~~ ''''''''~ """""'_"->'-1i!:l',*".,Jii, ""B:i\.~ " ~ Permit no. > 11- /7/2- .... 'i .' :'. ;, :,,;~j"i,?',}'; ,FEE'SCHEl5lJLE'j<;: i'.:~"':?',:."':;:j,;..:.:. ':~':.,' Y_~~~~~{gW:i#'t()~rh1~.Hqc~'~:Pti:~\;i~tT~'t:.\i~,:~\~.i:~~i,.:~~i ~,;'::';~/~i;~.;';;=~;:. ;~,~;:,;'.A{~!"~;.:~.' (a) Job description: C t4'>L1"I'c, ~ ();/VVDt5, Or-/ t::. Occupancy /2- --ro S"Lec7' '-"'" ~~ 1'-\ - Construction type: VB Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: D new ca--arreration D addition (b) Foundation-only permit? .D Yes D No ,..j, Itr Total valuation: $ 2..000/ 1;2{ ''''b "<-:'.", ,,:.,:.'.: (a) Permit fee (use valuation table): $ Sol$' 00 (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of h9urs x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ c,-,..... (e) Subtotal of fees above (2a through 2d): $ '1~;~,~1~JTIr~y:i.~~~;f~:~s~~f~cJ:i~~~~,~~~~~~4~~~~~l~ri~'~~~~~1jN:r~i~~1~~~t~1.i (a) Plan review (65% x permit fee [2a]): $ -<:7~ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ k4.~;;'M.i~~,~ifa_"~ ~"q,~"sr f?~~fqf,"t;::;*::~:I_~~t~;~;F~:;~i;:;:;.; ::,~~r:~;~,~t;_; :f.< :\i'~;-Zc:~~.:: ".: ~, (a) Seismic fee, 1% (.01 x permit fee [2a)): $ TOTAL fees and surcharges (2e+ 3c+4a): 5/0'> ,,~ '4- \ Electrical Permit Application 225 Fifth Street. Springfield, OR 97477 + PH(541)726-3753+FAX(541)726-3689 ". DE-PAR:rMENTUSE ONLY '."-;-' . Permit no. 5"'11 - I 3 I 2-- Date: II This permit is issued under OAR 918-309-0000. Permits are uoutransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. :' t' "1E0GAL:'GOVERNMENT<~P.f!R.OVAUl,~~,,,'iif,,;r.t~fi'\Y, Zoning approval verified? D Ves D No .:1. :1'~;:,\.:i3CATEGOR:(!i0"?CONSl1RUCTlot(:~;,} ".;!",..d , o Residential 0 Government T 0 Commercial [~"ff~U9EliSlmE'~INI;0RMA1110N~AND~110CA1r10N~~:K~t"1i1 Job site address: /9: 61 /7111 "lI City: <;""f)? iAl,<; ~ 1;;/ Ij)State: ~ I Z1PCj7 r..j 7 7 Reference: \f}f)?,~r-": 7iA Taxlot.CB\e:{) .. //;; ~.~." 'DESCRIPTiON; OFWORK':1N,?",::( ,-~ L,e ," ~ h:..O?JJ?'h U/ 'PROPERTY OWNER Name: AA 111- 1\111/ II )-,:; Address:/ Ph:t /7'11-1 r---r City 'J/- /Jid'v t:/ k'ID StateD R 1 ZIP:97<J;Q Phone: SUI - q /<' 67:t) Faxr;q I , '1<;?'!,:VJ1 / v I E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: ~C()NTRACt.OR INSTALLATI0N' Business name:n fA-! /V 77-' I Address: , State: I Fax: I ZIP: City: Phone: E-mail: CCB license no.: I BCD license no.: Signing supervisor's license no.: ./7 7./7 ./ / Print name of signing supervisor:~ p-'d'" Y-././'"l Signature of signing supervis~? '7 ./7 Y ~~ ~~ 440-2584-J (9/08/COM) ~~~~~~t~?fi~:~t~{nj:%';t!i{~~E~tlS'GRI:_p)~I]E~~~~::~~f&~rr~~~~{~li . . . . ,} '."''''',',''" ','T ,."" ."Y', .. COSt"'. I Tolal" J.N~~~er,o..f~~n_sp~f.~,~~!.,~~,rd.t~~~. ,~).~~~~\: 8Ir ,i-::_~#t~tt'" Y'c~ost ,', Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new. alteration exlension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee; First branch circuit (2) Each additional branch circuit i I $ 55.00 $"~ $ 6.00 $r~ MisceIJaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) ,/ Signal circuit or a limited~energy panel, alteration, or extension (2) Each additional inspection: (1) $ 63.00 $ 63.00 $ $ $ $ $ 63.00 $58.00 ;i(;t!~~!~~f1~ra~:;n~~AR~'urcgNT!~1J~_E~i;1f:~~~t~a~~i{~~lt{".~~~;:::; (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12%.surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A throngh C): $~( $17 13:. $3"';- $ ~ ::z.. .r Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.055 (4)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: D I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date D' I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or ->~ I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. ---.:::;, 6-6"--.// Date -----::;> Permit#: >r/ -I '31 Z. Address: / fc '3 /7#1 5 r ~fhD M 1fJ'-I? '7 Issued by: ~ Date: CtP/w / It ( , jJ' This Copy for Permit Offices Y~:~;:;L~ ~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01312 1863 17TH ST B CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2011001458 RECORD NO: 811-SPR2011-01312 DATE: 06/06/2011 IbEStRT~TiON">"'j\'< p' .', """~'" ;;-:r.r;9';"s~':~',,~, ;,;; ,.>~CCbUNT2t0bE~1L : +,l,.;.,,,,,_;:;, , ''AMOUN:tOUE'~ -~-',1 Balance of Minimum Plumbing Permit Fees 224-00000-425603 20.00 Branch circuits without service or feeder -1st circuit 224~OOOOO-426102 55.00 Branch circuits without service or feeder - each additional 224~00000-426102 6.00 .__..il'~~ppliance Fee ____~____._.__??4-00000-425604 79.00 Fixture 224-00000-425603 38.00 _.. -~-~~-"'- -,-_._-,._-~~ -'-"--""-"'""--~"-~'--'-'-'-"-'-'-- --- .___S.t.a~e_~,()-,~g-,,!:...Surc_harge (12% of a~J!.Ii~~_~~~,s) 821-00000-215004 _._.._______ 30.72 . Structural Building Permit Fee 224-00000-425602 58.00 Structural Plan Review Fee Residential 224-00000-425602 37.70 w~. ',._0 Technology fee (5% of permit total) 100-00000-425605 12.80 TOTAL DUE: 337.22 OffR:ifYM'E~I3:~RI~~~"-y-~-HAY0R~~;CASH"1ER0'CCARRE~TE~;;!4]ri91>MMIr:if~"~~::::"~~~",---'; ~;~'i5~~N1QLJNT~PAJQt -.'~~~;'f -Z-l Check PAUL KWAKETRUST 337.22 1234 _--:-._---~-_. TOTAL PAID: 337.22