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HomeMy WebLinkAboutPermit Building 2011-7-20 If. .. S~~...I~ :G.:'E.L.~ .~~~ :!'Ji$s',~ ;:,c~ ""-OREGON 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 , ..<..\-. S;i::;:EL~ .~~ . ""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