The URL can be used to link to this page

Home My WebLink AboutPermit Sidewalk 2014-09-22SPRINGFIELD, L� OREGON %�.springfield-orgov CITY OF SPRINGFIELD Building / Public Works Permit PERMIT NO: 811-PW2014-00155 225 Fifth St Springfield,OR 97477 Phone: 641-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitmnter@spd ngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/22/2014 EXPIRES: 03/21/2015 STATUS DATE: 09/22/2014 APPLIED: 09/22/2014 SITE ADDRESS: 5773 D ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702331405620 PROJECT DESCRIPTION: City sidewalk repair OWNER: ROMERO VLADIMIR A & YANARIS ADDRESS: 5773 D ST SPRINGFIELD OR 97478 SCOPE: TYPE OF STRUCTURE: Phone Number: CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone ROGGE CONCRETE LLC CCB 183518 08/11/2016 541-513-1075 INSPECTIONS REQUIRED Inspectlons 9506 Sidewalk - Setback Sidewalk - Setback: After forms are erected but prior to placement of concrete. By signature, I stale 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 Slate 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 limes during construction. Owner or Contractor Signature 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). /6-2-1(1 Date NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AO I-11ORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 9/22/2014 11:54:22AM Page 1 of 1 i SPRINGFIELD �"' OaEGON vNme pringrield-or.gov PROJECT STATUS: Issued CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-02157 STATUS DATE: 10/03/2014 SITE ADDRESS: 1601 7TH ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703264202000 PROJECT DESCRIPTION: Install meter main OWNER: DUMONT ANTHONY LEE ADDRESS: 47841 COMMERCIAL ST ISSUED: 10/03/2014 APPLIED: 10/03/2014 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itwnter@springfield-or.gov EXPIRES: 04/01/2015 SCOPE: Electrical Only TYPE OF STRUCTURE: Residential Phone Number: OAKRIDGE OR 97463 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Typo Lie No Lie Exp Phone Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 4220 Electrical - Service 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. Owner or C ntractor Signature Date OU t0 v� tufo\JOSoo�tiCd! N'•0t00 \ )tih0Osa05 1 P�CFt��to'a 6, \A �hOi her°ten Y vN k o\� pe too, ,00 0t �oP\ee e tete�h g\°� N°a{\ � 052.oav °uta\� N°�e•. �h N°l\C\c e9p° th eo �cmget �e�t°t \s 430\ ��G '•�NGSEp �Vgyp.oo�N M'E 4\C�S F\sN oy V01ON 0\- -?% Mv0op URc off/ Springfield Building Permit 10/3/2014 2:05:05PM Page 1 of 1 SPRINGFIELD — CITY OF SPRINGFIELD TRANSACTION RECEIPT Fifth St Spriingfield,OR 97477 � 541-7263753 OREGON 811-SPR2014-02157 www.spdn9field-or,gov 1601 7TH ST permitcenter@spnngfield-ocgov RECEIPT NO: 2014002189 RECORD NO: 811-SPR2014.02157 DATE: 10/03/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT DUE` 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 10.92 Technology fee (5% of permit total) 100-00000-425605 2099 4.55 TOTAL DUE: 108.97 Credit Card DUMONT CHAD 62152b 108.97 TOTAL PAID: 108.97 Electrical Permit Application SPRINGFIELD L a 225 Fifth Street* Springfield, OR 97477*PH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY Permitno.: S/((PoZ(S 7 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 Residential 10 Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 160 4 '? AI S F City: State: Ok ZIP: h?Y 7'7 Reference: 6 f(?— Tax1ot. DESCRIPTION OF WORK " U a (c h> t ew ?06 � iic f 04, PROPERTY OWNER Name: 6`-4a. lL/ e•I' Address: A 0i 1Tlr S1 City: Sp -;^f F" e tj State: 09 ZIP: w y? 2 Phone: 5V-93` C)IJ 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(l). Signature: hr� Ui/Ii1 CONTRACTOR INSTALLATION ' Business name: b (Ao, a 07Vt._ 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: FEE SCHEDULE Number of inspections per iO tem Qty, Cost ea, Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $151.00 $ Each additional 500 sq. ft. 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) $ 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: installalion, 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 1 1 $ 7.00 1 $ - 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]) $ (C) Technology Fee (15% of [A]) $ (D) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through D): $ t' 440-2584-J (5/21/2014/COM) a