HomeMy WebLinkAboutPermit Building 2019-09-18OREGON
Web Address: www.springfield-or.9ov
Building Permit
Residential 1 & 2 Fam Dwelling (New Only)
Permit Number: 81 1-19-OOO927-DWL
IVR Number: 811012823407
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGFIELD
nt
Permit Issued: September 18, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Calculated Job Value: $349,569.12
Description of Work: Replacement Single Family House
Type of Work: New
JOB SITE INFORMATIOil
Worksite Address
3065 HAYDEN BRIDGE RD
Springfield, OR 97477
Parce!
L702t93200200
Owner:
Address:
WINEBRENNER BARRY S
1O4O TYINN ST #1
EUGENE, OR97402
LICENSED PROFESSIONAL TN FORMATION
Business Name
SEE PROPERTY OWNER
INFORMATION - Primary
Lacense
Owner (Property)
License Number
OWNER
Phone
PENDING I'{SPECTIONS
Permits expire if work is not started within 18O Days of issuance or if work is suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not.
Grantlng of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTENTIoN: oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set
forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O, You may obtain copies of the rules by calling the Center at (503)
232-L947-
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1,O1O
(Structural/14echanical), OR.S 479.540 (Electrical), and ORS 693,O1O-O2O (Plumbing).
Printed on: 9/18/19 page 1 of 3 C:\myReports/reports//production/01 STANDARD
[t,r
Permit Number: all-19-OO0927-DWL
Inspection
2999 Final Mechanical
3999 Final Plumbing
4999 Final Electrical
1530 Exterior Shearwall
1260 Framing
2300 Rough Mechanical
3170 Underfloor Plumbing
4500 Rough Electrical
lO2O Zohinglsetbacks
1090 Street Trees
1110 Footing
1120 Foundation
1160 UFER Ground
1220 Underfloor Framing/Post and Beam
1410 Underfloor Insulation
1430 Insulation Wall
1440 Insulation Ceiling
1520 Interior Shearwall
1999 Final Building
2020 Underground Gas
2250 Gas Piping/Pressure Test
3130 Footing/Foundation Drains
3200 Sanitary Sewer
3300 Water Service
3400 Storm Sewer
3500 Rough Plumbing
3620 Backflow Device
3650 Shower Pan
Inspectaon Group
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwelt
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
1_2 Famdwell
Page2of3 -
Inspection Status
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Printed on: 9/18/19
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits'oregon'gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LtOt28234O7
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Page 2 of 3 C :\myReports/reports//production/0 1 STANDARD
SCHEDULING INSPECTIONS
Permit Number: 811-19-OOO gz7-DwL Page 3 of 3
Fee Description
Residential wiring
Technology Fee
Clothes dryer exhaust
Furnace - up to 100,000 BTU
Gas fuel piping outlets
Gas or wood fireplace/insert
Other heating/cooling
Range hood/other kitchen equipment
Ventilation fan connected to single duct
Water heater
Plan Review - Major, UGB
Single Family Residence - Baths
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural plan review fee
Structural building permit fee
State of Oregon Surcharge - Mech (L2o/o of applicable fees)
State of Oregon Surcharge - Bldg (L2o/o of applicable fees)
State of Oregon Surcharge - Elec (t2o/o of applicable fees)
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Quantity
349 1
Total Fees:
Fee Amount
$3s6.00
$264.70
$13.00
$22.00
$8.48
$s2.00
$90.00
$18.00
$39.00
$18.00
$332.00
$s9s.00
$209.46
$1,477.49
$2,273.06
$3 1.26
$272.77
$42.72
$71.4O
$6,186.34
1
1
2
1
5
1
3
1
1
3
3491
Construction Type
Printed on: 9/18/19
Occupancy Type
R-3 1&2family
U Utility, misc.
U Utility, misc. -
half rate
Unit Amount
2,537.00
642.OO
312.00
Unit
Total Job Value:
Job Value
$310,681.02
$31,284.66
$7,603.44
$349,559.12
c j \myReports/reports//production/0 1 sTAN DARD
Unit Cost
$122.46
$48.73
$24.37
Sq Ft
Sq Ft
Sq Ft
VB
VB
VB
Page 3 of 3
PERMIT FEES
VALUATION INFORMATION
SPRINGFIELD
tt,
Transaction Receipt
811-19-000927-DWL
Receipt Number: 472439
Receipt Date: 9/18I19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, AR97477
54r-726-3753
permitcenter@sprin gfield -or. gov
OREGON
www. s p ri n gfi eld-or. gov
Worksite address: 3065 HAYDEN BRIDGE RD, Springfield, OR97477
Parcr-l: 1702193200200
Transaction date
9t18t19
9118119
9t18t19
9t18t19
9/1 8/1 9
9t18t19
9/'t8/'t9
9t18t19
9118t19
9118t19
9t18t19
9t18119
9t18t19
Units Description
1.00 Ea Structural building permit fee
3,491.00 SqFt Residential wiring
3.00 Qty Single Family Residence - Baths
1.00 Ea Fumace - uP to '100,000 BTU
5.00 Ea Other heating/cooling
Fee Notes: Range, Furnace, Dryer, Fireplace & Water Heater
'l .00 Ea Gas or wood fireplace/insert
1.00 Ea Water heater
1.00 Ea Range hood/other kitchen equipment
3.00 Ea Ventilation fan connected to single duct
1.00 Ea Clothes dryer exhaust
2.00 Qty Gas fuel PiPing outlets
Fee Notes: BarBQ and Fireplace are only gas appliances
1 .00 Ea State of Oregon Surcharge - Elec (12o/o ol
applicable fees)
1.00 Ea State of Oregon Surcharge - Plumb (12% of
applicable fees)
1.00 Ea State of Oregon Surcharge - Bldg (12% of
applicable fees)
Fees Paid
Account code
224-00000425602-1 030
224-00000426 1 02- 1 033
224-00000425603-1 034
224-00000-425604-1 03 1
224-00000425604-1 031
224-00000425604-1 031
224-00000425604-1 031
224 -00000-425604- 1 03 1
224-00000425604-1 03 1
224-00000425604- 1 03 1
224 -00000425604- 1 03'1
821 -00000-21 5004-0000
82 1 -00000-2 I 5004-0000
Fee amount
$2,273.06
$356.00
$59s.00
$22.00
$90.00
$52.00
$18.00
$18.00
$39.00
$13.00
$8.48
$42.72
$71.40
Paid amount
$2,273.06
$356.00
$595.00
$22.00
$90.00
$52.00
$18.00
$18.00
$39.00
$13.00
$8.48
$42.72
$71.40
$272.77
Printed: 9/18/19 3:55 pm Page 1 ol 2
82 1 -00000-21 5004-0000 $272.77
Fl N_TransactionReceipt_pr
lr
9t18t19
Transaction Receipt
811-19-000927-DWL
Receipt number: 472439
Transaction date
9t18t19
9118119
9t18t19
9t18t19
Units
'1.00 Ea
'1.00 Ea
1.00 Automatic
3,491.00 SqFt
Account code
1 00-00000-425002- 1 039
821 -00000-2 1 5004-0000
1 00-00000-425605-0000
1 00-00000424005-1 091
Fee amount
$332.00
$31.26
$264.70
$209.46
Fees Paid
Description
Plan Review - Major, UGB
State of Oregon Surcharge - Mech (12% ot
applicable fees)
Technology Fee
Fire SDC - New Res Construction Sq Ft fee -
enter sq ftg
Paid amount
$332.00
$31.26
$264.70
$209.46
PaymentMethod: Checknumber:00101 Payer: Barry Winebrenner & Sandi Winebr Payment Amount:$4,708.8s
Cashier: Thayne Smith Receipt Total:$4,708.85
Printed: 9/18/19 3:55 pm Page 2 ol 2 Fl N_Tra nsactionR eceipt_pr
Structural Permit Application
l&#"X l-
225 Fifth Street r Spnngfield.OR97477 .PH(.541)726-3753 o FAX(541)726-3689
This permit is issued under OAR 918-460-0030. Permits expire if work is not started u,ithin 180 da1's of
suspended for 180 days.
t>'vl- t=e>i,L 'tEa$Ls\Nlc-- -Tl-5
ance or if work i5
l2-
OLP.AIG_ D,L
Phone Number
Electrical
Plumtring
Mechanical
DEPARTMENT USE ONLY
permit no.: lq-qfl -4"
oate: SlZql'?gn
This project has frnal land-use approval.
Sisnatue:Date
Date
This project has DEQ approval.
Signature:
Zoning approval verified: n Yes n Xo
Properry is within flood plain: ! Yes fl No
CATEGORY OF CONSTRUCTION
I CommercialE Govemment
JOB SITE INFORMATION AND LOCATION
Job site address
Cir:,: 1?r.trrtaltE,-fr State:
Lot no.Subdivision:
PROPERTY
Taxlot: 6Reference
Name:
Address:
Ciw: bOustJ6 ZTP..
Fax:Phone: $dl - Qtg. lL-lsb
E-mail
this appiicationBuiidingOwner
Sign here:
D ryi" in .it(-n is u/rng made on residential or farm properr-v owned b1'
me or a member of mi4mmediate famill, and is exempt from licensing
requiremenc under ORS 701.010.
CONTRACTOR INSTALLAT]ON
Busrness name: ru I \Nf-U2-
Address:
ciq:State
Phone:Fax:
E-mai1:
CCB iicense no.:
Prin" name
Signature:
FEE SCHEDULE -t
1. Valuation information C) )n, ntf\i\0ry'
(a) Job description: Np4, t}.,11d\$g${/v '
Occupancy'
Construction rype: €b
Square feet:Wrffiftn ql+rl *o,i,
Cost per square foot: A q|"n
otherinformation: *I/^
TypeofHeat: hO,tS kb
(b) Foundation-only permit?
Ialteration E addition
I yes
(a) Permit fee (use valuation table)S
Total valuation:
fees.,
S(b) lnvestigative fee (equal to [2a]):
(c) Reinspection ($ per hour)
(number ofhours x fee per hour)s
((d) Enter 1 2%o surcharge (.12 x l2a+2b+2cl):
(e) Subtotal offees above (2a through 2d)
(a) Plan review (6576 x permit fee [2a])
3. Plaa review fees
(b) Fire and life safety (65% x permit fee [2a]):S
(c) Subtotal of fees above (3a and 3b):S
S
4. Miscellaneous fees
(a) Seismic fee. l% (.0i x fee [2a])
(b) Tech fee,5Vo (.05 x permit fee[2a]-PR fee [3c]) $
STOTAL fees and surcharges (2e+3c+4a+b)
Name CCB License #
Last editeri 5-5-20 I 7 Biones
Crv op Spnnilcrurlo,OREGON
I
LOCAL GOVERNMENT APPROVAL
fuinal-fr
ZlP:4h-l'7
$rrrc: A2-
ZTP:
Eneryl Path: }f-;f,i<(
s4Aq.q,t
s
s l, 4ll.
SUB-CONTRACTOR IN FORMATION
Property Owner Statement
Regarding Gonstruction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a buildlng permit can be
issued. (ORS 701.325 (2\l
I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
Name Permit Applicant
-
4- L?-/l
Permit Applicant Date
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 statement will be filed with the permit.
Please check the apProPriate box:
I own, reside in, or will reside in the completed structure and my general contractor is
Name CCB#Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. lf I hire subcontractors, I wrll hire only subcontractors licensed with the Construction
Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
Permit+: 19 - ooO927- Q.z.t t-
Address: 6063 Ha-rocrr BnrPat4
lssued by S Date:
This Copy for Permit Offices
T
q lr n\re
lnformation Notice to Owners About
Construction ResPonsi bi I ities
(oRS 701.32s (3))
CONSTRUCTION CONTRACTORS BOARD
PO Box 14140, Salem, OR 97309-5052
Telephone: 503-378-462'1 - Fax: 503-373-2007
Website Address: www.oregon. gov/ccb
a
a
a
a
a
Homeowners acting as their own general contractors to construct a new home
or make a substantial improvement to in existing structure, can prevent many problems
by being aware of the following responsibilities:
Homeowners who use labor provided by workers not licensed by the Construction Contractors
Board, may be considered an employer, and the workers who provide the labor may be considered
employees. As an employer, you must comply with the following:
Oregon,s Withholding Tax Law: Employers must withhold income taxes from employee wages
at the time employees are paid. You will be liable for the tax payments even if you don't actually
withhold the tax from your employees. For more information, call the Department of Revenue at
503-378-4988.
Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance
purposes
-on
the wages of all employees. For more information, call the Oregon Employment
Department at 503-947'1 488.
Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon
Wthholding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business
Registry. For questions, call 503-945-8091.
Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation
Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain
Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs
if one of your workers is injured on the job. For more information, call the Workers Compensation
Division at the Department of Consumer and Business Services at 800452-0288.
Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from
employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax.
For a Federal EIN number, go online to wtvt,v.irs.gov.
o
Other Responsibilities of Homeowners:
Code Compliance: As the permit holder for a construction project, the homeowner is responsible
for notifying building officials at the appropriate times, so that the required inspections can be
performed. Homeowners are also responsible for resolving any failure to meet code requirements
that may be found through inspections.
propefi Damage and Liability lnsurance: Homeowners acting as their own contractors should
coniact their insurance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint overspray, water damage from pipe punctures, flre, or work that must be
redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not
otherwise covered as employees by Workers Compensation lnsurance.
Expertise: Homeowners should make sure they have the skills to act as their own general
contractor, and the expertise required to coordinate the work of both rough-in and finish trades.
a
a
f/property-owner adoPted 9-2076 This Copy for Permit
Electrical Permit A tion
225 Fifth SrreerSpringfietd, OR 97.t77opH(5dl)726-j7S3r FA-\(54I)726-3689
*F ilIicfi3l"t , ,
,'. *&"'.
This permit is issued uader OAR 918'309-0000. Permits are nontransferable. Permits expire if work is not started within lB0days of issuance or if work is suspended for I 80 days.
Permit no.
Date L
Zoning approval verified? f] yes ENo
fl Residential E Covernment
Job site address:a{.s t l
I Commercial
n{.r *riJ
City: Jfr,*i&;t*State: llf ZIP:1"r{€-
Itg:x*., f r*1
Reference Taxlot.
aName:
Address:
City:State:ZTP:
Phone:Fax:
E-mail:
This installation is being made on residential or farm propeffv
owned by me or a member of my imrnediate family. Thii
property is lot intended for sale, exchange, lease, or rent. OAR
479.540(l ) and 479.560(l).
€ ls*,*** ,.;t"*!Business nurne: F:.c *r,c
4dd19ss1 !5& **u *3**ja
City: 5!s46-r6*state: *f ZIP: ?"****{
Phone: g"*jrf,$*q,3?E Fax:
e:zt fij?c n so * {q,n*i /E-mail:. lN
CCB license no.: ?e?f ?3 BCDlicenseno.: e / t./q
Signing supervisoros license no.: * * g 3lg
Print name of;rglingsrpervisor: g|143ur: llj:l ,' *..: *_"
Signature ofsigning supervisor: .
Residential, per unit, service included:
1,000 sq. fl. or less (4),$r86.00 $
Each additional 500 sq. ft. orponion
thereof z s36.00 $
Limited energy (2)$44.00 $
Each manufactured home or modular
dwelling. service or fcedcr i2)s89.00 $
Services or feeders: inst al I at i on, alte ral i o n, re I oc a! i on
200 amps or less (2)$1 t2.00 s
201 to 400 amps (2),st3l.00 $
401 to 600 amps (2)s221.00 $
601 to 1,000 amps (2)s28s.00 $
Over 1.000 amps or volts (2)s654.00 $
Reconnect only (2)$89.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)s89.00 $
201 to 400 amps (2)$t22.00 $
401 to 600 amps (2)$177.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuitsi ney), alteration, extension per panel
a. Fee for branch circuits with purchase ol a service or feeder fee:
Each branch circuit ,)$8.00 $
b. F-ee for branch circuits rvithout purchase of a service or feeder fee:
First branch circuit (2)$89.00 $
Each additional branch circuit s8.00 $
jlliscellaneous fees: serv'lce orfeeder not included
Each pump or irrigation circle (2)$89.00 $
Each sign or oulline ligh:ing (2)$89.00 $
Sigral circuit or a limited-energy panel.
alteralion, or extension (2)$89.00 $
(A) Enter subtotal of above t'ees
(lllinimum Permit Fee $102.00)
Each additioral inspection: (1)$102.00 s
$
(B) Enter I 2% surcharge (. I 2 x [A])$
(C) 1'echnologl' Fee (592" of [A])$
TOTAL fees and surcharges (A through D)$
Last edited 7/l/2019 BJones
SPRINGFIELD
,b
OREGON
www.springfi eld-or. gov
Worksite address: 3065 HAYDEN BRIDGE RD, Springfield, OR 97477
Parcel: 1702193200200
Transaction Receipt
81 1 -19-000927-DWL
Receipt Number: 470193
Receipt Date:4129119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
permitcenter@spri ngfield-or.9ov
Fees Paid
Transaction date
4t29t19
Units
100 Ea
Description
Structural plan review fee
Account code
224-00000425602-1 030
Fee amount
$1,477 49
Paid amount
$1,477.49
Payment Method: Credit card authorization:
H78698
Payer: Barry S \Mnebrenner Payment Amount:$1,477.49
Cashier: Toste Muniz Receipt Total:$1,477.49
Printed: 4/29/19 3:44 pm Page 'l of 1 Fl N_TransactionReceipt_pr
\r
CPS/PBV
Standoff Bases
The PEIV is a hidden standofl posl base. Iwo dflerent shapes
ft avarietyof pmts sizes.
The CPS is a composite plastic standoff despned for
increased concrde surface area.
Material: PBV - 14 gauge galvanized steel:
CPS - engineer€d composite polymer
Finlsh: Eack powder coat or galvanized
To Orden For black powder coat, order PBVBPC or
PE/1OPC. For galvarized coding, order PEIVE ar PBI/10.
lnstallailon:
PBVand GPS
Post
o Drill a 7r' diameler hole, 10' into the center of the post.
. Clean out dust. H! tnle halfrilray with Simpsor Skong-Tie
SEf€G€ epory andmring aclhesive.
. lnsert all-thread rod and allo\il epoxy to s6t arts curc.
. Secure standoff to pct r.sirE fotr O.148' x 3' neils
except PEV which usee four Strong-Drive SDS Healy-Duty
Connector screurc.
Concrcte:
o Drill a%' diarneterhole per anctrcr design
{see footnote 2 below).
. Clean out dust. Fill hole tnlway with Simpson Shong-ne
SEI-3G epoxy anclsirp adhesive. lnsert posl submembly
into hde and dlow epory to set and cure.
. Post bases do not pro\ricb adequate resistance to prel/s'lt
mernbers ftorn rotatirE about the base ard therefore are
nol recommended for mn-top-srsported instalhtiors
(such as ferrces or urbraced carffis).
Codes: See p.'12 forCode Reference lGy Chart
ffi lrese poAr.ts are rnade irom nm-conosive rn:terials.
[4-o3o
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,ur \ r ir:s,rr,ir-ut'-.:_.,. ii-,r,r,ri
rirrrr,rssirlrrrit;i;it!:i?::l:ili?:1i::.lt,i
Ct
CPS46
PBVPC
Typical PBV6PC lnstallation
[oads
cPs4
fofiersZes s,rnihr
exoeptCFS!6]
Typical CPS4 Installation
{.
oI all
thread
rod
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g.
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Sire
lll Dimensioar (in.)Fastemrs {in)ilodd
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cPsi
*
cPs46
Column
4r4
Post
(41 0.148 x 3
9%139!I
(4 lrx3sDS
tt
qt
8,2s5
Code
Ref.oL$
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oooa
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$ti\rrrl
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->ww
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fl
cPsS
cPs6
CPST
PBVSPC
PBV1OPC 21,435
1 " Aflor./aus udift load capailies are lor sdd saffi posts \#ith a specific €ravity of 0.36 minimum - eraept the PBV
wtioh b based oo round Vga' @orderosa $ne) wood poss.
2. AI aliowaHe uflift loads ae based m a lo,rrest rSimate load tom teslirq ctvided by a sa{ety factor of 4. Concrete
arrchorageto be design€d byolhersi rsf€(toth€ Sampson Srrorg-TneArufrcdng, Fastenirg and Flestomtixr Systens
for Co.lcrete ard Masorry calal€ at suongfe.com. USn bads sl|all not exce€d thc€ $Durn h the table.
3. Downloads are calcuhted based on ths standofi be3irE arBa ard a concrEle sr€rgnh of 2,500 psi - except th€ mV
vrfiich b bassd m the wood's beariru strcrpth (-/00 FEi fur ponaema fnm).
4. Alovrable loads rnay mt be increased for the dratlcn of ttre load.
5. Fastoners: Nail drmerstrxs h tfB table are dameter by lerglh. SDS screws are Smpsoo $rorg-Iiee Slrong-Driver scre,as.
See pp. 21-22 for fastener informd'nn.
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5,7t8
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4x6
5x5
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(4) 0-118 x 3
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check address on plans is correct
check to see if LDAP has been issued. !9 r OOo()9A - Fta'
Read allcomments from otherwork groups to see ifanything needs to be considered during structuralreview.
Check Setbacks on Site Plan |ot 13 a!l,tG6-r ei-fryv !.F* SGTI't,a.-
Check RLID to make sure taxlot matches what is shown on drawings, that topography lines are on the plans and that owner info matches
Check to see if lot is sloped oilEll lfsloped, willback deck meet setback
lf a new home is being built at Mountaingete or River Heightt check the subdivision books to see if a Geo-Tech report is req.
Check soils to determine whether or not a Geotechnical evaluation should be required i.ta
lf property is on septic, check for propersetbacks from building to tank, distribution box, and leach field
Make sure that property is not in Flood Hazard A affected property according to Mapspring (ifit is we need 3 engineers surveys)
Check that everythin8 required to be engineered has engineering and that the stamp is current
Check the truss package and make sure it matches the plans (qty oftrusses, type, attachements) - lfthe numberint doesn't
'match but the uplift and reactions look correct it is OK. Falls underfield verify
*Make sure that ifthere is HVAC equipment in the attic, the trusses were designed to support it
lf rafterframing, check spans
Check to see ifanything over4000lbs is bearing down on strip footints. lfso this needs to be enlarged.
Check Hold Downs
Check Foundation Venting
Make notes on plans with stepped foundations how far back they need to be from the edge ofthe cut and the uphillcut.
Check header sizes
Check footint sizes
Make sure that if rebar is used that it has minimum cover depths. **a*-
Check energy code requirements
*Make sure that insulation called out meets the energy code and if not make note of the required R value,
*On additions/remodels where existing conditions come into play, see code sedion N11oL.3-&
'ableJ\l1101.2
. . . -
checktemperedglazing(hazardouslocations,window5in5tairwell,within24,,ofdoor,etc)
Check bedrooms for egress (window sizes, make sure that gamge doorto house doesn't go into bedrooms) - . : , . - :. ,
Check to see ifthere is a living area above the BaraBe, ifso, make note of 5/8" type X gyp board fire separ.ationJequirement. r. .
Check for mechanical equipment protection (bollards) in the garage h.:larF.,\ l-.arDFroEa r.Er t$ (li-t$6 oF, r13;1at3-
lf DETACHED garate is beint built less than 3ft to existin8 structure it needs to have 1/2 gyp board on the interior walls
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Check fire/sound separatioh assembly on 2 family dwellings
Check for smoke alarms/Carbon Monoxide alarms (look on electrcial sheets if there aren't any shown on floor plan)
Check wall bracing
Check minimum room size f,lorrus GLeq ra GLI€,H:r a{ Z /
Make sure that minimum bathroom fixture distances are met .-;
Check to make sure stairs meet code
Check roofing material (composition shingles, Spanish ti
Check for attic access and underfloor access on plans
Check beam sizes
Read over all the general notes to make certain that nothing was missed and there are no conflicts
Make sure that Willamalane form is attached.
Transfer all notes made by other work groups until there are two identical sets of plans (jobsite and city set)
lnclude standard attachments :
Exterior Wa I I Envelope Self-Certification Form
Moisture Content Acknowledgement Form
High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC)
Noise Ordinance Notice
Smoke Alarm
Ventilation Requirements for Kitchens and Bathrooms
Green Approved Plans Cover Sheet (Found under "Cover" in file cabinet)
ions and fees into Accela (including Willamalane fee and addressing fee)
Stamp plans with the "Reviewed for Code Compliance" stamp, sign the approved by line and perforate
Approve Building Review line in Accela & call or email application with fees due and attach placard to jobsite set
Signed electrical application received
Print out the Fee Schedule and put it with the willamalane sprgad.sheet.on the puts,ide of the folder
Put any inspection notes into Accela that need to be there before the plan is issued.
Plan check items/notes
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225 FtrTII STREET . SPXJNGffiLD,OR97477 r PH:(541)726-3753 o FAX: (541)726-3689
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CITY OF SPRINGFIELI}, ORtrGON
Develonment Services Sunplemental Submittal Form
Date:I
ToStaffMember: -lOrU
From:
Contact Phone Number: 5*t- 9/r- Z4SL
Permit Number/Journal Number:
Descrintion of Submittal Material:
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Instructions for Citv Staff:
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Accepted by:
CITY OF SPRINGFIELD, OREGON
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225 FWf"g STREET . SPRINGffiLD, OR 97 477 t PH:(54 1)7 26 -37 53 o FAX: (54 1 ) 7 26-3689
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Permit Num ber/Jou rnal Number:
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3 Vaae> [4r- L**a
(or- r2rriLr) et+owis6r
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Instructions for Citv Staff:
Accepted by:
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Needs Corrected
Corrected
Systetn Copoc gal/day Signotur
INSTALLATION RECORD & CERTIF:ICATE OF SATISFACTORy COMPLETfON when signed by the 6ounfy's Environmentsl Heolth Speciolist
This certiffcofe. is elidence qs per ORS 4U.665 of satistaclory amphtion of o subsurfacz sewoge disposol syst€m ot the obove location.'
To request inspection, return this fonm ond the Moleriols Liet lo: Lone Counfy Lond Manogement Dlvision, 3050 N. De[to Hwy Avenue; Eugene
H\L^ O \SANITATION \FORilts\rs Suilt Fomt'com
Date-bote-lLIe[i6-
nrarunrals LIST'
(Required) OAR 340-71 170(3Xb)
LANE COIJNTY ON-SITE SEWAGE DISPOSAL PROGRAM
Office: (541) 682-3754 Fax (54r) 682-3947
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APRE.COVER ECTION WILL NATBE SCI{EDULED UNTIL THIS MATERIALS LIST & AS-BUILT
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SEPTICTANK
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.6Riser (rvater tight)o 'inches to ground surface (Required)
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ECurtinDrain-Depflroftrench-DepthofgraveVmedia-outIetIocation.-_
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E Distribution material - Perforated
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E Disposal Trench - Total
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Mrg.& Model HP
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tr Audible-visual alarm installed & tested - Location
EI Pressure pipe - Diameter_ASTM PSI
El Hydrosplitter
Comments
I understand that I am responsible for
30 days of completion. I certi$ that
Chapter 340 & the permit issued by
completion of all required testing, corrections &I cover ofthe system rvithin
described above complies with the requirements of Oregon Administrative Rules
E DISPOSAL PROGRAM.
DAINSTALLER'S SIGNATURE
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BUI L DI NG PERMI T
SANITATION / INSTALLATION,REPAIR,ALTERATION
PERIVIIT NUMBER : 509-SP18-07602
LAND MANAGEMENT DIVI SION
3050 N. Delta Hwy
Eugene,OR 97408
541-682-406s
lmd.information@co.lane.or. us
FIRST ISSUED DATE: 1210412018
SCOPE::
USE:
AREA: square feet
CODE EDITION: <Not Selected>
DESCRIPTION OF WORK TO BE DONE: Major Alteration
PROJECT WPE:
OCCUPANCY:
CONSTRUCTION TYPE
OWNER:
WINEBRENNER BARRY S
1040 wtNN sT#1
EUGENE, OR 97402
APPLICANT:
AARON BOITZ
1O VANBUREN AVE
COTTAGE GROVE, OR97424
(541) 232-1134
SITE ADDRESS: 3065 HAYDEN BRIDGE RD, SPRINGFIELD, OR 97477
TAX LOT PARCEL #: .1702193200200
DIRECTIONS TO SITE: 31st & Hayden Bridge
Business Name Address
ER PIPLELINE SERVICES, LLC lnstaller License 39120 (54-1) -232-1O VANBUREN AVE COTTAGE GROVE OR 97424
PhoneLicense
DEQ Surcharge
LMD Administrative Fee (1Soh ot applicable fees)
LMD Technology Assessment (2o/o wilh $1 00 max of applicable fees)
Long Range Planning Surcharge (13% of applicable fees)
Major Alteration
Total Fee
100.00
'l 10.40
14.72
95.68
736.00
$ 1,056.80Total Fees
lvR NUMBER: 509 O17 230713
Schedule Inspections online at https://aca.oregon.accela.com/lane_co/
or by calling f -888-299-2821. Have your M number atrd inspections
item number(s) available whetr scheduling.
Requirementslnspection Tvpe
Building Permit 51312019 3:30:29PM Page I of2
WORK SCORB:ffBTAILS
,dNN.PROJECT
fr&E
I
FIRST ISSUED DATE:12t0412018
ALL PROVISIO]€oF IAWS AND ORDTNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT
GRANTII.{G OF I pERlUlll DOES NOT PRESUME TO GtvE AUTHORIW To VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW
REGULATING CO{S lgLrG.tON OR THE PERFORMANCE oF CONSTRUCTION.
Failuretosecure ilrinspecTonwithinl80daysofthedateissued-or-iftheinpectionslapsemorethanlS0days,priortoreceivingfinal approval to
o""rp, t1" structlre, will trEuse your permit to expire bylimit, A new permit will then be required.
ln accordance wih y71s Nlanud 60.S55(18), a written refund request on a division approved form must be submitted by the Applicant prior to or within
,,;;;;;" ,i p.rr"ilrc"u6nceif the Applicant wishes to receive a refund of any fees paad on work that has been canceled.
Building Officia! lc approvei designee): Steve McGuire Date: 5/3/2019
0 0
BUI LDI NG PERMI T
SANITATION / INSTALLATION,REPAIR,ALTERATION
PERMIT NUMBER : 509-5P18-07602
LAND MANAGEMENT DIVISION
3050 N. Delta HwY
Eugene,OR 97408
541-682-4065
lmd.information@co.lane.or.us
B\,itding Permit 51312019 3:30:29PM
Page2 of2
SANITATION AUTHORIZATION NOTICE
LAND MANAGEMIINT DIVI SION
3050 N. Delta Hwy
Eugene,OR 97408
541-682-4065
509-5P 18-07602 lmd. informationtiDco. lane or. us
IvR NUMBER: 509 017 230 713 I rr*tr rssuED DATE: t2to4t2otl
Authorization Type:
Facility Type:
Other Facility Type:
Proposed Use:
Planning Jurisdiction
Pump Receipt Provided
Tank Pumped Within Las
Assess Base Fee ForAu
DEQ Surcharge Applies
Single Family Dwelling
Lane County
Permit History:
Findings:
Yes
APPLIGANT:
AARON BOITZ
1O VANBUREN AVE
COTTAGE GROVE, OR97424
(541) 232-1134
SITE ADDRESS: 3065 HAYDEN BRIDGE RD, SPRINGFIELD, OR 97477 OWNER:
WINEBRENNER BARRY S
1040 rylNN ST #1
EUGENE, OR97402TAX LOT PARCEL #z 17-02-19-32-OO2OO
DIRECTIONS TO SITE: 31st & Hayden Bridge
Technology Assessment (2o/o wilh $100 max of applicable fees)
Range Planning Surcharge (13% of applicable fees)
Total Fee
100.00
110.40
14.72
95.68
736.00
$ 1,056.80
Surcharge
D Administrative Fee (15% of applicable fees)
Alteration
Total Fees:
DEQ Authorized Agent:Date:5/3/2019
Sanitation Permit Auth 51312019 3:30:10PM Page I of I
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SANITATION AUTHORIZATION NOTICE
LAND MANAGEMENT DI VI SION
3050 N. Delta Hwy
Eugene,OR 97408
54t-682-406s
509-5P 18-07602 lmd. informatron@co. lane.or. us
IvR NUMBER: 509 017 230 713 FIRST ISSUED DATE: 1210412018
Authorization Type:
Facility Type:
Other Facility Type:
Proposed Use:
Planning Jurisdiction
Pump Receipt Provided
Tank Pumped Within Las
Assess Base Fee For Au
DEQ Surcharge Applies
Single Family Dwelling
Lane County
Permit History:
Findings
Yes
APPLICANT:
AARON BOITZ
1O VANBUREN AVE
COTTAGE GROVE, OR97424
(541) 232-1134
SITE ADDRESS: 3065 HAYDEN BRIDGE RD, SPRtNGFtELD, OR 92477 OWNER:
WINEBRENNER BARRY S
1O4O TYINN ST #1
EUGENE, OR 97402
TAX LOT PARCEL *: 17-02-19-32-00200
DIRECTIONS TO SITE: 3f st & Hayden Bridge
Surcharge
Administrative Fee (15% of applicable fees)
Technology Assessmenl (2o/o wilh $100 max of applicable fees)
Range Planning Surcharge (13o/o ol applicable fees)
Total Fee
100.00
1.10.40
14.72
95.68
736.00
$ 1,056.80
Major Alteration
Total Fees:
D
D
DEQ Authorized Agent:Date:5/3/2019
Sanitation Permit Auth 51312019 3:30: 1oPM Page I of I
I BUI LDI NG PERMI T
SANITATION / INSTALLATION,REPAIR,AL TERATION
PERMIT NUMBER : 509-SP18-01602
LAND MANAGEMENT DIVISION
3050 N. Delta Hwy
Eugene,OR 97408
541-682-4055
lmd.information@co.lane.or.us
0l FIRST ISSUED DATE: 1210412018
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,GRANTING OF A PERMTT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
OTHER STATE OR LOCAL LAW
Failure to secure an inapectaon within 1E0 days of the date issued -or- if the inpections lapse more than 180 days, prior to receiving final approval tooccupy the structure, will cause your permit to expire bylimit. A new permit wil! then be required.
ln accordance with Lane Manuat 60.855(18), a written refund request on a division approved form must be submitted by the Applicant prior to or within
180 days of permit issuance if the Applicant wishes to receive a refund of any fees paid on work that has been canceled.
Building Official (or approved designee):Steve McGuire Date:5/3/2019
Building Permit 51312019 3:30:29PM Page 2 of 2
t:*lr.rriir
BUI L DI NG PERMI T
SANITATION / INSTALLATION,REPAIR,ALTERATION
PERMTT NUMBER : 509_Sp18_07602
LAND MANACEMENT DIVI SION
3050 N. Delta Hwy
Eugene,OR 97408
54 t-682-4065
lmd.information@co.lane.or.us
FIRST DATE:12t04t2018
SCOPE::
USE:
AREA: square feet
COOE EDITION: <Not Selected>
DESCRIPTTON OF WORK TO BE DONE: Major Alteration
PROJECT TYPE:
OCCUPANCY:
CONSTRUCTION TYPE:
SITE ADDRESS: 3065 HAYDEN BRTDGE RD, SPR|NGF|ELD, OR 92427
TAx LOT pARcEL #: 1702193200200
DIRECTIONS TO SITE: 31st & Hayden Bridge
APPLICANT:
AARON BOITZ
1O VANBUREN AVE
COTTAGE GROVE, OR97424
(541) 232-1134
OWNER:
WNEBRENNER BARRY S
1O4O TYINN ST #1
EUGENE, OR 97402
lnstaller License 39120 1O VANBUREN AVE COTTAGE GROVE OR 97424
Busi ness Name
ER PIPLELINE SERVICES,LLC Phone
(54-1) -232-
Administrative Fee (15% of applicable fees)
Technology Assessmenl (2o/o wilh $100 max of applicable fees)
Range Planning Surcharge (13% of applicable fees)
100.00
110.40
14.72
95.68
736.00
Total Fees
Alteration
DEQ Surcharge
Long
$ 1,056
IVR NUMBER: 509 O1Z 230713
Schedule Inspections onrine at https://aca.oregoD.accera.com/rane_co/
or by calling r-888-299-2g21. Have your rvR number and inspections
item number(s) available whetr scheduling.
lnspection Tvoe Requirements
Building Permit
51312019 3:30:29pM Page I of2
225FW[]J STREET . SPRINGFIELD,OR97477 .PH'.(547)726-3753 r FAX: (541)726-3689
CITY OF SPRINGFIELD, OREGON
Development Services Supplemental Submittal Form
Date:I
To StaffMember:Josu
From:
Contact Phone Number: 5#l- 9 z4sL
Permit Number/Journal Number:
Descrintion of Submittal Material:
t,o7ir> f 97ia 5t1src'a Duil+tuq &rn;r .ffi
1japt7pv1'6s Aurtnp,z66fa.J,'tforite wit1p. fuor FUAN'
(*, Lar-e Cou-.1
4 yo' r,vL
Instructions for Citv Staff:
KrW*r* Nt+r.rJ sueH;rrw tav- Ve*;r **E
Le-rr Nge.*-
Accepted by:
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ArED\?ieN\r- Br:rtsaa- HglSurr\es
ENERGY EFFICIENCY
TABLE N1101.1(2)
ADDITIONAL MEASURES
For SI: 1 square foot = 0.093 m2, 1 watt per square foot = 10,8 Wm2.
a' Appliances located within tbe building thermal envelope shall have sealed combustion air installed. Combustion air shall be ducted directly from the
outdoors.
b. AIl ductjoints and seams sealed with listed mastic; tapc is orrly allowcd at appliarrce or cquipment conueclions (for service and replacemert). Mcet sealing
criteria of Performance Tested Comfort Systenls progmm adrninistered by lhe Bonueville Power Administration @PA).
c. Residential water heaters less than 55 gallon storage volume,
d. A total of 5 percent of an HVAC systeln's ductwork shall be permitted to bs located outside of the conditioncd space, Ducts located oulside the conditioned
space shall havc insulation installed as requlred ln this code.
e, 1'hemaximumvaultedceilingsurfaceareashallnotb6greaterthan50perccntofthetotathealedspacefloorareaunlsssvaultedareahasaU-factornogreater
than U-0,026.
f. Continuous air barrier. Additional requirement for sealing of all interior vertical wall covering to lop plate framing. Sealing with foa,n gasket, caulk or other
approved sealart lisled for sealiug wall covering material to structural material (example: gypsum board to tvood stud framing).
g, Tablo Nl 104, l(1) Standard base case design, Code UA shall bc at least 8 percent lqss ihan lhe Proposed UA, Buildings with fenestration less than 15 percent
ofthe total verticftl wall area rnay adjust thc Code UA to have 15 perce*t of the wall area as fenestration.
Hlgh elllciency rvalls
E-rterior walls-U-0.0451R-2I cavity insulatio* + R-5 continuous
Upgraded featu.es
,)Exterior walls-U-0.057/R-23 intermediale or R-2 I advanced,
Fra*red fl oors-U-0.026/R-38, and
\Yindows U-0.28 (averagc UA)
Upgraded features
3 Exterior rvalls-U-0.055/It-23 intermediate or R-21 advanced,
Flat ceilinge-U-0.017/R-60, and
Framed fl oors-U-0.026/R-38
Supar ln$ulaled Wlndolvs and Atlio OR Framed Floors
4 Windorvs-U-0.22 flriple Pane Low-e), and
Flat ceilingu-U-0.0 1 7lR-60 or
Framed fl oors-U-0.026/It-3 8
Alr seallng home and ducts
5 503 or ASHRAE 62.2, and
and
High crtlclency thermal envelope UAO
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Proposed UA is 87o lower than tlre code UA
A Gas-fired furnace or boiler AFUE 947o, or
Air source heat punrp HSPF 9.5/15.0 SEER cooling, or
Ground source heat pump COP 3.5 or Energy Slar iated
High efflclency HVAC systema
Ducled HVAC systems gillhln condltloned space
B All dLrcts and air handlers corrtained witlin building enveloped
Carwot be conbirted wilh A{easure 5
Duotless hoat pump
C
Ductless hcat pump HSPF I0.0 in primary zone of dwelliirg
High elficlency water heatelc
s
ooo
=
Natural
Electric
gas/propane water heater rvith UEP 0.85 OR
heat pump vater heater Tier I Northern Clirnate Specification Product
2017 OBEGON HESIDENTIAL SPECIALTY CODE 435
jr
at
rates
OI
and air
All ducts scaled