HomeMy WebLinkAboutPermit Building 2008-4-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00337
ISSUED: 04/18/2008
APPLIED: 03/11/2008
EXPIRES: 10/18/2008
VALUE: $ 12,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2723 33RD ST
ASSESSOR'S PARCEL NO.: 1702193100304
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Residential Addition
Owner: FERGUSON CHERYL ROXANA
Address: 2723 33RD ST
SPRINGFIELD OR 97477
Phone Number: 541-747-8341
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor License
CUTTING EDGE CONSTRUCTION & DESIG 165023
BUILDING INFORMATION I
Expiration Date
06/08/2009
Phone
541-459-3941
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
120
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes: Storm water run-off on new proposed addition will tie into existing gutt~1il(j)N: Oregon raw requIres you to
"lnTII"~. follow rules adopted bv the Oreaon Utility
THIS PERMIT SHALL EXPIRE IF j'i=i~ \\f6Rt\ 1'40UTlCanon liemer. J nose rules are set forth
HORIZED UNDER THIS PER . Descri tion In OAR 952-001-0019 through OAR 952-001-
AUT 0090. You may obtain copies of the rules by
D ., ~OMM~CE~fo.8 IS ABANDONrft~P~q Ft Square Footage calling the center. (Note.,:,.the~~p.hqfl9
escnptlO ANY 18bYB~y ~Affff'~tlOn or multiplier or Bid Amountnumber fortHM'bregon lMftt-9 N~WI't6\\~on
Center is 1-800-332-2344).
Paee 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00337
ISSUED: 04/18/2008
APPLIED: 03/11/2008
EXPIRES: 10/18/2008
VALUE: $ 12,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DwelIin!!:s
V Wood Frame
$105.00
120.00
$12,600.00
$12,600.00
03/11/2008
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $93.85 3/11/08 1200800000000000224
-Mechanical Issuance Fee- $20.00 4/18/08 2200800000000000487
+ 10% Administrative Fee $20.04 4/18/08 2200800000000000487
+ 12% State Surcharge $23.33 4/18/08 2200800000000000487
+ 5% Technology Fee $9.72 4/18/08 2200800000000000487
Building Permit $144.38 4/18/08 2200800000000000487
Fire SF Fee - Residential $6.00 4/18/08 2200800000000000487
Minimum/Adjustment Mechanical $50.00 4/18/08 2200800000000000487
SDC Sanitary/Storm Admin $2.08 4/18/08 2200800000000000487
Storm Drainage Impervious Area $41.52 4/18/08 2200800000000000487
Total Amount Paid $410.92
I Plan Reviews I
Initial Review 03/13/2008 03/14/2008 APP LLH
Public Works Review 03/14/2008 03/17/2008 10 LKW Waiting for contractor to
information on storm drainage.
Mix-up in contractor names, and
CCB numbers, Cutting edge in
Sutherlin is the contractor.
3-18-2008
Public Works Review 03/21/2008 03/21/2008 APP LKW Storm water to gutters to existing
drains
Plannin!!: Review 03/14/2008 03/24/2008 APP TAJ Side setback distance is unclear
because site plan is not to scale -- it
must be at least 5 feet. No other
Planning issues.
Structural Review 03/14/2008 04/10/2008 APP RWC
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.
Pa!!:e 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00337
ISSUED: 04/18/2008
APPLIED: 03/11/2008
EXPIRES: 10/18/2008
VALUE: $ 12,600.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reauired Insoections I
Footing: After trenches are excavated.
Foundation: 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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building 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 wiJI 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 wiJI 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 wiJI remain on the site at all
times during construction.
~~
Owner or Contractors Signature
4-\ct .c~
Date
Pa2e 3 of 3
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-505~
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
Penmt #: \' 16 - ~ )
Address: f)r')~3 c3o~ _
ISSUedby:''Lf~~~ Date 4--\rJ cV
Statement: Information Notice to Property Owners
About Construction Responsibilities '
Note: Oregon Law, ORS 701.055(4) requzres residentzal constructIOn permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building -
permzt can be zssued. This statement is requzred for residentzal buildzng, electrical, mechanical and
plumbing permits. Licensed architect and engzneer applicants, exempt from licenszng under
ORS 701.010(7), need not submit this statement. This statement will be filed with the permit.
Fill 'n the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: .
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.
A. My general contractor is ~ 1;\:\\ \"'("\ Ed nQ/
(Name) ''\
\\.cf.6i~
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
lIcensed with the Construction Contractors Board.
OR
D 3B. I will be my,own general contractor.
If I hire subcontractors, I will hire only subcontra~tors licensed with the Construction Contractors
Board. In change my mind and hIre a general contractor, I will contract WIth a contractor who is
licensed with the CCB and will immediately notify the office issuing thIS building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
(\""".....&.I()~ 4-\~-c~
~- (Signature of permit applicant) (Date)
(Whzte copy to issuing agency permit file, pink copy to applzcant)
Property_owner. doc 06-01-04
as
General Contractor?
INFORMATION TO PROPERTY OWNERS
ABOUT- CONSTRUCTION RESPONSIBILITIES
NOTE This Information Notice to Properly Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORB 701,055(5), passed by the 1989 Oregon Legislature.
If you are as your own contractor to construct a new
structure, you can prevent many problems by being aware
or make a substantlallmprovement to an eXIstmg
f~nowmg responslblhties and concerns.
You will, m most mstances, ruled to be an "employer" contractors you contract with will be "employees" If
you use contractors not lIcensed WIth the ConstructIOn Contractors to do labor m constructmg or to aSSIst III the
or of a reSIdentIal structure. As you mnst comply with the following:
Tax l..aw: As an
You wIll be hable
more call the
-
you must WIthhold mcome taxes from employee wages at the time
tax even you don't actually WIthhold the tax from your
of at 503-378-4988.
As an employer, you are
more informatlOn,
to pay a tax for unemployment insurance purposes
Employment Department at 503-947-1488.
Unemployment
on the wages
The Oregon
Unemployment
IdenlJficahon Number
Tax To file fqr a BIN,
number for both Oregon Wlthholdmg and
or \'l\vw.dor.statc.or.us/fonnsnav.htmll for the
Insurance: As an you are subject to the Oregon Workers' CompensatlOn Law,
compensatIOn msurance for your If you fail to obtam workers' compcnsatlOn
subject to penalties for costs If one of your employees is injured on the
can the Workers' at the Department of Consumer and Busmess
msurance, you
Job. For more
at
As an you must Withhold federal income tax employees' wages.
even If you dIdn't Withhold the tax. For a Federal EIN number, call the
web site at www lfil9Y.
you are
for resolvmg any
to meet
coverage
work
Imm.rance:
omISSlOns such as
agent to see If you have
water damage pIpe
msurancc
or
hme to supervIse your
and
the SkInS to act as yom own
bmidmg as the
contractor, to coordmate the
hmes so can perform the
que&tions the
97309-5052.
(503-378-4621) or wnte the
at
doc 06-01..04
225 Fifth Street
Springfieid, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00337
COM2008-003 3 7
COM2008-00337
COM2008-00337
COM2008-00337
COM2008-00337
COM2008-00337
COM2008-00337
COM2008-00337
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000487
Date: 04/18/2008
DescriptIOn
Fire SF Fee - ResidentIal
Storm Dramage ImpervIous Area
SDC Samtary/Storm Admm
BUlldmg PermIt
Mlmmum/ Adjustment Mechamcal
-Mechamcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrattve Fee
Paid By
CHERYL FERGUSON
Item Total:
Check Number AuthorizatIOn
ReceIVed By Batch Number Number How Received
LLH 143356 In Person
Payment Total:
Page I of I
2:42:46PM
Amount Due
600
41 52
208
14438
5000
2000
972
2333
2004
$317.07
Amount Paid
$317 07
$317.07
4/I 8/2008
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED
EXPIRES
VALUE:
COM2008-00337
04/18/2008
03/1112008
01122/2009
$ 12,60000
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2723 33RD ST
ASSESSOR'S PARCEL NO 1702193100304
Sp.mgfield TYPE OF WORK Smgle FamIly ReSIdence
TYPE OF USE
AddItIOn
Resldenllal
PROJECT DESCRIPTION ResldentlJI AddItIOn
Owner FERGUSON CHERYL ROXANA
Address 2723 33RD ST
SPRINGFIELD OR 97477
Phone Number 541-747-8341
I CONTRACTOR INFORMATION I
Contractor Type
Genel al
Contractor LIcense
CUTTING EDGE CONSTRUCTION & DESIG165023
BUILDING INFORMATION I
ExpIration Date
06/08/2009
Phone
54 I -459-394 I
# of UUltS
Pnmary Occupancy Group
SecondJry Occupancy Group
Pnmary Construcllon Type
SecondJry ConstructIOn Type
# of Bed. ooms
VB
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy P Jth
Spnnkled Bmldmg
I
Lot S,ze
Sq Ft 1st Floo.
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
120
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard SetbJck
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
500
Overlay Dlst
# Street Trees Rqd
P Jved Dnve Rqd
% of Lot Coverage
Urban Fnnge
Total
HandIcapped
Compact
r une':::l yv.... l:
I PUBLIC IMPROVEMENTS 1_ NilaN Oregon law. e6regon Utility
,_,l'iE orl-lP'ocj bY the t forth
Street Improvements lollow rl~MeW111 T'Yf,7uSe rules are sez 001-
Nnnf'/:"., 1 catl<)[\ Center 'oh OAR 95 -
Storm Sewer. AvaIlable Notl AI R 9Do~MPBil/J.iD~r.'i\\S' 01 the rules by
II-!fn ~__ In 0 J~ COpIes
SpeAl3llnstro,~~wr 0 You may obta\[\ te the telepnone
UTHORIZED SHALL EXPIRE r 009 all\[\9 the center (No Utility NotificatiOn
NoG,s'Jv1/1i,~~~~ wM~~!1'U\j-l'fft?:,n ~e{f li''<ilios~~I~R'lltlOn WIll lie mto eXlsll~msij'{~~tlttl1Qrego~_33Z_Z344).
ANY 101'> r-. 0 OR is IJD'f\,_,f:RV/ITIS Mn-,. CenterlS 1-80
- ur" /"'tRIOD 'UVIVtU FO .
1 ValuatIOn DeSCrtDtlOn I
DeSCrIptIOn
Type of ConstructIOn
$ Per Sq Ft
or mulllpher
Square Footage
or BId Amount
VJlue
DJte Calculated
Paee I 01 3
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726,3676 Fax
541-726,37691nspectlOn Lme
Dwelhnes
V Wood Frame
Fee DescnptlOn
Plan Review ReSldent..1
......Mechamca] Issuance Fee......
+ 10% AdmmlStratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Bmldmg Permit
Fire SF Fee - ReSldenlldl
Mmlmum/AdJustment Mechamcal
SDC Samtary/Storm Admm
Storm Dramage ImpervIOus Area
Total Amount Paid
Imllal Review
Pubhc Works Review
Pubhc Works RevIew
Planmne: Review
Structnral Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00337
ISSUED. 04/18/2008
APPLIED: 03/11/2008
EXPIRES: 01/22/2009
VALUE: $ 12,600.00
$10500
12000
Total Value of Project
$12,60000
$12,60000
03/1112008
J?PP~ P:'llriJ
Amount Paid
Date Paid
Receipt Number
1200800000000000224
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
2200800000000000487
$93 85
$20 00
$20 04
$23 33
$972
$14438
$600
$50 00
$208
$4152
3/11/08
4/18/08
4/18/08
4/18/08
4/18108
4/18/08
4/18108
4/18/08
4/18/08
4/18/08
$41092
I Plan RevIews I
03/13/2008
03/14/2008
APP LLH
03/14/2008
03/17/2008
10 LKW
Waltmg for contractor to
mformatlOn on storm dramage
MIx-up IU contractor names, and
CCB numbers, Cuttmg edge m
Sutherhn IS the conlractor
3-18-2008
03/21/2008
03/21/2008
APP LKW
Storm water to gutters to eXlstmg
drams
03/14/2008
03/24/2008
APP TAJ
Side setback distance IS unclear
because site plan IS not to scale -- It
must be at least 5 feet No other
Planmng Issues
03/14/2008
04/10/2008
APP RWC
To Request an mspection call the 24 hour recording at 726-3769. All mspectlOns requested before 7:00
a m wIll be made the same workmg day, mspectlOns requested after 7:00 a.m. will be made the followmg
work day
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO- COM2008-00337
ISSUED. 04/18/2008
APPLIED: 03/11/2008
EXPIRES: 01/22/2009
VALUE: $ 12,60000
225 Fifth Street, Spl mglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Reolllred 1 nsnectlOns I
Footmg After trenches are excavated
Foundahon After forms are erected but pnor to concrete placement
Post and Beam Pnor to 1100r msulatlOn or deckmg
Floor Insulahon Pnor to deckmg
Shear Wall Nallmg Before covenng sheath 109 WIth fimsh matendls
Frammg InspectIOn Pnor to cover and dfter all rough 10 mspectlOns have been approved
Wall InsulatlOo Pnor to cover
Cellmg InsulatIOn Pnor to cover
Fmal BUIld 109 After all reqUIred mspectlOns bave been requested and approved and the bulldmg IS complete
Rough Mechamcal Pnor to Covel
Fmal Mechamcal When all mechamcal work IS complete
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerhfy thdt all
mformatlOn hereon IS true and correct, and I further cerhfy that any and all work performed shall be done 10 accordance WIth
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY will be made of any structure WIthout permISsIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety
I fUl ther certify that only contractors and employees who are 10 comphance WIth ORS 701 005 will be used on thIS project
I lurther agree to ensure that all reqUIred mspecllOns are requested at the proper hme, that eacb 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 remam on the SIte at all
times dunng construction
r~'M~ ,l>,.~,~
Owner or Contractors Signature
.l.:li:=\\C'"I<)t.
Date
Paee 3 of 3