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Home My WebLink AboutPermit Building 2004-06-04Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00579ISSUED: 0610412004APPLIEDz 0511412004 EXPIRESz 1210412004VALUE: $ 13,305.60 SITE ADDRESS: 26911216TH ST ASSESSOR'SPARCELNO.: 1703362408500 PROJECT DESCRIPTION: 2nd Story addition. Owner: HOWARD MAUREEN J Address: 26911216TH ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential License Expiration Date Phone 54t-726-9995 Contractor Tvpe General Electrical Engineer Contractor OWNER OWNER KEATING ENGINEERING CONTRACTOR INFORMATION )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # 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: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN 1 22.00 Wall Heat Electric Electric Path I nla 144 REQUIRED PARKING Total: Handicapped: Compact: 10.00 Street Improvements: Storm Sewer Available: Snecial Instruction:^ NOTTCE:Notes: THIS PERMIT SHALL EXPIRE lF THE WORK AUTHORIZED UNDER THIS PEBMIT IS NOI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. DEVELOPMENT INF( Page I of3 T m adoPted bY the oregon Utility are set forth r u l,-l,lL llvrrr(u Y rrlvtlNl { Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00579ISSUED: 0610412004APPLIED: 05/1412004 EXPIRES: 1210412004VALUE: $ 13,305.60 Description Dwellinss Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 144.00 Total Value of Project Amount Paid Date Paid Yalue $13,305.60 $13,305.60 Date Calculated 05114t2004 Fee Description Plan Review Residential + l0o/o Administrative Fee + l0oh Administrative Fee + 7oh State Surcharge + 7Yo State Surcharge Add, Alter, Extend Circ Building Permit Minimurn/Adjustment Electrical Total Amount Paid $90.09 $4.50 $13.86 $3.15 $9.70 $43.00 $138.60 $2.00 $304.90 sn4t04 6t4104 6t4t04 6t4104 6t4t04 6t4t04 6t4t04 6t4t04 Receipt Number 2200400000000000560 1200400000000000856 12004000000000008s6 1200400000000000856 12004000000000008s6 12004000000000008s6 r200400000000000856 1200400000000000856 tr'ees Paid Plan Reviews Initial Review Plannins Review Public Works Review Structural Review 05/18/2004 0s/18/2004 05fiBt2004 0st26/2004 05n8t2004 06t03t2004 05t26t2004 05t26t2004 RJB TAJ VRJ TCM OK APP APP APP Minimal review, no Planning plan check fee charged. The second story addition does not make the existing non-conforming setback on the south side any more non-conforming. tara No change in impervious surface or plumbing fixture units. 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 dayo inspections requested after 7:00 a.m. will be made the following work day. I Shear WaII Nailing: Before covering sheathing with finish materials. 2 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 3 Wall Insulation: Prior to coyer. 4 Ceiling Insulation: Prior to cover. 5 Floor Insulation: Prior to decking. 6 Dryrvall: Prior to taping. Paee 2 of3 Rpnnired fnsneef Valuation Descriotion I Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00579ISSUED: 0610412004 APPLIEDz 0511412004 EXPIRESz 1210412004VALUE: $ 13,305.60 7 Finat Building: After all required inspections have been requested and approved and the building is complete. 8 Rough Electric: Prior to Cover 9 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 Springlield 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 , and the approved set of plans will remain on the site at all times during Owner or Contractors Signature Date Pase 3 of3 L}- Construction Contracfors Board permit *:Cl),rvr?g<_,q-oo:;71 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:www.ccfu1lg[e.or.us Zb1 t/z I /t'. = t- Issued by:bG Date Address: c)v Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following 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. k1fi,I own, reside in, or will reside in the completed strucfure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Constnrction Contractors Board. OR 38. I will be my own general contractor. 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 nirme of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice on the reverse side of this form. (bL/o+ l* (Signature of permit applicant) (While copy to issuing agency permitfile, pink copy to applicant.) ( @^td Property_owner. doc 03/ I I /03 Fill in the appropriate blanks and initial boxes 1 and2, and either box 3A or 38: tr Acting as Your own General contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES IJOfE: This lnformatian Notice to Property Owners about Canstruction Responsibititi*.s was developed by the Constructian Contractors Board in accordance wtth QRS 7A1.A55{5J, passed by ttte 1989 Oregan tegietature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing skucture, you can prevent many probiems by being aware of the following responsibiiities and concerns. Employer Responsibilities You will, in most instances, be ruied to be an "employer" and the contractors you contract with will be "employees" if you use contractors nat licensed w'lth the Conskuction Contractors Board h do labor in conskucting or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax taw: As an employer, you must withhold income taxes kom 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 a State Business ID number, call the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax lor unemployment insurance purpos€s on the wages of all employees. Fm more information, call the Oregon Employmer:rt Departmant at 503-947-1488. Workers'Compens*tion Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. [f you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on thejob. For more information, call the Vforkers' Compensation Division at the Department of Consumer and Business Services at 583 -947 -7 815. U.S. Internal Revenue Service: As an ernployer, 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 Conce-rns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage fnsurance: Contact your insurance agent to see if you have adequate insurance coverage fbr accidents and ornissioirs such as falling tools, paint over spray, water damage from pipe prmctures, firs or 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 contractor, to coordinate the work of rough-in and finish trades, and to notifu buildingofficials as the appropriate times so they can perform the required inspections. If you have aclditional questions call the Construction Contractors Board (503-37S4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 03ll ll03 rH STREET o SPRINGFIELD, OR97477 r PH:(541)726-3753 o FAX: (541 U LECTRICAL P ERMIT APP LI CATION City Job Number -(x)s7 Date v ,C) LI 1. LOCATION OF INS'I'ALIAruON //,/ ^ s l- 3.COMPLETE I;EE 261 //,os\e LEGAL DESCzuPTIONi7C3\ 6z ,-l c>6to(J JOB DESCRIPTION A. Ncu Residcntial - 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 Minimum Electric Permit Inspection SUBTOTAL AF ABOVE 7oh State Surcharge l0% Administrative Fee TOTAL per drvelling urrit. $ 106.00 $ 19.00 $ 63.00 $ 7s.00 $125.00 $ 163.00 $37s.00 $ 50.00 $ s0.00 $ 69.00 $100.00 qs Installatiorr Ltf 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 C O NT RACT O R IN S TAL IA1IO]\r ONI, Y Electrical Contractor Address Phone Supervisor License Number M\I SH AbN I c-rct*..-( l- Expiration Date 1H \S PER ER OMM'ENCED OR \S N $s0.00 B. Services or Feeders - Installation, Alteralions or Relocirtion: City A ,R lHIS D. tr tgClHgt{t$hry Services or Feeders illffi i: ilT.,,,," or Re,ocarion 201 Amps to 400 Amps 401 Amps to 600 Amps New Alteration or ExtentrH,l*dims'ygJ to.- ^^*l'ffiH:-ffi11ffi NarfioatlrruEnnffi in OAR 952-001-00,l;d[i-fi;'"u Ominomm* ett|1ftlHhtFh,"r,--.rriins the ienter' (Nolti.[r"J1:Pf:" pr6qo-Hgs,ttreoregonutititv-lglligtbfu'ss sieJo"ttl@ddEtrt&1'800€32'2344.l:- $ s0.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Constr. Contr AN Date of Supervising Electrician Over 600 Amps or 1000 Volrs see "B" above. D. Branch Cirruits Owners Name Address "rr, 4 ph*" c15$'t-9.6? OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners 3/t- Yro e2-(r Inspection Request: 726-37 69 4. Shared Ddve(T:/Building Fonns/Electrical Pennit Application I 43.doc OREGONCIT,:Y -ity of Springfield Official Receipt development Services Department Public Works Department RBCEIPT #: 12004000000000008s6 Date: 0610412004 2:27:35Ptyt Job/Journal Number coM2004-00579 coM2004-00579 coM2004-00s79 coM2004-00579 coM2004-00s79 coM2004-00579 coM2004-00579 Description Building Permit + 7oh State Surcharge + l0% Administrative Fee + 7oh State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Due 138.60 9.70 13.86 3.15 4.50 43.00 2.00 Item Total:$214.81 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash Change RICHARD HOWARD RICHARD HOWARD djb djb In Person In Person Payment Total: $220.85 ($6.0+; $214.81 Job/Journal Number coM2004-00s79 coM2004-00s79 coM2004-00s79 coM2004-00579 coM2004-00579 coM2004-00s79 coM2004-00579 Description Building Permit + 7%o State Surcharge + l0% Administrative Fee + 7Yo State Surcharge + l0% Administrative Fee Add, Alter, Extend Circ Minimum/Adj ustment Elechical Amount Due 138.60 9.70 13.86 3.15 4.50 43.00 2.00 Item Total:$214.81 Payments: Type ofPayment Paid By Checl(Number Authorization Received By Batch Number Number How Received Amount Paid Cash Change RICHARD HOWARD RICHARD HOWARD djb djb In Person In Person Payment Tstal: $220.85 ($6.04) $214.81 6/412004 Page I of I 225 Fiftli Street Springfield, Oregon 97 477 541-726-3759 Phone tlttrnlrlLg CitY of SPringfield 225 Fifth Street, Springfield, OR97477 541'726'3759 Phone 541-726-3676 Fax August 21,2006 HOWARD MAUREEN J 269 U216TH ST SPRINGFIELD OR 97477 coM2004-00579 269 U2l6TH ST Job Number: Location: The Springfield Building Safety Code Administrative code provides that in order for a permit to remain uulid, the work *t i"tr has been authorized by the pennit 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 at769 ll2 l6TH ST which is set to expire on91912006. Our records indicate that yol have not requested an inspection within the past five (5) months. This letter is written to notifu you that your permit(s) will be expiring shortly. If you are - ready to request an inspection for your project, pleasephone the inspection line at 541-726-3769. lf you do not iequest an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to cornplete your project' If you have any questions, please feel free to phone me at 541-726-3790. Project:2rid Story addition. Dear Pennit Holder: Sincerely, Lisa Hopper Building Safety Management Analyst City of Springfietd 225 Bifth Street, Springfield, OR 97 47 7 541-726-3759 Phone 541-726-3676Fax September 20,2005 HOWARD MAUREEN J 269 t/2 t6TH ST SPRINGFIELD OR Job Number: Location: 97477 coM2004-00579 269 U216TH ST Project:2nd Story addition. Dear Permit Holder: The Springfield Building Safety Code Adminisfrative 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 at269 tlz l6TH ST which is set to expire on913012005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff 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 541-726-3790. Sincerely, Lisa Hopper ( Building Safety Supervisor CitY of SPringfield 225 Fifth Street, Springfield, OR97477 . 54.l-726-3759 Phone 541-726'3616Fa;x November 16,2004 HOWARD MAUREEN J 269 U2l6TH ST SPRINGFIELD OR 97477 coM2004-00s79 269 U2l6TH ST Job Number: Location: Project:2nd Story addition. Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remai; vatd, 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 at269 ll2 l6TH ST which is set to expire on 121412004. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff 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 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor