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Home My WebLink AboutPermit Building 2008-1-22 _~!i!FlI~!1!!,!I~"I?,' ~I -J; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01799 ISSUED: 01/22/2008 APPLIED: 12/10/2007 EXPIRES: 07/22/2008 VALUE: . $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2745 D ST ASSESSOR'S PARCEL NO,: 1703361412400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Dryrot, plumbing, electrical and mechanical repairs, BWOP - house gutted, Residential Owner: GOLDBECK MONTE Address: PO BOX 40112 EUGENE OR 97404 Phone Number: 541-954-6306 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone, BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: _"t-..... Nl10N', Oregon \a~;:'6r'~;~~ 1.RU'BLlC IMPROVEMENTS I (>.IIE ., _ Mlooted bY le S<:h ,~,. Streetfv\llJ~ovements:. ~ l\'1ose rules a 952-001- "lwallOn CG11ter. \'1 oUg\'10AR bY Storttl'Se,'Ver AvailableD01 0 \ I . o' tne rules . noR ",,~ 0' COpies I Speciannst'ruf~i5'~,:,ay ob\aln N \e' t\'1e \elep\'1One OOg~'\lng \\'18 cen\er, (o~ UtIlity NotllicatlOO Notes: c ber lor t\'1e.ore~00_332-2344). num center IS 1- Sidewalk Type: Downspouts/Drains: WORK N01\CE: XPIRE If THE THIS PERMIT SHflll ;'\1IS PERMIT \S NOT AUTHORIZED UNO;: flBflNDONED fOR COMMENCED OR 00 I\NY i 80 DflY PERI . Pae:e.1 of 3 -'Ul""~'~,',',' Ii! ~".',""i r '.!' ." 1'.- ." ,'.'<_'''''~Y'-.-...'.',-,-,.-. . ~.". , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Estimate Estimate Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Bnilding Permit Dryer Vent Exhaust Hoods Fixtu re Minimum/Adjustment Mechanical Penalty Fee - BWOP Building Penalty Fee - BWOP Electrical Penalty Fee - BWOP Mechanical Penalty Fee - BWOP Plumbing Vent Fan CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-0I799 ISSUED: 01/22/2008 APPLIED: 12/10/2007 EXPIRES: 07/22/2008 VALUE: $ 20,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Amount Paid $132,89 $40.00 $100.49 $60,29 $50.24 $48,00 $56,00 $204.44 $7,00 $10.00 $144,00 $12.00 $204.44 $ I 04,00 $50,00 $144.00 $21.00 Total Amount Paid $1,388.79 I nitial Review 12/26/2007 Public Works Review 12/26/2007 SlI'uctural Review 12/26/2007 Plan nine Review 12/26/2007 Square Footage or Bid Amount 20,000.00 Value Date Calculated Total Valne of Project $20,000.00 $20,000.00 12/21/2007 Fp", P"W Date Paid Receipt Number 12121/07 1/22/08 1/22/08 1/22108 1/22/08 1/22/08 1/22/08 1/22/08 1/22/08 1/22/08 1/22/08 1/22/08 . 1/22/08 1/22/08 1/22/08 1/22/08 1/22/08 2200700000000001893 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 2200800000000000086 -u;.::: ~"" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01799 ISSUED: 01/22/2008 APPLIED: 12/10/2007 EXPIRES: 07/22/2008 VALUE: $ 20,000,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Renuired Insnections I Footing: After trenches are excavated. Post and Beam: 'Prior to tloor 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. Fiual Building: After all required inspections have been requested and approved and the buildiug is complete, Undertloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing, Shower Pan. Prior to covering and iucluding required testing,. Water, Line: Prior to filling treuch and iucluding required testiug. Sanitary Sewer Line: Prior to filling trench 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, Rougb Electric: Prior to Cover , Final Electric: When all electrical work is complete, By signature, I state aud agree, that I have carefully examined the completed application and do hereby certify that all information hereou is true aud correct, and I further certify that any and all work performed shall be doue iu accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertainiug 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 tbe proper time, that each address is readable from the street, that the permit card is located at the front of tbe property, and the approved set of plans will remain ou the site at all times during construction. cP2~~~ / /;?:J/t? Y / Date Owner or Contractors Signature Paee 3 of3 ZON ,\.I)(L. rNITlALS~ . DATE ~~~ SOURCE , 225 FIFTH STREET. SPRINGFlELD, OR 97477 . PH,(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PEw,ffAPf.k.ICATION City Job Number ( I J - I' jq::{ - . . - - ~'~:,..:::m~~n~:'!Z~.%i~"X~~\~:~18' 1. t~~-1ll1!ll.JJ!I~~L11/!~J;!Il!:tlI11t~f#1lt, ..c. f)4'D \) ~Pf't LEGAL DESCRll'TION: \t')O 3~c~4 V1.AOO JOB DESCRll'T N: ~ ~mf are no -tran erab:':d ~:.!~- not started within 180 days of issuance or if work is Suspended for 180 days. New Alteration or Extension Per Panel One Circuit .. \ $ 48,00 46~ OwnersN~e ~1f'_P( D\~~~ ~;=~:::~::~:~::!~"~~':~:F:F~:: Address ~C) O-V ~) \f-.. E. r~'JJf~~~~\(~,~t~~~~i<J;-[~u.n~~~~~~~;Jll!fl:~;~l~,u~ City _rJ...1Jl!f:\e - Phone ~ ttA-1 ~ Pump or irrigation $ 55.00 ~ Sign/Outline Lighting $ 55.00 OWNER INSTALLATION Limited Energy/Residential $ 28.00 The installation is heing made on property lawn which ~- Limited Energy/Commercial $ 50,00 is not intended for sale, lease or ~ent. . Minimum Electric Permit Inspection Fee is 550.00 + Surcharges 4 Ir;; CO. ' ~ Owners 19n, ? I / . ~/~ ~/./'?' lLM'oStateSurcharge C{.~ '-- 10% Administrative Fee ~..<tb)_ 5% Technology Fee --:s 11 l!Je.08 r~:~iF?WYj~~f?~;-k~~~!~~":;:;?'~ 2. ~f,fJgrj$4filg~L1!iJijl{9 ~.,J[hli1;, Address ~, Inspection Request: 726-3769 Date 3 ~e0Vo""Mj;ffi}6L~E'''i-T'~~'rF7~E"'''''~S'~C~~riE'<:KD'~:ii'~:BXHE~1S.::L'ft:;;O"~A~~i2~I';~'c,~:;v:~,;;:;,,? ..,. I<'" n~ ,.0' 'n ':n.inF . , ,~i "':;'~,,,i,'l">".'''''''':'''.;:&'' ~i!I*,,~~'i;}\i~J0:~:t:~j..z!;'j~~~ffi,-/:~<lj;'i-iW&,~~i.;J~1tm~~'U A.' mNt~rR€~TIfe:tia~~,~,*~g~t~'~~1'pmv~p';r8a~iii~;'g~~~'itr~~~~~i} ".~.. ,,,,,,',".",~,,,.,,.,,.,"~"""''''_ ,'~<,'''' "t;<~~",d~;;8tf/"-"" -.~,,,~" A .. -. -.'"", .,--....;>D~~.,.. _",":i:>i ,1 Service Included 1000 sq. ft. or less $117,00 Each additional 500 sq. ft. or t portion thereof NTION' Oregon law requir~Y9M'I~' ATTE, . t d by the Ur~gon'tJtll . Each Man~[~~ti,wHome?oiJ.~~~ \hOSe rules are set forth Modular '?-lY..e,I.Img,Semn€'0?0r.er. thrOugh 0~~%~-001. Feeder \n OAR 952-001-001 ~n co ies 01 the rUles t,1 !I!,"\j;'>l!'J;lI'OO!,:\(j:i!l!)'~.!i\@~~~7if.l~'T;t!Ke"1e\ephQn.2.r>'.,"''''''li! B. \lg.=,~~i'~O~I~~~~~:~'fJ&~~i6~~~il~W\9pflfl~tW!).;ji;\?y number for e, 800-332-23441. 200 Amps or less Center IS 1- $ 70.Do 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180.00 Over 1000 AmpsNolts $413,00 Reconn~c~ClP.lr . $ 55.00 '~UffC; . " ~~f,~""'~€>:"'i_'k-".''!Ji'''''l\lz,#.p&'t:4J''':H''?f''''''''~~'';h -'\'~., C. lliTemnoran~~lfmc;eSiO, r,L[e~dersC~Lgk"i2:i>;;;070;;:;::j~t.lJ%:~,. ;+S5~'i?;'~;';'" l%iJii~'l}JFji~L",'t4tJVfff~S"'7"~",,;;;~_Z)diikJcf. ,f\'V.lFw"'" .....w,~,_.." .,""".. ...;}',"" ", I ('fORI HALL ' InS}~~lili.~'~J~t.Qi~f1.YI~l'P,Jl?E IF T,~ 200 'AY'tr,; 9'{}'fJA ~ OR IS A8Z'S PERMIT '1f6JRK 201 Amps to 400 'ArI?rERIOD IVUONfD 'f1 .~T 401 Amps to 600 Amps' flJ,oo ' Over 600 ..- D. TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application 7-07.doc e, . . . . . . . . ", .,' '. .' . , Construction Contractors Board Permit #: COlM'LO c:.. 7 - 0 17 '1 '7 700 Summer St NE Suite 300 -77' JY --........ ("" ,L i\ddress: . '- -r -} JL.) :. r- PO Box 14140 (~~ Salem OR 97309-5052 -'-- . ).. I~~~ /!Jar h;~;J.e: Phone: 503-378-4621 , ) . / 1 S::t::~:~~::~tion Notice Wroperty Owners About Construction Responsibilities / -,3d --c1K 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 required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit, Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ~. e]2. I own, reside in, or will reside in the completed structure, I understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before or on completion. D 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 I will be my own general contractor. If! 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 contractor. 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 of this form. ~n?i~ d.&/~ /;J-/?//07 (Signature of penh it applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 06-01-04 . ~ ~, -'. -.J' ~ Acting as Y~ur Own General Contractor? - , ,\ , , INFORMATION NOTICE TO PROPERTY OWNERS ABOU::r COI\!STRUCTION RESPONSIBILITIES , .. \ ~, NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. 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 the contractors you contract with will be "employees" if .. .' . ..,. , you use contractors not ,licensed with .the Construction Contractors Board to d\> labor in cons~,cting or to assist in the construction or improvement of a residential structure. As the employer, yo~ must comply ~itl! the' foJlo~iiig: Oregon's Withholding TaX Law: As'~ employer, you must withhold inco;ne tlixes eorn. e~p]~y~e wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988:' . : -, Unemployment Insurance Tax: As an employet;,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 Business Identification Number (BIN) is a combined.number (or ,poth Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.doLstate.oLus/formsnav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CV"'I'~..sation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insuranc~, you couidbe subject topeiIalties and be liable for <ill claim costs ifone of your employees is'injured on the ". . job. For more information, call the Workers' Compensation Division at the Departinent 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' wages. "-... You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EINnumber, call the IRS at' 1-800c829-4933,or'visi'ttheir web site at www.irs,gov.': ,. . ; , 0', . , Other RespovnsibiHtftes 2I!D.d1 Areas of <Conc~rllls, " Code Compliance: As the permit holder for this project, you are responsible for r~solving any failure to meet code requirements that max be brought to your attention through inspections, i ~. ~ '. - .' - . '.., . Liability and Property Damage Insurance: ContaCt your 'insurance agerit to see if you have adequate "insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. . , r \ ", , " , ". -"-..).- '- Time: Make sure you have sufficient time to supervise your employees, , Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions caB the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc O(\,O 1-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone a,.~,~RI.N_.O_E~ ,... '.,,' '" ~. ~. ",~" --<'. ~ .',.' .. ,.______ -<"-.. 'c ,~ City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -01799 COM2007 -01799 COM2007-0 1799 COM2007-0 1799 COM2007-0 1799 COM2007-0 1799 COM2007-01799 COM2007-0 1799 COM2007-01799 COM2007 -01799 COM2007-01799 COM2007-01799 COM2007 -01799 COM2007-0 1799 COM2007-0 1799 COM2007-0 1799 Payments: Type of Payment Check cReceinll RECEIPT #: 2200800000000000086 Date: 01/22/2008 Description Building Permit Penalty Fee - BWOP Building Fixture Penalty Fee - BWOP Plumbing Vent Fan Exhaust Hoods Dryer Vent Minimum/Adjustment Mechanical -Mech Iss 2+ Appliances- Penalty Fee - BWOP Mechanical Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Penalty Fee - B WOP Electrical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By MONTE GOLDBECK Item Total: Check Number Authorization Received By Batch Number Number How Received 1169 In Person Payment Total: nJm / , , Page I of I 3:01:08PM Amount Due 204.44 204.44 144,00 144,00 21.00 10,00 7.00 12,00 40,00 50.00 48,00 56.00 104,00 50,24 60,29 100.49 $1,255.90 Amount Paid $1,255.90 $1,255,90 1/22/2008