HomeMy WebLinkAboutPermit Building 2011-8-2
SPRINGFIE~
.~
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,""~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01870
IVR Number: 811167694976
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitce nter@ci.springfield.or,us
PROJECT STATUS:
STATUS DATE:
Issued
08/02/2011
ISSUED:
APPLIED:
08/02/2011
08/02/2011
EXPIRES:
VALUE:
01/28/2012
$2,000.00
SITE ADDRESS: 2490 CENTENNIAL BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703254306106
SCOPE: Garage f Carport
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Carport to garage conversion, as-built ~ no investigation fee per D. Bowlsby. Driveway
parking provided for two off-street spaces. Reference COD11..00246
OWNER:
ADDRESS:
DONNA M ROBINSON TRUST
87746 COLLINS LN
SPRINGFIELD OR 97478
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION I
Lie Type
Lie No
Lie Exp
Phone
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Electrical Specialty Code Edition:ATTENTION: Oregon law requires you to
Springfield Fire Code Edition: follow rules adopted by the Oregon Utility
Mechanical Specialty Code Editi~tification Center. Those rules are set forth
. . in OAR 952-001-0010 through OAR 952-001-
Munoclpal! Development Code: 0090. You may obtain copies of the rules by
Plumbing Specialty Code Edition: calling the center. (Note: the telephone
Residential Specialty Code Editio!'lumber f20001e Oregon Utility NotificatIOn
Structural Specialty Code Edition: Center is 1-800-332-2344).
# of Units:
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
Energy Path:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
,. .,.".;',~..r' ".
NOTICE: . '. .,.
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
8/212011 11 :32:03AM
Page1of3
SP~ING FIEl~
.'
"..~
::2". OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01870
IVR Number: 811167694976
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
08/02/2011
ISSUED:
APPLIED:
08/02/2011
08/02/2011
EXPIRES:
VALUE:
01/28/2012
$2,000.00
SITE ADDRESS: 2490 CENTENNIAL BLVD, Springfield, DR 97477
ASSESOR'S PARCEL NO: 1703254306106
SCOPE: Garage I Carport
WORK INVOLVED: Alteration
TYPE DF STRUCTURE: Residential
PROJECT DESCRIPTION:
Carport to garage conversion, as-built ~ no investigation fee per D. Bowlsby. Driveway
parking provided for two offwstreet spaces. Reference COD11-00246
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descrietion
Bid
Tvee of Construction
NA
Unit Amount Unit Tvee
2,000.00 Bid
Unit Cost
1.00
Value
2,000.00
2,000.00
FEES PAID
~
DescriDtion
Gar,:ge Carport
~~~3~on Sur~har9e:_(12% of applicable fees)
Technology fee (5% of permit tolal)
Total Amount Paid
Amount Paid
$58.00
$6.96
$2.90
$67.86
Date Paid ReciD! #
08/02/2011 2011002165
08/02/2011 2011002165
08/02/2011--.---- 2011002165
Springfield Building Permit
8/212011 11 :32:03AM
Page 2 of 3
S~~~NG~EL~
~~
~.ORfGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01870
IVR Number: 811167694976
www.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:
APPLIED:
08/02/2011
08/02/2011
Issued
08/02/2011
EXPIRES:
VALUE:
01/28/2012
$2,000.00
SITE ADDRESS: 2490 CENTENNIAL BLVD, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703254306106
SCOPE: Garage 1 Carport
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Carport to garage conversion, as-built. no investigation fee per D. Bowlsby. Driveway
parking provided for two off-street spaces. Reference CQD11-00246
I Plan Review ~
Department
Application Acceptance
Received Due Date Completed Result
08/02/2011 08/02/2011 08/02/2011 Over the Counter
Planning Review 08/0212011 08/02/2011 08/0212011
Comments: Over the counter permit
Not Required
Public Works Review
08/02/2011 08/02/2011 08/02/2011
Not Required
Comments: Over the counter permit
Energy -Cqde Review:-:. t'.-- '08/02/20fi--:08/02120u ":08/o272oi1;--:-~Noi'Frequjrea ,;, '<
CommentS: p~er~h~\;o~'~ier p~rryti(, : ,". , . ~ '.~,^~, ^;,"';~ '. ~ Yl'f, ;,<~:;,.;"","
Structural Review 08/02/2011 08/02/2011 08/02/2011 Not Required
Comments: Over the counter permit
finrReview; , -,L;,:J;,h:j/ ,,'" ~.;~'~;()8/02f201;1(?;,;d~/d~~O'1-1
~L;:d~rri~~~r~;';L0;b~Hhe' 9b~hfu;r~;'r~it:'";J . ~ ,:;~Ti~~1;',0< ::.;;
Inspections
1195 Structural Concrete
INSPECTIONS REQUIRED
Reviews r
Chris Carpenter
Chris Carpenter
Chris Carpenter
- -, " C hriS(,C. arpenter;-' ~.,<: '~- ~.' ~'~.,. :,--r. i
~ :,:-:" , -',' :' -,,- joG, " '. - .!~' ;~4(,>:":"',
'. -
, _ t : ,f'''' "". '0'-" ",.i,'~" _.
Chris Carpenter
~~:..c Ii ri is.' C~irP':!!lte r~
, . "....t"
'lL"",:y
:<,,',
.~;.;, .
Concrete Tilt Up Panels: Prior to placement of concrete with all steel reinforcement
in place.
Final Building: After all required inspections have been requested and approved and
the building is complete.
1999 Final Building
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
-pCtiO~
( , \
(~f'
Owner or Contractor Signature
2/ ;;jl )
L l
Date
Springfield Building Permil
8/2/2011 11 :32:03AM
Page 3 of 3
Struct'ural Permit Application
DEPARTMEt-h USE ONLY
Date: fj Z. I (
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
. ., .'::.., ,;," 'LiO; C'A';;": 'G"O':'V"-E"R"N' M"E"N-''''S':A''np''R''O''V''A'''',:;!Ii>",~,.,~1.';;;::'''t[!
,'" _'~i"';"',:!-,\';__ _. ',' ,~.-._ ~h_'"__~d'_' w'..__m .,::IJ;.; _,.1],..i2 .._".,_,_,.J.;:.::i0c-,:J;''''!1!';"'.!i~jiWi~T~~
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
,~~iqJ.~\~~~~g1~i#"c'J~~T:EGORy-:l;O~f;cONsiRUCftl(rN~t~~~::~thfd24~j:;~~,~
'Ji"",_ ~A"'.' ., .,..""",KL"...""., .:.__..._.~.w__..>..._,it._ .,_.,?T?",,",, ._ ....-" .....L.....C. >-. ,_ _..._.r.v:_.;\;l\:~-,..hfnl;.. -lf1ff'1..
l2iResidential 0 Go'vernment 0 Commercial
~i)l,,fft.iLi-;:(':')9BESi:i:E1'.I~1fo8MA'rrQNifAN[j~'(Qt:A.iT9~ji;!&%~~it;;
).If <::"'12- of 141 fI- L
City: ;;Q"\ State' 0 R ZIP:'l7 "17
225 Fifth Street. Springfield, OR 97477 tPH(54 1)726.3753 . FAX(54!)726.3689
Reference:
Name:
Address:
State:
Fax:
ZIP: q 7 '17
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.: ,
Signhere~fZo~.
.. .,
. ......90NTRACT.ORI~Sj;AI.:LA'n9N'".", ",' . ,,: "
Business name:
Address:
City:
Phone:
E-maiI:
CCB license no.:
Print name:
State:
Fax:
. ZIP:
Signature:
~~$i~X;~f';m~~:~!{i$.~Q{f~G~NlrB'At~pF{;JN ~.OJ~)iv'Afl(j~~~~~~Q~j~fj~~{i~'!
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
Pennit no.: <;\ , - IY70
,
~::.f:.? > '~':":,~.r',:';':i':;:~"':~:3';:":;j.FEE ~:'~fc~C(QiJC~.;'t;")}~,,:. "':'.
.".' ','
J:~::};Y.a)&~1i91Wif{to~r.~~~Hp:i!~g[~~k1f.4%1[i;;{;:i~~~?k~~~~if1~;;!J1j;J:~[j~!~~~k~~t:i.;
e
Occupancy
Construction type: V (J
Square feet: )..~
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
D new IZ'f alteration
D addition
.DYes
DNo
(b) Foundation-only permit?
Total valuation:
$'2000
$~"
$
$
(a) Penn it fee (use valuation table):
(b) Investigative fee (equal.to [2a)):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c)):
(e) Subtotal of fees above (2a through 2d):
$ ~
$
(a) Plan review (65% x permit fee [2a)): $
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtotal offees above (3a and 3b): ' $
&~~VM.iss~!i~!!~{E~~~~~t~~~!J$~'~~?~CO';~;, ..~{~l:,~~,~.~,'~{l~:l~'~,~"~"~':,,
(a) Seismic fee, 1% (.01 x permit fee f2aJ): $
TOTAL fees and surcharges (2e+3c+4a): $ 67 i(p
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SP=~~G:EL~
~~
OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01870
2490 CENTENNIAL BLVD
CITY OF SPRINGFIELD
225 Fifth 51
Springfield.OR 97477
541.726-3753
permitcenter@ci.springfield.or.us
RECORD NO: 811-SPR2011-01870 DATE: 08/02/2011
ifi '.' ", S-~",,~," '''JfAC;CO(jN:t~c;bDE' -,')it,'* l.t~~h.MbuN:t~O:(jEn;~.t~,ll;J
224-00000-425602 58.00
821-00000-215004 6.96
100-00000-425605 2,90
_.._---
TOTAL DUE: 67.86
l:::~.A..YriiENir.::EYR-Ej:~leA2'.O~~~l~lf~",cM~~.:'!,GOIlj.M:E&J_S::"""~-,+~"'::'l_\::' AMOUNT PAID;" _ "-L-J
Credit Card DONNA M ROBINSON TRUST 67,86
00201b
RECEIPT NO: 2011002165
[DESCRle.Tlo'N:'z ,-- ',' ,,/;rP'h(w~
Garage Carport
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
TOTAL PAID:
67,86