The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-4-3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1263 MAIN ST SPACE 76 ASSESSOR'S PARCEL NO.: 1703354108700 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00366 ISSUED: 04/03/2008 APPLIED: 03/17/2008 EXPIRES: 10/03/5008 VALUE: $ 800.00 Springfield TYPE OF WORK: Single Family Residence Residential PROJECT DESCRIPTION: Add laundry room and storage Owner: BENJAMIN YANEZ Address: 1263 MAIN ST SPACE 076 SPRINGFIELD OR 97477 TYPE OF USE: Addition Phone Number: 541-988-7391 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building VB License Expiration Date Phone No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: _ _ ___ -"'!E. I PUBLIC IMPROVEMENTS I Street Imp~o~~~e~t~ SHALL EXPIRE IF THE WORK .1.... , ,.RIVtll OT Storm Sewe.IiA,~ail.ll~lttjf~DER THIS PERMIT IS N speciaI~r;~'~'~}1c~'~fED OR IS ABANDONED FOR Notes: i\l~Y 180 DAY PERIOD. Pae:e 1 of 3 REQUIRED PARKING Total: Handicapped: Compact: ATTENTION' Oregon law requires you to ~!9.1I0\~ n.ues adopted by the Oregon Utility Wb~1fi~Wtlb~enter. Those rules are set forth oo~<<llil~tfi9~ifi\Q1 0 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). Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description ~Mechanical Issuance Fee~ + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Dryer Vent Fixture Minimum/Adjustment Mechanical MinimumlAdjustment Plumbing Total Amount Paid CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00366 ISSUED: 04/03/2008 APPLIED: 03/1712008 EXPIRES: 10/03/5008 VALUE: $ 800.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 800.00 Value Date Calculated Total Value of Project $800.00 $800.00 04/03/2008 ~ Amount Paid Date Paid Receipt Number $20.00 $20.60 $24.72 $10.30 $48.00 $8.00 $50.00 $7.00 $16.00 $43.00 $34.00 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 4/3/08 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 1200800000000000307 $281.62 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. l...JleouireCUnsnections I Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Pae:e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Electric: When all electrical work is complete. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00366 ISSUED: 04/03/2008 APPLIED: 03/17/2008 EXPIRES: 10/03/5008 VALUE: $ 800.00 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 of 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 t at all required inspections are requested at the proper time, that each address is readable from the street, that the permit caT i located at the front of the property, and the approved set of plans will remain on the site at all times during constructio . i ---- Pal!e 3 of 3 04 /0:2 /08 I I Date ZON lGl I{ INITIALS N V'^ ., DATE 4-4-0<:( ~ 'SOURCE\'f\p~) 'I )7) 3 , / 3. I COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(54I)726-3753 . FAX (54])726-3689 ELECTRICAL PERMIT APPLICATIZZ, City Job Number COWt ZO'O f"- 0 C> 3 1. LOCATION OF INSTALLATION: )Zb~ mAIN #- 7b 'I , LEGAL DESCRIPTION J 7DJ35'i t 0870-0 JOB DESCRIPTION Add. ::? c\r~--;h Permits are non-transferable and expire if work IS not started within 180 days of issuance or if work IS Suspended for 180 days. 2. CONI'RACTOR INSTALLATION ONLY Electrical Contractor Address City Phone / ~'(\, ATTENTION: OregO~1 ~ ires you.t.o SupervIIGdIQW&l8lAAJlOOJ?.ted b Oregon Utility Notification Center. ~ r ~ rulsf: are set fortl1 I ~B 952-001-001\t't~ough OAR 952-001- EXPlrat~89ll~tY(j;;: r.::~;t ~'~rIA~ of the rules bV calling the centif. (Note: the telephone Constr Gwffi.~\Irfl:P.ethe Oregon Utility Notification Center is 1-800-33~-~;;S44J. ExpiratIOn Date Signature of SupervIsIng ElectnClan ~wners Name.-- ~ 4 CAn'U. fl., I Address ~ fYY-\ ,,"" ~C1ty ~VI~ Phone Cf) fA1W ,<S\ ~~1-~, q ~-1-34\ OWNER INST ALLA nON Owners SIgnature 'x I L/ Inspection Request: 726-3 9 Date A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq ft or less Each additIOnal 500 sq ft or portion thereof Each Manufact'd Home or Modular DwellIng Service or Feeder $11 7 00 $ 21 00 $55 00 B. . Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $ 70 00 $ 83 00 $138 00 $180 00 $4 13 00 $ 55 00 C. Temporary Services or Feeders NQli~rrt~~\!~>WIRBdEaTMi WORK T~. ~~~ \9~DER THIS PERMIT IS_ N0155 00 A~? ~e~~@rABANDONED rUli $ 7600 ~f ~ Pb}\V5~t\tOO. $11000 Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits New Alteration or Extension Per Panel/ One CirCUit Each AdditIOnal CirCUit or with Service or Feeder Permit $ 48 00 $ 400 z lfS g E. Miscellaneous (Service/feeder not included) -Each Installation Pump or lITIgatIOn $ 55 00 Sign/OutlIne Llghtmg $ 55 00 Limited Energy/Resldentlal $ 28 00 Limited Energy/CommercIaI $ 50 00 Minimum ElectrIc Permit InspectIOn Fee IS $50.00 + Surcharges ~b b7Z 5i:P Z80 ,1'3= 4. SUBTOTAL OF ABOVE 12% State Surcharge 10% AdmInistrative Fee 5% Technology Fee TOTAL Shared Dnve(T )/Bulldmg FormsfElectncal PermIt ApplicatIon 1-08 doc Construction Contractors Board 700 Summer St NE Suite 300 Address I Z- b;3. VYJ A I f\..( # 7 b PO Box 14140 ~ Salem OR 97309-5052 ;/ ^ L / .? - DO' Phone: 503-378-4621 Issued bY!_'/ _ /' _ Date. Y - ..2 S::t::::::::re::tion NotiC: t~perty Owners About Construction Responsibilities Pernnt #: COWl c.c,-<:~) go- Note: Oregon Law, ORS 701.055(4) requires resldential construction permlt applzcants who are not licensed with the Constructzon Contractors Board to sign the followmg statement before a buzldmg permit can be issued. This statement is reqUlred for resldential bUllding, electrlcal, mechanical and plumbing permits. Licensed architect and engmeer applzcants, exempt from licensmg under ORS 701.010(7), need not submit thls statement. This statement w~ll be filed with the permlt. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~. ~2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be - licensed with the Construction Contractors Board. OR ~B. I will be my own general contractor. 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 contract with a contractor who is licensed with the CCB and will munediately notify the office issumg this building permit ofthe name of the contractor. ,I . I hereby certify that the above in r. 'ation is correct and that I have read and do understand the Information Notice to Property Owners abo 6nstruction Responsibilities on the reverse side of this form. _/~ -~ / / / 0 / /! - CJ Ii hI- / (J 8. (Signat~it~hc'af) - COate) l (Whae copy to lssui'f agency permlt file, pink copy to applicant) Property _ owner.doc 06-01-04 , _,I ,,~- ~ \. era I ~ONSTRUCTI,ON RESPONSIBILITIES ' . . . -......--...-;.'''-.;;'......-. by the ] NOTE. This Information Notice to Property Owners about Construction was Construction Contractors in accordance with ORS 701.055(5), passed by the 1989 If you are as your own contractor to construct a-new home or make a sUbstantIal to an eXlstmg can being aware ofthe followmg responsIbIlitIes anc;l concerns. Responsibilities ~ ... ~-' .. l . ~ m most ,instanGcs, you use conu:actors not to an "employer" and the <;:optractors you contract the Contractors Board to labor m strncture. . As the ~mploye!", you must If m more you must WIthhold mcome for the tax even 11' you don't the of Revenue at 503-378-4988. " tIme yow As' an are required- to pay a tax for more mformatlOn, can Oregon Employment ..... msurance purpose~,- at '~ - ..... ";:- (t To me 18 a combmed number both 503-945-8091 or \v\JVw.dor.state or 'r must obtam workers' ~ I .. - mswance, YOli couid more at J usunmce: As an msurance I you are subject to Workers' your employees. you fad to for all claIm costs If one of yt/Dr IS mJured on the Compensation DiVISIon at the Department .of Consumer w~ call As an you must WIthhold even If you dIdn't site at WWW_l1S~OV. . tax the tax. For a EIN ,...... I ',. .... t" for thiS attentlOn you are for to meet code Code \ <. msurance or sure you time to . , your employees", '. t~ act as your o\vn' , to as appropnate tImes so they can 1) on,vnte agency at dnc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 COM2008-00366 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000307 Date: 04/03/2008 Description Building Permit Fixture MInimum/AdJustment Plumbmg Dryer Vent MInimum! Adjustment Mechamcal -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By BENJAMIN YANEZ Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJm 484373 In Person Payment Total: Page 1 of I 2:48:33PM Amount Due 5000 1600 3400 700 4300 2000 4800 800 1030 2472 2060 $281.62 Amount PaId $281 62 $281.62 4/3/2008