The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-04-01ITY Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line PERMIT NO: COM2004-00226ISSUED: 0410112004 APPLIEDz 0212612004 EXPIRESz 1210312004VALUE: $ 39,917.00 SITE ADDRESS: 2670 VIEWMONT AVE ASSESSOR'S PARCEL NO.: 1703244100114 PROJECT DESCRIPTION: Family, Bath, and Laundry Room Addition Owner: MENDE KURT D & NICOLE M Address: 2670 VIEWMONT AVE SPRINGFIELD OR 97477 Springfield TYPE OF WORI(: Family Room TYPE OF USE: Addition Residential PhoneNumber: 541-741-8716 License Expiration Date PhoneContractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER BUILDING INFORMA' # of Units: Primary Occupancy Group:R-3 # ofStories: FffiM ORK 14.00 NOh"n Heat Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 432 Secondary 0ccupancy Group Primary Construction Type AU i l\iJ{l{z Secondary Construction Type 0lVIMENO tQR Electric Path:Path I Sprinkled Building:nla MIT SH IT IS ED UND EDORI # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1BO DAY PEAl'lY 5.00 36.00 Fully. 1g you to n Utility forth by Overlay Dist: # Street Trees Rqd: Urban Fringe 21.40 Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: Ll ma'U number tor the Or DEVELOPMENT INFORMATION Notes: Cente risl Page I of3 Downspouts/Drains: \ uuN II(AU I UK rNrUKYrArrUN _l Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00226ISSUED: 0410112004APPLIED: 0212612004 EXPIRESz 1210312004VALUE: $ 39,917.00 Description Dwellines Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 432.00 Total Value of Project Amount Paid Date Paid Value $39,916.80 $39,916.80 Date Calculated 02t26t2004 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Minimum/Adjustment Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan + l0o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $202.90 $10.00 $41.32 $28.92 $312.1s $6.00 $56.00 $33.00 $71.00 $6.26 $125.28 $6.00 $5.20 $3.64 $43.00 $9.00 $9s9.67 2t26t04 4n104 4nt04 4fit04 4nt04 4nt04 4nt04 4n104 4nt04 4nt04 4nt04 4nt04 6t3t04 6t3t04 6t3t04 6t3t04 Receipt Number 2200400000000000186 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000702 2200400000000000702 2200400000000000702 2200400000000000702 tr'pps Pnid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 02t27t2004 02t27t2004 03t0u2004 02t26t2004 02t27t2004 03118t2004 03t09t2004 03t3y2004 APP APP APP APP LLH TAJ YRJ DLM SDC impervious surface only. See documents for plan review comments 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. 7 Footing: After trenches are excavated. 8 Foundation; After forms are erected but prior to concrete placement. l0 Post and Beam: Prior to floor insulation or decking. Paee 2 of3 Valuation Description I Keourred lnsDectrons 225 FIFTH STREET . SPRINGFIELD, OR97477 c PH:(541)726-3753 o FAX: (541 E LECTRICAL P E RM I T AP P LI CATI A N City Job Number(rfr r Zrx\ - OO ZZQ' Date TOCA?:rO}I OF I}{S?Kl IA7'I ON 3. zl1o v Au* Srr.>' 6B\E-*d r,/w T LEGAL DESCRIPTION Ahrotrr orJ l>o=Zq\ \ >otlrl JOB DESCRIPTION Ab)4..-^;fS Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Address Phone Supervisor License Number Expiration Date the* Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof 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 1000 Amps/Volts Reconnect Only TOTAL A. q c-r $50.00 B. Services or Feetlers - Installation, Alterations or Reloc:rtion: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 C. Temporary Services or Feetlers '' , Installation, Alteration or Relocation ORK tt011P,.!:-,,,, 'HALL_ qffiN ,\Z OR ER \S City Constr. Contr. N Expiration Signature ro uu0 $ s0.00 $ 69.00 $ 100.00 UlHORA 600 or 1000 Volts see "B" above. Electrician ANY 18 O DAY PERs' New Alteration or Extension Per Panel One Circuit / Each Additional Circuit or with =.Seruice or Feeder Permit lr E. l,Iiscellnneous (Service/feeder not inclutled) -Each lnstallatiort L4 S ? Owners Name Address Z (r^'tl-k 1fitt'-'"- Le o city =?(O Phone ATTE regon OWNER INSTALLATION foltow rul es adopted The installation is being is not intended for sale, Owners Signature:the center r tor the O <*^J \il-*h $ s0.00 $ 2s.00 $ 4s.00 Fee is $45.00 * Surcharges 5L State Surcharge l0% Administrative Fee t?P bc f'l ca.lling numbe $ s0.00 Inspection Request: 726-3769 Center is 1 Shared Drive(T:)/Building Fonns/Electrical Pemrit Application I -03.doc WWE ffiWI not 1. per $ 106.00 $ 19.00 Branch Circuits $ 43.00 $ 3.00 36v D y'*o'r-- \'-JHtr5: W t\?+ 6N Lep-r H*"r,L S>e I iI T ( a J s.tq F./ \)\V ,\\\J -. "f '-*,,:92 i -....tr_i j'- l) II' :\. 1 ? s'^fL€il MorJ^lt a, a I '1'l i5t. Il\ :_ : Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00226ISSUED: 0410112004APPLIEDz 0212612004 EXPIRESz 1210312004VALUE: $ 39,917.00 6 Floor Insulation: Prior to decking. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 16 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. I Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 14 Underfloor Drain: Prior to cover or placement of concrete. 12 Rough Plumbing: Prior to cover and including required testing. 3 Final Plumbing: When all plumbing work is complete. 11 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 13 Site Inspection: To be made after excavation but prior to setting forms. 17 Rough Electric: Prior to Cover 18 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. Owner or Contractors Signature Date Page 3 of3 Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 5033784621 WebAddress:ryfulglg.qg.gg Permit g1(Oru1?io --- bOZLe> Ad&ess: ZGTO t/reru,u-"u-ts ^/Issued by:bG Date: 6-3 ^oY Statement: Information Notice to Property Owners About Gonstruction 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 and2, and either box 3A or 38: E l. I own, reside in, or will reside in the completed structure. Ef 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. n 3A. My general contractor is (Name)(ccB #) I wilt instnrct my ge,neral contactor that all subcontractors who work on the stnrcture must be licensed with the Constrrction Contractors Board. OR trt 38. I will be my own general contactor. If I hire subcontractors,I will hire only subcontractors licensed with the Construction 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 nzrme 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. WtortcYTLrtdt (Siedature of permit applicant)(Date) (Vlhite copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 03/l l/03 Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CON$TRUCTION RESPON$IBILITIES NOIE: This lnformatian Notice to Praperly Ouvners about Canstruction Responsrbllifles was developed by the Ca*slructian Conrraclors Board in accardance with ORS 7A1.a55{5}, passed by lhe 19Bg Oregon Legistature. If you are acting as your own contactor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Conskuction Contractors Board to do labor in constructing or to assist in the constructicn or improvement of a residential $tructure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payment$ even if you don't actually withhold the tax frorn your employees. For a State Business II) number, call the Business Informaticx Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposss onlhewagesofallenrployees. Formoreinformation,calltheOregonEryploymentDepartmentatSA3-947-1488. \fforkers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liabie for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-9,47.78 15. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and Areas of Concern$ Code Compliance: As the permit holder for this project, you are responsible for resolving any failiire to meet code requirements that may be b'rought to your attention through inspections. Liability and Property Damage fnsurance: Contact your insurance agent to $ee if you have adequate insurance coverage for accidents and omissions such as falling tools; paint over spray, water damage ftom pipe punctures,-'fire on work that must be redone. Time: Make sure you have sufficient time to supervise your employees Expertise: Make sure you have the skills to act as your own general confractor, to coordinate the work of rough-in and finish trades, and to notit, building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 03/1 I /03 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Official Receipt __ .:velopment Services Department Public Works Department RECEIPT #: 2200400000000000702 Date: 0610312004 8249222/tM Job/Journal Number coM2004-00226 coM2004-00226 coM2004-00226 coM2004-00226 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 9.00 3.64 5.20 Item Total:$60.84 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard NICOLE MENDE djb 000401 580317 In Person $60.84 Payment Totat: -$66lEii- 6/3/2004 Page I of I a?ttflofii,D Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line CITY F Building/C ombination Permit PERMIT NO: COM2004-00226ISSUED: 0410112004APPLIED: 0212612004EXPIRES: 10/0112004VALUE: $ 39,916.80 SITE ADDRESS: 2670 VIEWMONT AVE ASSESSOR'S PARCEL NO.: 1703244100114 PROJECT DESCRIPTION: Family, Bath, and Laundry Room Addition Owner: MENDE KURT D & NICOLE M Address: 2670 VIEWMONT AVE SPRINGFIELD OR 97477 Springfield TYPE OF WORI(: Family Room TYPE OF USE: Addition Residential PhoneNumber: 541-741-8716 urres to pted by the regon . Those ru les are set fortl Contractor Type General Electrical Mechanical Plumbing Contractor OWNER J K GUCKENBERGER ELECTRIC INC OWNER OWNER )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure 14.00 Type of Heat: Wall Heat Water Type: Electric Range rype: N0TlCE. Energv P"th'TH I s prn u tr Sttr l't Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Kr.u, IS ABANDONED FOR REQUIRED PARKING Urban Fringe Total: llandicapped: 2r.40 comPact: Sidewalk Type: Downspouts/Drains: R-3 VN 432 RIOD. 36.00 5.00 Fully Improved Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: PUBLIC IMPROVEMENTS Notes: Pase I of3 PRIN Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00226ISSUED: 0410112004APPLIEDz 0212612004EXPIRES: 10/0112004VALUE: $ 39,916.80 Description Dwellines Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 432.00 Total Value of Project Amount Paid Date Paid Value $39,916.80 $39,916.80 Date Calculated 02126t2004 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Total Amount Paid $202.90 $10.00 $41.32 $28.92 $312.15 $6.00 $s6.00 $33.00 $71.00 $6.26 $12s.28 $6.00 $898.83 2t26t04 4nt04 41U04 4nt04 4nt04 4fit04 4nt04 4nt04 4nt04 4nt04 4nt04 4fit04 Receipt Number 2200400000000000186 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 2200400000000000308 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 02127t2004 02127t2004 0310u2004 02t26t2004 02127t2004 031t8t2004 03t09t2004 03t3u2004 APP APP APP APP LLH TAJ VRJ DLM SDC impervious surface only. See documents for plan review comments 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. I Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Post and Beam: Prior to floor insulation or decking. 4 Floor Insulation: Prior to decking. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Wall Insulation: Prior to coYer. 7 Ceiling Insulation: Prior to cover. Pase 2 of3 Reouired fnsnections rottr&"o Valuation Descrintion H ees ratd I Buildin g/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00226ISSUED: 0410112004APPLIED: 0212612004EXPIRES: 10/0112004VALUE: $ 39,916.80 8 Drywall: Prior to taping. 9 Final Building: After all required inspections have been requested and approved and the building is complete. f 0 Underfloor Plumbing: Prior to insulation or decking. 11 Underlloor Drain: Prior to cover or placement of concrete. 12 Rough Plumbing: Prior to cover and including required testing. 13 Final Plumbing: When all plumbing work is complete. 14 Rough Mechanical: Prior to Cover 15 Final Mechanical: When all mechanical work is complete. 16 Site Inspection: To be made after excavation but prior to setting forms. 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 \f- t*O't Owner or Contractors Signature Date Pase 3 of3 I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receip Development Services Departmen Public Works Departmen 2200400000000000308 9:10:10AIt Job/Journal Number coM2004-00226 coM2004-00226 co},{2004-00226 col|{2004-00226 coM2004-00226 coM2004-00226 coM2004-00226 coM2004-00226 co}l2004-00226 cole'{2004-00226 colll{2004-00226 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Plaruring Building Permit Fixture Vent Fan Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + ljYo Administrative Fee Amount Du 125.28 6.26 7l.00 3t2.ts 56.00 6.00 6.00 33.00 10.00 28.92 4t.32 Item Total:trrov5.y3 Payments: Type ofPayment Paid By re Received By Batch Number Authorization Number How Received Amount Pair Check KURT MENDE ddk 7085 In Person $695.93 Payment total: -5ffi93 4/U2004 Page 1 of I Date: 04101,12004