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Home My WebLink AboutPermit Building 2005-05-24Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00550ISSUED: 0512412005APPLIED: 05/1012005 EXPIRESz 1012112006VALUE: $ 6,736.00 SITE ADDRESS: 1261 PARKER ST ASSESSOR'S PARCELNO.: 1703264416700 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Replace roof with trusses and add small Residential 541-953-7650Owner: Address Contractor Type General JEFF KLUPENGER 1261 PARKER ST SPRINGFIELD OR 97477 I ODIi ente toie: the telePhone ication e/u + Contractor OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: R-3 Fully Improved Yes # of Stories: Height of Structure Type of Heat: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement:VN Water Type: Range Type: Energy Path: l Sprinkled Building: iT SHALL EXPIRE D Ul'iDEBrtHlS P REQUIRED PARKING Total: Handicapped: Compact: Notes: Storm drainage piped to existing weep hole 5/1212005 CAS $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains Curbside 5' Curb and Gutter PUBLIC IMPROVEMENTS Valuation Description Description Type of Construction Paee I of3 Value Date Calculated in OAR 952-001-0010 0090 calling the l,Ullt lryu tNrurflYrArruN I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2005-00550ISSUED: 0512412005APPLIED: 05/1012005 EXPIRESz 1012112006VALUE: $ 6,736.00 Bid Amount Use Bid Amount Fee Description Plan Review Residential + l0o/o Administrative Fee + 77o State Surcharge Building Permit Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area + l0oh Administrative Fee + 87o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Paid $1.00 6,736.00 Total Value of Project Date Paid Receipt Number 22005000000000005s6 1200500000000000658 1200500000000000658 1200500000000000658 1200500000000000658 1200500000000000658 r2005000000000006s8 2200600000000000492 2200600000000000492 2200600000000000492 2200600000000000492 $6,736.00 $6,736.00 05t23/2005 Amount Paid $39.39 $8.40 $s.88 $84.00 $1s.21 $0.23 $4.6s $4.s0 $3.60 $43.00 $2.00 $210.86 5/r0/05 5t24t05 st24t05 5t24t05 5t24t05 st24t0s 5t24105 4t2u06 4t2u06 4t2u06 4tzu06 Plan Reviews Initial Review Plannins Review Public Works Review Structural Review Structural Review 05/1 1/2005 05/11/2005 05/1 1/2005 0s/11/2005 05n6t2005 05n212005 05/11/200s 05n9t2005 IO LLH 05n912005 0st23t2005 APP JB No Planning Review required. Storm drainage piped to existing weep hole 5/1212005 CAS Forwarded plans to Jason Bush for review Approved as noted APP APP APP LLH TAJ CAS To Request an inspection call the 24 hour recording at 726-3769, All inspection 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Reouired Insnections Pase 2 of3 F'ees Paid I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00550ISSUED: 0512412005APPLIED: 05/10/2005 EXPIRESz 1012112006vALUEi $ 6,736.00 Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ,4 ) or Contractors Signature Date Page 3 of3 ()6 225Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir' of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT #: 2200600000000000492 Date: 0412112006 10:31:07AM Job/Journal Number coM2005-00550 coM2005-00550 coM2005-00550 coM200s-00550 Description Add, Alter, Extend Circ Minimum/Adj ustment Electrical + 8% State Surcharge + ljYo Administrative Fee Amount Due 43.00 2.00 3.60 4.50 Item Total:$53.10 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JEFF D KLUPENGER dlm 5199 In Person $53.10 Payment Total: -S$iT- cReceint I Page I of 1 412112006 s,PFIlr+tELE I & Date Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps 601 Amps to 1000 AmPs over loo0 Amps/v&t$Tlf [: Reconnect OnlY THIS PEft ,\^ h aD9?*f-q zoN INITIALS DATE 225 FIFTH STREET . SPRINGFIELD, OR 97477 r PH:(541)726-3753 . FAX: (541)726-3689 E LE CTRI CAL P ERM IT AP P LI CATI O N City Job Number 1 LACATION AF INSTALLATION LEGAL DESCRIPTION 3. CO]I,IPLETE FEE SCHEDLILE BELOI'{ A. Nerv llesidential - Single or N'Iulti-Fantilt' per drvelling unit' Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or L . portion thereof $ r9.00 SOURCE 2 $ 106.00 $50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 r,1 I r-sHArt Eqfl lqg I H+jftfffir( 4t/(- bl JOB DESCRIPTION Electrical Contractor Address ,$ ; Permits are non-transferable and expire if work is i\n f\trn C;rt,t not started within 180 days of issuance or if work is Suspended for 180 days. 2. col?T.---4cToR INST:A!'LATTON ONLY or Feeclers - Installation. Alterations or Relocation: City nr-r Phone B. Supervisor License N Expiration Date Constr. Contr Date Signature of Supervising Electrician Instatlation, ^,".rfl|,1"i': " ;'; i'PtRI0D' 200 Amps or less $ 50-00 201 Amps to 400 Anps $ 69.00 401 Amps to 600 AmPs $100.00 fr Over 600 Amps or 1000 Volts see "B" above' D. Branch Circuits New Alteration or Extension Per Panel One Circuit L-' $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3'00 13 qt E. Miscellaneous (service/feeder not included) -Each InStallation Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Ph'," AY'<10tr'{Pump or irrigation $ s0.00 Sign/Outline Lighting Limited Energy/Residential $ 2s.00 Limited Energy/Commercial S 45.00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges $ s0.00 SUBTOTAL OF ABOVE Afl 3 au r"c8% State Surcharge 10% Administrative Fee TOTAL /o cfo Request: 726-3769 4 Shared Drive(T:)/Building Fonns/Electrical Permit Application 1 -06'doc Mf, follow rules adopted Oregon UtilitY Notification Center.rules are set forth th C. 0090. You copies of the the the Oregon UtilitY is 1-800-332-2344). ,\) YJc.Lrr€,-- *7 City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax March 30,2006 KLI'PENGER JEFF 1261 PARKER ST SPRINGFIELD Job Number: Location: oR 97477 coM2005-005s0 1261 PARKER ST Project:Replace roof with trusses and add small addition Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 126l PARKER ST which is set to expire on 412012006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 54I-726-3790 Sincerely, Lisa Hopper Building Safety Supervisor Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00550ISSUED: 0512412005APPLIED: 05/1012005 EXPIRESz 1112412005YALUE: $ 6,736.00 SITE ADDRESS: 1261 PARIGR ST ASSESSOR'SPARCELNO.: 1703264416700 PROJECT DESCRIPTION: ^ TYPE' Of\ USE:-.r n A$ilrrg1l u i re s yo uftpidentiat Replace roof with trusses and add small additioo ,,r,.,t,lri l;y ttre OregOn Utitity Springfield TYPE OF WORK: Single Family Residence i .,,' , i:-.1-0Ci -00Hh8frftm{ghoAF Qfig.ggJ,olosO ( l?;1. \'ou may obtain copies of the rules by caiiinc; the center. (Note: the telephona tftTtcr rs 1 -6u0_3 32-2344), License Expiration Date Phone Owner: Address: Contractor Type General JEFF KLUPENGER 1261 PARI(ER ST SPRINGFIELD OR 97477 Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor:R-3 Fully Improved yes Sq Ft Sq Ft Sq Ft Sq Ft Other: Occupant Load: Floor:lb t'lu t r0RVN REQUIRED PARIflNG Total: Handicapped: Compact: Notes: Storm drainage piped to existing weep hole 5/1212005 CAS $ Per Sq Ft or multiplier Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Pase 1 of3 Value Date Calculated -I l,ult-lrll\ u rN r( uKrYrA. flgN_l Valuation Description I rF Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00550ISSUED: 0512412005APPLIED: 05/1012005EXPIREST 1112412005VALUE: $ 6,736.00 Bid Amount Use Bid Amount Fee Description PIan Review Residential + lOoh Administrative Fee + 7%o State Surcharge Building Permit PIan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid $1.00 6,736.00 Total Value of Project Date Paid 5/10/0s st24tos st24t05 st24t05 st24t05 5t24t05 5t24t0s Receipt Number 2200s000000000005s6 1200s000000000006s8 1200s000000000006s8 1200s00000000000658 1200s000000000006s8 1200500000000000658 1200500000000000658 $6,736.00 $6,736.00 05123t2005 Amount Paid $39.39 $8.40 $5.88 $84.00 $1s.2r $0.23 $4.65 $1s7.76 tr'ees Pa Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 05ltU200s 05119t2005 05/19/2005 05t23t200s 0s/11/2005 05/11/200s 0s/11/200s 0s/11i200s 05fi612005 05n2t200s APP APP APP IO APP LLH TAJ CAS LLH JB No Planning Review required. Storm drainage piped to existing weep hole 5/1212005 CAS Forwarded plans to Jason Bush for review Approved as noted To Request an inspection call the24 hour recording at 726-3769. All inspection 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Reouired Insnecfions Paee 2 of 3 "*lt.'!'a tb.iL Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00550ISSUED: 0512412005APPLIED: 05/10/2005EXPIRES: 1112412005VALUE: $ 6,736.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. A'' '--,') *=\-eI M"7 e9------\- Owner or Contractors Signature ;;a Pase 3 of3 \ry 225 Fifth Street Springfield, Ortigon 97 477 541-726-3759 Phone airy of Springfield Official Receipt Jevelopment Services Department Public Works Department RECEIPT #: 1200500000000000658 Date: 0512412005 tt:r7:22AMt Job/Journal Number coM2005-00550 coM2005-00s50 coM2005-00550 coM2005-00550 coM200s-00ss0 coM2005-00550 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Residential Building Permit + lYo State Surcharge + l0% Administrative Fee Amount Due 4.6s 0.23 15.21 84.00 5.88 8.40 Item Total:$118.37 : Payments: Type of Payment Paid By Received By c[ecl( Number Batch Number Authorization Number How Received Amount Paid Check JEFF D. KLUPENGER njm 5t29 In Person $118.37 Payment Total: -$TT57 5124/2005 Page I of I Construction Contractors Board 700 Summer St I\tE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:www.ccsltqt@ , rc"u"abv'M ,^n S/QaluL Permit #: Address: n Statement: lnformation Notice to Property Owners About Construction Responsibi Iities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: E l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction conhactor if the structure is sold or offered for sale before or on completion. tr 3A. My general contractor is (Name)(ccB #) I will instrrct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contactors Board. ,r oR K 38. I will be myown general contractor. If I hire subcontractors,I will hire only subcontractors licensed with the Consbrrction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff 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. R'{ /,/ry 35 (Signature of permit applicant)@6 (White copy to issuing agency Permitfile, pink copy to applicant.) Property_owner.doc 06-0 1 -04 Acting as \6ur Own General Coitractor? INFORMATION NOTICE TO PROPERTY OWNER$ ABOUT CONSTRUCTION RESPONSIBILITIE$' NOTE: This lnfarmation Notice to Property Awners about Construction Responsibilities y!/as developed by the Construction Contractors Eoard in accardance with ORS 701.055(51, passed by the 1989 Aregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems 6y being aware of the following responsiHlities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an o'employer" and the conhactors you confract with will be u'employees" if you use conEactors not licensed with the Construction Contractors Board to do labor in dnstructing or to assigt in the construction or improvement of a residential sffucture. As the employer, you must comply with the fotiowing: Oregor's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liabla for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Departrnent of Reveiiue at 503-3784988. : i Linemployment Insurance Tax: As an employer, you are required to pay a tax for rinemployment insurance pu.por"d' on the wages of all ernployees. For more information, call the Oregon Employment Department at 503-947-1488 ,': The Oregon Business ldentification Nurnber (Btt{) is a combined nurnber for bc.th,Qogon Wit$ulding and Unemployment Insurance Tax. To fiie for a BIN, call 503-945-8091 or www.dor.state.or.us/formspay.htmll for the Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must.obtain workers'compensation insurance foryour employees. If you fail to obtain workers'compeirsation insurance, you could be subjeci to penalties and be liable for all claim costs ifond ofyotir ernptoyees is injured on the job. For more informafion, call the Workers' Compensation Division at the Department of Consumer'and Business Services at 503-947-7815. . _/ U.S. Internal Revenue Service: As an employer, you must withhold federai income taxrftciii- ernployees' wages"J You r*'ill be liablo for the tax payment even if ycu didn't actually withhoid the tax. h-or a Federul EIN number, call the trRS at 1-800-829-4933 cr visit their web site at 5nyt-v-us.eay. Other Responsibitities and Areas of Concerns Code Compli*nce: As the perrnit holder for this project, you are responsible for resotving any failure to meet code requiremcnts that inay bc brought to your attention through inspections. Liatritity antl Froperty I)amage fnsurance: Contact your insurance agent to see if you hive adeQuate insuranbe coverage fur acci<Jents and orni*si*ns such as lalling to*}s, paint sver sprriy, wat*r damage {iom pipe pun*tures, frre or work that mqfi tse redone. ?ime: Make sure you'have sufficient tirne to supervise your employees. Expertis*: Make sure yau have the skills to aet as your ovhr'gbneial contraeior, t,o ec;ordiiiate the work of rough-in and finish trades, and to noti{y building officials as the appropriate times so they can perform the required inspections. If you have additional questions cail the Construction Conkactors Board (503-3734621) or write the agency at P0 Box 14140, salem, oR 97309-5052. *ii_lrj .:r ,,ci:;3.*io-.{,,eqr}!g Property*owuer.doc 06-0 I -04