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Home My WebLink AboutPermit Building 2008-3-31 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00427 ISSUED: 03/31/2008 APPLIED: 03/31/2008 EXPIRES: 09/30/2008 VALUE: $ 13,708,00 / 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2663 CASTLE DR ASSESSOR'S PARCEL NO.: 1703233305400 Springfield TYPE OF WORK: Interior TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Interior remodel- Master Bedroom Owner: JORGENSEN ARTHUR E & VIOLA E Address: 2663 CASTLE DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Plumbing Contractor METRO CONSTRUCTION AND DESIGN OWNER License 174296 Expiration Date 02/14/2009 Phone 683-3795 BUILDING INFORMATION' VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building. Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Page 1 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00427 ISSUED: 03/31/2008 APPLIED: 03/31/2008 EXPIRES: 09/30/2008 VALUE: $ 13,708,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 13,708.00 Value Date Calculated Description Type of Construction Total Value of Project $13,708.00 $13,708,00 03/31/2008 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $25,90 3/31/08 1200800000000000285 + 12% State Surcharge $31.08 3/31/08 1200800000000000285 + 5% Technology Fee $12,95 3/31/08 1200800000000000285 Add, Alter, Extend Circ $48,00 3/31/08 1200800000000000285 Add, Alter, Extend Circ Ea Add $8.00 3/31/08 1200800000000000285 Building Permit $152.96 3/31/08 1200800000000000285 Fixture $16.00 3/31/08 1200800000000000285 Minimum/Adjustment Plumbing $34.00 3/31/08 1200800000000000285 Plan Review Residential $99.42 3/31/08 1200800000000000285 Total Amount Paid $428.31 I Plan Reviews I Planninl! Review Public Works Review 03/31/2008 03/31/2008 03/31/2008 03/31/2008 APP APP TAJ LKW No Planning issues No SDC's / no new surfaces or fixtures All plan review comments are on the drawings. Structural Review 03/31/2008 03/31/2008 APP DLM 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. Ueouire~nsnections I Footing: After trenches are excavated, Post and Beam: Prior to floor insulation or decking, Framing Inspection: Prior to cover and after all rough in inspections have been approved, Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete, Final Plumbing: When all plumbing work is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00427 ISSUED: 03/31/2008 APPLIED: 03/31/2008 EXPIRES: 09/30/2008 VALUE: $ 13,708,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all timour ~ construction. . ~ [3-6/-bY Owner or Contractors Si~e tf/ Date Pa2e 3 of3 3, ZON _ \ d V INITIALS- -l'-J ~ DATE 2:J, - J - nK SOURCE f n ps{Jf' ./ Date ~/.?~~ COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number CfJ412.(7t7~ -oo~27 Owners Name )o(~ ,~47 Address !Z.~6 3' ~ ~,. E. Miscellaneous (Service/feeder not included) -Each Installation CIty ~ Phone 2i?-r!ZJ 1. LOCATION OF INSTALLATION: 2~~~ CA-sTU D~, t:J S ftJV ~~~& /JAf .~~~( LEGAL DESCRIPTION' L}t11 23d.5 JOB DESCRIPTION Permits are non-transferable and expire if work IS not started within 180 days of issuance or if work is Suspended for 180 days. 2, CONTRACTOR INSTALLATION ONLY ElectrIcal Contractor Address / / CIty Phone ATTENTION: Oregon w requires you to S fo!J.~w rulQ$ ac;topte by the Oregon Utility upervlHbrinffiffi6rl"e&r Those rules are set forth In OAR 952-001 10 through OAR 952-001. Explrat4)0901te'(ou ma obtain co~ies of the rules by calling t center. (Note: the telephone Constr cmHP 'he Oregon Utility Notification Center I. j-ouU"""'ir::-~4J. Slgnat re of SupervIsIng ElectrIcIan OWNER INST ALLA nON The InstallatIon IS beIng made on property I own whIch IS not Intended for sale, lease or rent O~lg~~ \) Y.l.~~__ Inspection Request: 726-3769 A. New Residential- Single or Multi-Family per dwelling unit, Service Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular DwellIng ServIce or Feeder $11700 $ 21 00 $55 00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpslVolts Reconnect Only $ 70 00 $ 83 00 $138 00 $180 00 $413 00 $ 55 00 C. Temporary Services or Feeders InstallatlOn,fiOl.mEu or Relocation 200 Amps olMJS PERMIT SHAll EXPIRE~t;ff)fE WQRK 201 Amps t~IDI:i..~lZED UNDER THIS P~R'MW ISJtOT 401 Amps t~MMU~ED OR IS ABANOONe0qt()~ Over 600 A~~X) MtP~};'li~~. above . D. Branch Circuits New Alteration or Extension Per Panel One CIrCUIt I Each AddItIonal CIrCUIt or WIth ServIce or Feeder PermIt I $ 48 00 4-B .tJIb $ 400 Pump or lITIgatIOn $ 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. SUBTOTAL OFABOVE ;;6.~ r:-2-1 ~ 12% State Surcharge 6 .7 Z ..t;,.,'l..~ 10% AdmInistrative Fee 5,'C ~...~ a 5% Technology Fee z.."t) Z. ~ .... ~ ' - TOTAL l/,IZ ~~~O <1.- Shared Dflve(T )/BUlldmg Fonns/Electflcal Penmt ApplIcatIOn 1-08 doc Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us PermIt #. /,,'lY///'2 te} fJ; -0042-7 2{:;;b 3 (/4) Tit! /)k./ //h~ Date 7/3j/PfJ / / ,/ i/ ... r Address Issued by Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires reszdentzal constroction permzt applzcants who are not lzcensed with the ConstroctlOn Contractors Board to sign the followzng statement before a buzldzng permit can be zssued. Thzs statement zs requzred for residentzal buildzng, electrzcal, mechanzcal and plumbzng permits. Lzcensed architect and engzneer applicants, exempt from lzcenszng under ORS 701.010(7), need not submit this statement. Thzs statement wzll be filed with the permzt. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~f 1. , I own, reside in, or will reside in the completed structure, ~/ 2. I' 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 instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR I ,/ ". f3i i-.::cT j' ~u.;(/P4. ~ 3B. I will be my own g€Fl€Fal contractor. / " If I hire subcontractors, I will hire only subcontractors licensed wIth the Construction Contractors Board. If! change my mind and hire a general contractor, I WIll contract with a contractor who is licensed with the CCB and will mmledIately notify the office issuing this bUilding permit of the name of the contractor, I hereby certify that th_e 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. ,,--..., . l' Y- [ j-d~l,\~_ 3-~/--o~ ~griature of permit applicant) _(Date) (Whzte copy to issuing agency permzt file, pznk copy to applzcant) Property_owner doc 06-01-04 "-.. NOTE: Information Notice to about Responsibilities Construction Contractors Board In accordance with ORB 701.055(5), passed by the 1989 If you are as your own contractor to construct a ncw you can problems by aware a substantlallmprovement to an existmg respm:lSlbllities and concerns. ruled to with the a resIdential structure. As contractors you contract wIll "employees" If to do labor m constructing or to aSSIst m the must comply You WIll, m most you use contractors not construction or Law: As an be hable call the mcome taxes from employee wages at the time even you- don't actually withhold tax from your Revenue at 503-3784988, ' employees are employees. on the wages to pay a tax for unemployment msurance purposes Employment at 503-947-1488. The Oregon Unemployment Insurance Tax. To appropnate a for both Orc;gon Withholdmg and or \n'ir;,v,doLstatc.oLus/fonnsnav.htmll. for the Ins.urance: As an msurance to penalties be Workers' Oregon Workers' CompensatIOn Law, you fall to obtam workers' compensatIOn costs one of your employees is mJured on the at Depamnent of Consumer Busmess Workers' and must insurance, you could Job. more ServIces at must WIthhold federal mcome tax from employees' wages. the tax. For a Federal EIN call the Code reqUIrements you are responSible resolving any failure to meet code and to see. you have adequate _ msunIOCC water damage from pIpe or covel age OlTI1SSIOnS such as must tIme to supervIse your employees. SkIlls to act as yom ovm offICIals as to coordinate can perform the required hmes so If you Box the (503-3784621) or wnte the agency at 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00427 COM2008-00427 COM2008-00427 COM2008-00427 COM2008-00427 COM2008-00427 COM2008-00427 COM2008-00427 COM2008-00427 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000285 Date: 03/31/2008 DescriptIOn Plan Review ResidentIal BuIldmg Permit Fixture MInimum/AdJustment Plumbmg Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ARTHUR JORGENSEN Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed dIm 4853 In Person Payment Total: Page 1 of 1 11:32:S5AM Amount Due 9942 15296 1600 3400 4800 800 1295 3108 2590 $428.31 Amount Paid $428 31 $428,31 3/31/2008