HomeMy WebLinkAboutPermit Building 2014-08-07SPRINGFIELD -
_
225 Fifth St
1 r
CITY OF SPRINGFIELD Springfield,OR97477
v64L
Phone: 541-726-3753
OREGON
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 641-726-3676
PERMIT NO: 811-SPR2014-01368
mmapringheld-ocgov
permilconter@springfield-ocgov
PROJECT STATUS:
Issued ISSUED: 08107/2014 EXPIRES: 02/02/2015
STATUS DATE:
08/07/2014 APPLIED: 06/25/2014
SITE ADDRESS: 527 PARK ST, Springfield, OR 97477 SCOPE: Family Room
ASSESOR'S PARCEL NO:
1703353405600 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Living room and loft Addition to SFD
OWNER: SMITH WESLEY GRAHAM Phone Number:
ADDRESS: 527 PARK ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type Lie No Lie Exp Phone
General Contractor
OWNER CCB 000000 08/01/2025
Plumbing Conlraclor
OWNER CCB 000000 08/01/2025
_
Mechanical Contractor
OWNER ^ ^ CCB 000000 LL 08/01/2025
.___._.___
Electrical Contractor
_o-._....____...____..___-__—_
______.-_.--o-ba-00-0—
OWNER CCB 000000 08/01!2025
INSPECTIONS
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.
1150 Slab/Flatwork
Slab: To be made after all inslab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
1160 UFER Ground
Ufer Electrical Ground: Install ground rod at footing and call for inspection in
conjunction with footing and/or foundation inspection.
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall
Wall Insulation: Prior to cover.
1440 Insulation Ceiling
Ceiling Insulation: Prior to cover.
1530 Exterior Shearwall
1999 Final Building Final Building: After all required inspections have been requested and approved and
ATTENTION: Oregon law requireslyou is complete.
follow rules adopted by the Oregon Utility I IOE:
Notification Center, Those rules are set forth .
In OAR 952.001-0010 through OAR 952.001- IIS PERMIT SHALL EXPIRE IF THE WORK
0090, You may obtain copies of the rules by JITiiORiZED UNDER THIS PERMIT IS NOT
oalling the center. (Note: the telephone '1044MENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification u1.11' 1 II0 DAY PERIOD.
Center is 1.800-332-2344),
Springfield Building Permit 8!//2014 9:59:30AM Page 1 of 2
SPRINGFIELD --
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OaE60N
v v.spdng(eld-orgov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01368
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permits nter@spnngfield-or.gov
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
[97
Owner or Contractor Signature
Springfield Building Permit 8!7/2014 9.59:30AM Page 2 of 2
Eizz
GFIELD CITY OP SPRINGFIELD
-225 Fifth St
TRANSACTION RECEIPT Spfingfield,OR 97477
OREGON
811-S PR2014-01368 541-726-3753
v v .spdngfield-or-gov 527 PARK ST permitcenter@spdngfield-ocgov
RECEIPT NO: 2014001704
RECORD NO: 811-SPR2014.01368
DATE: 08/07/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Continuing Education Fee
224-00000-425606
2.50
Planning - Minor Review - City
100-00000-425002
1231
119.00
Residential Fire (.05 Per Sq Foot)
100-00000-424005
9111
55.20
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
468.00
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
321.98
SDC: Total Storm Administration Fee
719-00000-426604
1180
39.50
ioo> n nt
4R—
Structural Building Permit Fee 224-00000-425602 1002 779.00
Technology fee (5% of permit total) 100-00000-425605 2099 38.95
TOTAL DUE: 1,917.61
PAYMENT.TYPE PAYOR CASHIER: CCgePENTER COMMENTS AMOUNT PAID
Check SMITH WESLEY GRAHAM 1,917.61
14 0000312794
TOTAL PAID: 1,917.61
LLNGFIELO CITY OP SPRINGFIELD
- 225 Fifth St
TRANSACTION RECEIPT Spnngfield,OR 97477
' OREGON
811-SPR2014.01368 641-726-3753
mm.spnngfield-or-gov 527 PARK ST permitcenter@spnngfield-or.gov
RECEIPT NO: 2014001407 RECORD NO: 811 •SPR2014.01368 DATE: 06/30/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Structural Plan Review Fee Residential 224-00000-425602 1061 506.35
TOTAL DUE: 506.35
Check Wesley Smith
140000306230
506.35
TOTAL PAID: 606.35
Structural Permit Application
225 Fifth Street 1 Springfield, OR 97477 ♦ PH(541)726-3753 1 FAX(541)726-3689
i
El�
OaEGON
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within I
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date;
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
Residential
❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 7
City: ,n. t State: I ZIP: Y
Subdivisio : Lot no.:
Reference: Q 33 ®3 Taxlet: '(, ,gip"
Type of Heat:
PROPERTY OWNER Off%
Name:
Address: 'L —
City:
State: ZIP!1 `T
Phone:
Fax: - -
E-mail:
Building Owner or Owner's agent authorizing this application:
Sign here:
❑ This installation is be g made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name: hA el wv
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Primname: WeSlte Sm;A
Signature: >
3. Plan review fees
SUB-60NTRACTOR INFORMATION .
"
Name
CCB License H
Phone Number
Electrical
(c) Subtotal of fees above (3a and 3b):
S
Plumbing
(a) Seismic fee, 1%(.01 x permit fee [2a]):
hiechanical
(b) Technology fee, 5% (.05 x permit fee[2a]):
$
L
EPARTMENT USE ONLY
mit no.: / : Z
80 days of issuance or if work is
FEE SCHEDULE
1. Valuation information
(a) Job description: &�
Occupancy
Construction type: (
Square feet:
Cost per square foot:
_
Other information:
Type of Heat:
Energy Path: G
❑ new ❑alteration addition
(b) Foundation -only permit? ❑ Yes `tVo
Total valuation:
$��'t7rll7
2. Building fees
(a) Permit fee (use valuation table):
S
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):�—
(e) Subtotal of fees above (2a through 2d):
$
3. Plan review fees
(a) Plan review (65%x permit fee [2a]):
$ �.
(b) Fire and life safety (40%x permit fee [2a]):
$
(c) Subtotal of fees above (3a and 3b):
S
4. Miscellaneous fees -'
(a) Seismic fee, 1%(.01 x permit fee [2a]):
$ s
(b) Technology fee, 5% (.05 x permit fee[2a]):
$
(c) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (2e+3c+4a+4b+4c):
$ )(v
SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfield,OR 97477
. v�y Phone: 541-726-3753
OREGON Building if Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01673
m w.spring(eld-ocgov permitcenter@spr ngfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/07/2014 EXPIRES: 02/02/2015
STATUS DATE: 08/07/2014 APPLIED: 08/06/2014
SITE ADDRESS: 527 PARK ST, Springfield, OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703353405600 TYPE OF STRUCTURE: Residential
—PROJECT _DESCRIETION: Living. raom_and_loft Addition_to_SED
OWNER: SMITH WESLEY GRAHAM Phone Number:
ADDRESS: 527 PARK ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
—c...___
Plumbing Contractor OWNER CCB 000000 08101/2025
._.-._. ,._..,�_ _.,..___.._._ ____._.._,.
Mechanwal Contractor OWNER CCB 000000 08/01/2025
__._...__— .— _ __......__—_.___.____-_.-1_ _-_
Electrical Contractor OWNER CCH 000000 08/01/2025
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 properly, and the approved set of plans will remain on the site at all times during
construction.
Y --. c / ? Z14
Owner or Contractor Signature
NOTICE:
-fI iIS PERMIT SHALL EXPIRE IF THE WORK
AU"IHORIZED UNDER'rHIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Date I /
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1.800-332-2344).
Springfield Building Permit 8!7/2014 9:57:06AM Page 1 of 1
FIELD
RECORD NO: 611-SPR2014-01673
CITY OF SPRINGFIELD
Elv�...„.225
, ,,
TRANSACTION RECEIPT
FHth St
Sp6ngfield,OR 97477
Branch circuits with service or feeder each circuit
224-00000-426102
541-726-3753
OREGON
811-SPR2014-01673
224-00000-425606
v .spnngfield-ocgov
527 PARK ST
permitcenter@spnngtield-ocgov
RECEIPT NO: 2014001702
RECORD NO: 611-SPR2014-01673
DATE: 06/07/2014
DESCRIPTION
ACCOUNT CODE/TRANS CODE
AMOUNT DUE
Branch circuits with service or feeder each circuit
224-00000-426102
1004
28.00
Electrical Continuing Education fee
224-00000-425606
1032
2.50
Services 200 amps or less
224-00000-426102
1004
91.00
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
14.28
Technology fee (5% of permit total)
100-00000-425605
2099
5.95
TOTAL DUE:
141.73
Check SMITH WESLEY GRAHAM
14 0000312793
141.73
TOTAL PAID: 141.73
i s FSPR 1 G JUL N d �,
DEPARTMENT USE ONLY
Permitno.:
flq ` /6 73
Date:
I ❑ Government I
❑ Commercial
JOB SITE INFORMATION AND 'LOCATION
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
Zoning approval verified? ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
aResidential
I ❑ Government I
❑ Commercial
JOB SITE INFORMATION AND 'LOCATION
Job site address:e-
-Ci
State:_
ZIP: 7%Y%
Reference: / Q 5'S L/
Taxlot.: S46e)
DESCRIPTION OF WORK:
(.)112-(N /1-M 776 rA--�
PROPERTY OWNER .'
Name: W e", �j
Address: X5,rln
City:
State:
ZIP: "4-7
Phone: ZoZ
Fax:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature: WWeJf
CONTRACTOR INSTALLATION
Business name:
Address:
City:
State:
ZIP:
Phone:
Fax:
E-mail:
CCB license no.:
BCD license no.:
Signing supervisor's license no.:
Print name of signing supervisor: hle&ysA, %
Signature of signing supervisor:
440 -2584-J (5212014/COK
FEE SCHEDULE
Number of inspections per item O
Qty,
Cost
ea.
Total.-
cost
Residential, per unit, service included:
1,000 sq. ft. or less (4)
$
Each additional 500 sq. ft. or portion
thereof
$
F71.00
- -Limited energy (2�
-�
Each manufactured home or modular
dwelling service or feeder (2)
$
Services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 91.00
$✓ l
201 to 400 amps (2)
$106.00
$
401 to 600 amps (2)
$178.00
$
601 to 1,000 amps (2)
$230.00
$
Over 1,000 amps or volts (2)
$527.00
$
Reconnect only (2)
$ 71.00
$
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 71.00
$
201 to 400 amps (2)
$ 98.00
$
401 to 600 amps (2)
$142.00
$
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension perpanel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
I�M,-
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
$ 62.00
$
Each additional branch circuit 1
1
$ 7.00
$
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
$ 71.00
$
Each sign or outline lighting (2)
$ 71.00
$
Signal circuit or a limited -energy panel,
alteration, or extension (2)
$ 82,00
$
Each additional inspection: (1)
$82.00
$
17 AP,PLICANT:USE
(A) Enter subtotal of above fees
(Minimum Permit Fee $82.00)
$
(B) Enter 12% surcharge (12 x (A])
$
(C)Technology Fee (5% of (A])
$
(D) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (A through D): I
$ /y/-