HomeMy WebLinkAboutPermit Building 2013-9-24 SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
li i { « Phone: 541-726-3753
`� OREGON Building / Residential Permit Inspection Phone: 541.-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR201 3-021 35
www.springfield-orgov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/24/2013 EXPIRES: 03/23/2014
STATUS DATE: 09/24/2013 APPLIED: 09/23/2013
SITE ADDRESS: 7527 THURSTON RD,Springfield,OR 97478 SCOPE: Interior
ASSESOR'S PARCEL NO: 1702350002901 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Permit to complete work by previous owner
OWNER: Stephen Friedman Phone Number:
ADDRESS: 11948 Gold dust Ave
Scottsdale AZ 85259
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor KENT RAYMOND FREY CCB 135852 10/12/2014 541-521-6922
L INSPECTIONS REQUIRED
Inspections
1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
1999 Final Building Final Building: After all required inspections have been requested and approved and
the building is complete.
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall Wall Insulation: Prior to cover.
1440 Insulation Ceiling Ceiling Insulation: Prior to cover.
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 frorn 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 Signat_ - 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
calling the center. (Note: the telephone
COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification•
Springfield Builtlipg Rerrsfi8O DAY PERIOD. _ 9/24/2013 9:22:28AM Center is 1-800-332-2344). Page 1 of 1
Wr ■
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
4 t •ti• Phone: 541-726-3753•
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02136
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/24/2013 EXPIRES: 03/23/2014
STATUS DATE: 09/24/2013 APPLIED: 09/23/2013
SITE ADDRESS: - 7527 THURSTON RD,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702350002901 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: EL-Permit to complete work by previous owner
OWNER: Stephen Friedman Phone Number: •
ADDRESS: 11948 Gold dust Ave
Scottsdale AZ 85259
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor KENT RAYMOND FREY CGS 135852 10/12/2014 541-521-6922
L INSPECTIONS REQUIRED
Inspections
4225 Service or Feeder
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.
9/z 92/3
Owner or Contractor ••nature Date
""1: Ores 'aw requires you to•
NOTICE: . . adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK _- 'Center. Those rules are set forth
AUTHORIZED UNDER THIS PERMIT IS NOT 001-0010 through OAR 952-001-
You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone
ANY 180 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 9/24/2013 9:20:26AM Page 1 of 1
•
SPRINGFIELD 225 Fifth St
44 CITY OF SPRINGFIELD Springfield,OR 97477
( Phone: 541-726-3753
-r " OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02137
www.springfield-or.gov perm itcenter @springfiel d-or.gov
PROJECT STATUS: Issued ISSUED: 09/24/2013 EXPIRES: 03/23/2014
STATUS DATE: 09/24/2013 APPLIED: 09/23/2013
SITE ADDRESS: 7527 THURSTON RD, Springfield,OR 97478 SCOPE: Mechanical Only •
ASSESOR'S PARCEL NO: 1702350002901 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ME-Permit to complete work by previous owner
OWNER: Stephen Friedman Phone Number:
ADDRESS: 11948 Gold dust Ave
Scottsdale AZ 85259 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor KENT RAYMOND FREY CCB 135852 10/12/2014 541-521-6922
INSPECTIONS REQUIRED
Inspections
2999 Final Mechanical Final Mechanical: When all mechanical 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.
Yi
572y/i'3
Owner or Contractor lure Date
yoU 10
ATTENTION: Ofegon la the Or1eg n Uti dy
Set)led by rotes are settorth
ioilow all enter. Those hOAR952-001-
"`" Notittcation 01-0010throug rules by
NOTICE: n OAR 952 Oa obtain copies of the rhone
THIS PERMIT SHALL EXPIRE IF THE WORK 0090 you m Y Note: the telep
Cautng the
the Oren- Utility Notii'ication
AUTHORIZED UNDER THIS PERMIT IS NOT 32 2344).
COMMENCED OR IS ABANDONED FOR Center Is 1-Soo
ANY 180 DAY PERIOD.
•
•
Springfield Building Permit 9/24/2013 9:19:28AM Page 1 of 1
SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfeld,OR 97477 OREGON Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02138
www.springfield-or.gov permitcenter @springfield-or.gav
PROJECT STATUS: Issued ISSUED: 09/24/2013 EXPIRES: 03/23/2014
STATUS DATE: 09/24/2013 APPLIED: 09/23/2013
SITE ADDRESS: 7527 THURSTON RD,Springfield,OR 97478 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702350002901 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: PI-Permit to complete work by previous owner
OWNER: Stephen Friedman Phone Number:
ADDRESS: 11948 Gold dust Ave
Scottsdale AZ 85259
L CONTRACTOR INFORMATION r
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor KENT RAYMOND FREY CCB 135852 10112/2014 541-521-6922
L INSPECTIONS REQUIRED
Inspections
3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing.
3999 Final Plumbing Final Plumbing: When all plumbing work is complete. •
By signature, I slate 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. l
Owner or Contract gnature Date
ATTENTION: Oregon law requires Utility
follow rules adopted by the Oreg Y I s are set forth
NOTICE: EXPIRE IF THE WORK In •OtAR 952 001 001 O through OAR 952-001
PERMIT SHALL EX 009q You may obtain copies of the rules by
D UNDER THIS Ptnpo AUTHORIZE
OMMENC D OR S ABANDONED FOR NOT calling the center. (Note: the telephone
numbe forteeiOrego 332234otification
ANY 180 DAY PERIOD.
•
Springfield Building Permit 9/24/2013 9:18:12AM Page 1 of 1
Structural Permit Application SPRINGFIELD FkDEPARTMENT;USE O
riiA.l �.-
CITY OF SPRINGFIELD, OREGON tt Permit no ,J3 2/3 r
225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689 ti. oitEGON
Date: _ 2yeA 3
This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of ssuanc or if work is
suspended for 180 days.
' ��', P,1: I" LOCAL oOVERNMENT, APPROVAM F.'j,kkif„',,-v :"-1 _,',s,-1\ ,"R IFEE,1SCHEOULE :.',= ;., ;x,,.
- This project has final land-use approval. - fi Valuat ou-aformatron'�'+, ,s`t�,��pr�'""""`, }P„'��,k rte` �`,, ',„ +�,rw="' ,l
Signature: Date: (a)Job description: F'/1 S]-f 499/4745 Fes--
This project has DEQ approval. Occupancy ~ ?�
Signature: Date: �,BPr't- 2ay7 - / g� -
Zoning approval verified: I:Yes ❑No Construction type:
Property is within flood plain: ❑Yes ❑No Square feet:
' l*y,M CATEGORY;OF,}CONSTRUCTIONS'",,,,,,,i 2 I�,`L{i Cost per square foot:
'Residential ❑Government ❑Commercial Other information:
11 _ ,551 SITE"JI NF-rORMAtialitAND[JL''OCATIIoONli 1, Type of Heat:
Job site address: .7 s L.1 - hicire$1d31/ 40 Energy Path:
City: j7)22,u6Fr&tC I State: 04 ZIP:979 ❑new Dalteration ❑addition
Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No
Reference: Taxlot: Total valuation: $2 ,)
lik2rS vfi�t; FROPERTYZOWNERt. a _ri:4 r2x uddinss f ee � h-'r re MZI'Im' : e 72r 'x� — ;
Name: f16:-.P4OJ
tiZier Inftu AMP(„[-.0 _(a)Permit fee(use valuation table): $
•
Address: 1 19 7 R G a Cl) Purr Ave r� (b)Investigative fee(equal to[2a]): $
City: ICC//SISAL. State: AL ZIP:S.S2 cc) (c)Reinspection($ per hour):
(number of hours x fee per hour) $
ur
Phone: Fax: - -
E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $
(e)Subtotal of fees above(2a through 2d): $
Building Owner or Owner's agent authorizing this application: Z Elan!-review fees ij, t'n,, ,',.; x. ,,R 3' '.r P 11.J it •
(a)Plan review(65%x permit fee[2a]): $ ,
Sign here: (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 "41i Mtscellai taus fees. -S„ n- :4; 'C ,'a,,72 '"s;?.Iz i
requirements under ORS 701.010. -
_ (a)Seismic fee, 1%(.01 x permit fee[Zap: $
"'±''''''''71Y-:»._.,,Lf,S�,,,,* =`-t CONTRACTOR INS AilbctiON, `'i,u?, „","_w_�.,,4 ,,f
(b)Technology fee,5%(A5 x permit fee[2a]): $
Business name: /((^Aff,e ,3i/ t;jJ .8I)Zi,1( 30-4J
7y R J l' /28 TOTAL fees and surcharges(2e+3c+4a+4b): $
Address: 7 4.c,
City: Liio(Ote. State: t le ZIP:IV( /
Phone:$"ta-rz I - 101 2.1— Fax: - -
E-mail:xcairlitec`V tGL/ )nka- .e-C$M .
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CCB license no.: /3 sA c 7,
Print name:,Ajg R c/ZeY
Signature: /2-P.......-
r >ta SUB CONTRAC ORAIEQ-kiiiktiloWittitAinit
Name CCB License ft Phone Number
Electrical (S'i/)
Plumbing (C11))
�?S cull' sdi - 2lia Sly - A
Mechanical L.C4/0 • 1 --.3 Z i -1 7
sdAiSef i?iqOto s59 - 1331 rS
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ElSCtrical Permit Application , DEPARTMENT USE ONLY `.
SPRINGFlELD -.
5S er .'ia1dlin 'rte?. -cwt 45 aS.C✓ rsavazw.K s
ICEMOF SFRIl�G 1'L+'ED4OREG°OlLtv x 5/3 - 21T(
:Fi '-.,taa* -h •;� <- ..qs s -a. "---"—._; , at k Permit •no.:
225 Fifth Street•Springfeld,OR 97477•PFI(541)726-3753♦FAX(541)726-3689 Q,•
Date: //25j 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.
, ,`;L - , LOCALiGOVERNMENT—APPROVAL FEE=SCHEDULE
Zoning approval verified? ❑ Yes ❑No ,.Number of ini ections er item Cost Total
P P. O Qh' -ea :cost (-
!CATEGORY.;OF CONSTRUCTION ' i
Residential, per unit,service included:
❑ Residential ❑ Government ❑Commercial
JOB:;SITE. INFORMATIONftAND"LOCATION . i,000sq.fr.orless(4) $147.50 $
Each additional 500 sq ft.or portion $ 27 50 $
Job site address: thereof
City: State: ZIP: Limited energy(2) - $ 35.00 $
Reference: Taxlot.: Each manufactured home or modular $ 69.00 $
2:%1 DESCRIPTION:,OF WORK;-: dwelling service or feeder(2)
(Lao 12: t-3 c -c Services or feeders: installation, alteration, relocation
l '� 200 amps or less(2) $ 89.00 $
4 ;PROPERTY DOWNER 201 to 400 amps(2) $ 104.50 $
Name: 401 to 600 amps(2) $174.00 $
Address: 601 to 1,000 amps(2) $225.50 $
City: State: ZIP: Over 1,000 amps or volts(2) 5516.00 $
Phone: - - 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 intended for sale, exchange, lease, or rent. OAR
479.5400) and 479.5600). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
e: ;CONTRACTOR`INSTALLATION Branch circuits:new, alteration, extension per panel
Business name: 6(\5 75/106 ELCC?R I C a.Fee for branch circuits with purchase of a service or feeder fee:
Address: 3'153 gOSCACC LANE Each branch circuit $ 6.50 $
City: S Pcc LO State: 0(( ZIP:c\7 Y 7g b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: -5 I S- 8)$ Fax: -7 36- y C)6 0 First branch circuit(2) $ 60.50 $
E-mail: RO K 06 6 / (b Y 4/tl00•CO In Each additional branch circuit $ 6.50 $
CCB license no.: ( I 7 7 7 0 BCD license no.: .)0 .V0S"C Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 4 )a 7 S // Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: , '20 G fI (c 1 ti G Each sign or outline lighting(2) $ 69.00 $
Signal circuit or a limited-energy panel,
Signature of signing supervisor: ' i _le...- $ 80.00 $
- alteration;or (2)------- -- - — - --- - -- --- -- -Each additional inspection:(1) $80.00 $
. Mse _� A`PPLICANT)]USE "`
(A) Enter subtotal of above fees $
(Minimum Permit Fee$80.00)
(B)Enter 12%surcharge(.12 x[A]) $
(C)Technology Fee(5%of[Al) $
TOTAL fees and surcharges (A through C): $
440-2584-J(4/012013/C0M)