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Home My WebLink AboutPermit Building 2005-10-06Building/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: COM2005-01083ISSUED: 10/06/2005APPLIED: 08/0912005 EXPIRESz 0410612006VALUE: $ 6,624.00 SITEADDRESS: 242935THST ASSESSOR'S PARCEL NO.: 1702194202900 PROJECT DESCRIPTION: Addition to existing single family residence Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-747-5770 License Expiration Date Phone Owner: Address: MARVIN WILLIAMS 2429 3sTHST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor OWI\ER OWNER OWNER OWNER )R INFORMATION # 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: Street Irrprovements: Storm Sewer Available: Special Instru[p11gg. MMENCED OR IS # 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: I R-3 VN 69 Wall Heat Path I nla REQUIRED PART(NG Total: Handicapped: Compact: requires you to Partially Improved No Curb and Guttert concrete slab no SDC fees, storm piped to curb face in OAR 952-001-0010 through OAR 952-001- number for the Oregon Utility Notification )PMENT INFORMATION Notes: AN Y 180 OAY PERIOD Page I of3 Center is 1 -800-332-2344) b \ l,ult lrlN (, rI\r \I(IvrA r r(,N_.1 follow 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: COM2005-01083ISSUED: 10/06/2005 APPLIED: 08/0912005 EXPIRESz 0410612006VALUE: $ 6,624.00 Description Dwellings Type of Construction V Wood Frame $ Per Sq Ft or multiplier $96.00 Square Footage or Bid Amount 69.00 Value $6,624.00 $6,624.00 Receipt Number 1200500000000001171 12005000000000012s3 1200s0000000000r253 1200500000000001253 1200s000000000012s3 1200s00000000001253 12005000000000012s3 r200s00000000001253 1200500000000001253 1200500000000001253 1200s000000000012s3 1200500000000001253 2200s00000000001382 2200s00000000001382 2200500000000001382 2200500000000001382 Date Calculated 08/09/200s Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Appliance Not Listed Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing + l0oh Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid $54.60 $10.00 $22.00 $1s.40 $43.00 $3.00 $9.00 $84.00 $6.00 $42.00 $30.00 $3.00 $7.20 $5.04 $9.00 $63.00 8t9t05 8t26t0s 812610s 8t26t05 8t26l0s 8t26l0s 8t26t05 8t26t05 8t26t05 8l26l0s 8t26t05 8l26l0s t0t6t05 10/6/05 10/6/0s l0t6t05 s406.24 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 08/10/2005 08/10/2005 08/10/2005 08/10/2005 08t23t2005 08/10/2005 08/10/2005 08/B/2005 APP JB No Planning Issues. Relocated washer and dryer, new wash tub to septic, existing impervious no fees, storm is to be piped into existing to curb face 8/10/2005 CAS Approved as noted on plans APP APP APP SKG TAJ CAS To Request an inspection call the24 hour recording at 726-3769. AII 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. Paee 2 of 3 Valuation Descriotion I Hees l,ard I 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: COM2005-01083ISSUED: 10/06/2005APPLIED: 08/0912005 EXPIRESz 0410612006VALUE: $ 6,624.00 red Insnections Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to decking. Shear Walt 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Electric Service: Approval required prior to utility company energizing service. 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 Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000001382 Date: 10/06/2005 9:00:24AM Job/Journal Number coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0% Administrative Fee Amount Due 63.00 9.00 s.04 7.20 Item Total:$84.24 i Payments: Type ofPayment checkNumber Authorizatlon Received By Batch Number Number How ReceivedPaid By Amount Paid CreditCard ALERT ELECTzuC llh 006777 Phone $84.24 Paymenttotat: -53ii7- tt I I t0/6/2005 Page I of I taruil3 I 'l CTTY OF FIELD, OREGON O .0 225 FIFTH STREET r SPRINGFIELD, OR97477 . PH:(541)726-3753 . FAX: ELECTRICAL Ciry Job Number Address TION Date l. l'l JOB DESCzuPTION 5 Permits are non-transferable and if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor 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 3.COMPLETE \ng,t"'"' A. $ 106.00 $ 19.00 $50.00 Rtoo z8t1 I B. Services or Feeders - fnstallation, Ntera 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only I Extension Per Panel D' or" Circuit ( City 7+7229 Supervisor License Number 2435 C. Expiration Date D- Constr. Contr. Number L Expiration Date S-L S of Supervising Electrician AUTHQRIZED UNO Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Volts see "B" above. s 75.00 $ r 25.00 $ 163.00 $375.00 s s0.00 $ 43.00 $ 3.00 o cor',tmrHcEo oR ls ANY I80 DAY PEBIO Each Additional Circuit or with Service or FeederrPermit 7%o State Surcharge l0% Administrative Fee TOTAL 3 q@- Nr Address City O\\/NER INSTALLATION is not intended for sale, leas4or rentl' t-' Owners Signature: il u#ts$v8['f6cution rel:gr{Q$lfY Lighting s higiggt E9lq?gylResidential I A &fi 6A SCctgy/Commerc ial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges E. adopted by tt enter. Those req reo rule $ 50.00 $ s0.00 $ 25.00 $ 45.00 00 Inspection Request:"'{fi(1zb-oaq 4. Shared Driv{T:)/Building Forms,/Electrical Permit Application I {3.doc 0 FEE \( Nerr'Residential -unit. CONTRACTO R INSTALIATION ONLY t n ? Center is 1 PRIN Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541:7 26-37 69 Ins pe ction Line Buildin g/Combination Permit PERMIT NO: COM2005-01083ISSUED: 0812612005APPLIED: 08/0912005E)GIRESz 0212612006VALUE: $ 6,624.00 SITE ADDRESS: 2429 35TH ST ASSESSORS PARCEL NO.: 1702194202900 PROJECT DESCRIPTION: Addition to existing single family residence Springfield TYPE OF TYPE OF USE: Single Family Residence Addition Residential Owner: Address: MARVIN WILLIAMS 2429 35TH ST SPRINGFIELD OR 97477 PhoneNumber: 541- ATTENTION: Orego n law requires You to follow rules adoPted by the Oregon UtilitY 2-001- rules bY calting the center. (N otEi$CilHeP h$foiration Date cattonContractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER Phone numbe r lor the Oregon UtilitY Notiti Center is 1-800-332 -23441. # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Skeet Storm SewerAvailable: Special Instruction: Partially Improved No REQUIRED PARI(NG Total: Handicapped: Compact: Curb and Gutter # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Overlay Dist: # Street Trees Paved Drive Rqd: oh 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: I R-3 VN 69 Wall Heat Path 1 n/a Existing washer and dryer relocated, existing impervious concrete slab no SDC fees, storm piped to curb face DEVELOPMENT I NFORMATION Notes: 8/10/2005 CAS l of 3 t lJU II .frll\t, rNI L[(lvrA r rUNl Sidewalk Type: DownspoutVDrains RK Status: Issued 225 Fifth Street, Springfield, OR 54l:726-3753 Phone 541-726-3676Fa,x 541:7 26-37 69 Inspection Line Building/Co mbination Permit PERMIT NO: COM2005-01083ISSUED: 0812612005APPLIED: 08/09/2005E)PIRESz 0212612006VALUE: $ 6,624.00 Description Dwellines Type of Construction V Wood Frame $ Per Sq Ft Square Footage or muftiplier or Bid Amount $96.00 69.00 Total Value of Project Value $6,624.00 $6,624.00 Date Calculated 08/09/2005 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Appliance Not Listed Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Amount Paid Date Paid Receipt Number 1200s00000000001171 1200500000000001253 1200500000000001253 120050000000000r253 r200s000000000012s3 1200500000000001253 1200s000000000012s3 1200s000000000012s3 1200500000000001253 1200500000000001253 1200500000000001253 1200500000000001253 $s4.60 $10.00 $22.00 $1s.40 $43.00 $3.00 $9.00 $84.00 $6.00 $42.00 $30.00 $3.00 8/9/05 8t26t05 8t26105 8t26t0s 8t26t05 8t26t0s 8t26t05 8t26t05 8t26t05 8l26t0s 8t26t0s 8t26t05 Total Amount $322.00 Initial Review Planning Review Public Works Review 08/10/2005 08/10/2005 08/10/2005 08i10/2005 08t23t2005 08/10/2005 APP APP APP SKG TAJ CAS No Planning Issues. Relocated washer and dryer, new wash tub to septic, existing impervious no fees, storm is to be piped into existing to curb face 8/10/2005 CAS Approved as noted on plansStructural Review 08/10/2005 08/13/2005 APP JB To Request an inspection call the24 hour recording at 72G3769. 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. Plan Reviews ffi 2of3 Valuation Description _r ees rato Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-7263676F2x 541:7 26-37 69 Inspection Line Building/Combination Permit PERIVIIT NO: COM2005-01083ISSUED: 0812612005APPLED: 08/0912005 E)GIRESz 0212612006VALUE: $ 6,624.00 Floor Insulation: Prior to decking. Shear Wall Naiting: 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. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work 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 certi$ 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 certiS 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.ULJA; Owner or Contractors Signature Date 3 of 3 L Construction Contractors Board pennit u,q-6^7ar>-l-- O ro 83 Address:zqzl r 5+t-SI Issued by:Date:{-Xe( Statement: lnformation Notice to Property Owners About Gonstruction Responsibil ities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith the Construction Contractors Board to sign thefollowtng 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, md either box 3,{ or 38: h- r. $z 700 Summer St IttE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.stlte.or.us I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. tr 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subconhactors who work on the strrcfure must be licensed with the Construction Conhactors Board. ioR U1[. 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 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. V\"^-).fo.-',-- (Signature of permit applicant) (Date) (White copy to issuing agency permil file, pink copy to applicant.) Prop€rty_owner.doc 06-0 I -04 { Acting as Your Own General Contractor?' - * a If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing stucture, you can prevent many problerix-by being awate,of the following responribilities and concerns. Employer Responsibilities Oregor's \ilithholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You wili be liable for the tax payments even if you don't actually \riithhold the tax f,rom your employees. For more infbrmation, call the Depirtrrrent of Revenue at 503-3784988. -.i.. You will, in most instances, be ruled to be 4n "employer" and the contractors you contract with will be "employees" if you use conkastors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential stnrctr:re. As the employer, yo$ mqst comply with the following: INFORMATION NOTICE TO PROPERTY OWNERS' I :r..'-)'.] - *-.'nBpqr coNSTRUcnoN RESpoNStBt LtnES- i-.- NaTE: This lnformation Notice to Property Owners about Construction Responsibilitie,s was developed by the Construction Contractars Board in accordance with ORS 701.055(5), passed by the 1989 aregan Legislature. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. ,'ii-iV-,',i ..r1[.,..r, :79 v;- Property_owner.dcc 06-S 1 -04 {.t. I Unemployment Insurance Tax: As an employer, you are required to pay a tax forrinemployment insurance purpose$> on the wages of all employees. For more information, call the Oregon Employment Deparfment at 503-947-1488.> The Oregon Business Identification Number EIIrI) is a cornbined nrsnber for both Oregon Withholding and Unernployrnent Insurarce Tax. To file for a BIN, cail 503-945-8091 or www.dor.state.or.us/formspa&btmll for the \Y'orkers' 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' compansation insurance, you could be subject to penalties and be liable for all claim costs if one of yow employees is injued on the job. For more infbrmation, call the Workers' Compensation Division'at the Department of Consraaer:and Business Services at 503-947-781 5. U.S. Internal Revenxe Service: As an employer, you must withhold federal incorne tdx 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 1-800-8294933 or visit-their web site at wrqlr.irs,gov , i ' Other Responsibilities and Areas of Concerns Ccde Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought lo your altcntion thrr:ugh inspections. Liatrility antl Pruperty Damagc fnsurance: Contact your'insurance agent to see if you have adequate insuranie coverage for dccidents and omissions such as lailing tools, paint o!-*r spray" water damage from pipe punctures, {ire or ***|,rtt'St B\bguco"*' -, . ;- Tirxe:Mak}.SuIeyouhavesi-rlficienttimetrlsuperl,isevouren:p1oyees. Expertise: Make sure you have tlie skills to act as youi oSh'general' cdnkactor, to ioordinale the work of rough-in and tinish trades, and 1* n*titry building officials as the appropriate times so they can perform the required inspectiors. I I 225 FIFTH STREET . SPRINGFIELD,OR97477 o PH:(541)726-3753 o FAX: (54 ELECTRICAL CATIAN City Job Number a J. City 1. LEGAL DESCRIPTION JOB DESCRIPTION Permits are n and expire if work is not started within-l80 daYs of issuance or if work is Suspended for 180 days. , Electri Address Supervisor License Expiration Date Constr. Contr Expiration Signature Owners Name Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Sisnature: A. New Residential - Single or MultiFamily' per dwelling unit' 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 B. Services or Feeders - Installation, Alterations or Relocation: $50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ s0.00 $ 50.00 $ 69.00 $100.00 Panel t $ 3.00 $ s0.00 $ 50.00 $ 25.00 $ 45.00 Fee is $45.00 * Surcharges lollow in OAR 200 Amps or less 201 Amps to 400 Amps 401 AWRequires vou-to n UiilitYego are seTTetrfi- through OAR the UtilitY Nottttca 2osR$FJ lessor 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. D. l0% Administrative Fee TOTAL New Alteration or Extension Per One Circuit Each Additional Circuit or with or Feeder Permit Pump or irrigation Sign/Outline Lighting Li mited Energy/Resi dential $ 43.00 City a w Phone Supervising Electrician al.5 l. ll t;ol Inspection Request: 726-37 69 Shared Drive(T:)/Building Fonrs/Electrical Pennit Application I -03.doc ad)-ott\ul $ 106.00 $ 19.00 INSTALT,AT'IAN ONLY calling I I E. l\Iiscellaneous (Service/feeder not included)-Each Installation 225 Fifth Street Springfield, Oregon 97 477 541:726-3759 Phone City of Springfield Official Receipt .revelopment Services Department Public Works Department RECEIPT#: 1200500000000001253 Date: 0812612005 10:56:50AM Job/Jurrnal Number coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 coM2005-01083 Description Building Permit Fixture Minimum/Adj ustment Plumbing Dryer Vent Appliance Not Listed Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0o/o Adminishative Fee Amount Due 84.00 42.00 3.00 6.00 9.00 30.00 10.00 43.00 3.00 15.40 22.00 Item Total:s267.40 Payments: Type of Payment uneckNumDer Aumonzauon Paid By Received By Bdch Number Number How Received Amount Paid Check MARVIN WILLIAMS djb 11575 In Person $267.40 Payment Total: : ( '{ 8/2612005 lofl t