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Home My WebLink AboutPermit Building 2002-09-19Building/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: 02-01055-01ISSUED: 0911912002APPLIED: 0910412002 EXPIRESz 1110712004VALUE: $ 6,000.00 SITE ADDRESS: 627 S 00005th St Spr TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1703353406300 TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Land Use: Single Family Dwelling, Zoning: LDR, Owner: Sarah Decaro Address: 627 sth Street Springfield OR 99741 Phone Number: (541\ 741-1127 Contractor Tvpe General Electrical Mechanical Plumbing Contractor Sarah Decaro Sarah Decaro Sarah Decaro Sarah Decaro License Expiration Date Phone (s4t) 741-1127 (s4t) 741-1127 (s4t) 741-1127 (s4t) 741-1127 CONTRACTOR INFORMATION torth 952'c0w the rules Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: M IT SHAL ERMIT IS Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I 12.00 all Heat Path I nla 6,970 by Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Hillside 10.00 REQUIRED PARKING Total: Handicapped: Compact: 31.00 lHtS PER AUTHORI D UNOER THIS P NOTICE:L EXPIRE flfifra"*"krype: OMMEN DORIS ABAND ONED TOR7E C CE PERIODNotes:ANY 1BO DAY Page 1 of3 Downspouts/Drains: ffi # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type:ri'r # of Bedrooms: Center' 0090 You rnaY UtilitY cauing the 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: 02-01055-01ISSUED: 0911912002APPLIED: 0910412002 EXPIRESz 1110712004VALUE: $ 6,000.00 Description Tvpe of Construction Fee Description Residential Plan Check 87o Admin Fee - Electrical 87o Administrative Fee - Mechan 87o Administrative Fee - Plumbi 8olo Building Administrative Fee Alter/Add to ea Appl Unit or S Branch Circuits WO Feeder or Building Permit Mechanical Issuance Minimum Mechanical Permit Minimum Plumbing Permit Fee Planning Plan Review State Surcharge - Electrical State Surcharge - Mechanical State Surcharge - Plumbing State Surcharge For Building P + l0o/o Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Total Value of Project Date Paid Receipt Number 10501 10666 10666 10666 10666 10666 10666 10666 10666 r0666 10666 10666 10666 10666 10666 10666 r200400000000000832 1200400000000000832 1200400000000000832 1200400000000000832 $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Amount Paid $49.s3 $3.92 $3.60 $3.60 $6.10 $30.00 $49.00 $76.20 $10.00 $15.00 $45.00 $ss.00 $3.43 $3.15 $3.1s $s.33 $6.70 $4.69 $43.00 $24.00 9t4t02 9n9t02 9n9t02 9n9t02 9n9t02 9n9t02 9fi9102 9n9t02 9n9t02 9n9t02 9t19t02 9n9t02 9n9t02 9n9102 9n9t02 9^9t02 6nt04 6n104 6nt04 61u04 $440.40 tr'ees Paid Plan Reviews Engineering-Res Initial Review-Res Planning-Res Structural-Res 09n6t2002 09t0512002 09mt2002 09n8t2002 Appr Appr Appr Appr VJ LH LM TM To Request an inspection call the24 hour recording at 726-3769. Atl inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Paee 2 of3 S \t}- Valuation Descriotion 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: 02-01055-01ISSUED: 0911912002 APPLIEDT 0910412002 EXPIRESz 1110712004VALUE: $ 6,000.00 I Rough Electric: Prior to Cover 2 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 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 Kequrreo rnsDectrons r per drvelling unit. $ r 06.00 $ 19.00 $50.00 $ 63.00 $ 7s.00 $ 12s.00 $ 163.00 $375.00 $ s0.00 225 FIFTH STREET r SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689 ELECTRI CAL PERMIT APP LI CATTON CiryJobNumber OZ- Ol 0S t-O I out" OO\ cc( I LO CATI ON O F IN STALIAT'ION 6'2.1 :; :l+L- 3. Xoornq LEGAL DESCzuPTION l7o's3 s3g O63o<> JOB DESCRIPTION $j ? c,r-"--.k Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Residential Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder D. Branch Circuits New Alteration or Extension Per Panel one Circuit I Each Additional Circuit or with Service or Feeder Permit 7Yo State Surcharge I0% Administrative Fee TOTAL ) Electrical Contractor Address Supervisor License Expiration Date N Constr,Number I Oregol Notification Center. Those are set bfi -oo 1 o tFnfir0fi'oARls2{01' obtai n @i dsuf [qd00l6r!Y CONTRACTOR Date Alterations or Reloc:rtion City 0090 may /1IT SHALL EXPIRE IF THE IT OR IS ABANDONED F P-Utl ,t*p, to 6oo Amps ur{ Over 600 Amps or 1000 Volts see "B" above. (tffibt'fre{d@hmQs Io r th e O re g mo[Jhltt$]'l0tiftn0timps Gentet is 1 -80Ofl&QffiilnpsA/olts Reconnect Only C. Temporar.y- Services or Feeders Installation, Alteration or Relocation $ 50.00 $ 69.00 $ t 00.00 or s,p"iilr,! b?Jt#$LP E R I o D' owners Nu " fAQ-,&tl )fc AaC: Llj$ 43.00 $ 3.00 Z Address 6z"z 5 s+^ >r-E. Ntliscellaneous (Seryice/feeder rtot included)-Each Installation City :,?,'\ Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges LA q67 50.00 50.00 2s.00 45.00 $ $ $ $ b-1 ag32Inspection Request: 726-3769 4 Shared Drive(T: ),tsuilding Forms/Electrical Pennit Application I 43.doc CITY OF OREGON COII{PLETE Construction Contractors Board Permit *: O Z - Ot - jS -c: ' Issued by:o 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 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 be/iled with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38: k f . I own, reside in, or will reside in the completed structure. v 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 (Name)(ccB #) I will instnrct my general contractor that all subcontractors who work on the stnrcture must be licensed with the Construction Contractors Board. i- oR EK lg. I will be my own general contactor. 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 Owners Construction Responsibilities on the reverse side of this form. 6-t-ct+ 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Address: 6Z-7 S 5+t' :| b 6 Date: (Signature applicant)(Date) (White copy to issuing agency pennitfile, pink copy to applicant.) Property_owner.doc 03/l l/03 u Acting a$ Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CON$TRUCTION RESPON$IBILITIES NOIE: This lnformation Notice to Propefty Awners about Construction Responsibilities was developed by the Constructian Contractors Eoard in accardance with ARS 7A1.A55(5), passed by the tgBg Oregon Lagislature. If you are acting as your ot'n contr&ctor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You wrll, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Conskuction Contractors Board to do labor in constructing 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 Law: As an employer, you must wrthhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payrnents even if you don't actually withhold the tax frorn your employees. For a State Business II) number, call the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all ernployees. For more inforrnation, call the Oregon Employment Department at 503-947-1488. lVorkers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for you 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 employees is injured on the job. For more information, call &e Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-78 1 5. U.S. lnternal Revenue Service: As an empioyer, 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 866-8 I 6-2065 or fax them at 801 -620-71 i 5. , ,,, Other Responsibilities and Areas of Concerns 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 for accidents and omissions suchas falling tools, paint over spray, water damage from pipe prmcttres, fre or work that must be redone. Time: Make sure you have suffiiient time to supervise your employees. i_ + Expertise: Make sure you have the skills to act as your own general contracfir, to coordinate the work of rough-in and finish trades, and to notifu buildingofiicials as the bppropriate fimes so they can perform'fhe required inspections. If you have additional questions call the Construction Contractors Board (503-3?S4621) or write the agency at pO Box i4140, Salern, OR 97309-5052. Property*owner.doc 03/l ll03 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone city of Springfield Official Receipt -velopment Services Department Public Works Department RECEIPT #: 1200400000000000832 Date: 0610112004 11:54:10AM Job/Journal Number 02-010ss-01 02-01055-01 02-01055-0 I 02-01055-01 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7oh State Surcharge + l0% Administrative Fee Amount Due 43.00 24.00 4.69 6.70 Item Total:$78.39 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard CreditCard SARAH DECARO SARAH DECARO djb djb 000399 000399 001882 In Person 185938 In Person Payment Total: $28.39 $s0.00 $78.39 Job/Journal Number 02-01055-01 02-01055-01 02-01055-01 02-0l0ss-01 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 24.00 4.69 6.70 Item Total:$78.39 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard CreditCard SARAH DECARO SARAH DECARO djb djb 000399 000399 001882 In Person 185938 In Person Payment Total: $28.39 $s0.00 $78.39 6/t/2004 Page I of I rT'EOET checkNumDer AutnorEatron City of Springfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Farx March 01,2004 Sarah Decaro 627 5th Street Springfield Job Number Location: oR 99747 02-0105s-01 627 S 00005th st Project:Land Use: Single Family Dwelling, Zorung: LDR, 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 wthin 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 627 S 00005th St which is set to expire on312412004. 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 S afety Supervisor City of Springfield 225 F ltth Street Springfi eld, OR 97 477 541:726-3759 Phone 541-726-3676Fax August 25,2003 Sarah Decaro 627 5th Street Springfield Job Number: Location: oR 99747 02-01055-01 627 S 00005ttt St Project:LandUse: Single FamilyDwelling, Zoning LDR, 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 pernitmustbegin wttrin 180 days of the date of isuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a prroject at 627 S 00005th St which is set to expire on 912412003. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notifu you that your permitG) wtll be expiring shortly. Ifyou are ready to request an inspection for your project, please phone the inqpection line at 541-726-37 69. If you do not request an inqpection prior to the expiration date, your permit(, 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 541-726-3190. Sincerely, Lisa Hopper Buildin g Safety Sup ervisor 225 Fitlh Street Springfield, OR97477 Location Of Proposed Site: 627 S 00005th St AssessorsMap#: 17033534 Lot: Block: Owner: Sarah Decaro Address: 627 sth Street Scope Of Work: Single Family Residence Job# 02-01055-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety spr Addition Page 1 of 3 Job Number: 02-01 055-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: Subdivision: 06300 541- 7 $6,ooo SPRTNOFIELD Phone Number: City/State/Zip: crrY oF SPRTNGFIELD, OREGON Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Sarah Decaro "uN{ 627 sth Street, Springfield, OR 99747 'i Sarah Decaro Expiration Date Phone 541-741-1127 541-741-1127 541-741-1127 541-741-1127 627 sth Street, Springfield, OR 99747 Sarah Decaro 627 sth Street, Springfield, OR 99747 Sarah Decaro 627 sth Street, Springfield, OR 99747 ,$:1$ .oq'f":N *$ "i- Quad Area: # Of Units: Constr. Type: Water Heater: 1 RSW (VN) Wood Frame # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Wall Heat Sq. Footage: To request an inspection call the 24 hour recording at726-3769. All inspections 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 working day. Required lnspections Building Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Framing Walllnsulation Drywall -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. -Prior to cover. -Prior to cover. -Prior to Cover -Prior to taping. Land Zoning Bedrooms: Range: :1 $ '-{ss Ne) FinalBuilding Rough Electrical Fina! Electrica! Special Special Zoning: LDR FloodPlain? [-] Wetlands? [ ] # of Street Trees: Journa! numbers 1: 2: 3 Gomments:Remodel of existing structure Planner: Urban Growth Boundary?[ Glenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Job# 02-01055-01 Page 2 of 3 Required lnspections Buildins -When all required inspections have been approved and the building is complete Electrical -Prior to cover. -When all electrical work is complete Plumbing -See Plan Review and/or lnspectors Notes, or prior to cover if applicable Mechanical -See Plan Review and/or lnspectors Notes, or prior to cover if applicable Overlay District: Hillside Development Land Use: Single Family Dwelling Pave Driveway? E Additional Requirements Required Attachments: Source Locn: Material: Flood Plain FEMA:Panel 1142 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: I # Of Bedrooms: Handicap Access? Area (Sq. Feet) Main Accessory: # Of Stories: 1 Height (feet): 12 Current Units: Proposed Units: Census Code: Does not apply Total: Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check 09t04t2002 10501Residential Plan Check Total Plan Check 6,000 $49.53 $49.s3 Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 09t19t2002 09t1912002 09119t2002 1 0666 1 0666 1 0666 6,000 $76.20 $5.33 $6.1 0 $87.63 Electrical Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 09t19t2002 09t19t2002 09t19t2002 09t19t2002 1 0666 1 0666 1 0666 1 0666 3 $.00 $49 00 $3.43 $3.92 $56.3s Job# 02-01055-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing B% Administrative Fee - Plumbing Total Plumbing 09t19t2002 09t19t2002 09t19t2002 I 0666 1 0666 10666 $45.00 $3.15 $3.60 $51.75 Mechanical Minimum Mechanical Permit B% Administrative Fee - Mechanical Alter/Add to ea Appl Unit or System Mechanical lssuance State Surcharge - Mechanical Tota! Mechanical 09t19t2002 09t19t2002 09119t2002 0911912002 09t19t2002 1 0666 1 0666 1 0666 1 0666 1 0666 $15.00 $3.60 $30.00 $10.00 $3.1 5 $61.75 1 Planning 09119t2002 10666 1Planning Plan Review Total Planning $55.00 $s5.00 Grand Total Plan Check Type Checked By Date Completed Comment lnitial Review-Res Lisa Hopper 0910512002 Engineering-Res Virginia Jurasevich 0911612002 Planning-Res Liz Miller 0911112002 Structural-Res Tom Marx 0911812002 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that the project 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 d Signature $362.01 oa -144\ Date 225 FIFTH STREET SPzuNGFIELD, OREGON 97477 TNSPECTION REQIJEST'. 726-37 69 OFFICE: 726-3759 I. LOCATION OFINSTAILATION ,e,Z- :> -'jf t- sf City Jo 3. COMPLETE LEGAL DESCRIPTION35]6"loo JOB DESCRIPTION rno Permits arc nou-transferable exprre if *'ork is not sttrrted rvithin 180 E Address City Supen'isor License Expiration Constr Number Expirat n Date Namc OWNER INSTALLATION Tire instaliation is being made on propert]- I olvn rvltich is not intended for sale. lease or rent. or er d .ft. nal 500 or portion thereof Each Mamrfd Home or Modular Dwelling Service or Feeder 200 amps or less 20 I anrps to 400 arnps 401 anrps to 600 antps drrelling unit. Items Cost Surn $ 19.00 nO\ CONTRACTOR INSTALLATION Y B. Ser-vices or Feeders Contractor Rclocation Oi'er l()00 amps/r'olts $375.00 _ Reconnect Onh' S 50.00 _ C. Tcnrporar'1 Scn'iccs or Fceders Installation, Alteration or Relocation 200 anrps or less $50.00 _ 201 amps to 400 amps $69.00 _ Over -l0l to 600 anrps $100.00 - Or cr 600 :uups or 1000 r.'olts see "B" rrbolc D. Brirrrch Circuits Nur Alteration or Extettsiolt Per Panel o^e circ,it / ,oa.on VS Each Additional Circuit or s'ith Sen'ice t or Feccler Perurit Z S 3.oo b E. I\liscelltneous (Serviceileeder not included) -Each installation Pump or irrigation $50.00 Sigrr/Outline Lighting $50.00 Limited Energl,Aes $25.00 Liurited EnergviConim $45.00 N'Iinimum Electric Permit Inspcction Fee is S-15.00 * Surchirrges 4. SUBTOTALOFABOVE 77o Sttte Surchargc 8 7u Atlministrativc Fee ?Lt + Orvncrs Signature TOTAL L ELL, ,TICAL PERMIT APPLICATION A. Nerv $106.00 _ of issutrnce or if rvork is 180 days. of Superlising ,rroJ ^ddress b2-? Su+l 864 S*a/ ci t :' _Woaf dz//_P h one 3 ?3 -7 o t3 $ 50.00