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Home My WebLink AboutPermit Building 2011-7-7 SP~:~~~ .;,.<~ >:'7 ,'\ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 www.cLspringfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cl.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/02/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence Phone Number: OWNER: ADDRESS: JEAN STEPHANIE STONE REVOCABLE TRUST 626 28TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor General Contractor Contractor Name RILEY PLUMBING & CONSTRUCTION COMPANY LLC KEITH LEESMAN lic Type CCB CCB Lie No 169050 72082 Lie Exp 03/14/2012 04/0412013 Phone 541-998~8092 541-995-6157 # of Units; BUILDING INFORMATION I # of Stories; 2 Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: No o # of Bedrooms: Sprinkled Building: No Fire Alarms: No 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: Lot Size: Sq Ft 1st Floor: 311 Sq Ft 2nd Floor: 311 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 37 Occupancy Load: I requireS you to ATTENTION: Oregon aw Ore on Utility follow rules adopted b~~hr~les a~e set forth Notification Center. Tho hOAR 952-001- in OAR 952-001-0~t~~~h:~~i~S of the rules by 0090. You may 0 Note. the telephone 200llling the cen~r. (on Utility Notification number for the. 11e8900_332-2344). Center IS - Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 71712011 3:14:47PM ,:"..;' ...,' ~, NOTICE: E If THE WORK THIS PERMIT SHI\~~ ;.x~~ PERMIT IS NOT AUTHORIZED UNRD1S ABANDONED FOR . .. COMMENCED 0 . ANY 180 DAY PERIOD. Page 1 of 5 SP:11H. ~..FIEL~ ~l\.. -. ;;:; t:Ii ~.~,\. OREGON www.ci.springfleld.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/02/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: 22.8 Interior Setback: Sideyard Setback: 30 Rearyard Setback: Solar Setback: 21.5 Addition to existing single family residence 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: 21 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 Unit Amount Unit Tvoe 40,000.00 Bid Unit Cost 1.00 Value 40,000.00 40,000.00 Springfield Building Permit 7/7/2011 3:14:47PM Page 2of5 SPRI.N.G.....flf~ ..~ ~,~ h'~::~ OREGON 'W'W'II. ci. springfield. or. us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/02/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: - 1703361111800. SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence FEES PAID ~ DescriDtion Structural Plan Review Fee Residential SOC: Improvement Cost - Storm Drainage Water heater Admin fee (10% of a~plicable fees) Residential Fi,e (.05':e' Sq Foot) ~Jng - Minor Review - City ~tructural Building Permit Fee Water closet ~hQ~e~/_S~~~_~_~~.____ __ ...~.,,__,____,_____ ~~asin/lavat~ry ,_".,_~_.__. ~~g~ SU':ha,ge (12% of applicable fees) Technology fee (5% of permit totai) SDC: Reimbursement Cost - Local Wastewater ~DC: Improvement Cost - Local Wastewater SDC: Total Sewer Administration Fee SDC: Reimbursement Cost - Storm Drainage First Appliance Fee Total Amount Paid Amount Paid $254.83 $113.52 $19.00 $3.30 $32.95 $119.00 $392.05 $19.00 $19.00 $38.00 $67.93 $28.30 $922.04 $450.03 $78.18 $78.02 $79.00 $2,714.15 Date Paid 06/09/2011 07/07/2011 07107/2011 07/07/2011 07/07/2011 07/07/2011 07/07/2011 07/07/2011 07/07/2011 -,.,..---- 07/07/2011 07/07/2011 07/07/2011 07/07/2011 07107/2011 07/07/2011 07/07/2011 07/07/2011 Reciot # 2011001505 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 2011001921 Springfield Building Permit 7nJ2011 3:14:47PM Page 3 of 5 SPI.UNGF.IE. L~ ~!l".~~. ,~ .~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax. 541-726-3676 Issued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/07/2011 06/09/2011 07/07/2011 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703361111800 EXPIRES: VALUE: 01/02/2012 $40,000.00 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence Plan Review ~ DeDartment Initial Review Received Due Date ComDleted Result 06/09/2011 06/09/2011 06/09/2011 Approved Reviewer David Bowlsby Public Works Review 06/09/2011 06/09/201.1 06/16/2011 Approved Ben Gibson Comments: Storm water to existing drainage. r~tr~u~~~r~ReVi~~~< ~}< ~:..:\:~:~.': O.~/O.~.~~QY~ ,.~ <?-,9J~gf~g~:f9.~/~6L2?tl' "1": ~fi~~'SI,.~f?k'~i::~~ir~p:;:~ ::~_~:hr,~~,C,~~P'~rit~!/~,. 'ic~,~" r .Co!TlJTl!21~L, .~~gl~~~PP~'}~~S "~,~~ Pl,2,~,I~,;~,f~IrlO~Q-~~~~HIPtlveelef!1~nts;'{\[~~.8?~~::t?i~" ~ _ ,-" "-~"., <!' Structural Review 06/09/2011 06/09/2011 06/21/2011 Waiting Internal Chris Carpenter Plar1nlhg~~vjew. Structural Review 06/09/2011 06/09/2011 07/06/2011 Approved fr.ermit Issuance ,-'; ,. 07/06720i';:::-:07/06/20'1;1'-'07/07/2011 Jssued', L':~~.: ,~ -~"'-, ";, ~;' '.'.~':"_""1'~.,~,:,<,) '~~:)':~>'~~ '~~'~'-?~~~~:;ir ~:LL:~~:+c:f '" ... ,1 -, "~,, ",., - <iJi ~-'1-;-:+ : I',,', "i;,--,_. <:ra;f~ ~one~" .;f ,'", "',.... Chris Carpenter f :,Cnri~-Carperiter :. .3-.. > " ~, "'~O/ ""'" , -;:-_'i"""'~h;':'j<r';~': " ;". * ~ ~J Springfield Building Permit 7/7/2011 3:14:47PM ". Page 4 of 5 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01356 IVR Number: 811162928648 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/09/2011 EXPIRES: VALUE: 01/02/2012 $40,000.00 SITE ADDRESS: 626 28TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703361111800 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition to existing single family residence INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1120 Foundation 1220 Underlloor framing 1260 Framing Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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 1530 Exterior Shearwall 1999 Final Building Ceiling Insulation: Prior to cover. 2300 Rough Mechanical 2999 Final Mechanical 3170 Underlleor Plumbing 3315 Water Line 3500 Rough Plumbing 3999 Final Plumbing 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. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing 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 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. t!-~ L~~~ 7- 7-// Owner or Contractor Signature Date Springfield Building Permit 71712011 3:14:47PM Page 5 of 5 'tructural Permit Application ~'I';:;;::,1;;i)~-jG' :':-~~'-~#'S'" f: "]N-. , ,'~-v;j-':".' ,~~...1;,.'!:,\~~";,~, ":;/ ,-~:~//-"~,;t'. -.~:t;' ..j' ,,,,,-,,,.!"'; IJX"Oy.-, PR~GFIEUD",()~EG,oN,,''''';''''-' "'"n;'.'i"':~ot.i,,:' rR'NQR~ "-~""1 ,j '" i:!;."~~'l1 ~~ t(, ~ DEPARTMENT USE ONLY $//-0 Is~ Pennit no.: Date:~c::. This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 day(Qfissuance 0 suspended for 180 days, ,....;.IiOCAh ~Q'yi;@Mg~t\'AIl.BR@Y~UU:~.i;~!&;~i!l!t!~:~ This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: D Yes D No ~~tt,~~\~~~~~~4.I;\~~At~J~,9.~~~:Q_~~Jg:QN$~RP-G,ml9~~~.[itt\~:.t~rJ;~/-}:') Residential . D Government 0 Commercial f!,))i{;..,:~9B}SI:rE' fN[ORMATipN\\ANPi;[6.cMi9N;;j\:i\'f!ji'~,\, 'is d} 51 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753. FAX(541)726.3689 Reference: Name: Address: 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: '",'.' ""...,... Print name: Signature: l~~!~~:~:cl~,:X,Q,?;':i;::~~~{;$Q Ei-G,~t.{t;BAGitq~:,~i.r.fF,bf{M.AmIQN~~~~1iiW~~1!f~2 Name CCB License Number Phone Number Electrical Plumbing Mechanical w '" <' ',',';1 ':,: ".,'.;'r:.;"FEE'SCHEDl.rLE'i": , >'i;7y,"ir--;:i :,,:;;. ,...,," :_,\~, .';t.~ Yat~~i~~~fi"\~:r~ima:.Hp_'~;::~r:b~~~:~~,:t~~:~\:)t,:'~~f;';ii:'~;:r'J!:. :~_;~:.'!.~j~.~~:"~. (a) Job description: tit Jel, t, ,,- Occupancy ~J Construction type: ,/ ~ Square feet: 5 7 ~ Cost per square foot: Other information: Type of Heat: ~ec. N..'L 7v,..1\ Energy Path: -, D new D alteration ffiddition (b) Foundation-only permit? D Yes ,..B1% Total valuation: $l-/O - :).j;,~,li~4Wlg~te'e.~i1~;Ml-%tVj1ti:;1:.:t:~5~~;_?~~.~~~)::;).,_'t;;. "',',\:.;1"':;,),,.:;.':. .: '.il>~f\,_ (a) Permit fee (use valuation table): $';;:12,tJ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number ofh9urs x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ "17'2S (e) Subtotal of fees above (2a through 2d): S '~~f~t~mreyt~1tr~~~i~i~~~1~~~~~1:~?~~~~ ~ (a) Plan review (65%x permit fee [2.]): $ Z- sq (b) Fire and life safety (40% x permit fee [2a]). $ (c) Subtotal of fees above (3a and 3b): $ ;:~'4~~:'M~'~~~tia_:g~oirsI t~~~;~#~i~~~.f,.1ri"i~.)}~(.i:,l ?,-;,,:; ~\ ':1, : ):'1'1(, t;7, "..,.;;~... (a) Seismic fee, 1%(.01 x pennit fee [2a]): $ TOTAL fees and surcharges (2e+ 3c+4a): S 7IJ >~ ~'-If 729- 1~30' .4 -/ Gla;i B n~'1 ~OhVl 12/ 1f'8 0tr. Ik/~ . . . SP~~N~"?iI l~ ~OKEGOH TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541~726.3753 www.ci.springfield.or.us 811-SPR2011-01356 626 28TH ST pennitcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-01356 DATE: 07/07/2011 . ..f'i~"'--'-ACCQUN:rS:G:ODE; . -.'E;-~MQUN:rS:Di.JE ' 224-00000-426605 3.30 224-00000-425604 79.00 100-00000-425002 119.00 100-00000-424005 32.95 443-00000-448025 450.03 440-00000-448028 113.52 442-00000-448024 922.04 441-00000-448029 78.02 719-00000-426604 78.18 224-00000-425603 19.00 224-00000-425603 38.00 821-00000-215004 67.93 224-00000-425602 392.05 100-00000-425605 28.30 224-00000-425603 19.00 --+_.._--- 224-00000-425603 19.00 TOTAL DUE: 2,459.32 '" 'C. ,..AMOUNTPAID $2,459.32 RECEIPT NO: 2011001921 lDESCRII~.TION;"I-0i2-' . .. ;;0,+;.!t::~,,,_,,_;.;. " Admin fee (10% of applicable fees) First Appliance Fee Planning ~ Minor Review - City Resi~~~,~ (.05 Pe-,~!:.oot)____ _~DC: I~P!.ovement Cost - ~oc~1 Wastewater .________ SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Local Wastewater SDC: Reimbursement Cost - Storm Drainage SDC: Total Sewer Administration Fee Shower/Shower pan Sink/basin/lavatory State of Oregon Surcharge (12% of applicable fees) _...Structural Buildi~9 Permit Fee _...!.!chnology fee (5% of permit total) Water closet Water heater L~Y.tJIENT TYPE" ::'.PA VOR'.,.. 4'CASHIER,CCARPENTER Check KEITH LEESMAN COMMENTS' 9808 TOTAL PAID: $2,459.32 Spr.I!lN.G.jj!..:El~ ~l.~ ~, ~ ::-SOREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01356 626 28TH ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2011001505 RECORD NO: 811-SPR2011-01356 DATE: 06/09/2011 tOES'CRi~TIElN),,;,;j1.7,j/ '::'"l "~;~>",!>;zj;!;'''"';~'~:'~i'';'r;,'",,,,'; ACCQiJNT':CQDE~'Jij,:",,,,,:, j ..::f'AMQUNLDUE', i"t, .' ," " Structural Plan Review Fee Residential 224~00000-425602 254.83 TOTAL DUE: 254.83 L.P.AXMEN'U;YeCh;;'p.AY9~:8CA~lER;!:l~OWU:;BY~~~;'~C9rviMEN;r.S'Z;'7".;;;~.i;:'~"..;" :-'AMOllNT.P'AID.' '.1.;. ii, ~.' Check leesman construction 254.83 9791 TOTAL PAID: 254.83