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HomeMy WebLinkAboutPermit Building 2011-7-7 ... SPRIN.G.fIE.~D ' till:; .~ ."-" . !\,i!l>, . '/''''''"OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01562 IVR Number: 811129998288 www.cLspringfield.or.us 225 fifth 51 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/07/2011 06/24/2011 Issued 07/07/2011 EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 2272 9TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703261201110 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Final inspections for Project C5.01063 Phone Number: OWNER: ADDRESS: CZIKALL TYRONE E & TERESA L 2272 NORTH 9TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone General Contractor OWN ER OWN ER 0000000 08/12/2025 Mechanical Contractor OWNER OWNER 0000000 08/12/2025 Plumbing Contractor OWNER OWNER 0000000 08/12/2025 Electrical Contractor OWNER OWNER 0000000 08/12/2025 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: ATTENTION: Oregon law requires you to " follow rules adopted by the Oregon Utility Notification 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 Notification Center is 1-800-332-2344). # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition-: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Editi6n:~' lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Site Information ~ NOTICE: E WORK THIS PERMIT SHALL EXPIRpEEI~~~T IS NOT AUTHORIZED UNDER THIS COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 7r7f2011 3:02:54~M Page 1 of 3 .1 SPRIHG....FIEL.~ .i~ -?;(~ "ie" OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01562 IVR Number: 811129998288 225 Fifth 5t Springfield, OR 97477 Phone: 541-726,3753 Inspection Phone: 541- 726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield,o(.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/24/2011 EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 2272 9TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703261201110 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Final inspections for Project C5-01 063 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: Valuation Description I Description Type of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I OescriDtion Amount Paid Date Paid ReciDt # Hourly Mechanical Inspecllons Fee (not covered by schee $5B.00 07107/2011 2011001 920 Hourly Plumbing Inspections Fee (not covered by sch~d) $58.00 07/07/2011 2011001920 ,state of Or".~~~~arge (12%. of applicable fees) $27.84 07/07/2011 2011001920 Technology fee (5% of permit total) $11.60 07/07/2011 2011001920 i;;sp;~t;;';;:-H;;"C;;:IYBU;idj;;g--- $58.00 07/07/2011 2011001 920 ~~;iYEi;ctriCail~~ections Fe~i;;-~veredbYSChed)-----$5a:oo --07707/2011 ___~---201iOOi920 Total Amount Paid $271.44 Springfield Building Permit 7f7f2011 3:02:54PM Page 2 of 3 1 SPj~~~~~ L~~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01562 IVR Number: 811129998288 www.cj.springfield.or.us 225 Fifth SI 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/24/2011 EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 2272 9TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703261201110 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Final inspections for Project C5-01 063 Plan Review I DeDartment Application Acceptance Received Due Date ComDleted Result 06/24/2011 06/24/2011 06/24/2011 Overlhe Counter f--- .... -. ._~ -~.. Ilnitial:Review ' : '. 06)24/2011, 96124/2011' Comments: OverAhe counter perinit. ..: J/, , , _ 4 ...~_ _~~_ __ _~~~__",----_-,-.-- <. Planning Review 06/24/2011 06/24/2011 Comments: Over the counter permit - Over the Counter .06/24/2011 - j '- Reviewer Lisa Hopper :'.Lis~Hopper~~ 'I I Not Required Lisa Hopper 06/24/2011 Public Works Review 06/2412011 Comments: Overthe_counter permit Structural Review 06/24/2011 Comments: Over the counter permit Q6/24/201,1 ; 06/241201,1, 'Not Required 06/2412011 06124/2011 Not Required Usa Hopper Lisa Hopper Permit Issuance "'Issued C)1iis Carpenter. Oq/24/2011 06/24/2011 ,,07/07/2011 INSPECTIONS REQUIRED I Inspections 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete. Final Electric: When all electrical work is complete. 2999 Final Mechanical 3999 Final Plumbing 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. c 7/1 (/I oat'; / Springfield Building Permit 71712011 3:02:54PM Page 3 of 3 Electrical Permit Application 225 Fifth Street. Springfield, OR 97477+ PH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY Pennit no,: Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance Or if work is suspended for 180 days. " ," LOCAL', GOVERNMEfIIT :APPROVA.8'.":[(' . "7":.~}';;~h/t{i~~'~F\~/5~:~~~'~EI;'~SCH EJjJ!iJJE~:.S~?1;'r_~i~0i~*\:'f;;~~~,~~~~~0f~ Zoning approvai'verified? DYes DNa ' .. -' ',,' ,Cost Total ,Nu~q~r' ~r.;nsp~cijo'~s pt:r ,j,te.~' p Qty. ',<' ,<',CATEGORY:Ofi ,CONSTRUC1JON), .. . c." "" ":':,'".. _ -, -; ~a.'. ' c,ost Residential, per unit, service included: 1}(1. Residential I 0 Government I 0 Commercial 1,000 sq, ft, or less (4) ~~lfJlSU.OB,;.SlliE"INfQRMA;rI()NI':A.N[jnLO.cAtION:0!i'ifE Vi $134.00 $ Job site address: '2 <)"'1 "'2 GI -rH. Each additional 500 sq. ft. or portion $ 25,00 $ thereof City: e:.., \'" "':''''P.<=~ -, ~'I State:/") fL-. ,ZIP: ot 1 <+--'17 Limited energy (2) $ 32.00 $ Reference: ~\~ ,,!TaxlotO\\\C? Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 " DESCRIPTION OF WORK",,' ">'0,;". 17... "if' t::l-c 0 R.. t>.-(",,)f"\:-rr~"'10 -~lI"V I~~~IVJ':.- Services or feeders: installatton, alteration, relocation . i r"'nl r,,'Z' 200 amps or less (2) $ 81.00 $ G,A ~ ^ ~-::.- JE'LPA..N~'I"I"" 'PROPERTY OWNER ~ 201 to 400 amps (2) $ 95.00 $ Name:li:. ~.. "" 1':f. ,;.1--u:. ,''' L c.-:z:..\-,,,, , 40 I to 600 amps (2) $158.00 $ . Address: ~,^-:>ZA. q'i~' "3 T' . 601 to 1,000 amps (2) $205.00 $ City: c:; "'''''LO I State: CD lL ZIP: "'\'1L./,-rT Over 1,000 amps or volts (2) $469.00 $ Phonefl!J/-7'/-1 ~~ 'A 9.1~ I Fax: - - Reconnect only (2) $ 63.00 $ E-mai!:-V....-.,..-^ .o....~ ~~ ft) 6""'IeIQA.<L...-. "'1~ Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or fann property 200 ampsor less (2) $ 63.00 $ owned by me or a member of my immediate family, This 20 I to 400 amps (2) $ 87.00 $ property is not intended ~')ale, ex~~~!e~;/ ;1I~nt. OAR 40 I to 600 amps (2) $ 479.540(1) and 479.560 l ji/OA!J,'C A~ " $126.00 Signatur~~~ 'if' 'f~;;...,-.I^f/ff -v-';j Jl ~ Over 600 amps or 1,000 volts, see services or feeders section above cON ,CTOH INSTArIATION , ,'. Branch circuits: new, alteration, extel'}sion per panel Business name: V a. fee for branch circuits with purchase of a service or feeder fee: Address: I Each branch circuit $ 6.00 $ City: I State: ZIP: b. Fee for branch circuits without purchase of a service or feeder fee: Phone: - - I Fax: - - First branch circuit (2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: I BCD license no.: Miscellaneous fees: service or feeder ':lot included Signing supervisor's license no.: Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: Signal circuit or a ljmited~energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ :-z,..1l Q)'I.I ,~~~tjW;{~~~~{~~i<<~11:;~(;Si?~AR~_GJQ~NTA\U:S.'E\;~i:i;:t< l{~i~~1':!':,;~&X~:}i'~ ~t~> . '. :~ rJJ PC ___ - (A) Enter subtotal of above fees ~02-- I ~--e:::: (Minimum Permit Fee $58.00) $ ~\ (8) Enter 12% surcharge (.12 x [AD $ b 'z!!' . (C) Technology Fee (5% of [AD $ 2~1- .' TOTAL fees and surcharges (A through C): $ (o7 o~ 440.2584.) (9I08/COM) f)-M~V u:\ " \ "-J , ,- Structural Permit Application ~ ~. ,. ,... ... '. ."~ .... . ,,' ,., ..' """"""'''J .p.'"o~no ~;5'~.L~;,,:t. sp;~~~~:~:~:,~~:l;~~~.~,j~r~:t ~ ~ DEPARTMENT USE ONLY Penni! no,:S;, ( - I ~(:.. 2- Date: This pCl'lnit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0 suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has I1nallund-usc approval. Signuture: Date: This pmjecl has DEQ approval. Signature: Dull:: Zoning approval veri lied: DYes 0 No Property is within Hoou plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION "5J Residential , o Commercial Job site address: CiLy: Subdivis n: City: Phone; ZIP: Fax: E-mail: This installation is being made on residential or farm propl.lrty owned by me or u member army immediate family, and is exempt from licensing requirements under ORS 701.010. Si Address: City: Phone: E.mail: CCR license no.: Print name: Signature: SUB.CONTRACTOR INFORMATION NlIml' cell Liccnse Number Phollc Number Elc.lricnl Plumbing Mcehllni.nl FEE SCHEDULE 1. Valuation information (u) Jon description: ilIt:'"ZJ J"!..?zyY'f r f'iJ/Z. 17N4c..' Occup.llley f fVJI"'CC-TIc)rv'J fiJlZ- COnSlfUl:lion Iype: Ll-'''' ==-,y '0" . ""-' Square feel: Cost per square filOt: Other infonnation: Type of lIeat: Energy Path: Dnew o llltcfIltion Dnddilioll (b) Foundation.only permit? o Yes ONo Total ,'nhmtion: I $ 2. Building fees (a) Permit fee (use vulualiolllabk): $CX~ (b) Investigative fee (equal to [2a]): $ (e) Rcinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x f2a+2bl-2cl): $ /_'1(,. (e) Subtotal offecs ubo,'c (2a through 2d): S 3. Plan review fees (a) Plan review (65% x permit fee (2nD: I (b) Fire and life safely (40% x pcmlil fee [2aD: $ (e) Subtotal offecs above (3a 3ntl3h): $ 4. Miscellaneous fees 7:E- (a) Seismic fee, 1% (.01;.; pennit fee [2aD: $ TOTAL rees DmJ surcharges (2c+3d-4a): S&7~ . SP~~N ~L~ ~,,~""'- :t... \.~ . . _.'+,:,~-:;. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-01562 2272 9TH 5T pennitcenter@ci,springfield.or.us RECEIPT NO: 2011001920 RECORD NO: 811-SPR2011-01562 DATE: 07/07/2011 [DESCRII~TioN:'." ,;,;: '';;',+*f::;;:;:: ",~;;,;,:'7\,,::;::;-~":'-i:;'_L.~',)i,;~C:C0UNJiQODe:;' ;,1'>;;;:":+ ;',6.MOUNT.DUe:.. . Hourly Electrical Inspections Fee (not covered by sched) 224-00000-426102 58.00 Hourly Mechanical Inspections Fee (not covered by sched) 224-00000-425604 58.00 Hourly Plumbing 'nspec/lons Fee (no/ covered by sched) 224-00000-425603 58.00 Inspections - Hourly Building 224-00000-425602 58.00 ~ate of <2.'''.gon Surcharge (12% of applicable fees) 821-00000-215004 27.84 ____2echnol~~ fee (5% of permit t~tal) 1 00-00000-425605 11.60 TOT~l DUE: 271.44 >'P.~YMENr:tyPE:,,,:; pAYOR '4 ;'CAS,HIER,'CCARPENTER; ':'COMME:I'ir.'S".-"':.;.;'", ',C' ~MOUNipAI_D l..~__.._-...G"-,,-'-"~__~~~~ ". __ ____ _.~_. Credit Card CZIKALL TYRONE E & TERESA L $271.44 00763b , ~I TOT~l P~ID: $271.44