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Home My WebLink AboutPermit Fire 2010-8-17 . );.:.: _L;~\ "i~/:j ~~;.1:", ;.."..' '. .~; . 225 Fifth St Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726.3769 Fax: 541-726-3676 www.ci.springfield.or.us CITY O~~$PRtNGFIELD Building I Residential Permit PERMIT NO: COM2009-00965 permitcenter@cLspringfield.or.us IVR Number: PROJECT STATUS: Issued . ISSUED: APPLIED: 7/1/09 '.' ".'-1.' EXPIRES: 11/24/2010 .' VALUE: $60,000,00 r,'" ;'<;.' SITE ADDRESS: 132 15TH ST 5 Springfield, c-, . ':: ASSES OR'S PARCEL NO: 1703363205600 SCOPE: SFD WORK INVOLVED: REP TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Fire Damage Phone Number: CONfRACTOR"INFORMATION ~ Contractor Type Contractor Name ij:,(~i~ ,..:. ')..#1i . Lic Ty pe Lic No lic Exp Phone It;~,~';j . .! BUilDING INFORMATION ~ # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Range Type: : " Hazmat: ,., lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: o # of Stories: I Height of Structure: Type of Heat: Water Type: " N , .' N Energy Path: Electrical Specially Code Edition: Springfield Fire Code Edition: Mechanical Specially Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Reside!!!i~.I.!lP'e!;.L~I,ly. .CQde .Edition: StructuralSp~<:jri1~:Code Edition: ;i~__;,:tl":; ,-J,l:.:...;It.~i:',o!.." ~ , I ..~~~'~~Si~~).n.f9rmation ~ Engineered Fill: .~~ . Fill Volume: Flood Hazard Area: land HazardA'i'e.TION: Oregon law requires you to Retaining'Wan:' rules adopted by the Oregon Utility Soils Re~ifrtReq~ir'ectenter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090, You may obtain copies of the rules by.' calling the center. (Note: the telephone , number for the Oregon Utility Notification : :': Center is 1-800-332-2344), . : to' --GTlCE' '-HIS P'ERMIT SHALL EXPIRE IF THE WORK \UTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR : ANY 180 DAY PERIOD, "i(' .'..,....; 1";'" '''" Springfield Building Permit 8/17/2010 10:13:09AM Page 1 of 3 l CITY OF SPRINGFIELD Building I g~l>!d.~r1ti~1 ~ermit f~fFrtD_':~~~{;J:~~"';'J~ ';.'.1.\ ;. PERMIT NO: G.<::>M2009;.00965 "1~,:1' ;':, " .j',;;,.,l':j'; I" '~iV~cNumbe':: VVWW. ci. springfield .or, us PROJECT STATUS: Issued ISSUED: APPLIED: 7/1/09 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us EXPIRES: 11/24/2010 VALUE: $60,000.00 SITE ADDRESS: 132 15TH ST S Springfield ASSESOR'S PARCEL NO: 1703363205600 SCOPE: SFD WORK INVOLVED: REP TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Fire Damage DEVELOPMENT INFORMA TION ~ : Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: '. ~,~::.:g 'J.~..;.0 ,.' 'j" ". PUa~lii;lIvi~~p\,iEMENis ')-"~' -<1';', ' :i-?,~1 f; II "'Y~'{" \., Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: .! ....'.. ..__ _. . ,::f:''t' ;~_~';~~ ~ REQUIRED PARKING Total: Handicapped: Compact: ~ Sidewalk Type: Downspout/Drains: : ;''';-;;Valuation' Description ~ DescriDtion Tvpe of Construclion Unit Amount Unit Tvpe U nit Cost Value Amount Paid ~'.~5~;~~}~~(3. ';~i~b. '"; . 1jr.h'r",.'~~.,.~63.00. 1,1 , ~~';_~'.(~l-"""_' . _. "., $315 :""",..J- "'~ -,,,' ....,,'. $8.04 $12.00 $55.00 $335 $55.00 $6.00 $7.32 $3.05 J', $223,47 . [[L~;==:~:?' <'t-'"l:~~~~{:rz:;:-r! .~t ~S_tf~>-~:;3:r:-~:':;'i:'):~",j.~:j;mFEES'PAJQ;2r;r~:~'~~":': '1.'-: (T~;" 4C!7~,~.-;., i '..~I~:"~ ,I '-~~ Descriotion + 12_% State Surcharge Service Reconnect + 5% Technology Fee + 12% State Surcharge Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ :- 5% Technology Fee Branch circuits without service or feeder - 1 st circuit Branch circuits without service or feeder - each additional State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Receiot # 46397 46397 46397 46398 46398 46398 46398 299238 299238 . ~---- 299238 299238 Springfield Building Permit ,:,8/17/2010 '10:'13:09AM , ,.;;, ."i' ,:, . I~ ~:,: h\' ~>2~ ',..,1"','''; ~, f,; '~'.'I, . ~. '.-;j, -.'1 . ,~> '\..:- Date Paid 05/14/2010 05/14/2010 05/14/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 08/17/2010 08/17/2010 -----o8i17i2oiO 08/17/2010 Page 2 of 3 WoNW.d.springfield.or. us ,~ ; 'I CITY OF,SPRINGFIElD >,! ".... ~ ',' . ! :...(+.... .' Building'IResiden'tial Permit PERMIT NO: COM2009-00965 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 permitcenter@ci.springfield.or.us IVR Number: PROJECT STATUS: Issued ISSUED: APPLIED! 7/1IP'~ , --- ._,~." . EXPIRES: 11/24/2010 , VALUE: $60,000.00 SITE ADDRESS: 13215TH ST S Springfield ASSESOR'S PARCEL NO: 1703363205600 ;~tE:?E~~: ';'~\~ ~?\: ": '-.' ' SCOPE: SFD ,>,1;, '" WORK INVOLVED: REP TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Fire Damage [. "" u./ "'"",,,;-.'if4,y". '. ~,--"",,~,..'t",";,''''',.~,__ ~..q;. t. ~_ Plan Rev[ew' '''0 "'}, ",,' ',',.':"';.::" :;I,L-::,~~;," ',' ~:-'"'- '_J'''\.;[; J .. ~__'i';"" --" ;,,-;,:'-::""~"~;~,,;,,',-:~~~~~- -.,"'$: '_;2_'_ ,] Department Print Permit Received Due Date 05/14/2010 Complete Result 10 INSPECTIONS REQUIRED', I Reviewer Comments added additional electrical to Inspections 1020 Zoning/setbacks 1020 Zoning/setbacks 1020 Zoning/setbacks 4500 Rough Electrical 4500 Rough Electrical 4220 Electrical - Service 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical 4999 Final Electrical " . . .~~. .'~'..J i." '..i r l ~.");' I . ,." .;F" Fi,' '.f ,," ~'."'.. j .~. . '__".'_ .h ~._:,::~.'. ...._..._.."...,._,.,_,.... "r ;'Y;:~~~-~) :~<",' ~~ \~ ,! ,..' ~/~r~,~..i, I';';;' '" ::/:\'-;-:,;: 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' 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 or 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'70,1 ,005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time,'thateach;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 . . ,,......j,. '"i,j , construction. . ...' .,~ r ; ;....' , ' .._,-.... ... ....... ".. ~..,,-' ~ 1', -i:",' ., Owner or Contractor Signature Date -,. ~'{(i' ,", ;,,-'.; '. I ";~ri~ '~U;,~;;i:' ;C,;;, '.:'::~I'.~ :./- ...,.~.~+t Springfield Building Permit 8/17/2010 10:13:09AM Page 3 of 3 Electrical Permit Application CITY OF.SPRINGFIELD, OREGON 225 Hfth Stmt.Springfield, OR 97477tPH(541)726-375HFAX(541)726-3689 DEP.ARTMENT USE ONLY Pennit no.:(!o Date: J This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'LOCAVGO\lERNMENT A~P~OVAL\ ,j"':';;" Zoning approval verified? DYes D No .:: '" ':'..:. :':CATEGORY:;OF:CONSTRUCTION'.;::- i.,' eSldential 0 Government 0 Commercial ~1t~l;:J.OElS;SITEi;INFORMATI(j"WAN[j!iliO_CATiON~?)i\,?,:i': Job site address: /..:5::( S. )0 Ci . StateGlO 77 This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: E-mail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: 1 Signature of signing supervisor: .c - 440-2584-J (9!08/COM) i~~p.i_:';ff~~J;;;;~~;~1~rgjf:'~~';-EEE;fSOR E..D(jtl:~;~:;tl~~~-~f8rt~~W~~WWfR:~ .' T "'0' Cost Total Nuin~er' ofinspeCtions p~r.it~'!': 6. '. Qty, ..r' . ," ',,'. _ "' ,,- _ .',', ,.,' , 'ea~' cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services Of feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa se'rvice or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) / $ 55.00 $ Each additional branch circuit / $ 6.00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ;~i~~~R~1!~~~~t;&~~;r#~h~R'ei.:rci':NTY::<US,Et~.;,::~,;/'!C0f;:~:',:;X:~:~\;i~~'r~: ,'.: (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ -::1'1 TOTAL fees and surcharges (A through C): $ t /I v__ ).~. ','.:. .,~- '-::n';~:>,Yi' "1 .~; I" iY. ., ", SPRI~~"FIE,~ ~L . .~ :.: OREGON o."l'" TRANSACTION RECEIPT www.ci.springfield.or.us CTTY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 I RECEIPT NO: 2010000064 I DESCRIPTION + 12% State Surcharge Service Reconnect RECORD NO: COM2009.00965 permitcenler@ci.springfield.or.us '~' I, + 5% Technology Fee + 12% State Surcharge Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ + 5% Technology Fee Branch circuits without service or feeder - 1 st circuit Branch circuits without service or feeder - each additional State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) ., '1',! ~,... ': .. , . AC.C.o.UNT~CODE " 224.00000.426102 224-00000-426102 821.00000-215004 100.00000-425605 TOTAL DUE: LP-.AYMENT n:PE"-"., PAYOR - . 'CASHIER: NMAcHAqo',:',C9MMEN.IS-"..:,,'> ,'. "": Credit Card builders electric ' ''-,' COM2009.00965 017132 ,'," ".' " " :"'l', ;",-:)- -:1':' ,;"'0\' .~:b.o~;..;.:.. ;;_:.:i.::.t;.l:.r -\ 'V",nC'\:r : f~("~ '., .:.,.(" '- DATE: 08/17/2010 AMO_uN'tD.UE $7.56 $63.00 $3.15 $8,04 $12,00 $55,00 $3,35 $55.00 $6.00 $7,32 $3.05 $223.47 :.AMQ.UN'FPAID $71.37