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Home My WebLink AboutPermit Building 2011-7-28 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01838 IVR Number: 811159893371 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/28/2011 225 Fifth St Springfield,OR 97477 Phone:.541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or,us EXPIRES: VALUE: 01/23/2012 $300.00 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 SCOPE: Dryrot WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repair, re plumb and 4 circuits add/alter Phone Number: 541-521-2110 OWNER: ADDRESS: WILLIAMS SCOTT A & BONNIE R PO BOX 2158 JASPER OR 97438 Contractor Type General Contractor Plumbing Contractor Electrical Contractor Contractor Name OWNER OWNER GMO ELECTRIC INC CONTRACTOR INFORMATION' Lic Type OWN ER OWN ER CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code; Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 0000000 0000000 162191 Lic Exp 08/12/2025 08/12/2025 11/19/2012 541-741-7369 Phone Lot Size: Sq FI1 51 Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT .' COMMENCED OR IS ABANDONED FOR . . MIY 180 DAY PERIOD. Engineered Fill: Fill Volume: Flood Hazard Are~ . L d H d A 1-\' 1 ENTION: Oregon law reqUires you to Ra~ . aza~ II "mil ow rules adopted by the Oregon Utility 5 e.~'~ng aR'Nolifi;;:ation Center. Those rules are set forth 01 s eport 'A'5J!>.'f:\ 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). Springfield Building Permit 7/28/2011 10:57:46AM . -' ., ~.:' .:,:, ..c' ~..... Page1of4 SP~I::..~:~ ~~ ~OREGOl>4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01838 IVR Number: 811159893371 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/28/2011 07/28/2011 EXPIRES: VALUE: 01/23/2012 $300,00 07/28/2011 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 SCOPE: Dryrot WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Dryrot repair, fe plumb and 4 circuits add/alter DEVELOPMENT INFORMATION ~ . 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 ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ DescriDtion Type of Construction Unit Amount Unit Tvpe Unit Cost Value Springfield Building Permit 7/28/2011 10:57:46AM Page 2 of 4 SP~~N::.EL~ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01838 IVR Number: 811159893371 WViW.ci.springfield.or.us :225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/28/2011 EXPIRES: VALUE: 01/23/2012 $300.00 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 SCOPE: Dryrot WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repair, re plumb and 4 circuits add/alter FEES PAID ~ Descriotion Dishwasher Clothes washer Sink/basin/lavatory Branch circuits without service or feeder - each additional Bathtub Branch circuits without service or feeder -1st circuit ~~ _._~- ~tate of Oreg_on Surcharge (1:2% of ~pplic,,-~Ie fees) Technology fee (5% of permit total) ~tructu!:~~.~I~,i.n_g Permit Fee Water heate~ Amount Paid $19.00 $19.00 $38.00 $18.00 $19.00 $55.00 $29.40 $12.25 $58.00 --.,-..---"..---.- $19.00 $286.65 Date Paid 07/28/2011 07/28/:2011 07/28/:2011 07/:28/:2011 07/:28/2011 07/:28/:2011 07/28/:2011 07/:28/:2011 07/28/:2011 07/:28/:2011 Reciol # :20110021:29 :201100:21:29 20110021:29 :2011002129 201100:21:29 2011002129 2011002129 2011002129 2011002129 201100:2129 Total Amount Paid Plan Review ~ Deoartment Permit Issuance Received Due Date ComDleted Result 07/28/2011 07/28/2011 07/28/2011 Issued Planning Review 07/28/2011 07/28/2011 Comments: Over the counter permit f':Jot Required Initial Review 07/28/2011 07/28/2011 07/28/2011 Over the Counter Comments: Over the counter permit Reviewer David Bowlsby David Bowlsby David Bowlsby Springfield Building Permit 7/28/2011 10:57:46AM Page3of4 www.ci.springfield.or_us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01838 IVR Number: 811159893371 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/28/2011 ISSUED: APPLIED: 07/28/2011 07/28/2011 EXPIRES: VALUE: 01/23/2012 $300.00 SITE ADDRESS: 1275 30TH ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702303402600 SCOPE: Dryrot WORK INVOLVED: Repair TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Dryrot repair, re plumb and 4 circuits add/alter INSPECTIONS REQUIRED ~ Inspections 1220 Underiloor framing 1260 Framing 1999 Final Building. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Final Electric: When all electrical 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 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 an em y s ho are in compliance with ORS 701.005 will.be used on this project. I further agree to ens eq ire 'nsp . ns e req ested at the proper time, that each address is readable from the street, that the per It card is locat at t fro of th prope , and the approved set of plans will remain on the site at all times during c nstruction. J - 7_'D - ( ( Owner or Contractor Signature Date Springfield Building Permit 7/28/2011 10:57:46AM Page 4 of4 ,. t " tructural P.ermit Application DEPARTMENT USE ONLY ~"~ .~"'<~ '~':;'~~"; ~~~~r~~.J{.,-'<'~'" 1ii~;~;;A:c-?"~-'~m':,,~J:.~~~s~;,>" ____- -; t.~~~" ~=f ~n~i:)~Pxf~:gf.;S-?,E;.IN.~IjIEUQ;'\<!}1U2q~Ni':i!c;<l:~i';'~, :,:, -;":,;;( '.;".~. SPI'IINGf'1ELD "-w~~ ~ !.- . 1j E'~ Permit no.' .511-0/ g J 8' Date. 7~Z.g-( I This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 Fifth Street. Sp,ingfield, OR 97477 . PH(54 1)726-3753 . FAX(541)726-3689 LOCAL '~9YEfl.Nrvi~Nti.Ae.PR9i:ie.Lli:(:ii,,,:;::,'li},41;i This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: DYes D No ~i:fAi~{i;~;~~/9ArEc:;ii)RY)Jc:i~~;j:::9Ns;rRU.Cf1;I.9N:~':~ri~;:':\i:!:;;;:,bi:;.; Residential 0 Government 0 Commercial ,....U()B ;SrrE' iNFORMA"IPNXAND.'L6,cMI6Ni.]::[~ir:,;r(;" '/5- '3 4- Reference: 170 L '30 ";. .. PROPERTY OWNER o Name: Address: C. '" lty: Phone: E-mail: State: Fax: Print name: Signature: :~!i'i;;;~),;(':K:~~2sLiEi-t0N:t:f;l.tiC:t.QR"NFbF{I'oIiAf'JQI'I1~~rr~i!;'!D1i1i,;~;{; Name CCB License Number Phone Number Electrical Plumbing Mechanical ;':;"FEESCH~EDiiLE' .,..;. "; ", ~ ";. Construction type: Square feet: Cost per square foot: Other infonnatio \ITS Type of Heat: Energy Path: o new ...f:j-alteration (b) Foundation-only permit? D addition' DYes DNo Total valuation: .'\~~/;B,~ttdJrig':~tee.~.~~~;~\~q}~~f:t,~}(~_i;l.::';/i;;'tl\~,;,i}f~j,~'-:.I(:~, '_ ~" I (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (. 12 x [2a+2b+2c]): (e) Subtotal of fees ahove (2a through 2d): $ $ $ $ ;1~:~:~1~~~:~eyj!1Y1I~~:~~~J~~ti3l{lft~i~~~,~~~1~~~~Bi~l\1~\~J~Bi;~{Y;~i (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): ;:4};'Mi~:~_'~'t~.i!~~E:~;f~~~JMi'it*~;!~~;f,~~j;.%,,~::,:MX'r,::~-~~.r,:,\, (a) Seismic fee, 1% (.01 x permit fee [2a]): $ $ $ '.L $ TOTAL fees and surcharges (2e+3c+4a): $ ElectrIcal Permit Application I ~(Q)~~m~(Q)~ 225 Fifth Streett Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY I r~ Permitno.:srl-oI8~? Date: 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION ..0'Residential 0 Government 0 Commercial JOB SITE INFORMATION AND LOCATION Job site address: I z.. 7 5 30;-"'" City: S p, C1.. Stat<CJ.<- Reference: 0 .>0:>(. Taxlot.02-bC>0 DESCRIPTION OF WORK ~ PROPERTY OWNER 7'13% 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: CCB license no. Signing supervisor's license no.: Print name of signing supervisor: ml Signature of signing supervisor: ~~ ~~ ~ 440-2584-) (9/08/COM) FEE SCHEDULE Number of inspections per item ( ) Qty. Cost Total 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 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 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 $ 201 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 purcha<;e of a service 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) I $ 55.00 $ I.," Each additional branch circuit J $ 6.00 $/B Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 83.00 $ alteration, or extension (2) Each additional inspection: (1) $58,00 $ APPLICANT USE (A) Entersubtotal of abovefees $ 73 (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [All $ f?'?t:: (C) Technology Fee (5% of [A]) $ 3bS TOTAL rees and surcharges (A through C): $ V," ((( ~ SP~~~~:~ ~ " OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01838 1275 30TH ST CITY OF SPR1NGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 pennilcenter@ci.springfield.or.us RECEIPT NO: 2011002129 RECORD NO: 811-SPR2011-01838 DATE: 07/28/2011 tI:>ESCRIP..TION~':i5"\',,,,~," :::;;..!:":tii0~i,l. "~, ~::1::;,:;;r6a,t "':~" '0' ACCOUNTLCODE:" """,- :,""~~: . 'AMO'UNJW,UE 'e ,,-" " Bathtub 224.00000-425603 19,00 -_._- Branch circuits without service or feeder - 1st circuit 224-00000-426102 55.00 Branch circuits without service or feeder - each additional 224-00000-426102 18.00 Clothes washer 224.00000.425603 19.00 ----< Dishwasher ,__,__,___''~._,~__,...3.24-00000-425603 ,_",.___19,00 _____S!nk/basln/~~t?ry _ ________,..,.224-00000-425603 38.00 State of Oreg2n Surcharge (12% of applicable feesL 821-00000-215004 29.40 Structural Buildin9 Permit Fee 224-00000-425602 58,00 Technology fee (5% of permit total) 100-00000-425605 ____, 12.25 Water heater 224-00000-425603 '19.00 TOTAL DUE: 286,65 fjt:.i~XMEN':f2TY~E];til'';'*,~AiQJ~''f'CASHjER:'''B6wt'SB'i~~~-9.MMgr'fI$i__":i!f'glif,~,,:"i,,,.';F'__AMQ\!,rt!1E&!l)"'m!','#\,:: :"*4 _m_ _ Check WILLIAMS SCOTT A & BONNIE 286,65 1269 TOTAL PAID: 286.65