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Home My WebLink AboutPermit Building 2004-07-26Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00926ISSUED: 0712612004APPLIED: 0712612004EXPIRES: 0112612005VALUE: $ 2,000.00 SITE ADDRESS: 461 16TH ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCELNO.: 1703362407200 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Service change and sub-panel. Minimum building permit for completion of prior job# com2002-01245. Owner: RITZDORF DAyIEL JOSEpH Address: 461 16TH ST SPRINGFIELD OR 97477 Contractor Type General Electrical License Expiration Date PhoneContractor OWNER OWNER CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: of Structure of Heat: Type: Type: Path: Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot '1$ Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Load: Type: u-1 VN * PARKING {sos Notes: Pase 1 of3 t UlLl-rll\\, lI\ItJlUvrAr[LrI\ | Frontyard Side 1 Side 2 Setback: Rearyard Setback: Solar Setbacks: Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676 Frx 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00926ISSUED: 0712612004APPLIEDz 0712612004EXPIRES: 0112612005VALUE: $ 2,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $r.00 2,000.00 Total Value of Project Amount Paid Date Paid Value $2,0oo.oo $2,oo0.oo Receipt Number 1200400000000001139 1200400000000001139 1200400000000001r39 1200400000000001139 1200400000000001139 22004000000000010s6 2200400000000001056 2200400000000001056 Date Calculated 07t2612004 Fee Description + l0o/o Administrative Fee + 7o/o Stile Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm Serv/Fdr 200 amps or less + l0o/o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Ea Add Total Amount Paid $r8.90 $r3.23 $18.00 $45.00 $126.00 $1.20 $0.84 $12.00 7t26t04 7t26t04 7t26104 7t26t04 7t26t04 8n6t04 8lt6l04 8n6t04 $23s.17 tr'ees Paid Plan Reviews 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. Wall Insulation: Prior to cover. Drywall: Prior to taping. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. Paee 2 of3 Valuation Descriotion I Keourred Insnectlons I F 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: COM2004-00926ISSUED: 0712612004 APPLIEDz 0712612004 EXPIRESz 0112612005VALUE: $ 2,000.00 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 OCCUPAI\CY 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 is located at the front of the property, and the approved set of plans will remain on the site at all times a o Owner or Contractors Date Pase 3 of3 r:l 225 Fifth Street ' Springfield, Oregon 97477 541-726-3759 Phone r:ty of Springfield Official Receipt _-velopment Services Department Public Works Department RECEIPT #: 22004000000000010s6 Date: 0811612004 1:40:56PM Job/Journal Number coM2004-00926 coM2004-00926 coM2004-00926 Description Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + ljYo Adminishative Fee Amount Due 12.00 0.84 1.20 Item Total:$14.04 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash DAN RITZDOR-F Jmp In Person Payment Total: $14.04 -$14--o-f 8/16/2004 Page I of I xlllBtio m, CitY of SPringlield 225 Fifth Street, Springlield, OR97477' 541-726-3759Phone 541-'126-3676Ba;x June 30,2005 RITZDORF DANIEL JOSEPH 461 l6THST SPRINGFIELD OR Job Number: Location: 97477 coM2004-00926 461 l6THST Project:Service change and sub-panel. Minimum building permit for completion of prior job# com2002-01245. 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 461 16TH ST which is set to expire on 712612005. 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 1. 4a 5+ LEGAL DESCRIPTION -L O1zao JOB DESCRIPTION ,Z 5 5 c fs Permits are and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. ) Address Phone Supervisor License Number Expiration Date Constr. Contr. Number Owners Address OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, a/*, Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 AmPS \o 401Amps to 600 AmPs Over 600 New One C $ 63.00 $ 7s.00 $125.00 $163.00 $37s.00 $ 50.00 $ s0.00 s 69.00 $100.00 d'". /r**, 3. A. B. C. oo Service Included 1000 sq. ft. or less Each additional 500 sq. ft. 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 .00 City Expiration Signature Date Supervisingof Name $ 43.00 s 3.00 .aO (- C 1L cb $ s0.00 Limited $ s0.00 $ 2s.00 Limited EnergyiCommercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * surcharges /'2, e o 7o/o State Surcharge 10% Administrative Fee TOTAL ,70 o Inspection Request: lease or 4. Shared Drive(T:)/Building Fonns/Eler:trical Pennit Application l -03'doc 22SFIFTHSTREET. SPRINGFIELD,OR97477 o PH:(541)726-37s3 oFAX:(s41)726-36ss ELECTRICALPERMITAPPLICATION t t t /) / $ c,w 1Q€J .- Pt ooJ413 24 I t, clTY oF SPR{I{GilELD, OREGON 225F[FTH STREET o SPRINGFIELD, OR 97477 o PH:(541)72G3753 oFAX: (s4t)72636se Z 6 cl I 3. Ll / l6fs >J- LEGAL DESCRIPTION A. 17C 336'z .{olzoo Service Included 1000 sq. ft. or lessJOB DESCRIPTION N Permits are not started within 180 daYs of Suspended for 180 days. DER 0R lt At{Y lEO DAY PESU0[Feeder or 200 Amps or less 201 Amps to 400 AmPs 401 Arnps to 600 Amps 601 Amps to 1000 AmPs Over 1000 AmpsA/olts Reconnect Only Pump or irrigation Si grrlOutline Lighting Limited EnergyiResidential Limited Energy/Commercial 7%o State Surcharge 10% Administrative Fee TOTAL st*qtlh,sftasi.s $s0.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 'rC)rr1 7c oL- O t Z4 { A =(kL 9 4g t8Jbhft * and City B.1 Electrical Contractor Address Supervisor License Expiration ftilil* Constr,Number Date h OAR----tgclbr of Supervising Electrician oalllng urmbor bt Owners Name Address 1b I /e<j E. City €.r- Pho,"a413z OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, a{-$63.00@'izb C. $ 50.00 $ 69.00 $100.00 above. Per Panel $ 43.00 Each Additional Circuit or with i Service or Feeder Permit @ $ 3'oo / 8l-c I $ 50.00 $ 50.00 $ 25.00 $ 4s.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4.tt/L/ 1o og LlO Inspection Request: lease or rent. Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc mcnrror or'. nr$z:ar,'r4 rrsltr COII{P'TEIE B8LAI,,f, Nerv o r :lllulti'Fam il!, pei unit: $106.00 $ 19.00 ,$uBrorlt-tr oFAnour l6rYA Alisiations Relbcatipn:prorrsidei$In3txlliltiot,.Servic&s Miscellaneaus {ServiqqL{0qdqt incfudcd)*Eachnot Instgllation 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: COM2004-00926ISSUED: 0712612004APPLIEDz 0712612004 EXPIRESz 0112612005VALUE: $ 2,000.00 SITE ADDRESS: 461 16TH ST Springfield TYPE OF WORI(: Single Family Residence ASSESSOR'S PARCEL NO.: 1703362407200 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Service change and sub-panel. Minimum building permit for completion of prior job# com2002-01245. Owner: RITZDORF DANIEL JOSEpH Address: 461 16TH ST SPRINGFIELD OR 97477 License Expiration Date PhoneContractor Tvpe General Electrical Contractor OWI\ER OWNER Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: nlz Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: DEVELOPMENT INFORMATION Notes: Page I of3 uuN r KAU r uK rN r !!5rvl.l\ .!lYl\ _1 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Secondary Construction # of Bedrooms: REQUIRED PARI(NG Total: Handicapped: tp Compact: F'PRIN Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00926ISSUED: 0712612004APPLIEDz 0712612004 EXPIRESz 0112612005VALUE: $ 2,000.00 Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $r.00 2,000.00 Total Value of Project Amount Paid Date Paid Value $2,000.00 $2,000.00 Date Calculated 0712612004 Fee Description + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm Serv/Fdr 200 amps or less Total Amount Paid $18.90 $13.23 $18.00 $45.00 $126.00 $221.13 7t26t04 7t26t04 7t26t04 7t26t04 7t26t04 Receipt Number 1200400000000001139 1200400000000001139 1200400000000001139 1200400000000001139 1200400000000001 139 F'ees Pe Plan Reviews 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. Wall Insulation: Prior to cover. Drywall: Prior to taping. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. ired Insneefions Paee 2 of3 -5 Valuation Descrintion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Rax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00926ISSUED: 0712612004 APPLIEDz 0712612004 EXPIRES: 0112612005VALUE: $ 2,000.00 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\CY 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 at the front of the property, and the approved set of plans will remain on the site at all times 7 ,Z Dq Owner or Contractors Date Pase 3 of3 \ Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit *' C}vnzos-q -oC) 7 Zb I Address: Ll Ll t 6fL >t- Issued by:b<Date: 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, electrtcal, 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 befiledwith the permit. Fill in the appropriate blanks and initial boxes 1 and2, and either box 3,{ or 3B .c -B 1. I own, reside in, or will reside in the completed structure. 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. 3A. My general contractor is 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 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 about Responsibilities on the reverse side of this form. permit applicant)(Date) Property_owner.doc I 2-09-03 copy to issuing agency permit file, pink copy to applicant.) ,x tr (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor. 4eting as'Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILTTIES NOfF; This lnfarmation Notice to Property Owners about Construction Responsrbilfies was developed by the Consfrucfion Contractars Board in accordance with ARS 701.055(5), passed by the 1989 Aregon Legislature. tt If you are acting as your orvn c9ntraptor to construct a new home or make a substantial improvement to an existing structure, you can prevent rnanyprbblems by bltlgaware of the following respnsibilities and concerns. Employer Responsibilities Yoq.will, in most instances, be ruied to be an "employer" and the contractors you confract with wjll be "employees" if you use conlractors not licensed rvith the Construction Contractors Board to do labor in constructing or to assist in the construction or improl'ernent of a residential strilcfure. As the employer, you rnust comply with the following: Oregon's \l'ithholrting Tax Law: As u, .*ploy'.r. you nrust withhold income taxes from employee rvages at the time employees are pard. You rvill be liable for the tax pay.ments even if you don't actually *'ithhold the tax from ypur employees.Forrnoretnfornration,caIltheDeparlriientofRer,enueat503..378-4988. +\. Unemplcl'ment lnsurance Tax: As an emplofer, you ardrequired to pay d tax for unemplolment insiri{nc" pu.poh <rn tlre wages ol all employees. For more information, call the Oregon Employment Departrnent zt 5A3-947-1488. 1'he Oregon Business Identification Number (BS0 is a combined number for both:.Oregdn Withholding and Unemployment Insurance Tax. To file for a BIl.{.call 503-945-809 1 or u.rvrv.dor.staie.or.usiformspav htmll for the appropriale forms. i. Workers' Compensation Insurance: As an empioyer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employ'ees. If you fail to obtain u,orkers' compensation ittsurance, you coukl be sub.yect to penalties and be liable for all claim costs if one of your empio;ees'is iryured on thejob. For more informatron. call the Workers' Compenlation Division at the Department of Consumer and Business Services at 503-947-78i5. i ,, .1 tI.S. Internal Revenue Service: As an employer, you must withhold federal'income tax from employ...' *ffi- You rvill be liable for the tax payment even if you didn't actually rp'ithhold the tax. For a Federal EIN number. call the \. IRS at 866-8 16-2065 or fax them at 80 I -620-7 I I 5. ' : r'); Other Responsibitities and Areas of Concerns Code Compliance: As the permit holder for this project. you are responsible for resolvrng any faiiure io meet code requirements that may be bqought to your attention through inspections.,.^,:; . :;.)- Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or;'. , Time: l\{ake sure you have sufficient time to superr"ise 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 notify 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. , ; Propertl,_61qner.doc I 2-09-03 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C:+y of Springlield Official Receipt -._ relopment Services Department Public Works Department RECEIPT#: 1200400000000001139 Date: 0712612004 1:31:46PM Job/Journal Number coM2004-00926 coM2004-00926 coM2004-00926 coM2004-00926 .coM2o04-00926 Description + l0% Administrative Fee Building Permit Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + lYo State Surcharge Amount Due 18.90 4s.00 126.00 18.00 13.23 Item Total:$221.r3 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check DANRITZDORF djb 922 In Person Payment Total: g22l.t3 -5m 7/26/2004 Page I of I gPBttaoatclo Enanch Engineening, lnc. RE: Inspection of epoxied anchor rod for above referenced residence Branch Engineering,Inc performed an inspection of the installation of a single threaded rod epoxied inio an exiiting ioncrete stem wall at the residence referenced above. The inspection took place at 1 1 : 1 5 u.* on November 8,2002. Weather was cloudy and rainy with an outside air ternperature of approximately 45 degrees F. The work area was covered and protected from direct rainfall. The3l| inch diameter hole rl- drilled approximately 11 ll2 inches decp and blown and brushed clean. The edge distance to the outside face of the concrete stem wall was approximately 2ll4 inches. \ The hole was then filled with epoxy ("Fisher" FIS VS 150C adhesive with 3 6iai6rrm bas€ material temperature requirement of 32 degrees F), the 5/8 inch diameter rod inserted and plunged to remove air pockets, and then seatd futly into the hole, for an embedment of approximately 11 inches. The inspection was concluded at this stage- 31O Sth Streec Spr,ir€field. Oregon 97477 t541) 74B.0ie,37 Fa:( t541l746-0389November 8,2002 Dan Ritzdorf 461 l6th Sneet Springfield, OP.97477 Inspected by: Rick Hernandez, P.E- CIVIL STRUCTURES TRANSPORTATION SURVEYING Bnanch Engineening, lnc. November 4,2002 31O 3th Stneet Spnir€field. Oregon 97477 t541174E.oE,37 Fax t5zll) 746-0389 Dan Ritzdorf 461 166 Street Springfield, OR 97477 RE; Inspection of epoxled anchor rods for above referenced residence Branch Engineering, Inc performed an inspection of the installation of a single threaded rod epoxied into an existing concrete stem wall at the residence referenced above. The inspection took place at 12:00 p.m. on November 1,2W2. Weather was clear with an outside air temperature of approximately 50 degrees F. The3l4 inch diameter hole was drilled approximately 16 inches deep and blown and brushed clean. The edge distance to the outside face of the concrete stem wall was approximately 2 inches. The hole was then filled with epoxy ("Simpson" SET-PAC adhesive), the rod inserted and plunged to remove air pockets, and then seated fully into the holes, for an embedment of approximately 16 inches- The inspection was concluded at this stage. Inspected by: Rick Hemandez, P.E. CIVIL STRUCTURES TRANSPORTATION SURVEYING