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Home My WebLink AboutPermit Building 2005-12-19*tts5lrrl.s Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26a7 69 Ins pe ction Line F PRIN Building/Co mbin ation Permit PERMIT NO: COM2005-017 49 ISSUED: 1211912005 APPLIEDz 1211912005E)0IRES: 06/1912006VALUE: $ 2,000.00 SITE ADDRESS: 2491 16TH ST Springfield TYPE OF Family Room ASSESSOR'S PARCEL NO.: 1703243400116 TYPEOFUSE: Addition PRoJECT DESCRIpTION: Reissue for expired permit 02-00967-01 to complete family room and bedroom addition. PhoneNumber: 541-554-2931 Residential Owner: Address: BRIAN JONES 2491 16TH ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing ER Mll lS N0,lcense Expiration Date Phone ONED IOR 50557 02n512006 541-895-4423 # of Units: Primary Occupancy GrouP: Secondary OccupancY Primary Construction TYPe Secondary Construction # of Bedrooms: Frontyard Setback: Side l Setback: Side 2 Setback: " Rearyard Sefrack: Solar Setbacls: Street Storm SewerAvailable: Special Instruction: R-3 # of Stories: Ileight of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Center'Those 10 through OAR n copies o{ the set {orth 952-001- Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/CarPort Sq Ft Other: Occupant Load: VN Notitic Notitication REQUIRED PARKING Total: Ilandicapped: Compact: rules bY inO 0090 number ote: the telePhone UtilitY o '-iszzeqq)' nter is 1-800 Sidewalk Type: Downspouts/Drains Notes: 1of 3 SHALL UNDER OR IS OAY PEBIOD. COOK SR :THSFITLO Status: Issued 225 Ftfth Street, Springfield, OR 541:726-3753 Phone 541-7263676Fax 541 :7 2637 69 Inspe ction Line Y FS BuildinglCom bin ation Permit PERMIT NO: COM2005-017 49ISSUED: 1211912005APPLIED: 1211912005 E)GIRESz 0611912006VALUE: $ 2,000.00 Description TyPe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount t2n9t05 t2n9l05 t2n9l0s t2n9l05 t2t19l05 t2n9t05 12n9t05 Total Value of Project Date Paid Value Date Calculated Receipt Number 1200500000000001827 r200500000000001827 1200s00000000001827 1200500000000001827 r200s00000000001827 1200500000000001827 1200500000000001827 Amount Paid Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + loh State Surcharge Building Permit Minimum/Adj ustment Electrical Minimurn/Adj ustment Mechanical Minimum/Adj ustment Plumbing Total Amount $10.00 $18.00 $12.60 $4s.00 $4s.00 $45.00 $4s.00 $220.60 Fees Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.*. will be made ihe same working day, inspections requested after 7:00 a.m. will be made the following work day. 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. Final Plumbing: When alt plumbing work is complete. Final Mechanical: When all mechanical work is complete. Rough Mechanical: Prior to Cover Final Electric: When all electrical work is complete. 2of3 Valuation Description I Reouired Inspections I luaSFurLSr Status: Issued 225 Fifth Street, Springfield, OR 5417264753 Phone 541-7263676F2x 541:7 26-37 69 I nspe ction Line F Buildin g/Co m bin atio n Permit PERMIT NO: COM2005-017 49ISSUED: t2ll9l200s APPLIEDz 1211912005 E)GIRESz 0611912006VALUE: $ 2,000.00 By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all inrormation hereon is true and correct, and I further certiS 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 OCCUPANCY will be made of any structure without permission of the community services Division, Building Safety. I further certiff that only coniractors 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 during construction /7,- i9- _a5* Owner or Contractors Date 3 of 3 Construction Contractors Board 700 Summer St llB Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 lVeb Address: !EE.gs!{@S permit x, Cauueso-r- D \aq1 Address:zq?l /6t-L sl Issued by:b.C oate, /'z-/7-or 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 Constntction 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, exempt from licensing under ORS 701 .010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, md either box 3A or 38: 1 El- t. 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 (Name)(ccB #) & W I will instruct my general conffactor that all subcontractors who work on the structure must be licensed with the Constnrction Contactors Board. OR 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 offrce 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. /L-/q-706 permit applicant)@ate) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner. doc 06-0 I -04 A*tixrg as Your Own General'Contractsr? INFORMATIO}.I NOTICE TO PROPERfi OWNERS ABOI.|T CONSTRUCTION RESPONSIBILITIES Ifyou are acting as your own contractor to construct a new home or rnake a s*bstantial improvement io an existing structure, you can prcv*nt rnany problems by-be&rg aware of the followirq.psponsibilities and concerns. Employer Responsibilities You will, in mast instances, be ruled to be an "emplgyer" and the coatractors you contract with will be "empioyees" if you use conlrattors not licensed with the Const'uction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential struchrre. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you inust 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 &om your employees. For m*re information, call the Departrnent of Revenue at 503-3784988. ' Unemployment fusuranee Tax: As an employer, you me riquired to pay a tax for unemploymert insursnce pu{posura on the wages of all employees. For more information, call the Oregon Imployment Department at 503-947-1488. ;t- The Oregon Business Identification Number (BD{) is a conrbined n+mber for both Oregon lVithholding an8" Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/forrnspay.htmll for the appropriate forms" trVorkerst Compensation Insurance: As an empioyer, you are subject to the Oregon Workers' Cornpensation Law, and must obtain workers' compensation insurance for your employees. lf you fail to obtain worksrs' 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 the Workers' Compensation Division at the Department of Consr:mer and Business Services zt 503-947 -7 815. U.S. fnternal Revenue Service: As an employer, you must withhold federal ineome tax from employees' wagesir 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 l-830.829-4933 or visit theh web site at ysry.$s.gay Other Responribilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage fnsurance: Contact your insurdnce agenf to see if you have adequate insuranc'e ' coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employee$. , , :, Expertise: Make sure you have fhe skills to act as yonr own ganeral co,n$actor, 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 Consfruction Conkactors Board {5A34784621) or write the agency at PO Box 14140' salern, oR 97309-5052' -, .,.i-:.,; :.i..i !.,. . , Property_owner.doc 06-0 1 -04 NOTE: This lnformation Notice to Property awners abaut Canstruction Responslbitdies il/as developed by the Construction Contractors Board in accardance with ORS 7U.A55{5J, passed by the 1989 Aregan Legislature. CITY OF SPRINGFIELD OREGON SPBTIYCIFTELD D EV E LO P M E NT S ERVI C ES DEPARTM E NT September 18,2006 Brian Jones 2491 16th Street Springfield, Oregon 97477 Dear Mr. Jones: lf you have any questions, or if I may be of any assistance, please feel free to phone me at 726-3790. Sincerely, Lisa Hopper Building Safety Management Analyst 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. sp ri ngf ield. or. us Your request for an extension of your permits to complete your family room and bedroom addition on your property located at2491 16'n Street, Springfield, Oregon, City Job COM2005-01749 has been reviewed and approved. This extension may only be granted one time and will expire on March 18,2007. th I am writing asking for an extension for permit # com2005-01749. I had fallen behind schedule with getting some of the areas needed to finish to meet my next inspection date on my home. I just recently received my bathroom cabinets so id be able to have my sinks set and have my finish plumbing complete. Also being the finial electrical is close to being done also. I'd be very grateful to have my permit extended Brian Jones ooll ss/- z17l v ,) 0 NC" V C\,\ ti,r ,ry0('' L4tt uo+n S\reet City of Springfield .i Building Permit & Inspection Summary 9/1312006 9:48:04AM Job #: coM2005-01749 Job Address: 2491 16TH ST Springfield Scope of Work: Family Room Description of Work: Reissue for expired permit 02-00967-01 to complete family room and bedroom addition. BRIAN Citv. State. Zip Phone Owner & Contractor(s) AddressName CON OWNER ELC OWNER MEC OWNER OWN JONES PLM EDWARDLCOOKSR 249I I6TH ST 82714 BRADFORD RD SPRINGFIELDOR 97477 541-554-2931 CRESWELL OR 97426-9541-895-4423 25 Fifth Street 541-726-3753 Phone 541-726-3676Fax Project Status: Issued Yaluation of Proiect Cost Per Sq Ft Sq FtsOccupancv Construction Tvpe Date Valuation Calculated Staff Building Permit Minimun/Adj ushnent Plumbing Minimum/Adjustment Mechanical Minimum/Adj ustment Electrical -Mechanical Issuance Fee- + 7% State Surcharge + l0%o Administrative Fee Total Amount Paid Amount Paid $4s.00 $4s.00 $4s.00 $45.00 $10.00 $ 12.60 $18.00 $220.60 I 20050000000000 I 827 1 20050000000000 I 827 I 20050000000000 I 827 I 20050000000000 I 827 I 20050000000000 I 827 l 20050000000000 l 827 I 20050000000000 I 827 Fees Paid Date Paid Receipt #fescrlption Plans Reviewed Received Due Date Completed Result Reviewer CommentsDepartment Inspections Ceiling Insulation Final Building Final Plumbing 'inal Mechanical Final Electric Drywall Rough Mechanical Bath fans.12t22t2005 OK RIB Result Inspector Inspections Conducted Comments Date I of 2 t2lt9/2005 t2lt9/2005 t2lt9/2005 t2lt9/2005 1211912005 1211912005 t211912005 Building Permit & Inspection Summary 9/1312006 9:48:05AM Job #: coM2005-01749 25 Fifth Street 541-726-3753 Phone 541-726-3676Fax Project Status: Issued Job Address: 2491 16TH ST Scope of Work: Family Room Springfield Description of Work:Reissue for expired permit 02-00967-01 to complete family room and bedroom addition. 121221200s OK RJB 0310312006 WIR RJB 08121/2006 IO LLH Wall Insulation Drywall Permit About To Exp Ltr Mailed Left note at house. See address file for copy ofletter 2of2 rlr-l CitY of SPringfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Fax August 21,2006 JONES 2491 16TH ST SPRINGFIELD BRIAN Job Number: Location: Project Dear Permit Holder: Sincerely, Lisa Hopper oR 97477 coM2005-01749 2491 16TH ST Rriissue for expired permit 02-00967-01 to complete family room and bedroom addition. The Springfield Building Safety Code Administrative Code provides that in order for a permit to rernain,ulid, the work *fri"t has been authorized by the pennit 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 2491 l6TH ST which is set to expire on91312006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notifo 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. lf yo, -do not request an inspection prior to ttre 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. Building Safety Management Analyst 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(54r)726-3753 r FAX: (541)726-3689 E LE CTR.I CAL PE RM IT APPLI CATI ON CityJobNumber COvl4Locf - ,Cl-q 7 oq 1 1. LOCATION ZLI?( OFINSTALTI. t6tk Date 3. COIWI'LET'E b-EE A. Nerv Residential - Single 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 or less to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only Installation, Alteration 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs Over 600 Amps or. I000 D. {1anch Circuitl .,, One Circuit Each Additional Circuit or Service or Feeder Permit T'ION S LEGAL DESCRIPTION70 3 zL/ 3q oo//6 JOB DESCRIPTION 1Z€: o Z- O ?,67-ol C^ i ily per dwelling unit. City (.> Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. )CO NT RA C'L OR INS?ET I-AT'I ON O N I,Y ltit Electrical Contractor Address \tu- Supervisor License Number Expiration Date Electrician Owners *u*" 'T r,o Z / 6+* Per Panel $ 43.00 $ 3.00 er not included) -Each Installation $ s0.00 $ 50.00 $ 25.00 $ 4s.00 E. I\Iiscellaneous Purnp or irrigation Sign/Outline Lighting Limited Energy/Residential nimum Electric Inspection SUBTOTAL OII ABOW 7% State Surcharge 10% Administrative Fee TOTAL $s0.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 or Relocation s 50.00 $ 69.00 $ 100.00 Volts see "B" above. ,(\ Address City 9?Phone o OWNER INSTALLATION The installation is being made on property I own w is not intended for sale, lease or rent. Owners Signature: Fee is $45.00 * Surcharges aJ- 3tf ?'ro .-?bf_)o - Inspection Request: 726-3769 hich 4- Shated Drive(T:)/Building Forms/Electrical Pennit Application l-03.doc I $106.00 $ 19.00 Constr. or Feeders - Installation, Alterations or Relocation: \t C. Tenrporary Services or Feeders {{E\ 225Fitth Street Springfield, Oregon 97 47 7 541-726-3759 Phone aFtrNortlrtr ty of Springfietd Official Receipt Development Servicei Departm ent Public Works Department RECEIPT #: 1200500000000001827 Date: 1211912005 2:25:27PM Job/Journal Number coM2005-01749 coM2005-01749 coM2005-01749 'covtzoos-otz+q coM2005-01749 coM2005-01749 coM2005-01749 Description Building Permit Minimum/Adj ustment Plumbing Minimum/Adjustment Mechanical Minimum/Adjustment Electrical -Mechanical Issuance Fee- + 7%o State Surcharge + l0oh Administrative Fee Amount Due 45.00 45.00 45.00 45.00 10.00 12.60 18.00 Item Total:$220.60 Fayments:CheckNumber Authfrization Receiwd By Batch Number Number How Receivedof Payment Paid By Amount Paid 289881 In Person $220.60 Payment Total : ------522-6h- l 1 BRIAN JONES djb ,, I !" ;i, t2n9l200s lofl : C,pditcard