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Home My WebLink AboutPermit Building 2011-6-17 - , , SP.....R...I.N G~. FIE.LD. ..- ~,\., " "~ """'" ""C^'.' ~ ~. <'0. . OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01366 IVR Number: 811172093017 www.cLspringfield.or.us 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 PROJECT STATUS: STATUS DATE: Issued 06/17/2011 ISSUED: APPLIED: 06/17/2011 06/10/2011 EXPIRES: VALUE: 12/13/2011 $5,000.00 SITE ADDRESS: 586 S 68TH PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802031106808 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: As-built patio cover (built w/o permits, self-declared by owner) Phone Number: 541-726-4729 OWNER: ADDRESS: COSTA MARK A & CARLEEN D 586 S 68TH PL SPRINGFIELD OR 97478 Contractor Type General Contractor Contractor Name OWNER CONTRACTOR INFORMATION I lic Type OWNER BUILDING INFORMATION I # of Stories: Height of Structure: 12 Type of Heat: Water Type: Range Type: Hazmat: # of Units: o Construction Type Occupancy Type Occupancy Comments Type VB R-3 Patio Roof 220 s.f. # of Bedrooms: Sprinkled Building: No Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 0000000 lic Exp 08/1212025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 220 Occupancy Load: 2008 Site Infonnation I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard AriaTTENTION: Oregon law requires you to Retaining wall:follow rules adopted by the Oregon Utility Soils Report ~ilil"w.tion Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notifi<;ation Center is 1-800-332-2344), , ":<;:;";~"$' NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 6/17/2011 9:24:42AM Page 1 of4 SP.R. 11NG._. FIE~ ~'" .:>" ol:Ji (--. :" OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01366 IVR Number: 811172093017 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: Issued 06/17/2011 ISSUED: APPLIED: 06/17/2011 06/10/2011 EXPIRES: VALUE: 12/13/2011 $5,000.00 SITE ADDRESS: 586 S 68TH Pl, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802031106808 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: 15.8 Sideyard Setback: 35.6 Rearyard Setback: 22.9 Solar Setback: As-built patio cover (built w/o penn its, self-declared by owner) DEVELOPMENT INFORMATION ~ 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: 22 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Bid Tvoe of Construction NA Unit Amount Unit Tvoe 5,00000 Bid Unit Cost 1.00 Value 5,000.00 5,00000 FEES PAID ~ Descriotion Structural Plan Review Fee Residential Technology fee (5% of permit totai) State of Oregon Surcharge (12% of applicable fees) Admin fee (10% of applicable fees) Residential Fire (.05 Per Sq Foot) Structural Building Permit Fee Amount Paid $56.71 $4.36 $10.47 $1.10 $11.00 $87.25 $170.89 Date Paid 06/10/2011 06/17/2011 06/17/2011 06/17/2011 06/17/2011 06/17/2011 ReciDt # 2011001520 2011001667 2011001667 2011001667 2011001667 2011001667 Total Amount Paid Springfield Building Permit 6117/2011 9:24:42AM Page 2 of4 SP. RINGF, le~ .~ .'(.~ --' -' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01366 IVR Number: 811172093017 www.cLspringfield.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: APPLIED: Issued 06/17/2011 06/17/2011 06/10/2011 EXPIRES: VALUE: 12/13/2011 $5,000,00 SITE ADDRESS: 586 S 68TH PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802031106808 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: As-built patio cover (built w/o pennits, self~declared by owner) Plan Review ~ DeDartment Application Acceptance Received Due Date ComDleted Result 06/10/2011 06/10/2011 06/10/2011 Application Accepted Initial Review '96/10/2011':?g/;0/2011 ' :06/13/201 I -_ ,Approve(j ~,::, ' ~___ ~ _______. --.ii..--~__ -,--, w Public Works Review 06/13/201 I 06/13/2011 06/15/2011 Approved Comments: IT APPEARS THAT THERE Will BE NO ADDITIONAL IMPERVIOUS SURFACE. E><:~~~AINAGE. Structural Review, 06/13/2011 06/13/2011 ,06/16/2011 .~ r _0 Reviewer Chris Carpenter -'1-phris Carp~~~?r .;. .~: Ben Gibson DIRECT STORM WATER TO Approved -..., -~-~"Kip Kauf,r:na~----.r- --- ',.i' j Foundation: After forms are erected but prior to concrete placement. 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. Roofing: Prior to installing any roof covering. Final Building: After all required inspections have been requested and approved and the building is complete. ',' " , ,.~ ..' " Planning Review 06J13/2011 06/13J2011 06J16/2011 Approved Comments: no Planning issues Permit Issuance " 06/16/2011 ,06/16/2011",06/17/20),1, Issued . r, ~- " r~~l. INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1120 Foundation Footing: After trenches are excavated. 1150 Slab/Flatwork 1260 Framing 1620 Roofing 1999 Final Building Tara Jones 'David BOl'Ilsby 1900 Structural Investigation Springfield Building Permit 611712011 9:24:42AM Page 3 of 4 . ' SP\~N~FIE..~D. ... ~'- ,- 4U. \:t =1 ,., ,X . .'. ~~.... OREGON www.cj.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01366 IVR Number: 811172093017 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmltcenter@ci.springfleld,or.us PROJECT STATUS: STATUS DATE: Issued 06/17/2011 ISSUED: APPLIED: 06/17/2011 06/10/2011 EXPIRES: VALUE: 12/13/2011 $5,000,00 SITE ADDRESS: 586 S 68TH Pl, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802031106808 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential As-built patio cover (built w/o penmits, self-declared by owner) By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be m,ade of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~~ =^,,-D~. (y-/1- f/ Owner or Contractor Signature Date , Springfield Building Permit 6f17/2011 9:24:42AM Page 4 of 4 .tructural Permit Application ~f DEPARTMENT USE ONLY ~PRINGFlEL.D ~~ ~~ Permitno:::S'/ / - /36~ Date: tP 10 "I;' This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. '4';r~"-_:}. .~. t. "..lj.i'~''''...'-_..,.. - ~,~ 4:fffi.~ Ij. ",,');,;,-t p.r.... -;._ .*'i.:;1"", <~:. >k"''''''''; ~"'l~" , ~"Z~~~1t~lfQIN'QF.:SP~~qFIR~Q~Q1tEG,Q~l1~;?;t~~~~~(~~~. ~<;~:Jj~"J{.~ 225 Fifth Street. Springfield, OR 97477 . PH(54 I )726-3753 . FAX(541)726-3689 ,1,,:.1 . ,,;,:.:.; ,\,~,;.'~qt:Ak' ~:9~l~'~'NJJi.$Nik:~p;~~R~YAgl),g;if,y:i!:;?~Y~~'iiti~1f0f~i This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No ~M~~~Mq~{CAtEGbR)l.f,0~\C6NSTRucfTil6N'ii~,i!;?,'""i[j,;";,,., ~:i~;~;~~"--"- -.. -., T D~"~ov':~~~~'~ .".-" .,-. 'D"~::~:rr:7~~~a~1" ;i;"'Jt~j1.'....,~:fiQBisl;rE. iNifPRMAtI9N\'ANRi'[i:lcMi9Nj;j;,jif;j!:~~\( Job site address:S~ 5" C:J3 ",A/-.o City:-,S'O;;l"'" l--1eU State:P!2-. I zlfi--NiI!Y Subdivision: I Lot no.: - ........ Reference: \ ttrnO:b\\ I Taxlot:! P;,2- 0711 tlb?'tf2 PROPERTY OWNER . . ,-. / Name: H /lP1/ A ( ~<:: \ "- Address: ~ 5. 16? ~ ff.AdJ City: 5,..11",",' I -~ State:&-L I ZIIo/- CI,C/X Phone,"'ft11.;t..l t.,..;;TZ""- Fax: - - E-mai!: This installation is being made on residential or farm property owned by me or a me~~~ ~"lr ~~au~~.fa~l.!y~and is exempt from licensing requirements r'7l~OI.~10. ~ Sign here: TT ~ ~.-\ CONTRACJOR 1~S1AL~'fIi:lN ' Business narne:)t).JtJ'b.-:A-- \. Address: ..'.' ~ City: Phone: E-mail: ces license no.: I ZIP: State: Fax: Print name: Signature: l~1n.;:t.'::::r?7:r;:;~~~{~$pB-G'0NJiMGXqf{:.tN)7.().RMA:tIQ~~~'~~iWi}~Wr?!~! Name CCB License Number Phone Number Electrical Plumbing Mechanical 'J', "'. .':Y;;"\:":'-:::::';':FEE'SCH~DiJl.E'~"'>':' ,,;"';;" '.' "., ,;,\, .'I>y'at~~:~i,6~':'i.Qf91r.~~n9~~~~{fj\:~:~1~~t~i\!:~\:;;,lii,:,~;t;;,_:~;;i'K:~;:',:'J,~. :~-' " : <'I~'~ .- (a) Job descriptiori:PAllV ~Vt)<- /~ '1u..tL r Occupancy Construction type: \ I V Square feet: :2 Z c? Cost per square foot: Other information: Type of Heat: Energy Path: EJnew 0 alteration 0 addition (b) Foundation-only permit? DYes D No Total valuation: 'g:;OO $ !~IBlIiidi;.g.te~sHA:?i;:";;i!:;t\\;j.:l;h!c!f;':;!i'.;;.l::;', ',1" ;;:Ur\.: ;.': (a) Permit fee (use valuation table): $ q?:z., (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)): $ (e) Subtotal of fees above (2a through 2d): $ ~~~~;~j~~~eyj~~f~~~~1~{ii~m~}~l~%\}~~g_1~}~~~r~;:t?~~1t~:~1i~f~0 $ ",;.., 'll (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): 1A?,~.liceil~n~_~ifslt~~~;:f~~;~;~r{~i; {g~i::;;i.:,~ ~;\",; (a) Seismic fee, 1 % (.01 x permit fee [2a]): TOTAL fees and surcharges (2e+3c+4a): S $ $ " Y:;'~;,,',,'" .,-, ---,. ; .; '-h~' $ /J S - pU/ L- T WI. D fJ-az-w..t T S IS ,5t;./.-F -O~~(""S - {)Wrvt~ - S PRIN.G_FIE L~ ~l.\. '., 1I>f. ~: \.~ it., OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Sprlngfield,OR 97477 541.726.3753 www.ci.springfield.or.us 811.SPR2011..()1366 586 S 68TH PL permilcenter@ci.springfield.Of.US RECEIPT NO: 2011001667 lDESCRI~TION Admin fee (10%' of applicable fees) Residential Fire (.05 Per Sq Foot) _~ate of Oregon Surcharge (12% of applicable fees) Structural Building Permit Fee Technology fee (5% of permit total) RECORD NO: 811-SPR2011-01366 DATE: 06/17/2011 ACCOUNLCODE AMOUNLDUE 224-00000-426605 1.1 0 100-00000-424005 11.00 821-00000-215004 10.47 224-00000-425602 87.25 100-00000-425605 4.36 TOTAL DUE: 114.18 . . . 'AMOUNT,PAID l..e~Y.MI;NTTX~E -----L~A.,Y..OR . 'CASH"ER: DBDWLSBY Check mark costa 1724 C,OMMEI'ff.S .. 114.18 TOTAL PAID: 114.18 Sf. RI~~. FIE~ ~i. - 'IM ~ i.~ ,:,/"~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01366 586 S 68TH PL permitcenter@cLspringfield.or.us RECEIPT NO: 2011001520 RECORD NO: 811.SPR2011-01366 ,DESCRII~JION'_~~ " _.:....:._{'~-.--:ACCOUNT.CODE Structural Plan Review Fee Residential 224-00000-425602 -----~--- .~-----~---~-_._-_._-_. --_._-_... TOTAL DUE: DATE: 06/10/2011 (AMOUNT-DUE_ _---:-J 56.71 56.71 AM.oUNTPAID ~ 56.71 LI'AYI'v1!'NTTYPE~AYOR: CASHIER: CCARPENTER -:' :"~QMMI;NIS ','/. . Check COSTA MARK A & CARLEEN D 1726 '.:>' ,.... TOTAL PAID: 56.71