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Home My WebLink AboutPermit Building 2014-09-09- 225 Fifth St LRIGFIELD CITYOF SPRINGFIELD Springfield,OR 97477 s' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01939 w .spdngfieldocgov permitcenter@spdngfieldor.gov PROJECT STATUS: Issued ISSUED: 09109/2014 EXPIRES: 03/07/2015 STATUS DATE: 09/09/2014 APPLIED: 09/09/2014 SITE ADDRESS: 1120 FAIRVIEW DR, SPC# 45, Springfield, OR 97477 SCOPE: Fire Damage ASSESOR'S PARCEL NO: 1 703 273100 600 TYPE OF STRUCTURE: Residential -PROJECT -DESCRIP-TION_ -S--New-owner--Fire-damage-repairs - — - - — ---- OWNER: RODRIGUEZ CYNTHIA Phone Number: ADDRESS: 4087 S E ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone INSPECTIONS REQUIRED Inspections 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. 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 perrpikcard is Iocg)6d at the front of the property, and the approved set of plans will remain on the site at all times during or Contractor Signature r,„ {I•ICf�• [I WS PERMIT SHAL1- EXPIRE IF HIL WOItK AUTI IORIZFD UDDER THIS PFRMIT IS NO I COi:4iy4EIIGLD OR IS AI3NdDONEO FOR Af�JY 180 DAY PERIOD. Date ' I Ir til; 01 .110011 la\.v requires you to adol,t d by the Oregon Utility _rn CCnter. Those rules are Set forth t)sr-001-0010 through OAR 952 001- You may obtain copies of the rules by calling the center. (Note: the telephone nu,7lber for the Oregon Utility Notification Center is 1-800-332 2344)• Springfield Building Permit 9/912014 9:17:15AM - Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD A = - 64, TRANSACTION RECEIPT 225 FOh St Spdngfield,OR 97477 " OREGON 811-SPR2014-01939 541-726-3753 mm.spdngfield-ar.gav 1120 FAIRVIEW DR, SPC 45 permitcenter@spdngfield-acgov RECEIPT NO: 2014001963 RECORD NO: 811-SPR2014-01939 DATE: 09/09/2014 3 Continuing Education Fee 224-00000-425606 2.50 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84 Structural Building Permit Fee 224-00000-425602 1002 82.00 Technology fee (5% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 Credit Card RODRIGUEZ CYNTHIA 98.44 161861 TOTAL PAID: 98.44 G Structural Permit Application 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 SPRINGFIELD A OREGO14 This permit is issued tinder OAR 918-460-0030. Permits expire if work is not started within 1 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 El Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 2./ City: State: 0-1-- ZIP: �) Subdivision: I Lot no.: Reference:/ '%Q % Taxlot: QDC,O0 PROPERTY QWNER Name: l C vZ2 Address: Q City State: d2 I ZIP: Phone ' —� Fax: - E -mai Building Owner or Owner's agent authorizing this application: _ Sign here: ❑ This installation is being made an residential or farm property owned by me or a member of my immediate family, and is exeript from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: (e) Subtotal of fees above (2a through 2d): SUB -CONTRACTOR INFORMATION Name CCB License N Phone Number Electrical dw,'L-- —Plwnbin (b) Fire and life safety (40%x permit fee [2a]): $ Plumbing $ 4. Miscellaneous fees' Mechanical (a) Seismic fee, 1%(.01 x permit fee [2a]): $ DEPARTMENT USE ONLY Permit no.: Date: �(' ( r 80 days of is(uanee or if work is FEE SCHEDULE 1. Valuation information (a) Job description: ?/L... pi- jee aO4V&S Occupancy ),J Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: $ 2. Building fees (a) Permit fee (use valuation table): $ (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): $ I 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): $ 4. Miscellaneous fees' (a) Seismic fee, 1%(.01 x permit fee [2a]): $ (b) Technology fee, 5% (.05 x permit fee[2a]): $Led (c) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (2e+3c+4a+4b+4c): yq $9 fly-/,iV(*-2 SPRINGFIELD- CITY OF SPRINGFIELD 225 Fifth St Springfield,OR97477 s� Phone: 541-726-3753 oaecoN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01938 w .springfield-or.gov permilcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 09/09/2014 EXPIRES: 03/07/2015 STATUS DATE: 09/09/2014 APPLIED: 09/09/2014 SITE ADDRESS: 1120 FAIRVIEW DR, SPC# 45, Springfield, OR 97477 SCOPE: Manufactured Home on Private Lot ASSESOR'S PARCEL NO: 1703273100600 TYPE OF STRUCTURE: Residential -PROJEGT-DESCRIPTION:-E-- New -owner- Fire -damage -repairs- - - - - - - - -- OWNER: RODRIGUEZ CYNTHIA Phone Number: ADDRESS: 4087 S E ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lic No Lic Exp Phone 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 co 1 uction. G ner or Contractor Signature Date TRIS PERMIT SHALL EXPIRE IF THE W01�{C AUTHORIZED UNDER fl -IIS PERMIT IS NOT C01idMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, !1 i- Efd110N: Orerlon law requires you to Inllovl rlllus adopted by the Oregon Utility hloliiw,Aion 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 9/9/2014 9:15:52AM Page 1 of 1 SPRINGFIELD -"— CITY OF SPRINGFIELD 1 225 Fifth St cam: TRANSACTION RECEIPT 8pnn9fie1d,0R97477 OREGON 641-726-3753 811-SPR2014-01938 w .spdngfieldocgov 1120 FAIRVIEW DR. SPC 45 permitcenter@spnngfield-orgov RECEIPT NO: 2014001965 RECORD NO: 811-SPR2014-01938 DATE: 09/09/2014 Branch circuits with service or feeder each circuit 224-00000-426102 1004 63.00 Electrical Continuing Education fee 224-00000-425606 1032 2.50 Services 200 amps or less 224-00000-426102 1004 91.00 Stale of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 18.48 Technology fee (5% of permit total) 100-00000-425605 2099 7.70 RODRIGUEZ CYNTHIA 161861 TOTAL DUE: 182.68 TOTAL PAID: 182.68 t CITY OF SPRINGFICLD, OGQN DEPARTMENT USE ONLY Permit no.: _Qy'' ,?F Date: �% l t 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 esidential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: -City.- - - ! --- - I State:- tate:Reference: Each additional 500 sq. 0. or portion thereof Reference:/ ' / Taxlot.: 006c96% DESCRIPTION OF WORK '. L' 2S --- PROPERTY OWNS JR Name. 'O. Address: City:] State:O(Z— ZIP:Cf Phony!. Fax: E-mail ✓I/>2CT✓tvd'e O O` This instdIl tion is being ma -&e 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: CONTRACTOR INSTALLATION Business name: 4_�A_ Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-1(5/2112014/COM) EEE SCHEDULE . :Number of inspections per item O Qty. Ceaos, , Total Residential, per unit, service included: 1,000 sq. ft. or less (4) $161.00 $ Each additional 500 sq. 0. or portion thereof $ 28,00 $ - -Limited-energy-(2)------------- --- -$-36:00- -$---- Each manufactured home or modular dwelling service or feeder (2) $ 71.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 01.00 201 to 400 amps (2) $106.00 $ 401 to 600 amps (2) 601 to 1,000 amps (2) Over 1,000 amps or volts (2) A$230.00$ Reconnect only (2) Temporary services or feeders: installation, an200 amps or less (2) . 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 per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 7.00 1 $ K Fee for branch circuits without purchase of a service or feeder ee: First branch circuit (2) $ 62.00 $ Each additional branch circuit $ 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 $ APPLICANT USE (A) Enter subtotal of above fees (Minimum Permit Fee $82.00) $ / (B) Enter 12% surcharge (.12 x [A]) $ N (C) Technology Fee (5% of [A]) $ s (D) Continuing Education Fee $2.50 $2,50 TOTAL fees and surcharges (A through D): $ Fj2. SPRINGFIELD 225 Fifth Sl CITY OF SPRINGFIELD Springfeld,OR97477 7 vy EL' Phone: 541-726-3753 OREGON Building /Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 '.. PERMIT NO: 811-SPR2014-01940 w .springfield-oreov permitoenter@Springfield-orgov PROJECT STATUS: Issued ISSUED: 09/09/2014 EXPIRES: 03/07/2015 STATUS DATE: 09/09/2014 APPLIED: 09/09/2014 SITE ADDRESS: 1120 FAIRVIEW DR, SPC# 45, Springfield, OR 97477 SCOPE: Fire Damage ASSESOR'S PARCEL NO: 1703273100600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION:_ M -_Now owner- _Fire _damage OWNER: RODRIGUEZ CYNTHIA Phone Number: ADDRESS: 4087 S E ST SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 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 loca}¢d,pt the front of the property, and the approved set of plans will remain on the site at all times during S/ L'A' - io: or Contractor Signature Date 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 1-800-332-234'1). II; PER[ IIT SHALL EXPIRE IF THE WORK IIORIZED UNDER I HIS PERMIT IS NOT CLD OFi IS ABANDONED FOR, i00 DAY PERIOD. Springfield Building Permit 9/9/2014 9:16:36AM Page 1 of 1 9LD -- SPREri CITY OF SPRINGFIELD -225 TRANSACTION RECEIPT Fifth St Springfield,OR 97477 -OREGON 811-SPR2014-01940 541-726-3753 ww .springfield-orgov 1120 FAIRVIEW DR, SPC 45 permitcenter@spdngrield-or.gov RECEIPT NO: 2014001964 RECORD NO: 811-SPR2014-01940 DATE: 09/09/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT'DUE Continuing Education Fee 224-00000-425606 2.50 First Appliance Fee 224-00000-425604 1006 82.00 Single -duct exhaust (bathrooms, toilet compartments, utility rooms 224-00000-425604 1006 20.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 12.24 Technology fee (5% of permit total) 100-00000-425605 2099 5.10 TOTAL DUE: 121.84 Credit Card Damian A. Carrillo 161861 121.84 TOTAL PAID: 121.84 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: ❑ 1 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 t 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. t Nmeo❑ qq/ gnature of PermitApplicant Date Permit #: S/�� r778 9 , 4"D Address: 11 2 D ?e--A(tL vi taj W4' ,5oru) bra- 974( '7? Issued by: Cd -t- Date: / This Copy for Permit Offices