HomeMy WebLinkAboutPermit Building 2020-02-26SPRINGFIELD
.OREGON
Web Address: www.springfield-or.gov
Building Permit
Residential Structural
Permit Number: 811-20-000131-STR
IVR Number: 811021200492
Permit Issued: February 26, 2020
TYPE OF WORK
Category of Construction: Single Family Dwelling
Calculated Job Value: $15,694.40
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
Type of Work: Alteration
Description of Work: Remodel upstairs/downstairs and enclosing front porch to living space (living room and
office 160sgft) -
Original permit 18-001018-STR scope was expanded (originally just removing a wall) and this permit was issued
to cover the additional work done in the field. Reference inspections under that permit.
30B SITE INFORMATION
Worksite Address Parcel Owner: AARNES KELLY E
2121 5TH ST 1703262102602 Address: 2121 5TH ST
Springfield, OR 97477 SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name License License Number Phone
OWNER - Primary CCB 000000
PENDING INSPECTIONS
Inspection Inspection Group Inspection Status
1999 Final Building
Struct Res
Pending
1260 Framing
Struct Res
Pending
1120 Foundation
Struct Res
Pending
1430 Insulation Wall
Struct Res
Pending
1440 Insulation Ceiling
Struct Res
Pending
1530 Exterior Shearwall
Struct Res
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811021200492
Permits expire if work is not started within 180 Days of Issuance or if work Is suspended for 180 Days or longer depending on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503)
232-1987.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 2/26/20 Page 1 of 2 C:\mvReports/reports//production/01 STANDARD
Permit Number: 811-20-000131-STR Page 2 of 2
Schedule using the Oregon ePermitting Inspection App, search "epermitting" !in the app store
PERMIT FEES
Fee Description Quantity Fee Amount
Technology Fee $30.60
Plan Review - Minor, City 1 $141.00
Structural building permit fee $285.40
Structural plan review fee $185.51
State of Oregon Surcharge - Bldg (12% of applicable fees) $34.25
Total Fees: $676.76
VALUATION INFORMATION
Construction Type Occupancy Type Unit Amount Unit Unit Cost Job Value
VB R-3 1 & 2 family 160.00 Sq Ft $122.46 $19,593.60
Total Job Value: $19,593.60
Printed on: 2/26/20 Page 2 of 2 C:\myReports/reports//production/01 STANDARD
SPRINGFIELD
T
OREGON
www.springfield-or.gov
Worksite address: 2121 5TH ST, Springfield, OR 97477
Parcel: 1703262102602
Transaction Receipt
811-20-000131-STR
IVR Number: 811021200492
Receipt Number: 473931
Receipt Date: 2/26120
Transaction Units Description
date
2/26/20 1.00 Ea Structural building permit fee
2/26/20 1.00 Ea Structural plan review fee
2/26/20 1.00 Ea State of Oregon Surcharge - Bldg
(12% of applicable fees)
2/26/20 1.00 Ea Plan Review - Minor, City
2/26/20 1.00 Automatic Technology Fee
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfield-or.gov
Fees Paid
Account code
Fee amount
Paid amount
224-00000-425602-1030
$285.40
$285.40
224-00000-425602-1030
$185.51
$185.51
821-00000-215004-0000
$34.25
$34.25
--- -- — - --- --------
100-00000-425002-1039
$141.00
$141.00
204-00000-425605-0000
$30.60
$30.60
Payment Method: Credit card Payer: Timothy Wayne Payment Amount: $676.76
authorization: 161815 Aames
Cashier: Thayne Smith
Receipt Total:
$676.76
Printed: 2/26/20 9:16 am Page 1 of 1 FIN_TransactionReceipt pr
Structural Permit Application SPRINGFIELD DEPARTMENT USE ONLY
Permit no.:m
225 Fifth Street � Springfield, OR 97477 # PH(541)726-3753 � FAX(541)726-3684 '—
aOREGON ao- o`'vl��
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has final land -use approval.
Signature:
Date:
This project has DEQ approval.
Signature:
Date:
Zoning approval verified: ❑ Yes ❑ No
Property is within flood plain: ❑ Yes ❑ No
CATEGORY OF CONSTRUCTION
sidential I ❑ Government ❑ Commercial
JOB SITE INFORMATION AND LOCATION
Jab site address: 21.21 SILrer-#
City: ' State: ZIP:
Subdivision: Lot no.:
Reference: Twdot:
PROPERTY OWNER
Name: Kc,11L4 A ax n pe $
Address: tV1 re ev
City:
State: Z1P:
Phone:S�l
- Z
E-mail: "r �►1JL�.�c� fir, t c�'�
Building Owner or Owner's agent authorizing this application:
Sign here:
This installation is beini made on resihential or farm property owned
by me or a member of my innnediate family, and is exempt from
licensing requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name:
Address:
City: State: ZIP:
Phone: - Fax: -
E-mail:
CCB license no.:
Print name:
Signature:
SUB -CONTRACTOR INFORMATION
$
Name
CCB License #
Phone
Electrical
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(ew)
Plumbing
$
(11f 1)
120r.s P1
Mechanical
Last edited 5-5-2019 BJones
FEE SCHEDULE
1. Valuation information
(a) Job description: Z. I _ 6 1 I
Occupancy ;?('�1'1s it
Construction Construction type
Square feet:
Cost per square foot: , '4� 00
Other information:
Type of Heat: C E N c: ±r t G i,
Energy Path:
❑ new Slalteralion ❑ addition
(b) Foundation -only permit? ❑ Yes
Total valuation:
2. Building fees
❑ No
I—
$ 0 0
(a) Permit fee (use valuation table):
$
(b) Investigative fee (equal to [2a]):
$
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$
(e) Subtotal of fees above (2a through 2d):
$
3. Plan review fees
(a) Plan review (66% x permit fee [2a]): $
(b) Fire and life safety (66% x permit fee [2a]): $,
(c) Subtotal of fees above (3a and 3b): $
4. Miscellaneous fees
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
(b) Tech fee, 5% (.05 x pennit fee[2a]+PR fee [3c]) $
DOTAL fees and surcharges (2e+3c+4a+b): $
CK
oo 101 g
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law 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. (ORS 701.325 (2))
This statement is required for residential building, electrical, 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 be filed with the permit.
Please check the appropriate box:
F1I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
+� I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. 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 select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and i hereby certify that the information on this homeowner statement is true and accurate.
e. itries
Print Name of Pe it Applicant
Signature of Permit Applicant
Permit* OO 3I S1 t�'
Address:
Issued b : Date:
Date
This Copy for Permit Offices
Information Notice to Owners About
Construction Responsibilities
(ORS 701.325 (3))
Homeowners acting as their own general contractors to construct a new home
or make a substantial improvement to an existing structure, can prevent many problems
by being aware of the following responsibilities:
• Homeowners who use labor provided by workers not licensed by the Construction Contractors
Board, may be considered an employer, and the workers who provide the labor may be considered
employees. As an employer, you must comply with the following:
• Oregon's Withholding Tax Law: Employers must withhold income taxes from 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 more information, call the Department of Revenue at
503-378-4988.
• Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance
purposes on the wages of all employees. For more information, call the Oregon Employment
Department at 503-947-1488.
• Oregon's Business Identification Number (BIN): is a combined number for both Oregon
Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business
Registry. For questions, call 503-945-8091.
• Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation
Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain
Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs
if one of your workers is injured on the job. For more information, call the Workers Compensation
Division at the Department of Consumer and Business Services at 800-452-0288.
• Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from
employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax.
For a Federal EIN number, go online to jlr�ov.
Other Responsibilities of Homeowners:
• Code Compliance: As the permit holder -for a construction project, the homeowner is responsible
for notifying building officials at the appropriate times, so that the required inspections can be
performed. Homeowners are also responsible for resolving any failure to meet code requirements
that may be found through inspections.
• Property Damage and Liability Insurance: Homeowners acting as their own contractors should
contact their insurance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be
redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not
otherwise covered as employees by Workers Compensation Insurance.
• Expertise: Homeowners should make sure they have the skills to act as their own general
contractor, and the expertise required to coordinate the work of both rough -in and finish trades.
CONSTRUCTION CONTRACTORS BOARD
PO Box 14140, Salem, OR 97309-5052
Telephone: 503-378-4621 — Fax: 503-373-2007
Website Address: www or con.g vo /ccb
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DATE, RECEI` ED 01-21-20 10113 NO. 20-000131-STR
ZONE LDR 0CCUPANCYGROUP R3
UNIT 1.10CCUPANCYLOAD
STORIES 1 TYPECONSTRUCTION VB
LEGAL DESCRIPTI:O:N 1703262102602
ADDR 2121 5TH ST
OWNER KELLY AARNES
IV, I WN It 'Elf
Aj_�4!41 R1111 1i
APPROVED ED BY
[SATE OZ/ z4 /y
NOTICE: This permit shaA expire if the work authorized under this
permit is not commenced or is abandoned for any 180 day period.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 952-001-0090. You may obtain copies of the
rules by calling the center. (Note: The administrative telephone number
for the Oregon Utility Notification Center is (800)332-2344.
No encroachment allowed within the 7' Public Utility Easement
including, but not limited to, eaves and overhangs.
Connect Storm Sewer to weephole(s) in curb per City Standard 3-6.
Pipe constructed within Right -of -Way must be perpendicular to
Right -of -Way.
MINIMUM SETBACKS — INTERIOR LOTS
All measurements are from Property lines
-Front Yard to House 10 feet •.••
-Front Yard to Garage 18 feet •. .•
-Side Yard to House or Garage 5 feet ......
-Rear Yard to House or Garage 10 feet
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EMERGENCY EGRESS REQUIREMENTS FOR SLEEPING ROOMS
Per section R301.1 of the 2017 ORSC— Basements and every
sleeping room shall have not less than one operable
emergency escape opening. That opening shall open directly
to a public way, or a yard or court that opens to a public way.
Per section R310.2.1, that minimum opening�area shall have a
net clear opening of not less than 5.7 square feet. The net
clear height shall ne not less than 24" and the net clear width
shall be not less than 20" .
Floor Plah 2nd Floor
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