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Home My WebLink AboutPermit Building 2007-9-24 [));t2-t ~ Jv Ct /f<~'7\IV CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01189 ISSUED: 09/05/2007 APPLIED: 08/13/2007 EXPIRES: 03/10/2008 VALUE: $ 12,875.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 708 BLACKSTONE ST ASSESSOR'S PARCEL NO.: 1703233412400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence Owner: CHASE FAMILY TRUST Address: 862 MCKENZIE CREST DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor JAMES HANNUM OWNER TBD JOHN THE PLUMBER INC License 151279 Expiration Date 04/04/2008 Phone 541-554-8728 107810 07/24/2009 541-686-4888 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 14.00 Gas Gas Gas Path 1 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 125 1 R-3 VB I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: 8.00 # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: 25.00 % of Lot Cover;tge]:ENTION: Oregon law requires you to Solar Setbacks: follow rules adopted by the Oregon Utility Uti,JCt- ~!:?t~~:p,:i:r ~:r:::r. Th:i: ~:i!:3 ::r:: :el.f:fl~, THI' . I PUBLIC IMPROVEMlENffS:J2-001-001 0 through OAR 952-001- Street ImM?VS PE~s~/T SHALL EXPIREjF T r: \AI UU::IU.. IU~ ma~~oPtai~k~Q.p.Le~ of the rules by ('0 I f~rLtD UNDER THlgl~trlltteltvORK callIng the ctim~r.a(I'ldtlf.,'.he tel~~ho~e Storm SewQ.\Arvt:6r~lJ@D OR IS ABAND RlVfft):/& NOT number for thB..Qr~ijMiiHWi.N~tlfJCatJ(llbrb and Gutter Special In"s:~.iliqi99:DAY PER/O ONED FOR Center IS 1-800-332-2344). D. Notes: Stormwater to tie into existing gutter drains. Page 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01189 ISSUED: 09/05/2007 APPLIED: 08/13/2007 EXPIRES: 03/10/2008 VALUE: $ 12,875.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellings V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 125.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $12,875.00 $12,875.00 08/13/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $93.85 8/13/07 1200700000000001029 + 10% Administrative Fee $20.06 9/5/07 2200700000000001396 + 5% Technology Fee $9.72 9/5/07 2200700000000001396 + 8% State Surcharge $15.55 9/5/07 2200700000000001396 Building Permit $144.38 9/5/07 2200700000000001396 Fire SF Fee - Residential $6.25 9/5/07 2200700000000001396 Fixture $16.00 9/5/07 2200700000000001396 Minimum/Adjustment Plumbing $34.00 9/5/07 2200700000000001396 SDC Sanitary/Storm Admin $2.65 9/5/07 2200700000000001396 Storm Drainage Impervious Area $52.94 9/5/07 2200700000000001396 Total Amount Paid $395.40 Structural Review I Plan Reviews I 08/13/2007 08/13/2007 APP NJM 08/13/2007 09/05/2007 APP TAJ 08/13/2007 08/20/2007 APP BRC 08/13/2007 09/04/2007 APP DLM. No Planning issues Stormwater to tie into existing gutter drains. See documents for Plan review comments. A mechanical permit may be needed if existing ductwork is extended into addition. Initial Review Planning Review Public Works Review 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. ~eouireCUnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Page 2 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-01189 ISSUED: 09/05/2007 APPLIED: 08/13/2007 EXPIRES: 03/10/2008 VALUE: $ 12,875.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. 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. Shower Pan. Prior to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover 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 of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made ofany 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 Contractors Signature Date Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01189 COM2007-01189 COM2007-01189 COM2007-01189 COM2007-01189 Payments: Type of Payment Check cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 2200700000000001490 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RODNEY CHASE njm Page 1 of 1 776 City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/24/2007 1 :59:20PM Amount Due 48.00 2.00 2.50 4.00 5.00 $61.50 Amount Paid In Person Payment Total: $61.50 $61.50 9/24/2007 l-oQ.- INITIALS N N\. DATE C\ r l_-4 ~-, SOURCE ~ ~('JV : '-\- I 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number L D A/1 J.. t/ (.'.I/ .... V / / 8 e-l 1. LOCATION OF INSTALLATION: 1 C g ;) /-2 (. kc.; -IVII ~ ~; (, LEGAL DESCRIPTION: JOB DESCRIPTION: I /.,0: r I 'Ill) -Po I' a:.) 1,'-1-, 0 v1 I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~ ~ / City Supervisor License7um r Expiration Date / Constr. ~r, Number EX7-i0ll Date ?atu" of Sup",vi,ing El""tri,ian ~ ~ ~ ~ ~ \ J . ~ Owners Name I\urL{lYI/ P ~ /{I:~tL /:::Llj( }I/t.,~ ~ ,f.~' t,-, -I Address r, (-p :L /d I! f( i Il~ I ~ C' It ?'5 { D I/' City , c:'n f:- {d . Phone 11/ f., -&(/7 =3 -, r OWNER INST ALLA nON The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: (2... <~v"J' iJ'/~AI_ I iJ)L.~t-f J 7 l -- - Inspection Request: 726-3769 ZON Date ;]-.tt ~I - (..' ,[ 3. COMPLETE FEE SCHEDULE BELOW A. New Residential - Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55,00 B. Services or F, eeders ^" InstaJlati,'oIl<\he.r....ti.-rtlB'\Or\f&elocation: p,:,_,,'r-~I'I"'("-M' , 'r'e.f'iorrf~w'reqvlre;y 1-~. r' 1\ ,-;" , ' .i.'O, v ''::I - U.i\a", . '., -:,.', 'c' adopted by the Oregon · '" 200 Arrtps'8.ties:s, .~.~C "er -rhose TIIIp.s a~~~orth 7\\)',!r'''',''c~ enL . ~.I'\01 201 AJ)1PsLtf-fO]- Wi -001 0 throuah OAI'! 9~,4ilUJ .. 1<1 u,-" I C/O - . f the .fbllA.~ m. 401 A~es2~. 69BlflWa'V obtain CO.pl~~ O. j~'1.Hr.OO- WJ 601 Amp~~M~(l~nter. (NOle..l~~ ~e~i.K~~Q~n Over 10QfuA~/W' h~i1e Oregol1 UtlMy · ,~.'13.00 C ' '", 'I BOC Gc-'1~ . Reconnect Only ,1emer I.. - '... 55.00 C. Temporary SenicesorFeeders , ' Installation, Alteration or Relocation 200 Amps or less, $ ,55t9[ 201 Amps to 400 Amps ".. \t 1'?,t. '$\!i6~'OQ~ 4q,~i;~ 60~Amm;L\.. t)\?\\\~\n~Si \$;1 ~Q)b \~ \:0 ....o.\\f\ t '6\11"\ _ \lJ,\S r \-\\ R oy~\~~ ~~~~e- ~m~~~1tsrl~~ NW~efO D. Jl1}1i~C!f'f-~'ll Gr, \~ ~v~. . 1\1\\\I\t\~\J -) p\OD. NeGQ.'1tet~'D~Ei1:~rt!llOn Per Panel Onef4~u1t I $ 48.00 Each Additional Circuit or with Service or Feeder Permit $ 4.00 L{B E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55,00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee ~~rcharges 4. SUBTOTALOFABOVE ~ L( ~ Z)O b(~ 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T:)/Building Fonns/Elecnical Permit Application 7-07,doc :Co~struction Contrac~~rs Board ' Permit #{ ~m 2 (j7) 7--1)//?' 7 700 Summer St NE Suite 300 '/())f &a clCS/vrze...." PO Box 14140 Address: J' /' ' ' ~~:::.:, O:3-~:':-:;I52 Iss=! b~.A.Mh hJ Date, 9'/,,2 )71'07 '~ II I ' Web Address: www.ccb.state.or.us ' Statement: Info, matiOn. NotiC~ to"lJoperty 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' ,permit can be issued. This'statement is requiredfor,residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS701.010(7), need not. submit this statement. This statement will be filed with ,the per"!it. "\ Fili in the appropriate blanks andinltiai boxes I and 2, and either box 3A or 3B: '\ [2g ,1. [Zl 2. I own, reside in, Of will reside in the completed structure. , I understand thatI must become licensed as a construction contractor ifthe structure is sold or offered for sale before,or on completion. ,~ 3A. My general contractor is ',1'1 \'V2 .p 5 /-1 at'! 11 L( I'V,\ (Name) (CCB #) I wili instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board;, .,,r;' OR IKI 3B. I will be my own general contractor. (e(..L(;h~.(AY~)' ,.. " If! hire subcontractors, I will hire only subcontractorsJicensed with the Construction Contractors Board. If! 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 building permit of the name of the contractor. . - I hereby certify that the above information is correct and that I have read' and do understand the Informati~n ", . Notice to Property Owners about Construction Responsibilities on the reverse: side of tJIis form. <.' ' Q !J e (J /1' (j :.utfst~~'~pe!;;~~~ant) <1- c/'1D:t~ & (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 \"c .. r_ Contractor? , " :...", " OWNERS A~PYT ~.9~~T~l)CTION RESPONSIBI~ITIESc ' ~ -t . ~-'~'.;:'\\:~. "- \ ,~ Notice to Propftrly Owners about Construction Responsibilities was developed by the Construction Contractors Board in acco~dance'with ORS 701.055(5), passed by the 1989 Legislature, , . - ~ , . - .',' own contnictor to construct a new home or make a substantial improvement to' an' existing problems by beinga\~are' ofthe ,fol1owing rcsponsib,ilifies concerns, , , be ruled to be an '~employer",?nd with th~,COPSiTuction ' . of a' residential structirre. . f . ~ .. '. you contra~t ~~h~willbe.:~;e~p~oyees" if to do lab~r constructing Or to. assist in the :pmstcoplply , tiie 'foUo:wing: , , . , . " -., ' ~ . -.' ..-. . . l.;liw: As'im empioyer, you must taxes employee wages'at ilie time employees are will be liable for the tax payment? even if you don't actually wit~old the tax from your employees._For more infonnation, call the ' 503-'3'78-4988.":': (. ': '..'..'. ',,'; '- ~:.r. , " hnemploymehf ifisurnnce purposes ' Department at 503-947-1488. As an employer; For more on (".. Identification Number (BIN) is a' number for )bqt~:, Withholding an~ Tax. To file for a BIN, 503-945-8091 or \v'Ww,dor,state,oLus/fortnsuav,htmll for the . '-,' ':.- , - .;0: \' ....,. '. L, " , l - ....... j _I, . . "-\. ~. . . t ., " .' " . ~, . Insurance: As an employer, you are compensation insurance "!- .' .' - subject to pemilties arid be can the Workers' to the' ~egon Workers' Compensation Law, , .'. }(you fail to ob~ain wor~~~s'cUlllpensation, c'Osts"'ifone ofyotrr employeeids injuredon the' the Department of Consurrier Business ' \ \: .....--- As employer,' YGU tax payment even if you or vi sit their si te a1X.w'\\vw im50me' tax. ~Irort1 'e<rriployees '.wages. tax. For a EIN number, can the are for any meet code Insurance:' c C()ntact' such as insurance punctures, fire or ~ ..' \ ~ . ,\ . -., '. -.-'- : _/ '; J ~ ,)...... j.'_1 sure you time to supervise your . ,,'~;' :_;' .:./ .' ,. the skills to as building officials as the work of rough-in inspections. or at 06-01-04