HomeMy WebLinkAboutPermit Miscellaneous 2011-8-11
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01923
IVR Number: 811160283999
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
08/1112011
0811112011
Issued
0811112011
ISSUED:
APPLIED:
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
EXPIRES:
VALUE:
02106/2012
$2,000.00
SITE ADDRESS: 650 HARLOW RD, APT# 118, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703224302100
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Remove infilled windows and siding to resotre original open patio
Phone Number:
OWNER:
ADDRESS:
DORNAN PAUL A
47863 HWY 58
OAKRIDGE OR 97463
CONTRACTOR INFORMATION i
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
Electrical Specialty Code Editio,;:ENTION' Orego I '
''''II '. n aw reqUires you to
Springfield Fire Code Edition: OW rules adopted by the 0'
Nnti'j"Ation C t I egon Utility
Mechanical Specialty CodE> Eijition: en er, Those rules are set f rth
Municipal I Development c~~~;;~~2-001-001 ~ through OAR 952-~Ol.
w . may obtam copies of th ,
Plumbing Specialty Code Editio'ii:lg the center (N t ' e ru es by
-" .,~ t ,0 e, the telephone
Residential Specialty Code Eijition:r or the O,regon Utility N t'f' ,
Cent ' , 0 Ilcatlon
Structural Specialty Code Edition: er Z!l10800-332-2344).
I Site Information ~
Contractor Type
General Contractor
Contractor Name
RJ KRUMDIECK CONST INC
Lie Type
CCB
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Occupancy Type
Construction Type
R-3
Type VB
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Lie No
70686
Lie Exp
12/10/2011
Phone
541-746-1238
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
o
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
~UTHORIZED UNDER THIS PERMIT IS NOT
,-,OMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
8/11/2011 11:35:25AM
Page 1 of 3
SP:13N.~~EL~
~,~
~OREGO'"
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building J Commercial Permit
PERMIT NO: 811-SPR2011-01923
IVR Number: 811160283999
225 Fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenler@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/11/2011
ISSUED:
APPLIED:
08/11/2011
08/11/2011
EXPIRES:
VALUE:
02/06/2012
$2,000.00
SITE ADDRESS: 650 HARLOW RD. APT# 118. Springfield, OR 97477
AsSESOR'S PARCEL NO: 1703224302100
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Remove infilled windows and siding to resatTa original open patio
DEVELOPMENT INFORMA TION ~
Overlay Dist:
# Street Trees Reqd:
Pave.d 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
I
Description
Bid
TVDe of Construction
NA
Unit Amount Unit Tvee
2,000.00 Bid
Unit Cost
1.00
Value
2,000.00
2,000.00
FEES PAID
~
Description
Building Permit Fee
Technology fee (5% of permit total)
State of Oregon' Surcharge (12% of applicable fees)
Total Amount Paid
Amount Paid
$58.00
$2.90
$6.96
$67.86
Date Paid
08111/2011
08/11/2011
08/11/2011
ReciDt #
2011002224
2011002224
2011002224
Springfield Building Permit
8/11/2011 11:35:25AM
Page 2 of3
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: 811-SPR2011-01923
IVR Number: 811160283999
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
08/11/2011
08/11/2011
Issued
08/11/2011
225 Fifth St
Springfield,OR 97477
Phone: 541.726.3753
Inspection Phone: 541-726-3769
Fax: 541.726.3676
permitcenler@cLsprjngfield.or.us
EXPIRES:
VALUE:
02/06/2012
$2,000.00
SITE ADDRESS: 650 HARLOW RD, APT# 118, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703224302100
SCOPE: Commercial Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Plan Review
Remove infilled windows and siding to resotre original open patio
~
DeDartment Received Due Date
Application Acceptance 08/11/2011 08/11f2011
Comments: No PW impact, Planning ok'd by Mark M.
Com DIeted
06/11/2011
Result
Over the Counter
Reviewer
Chris Carpenter
Planning Review 08/11/2011
Comments: Over the counter permit
[F>e7rnitISJ~ence~<,:, :.... ;';" 98/J11201).;0:8L;?,g011.,~.8./1 J12011' ,
LC~:)tTf!1)ents:~ ';cNOiPW.jmpact;'-Plan~lngj~.>k'd bYLM~rk M. .. ..:" ,'",,,,,' .: -;;;-.
~.. .,,-c......,-..-..,'..;"",.,.- -,-', "-'~~_' ,',:_.,
Public Works Review 08/11/2011 08/11/2011 08/11/2011
Iss'ue~ ,;: ,~,?:tt~:':F~\Chr;~Carp",nr.,f','"
.[:.~;.],~<' - /.~'-,-.3~",,',' ,:;:-< ~;!-
Not Required Chris Carpenter
:2 ~"
-- <~- .:".,~t-10-
',.,:-.:;",'{'^:
" "'-
..
Comments: Over the counter permit
Ebergy C9d~;ReView,,,...;rt' . ',~~1}1/201J /6~i111,201 i'~"681;1J1(201;1; NotRequired', >"
:'Commen"ts\. :qv,erthe;co.u.l1terper!!1it', . . ,,~_,r.:i;./' ,"'.'- 'J " "-~J_,t~. -14.~' ~~_
~_,_,~"",,"-,,-.,._~~:;:.::r_~._ ___d'.,,-.__~~-_
Structural Review 08/11/2011 08/11/2011 08/11/2011 Nol Required
Comments: Over the counter permit
!Fire,Review' .,". .;;; .Jo8/1:1720"fl~0~l!11201'f'<08)fii2011
!~:__s~~n~eht~:'i~;r,Jh~~~~2~[ pe~~~t>':' '~" :;~:, ''t1} ~~:,~~~ ,-' _'~'0h < ,::
\JPhfjs,Came~terA:,\ 'T,
0' .." ~ '
.~
/1" .,.,~ ",
Chris Carpenter
Not Rr'~ed:,~<~'~.: Chr~s,c~pen~~~ 'c. ,'.
;
l
"t::>,'
INSPECTIONS REQUIRED ~
Inspections
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
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 aJl required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located a the front of the pro rty, and the approved set of plans wlll remain on the site at all times during
cons ion.
~~!/-i I
Date
Springfield Building Permit
8/11/2011 11:35:25AM
Page 3 of 3
Structural Permit Application
~..' ';"1. .: '''<;'':''-,~ "'-.".\l_","e..-. ,.-"!iiFI;......-:.::,,~!'" . ~m '0;,.',
:,~~, :'i ;~c;H;Y 9F>~PJYNGFlELQ~:@~GQW~,;~~;,;;: "', "', , .,':..~.
'OEP ARTMENTUSEONL Y
Permit no,: ~ I 1-1"122>
Date:
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.
. LgcAh '!;QY'ER,!'IM1=N'f:;AeF>,R9:y,6:11Y;'P);, "111');13'::.;':(-
This project has final land-use approval.
Signature: Date:
This project has DEQ approvaL.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
~;~.,;;t, jiCj.i;;i,i:t-,,'ijjl.:!'CA, "'EG' 0RY,)j0FiicONSTRUt,fION'::,:::K':;;",'i~i:;;,.;:.:i
.w~,n;>t' .'.,_"..,_....",}".,~, ....c. ,__, .."__.......,,~~}"'-.._.....""',. .... ". ..,_'.....,. " ......'. ',,", ,.,,....A...-_'".,,.....,...l,.....!..I.' ,,'.-
Residential 0 Government 0 Commercial
Ni! r[Q'N \'ANpiLQCAi'iQ(Ii;iht'j'!i', fi!.lP
( 00
225 Fifth Street. Springfield, OR 97477. PH(54 1)726'3753 . FAX(541)726,3689
Reference:
, PROPERTy' OWNER
Name:
City:
Phone',
Fax:
E-mail:
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 un~ORS 701.010.
Sign here: /U cz. ~
CONTR
>\L
City:
Phone:
E-mail:
()v
Fax:
Signatur
Nmg;6.(;;i:QR'i1NFQRI';\~il)lqt'l!\\rfJii~J;'i;#\11.",~T
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
..'J.','.
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path: ~
o new Efalteration
(b) Foundation-only permit?
Total valuation:
:"~_~f;'.B.l:iUdiii:g,',te~~~~~>~Sj~~i~t~;r!#Hi;;G;,;:'N;ll~i'y,~.~L:
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
D addition'
DYes
, DNo
$~O
'i;'.' ,':;,;,~t:?:,:\,:",
$ ot)
$
$
(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 iife safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3h):
;:.;.(t~'M~~:~~H~~:~9:G~J:t~~~Y;~i,:i~;~;:~&:f:~~~5.t:~ ~'/~ :,c 'I }~,'-'
(a) Seismic fee, 1% (.01 x permit fee [2a]):
TOTAL fees and'surcharges (2e+3c+4a):
$
$
$
),>',,:,jj.,'7~:,;.:,
$
$~7~
" \City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Planning Division Information Sheet for Building Permits
Com mercia I/Industria II Multi-Fa m ily Residentia I
The Planning Division requires the following information for Ell building permit submittals on
properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial,
including new construction, expansions, .and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review
(SDC 3.3-100) may also be required, depending on the site,
NOTE: It is prudent.to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval.
_. A....
Address:~0
P~G<ili%':f~G:%~~w,MY~~~
Fax:
9?<fSC
ASSESSOR'S MAP NO:
Pro e Address: C:J>7J
'~~k~$l~~~v4;1Gj.~.\~~
Description of the proposed work to be completed under this building permit:
R~ov~ ("JfNC>1)\,.JS ~ >( Dl(V~ /J./'FtL-LS ~ ~ O]Z( l-t / N"4<..
fYr5(11 fltTiD .
'-;1v2 L tJ7..J
TAX lOT NO S
tlrf r
Has this development proposal been reviewed by the Planning Division
through an application process (i.e. MDS or Site Plan Review)? 0 Yes l2tNo
If yes, Case #:
If no, is this a change in use? 0 Yes ,P-No
Prior A roved Use: Pro osed Use:
Does the use ne~essitate the use of any chemicals or substances that are hazardous or
re uire Material:Safe and Data Sheets MSDS to be ke t on site? 0 Yes 0 No
, - -
Zonin TOTZ: Overla s:
The proposed project requires submittal and approval of the following Planning application
prior to building permit approval: .'
o DWPOverlay District Development 0 Statement letter Regarding DWP Exemption
o MDS 0 MDS land Use Compatibility Statement
o Site Plan Review 0 Other:
Reviewed b :
~~~~i"~:OOi1t,~~~'iJljf4r,~) ',-A\!f:~!f'iiI'iiM)Ji$<S:\:,^,,,~
Date:
:~;;1':~~
,~Effl~;rk~
SPi~N;:~
~~
~,J,}" OREGON
www.cl.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01923
650 HARLOW RD. APT 118
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@cLspringfield.or.U5
RECORD NO: 811-SPR2011-01923 DATE: 08/11/2011
. ~,;:::.~:'''"104: ..t, f pc2'~C.O:UN:tCOOE . ~.:':70:q:z:'jFVYAMOI..JN!f&tiI..JEf;';c
224-00000-425602 58.00
821-00000-215004 6.96
100-00000-425605 2.90
TOTAL DUE: 67.86
L_e~Yil'lEN;r~I'leLJl";'~~y'QB2_.q.j~ER~l'Eljt~R~ 'L?-S~MM.E_NIS~;;;J,.i.L:t~~-,--.t~UN'T PAID"
Check RJ KRUMDIECK CaNST INC 67.86
1485
RECEIPT NO: 2011002224
rDEsc'I~I~JION0;;.,. h~>.~".." .~;.;;'..
Building Permit,Fee
State of Oregon Surcharge (12% of applicable fees)
~_shnology fee (5% of permit~otal)
'1
... ...J
TOTAL PAID:
67.86