HomeMy WebLinkAboutPermit Building 2011-7-20
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01687
IVR Number: 811157773743
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
07/20/2011
ISSUED:
APPLIED:
07/20/2011
07/06/2011
EXPIRES:
VALUE:
01/15/2012
$6,000.00
SITE ADDRESS: 102 WOODLANE DR, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703262201800
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Garage Conversion
Phone Number:
OWNER:
ADDRESS:
KING SPENCER W
102 WOODLANE DR
SPRINGFIELD OR 97477
KING STEPHANIE L
102 WOODLANE DR
SPRINGFIELD OR 97477
OWNER:
ADDRESS:
Phone Number:
Contractor Type
General Contractor
Mechanical Contractor
Electrical Contractor
Contractor Name
OWNER
OWN ER
OWNER
CONTRACTOR INFORMATION I
Lic Type
OWNER
OWNER
OWNER
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat: Forced Air Electric
Water Type:
Range Type:
Hazmat:
# of Units:
o
Construction Type
. Occupancy Type
Occupancy
Comments
Type VB
R-3
Garage Conversion
# 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:
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
7/20f2011 3:52:15PM
Lic No
0000000
0000000
0000000
Lic Exp
08/12f2025
08/12/2025
08f12/2025
Phone
Lot Size:
Ar't~Hst Floor:
f "8Xf,1h1pflcioO,regon law requires you to
o. U1es adopted by the Oregon Utility
~OlifidUtfuJIj'l!ruWrer. Those rules are set forth
o~ CSl\lih9Wa:l@I-001 0 through OAR 952-001-
~.F{CJlJill/Mr.obtain copies of the rules by
c~W~tl~p.enter. (~ote: the telephone
nuoc~~r",~[yt~~aQJegon Utility Notification
'"en er IS 1-800-332-2344).
2008
NOTICE:
I ~'IS PERMIT SHALL EXPIRE IF THE WORK
t,uTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 4
SPX:.._G..::tij
~~
~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01687
IVR Number: 811157773743
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
07/20/2011
ISSUED:
APPLIED:
07/20/2011
07/06/2011
EXPIRES:
VALUE:
01/15/2012
$6,000.00
SITE ADDRESS: 102 WOODlANE DR, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703262201800
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Garage Conversion
DEVELOPMENT INFORMA nON ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvoe
6,000.00 Bid
Unit Cost
1.00
Value
6,000.00
6,000.00
FEES PAID
I
DescriDtion
Structural Plan Review Fee Residential
~!,~: of Oregon S~~:J~?% of applicabl~ fees)
~~~~Iogr!.:..~o of permi~~~tal)
Branch circuits without service or feeder - each additional
B';;;hc~its' withQ'UtSe-;vj~;t;;der - 1 st circuit
F~5rA-ppliance-~.'.
s~~j"BUiTdingpe;mjtF~~--
Amount Paid
Date Paid
07106/2011
0712012011
-_.._._~-~
07/20/2011
07/20/2011
07/20/2011
-------07/'20/2011
07/20/2011
ReciDt #
2011001905
2011002074
2011002074
2011002074
2011002074
2011002074
2011002074
Total Amount Paid
$63.05
$29.16
$12.15
$12.00
_._-----~.._.~._--
$55.00
$79.00
$97.00
$347.36
Springfield Building Permit
7/20/2011 3:52:15PM
Page 2 of4
,
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S;i::;:EL~
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. ""Abr>. OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01687
IVR Number: 811157773743
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
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
07/20/2011
07/06/2011
07/20/2011
SITE ADDRESS: 102 WOODLANE DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703262201800
EXPIRES:
VALUE:
01/15/2012
$6,000.00
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Garage Conversion
Plan Review
I
DeDartment
Application Acceptance
Received Due Date ComDleted Result
07/06/2011 07/06/2011 07/06/2011 Application Accepted
Structural Review
07/06/2011 07/06/2011 07/1212011 Waiting Internal
Reviewer
Kip Kaufman
Chris Carpenter
Public Works Review ,.;,,;";1-,<07/09/291 !c',' 07!961201:1' :. OJ/13/20.1.1.::, '; 'ApPE.oved",: ~.: ~':" ..~Kaye-:Wilson ': ~;.. .
. ~d . ';ii. ,. ..'.. ....,::,,\> '.-.<.';;; 'j,,,:" '''_. ....". '.~:' i', ',/, '-".;,)<..t.;h-r::. 't"'~."f+;'L_...-c. .~' '..;-' ",'; ,?" r:t;r,,,,')''[' _,.~;l" ,.,- _'0~'.~'+i,"
~';~.' ".":"~ ,:-..v t ,
.~tomrQ,:~t~,~.~_,~Nonewsul"face Ilo,~ew,fixtur~~ .n?,Sp9k~;?~"';~ "'i'.\y} ., _,' ,. ~'.~"'~;i:~':~-~&Y'~>f~~ ~ ,~. -c," ,""-
"..;,.....--...-......-'-""""~._~.."~......~_..._- ".""'~"-~.......... .""
Planning Review 07/06/2011 07/06/2011 07/14/2011 Approved Tara Jones
Comments: No Planning issues
fStruc.~-tal}~~Yi.e~-',~"~t(9~/201,t .-,07j96i~91,;1<:..tO~!~~/2.~1'~ ..,'~8~~_~i,~~-~i:'"~~: ."~ " ,Chris carpent~~~~~--:_ ~~~7"""~l
...~"-"- ~.. __:.."j_,_,___~~'~~}L/; ',_f'}~.. . ';[' ,t ,,_~ ~::~~::;:~:&~~:--:..,.I:~.-.~!ti~~,r,<;" 1:..,,- ,."~:':_~'~L~2,,, : 'c~...,,,,,-;.,'.7' ~f.,~,~j
Permit Issuance
07119/2011 07/19/2011 07/20/2011
Issued
Chris Carpenter
INSPECTIONS REQUIRED ~
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.
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 Electric: Prior to Cover
Final Electric: When all electrical work is complete.
1440 Insulation Ceiling
1999 Final Building
Ceiling Insulation: Prior to cover.
2300 Rough Mechanical
2999 Final Mechanical
4500 Rough Electrical
4999 Final Electrical
Springfield Building Permit
7/20/2011 3:52:15PM
Page 3 of4
.
SPRING, FIE, L~,o '
&Jl_
0ftlt,~
:fL:"':" "-OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01687
IVR Number: 811157773743
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
07/20/2011
ISSUED:
APPLIED:
07/20/2011
07/06/2011
EXPIRES:
VALUE:
01/15/2012
$6,000.00
SITE ADDRESS: 102 WOODLANE DR, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703262201800
SCOPE: Garage Conversion
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Garage Conversion
By signature, 1 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.
~r-- C,If'
7/Z6/26!r
. I
Owner or Contractor Signature
Date
Springfield Building Permit
7/20/2011 3:52:15PM
Page4of4
."
Structural Permit Application
-_'~P'''.''',"~
.,o'0'"'k, .."" ,,''0 ;." ,'0.. e. . '';''~~'i'" "; (,',~~~~~*;,
225 Fifth St".t. Sp,ingfi.ld, OR 97477. PH(5'l )726-3753' FAX(54t)726-36895 - _ ~
DEPARTMENT USE ONLY
Permit no.: 5/1- / ~6'7
Date: 7 t? / /
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofissu nee or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has linal land-use approval.
Siglluhlre: Date:
This plUject hos DEQ approval.
Signature: Date:
Zoning approvuJ verified: 0 Yes 0 No
Property is within Oaod plain: 0 Yes 0 No
CATEGORY OF CONSTRUCTION
esidelltia\
D Government
D Commercial
JOB SITE INFORMATION AND LOCATION
Job sit. odd"ss: ?JCOD L/1IVe=-
'J
/'PJ
City:
Phone:
E-mail: ~C'.
This installation is being ade on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements lmde ORS 701.010.
Sign here:
nusiness name:
Address:
City:
Phone:
E~mail:
CCB license no.:
Print name:
State:
Fax:
zw
Signature:
SUB-CONTRACTOR INFORMATION
Name Cell License Numher Phone Number
Electrical .~
Plumbing ... IlfV
Mcrllllnicnl UV '
FEE SCHEDULE
1. Valuation information
(n) Job description:
Occupancy
Square feet
Cost per square foot:
Other information:
Type of Heat:
,4.
Energy Puth:
o new alteration
(b) Foundation~on]y permit?
Total valuation:
2. Building fe.es
(!;l) Permit fee (use valtmtion table):
(b) Investigative fee (equal to [2al):
(0) Reinspection ($ per hour):
(number of hours x fee per hour)
o addition
DYes
DNo
$
$
$
$ i-
S
$ 3::2-
$
$
$
S /'ld? ~
(d) El~ter 12% surcharge (.12 x [2a+2b+2cl):
(I:) Subtotal uffees above (211 through 2d):
3. Plan review fees
(a) Plan review (65% x permil fee [2aD:
(b) fire and life safety (40% x perini! fee [2a)):
(c) Subtotal offces above (3a and 31>):
4. Miscellaneous fees
(a) Seismic fee, 1% (.01 x permit fee (lal):
TOTAL fees llnll surchnrges (2e+3ci-4a):
Electrical Permit Application
~r1>- ~;:f':illf,",,,,"~ -:;!1k.j'''''~~..""", "';~0:::"'(' ~":""" ~ p~"" - '7
~Cllf\liY~OF"SFRINGEIlEr:.D ,0REG0N li:
"'@~1 J \;-~"4.-~'! "z...,,":"'''''';' ~, "m"-"'Y0>'C1."}l" 'i t::\&?E\~~ -";;..,;: ,
225 Fifth Streett Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
~ f?\'L" ,.,.,_,"'.. -..... ..... _'-"--.------> -,'.'- . ..: ','
;, ';'DEPARTMENT USE:ONLY, '
/j:,:)d' '" ".t~.):y-">r,.,jY'IF. "," : .:,- .. -,:;,,""<:<''''/.::' ..
Permit no.:
Date:
/I
This permit is issued under OAR 918-309-0000. Permits are uoutransferable. Permits expire if work is uot started within 180
days of issuance or if work is suspended for 180 days.
. ie' ;;']IiOC,6.Ii,GOVERNMENTtAPPROV.6.L~ ",," ..
Zoning approval verified? 0 Yes 0 No
~A'h",;]C.6.TEGORY' OF'CONSTRUCTIOril"", ,':' .
[rResidential I 0 Government I 0 Commercial
t, ':"[JOS,:SITE.'INFORMATi6N].6.NP'LOC,6.fION']
Job site address: / t) 2.. vJCJ() p~ fV7
City: WIZtIUt;R'&?!) I Stat~ I ZIP: 77'-11ll?
Reference: 1703 2(022. I Taxlot.C)(yO 0
,::,;~,;;:;;DESCRIf>"'IONj;OF:;WORK~:",~''i:;]' " ,F;',,','
/.,,-- ,A ~ c-' Ct>NtJelZJ'10 ,...J ~ f57:-l?/Z
(;,4'nlLL/ Abn
~:~"jj']~j{j!J{F>,ROPERT't'],OWNER ";
Name:.\PE7VLEJe... /411/C:
Address: IGL ;:':>COOC-nA/e- ~
City: &fl==U'" I State:&L I ZIP:7?V?7
Phone: Cj -;:;:s I A::l 7) I Fax: . -
E-mail: SAfkl""",Swtd J "."-'r----
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not inten'lt~ for sale, exchange, lease, or rent OAR
479540(1) and 47),,60(1). / / I.
- -7 SIgnature: .../' J ~ /;>f
. tt6R:,INStAIiL,6.TION;;",,< . T .
Business name: ~ IJ ~
Address:
City:
Phone:
E-mail:
CCB license no.:
I State:
I Fax:
I ZIP:
I BCD license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~~ .~ '\
",~lf
T~
440.2584.J (9/08/COM)
,',..' ;;4', FEE ,SCHEDULE , ..,.",. ".:
:"~Y~ber'o!j~~p~~ti:():ns'.~er"it~~~l~~":*"'.' wi' :i,.;~t,~.. ~~~l
Residential, per unit, sen>ice 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 $
201 to 400 amps (2) $ 95;00 $
401 to 600 amps (2) $158.00 $
601 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)
40 I to 600 amps (2)
$ 63.00 $
$ 87.00 $
$126.00 $
Over 600 amps or 1,000 volts, see services or feeders section ~bove
Brancb circuits: new, alteration, extension 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 $ 55.00 $ 5'S
2- $ 6.00 $/2
Miscellaneous 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)
Eacb additional inspection: (I)
:",",~;+;:i0J0'::, ...,
(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 through C):
$ 63.00 $
$ 63.00 $
$ 63.00 $
$58.00 $
.k.:, :'k,:' .
$~7~
$ X'~
$ :~3.L
$ 7f:n
,
J ....
l ·
'J
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.
SfellC€r f,I 1< f0
~"' 7""'''"
c- L/x t
Signature of ermitApplicant
7/~20(1
, .
Date
Permit #: R/I- :sfT<..2-@~L- J..68l-
Address: J..e2- W Of)t?LA-~ J>R...Dfe
5'P !2-vAl&F1:13LP/rfI.- cr:;-4-l:
Issued by: ~Date: (
This Copy for Permit Offices
..: . . .
S.cp~~=~
.ii ~~
. ~'?llii", OU:EGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
5prfngfiefd.OR 97477
541~726-3753
www.ci.springfield.or.us
811-SPR2011-01687
102 WOODLANE DR
pe rmitcenter@ci.springfield , or. us
RECEIPT NO: 2011002074 RECORD NO: 811-SPR2011-01687 DATE: 07120/2011
[bESCRIP..TION~.:::J;;;-''!' -'lh .' ","~2.'~.J;;i 't;;"J.ACCO.i.JNJ-:'c.obE ,4", ,.':'>I.\Moi.J@buE s:;::,c\H
Branch circuits without service or feeder ~ 1st circuit 224-00000-426102 55.00
Branch circuits without service or feeder - each additional 224-00000-426102 12.00
First Appliance Fee 224-00000-425604 79.00
___State of Ore~on Surcharge (12% of applicable fees) 821.00000-215004 29.16
_~~ Building Permit Fee ___. _.__________E4-00000-425602 97.00
.._ _.Technology fee (5% of permit ~otal) .__._____ ' 100-00000-425605 12.15
TOTAL DUE: 284.31
'"JPA YIVIENT T'yPEfW:'_J;.PAYOR.,_' ,'c.' CASHlliR!CCARpENTER . '.'tOMMENJS"'~;;:;:" . ,;,,";'-' " AMOlJNfj:iAfD. . "";';',-.'
t_.~.,,,",,_.. .~~_"" ....... ~~~~_.',_,....,.._..,...___ ..' ...... _ _ _ _~
Check KING SPENCER W $284.31
123
TOTAL PAID:
$284.31
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01687
102 WOODLANE DR
perm itcenter@ci.springfield,or.us
RECEIPT NO: 2011001905 RECORD NO: 811-SPR2011-01687 DATE: 07/06/2011
!DESCRIe.TIOl'f\ ;::~"',:~C;r;c. '. ...:::c;:~.,;_c..- b<~:;~';t.0_,ti",,7 'iAcc'OUNTd;oo'Et' -:-'"i'''' '"" '-~$iAIIIIOUN:r"DUE7"'E~].Y :il
Structural Plan Review Fee Residential 224-00000-425602 63,05
TOTAL DUE: 63.05
",,:;i>AYIIIIENT;T:YP.E'0,,':"'PAY()R";~-","-CASHjER:KKAUFMAN,;t;\:COIIIIIIIIENTS.'::ir;:'t.:;,;, .,., 'i!-',".:AMOUNTPAID';C;{",,: "- ;"J
__ "..;,..... '. . - o. '- . . .... ",n",~~ . . .-.~ - ---,- ~~ ',' - .. "'-~ ___
Check Spencer W King Ck #122 $63.05
122
TOTAL PAID:
$63.05