HomeMy WebLinkAboutPermit Miscellaneous 2011-8-12
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,""',,"OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01929
IVR Number: 811136855606
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 rm itcen1er@ci, springfield. or. us
PROJECT STATUS:
STATUS DATE:
Issued
08/12/2011
ISSUED:
APPLIED:
08/12/2011
08/12/2011
EXPIRES:
VALUE:
02/07/2012
$3,725.00
SITE ADDRESS: 4151 BLUEBELLE WAY, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702323302419
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Reroof including replacement of some roof sheathing
Phone Number:
OWNER:
ADDRESS:
VLS MANAGEMENT LLC
PO BOX 1307
RANCHO SANTA FE CA 92067
CONTRACTOR INFORMATION'
Contractor Type
General Contractor
Contractor Name
MCKENZIE ROOFING JNC
# of Units:
o
Lie Type
CCB
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code: t
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Lic No
106380
Lic Exp
05/16/2012
Phone
541.744-2448
lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy load:
ATTENTION: Oregon law requires you to
f"'I,,w rules adopted by the Oregon Utility
N2oQlf1cation Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
~ UU!:1U. YOU may OOlctlll {';uIJit::::, VI lilt:: IU;~;:' 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
8/12/2011 10:22:10AM
Page 1 013
. SP:I~~=~~
~av
~OREGON
www.ci.springfieJd.OLUS
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01929
IVR Number: 811136855606
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:
155 ued
ISSUED:
APPLIED:
08/12/2011
08/12/2011
EXPIRES:
VALUE:
02/07/2012
$3,725.00
08/12/2011
SITE ADDRESS: 4151 BlUEBEllE WAY, Springfield, OR 97478
AssEsOR's PARCEL NO: 1702323302419
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
Reroof including replacement of some roof sheathing
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
~
Descriotion
Bid
Tvee of Construction
NA
Unit Amount Unit Tvoe
3,725.00 Bid
Unit Cost
1.00
Value
3,725.00
3,725.00
FEES PAID
~
OescriDtion
Amount Paid
Date Paid
08/12/2011
08/12/2011
08/12/2011
ReciDt #
2011002231
2011002231
-_..0_-
2011002231
~~at~,!f_Or~go~ ~~cc~~:~e J13% of ~E~l!.c_able !,eesL._____ $930__
Str~ctu~al ~u~ldj~g Permit Fee ._ ___ _ _. _ _ 0_ $77.50
~e~hn.:>!':.g2'!:e (5% of permit total) $3.88
Total Amount Paid $90.68
Springfield Building Permit
8/12/2011 10:22:10AM
Page 2 of3
. SP~IN.G.... FIEL~
.'~ .
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."'\ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01929
IVR Number: 811136855606
www.cLspringfleld.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
.
155 ued
permitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
08/12/2011
08/12/2011
08/12/2011
SITE ADDRESS: 4151 BLUEBELLE WAY, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702323302419
EXPIRES:
VALUE:
02/07/2012
$3,725.00
SCOPE: ReRoof
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Reroof including replacement of some roof sheathing
Plan Review
~
DeDartment
Application Acceptance
Received Due Date ComDleted Result
08/12/2011 08/12/2011 08/12/2011 Over the Counter
Reviewer
Chris Carpenter
08/12/20:rr-- Over the co~~!er
,--.--.
"
rrniti~eview
08/12/2011 ""OB7f2l2011
L~Co~~~~~~, ~~ver Ih~~~~~e~p.:r.mit
Planning Review 08/1212011 08/12/2011
Comments: Over the counter permit
-..-------.......... ,,~
08/12/2011 Not Required
Permit Issuance
08/12/2011
08/12/2011
08/12/2011
I~sued
'.
. "~'.
Public Works Review 08/12/2011
Comments: Over the counter permit
Energy Code Revi,ew . . 08/1212~) 1
. Commei1ts:~~Over the counter permit.
Structural Review 08/12/2011
Comments: Over the counter permit
!Fin~Review - --- q.-- 08/12/2_011
Comments: .Over the counter permit,
---' .
08/12/2011
08/12/2011
Not Required
08/12/2011
08/12/2011
Not Required
, i--~
08/12/2011
08/12/2011
Not Required
08/12/20'"
Not Required'
,
08/12{2011
f '. , ~ '
.,
INSPECTIONS REQUIRED ~
Inspections
1260 Framing
Chris Carpenter;:
....,
'I
Chris Carpenter
. Chris C!,rp,mter
Chris Carpenter
Chris Carpenter
,
Chris Carpenter
Chris Carpent~r
,.
,
j
.1
'. J
Framing Inspection: Prior 10 cover and after art rough in inspections have been
approved.
Final Building: After all required inspections have been requested and approved and
the building is complete.
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. J 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.
1999 Final Building
~~
2- II;;;, " II
,
Owner or Contractor Signature
Date
Springfield Building Permit
8/12/2011 10:22:10AM
Page 3 of 3
Structural Permit Application
DEPARTMENT USE ONLY
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.
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,"';';,;f''iiiM, €1;ny;:OF!.sPRINGFIEIJDjj[OREGON~';;';;;'"':J-' -, ':" ~" :,
1ii',-N.(~_",,'W-!t.~_. '" ~"_~"-~. ~ ". .,_",~]i'-' ...';,r__ ,~""~....". . ~,",;-~"
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,
CqCAL '9QVER.NM~Nf~f".eR9\tA~J;> ';~~,!:-;;.i!);~~i!
This project has finalland~use approval.
Signature: Date:
This project has DEQ approval..
Signature: Date:
Zoning approval verified: DYes D No
Property is within floodplain: DYes D No
~\\'~~~~;~'~\7{~lc;;"TE@Q~YA\.QF,~),cQN~JRuc;i1i19i:l;1~~i;;:,l~~{{2~ij~j
esidential 0 Government 0 Commercial
,,;;JpiiisrrE', 'iN~bRMATli:)NV./(NDt:t:Q,9A,,'i'9Nl,]}',,;f:iht:
5" d.. t, ,,1\
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Reference:
Name:
Address:
City:
Phone: .v-
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 under ORS 701.0] O.
City:
Phone: .,-
E-mail:
State: CJ r
Fax,
Signature.
;:,,'!......F?",'f'~t,$QE!-C(!)N]Rj>.G;i(t5t{INF()R..rIIA,f1QN'~:-.i'j~1~~'1\~1;:;:~Wi~.{I
Name CCB License Number Phone Number
Electrical
Plumbing
Mechanical
Permit no. $[1-10(2'1
'FEE'SCHEOULE.j....
',-",.'\'.. "',',;., . ",:,',,',
,',t<V.3'.iii~:t~b}f\~t():r~.~-tl(?*;:.~'..tgf}:'~~~>:~~;2,,~;:;!f;j;:\>:.1:::;,i;'f~~rf~;,i-f.;'J,J", ~:~:.,}~:~'~~i;!:
(a) Job description:
Occupancy L
Construction type: V 5
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new ..l:d-"alteration
(b) Foundation-only permit?
D addition
, DYes
Total valuation:
;.~~J;B.ijU4i~g}~sg~~i6};I~~kf;;~:~i.!~~:;j;:;t~.;{1i.\;:',~
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours' x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2e]):
(e) Subtotal of fees above (2a.through 2d):
.r;,
.'_,c"
-s;o
$
$
$
Y2
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(e) Subtotal of fees above (3a and 3b):
\'#~,M.i~.~Iiii!i;6il~IN~~l)'~' .
(a) Seismic fee, 1% (.01 x permit f~e [2a]):
TOTAL fees and surcharges (2e+3c+4a):
$
$
$
..
$
$ q()~
. SPR.ING...FIE~
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,~
,;~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541.726.3753
www.ci.springfield.or.us
811-SPR2011-01929
4151 BLUEBELLE WAY
pe rmitcenter@ci.springfield.or.us
RECEIPT NO: 2011002231
lDESCRI~TION ..
State 01 Oregon Surcharge (12% 01 applicable lees)
_Stru:tural Building Permit Fee __e'___..o_
Technology I~e (5% 01 permit total)
RECORD NO: 811-SPR2011-01929
ACCOUNT.CODE
821-00000-215004
224-00000-425602
100-00000-425605
TOTAL DUE:
DATE: 08/12/2011
AMOUNLD.UE
9.30
77.50
3.88
90.68
AMOUNT PAID
90.68
LPAYMENT-:ryPE
Credit Card
083974
F.li.lyo.R.. CASHIER: CCARPENTER~
MCKENZIE ROOFING INC
COM_MEt<l-':'S~.",
TOTAL PAID:
90.68