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Home My WebLink AboutPermit Building 2007-02-23o Status Issued 225 Fifth Streetn Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00277ISSUED: 0212312007 APPLIEDz 0212312007 EXPIRESz 0812312007 VALUE: SITE ADDRESS: 1249 MODOC ST ASSESSOR'S PARCEL NO.: 1703351100400 PROJECT DESCRIPTION: 200amp service upgrade C)wner: Address: Contractor Type Electrical Contractor OWNER Springfield calling fltJ mberior TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential 541-912-5126 tes are SQttoi i MARYN VAIL 1249 MODOC ST SPRINGFIELD OR 97477 t {i oi c: ths Date Phone center is1 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: R-3 VB Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: MIT SHALL EXPI sprinkle4\tltHmlZE D UNDFB THIS D Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARKING Total: Handicapped: Compact: x'ff:flgprrcr: nnerty plttF Prn T $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Valuation Descrintion Description TYpe of Construction Page I of2 Value Date Calculated & Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2007 -00277ISSUED: 0212312007APPLIEDz 0212312007 EXPIRESz 0812312007 VALUE: Fee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid Total Value of Project Date Paid 2/23t07 2t23t07 2t23t07 2t23t07 Receipt Number 1200700000000000195 1200700000000000195 1200700000000000195 1200700000000000195 $6.30 $3.1s $5.04 $63.00 s77.49 Fees Plan Reviews 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. Electric Service: Approval required prior to utility company energizing 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 Cify 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 wilt 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 2-zz.o7 Owner or Contractors Signature Pase 2 of 2 Date l(eourreo lnsDecuons I Construction Contractors Board Permit #' Couue, - 7- oOZ-7-7 700 Summer St I\"E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 WebAddress:ry$1lglgg tzq 1 til oJ-,-Address Issued by:>< Date: Z-L7*o ? Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not Iicensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor restdential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and, either box 3A or 38 I I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the strucfure is sold or offered for sale before or on completion. tr 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR . I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. I Lzz.o7 ofpermit applicant) (White copy to issuing agency permitfile, pink copy to applicant.) (Date) Property_owner.doc 06-0 1 -04 Aet*mg e$ tour Owux Gcmeral Contractor? IT{FONTHATISN N*TIEE TS PK*PHRTV OWNERS eBsuT fr*TsTRUSTI&r* RH$r#N$lSltlYlr$, nf y** *r* actixg il$ ysrsr *ra.* cor:lxa*t*r t* eoxslruet a n*w h**re or make a s*bst*ntial isvWr*vs*re*t t* an ex tst:ng struetur*, yt:* ffe?l pr*v*ltt many pr*blems try being aware of the foll*wing r*spcnsibilities and coneer:}s. K xxapXmy*s- ffi"*$perm s$h$&tti*s Y*x wi!1, in merst ins{ari*es, be :-$}e{i to be an "ernptrsyer" and the c*rntr*ct*rs y*u co:rtra*t with will be "emptroyees" if, y$ti tls{* l;ontr&ccsrs n*t li*emseei with the C*nstructio:r Cclclka*tors Brvard t* do }ab*r in construeting *r t* assist in the *qlnstrileti*x or i:xpr*vem*nt *f a resj<trentixl nk**ture. &s *ke emp**yer, y*x maust comply witk th* f*!l*wing: *x"eg*n,x WitI:I:*lXsX*mg ?ax X.,xrv; .&s *n crq:l*yer, y*tr inL!$tr withh*l<j income taxes f?*m emptr*yee wege$ at the tir:ee *rnpl*:y**s *r* paid" Yclu nvitrl br: 3ia'hX* f!:r the tax p&yr:?trr:ts evfifi if y** d**'t :r*luaIly withir*id th* tsx lr*m your emptr*y***" F*r;xcr* infr-rmn*eti*n, eal1 the $eg:ar*xer:{ *f R*vm*u* at 503-3?E49S*. [iNexmp]xryment &Nssmrmxxce ?*ax: As xx **:p]*yer, you ers require<3 to p*y a t*x f*r irnemploynent insurance purposes - *n th* we#*$ *X. aii *mp}*yeex. $ur r:neir* ixf*rma{i**, c*lil {h* *regw X.mptr*ym*nt $epartment at 5*3-94?-1488" The Sreg** Busrncxs Xd*n?{$i*ati*n Nxn:!:er {i3IN} is a e$mbined number fer b*th Oregon \Sithhclding acd Unemptray'r::ent lns*r*nce ?'ax. Tc) ,:1* fur a $Ilii, cali 5*3-945-E{iSl *r !yrU?:dqr"5tAtq.q{.q$ f, f*r the apprrpriate fbn*s" ,lVcrleersn C*xxpensat{oxr In*xrr*xe*: As ax **tpl*yer, ycu are suhjrct {r: lhc *r*g*n W*rkers' Cornpensalion Law, and must *btain worker$' eampensation insurance {br ycur en:ployees. If yo* f*il to obtain workers' eompensaticn insurance, you c*u{d be sr:bj*ct t* p*r:a}ties a::d b* }.i*bl* f*r all ctraim c*sts if one of your emp}oyees i* injr:red ofi t}ie job. F*r more infcrmation, call th* W*rkers' Ccrnpensati*n $ivisi*n at tl:e tr)epartment of Consumer and Business Servi*es at 503-94?-7El$. tl.$, Irxtermal Kevemx* $*rvic*; As *rm empl*3,er, y*u must withhqtld feeleral ineome tax &cm ernployees' wags$. Y*u will be triab}* f*r ih* {ax pe}x1ertt even if y** {3id::'t *etxally withh*l* th* tax. F*r * F*dera} HXN:"lur*bsr, *nll t}r* IRS at 1-80S-8:$"4$33 *r visit their web site at iyyrr,v*,11599y. $ther Kesprmsibf,liti*s e!*d Areas cf Concern$ Cclde Cdrffriplixnc*: As tli* p*rmi* kc;ld*r f*r this pr*jrct, ysu &r* resgmnsible f,*r resr:lving a:ry faitrrlre ter mert **de r*quirernrnts that nlay be br**gi:t to y*w atten*** tlx**gh i*spe*tii:rxs. I-ixl**li*y xxd Pr*rp*n{y $xm*ge ?m.sxran*e: C*rltaet y*xr insuran*e ag*:nt t* s*e if y*u hav* adeqr"rat* insurance *$vrmg{: fbr ***ic}*:nls anci *ndssi*rrs sueh ax falling l**}N, pai:r{ *ver $pr*y, w*ter *l*mage flr*n:l pip* pnr:eturcs, fir* t:r work tl:aN *:ust be r**l*l:e. Time: Makc rure vou have su{ficlent iirne to sup*rv:se y*trr entplr:yres. -Expertise; Make su-'e you havc thc skills tt-i ari as your o\\"r": general coni.ra{;tor, ta coordinate thc work ot'rough-in and il:rish kades, ancl to n*lifu buiiding clf{ieials as the appr*priate timcs s* they earr perfkrrn: the require*i inspe*tt*ns. If y*u halr'* addiricnal qu*st.i*ns *t:11 the Constru*ti*n Contraet*rs H*xrd {5{}3-3?&4621} or x"rite the agen*y at FO Box 14140, Salem,()R t)7109-5052. Fr*perty_*wrer.d*c (}6-* I -{}4 Npfgi Ttris lnf*rrxa#*n ldofl*s t* Prop*rty Olners abouf **;'rstruction *esponsilildfe$ rya$ dev*l*p*d by the Go*s*ru*#cn Sor:fracfors So*d in accordan** with {)&S fS?.0$5f5J, passed &y f*e f 989 Orcgon legislafur*. 225 FTFTH STREET o SPRINCFIELD, OR 97477 t PH:(5.11)?26-3753 . FAX: (541)726-3689 ELE CTIiT CAL P ERM TT AP P LI CAT I O N sPFrrry_GtrELE zoN l-.(L INITIALS DATE SOURCE CNS 6'za1 Date ?-Zi= O ? 3. CO\ITPLETE FEE SCHEDLLE BELO\+' A. Nerv Residential - Single or l\'lulti-Famill'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 City Job Nunrber / cs u<A 7 <)7- A MuTa-- LEGAL DESCRIPTION1o33;t1 DO c{sqs JOB DESCRIPTION Zoo > {Lv c-clA"tce- 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. coATnAcTaR TNSTALL{TTON ONry Electrical Contractor Address Phone ,-rl ILN tr-Iott-owlute lJoti n Superuisor License Number You may B. Sen'ices 0r Feeders - Installation, Alteratious or Relocation: 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Ls Amps/Volts (}tqyir f es yuu .u s s0.00 e lz+'1 I $ 75.00 $ r06.00 $ 19.00 $50.00 $ 63.00 $ 125.00 $ 163.00 $375.00 $ 50.00 $ 2s.00 $ 45.00 Installation, Surcharges 65 '3/ t- City Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician 1.1.4'."r n *r,+ r*, f i {", i. AUIHOBIZE Owners Name Address it teris'l SigruOutline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45'00 + 4. swrarAL oF ABOW 8% State Surcharge 10% Administrative Fee 5% Technology Fee Over 600 Amps or 1000 Volts see "B" above. D. Brarrch Circuits 952-00i At#retieJtpg $eloca tion ephone s s0.00 0n $ 69.00 40 Amps $ r00.00 New Alteration or Extension Per Panel one Circuit $ 43'oo call ccnte r.numberfof thco SHALL D UNDER il.,rl6Fjftt#tt'Hfilorwi'[h $ 3oo ;H,1!ilft${ftgdtr"'vice/reeder not incruded) -Each Pump or irrigation $ 50'00 v ISA OD Phone 4tz--r2{o OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. I a7'{7Inspection Request: 7 26'37 69 TOTAL Shared Drive{T:)/Building Fortrs/Elsctrisal Pennit Application 8-06 doo l.LO CATI O N A F IN STAL I-4TI O N : r\ Ciry %l--t c4L __7"4__ __-_--_;----b> S,PFIEGFTELD I - -,'iltso,,;ffl. , f ,i""x!."*- - N.*.twn l!ail:: -r :r. L#lfii:- qr,"',i zoN INITIALS DATE ZZS flmir STREET . SpRINGF|ELD,OR97477 o PH:(541)725-3753 r FAX: (5411726:j689 ELE CTRI CAL P E RMIT APP LI CATI O N City Job Number CAA^ZoGT- O5ZT-7 SOURCE Date 3. CAIITPLETE FDE SCHEDLLE BELOI+' A. Nerv Residential - Single or I\{ulti-Family per dwelling unit.LEGAL DESCRIPTION l? o33 Sr I ocqoo Service Included JOB DESCzuPTION (>SL ArF-l- Permits are non-transferable and expire if work ls not started within 180 days of issuance or if work is Suspended for 180 days. I Electrical Contractor ILLI t nls iS { ::.: c-_ $106.00 $ 19.00 $s0.00 L3 su $ 63.00 $ 75.00 $125.00 $163.00 $375.00 s s0.00 Address Ciry P-1-\ Supervisor License Number 3'- tt s C. Expiration Date / Q-/*a7 Constr. Contr. Number 3 Expiration Date of Supervising Electrician Owners Name fi\c Address Eq 7 ,4,(a i\o <-sr Cify 77q77 Phone ?rz- st26 OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature 1f,J:pr,"* SYl" 7.5l-756^7 over 1000 AmpsAy'olts' Reconnect Only 601 Amps to 1000 Amps Installation, $ 50.00 $ 69.00 $100.00 $ 43.00 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + 8% State Surcharge l0% Administrative Fee 5% Technology Fee 50.00 50.00 25.00 45.00 $ $ $ $ sfr .O 77 1aInspection Request: 726-3769 4. TOTAL Share<l Drive(T:)/Building Forms/Electrical Permit Application 8-06'doc 1. lY\e \f. Amps or 1000 Volts see "B" above. or Extension Per Panel €- or? -.t$' 200 Circuit Each Additional Circuit or with Service or Feeder Permit S 3'00 E. N{iscelianeous (Service/feeder not included) -Each Installation 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;& of Springfield Official Receipt L elopment Services Department Public Works Department RECEIPT #: 1200700000000000195 Date: 0212312007 10:26:03AM Job/Journal Number coM'2007-00277 coM2007-00277 coM2007-00277 coM2007-00277 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10o/o Administrative Fee Amount Due 63.00 3.15 5.04 6.30 Item Total:s77.49 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check MARYN VAIL djb 1675 In Person Payment Total: $77.49 - cReceint I Page I of I 212312007 PW-15 .:ITY OF SPRINGFIELD, OREGOII Bullding DePartment CERTITI,CATE OF COI,lPLIANCE This certlfies that Ehe building and properEy located at l24S Mocloc Street has been inspected and found to comply:vith the ordinances of the CiEy of Springfield, Oregon. Owners Name Lesl e St-eohen s Address Same City SprinqfLeld, OR s7 477 Items of special consideraEion are: october 27, L9?6 Date ng I Pec or PATI'TI"T}:NT OF JI]I.IC VJORKS cl:r:, r-'rz- o., fl . F. F:;?l;Hg i3-ftEt-rf-) Scpternlrcr 20, 1976 346 htAlN STRF_ET 7 4'7.4?-21 s. Sharon &rtscrr r7.cx.r Rea1ty I 0 Mohar.ik Rr:ul eva::d rirrgfjc-1d, OR 97477 l-249 l'{odoc Str:eet ar I'irs. Il.aLson: your- rcquest 'ehe Biiilcling Dcpartrncnt of the Cill/ of Springfield madc an occupanqf sJx--ction on Septerrrl:cr 17, L9'16, at tjre building 'located at L249 Mcrloc Strc-et, rirgfS eJd, O.regon. : llollcr*ting itcms rvere fourd that \^iel:e jn rieed of r:epair andr/or rvere t-iol jn rq:liance r';ith l,I-re Unj.forln Iiousing Cd<-- as adopLed l-ry iJrr= CiL1, of Spr:irlgfield: 'fne fram: for ulderfloor acccss js r:ottcd a:rd rirust be r:eplaced r,rit-h prcssure treat-ed lr'ood. 'Ihe r.rasher di:ajl nrrrst have a trap. 'Itre door frorn the house into the gar:age cannot oPen onlo the steps. fi-le steps froin iie house j:rto Ure ga-rage and the stairs to the rooin over the garage nmst neet minjnurn i=ead rvidth of 9" and maxirrnun riser l-reigl-rt of 8". Garage door nrust be able to latch closed. I{ot r.raLer heater irmst be rswired. Service not to Code. Oversize fuses i-n use. Need switch to garage frcrn utiliQr r-ocrn. B:rir<xm, hall arrd batlrrocm switches are upside dcnvn. Lights jn clcsets urlrst not be over cloilres r:nless recessed with glass @ver. L necessarlr per-init-s nmst be obt-ained befo::e r^,ork j.s started and a1l work must conpletal- accrcrding to applicable codes a:-rd ir-rspccted before a Ceri:ificate of q>1i arrce is issued. you have any furilrer qr-res{-ions, please feel free to contact ttre Sprilgfield Llding Departrrrent at 747-422I. Sinr=r:c1y, *27/ tZ't*-' Marion Buildir-rg frrspector $n t 38r l, Jrn'I 975 C'C1 v i I I I I I Il I 1 RETURN FseL!' -'