HomeMy WebLinkAboutPermit Building 2018-06-04 (2)SPRINGTIELD
tt
OREGON
Web Address: www.sprinqfield-o..9ov
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Address: permtcenter@springfield-or gov
Permit lssued: June 04, 2018
Category of Construction: Single Family Dwelling
Submitted Job Value: $301,500 00
Description of Work: New single family dwelling
Type of Work: New
JOB SITE INFORMATION
Parcel
1703240000401
Owner:
Address
LICENSED PROFESSIONAL INFORMATION
Business name
OWNER - Primary
RILEY PLUMBING &
CONSTRUCTION COI'PANY LLC
Licenss
ccB
ccB
Lacense number
000000
169050
Phone
541-998-8092
PENDING INSPECTIONS
lnspection
2999 Final Mechanical
3999 Final Plumbing
4999 Final Electrical
1260 Framing
3400 Storm Sewer
3650 Shower Pan
7157 Line lo Septic Tank
4500 Rough Electrical
4225 Service or Feeder
4140 Underground Electric
lnspection group
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
Septic
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
lnspection status
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issurng
jurisdiction indicated on the permit to determine required inspections for this project.
Permits must be posted in clear view on the worksite. Permits expire if work is not started within 180 oays of issuance or if work is
suspended for'180 Days or longer depending on the issuing agency's policy.
All provisions of laws and ordanances governing this type of work will be complied with whether specilied herein or not. Granting of
a permit does not prosume to give aulhority to violate or cancel the provisions of any olher state or local law regulating construction
or the pedormanco o, construction.
ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follo\fl rules adopted by the Oregon Utility Notification Center.
Those rules arc set forth in OAR 952{01{0'10 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at
(877) 668-4001 or dial 811.
All persons or entiti€s pedorming work under this permit are required to be liconsed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing).
Pnnred on 12l11/1E Page1olz sld_Au,ldrngPermri_pr
Building Permit
Residential 1 & 2 Fam Dwelling (New Only)
Permit Number: 81 1 -18-000928-DWL
IVR Number: 81 1058868'160
WPE OF WORK
Worksite address
2092 HAYDEN BRIDGE RD
Springfield, OR 97477
HYI-AND JOINT TRUST
2535 GRAND VISTA DR
SPRINGFIELD. OR 97477
Permit Num ber: 81 1-1 8-000928-DwL Page 2 of 2
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-282'1 use IVR number: 811058868160
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMfT FEES
Fee Descrlption
Residential wirinq
Technology Fee
Air conditioner
Barbecue
Clothes dryer exhaust
Decorative gas fireplace
Furnace - up to 100,000 BTU
Gas fuel piping outlets
Range hood/other kitchen equipment
Ventilation fan connected to single duct
Water heater
Sanitary sewer - (New Res) Total linear feet
Single Family Residence - Baths
Storm sewer - (New Res) Total linear feet
Water service - (New Res) Total linear feet
Address assignment - each new or change requested externally, per each
Continuing Education fee
Copies - larger than 11x17, per each
SDCr Reimbursement - Transportation SDC
SDC: Rermbursement Cost - Storm Drainage
SDC: Improvement - Transportation SDC
SDC: Improvement Cost - Storm Drainage
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural building permit fee
Structural plan review fee
Willamalane fees Single Family Detached, per unit
State of Oregon Surcharge - Mech (12olo of applicable fees)
State of Oregon Surcharge - Elec (12olo of applicable fees)
State of Oregon Surcharge - Bldg (12ok of applicable fees)
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Page 2 ol2
Quantity
2995
Total Fees:
Fee Amount
$303.00
$207.08
$ 17.00
$ 17.00
$12.00
$17.00
$21.00
$13,00
$17.00
$24.00
$17.00
$0.00
$477.00
$0,00
$0.00
$49.00
$2.s0
$16.00
$162.98
$685.17
$3,272.7 5
$997.52
$L79.70
$1,904.00
$1,237 .60
$3,721.00
$18.60
$36.35
$224.48
$57.24
$ 13,710.98
std_BuildingPemit_pr
1
1
1
1
1
1
5
1
2
1
100
2
100
100
1
1
4
152.98
685.17
3272.75
997.52
2995
Electrical Permit A plication DEPARTMENT USE ONLY
14.'l.+=€*4i1$
i*dffo fr*i oqe ,ID
::5 Fifth Stre€t. Sp.ingfield. OR 9r17t. PH(alt )126-3,53. FAX(541 );26-3689
Date IL [(
,b
This permit is issued ulder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
davs ofissuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
TotalcostCATEGORY OF CONSTRUCTION Residential. per udt. senice included
i Zoning approval verified? E Yes E No
Residential
JOB SITE INFORMATION AND LOCAT]ON
I Job sire address
ICovemment iECommercial
Taxlot.
DESCRIPTION OF WORK
1 Each addirional 500 sq. ft. or ponion
ithereof
i Limircd enersr- (2)
Each manufactued home or modular
dwelling service or feeder (2)
1.000 sq. ft. or less (.1-l s181.00
s 35.00
!
s
, s 43.00
s 86.00 SiR"f"r"n".
Services or feeders: instaliation alteration reiocutionI tr.\ g-> r u r ri o^_\ t: t a-L-ta) a 200 amps or less (2)z& rs 1o9.oo s
PROPERTY OWNER 201 Io 400 amps (2)s127.00 s
s215.00 s
s277.00 $
s 86.00 s
\ame: laq;" La:u-:z--f 401 to 600 amps (2)
Address
Cilv: 6'\rc?
I)hone
E-mail;
(2c-,
479.560(lr
,l
Statei Oe-ZIP: ar'7 1O&
Fax
601 to 1.000 amps (2)
I 200 amps or less (2)
ti
Temporaq services or feedersi installation. aitera.ion. relocatioh
This i Iation is berng made on dential or farm properq
owned b) me or a member of ml' immediate family. This
propenl is not iatended for sale. exchange. lease. or rent. OAR
201 to 400 amps (:)s 118.00 s
401 ro 600 amps (:)s172.00 5
Over 600 amps or I.000 volts. see services or feeders section above
479.540(1)
Siglature:
RIN Brrnch circuils: n.\ dtrcratbn cxtens,on oe" oane
a. Fee for branch circuits \r'ith purchase of a service or feeder fee
Each brarch circuir
Bustness name
Address
Phone
E-mail
CCB hcense n
s 7.42 l$
ZW b. Fee for branch circuits withoul purchase ofa sen ice or feeder fee
First branch circuil (2)s 86.00 s
Each addiriona: branch circuir s 7.42 1s
Each pump or irigarion circle (:)s 86.00 s
Each sip or outline lighring (lr s 99.00 5
Sigral circuil or a iimired-energl parel s 99.00 Salrcmtion. or exlension a2i
Each additiotral iDspection: i i I s99.00
DEPARTMENT USE
F a;,
BCD license no
Signing supen isor's hcense no
Print name of signing supervisor
I Silnature of signmg supenisor
tA ) Enter subtotal of above fees
(Mioimum Peroh Fee $99.00)
(B) Enrcr l2oz sucharge i.12 x [A]t
(C) Technolos/ Fe€ (59; of IA]r
CITY OF SPRTNGFIELD, OREGON
NuEber ofinspectioDs per iteE ( )
s
$635.00 SOver 1.000 amps or volts (2)
s 86.00 SReconnecl only (2)
Lasr cdiied 7/li'2018 BJones
I TOTAI fees and surcharges iA througtr D)
5
Permll no.
l*'l 9" I
Citl: (.p'2' .5*;,,r-t ]Stare: 61a iZrc:q1411
Miscellaneous fees: se,'vice or feeder not inciuded
s
- ^ * = -i' - ^ C c ns tru cti,c - Fi e-s cc ns i b i i iii *=s
- -=:,:r L:'.^-i ;:31:::: iasrc-:-:j=' ::r::.:::,:: ;:.--: ::ir a3:.:s " -,: ;i: :..:i :;::::i: ,1 :- :. :
Consir,.:cricn ConLi-:crcr-: aaai-'i il sie-n riie i:llo'crng sr:i-mali b€,are a i)triicing per--i, rii can ie
,3Siaa lr-,-i: ,,lr f -: r'1.:
-.- :i. 1 .-.::.:--n-: .:.:-::- ::-:: i:'.-:. -.-
J Cv\i,, -:srd: ,- ;r "r,il r:sJ.t: l: -;€ cni-.2j:::-. i:Ja:..1-: :-.: ii" Ja:,ai:i ali::3c:i,t t:
Name Expiraijon Date
I will rnform my general confactor that all subcontractors who work on the structure must be
Iicensed wiih t'te Construction Coniractors Board.
ot"
?I will be perfoniring work on property I own, a residence that I reside in, or a residence that lwill
reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. lf I change my mind and hlre a general contractor, I wiil selecl a conbactor
who is licensed with the CCB and wiil immediately give the name of the contractor to the ofrice
issuing this Building Pennil
I have read and undersiand the lniorm3tjon Notjce to Homeowners About Consruction Responsibilitjes,
and I heraby certiry that the informatjon on this homeowner statement is true and accur3te.
T,qsoo Lr,<]*-r
Print Name of PermitApplicant
+b-^ rhA-"---sffit';i:dff.7
Applicant
lssued b Dale: \Z (,,1t4
This Copy ior Permit Oific5
l I
tr
n
\B-fxn?Ah -Dr",iPermit #
Address: