The URL can be used to link to this page

Home My WebLink AboutPermit Building 2019-08-23B u ild in g Pe rm it Residential Structural Permit Number: 811-19-001966-STR IVR Number: 811025122175 C ity of S p rin g fie ld Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Web Address: www.sprlngfleld-or.gov Email Address: permltcenter@springfleld-or.gov Permit Issued: August 23, 2019 Category of Construction: Two Family Dwelling Submitted Job Value: $2,000.00 Description of Work: Replace damaged roof Type of Work: Repair Workslte Address 5131 BLUEBELLE WAY Springfield, OR 97478 Parcel 1702333301766 Owner: Address: EWING KIMBERLY ANN 5131 BLUEBELLE WAY SPRINGFIELD, OR 97478 Business Name OWNER - Primary License CCB License Number 000000 Phone Inspection 1999 Final Building 1260 Framing Inspection Group Struct Res Struct Res Inspection Status Pending Pending Various inspections are minimally required on each project and often dependent on the scope of w ork . Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811025122175 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Fee Description Technology Fee Structural building permit fee State of Oregon Surcharge - Bldg (12% of applicable fees) Quantity Total Fees: Fee Amount $5.10 $102.00 $12.24 $119.34 Perm its expire If w ork Is not started w ithin 180 Days of Issuance or If w ork Is suspended for 180 Days or longer depending on the Issuing agency's policy. All provisions of law s and ordinances governing this type of w ork w ill be com plied w ith w hether specified herein or not. G ranting of a perm it does not presum e to give authority to violate or cancel the provisions of any other state or local law regulating construction or the perform ance of construction. ATTENTIO N : O regon law requires you to follow rules adopted by the Oregon Utlllty Notification Center. Those rules are set forth In OA R 952-001-0010 through OA R 952-001-0090. You m ay obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entitles perform ing w ork under this perm it are required to be licensed unless exem pted by ORS 701.010 (Structural/M echanlcal), ORS 479.540 (Electrical), and ORS 693.010-020 (Plum bing). Printed on: 8/23/19 Page 1 of 1 C:\myReports/reports//productlon/01 STANDARD fl ' "O (') "'O 00 00 00 -I "'O :E :::,_ II) ~ r3 r3 r3 ii1 :::, II) 0 cii (/) u) u) u) :::, -::,- 3 - - £ ~ !=!- ar ..•. ..•. ~ UI ~ (D co co CO ID - (/) :"'! :, n .. ;::::;: --i - - •••• (D ~ -::,- s:: 0 ""'II) co II) (D :::, 0 a. '< - a. N a. ~ -::,- u) ..., w :, ~ ID u) (D "' (D - u) (/) CD "O (/) u) (/) 3 3 0 .. .••. 01 ;::;: u) (') ""' ..•. -::,- O> u) g:@ ..•. ..•. ..•. O> •••• 01 a . 0 b 0 a:, I\);:;: 0 0 0 r 0£ )> m<= C m m a C: II) II) 2. a:, 0 - II) UI m C: 3 r - II) r -::,- - m 0 c'i" :::!. :E N II) -~ g- ;:! -I II) (/) U> C (/) (D "'O iii •.••. CD "'O o "'O - 2 UI :::!. -::,- = (D n n :, :, £ 0 C: ::I. (C 0 =i 0 CT - iil ~ !2. (C 1D 0 ;:o a. "'O '< &@ . II) "Tl (D (C £.:::, 0 '< (D (/) 0 0: :u (D (D ••.•... :, s· co ..., .. (/) (C ""' 2S C: "'O ~ a ""' 3 (D 00 CT -::,- ~ (D II) :::!. <C3 '< (D & m I (D -t ~ OJ ::u s· 0: iii cc cc I CD ..•.•.. (') 00 :::, ..•. CD ..a. N (') "O ..a. u, ::§! CD I m 0 '9. - .,, ..a. "O I I a CD z co (") Ill CD C C c!:, e. (0 CD u, m 3 c:, 0 ~ ,, - ..a. a !I! er co :::, DI CD a: 00 ::'! en ;a en N .,. b, Cl) w ....• ..•. 00 N )> I - N -I (") 0 N N n ..a. ..a. ::u Cl) 0 ..•. ~ n co I 6 I 0 ••••• -· 0 o c w "C 0 0 0:::, 0 0 8~ - 0 0 0 0 ~ I ~o N N ..•. N Q, 01 01 01 CD O> 0 O> 0 0 0 Cf ~ N 6 I 0 ..•. 0 0 0 0 0 t.,l 0 0 0 "'11 CD ~ CD ....• 03 !'>o c c 0:::, - ,, ID ~ ii ....• c3 !'.lo c c C:::, - ,. ' P ro p e rty O w n e r S tatem e n t R e g a rd in g C o n s tru c tio n R e s po n s ib ilities 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 s u b m it th is statem e n t. T h is state m e n t w ill be filed w ith the perm it. Please check the appropriate box: D I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date D 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. · Date Permit#: 12 - Of> I ~C-&;. - ST'tz- Address: 5 r 31 B u,111:E,,.Ft a & \.JA.."1 Issued by: :J:L.S Date: ~/L3 /19 I r This Copy for Perm it O ffices • Structural Permit Application CITY OF SPRINGFIELD. OREGON 225 Fifth Street+ Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-3689 DEPARTMENT USE ONLY Permit no.: Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is 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: 0Yes 0No Property is within flood plain: D Yes D No CATEGORY OF CONSTRUCTl5)N esidential I D Government I D Commercial JOB SITE INF.ORMATION ~b LOC~TION Subdivision: Lot no.: Reference: Taxlot: J2f- This i"tallation isiilnmn1r,ltl!de-mrTesiii by me or a member ofm ediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR_ INSTA,LLATION Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: Mechanical FEE SCtfEDULE ,' 1. Valuation information .. - - ~ (a) Jobdescription:"'e_c-t>v~(.c 'D~l""A-q~ ~b'F Occupancy .Stl«7IT/,J Q < Construction type: vJDr>S. :rri,.-Mc Square feet: Aott;t,~ ~ /600 ~ .f.--l- Cost per square foot: , • 75 / 5~ f.-1-, Other information: ( Type of Heat: Energy Path: Onew Oalteration D addition (b) Foundation-only permit? 0Yes 0No - 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 offees above (2a through 2d): $ 3.-Plan review fees· (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (65% x permit fee [2a]): $ (c) Subtotal offees above (3a and 3b): $ 4.Miscellaneousfees (a) Seismicfee, I% (.01 x permit fee [2a]): $ (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ JOT AL fees and surcharges (2e+3c+4a+b): $ Print name: Signature: .$U~ON1RAl:TOR INFQRMATION - ,, Name CCB License # Phone Electrical Plumbing Last edited 5-5-2019 BJones -.- '.I. r Aug 2319, 12:46p p.1 Electrical Permit Application CITY OF SPRINGFIELD. OREGO,'\' 225 Firth Street• Spragfidd, OR 97477+PH(S41)7U-3753•FAX(541)726-36119 DEPARTMENT USE ONLY Date: This permit is issued uader OAR 918-309-0080. Permits are ooatransfenble. Permits expire if work is aot started witlain 180 days of issuance or if work is suspended for J 80 days. LOCAL GOVERNMENT APPROVAL ; Z.Ooing approval verified? 0 Yes O No CATEGORY OF CONSTRUCTION Residential I O Government ! D Commercial JOB- SITE INFORMATIOl\4_ AND LOCATION · Job site address: ?:>~9 _ \ 6 ~ ~ City~V--\~ct I State:~ ! ZIP:°'17'4""17 Reference: Name:. Address: ZlP: 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(1). Signature: CONTRACTOR INSTALLATION E-mail CCB license no.:\£\.15\:, ~ Signing supervisor's license no.: • Print name of signing supervisor: · Signature of signing supervisor: FEE SCHEDULE. Nwnber of Inspections per item ( ) Qty. Cost T•tal ea. cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $116.t0 $ Each additiooal 500 sq. ft. or portion s3,.oo s thereof Lim ited energy (2) 544.00 $ Each manufactured hom e or m odular S89.00 s dwelling service or feeder (2) Services or feeders: instaTlalion. alteratiori. relocation 200 amps or less (2) \ $112.00 H\2_ 20 I to 400 am ps (2) $131.00 $ 401 to 600 amps (2) $221.80 s , 601 to 1,000 amps (2) $28S.00 $ Over 1,000 amps or volts (2) $654.00 $ Reconnect only (2) ss,.oo s Temporary services or £eeders: installation, alteration. relocation 200 am ps or less (2) ·s89.oo s 201 to 400 amps (2) $122.00 s 401 to 600 am ps (2) 5177.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch cin:llits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Ea.ch branch circuit $8.00 s b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $89.00 s Each additional branch circuit SB.Clo $ :\fiseellaaeous fees: service or feeder not included E ach pump or irrigation circle (2) S8U O $ Each sign or outline lighting (2) SIIU G s Signal circuit or a limited-energy panel, sa,.oo s alteration, or extension (2) Eacb additional inspection: (1) $112.00 s DEPARTMENT USE (A) Enter subtotal of above fees s \\"2- (Millimum Permit Fee Sl0l.00) (B) Enter 12% surcharge (.12 x [A]) s \~'-\4 - (C) Technology Fee (5% of [A ]) S S.be) TOT A L fees and surcharges (A through D): $\t'.'>\.o,\ Last edited 7/1/2019 &Jones