HomeMy WebLinkAboutPermit Miscellaneous 2011-5-9
SPRIN..G. FI.f.L.~
.;
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. ,-' \ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00776
IVR Number: 811141237537
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Iss ued
05/09/2011
ISSUED:
APPLIED:
05/09/2011
05/09/2011
EXPIRES:
VALUE:
11/05/2011
$0,00
SITE ADDRESS: 624 JANUS ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703341201200
SCOPE: Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Add 1 sump pump circuit and <iDa' stormdrain
OWNER:
ADDRESS:
OCONNELL CLAIRE
624 JANUS ST
SPRINGFIELD OR 97477
Phone Number:
CONTRACTOR INFORMATION ~
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
Electrical Specialty Code Edition: 2011
Springfield Fire Code Edition:
MeChanical'sp-eCialty Code_Edition:
; ,'. urAnnl1/
Municipal I Development:~e~ei.k" aw reqUire
, ), - ,'''' by th C S you to
Plumbing SpecialtY Code Edition: . e 20ybn Ut'
,'. ...,:. 'r); ,..:" IllOserUle - Oity
Residential Specia,ly ,~odeEditi~mou h s are Set forth
^- , r.,-" "1,,,_,'_ 9 OAR 95
StructuraISpec/alty,pode'Ed't,on:opies f 2-001
n",.__ - - L;t:mtPr I~,. 0 tho'li' ..
I . . "'I I/lr-.n.. ' -''''.I/::lot I I~.::ioy
Sltell~f9.lJ!1a~IOn eQon !/fa:, J e ~1?hone
" 1-(jUO-332_23~~/fICation
Contractor Type
Plumbing Contractor
Electrical Contractor
Contractor Name
DONALD J HANKINS
BOB FISHER ELECTRIC INC
# of Units:
o
, Lic Type
CCB
CCB
BUILDING INFORMATION ~
# of Stories:
~eight of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Lie No
51118
96275
Lie Exp
09f16f2011
01/25/2012
Phone
503-484-5873
541-689-7973
o
c
NOTICE'
THIS PERMIT S .
f~fr~~~~g g~~~r~~i~~~~~~t~~;
80 !J9?vNi'EI~rrJCrM NDONED FOR Page 1 of 3
Springfield Building Permit
S!'RIN..GFIEL.~
.-
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~: \.. OREGON
www.ci.springfietd.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00776
IVR Number: 811141237537
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
155 ued
05/09/2011
ISSUED:
APPLIED:
05/09/2011
05/09/2011
EXPIRES:
VALUE:
11/05/2011
$0.00
SITE ADDRESS: 624 JANUS ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703341201200
SCOPE: Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Add 1 sump pump circuit and <100' stormdrain
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
100
Sidewalk Type:
DownspoutfDrains:
I
Valuation Description
I
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
Description
Branch circuits without service or feeder - 1 st circuit
State of .oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Storm Sewer
Balance of Minimum Electrical Permit Fees
Total Amount Paid
Amount Paid
$55.00
$16.08
$6.70
$76.00
$3.00
$156.78
Date Paid
05/09/2011
05/09/2011
05/09/2011
05/09/2011
05/09/2011
Reciot #
2011000904
2011000904
2011000904
2011000904
2011000904
Springfield Building Permit
5/9/2011 10:54:10AM
Page 2 of 3
CITY OF SPRINGFIELD
SPRI N.. G.. F.I.E.L~
.~
' :r .f!1J
1, _' "\ OREGON
Building I Residential Permit
PERMIT NO: 811-SPR2011-00776
IVR Number: 811141237537
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenler@ci, springfield ,or. us
PROJECT STATUS:
STATUS DATE:
Issued
05/09/2011
ISSUED:
APPLIED:
05/09/2011
05/09/2011 ,
EXPIRES:
VALUE:
11/05/2011
$0.00
SITE ADDRESS: 624 JANUS ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703341201200
SCOPE: Miscellaneous
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Add 1 sump pump circuit and <100' stormdrain
Plan Review
~
DeDartment
Application Acceptance
Received Due Date Comoleted Result
05/09/2011 05/09/2011 05/09/2011 Over the Counter
~.1,9i~6~n3e~ieW~~},~::, ,;:,:*.~:;,~.:~Q~~~JI20,1.1:~,~;~~~g~l7S;~JIYi.;~gi?;1~?,~.~,~?~ .
. ',". Comments: " Over the"'cou-nter 'p'ermlt..., . .:" .;~:;.t " ~ ~7_,', ",1. ~ -,','_'}
-,_ ~_' . "'~"" ''''''',_ -', ,-....". . r,-.~.... " -', _, . .'--,;>
Permit Issuance 05/09/2011 05/09/2011 05/09/2011
Over,the
'-":;>t:~~r,,..
- -
Issued
[PUbliC Works Review--:-::~:-05/69/20iT--. 0~i09/20ii'<~~5io9/20f1---NOiR"?Uired "~,_,,
f.. Comments:-.Overthecounterpe!mlt . - 2,' , . !._ " . ,--
"',._...' _ ___-'- _.___ _..-.10.-__._ C.-_--' ----=--- . _~___~___--i___
Structural Review 05f09/2011 05f09/2011 05/09/2011 Not Required
Comments: Over the counter permit
plar}~ing Review . 051.9~J2011
C6mments:''z '.Oyer.th~rc_9l}.nter permit
. , 05/09/2011
;0.-
05/09/2.011 .
Not R,~quired ..>~
Q~ "
INSPECTIONS REQUIRED I
Inspections
3400 Storm Sewer
4500 Rough Electrical
4999 Final Electrical
Storm Sewer Line: Prior to filling trench.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reviewer
Chris Carpenter
>" .Y ~,:Chris1Carpenter~^ . '
>-~ ;';;~: ...".,,?_;=..~:i:_:'~f-~_ '
Chris Carpenter
. Chris Carpenter--:-~ - --;-"-:-"-~::'~'.~ I
c . "
Chris Carpenter
Shris Carpenter
1..
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 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' com liance with ORS 701.005 will be used on this project. I further agree
to ensure that all re I ed inspections are request tl at t roper time, that each address is readable from the street, that the
permit card is 10 te at the front of the propert . and approved set of plans will remain on the site at all times during
construction.
s Cj~ 1/
Date
Springfield Building Permit
5/9/2011 10:54:10AM
Page 3 of 3
Electrical Permit Application
~~ ....... '"",. _-~';-;.'- .,.,,;:~'J;.'~ . ~~ ." ~."'t ~;;ri.>,:r._ ""''3I:t.f:."':J:'' '::-,...Ji.';'
. CITY~ OK SPRINGEIELD;;.ORE"GON;-~:~
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225 Fifth Streett Springfield, OR 9747HPH(541)726.375H FAX(54 1)726.3689
S..PA'N...GF'ELD '~.'.~
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bEP~R;-MENT USE ONLY
Penn it no. 51 I - 1? ?-
Date: S q ) I
This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
. 'UOCAL; GOVERNMENTAP,PROVAl':",,':o.'''':::i'':'
Zoning approval verified? 0 Yes 0 No
c"'C,6,TEGORY.,;Of,;C()NSTRUCTION'
Residential 0 Government 0 Commercial
b:'~~fu>Er,tOBj(Sn;E!.INf()RMATI()Nj:'Jl.ND;iLo.CA'liION;ff;i,1~n:
."\;.;:~~:; ~::- ' "
'PROPERTYOWNER
Name: '::::'P<fV(0E "= 1-
Address: L -..I A-rVLA S ..s'"
State: cj)-"
E-mail:
This installation is being made on residential or fann 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:
.CC>NTRACTOR' INSTALLATION
-&-
Address:
City:
Phone:
E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~t
440-2584.J (9108ICOM)
c:
1,- ~ :1'~H~::;;1;'/J~t~'f$::'i{': FEE\: SCH EOLJL:!E;;:;i!};"h"';r..1~}~; -~~~~i)~~ffi
,Nu~~er~.~inspection's per.i,t~.~, (}' ..~.IQty. Cost Total
. "_ ,. .' " . "_ ..H. .' \.. t. ....-.~. .."' ',' 'I: <~efi. ~~ , c9st. ,',
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 or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
20 I to 400 amps (2) $ 87.00 $
401 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 of a service or feeder fee:
Each branch circuit I $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee;
First branch circuit (2) I $ 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 $
. "''''!iIl!.!l!!''";j!".",.j''''''''ARPiill::AN . ,;.., . , '~~~:~~f:r;;1r~~>~~;::?Y~:" :
\:H~"~=~'h;.Jit~~~;"_!\ . ~~", . __T_.'USE~
(A) Enter subtotal of above fees .
~~-
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $ ~c,v
(C) Technology Fee (5% of [A]) $ 2--7~
TOTAL fees and surcharges (A through C): $(,,7YY
Plumbing Permit Application
225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
S.P.RIN.....G~..IELD.
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'. ", "i~;;_ ',':"-, :"!.,;',..,... ......,. " ;~<~'_' .,.;'" l!.";" '."'>~'I:.';.~V.'
. "'DEPARTMENT USE'ONLY'c,:")"
. .' ','" ">"
Pennit no. .5 J) - J?(:;
Date: ') c; / /
This permit is issued under OAR 918.780.0060, Permits are issued only to the person or contractor doing the work, Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days,
'>::,ii,,,,;:'.;,.,'i20CAL;GOVERNNlEN1\ A:F'PROVA[!4lR1i;"\'j!0G~ii;;'
Zoning approval verified? 0 Ves 0 No
Sanitation approval verified? 0 Ves 0 No
CATEGORY OF. .CONSTRUCTION . ,
o Residential 0 Government I 0 Commercial
-,;'{tUjiJOB,SITE INFORMATION,iANDi;l::OCATIONt;:~}~';"';.i
Job site address: ,02(/ JI4:1VCA. \
City: ~~ [='-<-1.1 State: lfA-. I ZIP: '11717 I
Reference: 1'703 3 'tj~ I TaxloteJ2~C)
(,;"y- ;;'}\f'" ,DESCRII?TION:'OF'iW.ORKS{'ti'('t;i;';'l('~:'i'Dli
(':"'vllev f)r~
. ,;' .PROPERTY.OWNERi:(';,
. Name: \ lit/c;-' /) ..;, ;lV'cl/
Address: t,LLt d'/hVlA. (
City: (j/J- L \\ I StateCl}\-. I ZIF'77 7'1/
Phone: J) //A q.,..., /1'/. Fax:
E-mail:
This installation is being made on residential or fann property
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
CONTRACTOR IN ;"TALLATION. . ,,'eo, "
Business name: 1) Reo f ~ ,A M tl--llrU?JI A ..;,..
Address: 7 I (J t::t If j p yOct,.
City: F U,' r::--,J State: 0 ~ I ZIP: OJ 7l/o.:J
Phone: [of II - ~'i1l/~~7,?,ax:
E-mai1:v .
CCB license no.: t!!) II (If I BCD license no.:
Plumbing license no.: ...JL! I I, '"
Print name: j, "1 ~ /IJ I rJ ,I ~J( //1 <"
Signature: 'ill // p- //../ "I
VCf" t! ,F
440-2500-J (l1/08/COM)
..{i:,.:....'.,..'....".",..''''"''.E.EE...SC.H' ED U' t::'E"""'''' <", ;....."..'...,.,...
; 1,.",'t'~'I:~'!~;'",'.;,....~q..;:',< ~'I ,- .'! <",:~",.' ",'"'-I'It,:".",,;;,_.,, ,;"''l.''',''~''
, .' >'-'''.:..'c '. '.."~'.'-}:,-h-,',.',"t." L 1;"_ _" u_ . ""i: ;',', .t,'I,... _";'(,,','..;,_,_,1 ':" ,.;-",;~.,.,
:.t~~~:9ag~X9.r~~{ii{~:~t':,~~~~~::~':'i~t~;i~~~~'~,;~; 9%' i:~~~;l~:i.' ':~t!;~.~j~It:',~;
New residential
I bathroom! 1 kitchen (includes: first
100 feet oj water/sewer lines, hose
bibs, ice maker, under floor low-point
drains and rain-drain packages)
2 bathrooms!1 kitchen $374.00
3 bathrooms!1 kitchen $439.00
Each additional bathroom (over 3) $95.00
Each additional kitchen (over I) $95.00
Residential fire sorinkJers (includes Dlan review)
o to 2,000 square feet $58.00
2,001 to 3,600 square feet $116.00
3,601 to 7,200 square feet $174.00
7,201 square feet and greater $232.00
Manufactured dwelling or pre-Cab (circle one)
Connections to building sewer and
water supply
Commercial, industrial, and dwellings other than one~ or
two-family
Minimum fee
$238.00
$
$
$
$
$
$
$
$
$
$58.00
$
Each fixture
Miscellaneous fees
100' stonn, sewer, water line
Each fixture, appurtenance, and piping
Storm water retention/detention facility
Irrigation systems
Piping or private storm drainage
svstems exceedino the first 100 feet
Specialty fixtures
Reinspection (no. ofhrs. x fee per hr.)
Special requested inspections (no. of
hrs. x fee per hr.)
Each additional inspection: (I)
$58.00 I $
$19.00 $
'~"~~'~1~~~I:![ta~s;~ipi'~"g;;y:~~i-~);(~~~:~~ti~'i~~!4~~i
r $76.00 $ J)CJ
$19.00 $
$19.00 $
$19.00 $
$19.00 $
$19.00 $
$58.00 $
'$58.00 $
$58.00 $
Mjnimum fee $
Enter value of installation and equipment $
Enter fee based on instal1ation and equipment value. I $
"1i'iS:'ii""""""""""'~A:p.REic"AN:f41tii!f~,,;;'R"f'"'''~~\l;O'J
:ftLv,.....~~~~mI.~~'!._:!'_ ~.._,.., '. J~. ., .___~~ltmt~~~'"1'~.~j~~
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Invesligative fee (equal to [A])
(C) Enter 12% surcharge (.12 x [A+B])
(D) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through D):
$ ?&
$
$ '1 '.!:-
$ ;loa
$ '~lJ 9..
SP. RINGFIE~
.-
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"0 '-'~ OREGON
WNW. ci. springfield. Of. us
TRANSACTION RECEIPT
811-SPR2011-00776
624 JANUS ST
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield, OR 97477
541.726.3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011000904
[DESCRIe.TION- -
Balance of Minimum Electrical Permit Fees
RECORD NO: 811-SPR2011-00776
. ACCQUNLCODE
224-00000-426102
224-00000-426102
821-00000-215004
224-00000-425603
100-00000-425605
TOTAL DUE:
DATE: 05/09/2011
... AMOUNT_DUE
3.00
55.00
16.08
76.00
6.70
156.78
.AMOUNT PAID "
156.78
Branch circuits without service or feeder -1st circuit
_~tate of Oregon Su!charge (12% of applicable fees)
Storm Sewer
Technology fee (5% of permit total)
U~yriiENL1XEE~I).'(OR ~ CASHIEIl:CCARPENTER',
Check Deco home main!. DONALD J
10240 HANKINS
C:01<1MEt>!IS -.
TOTAL PAID:
156.78