HomeMy WebLinkAboutPermit Building 2008-11-26
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2402 16TH ST
ASSESSOR'S PARCEL NO.: 1703243404100
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01714
ISSUED: 11/26/2008
APPLIED: 11/2612008
EXPIRES: OS/26/2009
VALUE: $ 2,000.00
Springfield TYPE OF WORK: Accessory Building
TYPE OF USE: New
ATTENTION: Oregon law requires you.\.fi
. ..'__ _"M'O'; hll the Oreqon Utility
N~';ifi~~lio~ Cenler. ThhOSe rUhle~:~e 9':2,'0'0i:
. OAR 952-001-0010 I roug - l;J
IOn090 You may obtain copies of thle r~leil.. y
'. t (Nole: the te ep"on"
ncua~I~~r'ro~ f~~ ~;~gon Utility NotlfiOliltlOn
Center is 1_800-332-2344).
Residential
PROJECT DESCRIPTION: Storage shop bwop
Owner: BOWLING PATRICK
Address: 1788 CARRIAGE PL
SPRINGFIELD OR 97477
Owner: HENDRICK SUE ANN
Address: 1788 CARRIAGE PL
SPRINGFIELD OR 97477
Contractor Type
Contractor
# 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:
Notes:
I (';ONTRACTOR INFORMATION i
License
Expiration Date Phone
R-3
BUI~NFORMA TlON I
. # TI1si P.~p:MIT SHALL EXPIRE IF THE WORK
H~ighl~fr1s(ffi~M~IDER THIS PERMlt.'J~~lFloor:
T~pJ\!9M{e911ED OR IS ABANDONED~j;\ 2nd Floor:
'''N.W HeeDAY PERIOD. Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
225
VB
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Page I of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01714
ISSUED: 11/26/2008
APPLIED: 11/26/2008
EXPIRES: 05126/2009
VALUE: $ 2;000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description Tvpe of Construction
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
2,000.00
Value
Date Calculated
Total Value of Project
$2,000.00
$2,000.00
11/26/2008
Fpp<. \:iWIJ
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Amonnt Paid
Date Paid
Receipt Number
$10.70
$12.84
$5.35
$50.00
$5.00
. $52.00
. 11/26108
11/26/08
11/26/08
11/26/08
I 1/26/08
11/26/08
2200800000000001682
2200800000000001682
2200800000000001682
2200800000000001682
2200800000000001682
2200800000000001682
Total Amount Paid
$ 135.89
I Plan Reviews I
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.
I Rpnllip:~rlJnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and the bui.Iding is complete.
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01714
ISSUED: 11/2612008
APPLIED: 11/26/2008
EXPIRES: 0512612009
VALUE: $ 2,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
hA La TQA1)J~~
il
J !/;:)-fe /() gJ
Owner or Contractors Signature
Date
/
Page 3 of 3
~-:;:-:-~ ~i:,^~~
. DATELS~-r,~C1I'J ,
. SOURCE ~~
Date / / h.~/() E
I
3. I COMPLETE FEE SCHEDULE BELOW
. .
, . CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . FAX, (541)726-3689
ELECTRICAL PERMIT APPUCATION
fD-7i - /'7/1j
Cily Job Number
1. I LOCATIONOrSTALLATI(}lt J
'h'-foZ v1 16ft SI)il/~{-(~-f2;orz
i I ~')'-117
LEGAL DESCRIPTION:
A. I New Residential- Single or Multi-Family per dwelling unit.
Service Included . -~
JOB DESCRIPTION: 1000 sq. ft. or less ~21.00
. . I ~ Each additional 500 sq. ft. or /,...-
:.JdI/.I/(ld. (l!.h~~{.);f fJ/JJvI.t!.F7,.-tL~thereof ,_/ $22.00
Permits are ~n-transferable and expire if work is . Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular DwelJing Service or
Suspended for 180 days. Feeder /
2. I CONTRACTOR INSTALLATION ONLY I B. I Services or Feeders - Installation, Alterlltions or Relocation:
~,.
/') IA)U €f2----- /""
/
//
Phone
, "
, "
Supervisor License NU~
I
."
Electrical Contractor
~:..:
Address ""\
Cily
.,'"'
,
-,
Expiration Date /
/
,,-
Constr. Contt. Number
/
, /
Expiration Date
/
L_
Signature of Supervising Electrician
~
Owners Name /J-// a ~I../A~
Address tI,/,c,-I1/~ hc{k1
Cily hb-bi '" ~ Phone 6tf6-/S/1
/
OWNER INSTALLATION
The inslallation is being made on propertY I own which
is not intended for sale, lease or rent.
. o~e~. ~ Slignatur~
/JfA.L/ a / f/U{M./ /A-~
Insp'ection Request: 726-3769
$57.00
200 Amps or less
20lAmpst0400~mps
401 Amps to 600 Amps
60] Amps to J 00 mps
Over 1000..)..m;;;/Volts
Re7eCt Only
c. I Temporary Services or Feeders
~o
$ 86.00
$]43.00
$]86.00
$426.00
$ 57.00
.Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40] Amps to 600 Amps
$ 57.00
$ 79.00
$114.00
Over 600 Amps or ]000 Volts see "B" above.
D. I Branch Circuits
New Alteration or Extension ~er Paj~!
One Circuit "l.t
Each Additional Circuit or with
Service or Feeder Penn it
S 00-'
$ 50.00
$ 5.00
).1l~
~
E. I Miscellaneous (Service/feeder not included) ~Each Installation I
Pump or irrigation $ 57.00
Sign/Outline Lighting $ 57.00
Limited Energy/Residential $ 29.00
Limited Energy/Commercial $ 52.00
Minimum Electric Permit Inspection Fee is $52.00 + Surcharges
4.1 SUB"I"Ol"AL OFABOVE I ';)03
12% Stale Surcharge ~w ~5:--
10% Administrative Fee /';--29-
5% Technology Fee "2 '7"
TOTAL U9 tS
Shared Drive(T:)/BuiJding FormslElectrical Permit Application 7-08.doc
e,
, .
. '
, .
" "
." .'
~oostructiouContractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 9.1309-5052 .
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
,permit#C (' -- 0/10/ ,
" Address: LLj() ;) J1f L/dl-f-.- 5/J#1(,1Jt-c;-;'i~'1
'1 ' f. .)
Issued by: ((' ./ I Date: / /, ') [; ~r.) Ii
r .. \J
Statement: Information Notice to Property Owners
. About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires. residential construction permit applicants whoare not
, licensed with' the Construction Contractors Board to sign' the following'statement before a building
. . p~rmitcan be issued. niis "statement is required for residential building, electi:ical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exe,npt from licensing under
ORS 701.010(7), need not submit this statement. 1'!zis statement will be filed with. the permit.
. . - ~
Fill in the appwp,;ate blanks and initial boxes I and.2, and either ~o* 3A or-3B:
~~l.
S1Wz.
"
, .
I own, reside in, or Will reside in the completed structure.
I understand that I must become licensed as a construction contractor ifthe structure is sold or
offered for sale before or oil completion.
D 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 Bom;d. '
(('j . OR
90. 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors. licensed with the Co~struction 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 notify the office issuing this b\lilding permit of the
name of Ihe .contractor. '.
I hereby certify that the.above information is correct and that I have read artd do understand the Information
Notice to Property Owners abo\lt Construction Responsibilities on !he r~verse side of this form.
hA ~ a 1:P/lA,( u.f' ~AA-.- ' JIj CJ- fR /0 e
(Signature of permit applicant) .u . -(Date)
,
(White c.?py to issuing agen0'.permit file, pink copy to applicant.)
Property _ owner. doc 06-01-04
I
. 225 Fifth Street
Springfield; Oregon 97477
541- 726-3759 Phone
Job/Journal Number
COM2008-0 1714
COM2008-017l4
COM2008-0 17 I 4
COM2008-0 1714
COM2008-01714
COM2008-0 1714
Payments:
Type of Payment
Check
cReceintl
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
fit-
RECEIPT #:
2200800000000001682
Description
Building Pennit
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% TechnologyFee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JEFFRY BOWLING
cJC
Page 1 of 1
4547
City of Springfic1d.Official Receipt
DevelopmenfScrvices Department
Public Works Department
Date: 11/26/2008
1:25:23PM
A-r.nount Due
52.00
50.00
5.00
5.35
12.84
10.70
$135.89
Amount Paid
In Person
Payment Total:
$135.89
$135.89
11/26/2008
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01711.
ISSUED: 11/26/2008
APPLIED: 11/25/2008
EXPIRES: OS/26/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 937 S ST
ASSESSOR'S PARCEL NO.: 1703261308400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Replace hip
Owner:
Address:
OSBORNE ROYCE P & LORNA G
937 S ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
COMFORT FLOW
License
460
BUILDING INFORMATION I
Expiration Date
06/27/2009
Phone
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: ATTENTION: Oregon ,h"""~t"'ires you to
Rearyard SeW6TICE: % of Lot Coverage: follow rules adopled by the Oregon Ulilily
Solar SetbacW1IS 'PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are sel forlh
..- rFfl......~ lC H"'I' ~ 3\'::l ~-';l ^^' M'~~,,~h I"Ml a~?()f'l1-
~UI HUKILctEUDUol~Rult:SnAIBnAINDI!''''lij~MPROVEMENTS '090~ Yo-u- ;;~y ~btain copies of Ihe rules by
COMIVlEN call1ng tQ!l, c~ler. (Nole: Ihe lelephone
Street Impro~~!JV~t~b DAY PERIOD. num'6efrclY~l!~Vegon Ulilily Notificalion
Storm Sewer Available: Do~til1[Jr~:332-2344).
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
'>
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
-~~'!~.~!i!!!i!,;~'
.~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01711
ISSUED: 11/26/2008
APPLIED: 11/25/2008
EXPIRES: OS/26/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Tot:ll Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$15.00
$37.00
11/26/08
11/26/08
11/26/08
11/26/08
11/26/08
11/26/08
2200800000000001681
2200800000000001681
2200800000000001681
2200800000000001681
2200800000000001681
2200800000000001681
Total Amount Paid
$87.04
I Plan Reviews I
. . 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.
Reouired lnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contr:lctors Signature
Date
Page 2 of 2
City of Springfield
Mechanical Anthorization To Begin Work
[-mailed To: kelly@comfortflow.com
Receipt # EC542696
Il/25/2008 3:57:53 PM
7ij.~~".'c.'~". ...
I' '.
IE-... Jii1
'-IU
..:.:...-,,~....,(' ..
Check on status of permit
.By Phone: (541)726-3753 or [mail: permitcenter@cLspringfield.or.us
,,'--
. ,q New constru,ction [X] Addition/alteration/replacement
I.;~~: ~i"-R1;)-'~' f~:- fr'~~i~t:l;:~IE.G~I~y:q~~Q~~1[U:9Tip~::":F-~1;~ ;:~'> . .~.~ ::,.: ~'Fsl
I [X] 1 or 2 Camily dwelling 0 Multi-family 0 Accessory Building
Ir~",:it,~,:::~~:,;:_~j(~,,~~:qB'sif~;I~fc3:~~fe;!J(j~__:~jI~lL,OF~T@E~t!:i' ~:;~.l<'J y -'0
IJOb no.: 843270 IJob address: 937 S ST
City/State/ZIP: SPRINGFIELD, OR 97477-2382
I SuiteJbldg./apt.no.:
Project name: OSBORNE
Cross street/directions to job site:
Subdivision:
lLot no.:
1
- '..1
',' -"-':',-
. . .~.
Tax map/pllreel no.: ]703261308400
:~,'i-~-:A~T ..---~~~.~~;t~L:sf'Qf=S~Cj3,IP~i<?"N' o.j:~~9..R~~;?}~~~~(,4~~ ?:If-!~
REPLACE HEAT PUMP
I~:;!','~~.' -'HsJT~~l?-NfA~f.'~~fi~~: iiq.
I Name: OSBORNE, ROYCE
I Phone: (541) 726-9766 I Fal.:
IF-mail:
I~:.. t~_t. ~~~f( '~f,::;(,~-i~~~;CQ~T~9TQifl!~i~:~~~;,,~:~~I
1 CCB lie. 110.: 460
! Business Name: COMFORT FLOW HEATING CO
ICon',,,', kELL'fJnTlCf~
[Address, '951 D\'~Jl:( PeRMIT ~HAIL EXPIRE IF THE WORK
C;'y/S'a'eiZ1P, ~fI'lII'Arl!l\-!1!rn mml"B THIS PERMIT IS NOT
Iphoo", (541)72601\lOr"lr.n"I\lr"n nR 1"lli"';o'~~ FOR
IEmail: .kelly@eo~f9rtflo~f"1fTlnIiV pi=RlnJ1. .
Metro he. no.: 1 City he. no.:
~ .1
- . ~" ~
,,,-,,
1
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a pennit is not obtained.
The local building department may detennine that an
Authorization To Begin Work Is null and void if it does not
meet applicable land use laws and local ordinances.
I'">""'. ~?~4(;j{EE:.~F'HEffQL'~!:;t
17f~~i;~i~,atg'll~~iia1t~~s,~.:, Qty.
I Furnacc- up 10 I oq,ooo BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/in-wall, in-
duct. suspended. ete/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Airl-landler
$15.00
1
1
1
I
I
I
I
$15.001
1
Water heater
Gas fireplace/insert/stove
Gas log/log lighter
Gas clothes dryer
Gas slove/range
1
1
1
I
1
I
1
1
1
1
I
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimneyflinerlilue/vent w/o
uI?p'liance
t~v!ri)imsi1tlit ~ha~~!?;iND-ve_~~ilil~io~f;!r.
Range hood
Clothes dryer exhaust
I Single-duct exhaust (bathrooms, d
toilet com rtments utilit
roomATIENTION: breaqn law re uires VOl: 10
I Atti~O~,rtOOs adopie<ll by Ihe ~regon Urilily
r~~If13:at1Q.n~en!er.Jnose.JL!leS~r~'leJ,t(m.n. , I
-uP1Ar~r!lil'/;1,l!ffi~n"'I'~i,liJ/)' ':1 u" uuy" r"n o::"f~ ,- I
~oc~Y~~~W.~'~~~~~~'I;~~~~~;t~'~~:" ~~I ;t~ ..1
I'. .''S.nu.mb'e~::r~~~W'l'fl1\~~~I:fifi,;fin'\i;;~;l
I MinImum ~e used mstea~ o(~total) $52,00 I
j State Sureharj!;c (12% of-permit fee) $6.24 I
i City OfSprin_glicld fees. $28,80 I
l TOTAL PEHM11' FEE . $87.04 I
. City OfSpringlield fees: 10%Administration Fee; 5% Technology Fee
~~
f
COM- ()DD~ J 011\ \
RCPT#- '7J(jOD ~ - ILD ~
DATE PROCESSED: \ , b..V \ ex)
This Authorization To Begin Work must be posted at 111\1lc&B~~P~~~~ tira yermit
225 Fifth Street
Springfield, Oregon 97477
541-7Z6-3759 Phone
Job/Journal Number
COM2008-017ll
COM200S-0 1711
COM2008-0 17 I I
COM200S-0 1711
COM200S-0l7ll
COM200S-0171 I
Payments:
Type of Payment
ONLINE CHGS
cRcceint 1
RECEIPT #:
2200800000000001681
Description
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/26/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE COMFORT Online
FLOW
HEATING
Payment Total:
7:31:34AM
Amount Due
15.00
37.00
21.00
2.60
6.24
5.20
$87.04
Amount Paid
$S7.04
$87.U4
11/26/2008