HomeMy WebLinkAboutPermit Building 2014-09-17SPRINGFIELD
A 3 _.
' E
--^`-"'' OREGON
v .springfield-or.gov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01886
225 Fifth St
Springheld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/17/2014 EXPIRES: 03116/2015
STATUS DATE: 09/17/2014 APPLIED: 09/02/2014
SITE ADDRESS: 231 S 38TH ST, Springfield, OR 97478 SCOPE: Single Family Residence
ASSESOR'S PARCEL NO: 1702314102810 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: _ _S -Bedroom addition and new detached garage
OWNER: WILKINSON DENISE
ADDRESS: 231 S 38TH ST
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
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 local at the front of the property, and the approved set of plans will remain on the site at all times during
co truction.
Owner or Contractor Signature Date
ATTENTION: Oregon lase 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 II'le rules by
calling the center. (Note: the Iclephone
number, for the Oregon Utility Notification
Center is 14;00-332-2344),
W
01
1 ,'.S PfRM1T ShlA�L E.Xf'11�D IV='(I-lE
IORI�CL )0� OR
S Af3Af OON pl (0 NOT
','Y 'i 80 DAY PC-I''rIOD.
Springfield Building Permit 9/17/2014 1:35:11PM Page 1 of i
SPRI�Olyt
CITY OF SPRINGFIELD
225 PHIh St
TRANSACTION RECEIPT Spnngfield,OR97477
660N 541-726-3753
811 -SP R2014-01886
www.spdngfield-or.gov 231 S 38TH ST permiteenter@spnngfield-or.gov
RECEIPT NO: 2014002057
RECORD NO: 811-SPR2014-01886
DATE: 09/17/2014
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
38.40
SDC: Improvement Cost - Storm Drainage
440-00000-448028
1176
342.47
SDC: Reimbursement Cost - Storm Drainage
441-00000-448029
1177
235.62
SDC: Total Storm Administration Fee
719-00000-426604
1180
28.90
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
64.10
Structural Building Permit Fee
224-00000-425602
1002
534.20
Technology fee (5% of permit total)
100-00000-425605
2099
26.71
TOTAL DUE: 1.391.90
Credit Card WILKINSON DENISE J 1,391.90
02060p
TOTAL PAID: 1,391.90
SPRINGFIELD-
CITY OF SPRINGFIELD
"
6--n-REGON
TRANSACTION RECEIPT
225 Fifth St
Spdngfield,OR 97477
541-726-3753
811-SPR2014-01886
w .spdngfieldor.gov
231 S 38TH ST
permitmnter@sp6ngfield-or.gov
RECEIPT NO: 2014001915 RECORD NO: 811-SPR2014-01886 DATE: 09/02/2014
Structural Plan Review Fee Residential 224-00000-425602 1061 347.23
PPII�AA6Y�LI
02746p
TOTAL DUE: 347.23
341.23
TOTAL PAID: 347.23
r, t
C]TY 4P SPIfINGFIRL� Q
This permit is issued under 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 I ❑ Government I ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address; c231 S 301k _�'{-
City: (; Y'r eA C� I State: 0 I ZIP: '(`747
Subdivision: W04 - A Lo
no0,291
Reference: '1'axlot:
PROPERTY'OWNER
None: r'IAQ. J willLivts)vt Sf K S
Address: 931 5 3b+k 5t
City: j Y; p(
1State: nP2 ZIP: %4.79
Phone: 559 ^ A -919 4
Fax: - -
E-mail: ytyo'-_i to irI vaBmp'; Cowl
Building
�O� wiener or �Ovvneer's a nt ar ll ori -ring this application:
Sign he'd
Was installation is being made on residential or farm property m red by
are ora member of my immediate family, and is exempt from licensing
requirements under ORS 701,010.
CONTRACTOR INSTALLATION
Business none:
Address:
City:
State: ZIP:
Phone: - -
Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:
3. Plat review fees
SUBCONTRACTOR INFORMATION
Name
CCB License
N Phone Number
Electrical
(c) Subtotal of fees above (3a and 3b):
S
Plumbing
(a) Seismic fee, I%(.01 x permit fee [2a]):
Mechanical
(b) Technology fee, 5% (.05 x permit fee[2a]):$
�, 7
Permit no.: Si((
Date:
or if work is
FEE SCHEDULE
1. Valuation informuton
(a)Jobdescription: acp.kQ ko✓L kv [' ne-w
_M
Occupanc}' `�,� vC
Construction type:
Square feet: y36 gJ 2
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
new ❑alterationaddition
(b) Foundation -only permit? ❑ Yes ❑ No
Total valuation:
$
2. Building fees
(a) Permit fee (use valuation table):
$ -ZG
(b) Investigative fee (equal to 12a]):
$
(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):
S
3. Plat review fees
(a) flan review (65%x permit fee 12a]):
$ f
(b) Fire and life safety (40%x permit
(c) Subtotal of fees above (3a and 3b):
S
4, Miscellaneous fees
(a) Seismic fee, I%(.01 x permit fee [2a]):
$
(b) Technology fee, 5% (.05 x permit fee[2a]):$
�, 7
(c) Continuing Education Pee $2.50
$2,50
TOTAL fees and surcharges (2c+3c+4a+4b+4c):
S 7
01k L_ `
SPRINGFIELD
4a F
{ V�-5
�-��---' OREGON
wvw.springfield-ocgov
CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811-SPR2014-01996
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
parmitcenter@spfingfield-or.gov
PROJECT STATUS: Issued ISSUED: 0 911 7/2 01 4 EXPIRES: 0311612016
STATUS DATE: 09117/2014 APPLIED: 09/16/2014
SITE ADDRESS: 2318 38TH ST, Springfield, OR 97478 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702314102810 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: P- Bedroom addition and new detached garage
OWNER: WILKINSON DENISE J Phone Number:
ADDRESS: 231 S 38TH ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
3130 Footing/Foundation Drains
3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking.
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 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. 1 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. -1
Al IT 1`1110N: 01CoonI"'." I riles 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
Cenhar is 1-600--3312-23,14).
I .I � I'I RMIT 51'1+I L FY4'IRE II'' I IiF WOR{C
�,Ul1i0RIZED IJNDER 7IIIS PERMIT IS NOT
COF,,',lAFNCFD OR IS A3ANDONED FOR
A DAY PE11011.
Springfield Building Permit 9/17/2014 1:29:50PM Page 1 of 1
SPRINGFIELD CI l'Y OF SPRINGFIELD
225FdthSt
TRANSACTION RECEIPT Spdngfie1d,OR97477
�'- 541-726-3753
OREGON 811-SPR2014-01996
w .spdngfield-or.gov 231 S 38TH ST pormitc nter@spdngtiold-or.gov
RECEIPT NO: 2014002055 RECORD NO: 811-SPR2014.01996
DATE: 09/17/2014
DESCRIPTION
ACCOUNT CODEITRANS CODE
AMOUNT DUE
Bathtub
224-00000-425603
1005
21.00
Continuing Education Fee
224-00000-425606
2.50
Shower/Shower pan
224-00000-425603
1005
21.00
Sink/basinflavatory
224-00000-425603
1005
21.00
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
12.60
Technology fee (5% of permit total)
100-00000-425605
2099
5.25
Water closet
224-00000-425603
1005
21.00
Water heater
224-00000-425603
1005
21.00
TOTAL DUE: 125.35
PAYMENTTYPE PAYOR. CASHIER:RHOLMAN
COMMENTS
AMOUNT PAID
Credit Card WILKINSON DENISE J
125.35
02060p
TOTAL PAID: 125.35
,.
225 Fifth St
LSPRIINGFIELD
CITY OF SPRINGFIELD
Springfield,OR97477
Phone: 541-726-3753
OREGON
Building /Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01995
w .spnngfield-orgov
pern-ilcenter@springfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/17/2014 EXPIRES: 03/16/2015
STATUS DATE: 09/17/2014 APPLIED: 09/16/2014
SITE ADDRESS: 231 S 38TH ST, Springfield, OR 97478 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702314102810 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: M•. Bedroom addition and new detached garage
OWNER: WILKINSON DENISE J
ADDRESS: 2318 38TH ST
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone
ccB 000000
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 locate the front of the property, and the approved set of plans will remain on the site at all times during
ns ction.
�, Q ( ?
Owner 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 1-800.332-2344),
1 I IISl I
('LRPAI7 SHmI_L
i01;IZFD UNO[i; IhalS NO f
I i�lcn) Olt LS N i
„o DAY PtAli100.
Springfield Building Permit 9/17/2014 1:32:39PM Page 1 of 1
SPRIN�-zomRe
CITY OF SPRINGFIELD
1 225 Fdlh St
TRANSACTION RECEIPT Springfield,OR97477
GON 541-726-3753
811-SPR2014-01995
w .springfield-ocgov 231 S 38TH ST permitaenter@spdngfield-or.gov
RECEIPT NO: 2014002054 RECORD NO: 811-SPR2014-01995 DATE: 09/17/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE
Continuing Education Fee 224-00000-425606 2.50
First Appliance Fee 224-00000-425604 1006 82.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 9.84
Technology fee (5% of permit total) 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
Credit Card WILKINSON DENISE J 98.44
02060p
TOTAL PAID: 98.44
SPRIN 1FAOaE
CITY OF SPRINGFIELD
12 GDN Building / Residential Permit
PERMIT NO: 811-SPR2014-01997
wvrvt springfield-ocgov
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@springfield-ocgov
PROJECT STATUS: Issued ISSUED: 09/17/2014 EXPIRES: 03/16/2015
STATUS DATE: 09/17/2014 APPLIED: 09/16/2014
SITE ADDRESS: 231 S 38TH ST, Springfield, OR 97478
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
SCOPE: Electrical Only
1702314102810 TYPE OF STRUCTURE: Residential
E- Bedroom addition and new detached garage
OWNER: WILKINSON DENISE J
ADDRESS: 231 S 38TH ST
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone
INSPECTIONS REQUIRED
Inspections
4225 Service or Feeder
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical
000000 06/01/2025
Final Electric: When all electrical work is complete.
By signature, 1 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'\
ATTENTION: Oregon law requires you 10
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:
th/ telephone
number for the Oregon
Notification
Center is 1-600.332-2344).
S P[RNIIl SNAIL EXPIRE IF THE WORK
1 FIORILED UNDER THIS PERMIT IS NO -j-
0 i 11111ENCLD OR IS ABANDONED FOR
I�IY 180 DAY PERIOD,
Springfield Building Permit 9/17/2014 1:27:25PM Page 1 of 1
RECEIPT NO: 2014002056 RECORD NO: 811-SPR2014-01997 DATE: 09/17/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE '
Branch circuits with service or feeder each circuit 224-00000-426102 1004 35.00
Services 200 amps or less 224-00000-426102 1004
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
91.00
15.12
Technology fee (5% of permit total) 100-00000-425605 2099 6.30
TOTAL DUE: 147.42
PAYMENT TYPE PAYOR CASHIER: RHOLMAN COMMENTS AMOUNT PAID
Credit Card WILKINSON DENISE J 147.42
02060p
TOTAL PAID: 147.42
CITY OF SPRINGFIELD
L
TRANSACTION RECEIPT
225 Fdth St
Sp6ngfield,OR97477
ONEGON
811-SPR2014-01997
541-726-3753
vmv.springfield-ocgov
231 S 38TH ST
permitcenter@spdngfleld-or.gov
RECEIPT NO: 2014002056 RECORD NO: 811-SPR2014-01997 DATE: 09/17/2014
DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE '
Branch circuits with service or feeder each circuit 224-00000-426102 1004 35.00
Services 200 amps or less 224-00000-426102 1004
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099
91.00
15.12
Technology fee (5% of permit total) 100-00000-425605 2099 6.30
TOTAL DUE: 147.42
PAYMENT TYPE PAYOR CASHIER: RHOLMAN COMMENTS AMOUNT PAID
Credit Card WILKINSON DENISE J 147.42
02060p
TOTAL PAID: 147.42
siFI�LD, ro+iI
i"
DEPARTMENT USE ONLY
Permit no.: N _
Date: �) /
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
01(eesidential
❑ Government
❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: Ttt S(
City: / I v
State:
ZIP./7
Reference:
Taxlot.:
DESCRIPTION OF WORKi
$
Limited energy (2)
PROPERTY OWNE
Name: e* j I 4 So r� S
Address: g3l 3 3044
City: I
State: (ge
ZIP: 9747
Phone: 5q 369 jjq4
I Fax:
E-mail: Vl e-etC i e i r ( J S,?,S eVKC t( CC)r✓I
This installation is being made on residential or farm property
owned by me or a nVMbQr of my immediate family, This
property is otin e d f sale, exchange, lease, or rent. OAR
479.540(1 and
Signature
COt4TRACTOR INSTALLATION
Business name: p^ [a c r1 t/'
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-J (5/2W0141COM)
FEE SCHEDULE
Number of inspections per item ()Qty.
Cos(
ea.
Total
post
Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$ 2g,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)
$ 91.00
$
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, extensionperpanel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$ 7.00
$
b. Fee for branch circuits without purchase of a service or feeder fee:
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])
$ i
(C) Technology Fee (5% of [A])
$ l
(D) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (A through D):
$/Y? `/
�I
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
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.
Permit#:
Address: 27f
SPFcZ Jt_ '17yW
Issued by: 6�Date: % / 711ev
Date
This Copy for Permit Offices
SET ID: 231 S. 38TH
Menu Pay Help
Set Members:
3
All Fees Paid:
0
Valuation:
$51,331.00
Total Fee Assessed:
$1,962.92
Total Fee Invoiced:
$1,962.92
Payments:
5347.23
Balance:
$1,615.69
Transactions
Date Amami Receipt A
o recoN(s) round
Page 1 of 1
Terminal N:
Cashier ID: CCARPENTER
Date: 09/16/2014
Cashier ID Method Status Transaction
Code
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