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Home My WebLink AboutPermit Building 2007-11-16 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01562 ISSUED: 11/16/2007 APPLIED: 10/17/2007 EXPIRES: 05/16/2008 VALUE: $ 37,080.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1274 33RD ST ASSESSOR'S PARCEL NO.: 1702303405800 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Bedroom & Bath Addition TYPE OF USE: Addition Residential Owner: BRILEY CARROLL & SANDRA Address: 1274 33RD ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Plumbing Contractor OWNER OWNER OWNER License I BUILDING INFORMATION I # of Units: # of Stories: 1 Primary Occupancy Group: R3 aei ht of Str#~~~OU to 14.00 Secondary Occupancy Group: AmtmON: Ore It-t'illSH' off~l\'F Electric Primary Construction Type fonoW"JUleS adoptlW Yrl~ Jt?~ ~e set forth Secondary Construction Type: Notification Center.If~ R\;AR 952-001. # of Bedrooms: In OAR 952-001-00UMH.~~ Ulb~ the ru\es by Path 1 0090.. Yo~ ~~~~~~m~ Dil~i~~o~e ft n/a ~:'~~Im",~.&I~~TON ~ C 11LVI I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 30.00 30.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Phone Number: 541-285-0595 Expiration Date Phone Lot Size: Sq Ft 1st Floor: 360 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: Sidewalk Type: . THIS PERMIT SHAll Downspouts/Drams: ~~~~E~~~~ ~~~~R :~~J::r~~Z~: ANY 180 DAY PERIO~BANDONED FOR Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01562 ISSUED: 11/16/2007 APPLIED: 10/17/2007 EXPIRES: 05/16/2008 VALUE: $ 37,080.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!:s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 360.00 Value Date Calculated Description Total Value of Project $37,080.00 $37,080.00 10/17/2007 ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $20.00 11/16/07 1200700000000001413 + 10% Administrative Fee $44.91 11/16/07 1200700000000001413 + 5% Technology Fee $21.55 11/16/07 1200700000000001413 + 8% State Surcharge $34.48 11/16/07 1200700000000001413 Building Permit $331.06 11/16/07 1200700000000001413 Fire SF Fee - Residential $18.00 11/16/07 1200700000000001413 Fixture $48.00 11/16/07 1200700000000001413 Minimum/Adjustment Mechanical $43.00 11/16/07 1200700000000001413 Minimum/Adjustment Plumbing $2.00 11/16/07 1200700000000001413 Plan Review Minor - Planning $116.00 11/16/07 1200700000000001413 Plan Review Residential I $215.19 11/16/07 1200700000000001413 Sanitary Sewer - Improvement $122.42 11/16/07 1200700000000001413 Sanitary Sewer - Reimbursement $161.00 11/16/07 1200700000000001413 SDC Sanitary/Storm Admin $20.40 11/16/07 1200700000000001413 Storm Drainage Impervious Area $124.57 11/16/07 1200700000000001413 Vent Fan $7.00 11/16/07 1200700000000001413 Total Amount Paid $1,329.58 I Plan Reviews I Initial Review 10/20/2007 10/22/2007 APP LLH Public Works Review 10/22/2007 10/23/2007 APP LKW Structural Review 10/22/2007 11/09/2007 APP DLM See documents for Plan review comments Planninl!: Review 10/22/2007 11/14/2007 APP T AJ 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. Pal!:e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01562 ISSUED: 11/16/2007 APPLIED: 10/1712007 EXPIRES: 05/16/2008 VALUE: $ 37,080.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insoections 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. 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 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 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. /AAAA./J/~ , )(-/{; -07 Owner or Contractors Signature Date Pal!e 3 of 3 Construction Contractors Board . 700 Summer StNE Suite 300 PO Box 14140 Salem OR 91309-5052 Phone: 503-378-4621. _ Web Address: www.ccb.state~or.us Permit #: ~.26iJ 7- ~~L I Addre'ss: --12 7.-1- c~'i,~ '"/ " Issued bY:' "fjtS' - 'Da:: I ( /; b~ "7 / / .. [~ Statement: Information' Notice to Property Owners 'About .Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following 'statement before a building permit can. be issued. This statement is required for residential building,. electrical, mechanical and plumbing permits. Litensed architect and engineer applicants, exempt from licensing under' ORS 701. O! 0(7)" needno,:submit this statement. . This statement will be fi~ed with th'e permit.. Fill in the appropriate blanks and initial boxes 1 and 4; and either box ~A or3B:' . ~ )&2: I.' I own, reside in, or will reside in the completed structure. I understand that 1 must become licensed aSa construction contractor if the structure is sold or offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instruct my, general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR: ~ 3B. I will be my own general' contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I 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 contra,ctor.' V /~/g~y!~ . . i- - (Signature -;'f;-~i applicant) I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side ofthisform. 1//;6/0 7 . / (Dite) (White copy to issuing agency permit file, pin.k copy to applicant.) . , rl ~ ' Property_owner. doc 06-01-04 ''\ Actl~S~'\ ~, General Contractor?" ... \:?~ ~i'~M~1iffNoTICE .PROPERTY OWNERS , \ ABOUT CONSTRUCTION RESPONSIBILITIES \. . .' -, NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the ! Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 OregOn_~egi~/~,t~re. I If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities . . You will, in most instances, be ruled to be an "employer" and th~ coptractors you contract with will be "employees" if you use contractors not licensed with the Constr:ucti<?t} Contractors B9ard to d? labor in constructing or to assist in the construl?tion?r improvement of II residential structure. As the employer, you must comply with the following: . . Oregon's \Vithbolding Tax Law: As an employer, you ITlust withhold income taxes fiom employee wages at the time employees are paid. You will be, liable for the, tax, pa~ents even if you don't actually withhold the tax from your employees. For more infonnation, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you' are' required to pay a tax for unemployment insurance purpos~'/ on the wages of all employees. For more infonnation, call the Oregon Employment Department at 503-947- 1488. 4 \/ ..~r The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fonnsuav.html1 for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for aU claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. , ,/ U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees'wageg;k' You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, can the \ IRS at 1-800-829-4933 or visit their web site at www.irs.!wv. Other Responsibilities and :Are-as o'f 'Concerns Code Compliance: As the permit holder for this project, you are responsible for resolVihg any failure to meet code require:p:1ents that may be brought to y~ur att~r:tionthrough inspections. . . Liability and Property Damage Insurance: Contact 'your insUrance agent to 'see if you have 'adeqliate" insurance' coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be red9ne.", \, I - ''\ I ~ \ \ .. ,.~"\ \. ,,::' Time: Make sure you have sufficient time to supervise your employees. "",,' " .. .... . - .- . " . . . . Expertise: Make sure you have the- skills":to act"asy<Yur ~wn g~ne;al' c~ntractor; to c'oordinat~ the work of rough-In .' and finish trades, and to notify building officials as the appropriate times so they can perfonn the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. :~tt':" Property _ owner.doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01562 COM2007-01562 COM2007-01562 COM2007-0 1562 COM2007-01562 COM2007-0 1562 COM2007-01562 COM2007 -01562 COM2007-01562 COM2007 -01562 COM2007-01562 COM2007-01562 COM2007-01562 COM2007-01562 COM2007-01562 COM2007-01562 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001413 Date: 11/16/2007 Description Plan Review Residential Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Plan Review Minor - Planning Paid By CARROLL BRILEY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5449 In Person Payment Total: Page 1 of 1 2:28:52PM Amount Due 215.19 18.00 124,57 161.00 122.42 20.40 331.06 48.00 2.00 7.00 43.00 20.00 21.55 34.48 44.91 116.00 $1,329.58 Amount Paid $1,329.58 $1,329.58 11/16/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01562 ISSUED. 1lI16/2007 APPLIED' 10/17/2007 EXPIRES' 12/1712008 VALUE $ 37,08000 Status Iss u ed 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1274 33RD ST ASSESSOR'S PARCEL NO 1702303405800 Sprmgfield TYPE OF WORK Smgle Fam.ly Res.dence PROJECT DESCRIPTION Bedroom & Bath AddItIOn TYPE OF USE AddItIOn ResldentlOl Owner BRILEY CARROLL & SANDRA Address 1274 33RD ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type General Mechamcal Plumbmg Contractor OWNER OWNER OWNER LIcense # of Umts Pnmary Occupancy Group Secondary Occupanc)' Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms I BUILDING INFORMATION I ION "'JIlfr-,lJa"tl requires you to I 4,T,TENT '" w~ JtII @on Utility f61fow rules adbp!lh1l ~~Ie 'k~ set tortl\4 00 ~lIflcatlOn CeiltJ!p.e li\lmJif h aA"R"~-<fiJ'Gtnc In ~AR 952-oo~te'\lyjSlUl~s of the rules by 0090. You ma)RMl\!llrraY~P . the telephone calling the ctlDWgy \\\\Y.t-IotlbCaboftath I number for thlp~1l ::'23"4). n/a ,::-100 I.. 1-80 I DEVELOPMENT INFORMATION I Frontyard Setback SIde I Setback S.de 2 Setback Rearyard Sethack Solar Sethacks 3000 3000 Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Phone Number 541-285-0595 ExpiratIon Date Phone Lot SIZe Sq Ft 1st Floor 360 Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load REQUIRED PARKING Total Hand.capped Compact I PUBLIC IMPROVEMENTS I 0" , , ;t\-\t. 'NOT'!' llO"t\C~~ WI\1 S\-\~,-e~~11 \S ~01 ~~:i~lEO \l~~~::~ootttU~ COWlWlE~C~ PERIOO. A~'{ 1BO 0 Street Improvements Storm Sewer Ava.ldble Spec.allnstructlOn. Notes Pa!!. I of3 Plan RevIews I 10/20/2007 10/22/2007 APP LLH 10/22/2007 10/23/2007 APP LKW 10/22/2007 11/09/2007 APP DLM See documents for Plan review comments Pa!!e 2 of 3 -~~..~ l=- ~ ' ~ Status Issued 225 Filth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescrIptIOn Type of Construction Dwelhn!!s V Wood Frame Fee DescnptlOn -Mechamcallssudnce Fee- + 100/0 AdmlOlstrdtlve Fee + 5% Technology Fee + 8% State Surchdrge Bmldmg PermIt FIre SF Fee - ResldentJal Fixture Mmlmum/Adjustment Mechamcal Mlmmum/Adjustment Plumbmg Plan RevIew Mmor - Plan mug Plan Review ResIdentIal Samtary Sewer - Improvement Samtary Sewer - ReImbursement SDC Samtary/Storm Admm Storm Dramage ImpervIOus Area Vent Fan + 10% AdmmlstratJve Fee + 12% State Surcbarge + 5% Technology Fee Add, Alter, Extend Clrc Ea Add Perm Serv/Fdr 200 amps or less + 10% AdmmlStrdtlve Fee + 12% State Surcbarge + 5% Technology Fee Storm Sewer - 1st 50 Feet Total Amount PaId ImtJal ReVIew Pubhc Works ReView Structural ReVIew CITY 01' ~r IuNGFIELD Building/Combination Permit PERMIT NO. COM2007-01562 ISSUED' 11116/2007 APPLIED' 10/17/2007 EXPIRES' 12/1712008 VALUE: $ 37,08000 I ValuatIon DescrJntion I $ Per Sq Ft or multJpher $10300 Square Footage or Bid Amount 360 00 10/17/2007 Value Date Calculated Total Value of Project $37,08000 $37,08000 Fpp~ Amount PaId Date Paid ReceIpt Number $20 00 $4491 $2155 $34 48 $331 06 $1800 $48 00 $43.00 $200 $1I600 $21519 $12242 $161 00 $20 40 $12457 $700 $860 $10 32 $430 $1600 $70 00 $500 $600 $250 $50 00 II/I6/07 1I/16/07 11/16/07 11/16/07 1I/16/07 I III 6/07 II/I 6/07 IIII6/07 II /16/07 II /16/07 1111 6/07 11/16/07 I III 6/07 11/16/07 11116/07 11/16/07 3/19/08 3/19/08 3/19/08 3/19/08 3/19/08 6/17/08 6/17/08 6/17/08 6/17/08 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200700000000001413 1200800000000000254 1200800000000000254 1200800000000000254 1200800000000000254 1200800000000000254 2200800000000000913 2200800000000000913 2200800000000000913 2200800000000000913 $1,502 30 Ji ~ -= CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO' COM2007-01562 ISSUED: 11/16/2007 APPLIED' 10/17/2007 EXPIRES: 12/17/2008 VALUE: $ 37,080.00 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769IuspectlOn Lme Plannmg ReView 10/22/2007 11/14/2007 APP T AJ 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 ReoUlred Insnechons I Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete placement Post and Beam Pnor to Iloor msulatlOn or deckmg Floor InsulatIOn Pnor to deckmg Frammg InspectIOn Pnor to cover and after all rough m mspectlOns have been approved WalllnsulatlOn Pnor to cover Cellmg InsulatIOn Pnor to cover Fmal Bulldmg After dll reqUired mspectlOns have been requested and approved and the bUlldmg IS complete UnderIloor Plumbmg Pnor to msulallon or deckmg Underfloor Dram Pnor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg reqUired testmg Fmal Plumbmg When all plumbmg work IS complete Rough Mechamcal Pnor to Cover Fmal Mechalllcal When all mechamcal work IS complete Rougb Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Storm Sewer Lme Pnor to filhng treuch By signature, I state and agree, that I have carefully exammed the completed application and do herehy cerllfy that all mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m dccordance With tbe Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY wIll be made of any structure WIthout permissIOn 01 the Commumty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m compliance WIth ORS 701 005 will be used on thiS project I further agree to ensure that all requIred mspectlOns are requested at the proper lime, 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 remam on the site at all "mOi.ro":::~aJi c,- n - () 5( """-ner {contractors SI~nature {J' Date Pa!!e3 of 3 225 FIfth Street r SprIngfi~!d, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 1562 COM2007 -0 \562 COM2007-0 1562 COM2007-01562 Payments Type of Payment Check cRecemtl RECEIPT #. Description + 5% Technology Fee + 12% State Surcharge + 10% AdminIstratIve Fee Storm Sewer - 1st 50 Feet PaId By SANDRA BRlLEY ~J\I!lI~Q~~ ,"......' CIty of SprIngfield Officl3l ReceIpt Development ServIces Department PublIc Works Department 2200800000000000913 Date' 06/17/2008 Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received dJb 2017 In Person Payment Totdl Page 1 of 1 2 30 27PM Amount Due 250 600 500 5000 $63 50 Amount Paid $63 50 $63 50 6/17/2008