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Home My WebLink AboutPermit Building 2011-7-28 SPRIHGF.IE. L~ ~. .;;:c;;{'_~ iJ!!l1'Ci_ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01700 IVR Number: 811168508571 wWN.ci.springfield.or,us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/07/2011 EXPIRES: VALUE: 01/23/2012 $51,513.56 SITE ADDRESS: 588 LAKSONEN LOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702352305100 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition: Family Room, Bedroom and Bathroom. Phone Number: OWNER: ADDRESS: MONTES TIFFANY A 588 LAKSONEN LOOP SPRINGFIELD OR 97478 Contractor Type General Contractor Plumbing Contractor Mechanical Contractor Contractor Name DUANE A KNIGHTS CONTRACTOR INFORMATION ~ Lie Type CCB CCB CCB SHAD CHASAN SURRETT MARS HALLS INC Lie No 12112 158295 25790 Lie Exp 07/10/2013 01/15/2012 12/23/2011 Phone 541-726-2960 541-741-3553 541-747-7445 # 01 Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Forced Air Electric Water Type: Range Type: Hazmat: o Construction Type Occupancy Type Occupancy Comments Type VB R-3 532 s.f. # of Bedrooms: Sprinkled Building: 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: Lot Size: Sq Ft 1 st Floor: 532 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2006 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: ~:~~~j~~~a: T"H'E"'W'" ORK SOilsTRl,'~oJi'iil?tl'JnJ?HALL EXPIRE IF AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notlfioation 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 numbor for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/28/2011 12:02:35PM Page 1 of 5 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01700 IVR Number: 811168508571 Issued ISSUED: APPLIED: 07/28/2011 07/07/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 01/23/2012 $51,513.56 07/28/2011 SITE ADDRESS: 588 lAKSONEN lOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702352305100 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sldeyard Setback: 5 Rearyard Setback: Solar Setback: 0 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential Addition: Family Room, Bedroom and Bathroom. DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: No 17.5 15 REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriction R-3 1 & 2 family Springfield Building Permit PUBLIC IMPROVEMENTS ~ Valuation Description Tvce of Construction VB Unit Amount Unit Tvce 532.00 Sq Ft 7128/2011 12:02:35PM Sidewalk Type: Downspout/Drains: ~ Unit Cost 96.83 Value 51,513.56 51,513.56 Page 2 of 5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01700 IVR Number: 811168508571 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/07/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 01/23/2012 $51,513.56 SITE ADDRESS: 588 lAKSONEN lOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702352305100 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition: Family Room, Bedroom and Bathroom. FEES PAID ~ DescriDtion Structural Plan Review Fee Residential SDC: Reimbursement Cost - Local Wastewater Residential..F.i':<: (.05 Per Sq FO!'t) Structural Building Permit Fee ~irst Appliance Fee Admin fee (10% of applicable fees) Single-duct exhaust (bathrooms, toilet compartments, utili Sink/basin/lavatory Showe~Showerpan Water closet Balance of Minimum Plumbing Permit Fees State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) SOC: Improvement ~ost ~ Storm Drainage SDC: Reimbursement Cost - Storm Drainage ~DC: Improvemen~~ost - Local W~w-~ter SDC: Total Sewer Administration Fee Planning - Minor Rev~~w - City Amount Paid Date Paid $308.74 07/07/2011 $812.46 07/28/2011 $26.60 07/28/2011 $47499 -'--'-o7l28iZ011 $79.00 07/28/2011 -----.- $2.66 07/28/2011 $9.00 07/28/2011 $19.00 07/28/2011 $19.00 07/28/2011 $19.00 07/28/2011 $1.00 07/28/2011 $74.52 07/28/2011 $31.05 07/28/2011 $214.21 07/28/2011 $147.25 07/28/2011 $396.54 07/28/2011 $78.52 07/28/2011 $119.00 07/28/2011 $2,832.54 Reciot # 2011001913 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 2011002131 Total Amount Paid Plan Review ~ DeDartment Application Acceptance Received Due Date Comoleted Result 07/07/2011 07/07/2011 07/1212011 Application Accepted Structural Review 07/12/2011- 07112/2011 07/12/2011 Add'llnfo Required Reviewer David Bowlsby Kip Kaufman Plarining~~e^view... ~i ,,',"'". _ ,~0711'2/20-J1'---:07i12/2dl1:'-o-i/14/2011H"" Approved, _"< . TarcfJ6hes' :-'""!!~'f,-" :;.t . c"~~~,;' P;?P;~t~b~ts 'th~ 'eJth ~treet-~2a~~~~;r2Pj~i~.o'n' 4.3~ 115 ~~_e~p~~_ $"F~~s-J[O'!1' th~~' ;jpa!(~-~ c'~~r.i~~r:. Public Works Review 07/12/2011 07/12/2011 07/18/2011 Approved Todd Singleton Permit Issuance 07/19/2011 07/19/2011 07/28/2011 Issued Springfield Building Permit 7/28/2011 12:02:35PM ---I 1 , _.:;;.;.~...iL";..:t..L-_J Usa Hopper Page 3 of 5 www.ci.springfie\d.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01700 IVR Number: 811168508571 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/07/2011 EXPIRES: VALUE: 01/23/2012 $51,513.56 SITE ADDRESS: 588 LAKSONEN LOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702352305100 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition: Family Room, Bedroom and Bathroom. INSPECTIONS REQUIRED , Inspections 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1170 Post & Beam Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1260 Framing 1410 Underfloor insulation 1420 lnsuJation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1450 Insulation Duct Ceiling Insulation: Prior to cover. 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1630 Roof Sheathing 1999 Final Building Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover 2300 Rough Mechanical 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3130 Footing/Foundation Drains 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. ; , Springfield Building Permit 7/28/2011 12:02:35PM Page 4 of 5 www.ci.springfield.or.U$ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01700 IVR Number: 811168508571 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/07/2011 EXPIRES: VALUE: 01/23/2012 $51,513.56 SITE ADDRESS: 588 LAKSONEN LOOP, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702352305100 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Addition: Family Room, Bedroom and Bathroom. 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. 1 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. ~Q, o~;zz::e k~t+V<:-, 7-- tJg-l/ Date Cl.Q~ ~\~} Springfield Building Permit 7128/2011 12:02:35PM Page 5015 , .....,..~ Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541 )726-3753 . FAX(541 )726-3689 DEPARTMENT USE ONLY Sf>fUN.O."lIU'D ~.. glM~r--. ~...."., .... ~. ~.<,... ~" . '..-', Permit no.: S. ( ( - 1'7 Dale: 7 This permit is issued under OAR 918-460w0030. Permits expire if work is not started within 180 days of is sua suspended for t 80 days. LOCAL GOVERNMENT APPROVAL This project has linalland.usc upproval. FEE SCHEDULE Signature: Dat\;; This project has OEQ approval. I. Valuation information Signature: Dule: <,) Job descriptian: gel> /!?Pf-T!+ /tDDI /7(..~ Zoning approval verified: o Ves ONo Occupancy tZ- Propt:rty is within naod plain: OVes ONo Conslmclion type: viS CATEGORY OF CONSTRUCTION Square fect: ~ 3 2- r.:1"ResidcntiaJ ) 0 Government J 0 Commercial Cos/per square fnot: JOB SITE INFORMATION AND LOCATION Other information: Job site address: SXt" LA,c.50It/c7V Type- of lie-ill: t:l..ec:rv:,./-& y~.{ A,'/ City, ,<: PM _n Slate,(hO 1 ZIPC) 7'-11 ... 2,i( -- Subdivision: I Lot no.: Energy Path: Oncw o II Iteration 181 addition Reference: /707 '<: 5"""1.I:;"lot: e <::7 01'" PROPERTY OWNER ( "c- Olo (ll) Foundation-only permit? o Yes ONo JAvl E1L~~If:;; Total \'aluation: I $<)/9j Name: -"'ddrcss: 'S1\K-Ld_~_~--r-.-' ' 2. Building fees (a) Permit fee (use valuution tublc): $ 47tf. City: S,PFI..-\'\ 1State:UY--IZIP:C}")l('7 Phone: Fax: (b) Investigative fee (CqLlilllo [2a]): $ - . - - E-mail: (c) Rcinspcction ($ per hour): $ (number of hours x fee per hour) This instnllntion is being made on residential or farm prope.rty owned by Cd) Enter 12% surcharge (,12 x pa+2b+2cl): $ me or a member ormy immediate lamily, and is exempt from licensing requirements underORS 701.010. (c) Subtotal of fees above (211 through 2tJ): $ Sign here: 3. Phm review fees CONTRACTOR INST ALLA TION ^ (n) Plan review (65% x permit fee [2ft]): $ :]o'i, l~ Dusiness name: f/.J fA R .U-..-. /~.!-7'?: {.),j F;(db- (b) Fire Hnd life safety (40% x pCI111il fee [2a]): $ Address: ?f:DO b dyde^ fl.p (e) Subtotal of rct:s ahoy!': (3a amI3b): $ City: <;~ l ':J/b~IJ\'~?/_ 'ate: (? r 1 ZIP: 779'/b ~ 4. Miscellaneous fees Phone: Fax: 6tQr zsez 0 (n) Seismic fee, 1%(.01:\ permit fee [2a]): $ E-mail, u:.... -",h-l-"" S,Cd-de'f!/'fe-.T)aIJ(JJu,,",- TOTAL fees and surcharges (2c+3c+4a): $ CCB I;ccnse no.: I /:)= /" 1 , Print name: /IJ~~ k." , ' &.1/1< Signatllre:-L1 II- $) " SUB-CONTRACTOR INFORMATION Cc.,E,# Name ceo I ,ieensr Number Phone Number Electrical ~~A~ "t-/1-- 2-957 u,c, 5""/ -- ~S:1'"~'" /5? :2-i.s- Plumbing u rrr<Jff '9<11 - Mcchnnical ~. ,CL"'4IJ ~/" <: o,~, :{5""7'10 "'. r $"""6 7 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 CityJobNumber 5//- Of 700 Date 1- 1-..<tJ// D 1 & 2 Family Dwelling or Accessory 0 New Construction D Multi-Family g), Addition/Alteration/Replacement D' Commercial/Industria) L D Tenant Improvement Job Address .,8 g-' ~5dn ef7 Bldg No, Suite No, Lot Block Subdivision Tax Map/Tax Lot /?4~, j"~~ -3 115"/t0 4#a Project Name Description of Work/location on premises/special conditions D [J>rop~ttYiri~t;ct::_,=C7=~D~===3'==='==~,:J Name :JttJ/f~r- /?1trn t-~5 Mailing Address 533 td'5/l/len City]"iifll ht"A../ State or Zip '/711 Phon "fZI1 ;;.~) :J-7St:) Fax D D Demolition Other o fi2iiilrlls@rJiX~~i'=,f:;:~fi:;:",,~lt~;,~5:~1:,::]~~~~l~r~~~=,=~~:I~~:=i{ii~irrZ2ts~~~?<~ :"~t~~~?i"~~"-~iI'::"'-;",~,z,~_=:jJ Contractor's Name Expiration Date General 7)tuu'l e eniqAr! s Plumbing ."5/JeL/ .5u_r1-~ Mechanical m a-r.s/L a.-LL~ Electrical I ..2 .,.5 , f7.s ~~O~~:~~~cat~:~~:e:~~!ftt'!it;J ~at ~~;!eideli:~~~'f;~i;!!iff~'~~Pcon~!'l,":~~ DYes D No D N/A ., 'Water Heater eleck,", Range e/~r.. Energy Path If so, Name of Planner Do you require any of the following for this project? Journal Number Over,width or Second Driveway DYes B No Temporary Power DYes [i? No Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under rovisions ofORS 701 and ma be re uired to be licensed in the jurisdiction where work is bein erformed, . Eor Officeljsf?:Only"X '" PLAN CHECK FEE Owner Representative Phone Fax o ~~~~ii?Jr(t~~i;!-:~ti\~~~~::"~;(~'~:~~f:"~~~~-~ Name Zf:l aA'le.. I:."nylz ,,~ MailingAddress !34>~/J ~~ t:Dre.- City 5fPld State t:JY Zip 9?<I?fl' . Phone Sq / ~ / ~ I, 4, Fax SL(/. SlJ5' '7:-:';,---.~~~'V:~'::'~";/.'~}'--~,{'-jo/-'/?_~'"-~:;;-~~'-_~':-;:?;;'-:-::C "T"'~' ," "'. " -:-"."o::?{ D t.4:.:c~i!!!ect~D'L~g!!~ri!ingi1:!f~r;;;;;.',!,:1:.l..J:~. .~] Name ?)i!</1.n~ ~nylLzfS Address City Contact Person Phone State Zip Fax ~_" ,. _ ,__., W." ,__'" ~_._._. _ _ ~~~~_",__._,_ ~__~~~'l:~f!!!iiiYJdJJ?:~(~~g_ '1::,::___. -,~ -~" SQ Ft X $/SQ Ft p '-~l ..J ~ Value New Dwelling Area j'"3A Garage/Carport Area Other Structure Area ;-::~;.~t~~~~~~,,,;;'G '. 110icl-;;;0P0:;0,-J;.f?J,09.<3, ."> ., . .1;' ".'., 'lQQ!RW.!'.:':f!f!!/lnQI!"tt.>.a!/1!:lMtt.!:E<!w.ly._:' ".~~::":,:,; SQ Ft X $/SQ Ft ~ Value #6'<P Existing Building Area New Building Area Total Value Existing New Occupancy Group(s) Const. Type(s) Number of Stories t:Vdp d.. ham<:- n )/1t?tL;;:"'n>AV BUILDING PERMIT APPLICATION Shared Drive(T:)/Building Fomls!Building Pemlit Application IO-02.doc www.cLspringfietd.or.us TRANSACTION RECEIPT 811-SPR2011-01700 588 LAKSONEN LOOP CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011002131 RECORD NO: 811-SPR2011-01700 DATE: 07/28/2011 lDESCRI~TION.'.~,.~..: _~' ",'.-""::'1;;; ,-', ;L2-'7~_2::',' ,,' ACCO(JNTiC::ODE~~~~AM0UNT~DLJE '. "~,.-:LJ Admin fee (~O% of app.I!cable fees) 224-00000-426605 2.66 Balance of Minimum Plumbing Permit Fees 224-00000-425603 ~..-!E~_ First Appliance Fee 224-00000-425604 79.00 Planning - Minor Review - City 100-00000-425002 119.00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 26.60 SDC: Improvement Cost - Local Wastewater 443-00000-448025 396.54 ~DC: Imp'..ovement Cost - Storm Drainage 440-00000-448028 214.21 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 812.46 _.~DC;~b~~:~!~~Storm ~rairiag,~ 441-0Cl.000-44~E~~___ 14725 SDC: Total Sewer Administration Fee 719-00000-426604 78.52 Shower/Shower pa~_. ___ 224-EOOOO-425603 ,______ ___1!!.:9~_ Single-dyct exhaust (bathrooms, toilet compartments, utility roor 224-00000-425604 9.00 Sink/basin/lavatory 224-00000-425603 19.00 State of Oregon Surch,!,ge (12% of applicable fees) 821-00000-215004 74.52 Structural Building Permit Fee 224-00000-425602 474.99 Technology fee (50/".. of permit total) 100-00000-425605 31.05 Water closet 224-00000-425603 19.00 TOTAL DUE: 2,523.80 f~PAYMENTi:'o(PE:,;r,. 'P.AYO'R':"~'CASHIER:l:HOPp.ER ..^ ~_'\:>';"L_'~",~~' . COIYIIVII;N,fs:",tLiJ\;:':0"~~" ~.}.::, , , ".; ~ ~~~MOUNT:PAIP?: ~-:! .-.~,~:...:.:~:;;..;:~""'.-='~""'~"'-'- ...~..------~..~~._._---'-"", - .. _........ - - Check Larry Alberts 2,523.80 4777 TOTAL PAID: 2,523.80 S:~~NG:::~ ~~. ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01700 588 LAKSONEN LOOP pe rmitcenter@ci.springfield.or.us RECEIPT NO: 2011001913 RECORD NO: 811-SPR2011-01700 !bESCRII~iIClN""'4;,. :c'- .~~~. -" .:2Z.:._.- ~.;i',,\.:.~: '%0,',2AccciuNT~CODE:.'. Structural Plan Review Fee Residential 224-00000-425602 TOTAL DUE: LJ'AYrilENT TYPE.J>--.;;rPAYOR: ':C'~CASHIER',Cc;AR~EN:iER{,' COMMENTS";.~_':_'-.-.' Check Duane A Knights 8215 DATE: 07/07/2011 . AMOUNT:DUE~ '. / /\ 308.74 308.74 AMOUNT pAID " .ld $308.74 TOTAL PAID: $308.74