The URL can be used to link to this page

Home My WebLink AboutPermit Building 2003-08-07Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-00710ISSUED: 0810712003APPLIED: 08/0712003 EXPIRESz 0210712004 VALUE: SITE ADDRESS: 1256 sTH ST Springlield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703263405700 TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: BWOP - electrical, mechanical and plumbing Owner: SANDLAND pAUL Address: 85510 MCCUMBER SPRINGFIELD OR 97478 Contractor Tvpe General Electrical Mechanical Contractor OWNER MY ELECTRICIAN INC. OWNER OWNER License Expiration Date Phone 1u20t2003 541-729-1454 \a$l CONTRACTOR INFORMATION \ o# of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Path: Overlay Dist: Trees REQUIRED PARIflNG Total: Handicapped: Compact: AuI Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION Notes: Page 1 of3 \- ITY F FIELD Building/Combination Permit PERMIT NO: COM2003-00710ISSUED: 0810712003APPLIED: 08/0712003EXPIRES: 0210712004 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Fixture Minimum/Adj ustment Mechanical Penalty Fee - BWOP Electrical Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing Residence Wiring 1000 Sq Ft Vent Fan Total Amount Paid Total Value of Project Date Paid Value Date Calculated Receipt Number 22002000000000013s8 220020000000000r358 22002000000000013s8 22002000000000013s8 22002000000000013s8 22002000000000013s8 22002000000000013s8 2200200000000001358 2200200000000001358 2200200000000001358 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $23.s0 $16.4s $84.00 $39.00 s106.00 $4s.00 $84.00 $106.00 $6.00 $s19.95 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7t03 8t7103 8t7103 8t7103 Fees Paid Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rough Plumbing: Prior to cover and including required testing. 2 Final Plumbing: When all plumbing work is complete. 3 Rough Mechanical: Prior to Cover 4 Final Mechanical: When all mechanical work is complete. 5 Rough Electric: Prior to Cover 6 Electric Service: Approval required prior to utility company energizing service. 7 Final Electric: When all electrical work is complete. Pase 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Valuation Description : Reourred Insnectlons I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00710ISSUED: 0810712003APPLIED: 08/0712003 EXPIRESz 0210712004 VALUE: 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 wilt 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 ts at the front of the property, and the approved set of plans will remain on the site at all times during 3 Owner Contractors Date Pase 3 of3 l 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department #z coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 coM2003-00710 Fixture Penalty Fee - BWOP Plumbing Vent Fan Minimum/Adj ustnent Mechanical -Mechanical Issuance Fee- Penalty Fee - BWOP Mechanical Residence Wiring 1000 Sq Ft Penalty Fee - BWOP Electrical + 7%o State Surcharge + l0Yo Administrative Fee Item Total $5r9.9s 84.00 84.00 6.00 39.00 10.00 45.00 106.00 106.00 t6.45 23.50 Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check MARKOF EXCELLENCE DJB In Person Payment Total: $519.95 $519.9s 225 FIFTH STREET . SPRINGFIELD, OR97477 c E LE C:TI/'I CAL P ERM I T AP P LI CATI ON City Job Number Ca,qzcct OQ 7l () Date I LEGALDESCzuPTION l7o3 zL>'l OStoO .IOB DESCRIPTION ,,*5C l,J l@t:Butc? Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Authorized Signature A. Nerv Residential - Single or Plulti-Falnily per drvelling unit. PH:(541)726-3753 o FAX:(5fla?a6'i6ffiroject as submitted has the tollowrng' i""i.g. ;"oloei not require specific land use x/r/.=approval v ZoningT3. COMPLE'I'E FEE ,SI 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 200 Amps or less 201 Amps to 400 Amps to 600 Amps Nerv Alteration or Extension Per One Circuit Each Additional Circuit $ 106.00 o6 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation:2. corvrRACTaR TNSTALTATTON ONLy Erectricar contractor lf\.,/ C leCtft fr; ntl l,'(, Owners Name P*U $ 63.00 $ 75.00 $125.00 $ 163.00 $37s.00 $ 50.00 $ s0.00 $ 69.00 $100.00 not inctuded) .00 3.00 -Each Installatiolt t9 (e 0+a 401 Amps to 600 U 5ir 601 Amps to rl OverCity Address Supervisor License Number Expiration Date Expiration Date Signature of constr. contr.Numb". t? 5O( Electrician Over 600 Arnps or 1000 Volts see "B" above. D. llrarrch ('irctrits \\\S1 Address 25G, 9'*q st- City > PF D Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SUBTO:TAL OF AIIO]VE I i L,/u,-' 7,, Z Energy/Residential Limited Energy/Commercial $ 45.00 7o/o State Surcharge l0% Administrative Fee E. rt\\) TOTALInspection Request: 726-37 69 Shared Drive(T:)/Building Fonns/Electrical Pennit Application'l -03.doc CITY OF OREGON, t,s6,so,^ $ s0.00 $ s0.00 $ 2s.00 /o s' $ tzq'L Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential 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 Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us 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. 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 is correct and that I have read and do understand the Information to Responsibilities on the reverse side of (Signature applicant) (White Xr fu, tr 3A. My general contractor is (Name)(ccB #) I will instruct my general contactor that all subcontractors who work on the stnrcture must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor.k permit 4. Couzo< -- oc:'7/ O Address:tZ'>6 S+( s l- Issued by:\i3 Date x/rhr Property_owner.doc 03/l I /03 copy to issuing agency permit file, pink copy to applicant.) City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone"541-726-3676Fax March 01,2004 SANDLAND PAUL 85510 MCCLiMBER SPRINGFIELD Job Number: Location: oR 97478 coM2003-00710 1256 5TH ST $ Project:BWOP - electrical, mechanical and plumbing Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 1256 5TH ST which is set to expire on 312612004. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor