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HomeMy WebLinkAboutPermit Miscellaneous 2011-5-9 SPRIN..G. FI.f.L.~ .; ..:"( ,'!;g . ,-' \ 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.~ .- .,,--. a1 ~: \.. 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;-~:~ ," -'f- -.- ;.... ~~ -",- -: _~.-.. ~,,-' '. ~"" .~-::- '--. .. 225 Fifth Streett Springfield, OR 9747HPH(541)726.375H FAX(54 1)726.3689 S..PA'N...GF'ELD '~.'.~ ~"~'7' ~- ~.-' ~"" .." 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. ~ A,;' , '.. ..~:fk.- -,~ . .'1ill\t ~ ,., :;Io.<J:;~;r_ ~ + '. ", "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~ .- ""'~ "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