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Home My WebLink AboutPermit Building 2011-8-15 SPRING... FIE, L~ .-' ;0< ~EGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01937 IVR Number: 811148105460 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/15/2011 ISSUED: APPLIED: 08/15/2011 08/15/2011 EXPIRES: VALUE: 02/10/2012 $2,000.00 SITE ADDRESS: 512 67TH PL. Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702341400700 SCOPE: Single Family Residence WORK INVOLVED: Alteration lYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert Utility Room to Bedroom Phone Number: 541-729-5876 OWNER: ADDRESS: BELLINA GIANNINA M 512 67TH PL SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name GALCERAN CONSTRUCTION INC Lic Type ceB # 01 Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type 01 Heat: Water Type: Range Type: Hazmat: o Construction Type Occupancy Type Occupancy Comments Type VB R-3 Convert Utility Room to Bedroom Lie No 164708 Lie Exp 05/17/2013 Phone 541-520-6645 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Electrical Specialty Code Edition: Springfield Fire Code Edition: I' s you to , , , , ATTENTION: Oregon aw reqUire , ' Mechamcal SpeCialty Code Ed't,on:follow rules adopted by the Oregon Utility Municipal I Development Code: Notification Center. Those rules are set forth Plumbing Specialty Code Edition: In OAR 952-001-0010 through OAR 952-001- Residential Specialty Code Edition0090. Y20081ay obtain c'oPietshoftthle r~~~ebY calling the center (Note: e e ep Structural Specialty Code Edition: h 0' Ut'llity Notification "..mhp.r for t e reqon Site Inlonnation ~ Center is 1-800-:;::lG-G~""). # of Bedrooms: Sprinkled Building: No Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: rWT'CE" 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 8/15/2011 10:55:31AM Page 1 of 3 SP~\N. G.":'E.~ ~'!D ~OREGON www.Cl.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01937 IVR Number: 811148105460 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/15/2011 ISSUED: APPLIED: 08/15/2011 08/15/2011 EXPIRES: VALUE: 02/10/2012 $2,000.00 SITE ADDRESS: 512 67TH PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341400700 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Convert Utility Room to Bedroom DEVELOPMENT INFORMATION I 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 I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Bid Tvoe of Construction NA Unit Amount Unit Tvoe 2,000.00 Bid Unit Cost 1.00 Value 2,000.00 2,000.00 FEES PAID I DescriDtion State of Oregon Surcharge (12% of applicable fees) Structural Building Permit Fee Technology fee (5% of permit total) Total Amount Paid Amount Paid $6.96 $58.00 $2.90 $67.86 Date Paid 08/15/2011 08/15/2011 08/15/2011 ReciDt # 2011002239 2011002239 2011002239 Springfield Building Permit 8/15f2011 10:55:31AM Page 2 of 3 SP~11NG. ~EL~ L~1t$ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01937 IVR Number: 811148105460 www.cLspringfield.or.us 225 Fifth SI 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: APPLIED: 08/15/2011 08/15/2011 Issued 08/15/2011 EXPIRES: VALUE: 02/10/2012 $2,000.00 SITE ADDRESS: 512 67TH PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341400700 SCOPE: Single Family Residence WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Convert Utility Room to Bedroom Plan Review ~ DeDartment Application Acceptance Received Due Date Comoleted Result 08/15/2011 08/15/2011 08/15/2011 Over the Counter Over the co~nter ,- K.Jp Kaufman, ~ . '.~- - i I I fij;it;aI,Re~w"-~'~:' ,-- 08/15/2011' '08/15/201,1 08/15/20,1,1, : Comments:. 9ver the counter permit " , _. ,. _ _ __.......w--_____ _ _._._ _...___..________.__~ _ Reviewer Kip Kaufman Permit Issuance Issued , . " . _._'--'--~.._-_.- - ~'-"'--"-- Kip Kaufman 08/15/2011 08/15/2011 08/15/2011 Comments: Approved per Tara Jones, Planning and Kay Wilson, Public Works Public Works Feview . 08/15/2011 . 08/15/201J- 08/15/2011 ~" Not~Required Comments:, Over the'c~unter permit. Structural Review 08/15/2011 Comments: Over the counter permit Plarin~ng Re~iew 08/15/2011 Comments:. '. Over the ,counter perm~t , ';;'.' ': 08/15/2011 08/15/2011 Not Required " 08/15/2011 Not R~quiied .' 08/15/2011 INSPECTIONS REQUIRED ~ Inspections 1260 Framing Kip Kaufman -j . ~.i Kip Kaufman , Kip Kaufman 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. Ceiling Insulation: Prior to cover. 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. 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 co rue on. 1440 Insulation Ceiling 1999 Final Building '6-/5-/1 ontraetor Signature Date Springfield Building Permit 8/15/2011 10:55:31AM Page 3 of 3 "" 'Structural Permit Application i ~ "j;~7"5'J; '~t:-s.~"'.r"~':~"- ..<!..\ t~\'~"~_1'"-,,.;~-"~-ft.~"."".;.~:_., ,.I' "~'~::'I~"" ":""i.~i!i;~"'6rm{QF SP,RINGFIEI';D!.'QREGONl'1i~ ,w:{,.',..~",,,,~ ,'.X .>!~..' -~_!:..-~...",J;c>..,-.,. _-,,""""'" .'.--= ."';,,,, =,_-~-~" <;^, ~.,,-~.1.: .'~"r.,....."':: DEPARTMENT USE ONLY. p~l;:o~ Il- 225 Fifth Street. Springfield, OR 97477. PH(54 ])726.3753. FAX(54 ])726.3689 Date: e - j.-5 - J,..L 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. .. ',.' IiQCAI..~9YE~!:H\'I~r'ft"B8~QYA1-1;:'d;h:,:r;;;;:!ib'~;; 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 ~J,1i~~b:s:ii'~,:;f~~~~~~<GAI,~@,iiiFiY{~Q_~~lG:QN~iR'_~,c,ft,-~N}i~~:~;:',i;~I,::~~;~:~.j1.~'iil~ ffResidential D Government 0 Commercial ii,>:.:' i. ' .,;jQB'!S':r~; [Nf,.9RMA'r'9N~\A;ND.(~6cAfTQ~if!2ii:"i::::! S/2 b 't/-. fL '~I State: Gl.e.. ZIP: "'1 71{7'il Reference: Name: fL, ZIP Address: City: Phone b Fax: E-mail: 7-2-1- This installation is being made on residential or farm property o\\'ned by me or a member afmy immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: E-mail: CCB license no.: Print name: Signature: , !t~'!~:i?; .;)7',:,!i;i!SU.~'C0N.'1lMt:;'r()~,It<ll"()R.MA!jjIQi'I~~fut\j'i)"i;,~i?i~F Name CCB License Number Phone Number Electrical Plumbing Mechanical "','.:, c," ','c'('FEESCHEDULE"'::,' :,';ii',.. : .. ,';1~~:.va~li~t'fb'rr'l~fo:r#{~H9~;:::;g,,}g~:~;~~/;~U{i/i'\,Yi:.'-(~:(iK;rt;;-~(;J.l';~:~:-':~':;,:i~~~,;::" (a) Job description: """ .,,, ~'T Ij-rr, r"'~ ...-.. Occupancy rt - '2, 1'Th l!.Q>iW0'I1 Construction type: TJ"1!:'" Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: 0 new ~eration 0 addition (b) Foundation-only permit?" 0 Yes 0 No Tota' valuation: 0_ f!2j;';It~Ud iii gJ ~'~~D~!;~:;,YS\:;:tt::i!~{U~*:~~'~-if~;:~.~!f;:.)J;-,;,-.~;;,~'-, ':',:, _,' ""/;',' ;'.; ,,/i-',.:,,'io.,':' (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (nul!Iber of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+ 2b+ 2c]): $ (e) Subtotal of fees a hove (2a through 2d): $ ~~.:;~i-~~;~f~yjJr.w~~~tr~~rf~1~%l~}iF1tW~J~~~!~~1%~f~~~~~f1;~4k~~~~~;'~ (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): $ ~::4WMJ~~~Jf~,~'~Ql!:~;f~~~\:lr~6i~~~E{~}'~::i~:~~~'J~{~;t~:~j; ).:-.' ;;:;::i;':,. (a) Seismic fee, ] % (0] x pennit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $,6::;;36 fl1'8L-FC wo~~ [fi4~ )~., \ '- ~ ----.. P f--.A-NtJ-:;: tJ G- 'j I I -, "c ,. 'm 'f!.\ .' '. ',.~,"'" ',' ( "'/'(. I i J ":c:.r~.;; IQ~ ~~ 1 ,~t::~;-'-. it _t I ....!) , (\ ~ r-" -i~ '-/ _ 2\ - '1, -r--l---'l---~--rm-l--1 ~ -~:7:----! -~r~~~~-:-'-'{M.-~)-----~-..~--1~i---~j.--.. ---.~ -----;.--\,--- ~1" r J~p:::!-:jr'rj-y,-cri-~~~j<:Y1;i 1t-i .:~ ~ ;~.:,f..~.-.~..'.,~.r.:i. : ~1; jf~~i_-;-!_:L_~J~~~~;-~ I --L~-:Ci--~4~~~!=LrT~T~-'--;--':-~-"~-_~' , , I ""I I ___.__~~~J41 i ' -""""'", ;Ii: V, (S' · 1---1---- -~--I--l .! I.T -i------1---'r. '" -----'.-..-;.<;::::,----'..-r..'---'--~'-m~'-- _~.' J' ~ ''f I,: ':~", I -.~.:---.1-:.---. ~~ i_': :'\ ' ~r---?:~--".'-~ i -f"".T'"+~~--+!:~-:~j :~\~~--j--j 1 ; : ~----iC1Icii--, +_~n i-: - ~--:- --p ~,e.,~.:~,i_~.. 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J P/2yEP- DO "-fvT NEbO 7-0 mov~, F. Pf2...oy()se-l) l2.tj~!y\ 'HA-s. eXlSlii"!&. H~AT ((.bCrISTG'(<.. IN C G"/L / ^' Cr A. -:;.. D, D, . I I ~-; J 0) IE: ( Cr //\ i'! !\II N A 13 e-'Uny A St"'l. ~ 7 /1-( PLA-t..-C? S P !2-n"l6- r- I ELO 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 , ~)- :,>&i4,~ ~: dI:TYQE: SBRIN@FrEED, OREGON,",,,:" ,-:' '~:~i. ,,,,~..,,.\ _~~, -"", _"" ~:" -'. -1~~ -. ' 't, ~. t w' "" "i{j"'-'" :'fF' '1' '1i 'T ,~. .- One and Two Family Dwelling Building Permit Application Che~klist NOTE: Missing information that is required for complete plan review can delay the permit process until all required information is provided. Permits will not be issued until the completed plan review is approved. APPUCATION INTAKE REVIEW WILL BE CONDUCTED FOR ALL RESIDENTIAL PERMITS. Permit # )U - (&/;.'> 517- f/lt'7. Map/Lot' (702 JL.{ fl( /TO'! Address Associated Permits: o Electrical o other: o Plumbing o Mechanical Received by: Date: . 0 Land and Drainage Alteration Permit (LDAP) All new one and two familv dwellings require an LDAP Refer to Fact Sheet 1.1 to determine type of LDAP o 2 Complete sets of Legible Plans ',~ On 11 x 17 paper at minimum o Must be drawn to scale, showing conformance to applicable local and state building codes, to include the following: o Site/Plot Plan o Drawn to 1:20 scale with scale indicated o North arrow o Adjacent street names and street elevations shown o Building setback dimensions (Distances from property lines) o Location of easements and driveway o Location of utilities and how they are connected o Footprint of structure (including decks) o Location of wells/septic systems o Lot dimensions o Building coverage and percentage of impervious surface in hillside areas o o o o Show all existing structures on site; indicating height of all structures inclusive of ridgelines . Surface drainage Show how stormwater and wastewater connect to the public system, septic or drywell. Show orientation of structures o Foundation Plan o Dimensions o Footing sizes o Hold downs and reinforcing type, size and spacing o Connection details o Vent size and location o Isolated footings (within and outside building) o Girder sizes and locations o Joists or post and beam type, sizes and spacing T:\Building Forms\One _and_two jamily_ dwellinlLbuildinuenniC checklist.OS .09.doc D Floor Plans ~. Show dimensions ~Identify all rooms ~ Include window and door sizes D Locations of: Smok" d"t"ctors, water heater, furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches .cor more) above grade, porches, stairs, etc. D Cross Section(s) and Details o Show all framing member type, sizes and spacing such as floor beams, Headers, joists, sub-floor, wall construction, roof construction and metal connectors (More than one cross section may be required to portray construction clearly) Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. Show attic ventilation Energy Path: Example -High Efficiency HVAC D D D D Elevation Views D Provide elevations for new construction D Exterior elevations must reflect the actual grade if the change in grade is greater than four feet at building footprint D Floor/Roof Framing D D D Beam calculations, especially for engineered wood products and non- uniform loads D D D D Provide plans for all floors/roof assemblies indicating member sizing, spacing and bearing locations Metal conn~ctors and tie straps c1eariy 'shown Show headers and beams supporting floor or roof Prescriptive lateral bracing and/or engineered shear walls Engineers Calculations D Stamped engineering calculations and details shall be provided where required. Manufactured Floor/Roof Truss Design Details must agree with plans and engineering OR Property Owner ~'-IS -II Date Signature (Owner) T:\Building Forrns\One _and_two JamilL dwelIinL buildingyermit~ checklist05.D9.doc (Print Name) SP.~I.N.~.~L~ ~~ ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01937 512 67TH PL CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permilcenler@ci.springfield.or.us RECEIPT NO: 2011002239 lOESCRIP..TION. State of Oregon Surcharge (12% of applicable fees) Structural Building Permit Fee ____.T.<:chn.?logy fee_(5% of permit total) RECORD NO: 811-SPR2011-01937 DATE: 08/15/2011 ACC~QUNTj:.ODE -1 821-00000-215004 224-00000-425602 100-00000-425605 TOTAL OUE: AMQUNT,O.UE 6.96 58.00 2.90 67.86 AMOUNT PAID' - - -.-.--- ---- 67.86 . _fJI.\YryI_ENT TYPE~fJ~YOR--9'~~K_~t[F!!'~t!, _,--"=-,,.-C.oMI'iIE"!IS___ ..-1 Credit Card 005468 Ronald Galceran TOTAL PAID: 67.86