HomeMy WebLinkAboutPermit Building 2008-1-3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01771
ISSUED. 01/03/2008
APPLIED. 12/05/2007
EXPIRES' 07/03/2008
VALUE' $ 21,92400
225 FIfth Street. Sprlng/ield, OR
541-726.3753 Phone
541.726.3676 Fax
541-726.3769 InspectIOn Lme
SITE ADDRESS 936 G ST
ASSESSOR'S PARCEL NO 1703351207600
Springfield TYPE OF WORK Gardge
TYPE OF USE New
ResIdentIal
PROJECT DESCRIPTION Replace eXlstmg shop/gardge
Owner REDMON ROCKY & ROBIN
Address 6383 F ST
SPRINGFIELD OR 97478
Phone Numbel 541.744-2532
I CONTRACTOR INFORMA T10N I
"
Contractor Type
General
Electrical
Plumbmg
Contractor
OWNER
OWNER
OWNER
LIcense
ExpIration Date Phone
BUILDING INFORMATION'
# of UOItS # of Stories
Primary Occupancy Group U HeIght of Structure
Secondary Occupdncy GrouJOiENn 0 ,l,hee of eat
Primary ConstructIOn TYP'tollow rUI~1~d~;~~n bJ.li' ~ ~ ~~I~~
Secondary Consll uctlOn TlfRl\lllcation Center. ThiAIill!s ~ ~et forth
# of Bedrooms In OAR 952-001-0010 thr B&\f.bJ l?2.-,QQ.1-
0090. You may obtain I?S'~ VUI/llfbv
W'lIlIII\;I il.a "'1:t'~lll~Pfilffih"i.
number for the~/ijMATION ,
Center is 1-80D-332-2344).
Overlay DlSt
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
1
1200
Lot Slle
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport 812
Sq Ft Other
OCCupdnt Load
n/a
REQUIRED PARKING
Frontyard Setback
~"de I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Total
Hdndlcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer A vadable
SpecIal InstructIOn
SIdewalk Type
Downspouts/D. ams
Notes No new ImpervIOus surface New buddmg IS I econstructJOU of old eXlstmg garage With no chJnge to dimensIOns
Storm water routed to spldsh blocks at downspouts NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED DR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee lof3
-wt~
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726.3753 Phone
541.726.3676 Fax
541.726-3769 InspectIOn Lme
DescriptIOn
Tvne of ConstrnctlOn
Gara2e
Gara2e
Fee DescnptlOn
Plan RevIew Resldent..1
+ 10% Admmlstral1ve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Clrc Ea Add
Bnddmg Permit
FIre SF Fee. Resldenl1al
Perm Serv/Fdr 200 amps or less
Plan ReView Mmor. Plannmg
Storm Sewer. 1st 50 Feet
Storm Sewel Each AddtllOO'
Total Amount Paid
Illll1al ReView
Pubhc Works ReVIew
Structural ReView
Planum!:! ReView
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2007-01771
ISSUED: 01103/2008
APPLIED, 12/05/2007
EXPIRES: 07/03/2008
VALUE: $ 21,92400
I v aluatr~n De,'crmtlOn I
$ Per Sq Ft
or mull1pher
$2700
Square Footage
or BId Amount
812 00
Value
Date Calculated
Total Value of Project
$21,924 00
$21,924 00
12/05/2007
l.'~'<'r<' p~ IrIJ
Amount PaId Date PaId Recclpt Numbel
$14404 12/5/07 1200700000000001463
$4102 1/3/08 1200800000000000006
$44 35 1/3/08 1200800000000000006
$24 28 1/3/08 1200800000000000006
$12 00 1/3/08 1200800000000000006
$221 60 1/3/08 1200800000000000006
$40 60 1/3/08 1200800000000000006
$7000 1/3/08 1200800000000000006
$11600 1/3/08 1200800000000000006
$50 00 1/3/08 1200800000000000006
$1600 1/3/08 1200800000000000006
$779 89
Plan ReViews I
12/06/2007
12/06/2007
APP LLH
12/06/2007
12/07/2007
APP TSS
No new ImpervIOus surfdce Ne",
bUlldmg IS reconstructIOn of old
eXlstmg garage With 110 ch.mge to
dimenSIOns Storm water routed to
splash blocks at downspouts
12/06/2007
12/17/2007
APP DLM
Approved as noted on teh plans
12/06/2007
12/27/2007
APP EMM
RepaIr and I estorahon of
pre-exlstmg non~conformmg
structUl e III compliance With
blllldmg safety codes per 5 8.120
Structure IS to be repaired m same
locatIOn as eXlstmg No expansIOn
01 modIficatIOn permitted
Pa2e 2 of 3
-ii:~
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO' COM2007-01771
ISSUED' 01103/2008
APPLIED 12/05/2007
EXPIRES. 07/03/2008
VALUE' $ 21,92400
225 F,fth Street, Sprmgfield, OR
541.726.3753 Phone
541.726.3676 Fdx
541.726.3769 InspectIOn Lme
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.
Relllllrerl Insnel'tJOns'
Footmg After trenches are excavated
Frammg InspectIOn Prior to cover and after all rough 10 IllspectlOns have been approved
Fmal BUild 109 After all requIred mspectlOns have been requested and approved dnd tbe bUlldmg IS complete
Storm Sewer Lme Prior to lillmg trench
Electric Service Approval reqUired prior to utility compdny energIZIng servIce
Rough Electric Prior to Cover
Fmal Electric When all electrical "ork IS complete
By SIgnature, 1 state and agree, tbat I have carefully eummed the completed applicatIOn and do hereby certIfy that dll
mlormatlOn hereon IS tl ue dnd correct, and 1 fUI thel certIfy that dny and all work performed shdll be done 10 accol dance WIth
the Ordmances of the CIty of Springfield and the Laws of the Stdte of Oregon pertammg to the work deSCribed herem, and
thdt NO OCCUPANCY WIll be made of any structure WIthout permISSIon of the CommuDlty ServIces DIVISIOn, BUild 109 Safety
I further cerllfy that only contractors and employees who are 10 compliance w,th ORS 701 005 "III be used on thIS project
I further dgl ee to ensure that all requlI ed mspectlOns are requested at the proper time, that each address IS readdble from the
street, that the pe It card IS located he front of the property, and the approved set of plans ",II remam on the SIte at all
tlmes-d rmg n tr CtlO
.c: \
I ,- 5 -ozr
Date
Paee 3 of 3
-
Construction Contractors Board
700 Summer St NE SUIte 300
PO Box 14140
Salem OR 97309-5052
Phone 503-378-4621
Weh Address www ccb state or us
Penrut #
(OWl ~co 7-0/71 /
G- St-
Date jya ~
93b
)Kf
Address
Issued by
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note Oregon Law, ORS 701 055(4) requires residential construction permit applzcants who are not
lzcensed with the ConstructIOn Contractors Board to sign the followzng statement before a buzldzng
permit can be Issued This statement IS reqUired for resldentzal bUIldzng, electrical, mechanzcal and
plumbzng permits Licensed architect and engzneer applzcants, exempt from lzcenszng under
ORS 701010(7), need not submit this statement This statement will befiled With the permit
FIll m the appropnate blanks and tmtIal boxes I and 2, and eIther box 3A or 3B
)211
--rr 2
I own, reSide m, or wIll reSIde m the completed structure
I understand that I must become lIcensed as a constructIOn contractor If the structure IS sold or
offered for sale before or on completIOn
D 3A My general contractor IS
(Name)
(CCB #)
I wIll mstruct 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! lure subcontractors, I wIll lure only subcontractors lIcensed WIth the ConstructIon Contractors
Board If I change my mmd and hIre a general contractor, I Will contract WIth a contractor who IS
licensed With the CCB and wIllunmedlately notIfy the office Issumg tlus bUlldmg permit of the
name of the contractor
I hereby certify the above mformahon IS correct and that I have read and do understand the Information
~~.'" .. ...k."". '~p'M;bm.,,,. "m..." .d;;~~;= 0'7
/ ~gna e o(permlt applIcant) (Date)
~ (WhIte copy to Issuzng agency permit file, pznk copy to applzcant)
Property_owner doc 06.01.04
Acting as Your Own General Contractor?
- .
INFORMATION NOTICE TO PROPERTY OWNERS
ABOU'!- CONSTRUCTION RESPONSIBILITIES
,
NOTE This Information Notice to Property Owners about Construction Responslblltlles was deve'oped by the
ConstructIOn Contractors Board In accordance wtlh ORS 701 055(5), passed by the 1989 Oregon Legls'ature
If you are acting as your own contractor to construct a new home or make a substantial Improvement to an eXlstmg
structure, you can prevent many problems by bemg aware of the follOWIng responslbIilhes and concerns
Employer Responsibilities
You wIiI, m most Instances, be ruled to be an "employer" and the contractors you contract WIth wIiI be "employees" If
you use contractors not lIcensed wIth the Construction Contractors Board to do labor In constructing or to assIst In the
constructIon or Improvement of a reSIdentIal structure As the employer, you must comply wIth the following:
Oregon's WIthholding Tax Law: As an employer, you must WIthhold mcome taxes from employee wages at the hme
employecs are paId You WIll be hable for the tax payments even If you don't actually wIthhold the tax from your
employees For more mformahon, 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 purposes
on the wages of all employees For more InformatIOn, call the Oregon Employment Department at 503.947-1488
The Oregon Busmess IdenhficatlOn Number (BIN) IS a combIned number for both Oregon Wlthholdmg and
Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or www dor state or us/formsuav htmll for the
IC.lJ-"pHJpuate forms
Workers' CompensatIon Insurance: As an employer, you are subject to the Oregon Workers' CompensatIon Law,
and must obtam workers' compensatIOn msurance for your employees If you fall to obtam workers' compensatton
Insurance, you could be subject to penaltIes and be hable for all claIm costs If one of your employees IS Injured on the
job For more mfonnatton. call the Workers' Compensatton DIVISIon at the Department of Consumer and Busmess
ServIces at 503-947-7815
U,S. Internal Revenue ServIce' As an employer. you must Withhold federal mcome tax from employees' wages
You Will be lIable for the tax payment even If you didn't actually WIthhold the tax For a Federal EIN number. call the
IRS at 1-800-829-4933 or VISIt theIr web sIte at w\\<"'. liS 1.0,
_ .Other Responsibilities and Areas of Concerns
Code ComplIance: As the peront holder for thIS project, you are responSible for resolVIng any failure to meet code
reqUIrements that may be brought to yo,!r attentIOn through mspectlOns
Liability and Property Damage Insurance: Contact ydttr Insurance agent to see If you have adequate msurance
coverage for aCCIdents and omISSIOns such as failIng tools, pamt over spray, water damage from pIpe punctures, fJre or
work that must be-redone
~
TIme Make sure you have suffiCIent ttme to supervIse your employees
. '
.. . \ } \"
ExpertIse Make sure you have the slalls to act ab your own general contractor, to coordInate the work of rough-In
and fimsh trades, and to notIfy bUIldIng offiCIals as the app' vp' ,ate tImes so they can perform the reqUIred InspectIons
If you have addlttonal questIOns call the ConstructIon Contractors Board (503-378-4621) or wnte the agency at PO
Box 14140. Salem, OR 97309.5052
,.
Property_owner doc 06.01-04
sJ:ap:~ ZON \ ~ ,v-
INITIALS I'--J IV\.
:a...,- .&!.. DATE I-S-O!(
.-.... WJ' SOURCE f'!\ -9. "){U2-
Date /2-S--07
., ., ClIY OF~;SPRINQEIELD" OREGON ' ,
. ~r';.~' ...' "'I' A> = _ ~,' _ " r", ,'\,.;" ~
225 FIFIll STREET. SPRINGFIELD, OR 97477 . PH (54])726.3753 . FAX (54])726.3689
ELECTRICAL PERMIT APPliCATION
CIty Job Number COW\'Z__O'o 7 - 0 17 '7 I
- . - \0 .
2 I CONTRACTOR INSTALLATION O~~.~~ B ServIces or Feeders - Installation, AlteratIOns or Relocation
, . - - -- ~\~0 v' ~:~ '
~ers, e~O~ 0\\0 Rl'" I nn (j)
ElectTlcal Contractor . \e'll"n O~ _~~e~'1l~J:l '0'1200 Amps or less $ 70 00 --L _ .
O\e~o~ '0'1 '-~\\l.\00"'~ ~~e~~e 201 Amps to 400 Amps $ 83 00
,-<.\O~ ^no'Y\e ~v;-.O~n\l.~v;-., 0' ~~e~\\O_\\o~ I Amps to 600 Amps $138 00
-<\:." e". :\.\0' \)"'" n\"'- ,-v ~(j-or
~ ' ~\l." ve~ r;:J0' (jOY' 'S-e ~O~ 60 I Amps to 1000 Amps $] 80 00
\O\\O~r,e\\O~ItIll\h\, 0'O\'3:\~ ~o\~\\\\~'l,,+c.\' Over 1000 AmpsNolts $41300
~OOI'~ ~~\l.~~\o~e~O'~.~Ii; Reconnect Only $ 55 00
\~ Rl ~ ~e ,:Q<J
RlO'!J ~\~ 0\ 'I \'>
Supervisor License Numb~ ~..~\e\ C Tem"-".rary ServIces or Feeders
~~ ~
EXpIratIon Date C
InstallatIOn, Altera~n or RelocatIOn
200 Amps or I~~~,\
201 Amps~~s
401~t~~s
~~)g~};~r ~OOO Volts see "B" above
. C:l~~~~~~~IrClllts _ ___
^,,\\~~~~~~ ~~~I~eratlOn or ExtenSIon Per Panel
~v .c:. <V.~ r.\j,~ ~ ~ ~~rclllt $ 48 00
'\~~\~:(\\)\ - ~rv~ ~ ch AdditIOnal Clfclllt or With ?
<;7"..... I---~()\ rr-'f\. ~ ~ ~ ServIce or Feeder PeTlOlt ' $ 4 00
Owners Name ~V\.)'- \ <.....:0 \ JlV1.1 . \'0
AddressC? 'Zj () C; " -- 't-~ E Mlsc;lIaneous (Servlce/feeder not mcluded) -Each Installation
clty:j/l',AJ(\Frfa-V Phone 7LjLf~ ~!:52-
I LOCATION OF INSTALLATION:
C\30 h 5T
LEGAL DESCRIPTION
/70:;'")5/Z. 07E,Oc::.
JOBDESC~~
?OCl fr.....-/T fJN-r::-{ I :? L,rc.v'-.7/-Y:
PermIts are non-transferabfe and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
Address
CIty
Constr Contr Number
ExpiratIOn Date
SIgnature of Supervlsmg ElectrICIan
OWNER INSTALLATION
erty I own whIch
~ _M____~__
3 I COMPLETE FEE SCHEDULE BELOW
,
A , New ReSldentlal- SlUgle or Multi-FamIly per dwelling umt.
L _ ~~ __ __ _~~
ServIce Included
1000 sq ft or less
Each addltJonal 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwelling ServICe or
Feeder
$11700
$2100
$5500
$ 55 00
$ 76 00
$110 00
--lB..CO
Pump or 1IT1gatJon $ 55 00
SIgn/OuUme LIghtmg $ 55 00
LimIted Energy/Resldenllal $ 28 00
LimIted Energy/Commercial $ 50 00
Mmlmum Electnc Permit InspectIOn Fee IS $50 00 + surce;rar es , )
4 : SUBTOTAL OF ABOVE OJ
-~ - -
8% State Surcharge {O'?f,
10% AdImmstratlve Fee _JR-,.'2r
5% Technology Fee ~ . \(
\C(),~
,
TOTAL
Shared Dnve(f )/BUlldmg FonnslElectncal Permn ApplicatIOn 7-07 doc
)
225. Flfth.6treet
Sprmgfield, Oregon 97477
541-726-3759 Phone
T~~~; .
1tIiL".
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007-01771
COM2007.01771
COM2007.01771
COM2007.0 1771
COM2007.0 1771
COM2007.01771
COM2007.01 77 1
COM2007.0\771
COM2007.0 1771
COM2007.01771
Payments
Type of Payment
Check
t.ReLemll
RECEIPT #:
1200800000000000006
Date: 01103/2008
DescriptIOn
Fire SF Fee. Residential
Plan ReView Mmor. Planmng
BUlldmg Permit
Storm Sewer. 1st 50 Feet
Storm Sewer Each Addtl 100'
Perm Serv/Fdr 200 amps or less
Add. Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
+ 10% Admmlstratlve Fee
Paid By
ROCKY REDMON
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How ReceIved
dJb
772
In Person
Payment Total
Page I of I
11 40 47AM
Amount Due
4060
11600
22\ 60
5000
1600
7000
1200
4435
2428
4102
$63585-
Amount Paid
$63585
$635 85
1/3/2008