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Home My WebLink AboutPermit Building 2011-8-19 . , SP~ING FI E. L~. lIii;" ~. ~~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01976 IVR Number: 811110119192 www.ci.springfield.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: APPLIED: 08/19/2011 08/19/2011 Issued 08/19/2011 EXPIRES: VALUE: 02/14/2012 $69,822.00 SITE ADDRESS: 4245 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323300700 SCOPE: Fire Damage WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration Phone Number: OWNER: ADDRESS: GOODYARD THOMAS H & VIOLA M 4245 CAMELLIA ST SPRINGFIELD OR 97478 Contractor Type General Contractor Plumbing Contractor Mechanical Contractor CONTRACTOR INFORMATION ~ Lie Type eeB eeB eeB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Contractor Name XXL INC XXLINC KENT WITHAM AIR INC # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 109867 109867 189283 Phone 541-747-5413 541-747-5413 541-543-6580 Lic Exp 11/09/2012 11109/2012 01/20/2012 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: I, Site Information ~ ,-- Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Are'l:.TTENTION: Oregon law requires you t.o Retaining Wall: follow rules adopted by the Oregon Utility Soils Report ReqUlleCi:,ation 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 number for the Oregon Utility Notification Center is 1-800-332-2344)- 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 8/19/2011 2:52:10PM Page 1 of 4 . S PR..'..NG..-..F 'E..~ ~il.. .. .'? ...~ ^':." OREGON www.ci.springfieJd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: a11-SPR2011-01976 IVR Number: 811110119192 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued 08/19/2011 ISSUED: APPLIED: 08/19/2011 08/19/2011 EXPIRES: VALUE: 02/14/2012 $69,822.00 SITE ADDRESS: 4245 CAMELLIA ST, Sprin9field, OR 97478 ASSES OR'S PARCEL NO: 1702323300700 SCOPE: Fire Damage WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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 ~ Description Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Amount Paid Date Paid Fixture $114.00 08/19/2011 .'::irs! c:'-ppliance Fee .. ________ ___ __ ~~.oo _____ __O~~129~_ State 01 Oregon Surcharge (12% of applicable fees) $92.84 08/19/2011 :!"~Chnol?gy le~(~% 01 permit t".~.IL --.------=.~_$~~__~~--= 0809i20~~_=:=-~_ Structural Building Permit Fee. $562.65 08/19/2011 Sjngl.e~duct exhaust (bathrooms, toilet compartments, utili $18.00 08/19/2011 Total Amount Paid $905.17 Recio! # 2011002284 2011002284 2011002284 2011002284 2011002284 2011002284 Springfield Building Permit 8/19/2011 2:52:10PM Page 2 of 4 S!.RING...FIE.L~ .~ " ~ '~~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01976 IVR Number: 811110119192 www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/19/2011 08/19/2011 08/19/2011 SITE ADDRESS: 4245 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323300700 EXPIRES: VALUE: 02/14/2012 $69,822,00 SCOPE: Fire Damage WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration Plan Review ~ DeDartment Pennit Issuance Received Due Date 08/19/2011 08/19/2011 ComDleted 08/19/2011 Result Issued lAPpl[cation Acceptanc,e" ," . ..., ,^ ,.. ~,"","" ~. .~, , .:,:, 08/19/2011 ,,0~/1~/201f, 08/19/201r ~,-., ':~'i,;~\;,' . '_"':~'},_~:o '. .:",.-. ,. -~" . O.v~rjhe-Cpu~teLtA ~. "~ ;:;,l'1,~>- '.~~"4' . " Structural Review 08/19/2011 08/19/2011 08/19/2011 Comments: Over the counter permit Plannin9 Revi"v;,',;;' ';"08/19/2011:,. ,08(19/2011,,', 08/19/201'1, , ".. '.. . .. ...~'" " . -- '..'.-' ,-.,' . . -~-' ," . .' ..- , .'. ..;,-""-,,,o, C~mments: Ove(the counter-permit " - . . Not Required NOL~~q~~e~ ','-:'" c-- < -.:~ Not Required Public Works Review 08/19/2011 08/19/2011 08/19/2011 Comments: Over the counter permit Reviewer David Bowlsby ,.o~,vjd ,Bov.:lsby i, ..' '<\''-_'" .1 r"._'" ."";- David Bowlsby David Elowlsby <-1 ... David Bowlsby ilniti~l. Review ; Corpinents: -~, ; " - ~;o Over the CoGnter 08/19/2011' 08/19/2011 O~er the counter permit 08/19/2011 INSPECTIONS REQUIRED ~ Inspections 1260 Framing David"'I??wlsby,,, Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 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 Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 1440 Insulation Ceiling 1999 Final Building Ceiling Insulation: Prior to cover. 2300 Rough Mechanical 2999 Final Mechanical 3500 Rough Plumbing 3999 Final Plumbing Springfield Building Permit 8/19/2011 2:52:10PM Page 30f4 . . , SP~~N~~ ~(~ ~O.REGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01976 IVR Number: 811110119192 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfietd.or.us PROJECT STATUS: STATUS DATE: Issued 08/19/2011 ISSUED: APPLIED: 08/19/2011 08/19/2011 EXPIRES: VALUE: 02/14/2012 $69,822.00 SITE ADDRESS: 4245 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702323300700 SCOPE: Fire Damage WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fire restoration 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 construction. J?-jq- I ( Date Springfield Building Permit 8/19/2011 2:52:10PM Page 4 of4 Structural Permit Application . . " . . '. .~' '. 0 ." . .,' ,,- -.. ' . -'. . ~- ..^ 22S Fifth Sind. Springf<dd, OR 97477. Pll(S41)72&-3753 . FAX(S4I)726-l689 ~~ ~~... DEPARTMENT USE ONLY . 5//-0(? i~ Permit no.: Dm: '[)-/' -1/ nis pennit is issued under OAR 918-460-0030. Pennils expire if work is not started within 180 days of issuance or if work is suspended for 180 days. .?J LOCAL GOVERNMENT APPROVAL Th;s project has finaHmd-use appr,ovaL Signature: This project has DEQ approval Signature: Dale: Zoning approval verified: 0 Yes 0 No Property ;s within flood plain: Dyes D Nn CATEGORY OF CONSTRUCTION ~esidential I 0 Government 0 Commercial JOB SITE INFORMATION AND LOCATION lob site address: 42.4'17'71"""1 ',jl. IS~. City: S~ V\/l.t. ~ f'I l.sllite: Oy) I ZlPA10 1'1< Subdivision:'...J I Lot no.: Reference: 170Z. <Z.:S"~Taxlol: D07DU . PROPERTY OWNER Name: .Ir (;., r' M. II. .j-c/ J Address: ~., LJrn /\/1 ,.. ~ I Cl.""" ,;+ City: ~f)~ nr1- .- I'd Slate: OR I ZI~II...,l,t PhoneSI/J;-m- IiF/J ,U() Fax: - -, E-mail: (\ ~ ." ~ This installation is being mad:~on "t t~ r, farm property owned by- me or ~per of~ immediate I y.and is exempt from licensing requil€~ 701.0 . Sign bere:' .- CONTRACTOR INSTALLATION Business name: Iv'I ~ l/ A .. - i '. -rn 1 J lAY Address: '5"? OJ t'V\ It j 1\ \+ ().,{" ... /Cld City: Snh YVJIi'.7 ;r State: d I ZLP:Of141if Phone:54/ : .J I Fax&/I f Co L,.. ~ . E-mail:-rn Ir"rI rJ- .JrI, ,'n-L I' 'i"oAf\O .I'JItr , CCB license no.: I 6 . I P-.(p 7 J J I vp r; t:::r:VIuJ1\.j- Signature, /Jr_ '-'- / a / SUB-COiiilBACTOR INFORMATION 0-....: ~ .~~ Print name. Name Electrical Plumbing Mechanical CCB License Number Pbone Number IX(,/7.X? CUI. [t/1,Ufl;., , FEE SCHEDULE L V aluation ~DrormatioD (a) lob description: H ri.." 1Lr::s r~Ano../' , Occupancy '3 / CA- /vR . Conslruction type: Square feet: Cost per square foot: Other information: Type or He;;: Energy Path: o new 0 alteration (b) Foundation-only permit? Total valuation: D addition DYes ~ I $h fO....~Jo. uJl "ittt-'~ $ $ $ $ $ 2. Building fees (a) Permit fee (use valuation table): (h) Investigative fee (equal to [2a]): (e) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal or fees above (2a through 2d): 3. Plan review fees (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal or fees above (33 aod 3b): 4. Miscellaneous fees (a) Seismic fee. 1% (.Ol x permit fee[2a]):~'" $ $ $ $ . TOTAL fees and surcharges (2e+3c+4a): $ Q/) .'\ /7 - . . . S.P~~NG..~.FIE~ ~ , ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield, OR 97477 541.726-3753 www.ci.sprfngfield.or.us 811-SPR2011-01976 4245 CAMELLIA ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011002284 tOESCRIP-tioN~;;; tL~*'1!q~~ . First Appliance Fee Fixture Single-duct exhaust (bathrooms, toilet compartments, utility r,?or State of Oregon Surcharge (12% of applicable fees~ ,_. Structural Building Permit Fee Technology fee (5% of permit total) RECORD NO: 811-SPR2011.01976 DATE: 08/19/2011 , . 1" :.,,',' h .0ii~~~;f< \"c"",".',gC:C.OUNJfC00E1?f!<3Jj.;;;';,=" ". 'AMO.UNJJ'OUE<:'h',!2'liCf.: . I 224-00000-425604 79.00 224~00000-425603 114.00 224.00000~425604 18.00 821.00000~215004 92.84 224~00000,425602 562.65 1 00~00000~425605 38.68 TOTAL DUE: 905.17 < "--., l." .... "c2~OUNT_RAI[;".'h' ---I , U",'(NLENDjP.E!:;.__~.R...Yc>~..G.iCASHiER; DB6WLSB~~;:C.9MMgNTS';' Credit Card steve hamilton 905.17 619194 TOTAL PAID: 905.17