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Home My WebLink AboutPermit 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:$1,477.49 Printed: 4/29/19 3:44 pm Page 'l of 1 Fl N_TransactionReceipt_pr \r CPS/PBV Standoff Bases The PEIV is a hidden standofl posl base. Iwo dflerent shapes ft avarietyof pmts sizes. The CPS is a composite plastic standoff despned for increased concrde surface area. Material: PBV - 14 gauge galvanized steel: CPS - engineer€d composite polymer Finlsh: Eack powder coat or galvanized To Orden For black powder coat, order PBVBPC or PE/1OPC. For galvarized coding, order PEIVE ar PBI/10. lnstallailon: PBVand GPS Post o Drill a 7r' diameler hole, 10' into the center of the post. . Clean out dust. H! tnle halfrilray with Simpsor Skong-Tie SEf€G€ epory andmring aclhesive. . lnsert all-thread rod and allo\il epoxy to s6t arts curc. . Secure standoff to pct r.sirE fotr O.148' x 3' neils except PEV which usee four Strong-Drive SDS Healy-Duty Connector screurc. Concrcte: o Drill a%' diarneterhole per anctrcr design {see footnote 2 below). . Clean out dust. Fill hole tnlway with Simpson Shong-ne SEI-3G epoxy anclsirp adhesive. lnsert posl submembly into hde and dlow epory to set and cure. . Post bases do not pro\ricb adequate resistance to prel/s'lt mernbers ftorn rotatirE about the base ard therefore are nol recommended for mn-top-srsported instalhtiors (such as ferrces or urbraced carffis). Codes: See p.'12 forCode Reference lGy Chart ffi lrese poAr.ts are rnade irom nm-conosive rn:terials. [4-o3o rl{i!||Hr;ttllslt*lHlitt ,ur \ r ir:s,rr,ir-ut'-.:_.,. ii-,r,r,ri rirrrr,rssirlrrrit;i;it!:i?::l:ili?:1i::.lt,i Ct CPS46 PBVPC Typical PBV6PC lnstallation [oads cPs4 fofiersZes s,rnihr exoeptCFS!6] Typical CPS4 Installation {. oI all thread rod *yrfi{i.. oz z 5IU+tz g. F <1,zor (t, o o o q. c(.} , Post Sire lll Dimensioar (in.)Fastemrs {in)ilodd l{o. cPsi * cPs46 Column 4r4 Post (41 0.148 x 3 9%139!I (4 lrx3sDS tt qt 8,2s5 Code Ref.oL$ 7T' G I o ,= fi oooa a,::a,:::tt:t: $ti\rrrl t:::t,:t)t|,:) ->ww w w ffi 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. |,Anchor Bolt Dowr3 5,7t8 L 3ta \Vt +t 4x6 5x5 5r{6 414 4tt 3fi6 I 1 TT (4) 0.148 x 3 (4) 0la8 x 3 5,925 5,525 5946 5fi66x6 &s 7Vt 7Yt (4) 0.148 x 3 (4) 0-118 x 3 9[ qb1n r0,335 d490 4,490 10x10 9ii 12x12 11 1,4S0 4,490 19.135 22.87A 5Yt5'dia. 10'dia. 91tu t 3,900 FL 321 Srrnpsor: S{rcflg-Tie, Wcpd Cafisbuctiofi Coanebrs \v d4s0 \ * ttt' r,1l,r :.::,: l (4i0148x3 s aj I a Er E a Efl E E E8 B aDDREss 3o6s Ha"DGrs B^otFro' Review checklist xrAP & rAxtor l?-62-rq-aL -oozoo 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 6 E E a G A tr E E a afln 'I til/"It at-thl E 8 E a a a a E E 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 r{_,-6J..r.,,i:f j'-?. ..r:! r : l".:.Ea ':i Add all i ct I lr E EflI E @ I r - 'r*.' 225 FtrTII STREET . SPXJNGffiLD,OR97477 r PH:(541)726-3753 o FAX: (541)726-3689 Yffirw; 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: loTix> T gapia 5ysrc'r1 B"i-,Dtq fun;r -ffi J4at7*rt'o>) Awrup,z,ttla.J Nod q- wir* puor FLAN' f*, La,-a Crr* l -f 7oc fnvL Instructions for Citv Staff: Kegrorr* NH€rl suexinw {a7- fruir )-l-*E lt-"r Ne*- Accepted by: CITY OF SPRINGFIELD, OREGON 3,*' '6.' t-r. 225 FWf"g STREET . SPRINGffiLD, OR 97 477 t PH:(54 1)7 26 -37 53 o FAX: (54 1 ) 7 26-3689 4 : .' .1> ,.''.. ,; -+ + Develonment Services Sup nlemental Submittal Form Date:{- zo -t1 To StaffMember:J o*u From: Contact Phone Number: 5+l - g ts- z4sl. cx)o 2l -qrjl- Permit Num ber/Jou rnal Number: OCed-4"/18 S 8l\ -1- 3o(oq #ry Descrintion of Submittal Material: 3 Vaae> [4r- L**a (or- r2rriLr) et+owis6r Cur,-*7 frt Drp;t D ine.rrioo-rg Instructions for Citv Staff: Accepted by: \ :fo on ense # nding Cornpbn Instolled by Awner- gnofure of Owner)(Dote) rrne & Address of person(s) to receive form: MA N ,t(UsT BE TN TNK Permit # thfln s'fuq\r*n ^p-/ { ;;;.2- Stondord Systen r'Alfernative Site Location (Straet >.2 Tox zga N (As-BUrLr) Scale- = - . N DETAIL 5Y5TEAA 5ITE (PEN. sNLv) 5'e. ath*,Le) *ATTACH'TAATERIALS UTST FOR, OFFICE UsE ONLY ot Approved .. - 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 ff sp*l-fr:EfudZ- orvnel B^n r, 1J T R_e2 s )oebrcnnr f %s 7Z 2ffi Installer (,,, Mfe. APRE.COVER ECTION WILL NATBE SCI{EDULED UNTIL THIS MATERIALS LIST & AS-BUILT DRAWING ARE SUBMITTED TO THE LANE COTJNTY ON-SITE SEWAGE DISPOSAL PROGRAM SEPTICTANK Gallons ./fE Ef Water tightness tested ater placement- Results rv/in allorved its (Required) .6Riser (rvater tight)o 'inches to ground surface (Required) E Effluent filter. SAnti-buoyancy provided as per mfg. specs DfSPOSALEYSTPM {uStd./SaprolitetrCapfill'r trFressurizedDjst.* EsandFilter* AOlru t'L'Flkd ttA lternative systems requ ire addition al informatio n/inspecti ons ECurtinDrain-Depflroftrench-DepthofgraveVmedia-outIetIocation.-_ E Efllucnt sewcr pipe - Length_Diameter ASTM E Distribution material - Perforated E Drop/Distribution box installed - E Disposal Trench - Total ElDrain media - Total ft ASTM Depth below c) prpe Dia. PTIMP INSTALT,ATION ITECORp flT',,APPLICABL'B) Mrg.& Model HP Pump Instalter E Pump & float sryitches installed - Gallons/dose 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 ATTACII TO H :\LMD\SANITATIONFORMS\MaIoriaIs List.doc I I RD SF I=a a to"- W* l"'l'e' k"g, .-.="1';cl- - {: D,.o;..r,us O:D.:-t".sCefe,^ E* (O-qr'.) I,t I I I I t t I I I t t I I I I I I I I {ca U) I,,$,-L @ J&' I t' I I I I I I I I I I 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 & S&TAILS, J.OB$ITXANP P.:H{)JffiO. {lJ'v "L*4 4,L I Y€; u] (-rtlnl t{l ]I $l. {t $ f : ) 14 3ft '-31?ff ttfl.'r;X r' 1", '\ 1 & p*urrt+i$ jr r{.j,.i}r.:lr**i tr\ :: t:l $ I I #h t!,ro I {r* {,? .t 4'rLVlrr s ,d *?x'$s ijtk? OpenStreetM*p csntrrDlrt{t"s. and tJ-ls 6{5 User n{ty * l;r f#N A 0 t0 l.$ fl{' ffi5661 I 7-0?-1 S-33-0n200 lane C*unly,Sregsr! #-t# .%,1l. ...l. % *1?.- r/ l0.r Fd; rR *! {t: 1$3 F{ J{rl {-' ll f 1 .aft #{" ?trff"0/6pL I {'r\ 5 #,,i. r ,ilit. l.rl 7 "1 ri.'? .! J t,{} 4I ,i4'nt! If i 1{,is I {o Lt!{) OpenstreetMip contrrDutcrs. anfi rr€ 615 User Cornrnunrly tilb 02$ N Af€ s0 17 -42.1s-3?-CI0200ir*II Lane Ceufity. Orego,i I t of '') :;., 'i!! 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: i I,:, 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 og q 6o =c @ Eoocq c 1U €)o9o g lll oco 6 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