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Home My WebLink AboutPermit Building 2008-4-15 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00504 ISSUED: 04/14/2008 APPLIED: 04/10/2008 EXPIRES: 10/14/2008 VALUE: $ 6,800.00 SITE ADDRESS: 46416TH ST ASSESSOR'S PARCEL NO.: 1703362409902 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Extend Kitchen into Garage TYPE OF USE: Remodel Residential Owner: CALLAHAN SANDRA DEE & ROBERT C Address: 464 16TH ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION. License BUILDING INFORMATION I # of Stories: R-3 Height of Structure Type of Heat: VB Water Type: Range Type: __ E~e;,~ ~~~fW, re.qu\res you .t~ Al If:\\! \ iONSp.VI'I11t?a<b 1fHgl{!lfegon Utlh\yo _ ",lo~ ~noote I - -- -""+ fnrth I. I .. __ I _. 1 nQJ,,;;:,-", J!.J ~~tJ ~I '...' - _ Ill\llT l~nFrv.FrL'{)9}~~;rr~ifll8~~~NV'" IIi Ufl",1 ';;JJ'- vv I btain copies ot me IU''''''!'t OUSJ You may 0, '/':Ite: the te'epho~e ca\:mg \he(()~edliy D~st~lli\Y. Notification number tor1tISt~~~3 ~344). C~rftfv~ bMQ R : % of Lot Coverage: I PUBLIC IMPROVEMENTS I Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: lRE \f THE W01\l( THIS PERM1T SH~~~ ~S PERM1T 15 NOT ~~~~~~~~O U~R '5 ABANDONED FOR ANY 180 DAY PERIOD. Pal!:e 1 of3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00S04 ISSUED: 04/14/2008 APPLIED: 04/1012008 EXPIRES: 10/14/2008 VALUE: $ 6,800.00 225 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 6,800.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $6,800.00 $6,800.00 04/14/2008 ~ Fee Description Amount Paid Date Paid Receipt Number -Mechanical Issuance Fee~ $20.00 4/14/08 2200800000000000450 + 10% Administrative Fee $25.69 4/14/08 2200800000000000450 + 12% State Surcharge $30.83 4/14/08 2200800000000000450 + 5% Technology Fee $12.85 4/14/08 2200800000000000450 Add, Alter, Extend Circ $48.00 4/14/08 2200800000000000450 Add, Alter, Extend Circ Ea Add $16.00 4/14/08 2200800000000000450 Building Permit $92.90 4/14/08 2200800000000000450 Exhaust Hoods $10.00 4/14/08 2200800000000000450 Fixture $16.00 4/14/08 2200800000000000450 Minimum/Adjustment Mechanical $40.00 4/14/08 2200800000000000450 Minimum/Adjustment Plumbing $34.00 4/14/08 2200800000000000450 Plan Review Residential $60.39 4/14/08 2200800000000000450 Total Amount Paid $406.66 I Plan Reviews I Structural Review 04/14/2008 04/14/2008 APP DLM Approved as noted on the submitted plans. 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. ~eouirecUnsDections I Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor 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. Paee 2 of 3 Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00S04 ISSUED: 04/14/2008 APPLIED: 04/10/2008 EXPIRES: 10/14/2008 VALUE: $ 6,800.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Drywall: Prior to taping. Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. 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 times during construction. /~~ ~~.Y/0&- ~ Owner or Contractors Signature Date Pa2e 3 of 3 SPRINGFIELD l.---._ ~ ._ /......,.,..-,L ,--- ~~-"'"""/ ~ ... - -;,~ ZON If\t(l.- fNITIA~ DATE At.\S.06 SOURCE u. ~p..- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX. (541)726-3689 ELECTRICAL PERMIT APPLICATION -"" CIty Job Number Cd>e12~ f:, - 0& 5" & ~ New AlteratIOn or ExtensIOn Per Panel One CIrCUIt ---.l Each AddItional CIrcuit or with .A "fJ /1 ~ / J ~ LL. I ~ d ServIce or Feeder PermIt ~ $ 4 00 Owners Name --/"<~ l....Af ~ Address 41--4 /l- ~ (', ~ E. Miscellaneous (ServIce/feeder not included) -Each Installation r ~ .Lf.(' - · ~ HE WOR\( CIty S/i1 Phone -HI'" O/~T'CE. ~ m\~\l!lt~"\RE '~~\1 \5 NOl $ 55 00 . ~k\5 P ~l)ERI~~ PE fOft $ 55 00 OWNER INST ALLA nON AUTHO~1fldG\i\~~~~~~EO $ 28 00 The mstallatlon IS bemg made on property I own whIch COM~ 8blrJJWtlPiJ~ommerCIal $ 50 00 IS not mtended for sale, lease or rent A~inimum Electric Permit InspectIon Fee IS $50.00 + Surcharges Owne~ur~ 4, SUBTOTAL OFABOVE {P4.. t>'O V _~ ~ ' 12% State Surcharge 7.' f:, ( ~.,/ 10% Admmlstratlve Fee ~.4C 5% Technology Fee ~.~ .;' . TOTAL ~J~2.~ Shared Dnve(T )/Buildlllg Forms/Electncal Permit App1iCation 1-08 doc 1. LOCATION OF INS1'ALLATION: 4tPef. /~7k !ST- LEGAL DESCRIPTION IJ()~_'S~M /J97'b2- JOB DESCRIPTION /l!:Nsmv ... 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 ExpiratIOn Date Constr Contr Lr ExpIratIOn Date SIgnature of Supervlsmg ElectrICIan InspectIOn Request: 726-3769 Date 3, COMPLETE FEE SCHEDULE BELOW A. New ResidentJaI- 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 Dwellmg ServIce or Feeder $11700 $ 21 00 $5500 B. Services or Feeder!. - Installation, Alterations or Relocation: /' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps , \ ~'-(r;:\!TI0!QVl(!)rlM8r6n;!?,s!V olts UII(1W i'l.6le~~~<d gRf~ requires you to l~otlflCatlon Center Th y he Oregon Utility In OAR 952c901lQ9~~!.? ~es ~[~P~ 0090. You m "l':"'I'/VI'Uuyn WfA'S52-00 calling the ay obtam copies of the ru~ 1- number tor 5R~dN(lt8j1(4re\WIeAI: ~~tIon lfie"(ji:~91:l 'lti/' foIn ne Cente1OI$1~~J;1e~i,ty Notitication 201 Amps t-~602~ 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits $ 70 00 $ 83 00 $13800 $180 00 $413 00 $ 55 00 $ 55 00 $ 76 00 $110 00 $ 48 00 4B H:> //::,00 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. Penmt# ~2m9fi,-eo~S+ 4104!- / ~?I ~ tr: I' . . 'bf/J D~te: y/ir/u ~ Address: Issued by' Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requzres residentzal construction permzt applicants who are not lzcensed with the Construction Contractors Board to sign the following statement before a building permzt can be zssued. This statement is required for reszdential building, electrical, mechamcal and plumbing permits. Lzcensed archztect and engzneer applicants, exempt from lzcenszng under ORS 701.010(7), need not submit thzs statement. This statement wzll be filed wzth the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. ~ 2. 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 ~ 3B. I will be my own general contractor. If I lure subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire ~ general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issumg this buildmg 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. /'~~~. - X "~~~ ~ ~~r (Signature of permit applicant) (~e~d (White copy to issuing agency permit file, pink copy to applicant) ~ Property _ owne' doc 06-01-04 Acting' as Y o'ur' Contractor? ~ ..... ~ ...~ . .. , '- ~ INFORMATioN NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with 701,055(5), passed by the 1989 Oregon Legislature. If you are as your own contractor to construct a new home or make a substantIal Improvement to an existing structure, you can prevent many problems by bemg aware followmg responslbllltles and concerns, Employer You Will, m most mstances, be ruled to be an "employer" you use contractors not hcensed with the ConstructIOn constructIOn or Improvement of a reSidential structure. contractors you contract WIth WIll be "employees" If Board to do labor m constructmg.or to aSSIst m the you must comply the following: Tax Law: As an employer, you must Withhold mcome taxes from employee wages at the time employees are paId. You \\'111 be liable for the tax payments even If you don't actually WIthhold the tax from your employees. more mformatIOn, call the Department at 503-378-4988, Tax: As an employer, you are For more mformatiOn, to pay a tax for unemployment msurance purposes Employment Department at 503-947-1488, . on all IdentlficatIOn Number (BIN) IS a number for both Oregon WIthh~ldmg and Tax. To file for a BIN, call 503-945-8091 or \V\;\'\Y.dor.state.oLus/fonnsuliv.htmll for the forms. Workers' Compensation In~urance: As an employer, you are subject to the Oregon Workers' CompensatiOn Law, and must obtam workers' compensatIOn msurance your If you fail to obtain workers' compensatIOn msurance, you could be subject to penaltIes and be liable all costs If one of your employees IS mjured on the Job. For more mformatiOn, can the Workers' DIVISiOn at the Department of Consumer and Business SerVICes at 503-947-7815. Internal Service: As an employer, you must You WIll be hable for the tax payment even If you didn't IRS at 1-800-829-4933 or Visit their web SIte at \"v'\vW In; gQV: federal mcome tax from employees' wages Withhold tax. For a EIN number, call the Other Concerns, As the permIt holder for thIS proJect, you are responSIble for rcsolvmg any failure to meet code that may be ~rought 10 your attentiOn coverage work that must Damage Insurance: Contact and ormsslOns such as fallmg Insurance agent to see If you insurance over "pray, water damage from pipe punctures, fire or , " Time: Make sure you 'have suffiCIent hme to your Make sure you have the shlls to act as your own fimsh trades, to bmldmg offiCIals as the to coordmate the work of rough-m bmes so they can perform the required inspectiOns. (503-378-4621) or 'WIlte the agency at PO Property_owner doc 06-01-04 ~ 225 Fiftb Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 COM2008-00504 Payments: Type of Payment CredltCard cRecelOt I RECEIPT #: 2200800000000000450 Date: 04/14/2008 DescrIption Plan Review ResIdential BUlldmg PermIt Fixture Mmlmum/Adjustment Plumbmg Exhaust Hoods M InImum/ Adjustment MechanIcal ~MechanIcal Issuance Fee~ Add, Alter, Extend Orc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By ROBERT CALLAHAN Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received djb 571480 In Person Payment Total: Page 1 of I IO:56:32AM Amount Due 6039 9290 1600 3400 1000 4000 2000 4800 1600 1285 3083 2569 $406.66 Amount Paid $406 66 $406.66 41\ 4/2008