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HomeMy WebLinkAboutPermit Miscellaneous 2013-6-18 SPRINGFIELD 1 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 � ess" Phone: 541-726-3753 '- OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01313 www.Springfield-ocgov permitcenter @springfield-or.goy PROJECT STATUS: Issued ISSUED: 06/18/2013 EXPIRES: 12/14/2013 STATUS DATE: 06/18/2013 APPLIED: 06/18/2013 SITE ADDRESS: 1283 HAYDEN BRIDGE RD,Springfield,OR 97477 SCOPE: Miscellaneous ASSESOR'S PARCEL NO: 1703261100100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: As-built-Enclose porch,Non-conditioned,electrical circuit for hot tub and outlets OWNER: FORD WILLIS F 8 CAROL R Phone Number: ADDRESS: 1283 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED I Inspections 1999 Final Building 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 construction. :Sy6777.7,11 7?75 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK ,. in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR ; calling the center. (Note: the telephaa3 ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/18/2013 1:53:42PM Page 1 of 1 SPRINGFIELD Fifth St keit hitri 2 CITY OF SPRINGFIELD 225 97477 Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01314 www.springfield-or.gov perm itcentergspringfielo-ar.gov PROJECT STATUS: Issued ISSUED: 06/18/2013 EXPIRES: 12/14/2013 STATUS DATE: 06/18/2013 APPLIED: 06/18/2013 SITE ADDRESS: 1283 HAYDEN BRIDGE RD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703261100100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: As-built: Enclose porch,electrical circuit for hot tub and circuits OWNER: FORD WILLIS F 8 CAROL R Phone Number: ADDRESS: 1283 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 General Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical work 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 construction. Owner or Contractor Signature Date aTICE: ATTENTION: Oregon law requires you to 'HIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility UTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth :OMMENCED OR IS ABANDONED FOR in OAR 952-001 0010 through OAR 952-001- NY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the teleph= O numbeCenteris01e800-332-2 44).fication Springfield Building Permit 6/18/2013 1:52:26PM Page 1 of 1 SPRINGFIELD -- CITY OF SPRINGFIELD {{»»��w.., -w 225 Fifth St "`ONEGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01313 www.springfield-or.gov 1283 HAYDEN BRIDGE RD permitcenter©springfield-or.gov RECEIPT NO: 2013001258 RECORD NO:811-SPR2013-01313 DATE:06/18/2013 'DESCRIPTION _ ' , _ ACCOUNT,CODE/TRANS,CODE_ '. ` ' .AMOUNTDUE. 1 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Structural Building Permit Fee 224-00000-425602 1002 80.00 Technology fee (5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 [.,PAYMENT TYPE . PAYOR CASHIER:CCARPENTER . COMMENTSA?. ;C- --' _AMOUNT PAID, Tr , Cash FORD WILLIS F&CAROL R 93.60 4079 TOTAL PAID: 93.60 • SPRINGFIELD CITY OP SPRINGFIELD kiille.... 225 Fifth St ,`0 OREGON TRANSACTION RECEIPT 225Fith St R97477 541-726-3753 811-SP R2013-01314 www.springfield-or.gov 1283 HAYDEN BRIDGE RD permitcenter @springfieltl-or.gov RECEIPT NO: 2013001259 RECORD NO:811-SPR2013-01314 DATE:06/18/2013 {OESCRIPTION_ _ -°'' �_ ,.._ACCOUNT CODE/TRANS CODE - AMOUNT DUE Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 — -- --- — — — TOTAL DUE: 93.60 PAYMENT TYPE -._„.,„pAYOR-,. .CASHIERi CCARPERTER ' COMMENTS 'AMOUNT ' �l Cash ry FORD WILLIS F&CAROL R 93.60 4079 ' TOTAL PAID: 93.60 . . . Structural Permit Application SPRINGFIELD t`-',:-DEPARTMENTiUSEONLY Lr';''1:t4C?“0-TVOFASPRINGFIEED4OREtioNti.tiowat.i2tAte.044 Permit no.:J.(7— /7 OREGON 225 Fifth Street•Springfield,OR 97477•PH(541)726-37)3•FAX(541)726-3689 Date: Cr 77/5 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of i suance or if work is suspended for 180 days. rhEKI:LitatE.E.L5aXiff;d6VEM.iikiill,00,1i6VgiV4NTIQZ 16T.W.L1.1alegtafigre6.r.gbi:EiiiikkriVauW,VgreSki: This project has final land-use approval. 42:291iiitfailliCal. adAVREq#g- 7r?:t445A4RITO; Signature: Date: (a)Job description: 1.574&Los texcer This project has DEQ approval. Occupancy 12_3 Signature: Date: Zoning approval verified: 0 Yes D No Construction type: ‘I Property is within flood plain: 0 Yes D No Square feet: Li.5.4,agSaY-(CATEditifet$OZeoRafrilai-RiEiNaiRgiiel2, Cost per square foot: Residential 0 Government 0 Commercial Other information: SJOB SITE INFORMATION AND LOCATION - Type of Heat: Job site address:i2g4)/61.,de.11 1k Pd• Energy Path: City: 5/0e)411 v Stateeg Z19.71/77 0 new D'alleration D addition Subdivision: V I Lot no.: (b)Foundation-only Permit? n Yes fl No Reference: Taxlot: Total valuation: MICP.W.N..45E0m5Ofkii .v.NE:kaatPTIRW.R.Witi 2niiidaiartm1gYI4geglimgmwmwaRN4I • Name: bMiES (a)Permit fee(use valuation table): $ 72) Address:/ATI Hai°tem e (b)Investigative fee(equal to[2a]): City: 5 d t2 . state:0 IF zip??977 (c)Reinspection(S per hour): Phone:54//• 7t/7 - Fax: - - (number of hours x fee per hour) 4135 ea E-mail: (d)Enter 12%surcharge(.12 x[2a+26+2c]): (9 6'12 (e)Subtotal of fees above(2a through 2d):. $ Building Owner or Ovmer's agent authorizing this application: (a)Plan review(65%x permit fee[2a]): Sign here: af4:2-)(2719A,11 (b)Fire and life safety(40%x permit fee[2a]): This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 3b): me or a member of my immediate family,and is exempt from licensing icitiitii' ll'ilitiiFliaiataiEWM.:,;s:J4-6:fg,±t:;47.4teajail:41.47-$ requirements under ORS 701.010. (a) Seisraic fee, 1%(.01 x permit fee[2a]): „..., ,..„1.11:03,11:13iitCON111(KoToft1INSTAILATION:l41111,11.1117cia:N11,Z.e.z.41 (b)Technology fee,5%(.05 x permit fee[2a]): $ 1/02 Business name: nyvV/Ve14--- TOTAL fees and surcharges(2e+3c+4a+46): $ Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: •' ij.ag11--- -77_Z-WISLIB.,=„OOKTIOCTORTINFOBOATIOattXt Name CCB License# Phone Number Electrical Plumbing Mechanical • Electrical Permit Application DEPARTMENT USE ONLY ' ., yITYOF SPRINGFIELI OREGO Eftw,- 1 Permit no.: S/3— /i/V 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(541)726 3689 //.. Date: V/////3 This permit is issued under OAR 918-309-0000.Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. =LOCAL GOVERNMENT;APPRO,VAL W:1 .., , y:4 �, r F,EESCHEDULE_L(±,,kttni "` Zoning approval verified? ❑Yes ❑No Number of inspection's per neri O'er j /v Co,,-a �tA$41-otalr 4ik 41P.ATEGIORYti;OFACONSTROCTION u*—1M1, .71s:: K": -„ _'..` , '., �.:"�` ,•,r . r-e s,v s._cost Residential,per unit,service included: if Residential [' Government ❑Commercial ,jq[ ' JOBcSITE,.INFORMATION AND;;LOCATION < 1,000 sq.ft. or less(4) $147.50 $ /�' 3 Na d� fir P J Each additional 500 sq.ft.or portion Job site address: / J �3 [� /� thereof $ 27.50 $ City: 5),,,,,;.1 A'l(! 'YStatei2R ZIP.I 4/77 Limited energy(2) $ 35.00 $ Reference: Taxlot.: Each manufactured home or modular $ 69.00 $ Witi.S.OggralalP ESCRIPTION i40 FkWOR1(1 ry aa r?' dwelling service or feeder(2) Services or feeders: installation,alteration,relocation 200 amps or less(2) $ 89.00 $ i r?, -n,,.t ii",=§PRO PE RTaY4OWNER `,,`; '` y� ;:r," -1`��, 201 to 400 amps(2) $ 104.50 $ Name: Willis F��- a 401 to 600 amps(2) $174.00 $ Address:/713 Na if city? Br Rd. 601 to 1,000 amps(2) $225.50 $ City Sp,14 q(i{Id State:OR zip:97 y 97 Over 1,000 amps or volts(2) $516.00 $ Phony:5'j/u74(7. 9354 Fax: - - Reconnect only(2) $ 69.00 $ E-mail: Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $ owned by me or a member of my immediate family. This 201 to 400 amps(2) $ 96.00 $ property is not intende for sale, exchange, lease, or rent. OAR 479.540(1)and 479.5^ ,.., / 401 to 600 amps(2) $138.50 $ Signature: � /lOver 600 amps or 1,000 volts,see services or feeders section above 1.1,0`il;in.CONTRACTORjINSTAL11ATION 'iWill. . . r. :; Branch circuits:new alteration, extension per panel Business name:dr 6✓0✓r"--- a. Fee for branch circuits with purchase of a service or feeder fee: Address: Each branch circuit $ 6.50 $ City: State: ZIP: b.Fee for branch circuits without purchase of a service or feeder fee: Phone: - - Fax: - - First branch circuit(2) / $ 60.50 1i, 9a E-mail: Each additional branch circuit $ 6.50 $ CCB license no.: BCD license no.: Miscellaneous fees:service or feeder not included Signing supervisor's license no.: Each pump or irrigation circle(2) $ 69.00 $ Print name of signing supervisor: Each sign or outline lighting(2) $ 69.00 $ Signal circuit or a limited-energy panel, Signature of signing supervisor: - alteration,or extension(2) $ 80.00 $ Each additional inspection:(I) i $80.00 $ (A) Enter subtotal of above fees $ ,J'] (Minimum Permit Fee$80.00) iU]U (B)Enter 12%surcharge(.12 x[A]) $ 614,0 (C)Technology Fee(5%of[A]) $ 9 t'° ' TOTAL fees and surcharges(A through C): $ GD 440-2584-I(4/012013/C0M)