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Home My WebLink AboutPermit Building 2006-05-19F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line Building/Combination Permit PERMIT NO: COM2006-00233ISSUED: 0511912006APPLIED: 0212812006 EXPIRESz 0212112007VALUE: $ 37,422.00 SITE ADDRESS: 1009 25TH ST ASSESSOR'S PARCEL NO.: 1703361102900 PROJECT DESCRIPTION: Addition to existing dwelling Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: S4l-744-6221Owner: Address: Contractor Type General Electrical Mechanical Plumbing LARRY LUTZ IOO9 25TH ST SPRINGFIELD OR 97477 res you to roon UtiliW Contractor OWNER EASTSIDE ELECTRIC INC OWNER OWNER License Expiration Date Phone t17770 1010412007 541-915-9828 one ation # of Units: Primary Occupancy Group; Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: )ER THI AUlI- Partially Improved Yes Sidewalk Type: Downspouts/Drains:Drywell - Provide Drywell Engineering DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Storm to drywell (Poage Eng.) Page I of3 LJ (Note: the CITY Building/Combination Permit PERMIT NO: COM2006-00233ISSUED: 0511912006 APPLIEDT 0212812006 EXPIRESz 0212112007VALUE: S 37,422.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Description Dwellines Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan + l0oh Administrative Fee + 5%o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Tvne of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $99.00 378.00 Total Value of Project Amount Paid Date Paid Value s37,422.00 $37,422.00 Date Calculated 02t28t2006 $195.29 $10.00 $43.2s $34.60 $300.4s $42.00 $39.00 $85.00 $133.49 $175.49 $19.20 s74.94 $45.00 $6.00 $8.40 $4.20 $6.72 $21.00 $63.00 $1,307.03 2t28t06 5n9t06 5n9t06 5n9t06 5n9t06 st19t06 5ltgt06 sn9t06 sn9t06 st19t06 5t19t06 5n9t06 strgt06 5t19t06 8t2u06 8t2u06 8t2u06 8t2U06 8t2r/06 Receipt Number 1200600000000000215 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 r200600000000000684 I 200600000000001308 1200600000000001308 r200600000000001308 1200600000000001308 r200600000000001308 Fpes Peid Plan Reviews InitialReview Planning Review Public Works Review Public Works Review 03t02t2006 03t02t2006 03t02t2006 04t04t2006 03t02t2006 05n6t2006 05n0t2006 APP APP WE APP SKG TAJ CAS Storm drainage issue 3/6/2006 Cas Drywell okay per Poage Standard Drawing included into building permit packet 5110106 CAS Waiting for applicants drywell calcs.3/30/06 JLP & MS 04103t2006 0K RJBStructural Review 03t02t2006 Paee 2 of3 Valuation Description I CITY F Building/Combination Permit PERMIT NO: COM2006-00233ISSUED: 0511912006 APPLIED: 0212812006 EXPIRES: 0212112007VALUE: $ 37,422.00 Status Issued 225 Fifth Streeto Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line To Request an inspection call the 24 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing lnspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. 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. Reouired Insnect 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 propertyn and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Pase 3 of3 Date 225 Fifth Street Springfield, Oregon 97 477 541-726-3i59 Phone C;'-' of Springfield Official Receipt L elopment Services Department Public Works Department RECEIPT #: 1200600000000001308 Date: 0812112006 12:03:39PM Job/Journal Number coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 Description + 5%o Technology Fee + 8% State Surcharge + 1\Yo Administrative Fee Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Amount Due 4.20 6.72 8.40 63.00 2l .00 Item Total:$r03.32 Payments: Type of Payment Paid By Check Number Received By Batch Number Ariihorization Number How Received Amount Paid CreditCard ROGER KING djb 055928 In Person Payment Total: $ I 03.32 -5Td3v cReceint I Page I of I 8/2112006 *sl*elr{ssrxLs $$*It1Sr&FrgL$ 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689 ELE CTRI CAL P E RM I T AP P LI CATI ON City Job Number Lor*:-?,c,oL _ 06233 Date I. LOCATION OF INSTALLATION E SCHEDTJLB BELOW'3. COMPLETEFEESCHEDULERELO t0o1 7 \+L LEGAL DESCRIPTION A. New Residential - Single or lf ulti-Family per dwelling unit. t-7o3 3e (l oZTa 6 JOB $r06.00 $ r9.00oaf CJA,( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Service Included 1000 s.-q. 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 One Circuit Each Additional Circuit or with Service or Feeder Permit o6 $s0.00 $ 63.00 $ 75.00 $ I 25.00 $ 1 63.00 s375.00 $ 50.00 a $ 3.oo 2( 2 CONTRACTO R IN STAL LATI ON O NLY B. Serv ElectricalContractor €STSt0€ €ccct tc Address 3 ).t BoSCAG€ L/U, City 5P FLD phone 1 Supervisor License Number \1)7s Expiration Date l0 t- 07 Constr. Contr. Nurnber I 171 '7 O Installation, Alteration or Relocation 200 Amps or less ' '. . . $ S6.Oo 201 Amps to 400 Amps ' _ $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits New Alteration or Extension Per Panel $ 43.00 v (^ tY17 Expiration Date /0-of -07 Signature of Supervising Electrician Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature 4. SUBTOTAL OF ABOVE L"2 EVo q?o tq2qTss: Shared Drive(T. /Building Forms/Electrical Permit Application | -06.doc t?A pnon" ?c(1 1"2(Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited EnergyiCommercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges $ s $ $ 50.00 50.00 25.00 45.00 rr 8% State Surcharge l0% Administrative Fee 87., tr, 't^@{OTALInspection Request: 726-3769 t ,.U, obt tt* )rer t.si t E. Ntiscellaneous (Sen'ice/feeder not included) -Each lnstallation Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00233ISSUED: 0511912006 APPLIEDz 0212812006 EXPIRESz 1111912006VALUE: $ 37,422.00 SITE ADDRESS: 1009 25TH ST ASSESSOR'S PARCEL NO.: 1703361102900 PROJECT DESCRIPTION:Addition to existing dwelling Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-744-6221 License Expiration Date Phone ] Cr8t ANV cNlnllll0S Owner: Address:irttr'iu:a slHl u] Ulclxl'1'1\ oNn 01 S U]d SlHI :33lI0ll Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: R-3 12.00 0.00 Partiallv Improved Yes # 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: uo o VN nla REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains:Drywell - Provide Drywell Engineering Notes: Storm to drywell (Poage Eng.) Page I of3 U Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line GFIBLD Buitding/Combination Permit PERMIT NO: COM2006-00233ISSUED: 0511912006 APPLIEDz 0212812006 EXPIRES: 1111912006VALUE: S 37,422.00 Description Dwellinss Fee Description Plan Review Residential -Mechanical Issuance Fee- + lOoh Administrative Fee + 8%o State Surcharge Building Permit Fixture Minimum/Adj ustment Mechanical Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan Total Amount Paid Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $99.00 378.00 Total Value of Project Amount Paid Date Paid Value $37,422.00 $37,422.00 Date Calculated 02t28t2006 $r9s.29 $r0.00 $43.25 $34.60 $300.45 $42.00 $39.00 s85.00 $133.49 $r75.49 $r9.20 $74.94 $45.00 $6.00 $1,203.71 2t28/06 sn9/06 5n9t06 5/19t06 st19t06 5n9t06 sn9t06 5n9t06 5n9t06 5t19t06 5n9t06 5n9t06 sfi9t06 5n9t06 Fpes Paid Plan Reviews Initial Review Planning Review Public Works Review Public Works Review Structural Review 03t02t2006 03t02t2006 03t02t2006 04t04t2006 03t02t2006 0sn6t2006 05tr0t2006 APP APP WE APP SKG TAJ CAS Storm drainage issue 3/6/2006 Cas Drywell okay per Poage Standard Drawing included into building permit packet 5110/06 CAS Waiting for applicants drywell calcs.3/30/06 JLP & MS 03t02t2006 04t03t2006 OK RJB To Request an inspection call the 24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7fiO a.m. will be made the following work day. Page 2 of3 Valuation Descrintion Receipt Number 12006000000000002r5 r200600000000000684 1200600000000000684 r200600000000000684 1200600000000000684 r200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 1200600000000000684 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00233ISSUED: 0511912006APPLIEDz 02/2812006EXPIRES: 1111912006VALUE: $ 37,422.00 Reouired Insnect Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. 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 certify that any and all work performed shall be done in accordance with the Ordinances of the Cify 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. 5- /?- o C Date Pase 3 of3 Z-z-* Construction Contractors Board Permit #: COl,4eo\=r - O OZ]S Address:oo? 75 +Ls Issued by:>6 Date:{?o Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities 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 and 2, and either box 3A or 38: 700 Summer St ItlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 WebAddress:@b!!gtg@q K, Pr, 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 conffactor is (Narne) (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.'<r 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 notify 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. 5- /7- oG @ate) (I{hite copy to issuing agency permilfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Z+ "&e*imffi a$ k rur $wn ffi*xneral C*ntraet*n? $NFSRMATICIN NSY'*& T& PMSPffi&TY ffiWNMRS .&BO{JT CSru STR["'ST&SSX Rffi Sp*t{$N mt Lrytfr $ ffOIfi lfris lnf*;'mafion Nofic* ta Prap*fty Owners a&ord Scrsfrucffc* Responsi&iiiffe$ w&s d*veicped by the ecnsfrucfion C*nfrarfors Scard in accardance wittt O&S 7Sr"05$f5J, p*sscd by tk* f 9S9 Oregon Leglslafurc" If y*u ar* a*ting as y{}ilr *wrr **nlra*tor to cqlnstruct a new heime *r mak* a subst*r**ial impr*vement to an existing stnrcture, y$u cil& pr*r,'*at many preblems by being aw*re of the foil*wi*g respons*.bilities and e<:n**I','ls. &*mpX*yer ffi"e$Xq*xlx*h* &X*&*s Y*u will, in most inst*r*rc*s, be rutrrrtr te be an 'ue*:plsyer" axd th* c*stra*tors yolr c$fitract with will be "'e:np1*yees" if, yr:u u$e eo:rkaet*rs x*t licensad with the Cor:skuc{ion Cemtractor* Sq}ard t* do l*b*r ir: *onstru*ting *r to assixt ix the c*xstruction or impr*v*msnt cf,a residentiai. s*"r.1*ture. As tlre emrp**y*x', y*er must ecmply wltk tlx* foiluwing; *r*gelx's ltri*lell*Iding ?ax tr-aw: As an **:ployer, yt:n n:ust wrthhold inc*rne tax*s &elm *mploy** $rag$$ at the t{n:e *xplcye*s ar* p*id. Y*x wilX b* ii*ble lbr 1]ta lax paSxx*r"lts *ven i1 y*u d**'t &*tually withh*l<3 th* l*x **rrl y*&r er:l:p}*yees. F*r m*:r* illfurmaticm, cali ?he Lleparhrent of,R*venue at 5CI3-3784988. {Jxr*a*p}oym*mt }rxsxxx'amee Yxxr As an *mptr*yer, ysu *re r*quired t* pay a tax for une;npli:yment insuranee p$rp$se$ '" ora the w*Se$ *"rf all *rnpl*yee*. F*r m*re inf*nxati*n, *a11 the {}reg*x l}*pl*yrx*nt Bep*rtn'l*nt at 5(}3-94?-}4$S" \. Tlae *rcg*n Busi*q**s Xdentif?catiom l$xcxlber (SI3\?) is rc *cmnbined nixxb*r f*r b*th Sregon With.h*ldirg and Un*mployr**xt In*ur*n** Tax. Tc fiIe frr a SXN, *ai} 5S3-5)45-8{i91 *r xslry-dar-$&1&*:.gslexm$pay-blrd1 f*r the appropriate fbrms" 'trVorkerst Cornpen*ati*n fnsarancel As an employer, you ar& subjeet to the Oregon W*rkers' Compersatisn X-aw, and mnst ebtaix wcrkers' corcpensation insurance for your employees. If ycu faii to obtain workers' co:npensatioa insurance, you couid be subject to penalties and be iiable for all claim oosts if one of your employees is ixjured an the job. For more informati*n, catrl the W'orkers' Compensation $ivision at the Dep*rtme*t of Consumer and Business Servi*es at 5S3-94?-78 1 5. t:.S- Int*rnai &evexxat*r Serviee: As an ernpi*yer, y*u n:**t withh*ld ferleral incorn* tax frorn ernplc.,ees' wages. Yclu will b* li:lblc f*r th* t*x pey:cent $ver"! if y*u dicin't iiet*alty vrithh$}d the tax. S*r a Federal X{l{ nu**r*r, eall the X&.S at 1-8S0-8294933 nr visit their web site at xtxtyll$".9*v. $ther Xtespomsibilities am$ Aree$ sf CCIxrrerms C<*de C*lmpli*r***: ;\s the perrt:it h*}<ier lnr this project, yorl Bre r*sp*nsibl* {*r r*s*l:ring any failw* tr: r::**t **de r*quircments that nray h* i:r*ugltt t* your altc:"rti*n thr*ugh inspccli*lts. I-iahitrity ar*d Xlr*p*rty .Ilnr:rage fmsxrcnee ; Cesrta*t your insurane* agent tc n*e if y*u have adequate i:rsurance c*v*rag* f*r a**id*nts xrd *mi*si*ns sucir as fatrlixg t**ls, pai*t r:ver spvayr water dilmag* {ir:m pip* pixrr:tur*s, fire *r rvr:rk that mu$ be reC - - ----*-- .-' ". t]tSt . ..'?r. " .,:: .r:- ... c r r.; rr-rtt,a...-i - . | '(- .a.f ". ...i Time: Make sxrc yr:u have sufficient trrnr xo supcrvise your uutpl*yees. *r" *' i i Kxperti**: I,{*k* sxr* y*u have the ski}ls tc} act as y*ur *?vn general confractor, to **ordinat* tke xvork cf rough*in and finish trades, and t* n*tify br:itrding *ffr*iais xs th* appr*priat* timss sc th*y *an perforn-r tl:e t"equired i::spectictis. If yox have *diiiticr:*} questioxs e*11 the Colrsrr*ction Cr:ntra*f*rs Soard {5*3-378-4621) mr write tire ag*n*y at FO 3ox 1414*, $alerx, *IE" 973*$-5{}52. Froperty-*wmer.dr:c 0S-* 1 -84 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir- of Springfield Official Receipt f, _ .lopment Services Department Public Works Department RECEIPT#: 1200600000000000684 Date: 0511912006 l:06:37PM Job/Journal Number coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 coM2006-00233 Description Building Permit Storm Sewer - lst 50 Feet Fixture Vent Fan Min imum/Adj ustment Mechan ical -Mechanical Issuance Fee- Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning + 87o State Surcharge + 10Yo Adminisffative Fee Amount Due 300.4s 45.00 42.00 6.00 39.00 10.00 74.94 17 5.49 133.49 19.20 85.00 34.60 43.25 Item Total:$1,008.42 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard LARRY LUTZ djb 313947 In Person Payment Total: $ I ,008.42 -$-t"o-d'6z cReceintl Page I of I 5119/2006 arrffi*