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HomeMy WebLinkAboutPermit Building 2013-10-24 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 I { OREGON Phone: 541-726-3753 Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02375 • www.springfield-or.gov permitcenter Coispringfield-or.gov PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/24/2013 SITE ADDRESS: 5743 RIDGE CREST DR,Springfield,OR 97478 SCOPE: Garage Conversion ASSESOR'S PARCEL NO: 1802041401315 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Partial garage conversion to sleeping room-(on sanitary sewer,no septic auth required) OWNER: MILLUS JACK 8 SHERYL Phone Number: ADDRESS: 5743 RIDGECREST 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 Inspections 1220 Underfloor framing 1260 Framing 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. • 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 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. 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. Ly( e721eS /a Po Owner or Contractor Signature Date ATTENTION: Oregon law requires you to foilow 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 Building genyi;r 180 DAY PERIOD. 10/24/201 2:52:00PM Center is 1-800-332-2344). Page 1 of 1 • • SPRINGFIELD 225 Fifth St A CITY OF SPRINGFIELD Springfield,OR 97477 ,�� Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 - Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02376 www.springfield-or.gov pennitcenterespringfield-or.gav PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/24/2013 SITE ADDRESS: 5743 RIDGE CREST DR,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1802041401315 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Elect for arc-fault protection for Partial garage conversion to sleeping room- OWNER: MILLUS JACK&SHERYL Phone Number: ADDRESS: 5743 RIDGECREST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ll - 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 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. c\ AYe-Wk f,LClp )6102q1 icza Owner or Contractor Signature Date • ou ATTENTION'• Gre ed by the Oreg se tf oth Y follow rules ente $e ruh flpRg52-001- NGtiiioation G-.4_n0 0th rules by 0010throu9 NOTICE: In OARVou ma' obtain N°or the telephone THIS PERMIT SHALL EXPIRE IF THE WORK p09a11in�the Center. mote .... Notiiroation ' AUTHORIZED UNDER THIS PERMIT IS NOT numbercentee �A-8° o 332 2x441' COMMENCED OR IS ABANDONED FOR. ANY 180 DAY PERIOD. Springfield Building Permit 10/24/201 2:50:37PM Page 1 of 1 Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. • Please check the appropriate box: • I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or • I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. M; RfS Print Name of rermit Applicant • ✓2177, �e 4q 1 �� Signature of Permit Applicant Date Permit#: 9T-2375 2 ? of 7y3 � T es, Address:" F /! wee: {zb.-2-47 MI- gig 7) vtirr��s: Issued by: —Date: /o/2-y4 y \869 This Copy for Permit Offices SPRINGFIELD-7 CITY OF SPRINGFIELD '-t TRANSACTION RECEIPT 225 Fifth St Springfield,OR97477 541-726-3753 OREGON 811-SPR2013-02376 www.springfield-ar.gov 5743 RIDGE CREST DR permitcenter©springfield-or.gov RECEIPT NO: 2013002353 RECORD NO: 811-SPR2013-02376 -DATE: 10/24/2013 'DESCRIPTION • _ _ACCOUNT CODE/TRANSCODE_ AMOUNT DUE-.J 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 LPAYMENT TYPE " 'PAYOR -CASHIER:CCARPENTER COMMENTS - 'AMOUNT.PAID.- � Cash MILLUS JACK 8 SHERYL • 93.60 TOTAL PAID: 93.60 • SPRINGFIELD ---- CITY OF SPRINGFIELD eti ' �• -' 225 Fifth St TRANSACTION RECEIPT 225 Fith St R 97477 OREGON 541-726-3753 811-S P R2013-02375 www.springfield-or.gov 5743 RIDGE CREST DR permitcenter©springfield-or.gov RECEIPT NO: 2013002352 RECORD NO: 811-SPR2013.02375 DATE: 10/24/2013 (DESCRIPTION ACCOUNT CODE/TRANS CODE • 'AMOUNT DUE _; , 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 .. ro [PAYMENT TYPE ?^ PAYOR°'casER:ccaRPERTER__.. � COMMENTS:'' �'. . `.AMOUNTiPAID Cash MILLUS JACK&SHERYL 93.60 TOTAL PAID: 93.60 • • Electrical Permit Application sPwtH�Fi o DEPARTMENT USE ONLY: ' ; • r r 5 s ' r- Wr.-=t--',*r�s� Wit- �, f ITYOOFSPRLNG,MELD";OREG91 -� ` Permit no.: j t 3 -2371 tratx 225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689 Date: /O/2///?j 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. LOGAL':GOVERNMENT AFPROVAL,r' f , _:; :;;:A sr. "'„P;- •.FEE,„'SCHEDULE,},; , ',A:Si ' Zoning approval verified? ❑ Yes ❑No ,Number of spectbonsper item O*'% Q y'` '£,,Cost a « Totally; 4.:4 VII.It M ,s'aea•.,.� z. clist ;CATEGORYi'OF'y;CONSTRUCTION Ul' ,;,; ,< Residential,per unit,service included: ❑ Residential ❑Government ❑Commercial )]% JOB;,SITE,11NEOR-MATIONs AND:LOCATION ris ,, . t 000 sq.ft. or less(4) $147.50 $ - c' 74 G /'n�� Each additional 500 sq.ft.or portion $ 27.50 $ Job site address: Y 3 �View thereof City: 5 pr fit) StateJYL„ ZIP '{/'7) Limited energy(2) $ 35.00 $ Reference: /7'(0Z OW£-/ Taxlot.:d/ 3/r Each manufactured home or modular $ 69.00 $ s-A,,,` giDESCRIPTION„OFaWORK;-c`4?nf.";. t`"m.` dwelling service or feeder(2) ,L "9/1-4.f-1 1DZ 7fZ(29r- Services or feeders: installation,alteration, relocation �✓7t.O,r+"'rte' 200 amps or less(2) $ 89.00 $ ` - /JAN. ER -V [ N fiS1- P.ROPERT _OVM Erea r E 201 to 400 amps(2) $ 104.50 $ // 401 to 600 amps(2) $174.00 $ Nam��Y� �. �-�� / � ( 4 S Address:S—) LI 3 R-tcQ .0 srps,4 -Or 601 to 1,000 amps(2) $225.50 $ City( t (� �[/ State:�Q ZIP y Over 1,000 amps or volts(2) $516.00 $ I „( nr'- j) , ` c _. Reconnect only(2) $ 69.00 $ Phone: -c-�( bv{ Fax:op�yY�Q 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 479.540(1)and 79.560(1 401 to 600 amps(2) $138.50 $ • Signature �� Over 600 amps or 1,000 volts,see services or feeders section above - °r*7„�z,CONTRQGTOhR� �S;I�:ALL''ATlON t 'r-; '( c?[ Branch circuits:new alteration, extension per panel Business name: CC) t u`— -r� a. Fee for branch circuits with purchase of a service or feeder fee: Address: 03 ite res_g%1 'Dr Each branch circuit $ 6.50 $ Citycz 1� (t )eL I(J tate: 6I(2 ZIPS')94- b.Fee for branch circuits without purchase of a service or feeder fee: Phone,5lr) - 87..2/4 ., Fax:_Cane. First branch circuit(2) / $ 60.50 $ 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 $ Signature of signing supervisor: Signal circuit or alimited-energy panel, $ 80.00 $ g g P alteration,or extension(2) Each additional inspection:(1) $80.00 $ `��V° 3sAPPLICANV E -y,_"�a:.s:n�'�'kt� 3'"...... r r-T?�USE�'�v�'�.�t:"w5". xr+Fri a„s (A) Enter subtotal of above fees $76c,19(Minimum Permit Fee$80.00) (B)Enter 12%surcharge(.12 x[A]) - $ 4-0 (C)Technology Fee(5%of[A]) $ Lt-� TOTAL fees and surcharges(A through C): $ 1360 440-2584-1(4/012013/COM) Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY f CITY OF SPRINGFIELD, OREGON 1`<. `✓N Permit no.: 5,1_237s- 225 Fifth Street•Springfield,OR 97477•PI1(541)726-3753•FAX(541)726 3689 OREGON Date%/2.J/(3' 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. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE This project has final land-use approval. I.Valuation information Signature: Date: (a)Job description: /04,47-7,3„45,-„te yrOitir This project has DEQ approval. Occupancy Signature: Date: 2 77 Zoning approval verified: ❑Yes ❑No Construction type: )ID Property is within flood plain: ❑Yes ❑No Square feet: CATEGORY OF CONSTRUCTION Cost per square foot: ❑Residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of cleat: Job site address' 75 •,(`I C rtS-c Dr Energy Path: City.it!T) 't — tuts: (l ZIP: ❑new Za.lteration ❑addition Subdivision: Lot no.: (b)Foundation-only permit? ❑ Yes ❑No Reference: /ito 1.64/1.7 Taxlot: ("915/ c Total valuation: S2 PROPERTY OWNER 2. Building fees Name iftf ey ( i 1 /14 $' (a) Permit fee(use valuation table): $ yODP__ Address -7 C)J R� P Ter s-4-- (b)Investigative fee(equal to[2al): $ Cil '� 7 i rq '( l h1 Stater& 17_IPT)U (c) Reinspection($ per hour): $ I K (number of hours x fee per hour) Phone: ill I ` 9kc)'31�E Fax:( X1915- /p0 E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c1): , $ q (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees • �i - (a)Plan review(65%x permit fee permit fee $ Sign hcrr. a.0 (b)Fire and life safety(40%x permit fe [2a)): $ ❑This installation is being made on residential or farm property owned by (c)Subtotal of fees above(3a and 36): $ me or a member of my immediate fancily,and is exempt from licensing 4.Miscellaneous fees requirements under ORS 701.010. (a)Seismic fee, I%(.01 x permit lee 12a1): $ CONTRACTOR INSTALLATION (6).1-ethnology Cw d�3 �. Tenology fee,5%(.05 x permit feel2al): $ Business name: 1 TOTAl.fees and surcharges(2e+3c+4a+4b): S j36SC-7— Address:L5 1']3 Rl e? City J S Q ABMS State:a a_ ZII' R A Phone:St:4 I - O.3/ b\ Fax: - - E-mail: CCB license no.: Printname ets(xL 'rf'\,n ),4S S ignatu 1 '`- -SUB-CONTRACTOR INFORMATION. Name CCU License 4 Phone Number Electrical Plumbing Mechanical