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Home My WebLink AboutPermit Building 2003-05-27GFIELD Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00408ISSUED: 0512712003APPLIED: 0512712003 EXPIRESz 1112712003VALUE: $ 1,000.00 SITE ADDRESS: 425 S 3RD ST ASSESSOR'SPARCELNO.: 1703353400700 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Repair floor/ceiling assembly, rough electric and 7 plumbing fixtures Owner: MIKE FOUMAL Address: 425 S 3RD ST SPRINGFIELD OR 97417 PhoneNumber: 541-345-4751 License Expiration Date Phone 541-34s-4751 Contractor Type General Electrical Owner Contractor OWNER OWNER MIKE FOUMAL OWNER CONTRACTOR INFORMATION rf # of Buildings: Primary Occupancy Group: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Type of Heat: Water Type: Range Type: Energy Path: R-3 c0 A\\Y I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Secondary Occupancy Group: Primary Construction Type Vlhr Secondary Construction Type: # of Bedrooms: R.EQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION Notes: Page 1 of3 T o $e e[\ )- Building/C ombination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-00408ISSUED: 0512712003APPLIEDz 0512712003 EXPIRESz 1112712003VALUE: $ 1,000.00 Plan Reviews Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft $1.00 Square Footase 1,000.00 Value $1,000.00 $1,000.00 Date Calculated 05t27t2003 Fee Description + l0o/o Administrative Fee + 7Yo State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Total Amount Paid Total Value of Project Date PaidAmount Paid $21.90 $1s.33 $43.00 $33.00 $45.00 $98.00 $256.23 Receipt Number 1200200000000001327 1200200000000001327 r200200000000001327 1200200000000001327 1200200000000001327 1200200000000001327 5t27103 st27t03 st27t03 5t27103 5t27103 st27t03 To Request an inspection call the24 hour recording at 726-3769. All inspection 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. I Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Ceiling Insulation: Prior to coyer. 3 Drywall: Prior to taping. 4 Rough Plumbing: Prior to cover and including required testing. 5 Final Plumbing: When all plumbing work is complete. 6 Rough Electric: Prior to Cover 7 Final Electric: When all electrical work is complete. Reouired fnsnections Page 2 of3 Valuation Descriotion I Bees l,ar(l I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-00408ISSUED: 0512712003APPLIEDz 0512712003 EXPIRESz 1112712003VALUE: $ 1,000.00 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 Springlield 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 that atl 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 construction. /r"rrt-t---j/L4*vsbrdllD StZ--/o3 Owner or Contractors Signature Date Pase 3 of3 I 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(54 ELECT:RI CAL PERMIT AP P LI CATION mitted has the tollowing t)7 2 6 -3 7 s3 . Il,To,"qfo I ) 1?8:Jb$d "quire sPecilic land use /72/s,...,- Zoning -26'o=-7-T- 3. COMPLETE. LOCA'TION O}'IATS'I'ALI-AT'1ON Llz< :> .s''o :,i- 1 LEGAL DESCRIPTION \7O33S3L/ OoToo JOB DESCRIPTION lL <-i (Lc-l rr\ 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. coI\xr&AcToR INSTALI-{rIOII ONLI' Electrical Conffactor Address City Phone Supervisor License Number ,/L J N" Expiration Date OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature A. Nerv Ilesidential - Single or Multi-Farnily per drvelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Seruice or Feeder $s0.00 C. Temporar.v Services or Feerlers Installation, Alteration or Relocation 200 Amps or less $ 106.00 $ 19.00 B. Services or. Feeders - Installalion, Alterations or Reloc*tion:il 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to I 000 Amps $ I 63.00 Over 1000 Amps/Volts $375.00 Recounect Only $ 50.00 $ 50.00 $ 69.00 $ 100.00 "B" above. 'Panel I s {i.00 l/ $ 3.oo 3) Address 17 TO LJ\S rftz'G FO,-r E. l,Iiscellaneous (Service/feeder not inclutled) -[ach lnstallation ciw e?/\ccry({ phone E q{ -LtZ{ t Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges s0.00 50.00 25.00 45.00 $ $ $ $ 4. SUBTOIAL AF ESOVN 79'u State Surcharge l0% Administrative Fee TOTAL 7L k)*$twq.J-N./vl..-=37760fe7ZInspection Request: 726-3769 Shared Drive(T:)iBuilding Fonns/Electrical Perrnit Application I -03.doc q' .ra,tr Constr. Contr. Number Expiration Date Signature of Supervising Electrician \\\5 401 Amps to Additional Circuit or with Service or Feeder Permit Owners Name fA [-C)e'vrn-\s0 Construction Contractors Board Permit #: Clwtzr>c - oC)qoY Address:3oA +LIZ' S :Is*{700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccbslg!@q Issued by:}K Date o il N Statement; lnformation Notice to Property Owners About Gonstruction Responsibi lities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure Z. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion' 3A. My general contractor is (Narne)(ccB #) X I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with th;CCB and will immediately noti$/ the office issuing this building permit of the nirme of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice io froperty Owners about Construction Responsibilities on the reverse side of this form. #n,rnao 5/n/aZt (Signature of permit apPlicant)(Date) (White copy to issuing agency perrnrtfile, pink copy to applicant') Property-owner.doc 03/ 1 I /03 tr Ahrm^{, (*n\f^. lA:E 5 L) f+, l,'-t i grrrr./ Jf"t oPE 5(rr^' r' d' ta e'i:st Ae..f P^c<A ) \}, i,^cL a.n I ln1 "-cg Apq. )- 5a,'. f S' SfatS'i i'i-- ) j"' cE Haw3 crJ ax6 ,i;j*I1*i}H:" ,rLl 5.-.6ro "I,^rn )\ mr6 Ii F r-e [L I Sheetl * \x- 4-Z- '1, 4 3 \t.:{f.z ? ..i T .,\- >o4Y (I {t'l' \I U Yol LI)I)'J I7a.tt ,( OA ln ;b , 4\t tn lDr1nr {/,+U \r ) T I u 0 a)J lv ) a t 5 \? I \ l7 tl -, Page 1 ,2 E ( 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001327 Drtr. osn7aoo3 coM2003-00408 coM2003-00408 coM2003-00408 coM2003-00408 coM2003-00408 coM2003-00408 Building Permit Fixture Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0%o Administrative Fee 45.00 98.00 43.00 33.00 15.33 21.90 Item Total:$256.23 Pa)rnents: Check NATIONAL PROPERTY SERVICE djb 256.23 s256.23 In Person Payment Total: 5/27/2003 l:33:23PM Page I of I cReccipt.rpt Oct- 1A-O1 Ol :43P 2?J FIFTH STREET SPRINCFIELD. OREGON 9?4?7 INSPECTION REQUEST: j 1.6-31 c,) oFFICE. 726-31i9 or A TION CRIPTION Pernrits ilrs nori-trilnslerabte anC erpirc rf rrork is rr0l stirncd tvithin l8U days of issuancc or ifrvork is suspendcd lor I ll0 duys 2 CONI'RAL,TOR INSTALI-ATIOI\I ONLY Elcctrical Con11,1ggc,1 Alef t f,leCtriC Address 1970 N. 28th Street cil S rrn field pyeng 7 47.:?2L3 -Srrpervisor License Nunrber 243-S Expiratron L0-1-04 Constr Contr. Nurnber L27 7 2 Expiratioo [.la 5-22 Signaturr: of Srr;lcrliring Electriciatr Citl' OWNER INSTALLATION The installatron is being rrrade on properfy-. I or+'n lvhich is trot intcnded for slle. lelse or rent Orvncrs Signature P-O1 ELEC'IR]C PER\,IIT APPLICATION Citr Jr.rh Number 3. COIV{PLE-rE FEE SCHEDLILE BELOIY A. Nut' Rcsldcnti;r)-Single or l!{ulti-Famill' per drlelling unir. Sen icc lncluilcrt Iterus Cost Surn li;()0 ,.c.[t. or less Eactr additional 500 sq. ft or portion therecI En:ir Ntarruld liornc or N{odular Drvelling Serrice or Feeder B. Seniees or Feedcrs Inst:rl lrrtion, Altcrations or f nc. Rclocltion, ZEj anrps or less 201 anrys to 400 amps 4{}l anrps ro 5U0 lrnpg f.ri)l anrirs to 1000 arlrps Over 1000 amps/voits Recomect Onlv C. 'femporar.v Scrvices or Fcetlers Installation. Alrcratinn or Relocution 200 aurps br less 201 a,nps ro 400 amps Over {01 to 500 amps Over 600 amps or 1000 volis scc "8" abave D. Branch Circuits New Alteration or Exeosion Psr Panei 0rre Circuit $l0a) ()0 $ 19.00 $ 5() r)0 _._ $ 63.00 _.- $ 75.00 _ -_ $ 125,00 __ sl63.oo __ s375.00 _ $ 50.00 . s50,00 --_ t69.00 -..$lco oo _ Each Additional Circuit or u'ith or Feeder Pernit $43.00 43 $300 33 (I) "lf E. I\'I i.scel lnnerus (Scrricc/fecdcr not inc I u tled) -Each installation [\rnrp or irrigation _ $50.00 _ SigL'O.rtlirre Ligiriing -_ $50,00 --Linitetl Euergvr?.es _- 525.00 _ Lirni(r,d Energ.v/Clonul ..- S45.()0 _ Ilinirnuur Eler:lric Permlt Inspccrion Fee is SJ5.00 - Surchargcr {. SUBTOT.{L OF ABOVE ?7o Stltc Surchirrge I 0A/, A drninisratit'c Fcc\c ..'fdL'l TOTAL L I Ir ) Cify of Springfield / Development S_- r,ices Building Safety 225Fifth Street Job N SPrlIIt.GiFIELD Job Addres 9t \ corrections and reinspection request shall be made within Call for reinspection -InsPector calendar days. ********r(************** Call fOr inSpeCtiOn 726'3769 7 26-37 59 ************'(****'(***** -L To