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Home My WebLink AboutPermit 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!!' ...... ..........'.... rIIE'~ i "'~~'/:,/" ". )f" 1; _"_~-,;.I .J ",_ f'....-'"",'. ... _, "....." '-. . 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