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Home My WebLink AboutPermit Mechanical 2004-11-03C Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01367ISSUED: 1110312004APPLIED: 11/0312004 EXPIRES: 05/0312005 VALUE: SITE ADDRESS: 1133 sTH ST ASSESSOR'S PARCEL NO.: 1703263402600 PROJECT DESCRIPTION: Install gas lines and h2o heater Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential phone Number: sq-131t,56t9 \aw Uttlty 1- Owner: Address: JESSE ELLIOTT 1133 sTH ST SPRINGFIELD OR Contractor Type Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER License re Expiration Date Phoneeofl # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla REQUIRED PARI(NG Total: Handicapped: Compact: 1H\S Ault\OR\Z ED OR PERI'l\1 ED uN0 N\ENC AY PE'1gu I)COM'R\OD DEVELOPMENT INFORMATION Notes:AN\ Page I of3 L r:r. requ\Ies l, U llJl,rll\ \, li\ -r (rruYrryJ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01367ISSUED: 1110312004APPLIED: 11/0312004 EXPIRES: 05/0312005 VALUE: Description Type of Construction Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Appliance Vent Fixture Gas Outlets 1-4 Minimum/Adj ustment Electrical Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Total Amount Paid Total Yalue of Project Date Paid Value Date Calculated Receipt Number 1200400000000001s64 1200400000000001s64 1200400000000001s64 120040000000000rs64 1200400000000001564 r200400000000001s64 1200400000000001564 1200400000000001564 1200400000000001564 1200400000000001564 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $10.00 $13.50 $9.45 $43.00 $6.00 $14.00 $4.00 $2.00 $35.00 $31.00 tu3t04 tU3t04 tu3t04 tu3l04 tu3t04 ty3t04 tu3t04 tu3t04 tu3t04 tLt3l04 $167.95 tr'pps Pcid Plan Reviews To Request an inspection call the 24 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Page 2 of3 \n Valuation Descriotion I Keoutred lnsDectlons I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01367ISSUED: 1110312004APPLIED: 11/0312004 EXPIRES: 05/0312005 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 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 all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is at of the property, and the approved set of plans will remain on the site at all times during Date o Page 3 of3 Construction Contractors Board 700 Summer St l\tE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Issuedby: bk or-*r -o136*73 spr SI Date: ll 03 (:\ Permit #:Z Address: statement: lnformation Notice to property ownersAbout construction Responsibirities Note: oregon Law, oRS 701.055(4) requires residential construction permit applicants who are notlicensed with the construction contractors Board to stgn thefollowing statement before a buildingpermit can be issued' This statement is requiredfor reiidential building, electrical, mechanical andplumbing permits. Licensed architect andlnginier appltcants, exemptfrom licensing underoRS 701'010(7), need not submit this statement. This statement wiu befiled with the permit. E _E ! Fill in the appropriate blanks and initial boxes I and 2, and,either box 3A or 38: l. I own, reside in, or will reside in the completed structure. 2' I understand that I must become licensed as a construction contactor if the structure is sold oroffered for sale before or on completion. 3A. My general contractor is (Narne) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR A 38. 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 Responsibilities on the reverse side of this form. ttA/r/r applicant) (White copy to issuing agenq) permitfile, pink copy to applicant.) " @ate)' Property_owner. doc 06-0 1 -04 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone r:ity of Springlield Official Receipt jvelopment Services Department Public Works Department RECEIPT #: 1200400000000001564 Date: 1110312004 2:08:51PM Job/Journal Number coM2004-01367 coM2004-01367 coM2004-01367 coM2004-01367 coM2004-01367 coM2004-01367 coM2004-01367 col0l[2004-01367 coM2004-01367 coM2004-01367 Description Fixture Minimum/Adjustment Plumbing Appliance Vent Gas Outlets 1-4 Minimum/Adjustrnent Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Minimum/Adjustment Electrical + 7oh State Surcharge + l0% Administrative Fee Amount Due 14.00 31.00 6.00 4.00 35.00 10.00 43.00 2.00 9.45 13.50 Item Total:$167.9s Payments: Type of Payment Paid By Received By CheckNumber Authorization Batch Number Number How Received Amount Paid Check JESSE ELLIOTT djb 1656 In Person $167.95 Payment Total: -Sffi rt/3t2004 Page I of I lIrIr;S& SPRIe\-SIELD D EV E LO P AI ENT S E RVI C ES D E PA RTIYI E NT May 4, 2005 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. s p ri n gf i e I d. o r. u s Pfr( Your request for an extension of your permits for the installation of gas lines and a new water heater at your residence located at 1 133 5"' Street, Springfield, Oregon, City Job Number COM2004-01367 has been reviewed and approved. This extension may only be granted one time and will expire on November 4, 2005. Jessee Elliott 1 133 sth Street Springfield, Oregon 97477 Dear Mr. Elliott: lf you have any questions, or if I may be of any assistance, please feel free to phone me at 726-3790. Sincerely, Lisa pper Building Safety Supervisor lh 6rm' l{AY'01-2005 09 : 17 Pl{ JFSSE & JEEIl ELL I0TT 541 7)q 5618 Ath: Uea I'lopper, Job Number: COM200+019137Locathn: 11tr15tt StPfiec.t: lnstall gas liner ald heO start lnstallatlon. Thank you for yurr undasterrdng, Jeeae Hliott r) P,01 tJ b fvo, U .-I\ty fieformy thovet beoun linish the / \,,FJ, City of Springfield Building Permit & Inspection Summary 5/2/200s l2:10:49PM Job #: coM2004-01367 Job Address: 1133 sTH ST Springfield Scope of Work: Single Family Residence Description of Work: Install gas lines and h2o heater SPRNGFIELDOR 97477 541-736-5618 Citv. State. Zip Phone JESSE II33 5TH ST )5 Fifth Street 541-726-3753 Phone 541-726-3676Fax Project Status: Issued Owner & Contractor(s) AddressName ELC OWNER MEC OWNER OWN ELLIOTT PLM OWNER Valuation of Proiect Cost Per Sq Ft Sq FtsOccuDancv Construction Tvpe Date Valuation Calculated Staff rture rvtinimurr/Adjustment Plumbing Appliance Vent Gas Outlets l-4 Minimun/Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Minimurr/Adjustment Elechical + 1Yo State Surcharge + lUYo Administrative Fee Total Amount Paid s14.00 $31.00 $6.00 s4.00 s3s.00 $r0.00 $43.00 $2.00 $9.4s $13.s0 $167.95 tr/0312004 tt/0312004 tt/0312004 t|0312004 tt/0312004 1,/0312004 tt/03t2004 1U0312004 tt/03/2004 tt/0312004 l 20040000000000 I 5 64 I 20040000000000 I 5 64 l 20040000000000 I 5 64 I 20040000000000 l 5 64 l 20040000000000 I 5 64 l 20040000000000 I 5 64 I 20040000000000 I 5 64 l 20040000000000 I 5 64 l 20040000000000 I 5 64 I 20040000000000 l 5 64 Fees Paid Description Amount Paid Date Paid Receipt # Plans Reviewed Received Due Date Completed Result Reviewer CommentsDepartment Inspections Rough Plumbing Final Plumbing ugh Mechanical Final Mechanical Rough Electric Final Electric Result Inspector Inspections Conducted Comments Date I of 2 ffit 5/2/2005 12:10:49PM Job #: coM2004-01367 City of Springfield Building Permit & Inspection Summary )5 Fifth Street 541-726-3753 Phone 541-726-3676Fax Project Status: Issued Permit About To Exp Ltr Mailed Job Address: 1133 5TH ST Springfield Scope of Work: Singte Family Residence Description of Work: Install gas lines and h2o heater See address file for copy of letter 04/1912005 IO LLH 2 of2 ffifrI slrx$arei{*s$sflt*ffi 225 FIFTH STREET . SPRINGFIELD, OR97477 o PII:(541)726-3753 o FAX: (541\726-3689 E LECTRI CAL P ERMIT AP P LI CATI O N City Job Number fc)uc< 7.><)\r>r s67 Date L1 I 3 A. eo i t3 3 ;t4 e+- LEGAL DESCRIPTION t7 C 3 Z6-3c{ o 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 ZGOC)4o JOB DESCRIPTION $l $4$)4 (L,**t- 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. Electrical Contractor Address .00 City Phone Supervisor License Expiration Date Constr, Expiration Date Signature of Supervising Electrician roN lo\\ow ru\es- nurnbe( $ 63.00 $ 7s.00 $125.00 $ 163.00 s375.00 $ s0.00 5-z;se ,l l,crT rnaY Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or Feeder q. t{ t/3 Owners Name Address U rC intoo $ s0.00 s 50.00 $ 2s.00 $ 4s.00 ciry Sf*vtonfi-D Ynone V36-fdtA OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Limited Energy/Res idential Limited Energy/Commercial Minimum Electric Permit Inspection Feeis $_45.00-)F Surcharges r 4.L( 3(f7%o State Surcharge l0% Administrative Fee TOTAL L7 tu tzbtInspection Request: 726-3769 Shared Drive(T:/Building Forms/Electrical Permit Application l -03.doc \t $ 50.00 s 69.00 $100.00 B. Scrvices or Feeders -Installation, Alterations or Relocation: / r? < C.r1rj 47- CitY of SPringfield 225 Fifth Street, Spring{ield, OR97477' 541-726'3759 Phone 541-726'3676Fax April 19, 2005 ELLIOTT 1133 5TH ST SPRINGFIELD Job Number: Location: Project: Dear Permit Holder: Sincerely, oR 97477 coM2004-01367 T133 5TH ST Install gas lines and h2o heater JESSE The springfield Building Safety code Administrative code provides that in order for a permit to remain valid, the work *tti.tr has been authorized by the permit must begin within 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 1133 5TH ST which is set to expire on 5/3:ZOOS. 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 projici, please phone the inspection line at 541-726-3769. If you do not request an inipection prio, 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. F Lisa Hopper Building Safety SuPervisor