HomeMy WebLinkAboutPermit Building 2008-1-25
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 07/25/2008
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1950 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1703240000601
Springfield TYPE OF WORK: Single Family Residence.
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence and interior remodel
Residential
Owner: HELFRICH FAMILY TRUST
Address: 2587 N 19TH ST
.SPRINGFIELD OR 97477
Phone Number: 541-747-2855
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: .
R-3
U
VB
# of Stories: 2
Height of Structure 22.00
Type of Heal: Forced Air Gas
Water Type:
Range Type:
Energy Path: Path I
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
742
105
180
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
35.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Urban Fringe
REQUIRED PARKING
Total:
Handicapped:
Compact:
25.00
Street Improvements:
I PUBLIC IMPROVEMENTS. '(j7j78;::-;::88-00e-~ S! J91U9:>
- .. "'!J!1II0N AI!I!ln u05aJO 9111 JOI J9qwnu
aU04dalaSlll~j}\k>f{~(1~IU9:l SlIl6U!IIlla
Aq SalnJ a41.l.~ saldo:l UfW..'!.O ASW nOA '0600
- ,OO-;::961::1v'tl'U'/li\lO~Ulso"brl~1'tio-;::s6llVO U/
41J0j laS aJe salnJ as041 'JaIUS:> UO!lB:l!J!ION
AI!mn u05aJO a41 Aq paldops SSlnJ /o\OUOI .
01 nOA saJ!nbaJ Mel U059JO :NOUN:uJ.V
Storm Sel~'in\rCI!~ble:
Special I"tm~~~MIT SHALL EXPIRE IF THE WORK
!l-!ITHnQj7i=n lJ.N.nEB IJUS PERMIT IS NOT
Notes: COMn~C~Na~{(jFr\~ sA'l!ANtltM~tt'l5Rystem on home
ANY 180 DAY PERIOD.
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Constructiop
Use Bid Amount
Carport
V Wood Frame
Bid Amount
Carport
Dwellines
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Ore
Add, Alter, Extend Ore Ea Add
Appliance Vent
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fixture
Not Covered Mechanical
Plan Review Minor - Planning
Plan Review Residential
Plan Review/Residential Hourly
SDC Sapitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Wood Stove/Insert
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 07/25/2008
VALUE: $ 101,341.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
. $20.00
$103.00
Square Footage
or Bid Amount
10,500.00
180.00
847.00
Value
Date Calculated
$10,500.00
$3,600.00
$87,241.00
$101,341.00
12/04/2007
11/20/2007
11/20/2007
Tolal Value of Project
Fpp<, P~irl J
Amount Paid
Receipt Numher
Date Paid
$379.75
$40.00
$110.14
$126.00
$58.30
$48.00
$56.00
$7.00
$630.00
$7.00
$10.00
$51.35
$224.00
$7.00
$116.00
$29.75
$150.00
$8.58
$171.63
$28.00
$33.00
11/20/07
1/25/08
1/25/08
1/25108
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1/25108
1/25108
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1/25/08
1200700000000001423
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000000072
1200800000000900072
1200800000000000072
$2,291.50
Plan Reviews ,
r
Initial Review 11/21/2007 11/21/2007 APP LLH
Plannim! Review 11/2112007 11/2812007 APP TAJ
Public Works Review 11/21/2007 11/28/2007 APP BRC SDC Worksheet Attached
Paee 2 of 4
_",e~I,I!IQ,~I!Il" <;p#
~I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11120/2007
. EXPIRES: 07/25/2008
VALVE: $ 101,341.00
225 Fifth Street, Springfield, OR
54 J - 726-3 753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
11121/2007
12/03/2007
WE DLM
Need add'l infor to complete review.
E-mailed owner and designer a
request for info (see documents)
12/3/07dlm. E-mailed designer add'l
request for info. (in joh folder) on
12/4/07dlm.
Slructural Review
01104/2008
01117/2008
APP DLM
Received revised building plans and
lateral engr'g.1I4/08dlm AfIer
cursary review, distributed revised
plans to PW & Planning due to add'l
info. that may affect them
1/17/08dlm.
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. .
~irprlln""nections I
Footing: AfIer trenches are excavated.
Foundation: AfIer forms are erected hut prior to concrete placement.
Post and Beam: Prior to Iloor insulalion or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing >yilh finish materials.
Framing Inspection: Prior 10 cover and after all rough in inspections have been approved.
Wall InsulaIion: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: AfIer all required inspections have been reqnested and approved and the building is complete.
Underlloor Plumbing: Prior to insnlation or decking.
Underlloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior 10 cover and including required testing.
Final Plumbing: When all plumbing work is complele.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Wood Burning Insert: AfIer installation.
RoughElectric: Prior to Cover
Paee 3 of 4
-$ ,.I!.."~!'!'!."riil.l'lt!!' ...... ..........'....
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"'~~'/:,/" ". )f" 1;
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: .11/20/2007
EXPIRES: 07/25/2008
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 Slate of Oregon pertaining to the work described herein; and
that NO occur ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requesied 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.
G.a,/,\~; / ~.i1A~--</
/A. . \ /f
Owner e.v'-'ontractors SignatUlIe'
Date
as-GAA-I-AA-u, 800g
t/ b
Paee 4 of4
ZON V'LV
INITIALS N'(V\ _ /
DATE \ ' 2 "". -Of:;,-
SOURCE "'---_-"Y:Y0.0)
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number. (':/J,WZCJD 7 - f)/ 7~<';;
I. ~f~~~~;X~lt~p!g~1IIi
}'l5'{) YhbrJ /1)A
,
LEGAL DESCRJPTlON:
/7/J g 24 ntJ LJO~O /
JOB DESCRJPTION: .
A!~. MM8 ~/)l?L
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
......0~.,."_...r;;..':.~"~_,,._i0'.~~'~10>*',<,~....i'-.~....~.~~"~,"'~~';?
,'fCwvj.KAGTORHNSTlwEATIONONI5Yi. .
2. ~~~""'''-'-~h't,,~'~J...'''''~b-~1f:\'~~~"1M'~
Electrical Contractor
Address
7
City ,Phone /
Supervisor License Number /
/
Expiration Date
,
/
Constr. Contr. Number
//
Expiration Date
Signature of Supervising Electrician
Date
3. r/e(jMlf;JETEWEJrs:cjli{!}f.LjJj;'L.TJO)~~~~~~1;~
SI~~~'~-'-~",~r""''''''''''''''-'-''''~&f''~;'').~'';'''-"' .",,' '.,..,.='" ...... _~..J"" -2i::J;t;JJ:;;~~i;;';t~.;.~
A. tlNt1$rilWfid,~t~~'ill'~1~6'~~ijltifFtt~ri'r'!-~Yd~iYiff::?rfiitii~1~~
~....""_,.._....." ,.",""R',"'" _...,~~..,.""~g,-~",.~,~,,,;...,..,,,,,._,.M't.~-,-,,--,,,,...,.,,-g~.,,~~~
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modula~ Dwelling Service or
Feeder
$117.00
$ 21.00
$55.00
B. ~..'tS~:r~1t€~~~~;~~,'~,j'~~li~fia~~~1~~fr~1~t~~~'!~~fi1
~~~4\-+:f4'.''1'''''~'''0'~''i'''--~!_~-s-.tt>>it:~~k:;..:si!.\;;;tJ;rt-r~Y'''l'!Ii~...\.)...-a;;,iJ;<i,,"~~~
'(\7\782:-2:88-008- ~ 5! 18IUaO'
200 Amps or lemJ!lBO!l!ION AIII!ln "nfi~jn e~i79~90,ealJlnu
20 I Amps to 401JJ1AanplBI81 841 :810N) 'J8jUi$:8GlO,05UIIIBO
401 Amps to 1Mb()\'1r\P".a4110 S8!doo U!BjqO $t3S.:OoA '0600
~^R.o-~<;i61:j'IfO 4BnuJ41 u ~uu- ~qG;?c.$ .:!\1U ul
601 Amps to ljjYIfI'l'ilWlJm S81nJ 8Sl:~1 '.~:'ltfd'j'UB\lB8p,Zr4
Over 1000 AmlllflMIVlEIoB8JO 841^n nAlrlD~s~fl\iJ Q!
Reconnect OnlJOlnOA saJ!nbaJ MJOI uofiaJol!~t9fN=uJ.\f
c.
Installation, Alteration or Relocation
200 Amps or ~TICE: [)IJ1\Rt~ftTd'1I:_WOR~ .
201 Amps to 4flP,~RM\T SHM-~ WIS "E~M\T 15 NU I
401 Amps to 6f\~J~\1'i\l~\IED UN\J[~"n_~M~b'NWD FOR
~frD ORio "\I,,, ,"
o~~~~€r~~.?g",n~' ~~~b~'~~:~A1'''_~'~;I. _.;"""..~,;~,.,
D rfB'1"'~~"ill'6-,"--i/bt.9:r-icI~U\:J .LJM'\'lJ. .lf~~%~,*i,ft~.:0J.$-~Wf!':;:i ,it~'!I~~;g;~.~~If5
. ~~~Pi0CJ.;,,:!-~~_t~~~.~1>>A'%1' ,. -,,-,-"~~~12?~b~it;[~~'- '~t~~lr~~J}'
New Alteration or Extension Per Panel
One Circuit I $ 48.00 1--'8 6--zJ
Each Additional Circuit or with f 4- 5;;, 6-d
oAdwdnreersssNameZ ~dlJ Q/1'*:~, vr/ E. S;;;~:~;;~~~ft~~.'~~.~if6[rf~iilli~;;{r;Ifri~1~'[I;rr.i~~
./, _~, . ~~e;,;~fi'"",,,"'#;,."l.:i":C-"='\l"~~j;'<~;iS.:~~~l-kif'~';;'~W~
City <jIJfP 9o-7.tnPhone 74;1~Zf.5'.s-
OWNER INSTALLATION
The installation is being made on pr'operty I own which
is ,not intended for sale, lease or rent.
Owners Signature: '
T/lI-U. '-7(i1F--IL/
Inspection Request: 726-3769
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 is $50.00 + Surcharges
4. ll"S&B'fOTJiliX)E'AB'O:VE~1W'1j~~f;'i'~;J . . ./
(~""s~:~'::;~;;''''V-',,")5';'1f'''X''''~Z~'''''l,*,~W!',,?jj /9;' ~
10% Administrative Fee I tJ . 40
5% Technology Fee . ,C::::,;2.,o
TOTAL
j,:)2Pfo
Shared Drivc{T:)/BuiJding Forms/Electrical Permit Applicfltion 7-07.doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
-...-.-..--
JOURNAL OR JOB NUMBER: C0M2007-01705/Ammended
NAME OR COMPANY: Helfrich Family Trust
LOCATION: 1950 Yolanda Avenue
TAX LOT NUMBER: 17-03.24-0000601
DEVELOPMENT TYPE: Addition to SFD
NEW DWELLING UNlTS 0 BUILDING SIZE (SF:. 0 LOT SIZE (SF):
L STORMDRAl'lAGE
DIRECT RUNOFF TO CITY STORM SYSlEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 0.00 I. $0.346 1 = I $0.00 I
RUNOFF ROUlED TO DRYWELL DESIGNED AND CONSTRUClED TO CITY STANDARDS
I IMPERVJOUS S.F. I x I COST PER S.F. I x 1 DISCOUNT RAlE I 1
I 992.00 I $0.346 I 50% I ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $171.63'
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 18 .
B. IMPROVEMENT COST:
1 NUMBER OF DFU's I x
I 18 I
DISCOUNT
$171.63
COST PER DFU
$26.83
COST PER DFU
$20040
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
~I
$0.00
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RAlE I. x
I 9.57 I
I NUMBER O~~ UNlTS t x
COST PER TRIP
20043 .
x I NEW TRIP FACTORI
I LOO I
B. IMPROVEMENT COST:
,: ADT~RAlE rX:NUMBER00~UNlTSI:: COS~:OE~ TRlP
ITEM 3TOTAL - TRANSPORTA 'ficiN; soc,';:':':":--<"; = I $0.00
x INEWTRIPFACTORI
I LOO I ~,
4. SANITARY SEWER - MWM(;
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x
I 0 I
ICOST PER FEU
1 $95.35
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x
I 0 I
ICOST PER FEU
I $990.39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , .
5. ADMTNISTRA TIVE FEE:
"'.. ....jSUBTOTAL x 1 ADM. FEE RAlE I~
...;,:!,"- $171.63 1 5% I
TOTAL SANITARY ADM\N1STRATION FEE:
TOTAL TRANSPORTATION ADM\N1STRATION FEE:
$0.00
69260
$171.63
$0.00
$0.00
$0.00
~. '-M .","
-., . ~_.~,-
$0.00 <.
. -.,.,. "~" ...
. '. ',i'.r.:>,'
=
$0.00
=
$0.00
r:=
I@
I~
I~
,I-<
'"
~
"
gj
11070
1091
I 1092
I
11093
I.....
. .
I'iii~~
I.. .' ...
{ '~", . '. ....
.1 :'" ~..; ,-.'....
11054
I
I
1055
$0.00 1054
$0.00 11056
-I
I
$171.63
CHARGE
$8.58
Kaye Wilson
1/17/2008
TOTAL SDC CHARGES
PREPARED BY
DATE
8.58
$0.00
~, $180.21
I
11079
11078
,
DRAINAGE FIXTURE l2.NIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAThlAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIIE NET ADDmONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUNALENT
IBATIlTUB 2 1 3 =
1 DRINKING FOUNTAIN 0 0 1 =
I FLOOR DRAIN 0 0 3 =
!INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3
IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 =
I LAUNDRY TUB 1 1 2 =
ICLOTIIESWASHER/ MOP SINK 1 1 3 =
ICLOTIIESW ASHER - 3 OR MORE <.EA). 0 0 6 =
IMOBILE HOME PARK JRAP (1 PER TRAILER) 0 0 12 =
IRECEPTORFORREFRlG/WATER STATION / ETC 0 I 0 1 = I
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC 1 1 0 3 = 1
ISHOWER SINGLE STALL 2 1 1 2 = 1
1 SHOWER GANG ~ER OF HEADS) 0 1 0 2 = I
1 SINK: COMMERCIAlJRESIDENTIAL KITCHEN 1 I 1 3 = I
. 1 SINK: COMMERCIAL BAR 0 I 0 2 = I
1 SINK: WASH BASIN/DOUBLE LAVATORY 2 I 1 2 = I
1 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 I 2 1 = i
IURINAL. STALL / WALL 0 I 0 5 = I
ITOILET, PUBLIC INSTALLATION 0 ., ~-".I .0 6 = I
ITOILET, PRIVATE INSTALLATION 4 I 2.. 3 = 1
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S - .
.. '.;.,"'-"-' ... ..20. -
u--<,__.._
. ~ .. -. ~"",,"~..--'.:..
TOTAL DRAINAGE FIXTURE UNITS ---, : rlti_; .:.,., , ~},_:, .:.. '.... . ,~
"'EDU (Equivalent Dwellin.e: Unit) is a discharge _~.~~~:n~~_~i..~l:!e fampy dwellin~ uilit (20 DFU's) set at 167 gallons per day _
_..~ -"'""'~"-''''''''-'-'''~-''-'' "~-'--'~"~' ....._~_.
DRAINAGE
FIXTURE
UNITS
3
o
o
o
o
o
o
o
o
o
3
2
o
o
o
2
2
o
o
6
o
_,,18
I
I
I.
I
I
I
1
I
1
1
I
1
I
I
I
I
..,1 _ .
1
., '~"~-".'
.. ,-,-,:--".,"-'-".>-
. MWMC CREDITCAtCULATION T A:BLE:-BASED~ON:COUNTY ASSESSED VALUE
. .; ~LANDELGi~LE FORc\NNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
. BASE YEAR
r---YEAR .
I ANNEXED
I BEFORE 1979
I 1979
I 1980
1981
I 1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
.1996
1997
1998
1999
2000 .
2001
I
CREDIT FOR LAND OF APPLICABLE)
VALUE/IOOO CREDIT RATE
$0.00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29 ~ I
TOTAL MWMC CREDIT
qt'-X 0 }
~Z . -Ajy
9-) i-z ,~
1979
~ I
$0.00
$0.00
2
2
o
I
I
I
I
I
I
1
I
-.
. .
. .
. .
. .
. .'
". .'
. .
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone, 503-378-4621
Web Address, www.cch.state.or.us
U
Statement: Information Notice to Property Owners
About Construction Responsibilities
Permit #: CO 1M zo-C 7 - 0/70)
Address: /'7f\O \/" Ilk dA- Av
/J I / (
Issuedby//a0'1dU1 M.... Date: ;/;;)S--jO(
/ i I /'
I ,
i
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. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This str:tement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
;a-1.
72.
I own, reside in, or will reside in 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.
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
~. 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 cOl).tractor, 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
N..~.. Pro_ Ow''':''I;;JR~P''''~Yili~ .. 'h, ro.m, .";;z,::
~'f~~ . · (D,(,)
(White copy toKsuing agency permit file. pink copy to applicant.)
Property_owneLdoc 06-01-04
'-'~-- -_.- - j~-..,
;Attfrig' a-s-Your,()WIOl' GeneralConltractolli?
\.1. )' r / I - C"" . .., ,"!' -, '4
\ .-' ..:;; . .', oJ I I . ." .' r . '. ... :' ..;..,~, .', ~'.
INFORMATI0N-NOTICE.'fO PROPERTY OWNERS.' ','-
" ABO~T ~9NSTRUCTI~"':RESPONSIBILlTIE~ ".
. . .'~. 'J. ~ ..:*' ~",
'- -~
-,
-,'
-
- '0 . ... .' "'.~
NOTE: This Information Notice to Property Owners a~out Construcii~n- Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
:. ,., . :,' .'. '.,. ;,! _ . . ~ ., ". -, ';' lr--
If you are acting' as your own contraclor to construct a m';w h'ome or nia~e a sub~tantial improvement to aIi eXisting
structure, you can prevenfmany problems by being aware of, the folloWing:respclI;sibilities and concerns.
Employer Responsibilities
. ... l \. .~..\ *:1 "\' . ~." ',,- . " 'J- .
You-will,)n,m.ost,ins!3n,<es, be,ruled to. be &J.l.'.',employer" aBd thecontrac!Ors you ~.?ntract w,ith;'(ViIr'be '~ell!ployees" if
you qsecontra'(tors not licensed with th~ ,Con~Wi~tion C<?nlI:a9tws B?ard to do l~b.(}~.i!' consrructing or ,to, ~ssi~t in the
construction or impfoyement of a residential.structure. 4s t~e employer, you mu.st c!~mply with the following:
.' ~ .1,_ ...., ....'.,. ,. .. _' .' . . .."
Oregon's Withholding Tax La~: As'an employer; Y6u~u~t ~;ihholdincorrie' fax'es fr6m employee wagcs~at' the time
employees are paid. You. will beli;1ble for the. tax paymedts even if you don't actually withhold thc tax from your
employees, For more information, cail.the Department ofR~veJiue- ad03-3 78-4988. -<, .". ' .: .' ,
Unemployment Insurance. Tax: As an employer, you are .required to pay Ja tax for unemployment insurance purposes"
on the wages of all employees. For more information, call the Oregon Employment Department at 503.947-1488.
~':._,';' -1-,,- ;: .... _'~ ,.., J" - '. "
. The Oregon Business Identification Number (BIN) is a' combined number. for both~ qregon Withholding and ';'-
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.doLstate.or.us/formsoav.ntmll for the
app.l.Vpl.~ate forms. /, '_
, .... . '.\
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and musl obtain workers' compensation insurance for your employees. If you fail 10 obtain workers' compensation
insurance, you ~6~ld be subject topenalti~s arid be 'liable fot aii ciaim co~ts if one ofyo!l' employees is injured on the
job,. For more information, call the Workers' Compensaii6n DIvision at the Depaiimerit .of Consumer aild Business
Services at 503-947-7815. "
U.S. Internal Revenue Service: As an employer, you must withhold federaFincome taX from 'employees' ,wa~)s~
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 www,irs:ltovL J ' ',...: '.. .
I, '. .' .r;.,r. I"" .J.' <"." rl.l-'"'. "",f~;'.'" ~ '~-"'_
- .;. ".;OtherResponsibilities,and,AI:eas of C9Dcerns
.
. ~'.' .- -/-.
Code Compliance: As the permit holder for this project, ypu are responsible for resoiVidg any failure 10 meet code
requ\re~c~~s ~\~t ~ay be, brcJUght !~. XO!:lr att:ntio~ t?'o~~~ i~sp~ctions. " . ". ",
Liability andPro~erty Damage Insurance: Cohtatt' yom. insur~ilC'€ agent to see 'if you have adeqiiat'einsunince
coverage for accidents and omissions such as falling tools, paint over spr!iY, water damage from pipe punctures, fire or
work that must be redone. .. '.. . '-, .
,_.
..,___ ~~ ...__.__ _ . __..._.._....__......4_. __._ ,."..::' ........
Time: Make sure you,l\ave sufficient time to supervise youremployee~.. , .oi~\..".'; ! 'i~ ,;.'" "';"IT-
, \
Expertise: Make sure y~u h~~e.th~ skills'to act as you:. 6~.g~~.~;:ai~c6ritiactbf'to' coo;dj~ll~e' Ihe work ofrough-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 call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
~ v. :{'..,' \J,
"',;' -:_~,.i..\", '.::;
Property_owneLdoc 06-01-04
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1705
COM2007-01705
COM2007-0 1705
COM2007-0 1705
COM2007-0 1705
COM2007-0 1705
COM2007-01705
COM2007-0 1705
COM2007 -01705
COM2007-0 1705
COM2007 -01705
COM2007-0I705
COM2007-01705
COM2007-0 1705
COM2007-01705
COM2007-0I705
COM2007-0I705
COM2007-0 1705
COM2007-0I705
COM2007-0I705
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
SPRINGFIELD; j 1111111.1111111111 ~
fr.~:~........... '..
-...
~,. . ..
.,.... "^",.,,,..~.,. ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000072
Date: 01125/2008
10:40:33AM
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Due
116.00
29.75
171.63
150.00
630.00
224.00
28,00
7.00
10.00
7.00
33.00
7.00
40.00'
48.00
56.00
51.35
8.58
58.30
126.00
110.14
$1,911.75
Description
Plan Review Minor - Planning
Plan Review Residential
Storm Drainage Impervious Area
Plan Review/Residential Hourly
Building Permit,
Fixture
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Wood Stove/Insert
Not Covered Mechanical
-Meeh Iss 2+ Appliances-
Add, Alter, Extend Cire
Add, Alter, Extend Cire Ea Add
Fire SF Fee - Residential
SDC Sanitary/Storm Admin
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
AARON HELFRICH
'Amount Paid
njm
$1,911.75
$1,911.75
3281
In Person
Paymenl Total:
Page I of I
1/25/2008
CITY OF :SYKlj~u1<lELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 07/16/2009
VALUE: $ 101,341.00
225 Fifth Street, Springl1eld, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: . 1950 YOLANDA AVE
ASSESSOR'S PARCEL NO,: 1703240000601
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence and interior remodel
Residential
Owner: HELFRICH F AMIL Y TRUST
Address: 2587 N 19TH ST
SPRINGFIELD OR 97477
Phone Number: 541-913-7220
Contractor Type
General
Electrical
Mechanical
Plumbing
I CO~TRACTOR INFO~TION ,
Contractor License
OWNER
SCHULTZ ELECTRIC INC 179066
JUNG ENTERPRISES INC 102455
READY ROOTER DRAIN CLEANING & R S~92524
BUILDING INFORM A nON,
Expiration Date
Phone
10/30/2009
11117/2009
02/18/2009
541-505-8351
541-741-0002
541-744-7991
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories: 2
Height of Structure 22.00
Type of Heat: Forced Air Cas
Water Type:
Range Type:
Energy Path: Path 1
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: .
Occupant Load:
6,926
742
105
180
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
j
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
25.00
Overlay Dist: Urban Fringe Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: ATTENTION: Oregon lavf:~l!~$ you to
% of Lot Coverage: follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
10.00
35.00
Street Improvements:
~:-: ':'.^.~ -:':".'2 ~':'~ ':'':'~ '": ~~~:.:--:;;t ~.^-~ ':'~: ':':~
I PUBLIC IMPROVEMENllSfI}. You may obtain copies of the rules by
.' , ,,~lIingJh.e _9~flIW. Ct;Jote: the telephone
. . number"fBFlm"O'r€IJ'1:in Ulility Notification
6ilWRlr~lslD'~?-2344) ,
\S)~
~
\:~Q..
~~
Storm ~l\l1~lable: f THEWORI< .
Special ~~ro1IlT SH"'LL EXPIRE 'RMIT IS NOT'
ED UNDER THIS PE ,
Notes: A\(:b~Q~lZ~[\Ie'tifl.~eIWAmlGl\\iqJt@system on home
COMME1letu . .
. ANY 180 DAY PERIOD.
Page 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/2012007
EXPIRES: 07/1612009
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Valuation Descrip,tion I
Bid Amount
Carport
Dwellines
Type of Construction
Use Bid Amount
Carport
V Wood Frame
$ Per Sq Ft
or multiplier
$1.00
$20.00
$103,00
Square Footage
or Bid Amount
10,500.00
180.00
847,00
Value
Date Calculated
Description
Total Value of Project
$10,500.00
$3,600.00
$87,241.00
$101,341.00
12/0412007
11/2012007
11/20/2007
I. F~~s P.a,id I
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $379.75 11120/07 1200700000000001423
-Mech Iss 2+ Appliances- $40,00 1/25/08 1200800000000000072
+ 10% Administrative Fee $110,14 1/25/08 1200800000000000072
+ 12% State Surcharge $126,00 1/25/08 1200800000000000072
+ 5% Technology Fee $58,30 1/25/08 ]200800000000000072
Add, Alter, Extend Circ $48,00 1/25/08 1200800000000000072
Add, Alter, Extend Circ Ea Add $56,00 1/25/08 1200800000000000072
Appliance Vent $7.00 1/25/08 1200800000000000072
Building Permit $630.00 1/25/08 1200800000000000072
Dryer Vent $7.00 1/25/08 1200800000000000072
Exhaust Hoods $10.00 1/25/08 1200800000000000072
Fire SF Fee - Residential $51.35 1/25/08 1200800000000000072
Fixture $224,00 1/25/08 ]200800000000000072
Not Covered Mechanical $7,00 1/25/08 1200800000000000072>
Plan Review Minor -'Planning $116.00 1/25/08 1200800000000000072
Plan Review Residential $29.75 1/25/08 1200800000000000072
Plan ReviewlResidential Hourly $150,00 1/25/08 1200800000000000072
SDC Sanitary/Storm Admin $8,58 1/25/08 1200800000000000072
Storm Drainage Impervious Area $171,63 1/25/08 1200800000000000072
Vent Fan $28,00 1/25/08 1200800000000000072
Wood Stove/Insert $33,00 1/25/08 ]200800000000000072
+ 10% Administrative Fee $34,50 2/21/08 2200800000000000230
+ 12% State Surcharge $41.40 2/21/08 2200800000000000230'
+ 5% Technology Fee $17.25 2/21/08 2200800000000000230
Add, Alter, Extend Circ Ea Add . $80,00 2/21/08 2200800000000000230
Perm ServlFdr 200 amps or less $210,00 2/21/08 2200800000000000230
Temp Power 200 amps or less $55,00 2/21/08 2200800000000000230
+ 12% State Surcharge $6,96 1/16/09 2200900000000000060
+ 5% Technology Fee $2,90 1/16/09 2200900000000000060
Low Voltage - Residential $58,00 1/16/09 2200900000000000060
Total Amount Paid $2,797,51
Paee 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews ,
Structural Review.
0610312008
Initial Review
11/21/2007
11121/2007
APP LLH
Planning Review
Public Works Review
11/21/2007
11121/2007
11128/2007
11/28/2007
APP
APP
Structural Review
11/21/2007
12/03/2007
WE
Structural Review
01/0412008
01/17/2008
APP
Initial Review
06/02/2008
06/03/2008
APP
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01705
ISSUED: 01/25/2008
APPLIED: 11/20/2007
EXPIRES: 07/]6/2009
VALUE: $ 10],341.00
Drawings placed on work area with
no explanation. Revised drawing is
inadequate to review, Indicated
signilicant changes iil upper floor
aud roof framing and upper floor
room arrangement. Submitted
plans are incomplete 07/11/08dlm,
Caned designer requesteing
complete info 7/I4/08dlm
TAJ
BRC
SDC Worksheet Attached
DLM
Need add'l infor to complete review.
E-mailed owner and designer a
request for info (see documents)
12/3/07dlm. E-mailed designer add'l
,request for info, (in job folder) on
12/4/07dlm,
DLM
Received revised building plans and
lateral eugr'g,1/4/08dlm After
cursary review, distributed revised
plans to PW & Planning due to add'l
info, that may affecUhem
1/17/08dlm,
LLH
Revisions forwarded to Don Moore
for 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.
~onire,~ t~~p,e~tions.
Footing: After trenches are excavated,
Fouudatiou: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking,
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheathing with finish materials,
Page 3 of 4
_~l1l~!ii,!~i
f .-..'~ , : h:':' ,:' :
:1
CITY OF SPRINGFIELD'
Building/Combination Permit
.
Status
Iss u ed
PERMIT NO: COM2007-01705
ISSUED: 01/2512008
APPLIED: 11/2012007
EXPIRES: 07/1612009
VALUE: $ 101,341.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wan Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City
Building Inspector,
Final Buildiug: 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 an plnmbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Wood Burning Insert: After installation,
Rough Electric: Prior to Cover
Final Electric: When an electrical work is complete,
Electric Service: Approval required prior to utility company energizing serVice,
Temporary Electric: Approval required prior to Utility Company energiziug pole.
Low Voltage: Prior to cover.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that an
information hereon is true and correct, and I fnrther certify that any and all wo'i'k performed shall be done in accordance with
the Ordinances of tbe 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 compliauce with ORS 701.005 will be used on this project.
I further agree to ensure that all reqnired 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
Paee 4 of 4
City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:sunsetelectric@comcast.net
Receipt # EC545J84
1/15/2009 4:32:51 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitceJiter@ci.springfield.or.us
o Commercial/Industrial
o New consuuction
[XJ Addition/alteration/replacement
[KJ 1 or 2 family dwelling
D Multi~fami]y
11,000 sq ft. or less [4]
I Ea. add! 500 sq. ft. or portion
~l~~~1r~.~L~tiE!iN~.r~~!\TJ:Cl~r~~QT[9E~1iQ~_~~~1:~~1
Job no.: IJob address: 1950 YOLANDA AVE I
] City/Sta,telZIP: SPRINGFIELD, OR 97477-17]6 I
I Suite/bldg.lapt.no.: I
I Project name: Helfrich I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I "Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifa.mily
residential (with above SQ. ft.)
I-Limited energy, commercia-]
(with above SQ. fl.) .
I . Stand-alone limited energy,
residential
I - Stand-alone limited energy,
mu]ti~fami]y
I . Stand-alone limited energy,
commercial
Il~!~icffi9~I~\fCea~~i~:~7l[!i~@~fE~RJ2i!Ji1!~!l~tt~:~
200 amps or less [2] .
120] amps to 400 amps [2]
40] amps to 599 amps 12J
*.t:~~~11fO.'.'ltARY.lServi.CC.lr..o. RTrcoo..e'ri1iH'staIE[ti~nfalter=~~.t:';.:~.~....c.r:.,. '.'
~Still2l2!!r~iIT@~it~i.Y~~~~~~J~~
200 amps or less [2]
, 1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
IfP~~~LtJ1lli~~EWi~~~~~:rn:en~i~P2!~P,~}~_
A. Fee for branch circuits with
service or feeder fee, each
branch circuit . I' ',r
B. Fee for AtJt:b:.4\rl1lt1ts1.\l; VII 'YUI j lau . -equ res "f3~. ~.-
withouts~f6W flllt!hldol'ted by tI .e Orego .\ Ul1l1ty
fir" bm <ull rr~ "r->' r TI111€E1'
I IJ II '.Il' v....rr.....
",had ~, . , _ \10thr0I.ln))OAR 52-001-
I "~iiS""llivl"",...",.,-f'''~.'''''~'i<-t'a'i''n~rp'l~OfJ'rerruleS'b\1'
""'*_"""';"'~UrM\Tn' l,may.Ou . .....\#\iI. . ""9X.. ,:5\J'.1! ~",_. _...--,.l".l!!;.
1 Service rec~I\lIl~[l]lllil(j eenter. (Note~ the tele )none I
. I Eoe" mamWlGl'tItip/f wr 1ne ~regon U I1I1IY NOli t~"llUll
dwellmg, sH'I'lCe affi1)CElllfe'r i 1-800-3: 12-2344).
I f21 ,
j I Pump or irrigation circle [2] I 1
I Sign or outline lighting [2] I
I Signal cii-cuit(s) or limited- I
energy panel, alteration, or
extension r21
~ii~~E:giTEct~KA.:~g~~Jij"lTi~lt~}j~7.!~
I _ Subtotal I $32.00 j
I Minimum fee.used instead of Subtotal $58.00 I
I . State Surcharge (12% of penn it fee) $6.96 I
I City Of Springfield fees'" I $2.90 I
I TOTAL PERMIT FEE' $67,86 I
'" City Of Springl1e]d fees: 5% Technology fee
(rnm~~1;~'QnsaIIOW'd{
1/ l~loq- \ '
:;>JfDOl1 - 0
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Inot otTered online at this jurisdiction
Cross streeUdirections to job site:
$32,00
$32,00
I SUbdivision:
I Tax map/parcel no.:
lL.ot no.:
1703240000601
Low voltage wiring
Name: Brad Rogers
jPhone: (541) 741-3885
I Fax: (503) 716-3834
Email: sunsetelectric@comcast.net
El.lic. no.: 20-518C
1 CCB lie. no.: 158859
I BusIn'" Nam., sulHlHllE1R1C INC
I Contact: 158859 I HIS PERMIT I> H.A I I ~XDI-Rf-!r T ._ ~..
I Add",s: PO BoxM!l8HOR/ZED IJ~lnER TH'/S rcm I,e: ~\I,iJ~1\
ICilylStatclZIP: EuelENIl/:J)fW!lWf) OR 'S-^B^ND ,l/~/" IVUI
IPhone: (541)741388SIJY 180 DAY Pr:Rllfff: is'03)7FtUfsG ,00
IEmail: sunsete]ectric@comcast.net -- - --.
j Metro lie. no.: 1 City lie. no.:
1 Supervising electrician's Iic. no.: 5060$
1 Supervising electrician's name: ROBERT BRAD ROGERS
Upon review and approval by your local jurisdiction, your
permit will be e.mailedor faxed within one business day,
with instructions on how to schedule your Inspection.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
. \('
:il.,.: ,.,'., .. .'''.'';':
225 Fift~ Street," ..,;;:i::.:';:,<<,;!;,l;':.\ '
Springfield, Oregon ~74'!7:,,;;;~'i;;i(:
541-726-3759 Phone '. :"i .';:,:~':'
. i "',' .,'.
Job/Journal Number
COM2007-01705
COM2007-0 1705
COM2007-0 1705
Payments:
Type of Payment
ONLINE CHGS
cReceintl .
.;'.
,
"
:'RECEIPT #:
~. I?escription;
Lo'wVoltage - Residential
+ 5%, Technology Fee
. +' 12% Staie Surcharge
::., -" ,'.' ,
. ,
Paid By:' "
ONLINE PERMIT CHGS
,:.
','
..
(,:'
) ",
: i~';J j ~ ~,: !,'
,j" ..,;.,_,.1"
.", !.
I . . " . , \I '~
City of Springfield Official Receipt
. Development Services Dep~rtment
Public WorkS Department
2200900000000000060
Date: 0111612009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE SUNSET Online
ELECTRIC
Payment Total:
Page I of I
8:09:lIAM
" .~ .
,;1'-;
Amount Due
58,00
2,90
6.96
$67,86
Amount Paid
$67.86-
$67,86
1116/2009