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Home My WebLink AboutPermit 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