HomeMy WebLinkAboutPermit Building 2011-7-7
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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.~
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-?;(~
"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
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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)
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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~
.
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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