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HomeMy WebLinkAboutPermit Building 2013-11-25 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 �1� Phone: 541-726-3753 hica.... O REGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02474 www.springfield-or.gov pe rmitce nter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 11/25/2013 EXPIRES: 05/24/2014 STATUS DATE: 11/25/2013 APPLIED: 11/07/2013 SITE ADDRESS: 905 RIVER KNOLL WAY,Springfield,OR 97477 SCOPE: Shop ASSESOR'S PARCEL NO: 1703234303800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-Shop addition to rear of garage,optional patio cover OWNER: HIBBETTS DONALD 0&BARBARA J Phone Number: ADDRESS: 905 RIVER KNOLL WAY 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 L INSPECTIONS REQUIRED • Inspections . 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1120 Foundation Foundation: After forms are erected but prior to concrete placement. . 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1530 Exterior Shearwall • 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. 0 i/ z/ ,Owner or Contractor Signat re 952-001-0010 througn ui n / / 0090. You may obtain copies of the rule'oa;e it calling the center. (Note: the telephone S PERMIT SHALL EXPIRE IF THE WORK number tottee,07800 332-2344)Ification i l'HORI7_ED UNDER THIS PERMIT IS NOT ..,.,:AENCFD OR IS ABANDONED FOR ...11 180 DAY PERIOD. Springfield Building Permit 11/25/201 10:50:30AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St ( EGON TRANSACTION RECEIPT Springfield,OR 97477 ,'.•]std' 541-726-3753 811-S P R2013-02474 www.springfield-or,gov 905 RIVER KNOLL WAY permitcenter©springfield-or.gov RECEIPT NO: 2013002560 RECORD NO:811-SPR2013.02474 DATE: 11/25/2013 FDESCRIPTION ACCOUNTCODE/TRANS_CODE __.AMOUNT DUE. I• SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 61.32 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 42.17 SDC:Total Storm Administration Fee 719-00000-426604 1180 5.17 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.32 Structural Building Permit Fee 224-00000-425602 1002 110.98 Technology fee(5%of permit total) 100-00000-425605 2099 5.55 TOTAL DUE: 238.51 • ., PAYORCASHIER:DBOWLSBY, COMMENTS AMOUNT PAID -._ . PAYMENT TYPE Credit Card HIBBETTS DONALD 0& BARBARA J 238.51 025972 TOTAL PAID: 238.51 SPRINGFIELD _... CITY OF SPRINGFIELD hip 225 Fifth St ct�;EGON TRANSACTION RECEIPT 225 R97477 541-726-3753 811-S PR2013-02474 www.springtield-or gov 905 RIVER KNOLL WAY permitcenter©springtield-or.gov RECEIPT NO: 2013002453 RECORD NO: 811-SPR2013-02474 DATE: 11/07/2013 ':DESCRIPTION` v- _ _ _ .. ACCOUNT CODE/TRANS CODE __ AMOUNT 1 Structural Plan Review Fee Residential 224-00000-425602 1061 72.14 TOTAL DUE: 72.14 .-;PAYMENT TYPE -.PAYOR, CASHIER:CCARPENTER COMMENTS ,.,..,,. ; AMOUNT PAID.` .I• , , , 3 Credit Card I-JIBBETTS DONALD 0& BARBARA J 72.14 007634 TOTAL PAID: 72.14 • Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY L '.' CITY OF SPRINGFIELD, OREGON l ` - :`t`i Permit no.: (i3 -2 7 / 225 Fifth Street•Springfield,OR 97477•PI1(541)726-3753•FAX(541)726-3689 - OREGON Date: 77/7/ 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: S � /dpi v,,,70 �tt;dlp / This project has DEQ approval. e— Occupancy/i A46 Signature: Date: (/r /J Zoning approval verified: ❑Yes ❑No Construction type: 5 Properly is within flood plain: ❑ Yes ❑No Square feet: /7r3 • CATEGORY OF CONSTRUCTION Cost per square foot: --❑Residential ❑Government ❑Commercial Other information: JOB SITE INFORMATION AND LOCATION Type of Ilcae Job site address: ceo 5c 4{P I(Ir¢.y).'Aire/1 l,(J Energy Path: City: 1,0„7, ,4 State: , e ZIP: r1yt� ❑new ❑alteration addition Subdivision: Y'1wL C 4.44. �Lotno.: (b)Foundation-only permit? ❑Yes ❑No Reference: 176.j 2 443 'Faxlot:(/1QVb r-, Total valuation: $ -7y PROPERTY OWNER 2. Building fees - �-y� Name: Pc Al14-Y C' ,46A NI b ' i (a) Permit fee(use valuation table): $ //6 /� Address: qCc�_ f,1 i�/f_. ,'g//7 ,,,,,/ (b)Investigative fee(equal to Pal): $ City: 54e„ pied State: 0, ZIP:7�V�” (c) Reinspection($ per hour): /_ t-/ H� (number of hours x fee per hour) $ Phone: '�J b Fax: - - -7 E-mail: /'�Zy! p N �. 11 c t/ 7 �&M.r• (d)Enter 12%surcharge(.12 x 12a+26+2ep: $ �� .�' (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: 3. Plan review fees ' (a) Plan review(65%x permit fee Pal): $ 727i Sign here: �� � (b)fire and life safely(40%x permit fee�2a]): $ ❑This installation is being made on resid ntial or farm property owned by (c)Subtotal of fees above(3a and 3b): $ 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 fee[2a]): $ - - CONTRACTOR INSTALLATION - J-- (h)Technology fee,5%(.05 x permit feel2ap: $ )----- Business name: TOTAL fees and surcharges(2e+3e+4a+4b): 5 �0� 41 / Address: //- City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: - .- SUB-CONTRACTOR INFORMATION Name CCB License If Phone Number Electrical Plumbing N lee hanlcal SPRINGFIELD 225 Fifth St h.„ • '' CITY OF SPRINGFIELD Springfeld,OR 97477 ( « • Phone: 541-726-3753-al Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02570 www.springfield-or-gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 11/25/2013 EXPIRES: 05/24/2014 STATUS DATE: 11/25/2013 APPLIED: 11/25/2013 SITE ADDRESS: 905 RIVER KNOLL WAY,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703234303800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-Shop addition to rear of garage,optional patio cover OWNER: HIBBETTS DONALD 0 8.BARBARA J Phone Number: ADDRESS: 905 RIVER KNOLL WAY SPRINGFIELD OR 97477 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 08101/2025 L 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. aa %-l�r — //7zCl, Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility in OAR 952-001-0010 are 0010 through OAR952 001h 0090. You may obtain copies of the rules by -HT1GE. calling the center. (Note: the telephone THIS PERMIT SHALL EXPIRE IF THE WORK number for the Oregon Utility Notification ANY 180 COMMENCED PERIOD.SRA6AINDOIREDI FORNOT Center is 1-800-332-2344). ANY 180 DAY PERIOD. Springfield Building Permit 11/25/201 10:53:08AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD •14 ...C4w.. 225 Fifth St "`�A OREGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-S P R2013-02570 www.springfield-or.gov 905 RIVER KNOLL WAY perrnitcenter @springfield-or.gov RECEIPT NO: 2013002561 RECORD NO: 811•SPR2013-02570 DATE: 11/25/2013 (DESCRIPTION, • . ACCOUNT CODE/TRANS CODE • Y `AMOUNT_DUEL] Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 6.50 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 - 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 13.00 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 CASHIER:oeo wLSSr COMMENTS - ,_ _ _ AMOU NT.PA,._ID _-^ _.,-..._j l Credit Card HIBBETTS DONALD 0 8BARBARA J 93-.60 025972 TOTAL PAID: 93.60 • Electrical Permit Application _ DEPARTMENT USE ONLY SPRINGFIeLD GEr F , - k494 al 513- a ZS 1 ! • • Permit I .: 7 ,r dt It 225 Firth Street+Springfield,01497477•P11(541)726-3753,FAX(541)7263689 `i.4 $ oaemots Date: /7 2 5 , 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 APPROVAL FEE SCHEDULE Zoning approval verified? ❑ Yes ❑No Number of inspections per item () Qty. Cost Total ea. cost CATEGORY OF CONSTRUCTION Residential,per unit,service included: Residential ❑ Government ❑Commercial JOB SITE INFORMATION AND LOCATION 1.000 sq. ft.or less(4) $147.50 $ Each additional 500 sq. ft.or portion Job site address: q 0 f Av.ter._ lea j'/be/At, thereof S 27.50 $ City:-5I t .(Ol/ State: r t ZIP:7 r Limited energy(2) $ 35.00 $ Reference: Q a&W Taxlot.O3, ■ Zj Each manufactured home or modular $ 69.00 $ /D7 '�/CRIPTION ES OF WORK dtcelling service or feeder(2) p i ki f(t! 7 E -r rod- •We>. Services or feeders: installation,alteration.relocation - 200 amps or less(2) S 89.00 .$ _____ _ PROPERTY OWNER 201 to 400 amps(2).....___ $ 104.50 - Name: 9 ,2y,/f Cf_-gAe6 _ ij( -fl 401 to 600 amps(2) $174.00 $ Address: ))/-16(_,...e 601 to 1,000 amps(2) $225.50 S City: '1C „ State: ZIP: Over 1..001)amps or volts(2) $516.00 S Phone: �}7b11--f(?eci Fax: - - — Reconnect only(2) $ 69,00 $ E-mail: 12--7/A- Dfi tt "4- $-itf, �/•� _ 'Temporary services or nllernlian, 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 20110 400 amps(2) $ 96.00 $ property is not intended for sale,exchange. lease,or rent.OAR 479.540(I)an 79.560(I), 401 to 600 amps(2) $138.50 $ Signature: Ts; / > c.t Over 600 amps.or 1.000 volts,see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: new alteration. extension per panel Business name: re 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 $ E-mail: Each additional branch circuit 67-..-- $ 6.50 ,$ /:. CCB license no,: I BCD license no.: lisceinnenus fees:.service or Perk,.not iuclrrded 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. S 80.00 $ Signature of signing supervisor: alteration,or extension(2) Each additional inspection:(I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Pen ' Pe �^��S80.00 $ lJ (B)Enter 12%surcharge(.12 x[A]) $ (C)Technology Fee(5%of[A]) $ 440-2584 4(4/0112013/COM) TOTAL fees and surcharges(A through C): $—/4-7 O 0