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Home My WebLink AboutPermit Building 2004-08-03Status 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: COM2004-00883ISSUED: 0810312004 APPLIEDz 0711512004 EXPIRESz 0210312005YALUE: $ 10,626.00 SITE ADDRESS: 257617TH ST ASSESSOR'SPARCELNO.: 1703243400131 PROJECT DESCRIPTION: Extend Master Bedroom & Closet Springfield TYPE OF WORK: Bedroom TYPE OF USE: Addition Residential Owner: Address: LAWSON SCOTT PATRICK 257617TH ST SPRINGFIELD OR 97477 Phone Number: 541-746-5014 License Expiration Date PhoneContractor Type General Electrical Mechanical Plumbing Contractor OWI\ER OWI\IER OWI\IER OWNER CONTRACTOR INFORMATION m # 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: # of Stories: Height of Structure Type of Heat: orced Air Electric Water Type: Range Type: Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 vN 115 Notes: s.00 s.00 Fully Improved Yes Storm Sewer to Existing Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: llts v'- e rules rilitY t tor Urban Fringe REQUIRED PARI(NG Total: Handicapped: Compact: Sidewalk Type: Curbside 5, Downspouts/Drains: Curb and Gutter NOTICE: iH,s prnrurlT sHALL EXPIRE lF THE woRK NUTHONI/TD UNDER THIS PERMIT IS-NOT iortur,lrtrcED 0R ls ABANDoNED FoR ANY 1BO DAY PERIOD. {o Nol \R 952-uu he te\ePhone iity Notiticauon )-Da44\. OArt lling the nber tor (iar DEYELOPMENT INFORMATION PUBLIC IMPROVEMENTS Paee 1 of3 -['L._\ Buildin g/Combin ation Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00883ISSUED: 08/03/2004 APPLIED: 0711512004 EXPIRESt 0210312005VALUE: $ 10,626.00 Description Dwellines Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Miscellaneous Mechanical Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 11s.00 Total Value of Project Amount Paid Date Paid Value $10,626.00 $10,626.00 Receipt Number 2200400000000000932 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 1200400000000001173 Date Calculated 0711s12004 $74.88 $10.00 $27.12 $18.98 $3.00 $11s.20 $4s.00 $63.00 $s9.00 $2.33 $46.s0 $45.00 7n5104 8t3t04 8t3t04 8t3t04 8t3lo4 8t3t04 8t3104 8t3104 8t3t04 813104 8t3t04 8t3t04 $510.01 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 0711612004 0711612004 07t2u2004 07n612004 07t2u2004 07t2y2004 APP APP APP SKG TAJ MS 07n612004 0712812004 APP DLM 712112004 - Storm Sewer to be directed to existing (curb and gutter via weephole). - MS See documents for plan review comments. To Request an inspection call the24 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Pase 2 of3 Reorrired Insnecfions I Valuation Description I Tvpe of Construction V Wood Frame liees Pard I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 54l-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00883ISSUED: 08/03/2004 APPLIEDz 0711512004 EXPIRESz 0210312005VALUE: $ 10,626.00 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 coYer. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Final Mechanical: When all mechanical work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 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 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 c '{ Owner Date Pase 3 of3 225.Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ctty of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT#: 1200400000000001173 Date: 0810312004 10:11:18AM Job/Journal Number coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 coM2004-00883 Description SDC Sanitary/Storm Admin Plan Review Minor - Planning Storm Sewer - lst 50 Feet + 7o/o State Surcharge + lDYo Administrative Fee Perm Serv/Idr 200 amps or less Add, Alter, Extend Circ Ea Add Miscellaneous Mechanical Building Permit -Mechanical Issuance Fee- Storm Drainage Impervious Area Amount Due 2.33 s9.00 45.00 18.98 27.12 63.00 3.00 45.00 115.20 10.00 46.50 Item Total:$43s.13 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check LINDA COCKMAN djb 3545 In Person $435.13 Payment Total: ----S?IBII 81312004 Page I of I at3ra;aalD JOURNAL OR JOB NUMBER: NAME ORCOMPANY: LOCATION: TAXLOTNUMBER: DEVELOPMENTTYPE: NEW DWELLING UNITS I. STORMDRAINAGE DIRECT RTINOFF TO CITY STORM SYSTEM CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN', TORKSHEET coM2004-00883 Scott Lawson 2576 17th Street 17032434Tax 0013 l Addition to SFR 0 BUTLDTNG SrZE (SF. 0 LOT SZE (SF):8712 150.00 RLNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry IMPERVIOUS S.F 0.00 ITEM l TOTAL-STOR]T{ DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: IMPERVIOUS S.F NUMBER OF DFU's 0 B. IMPROVEMENT COST: NLIMBER OF DFU's 0 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 ST]BTOTAL $46.50 COST PER S.F $0.3 l0 COST PER S.F $0.3 r 0 COST PER DFU s24.04 $ t 8.28 NIIMBER OF LTNITS 0 NLMBER OF TINITS 0 ADM. FEE RATE s%o CHARGE $46.50 DISCOI.INT RATE 5jYo $46.s0 x x x x x x x x x ITEM 2 TOTAL - CITY SAIYITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: $0.00 COST PER TRIP $r 8.30 COST PER TRIP $80.72 NEW TRIP FACTOR L00 NEW TRIP FACTOR L00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: s0.00 $46.s0 CHARGE $2.33 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE Matt Stouder 712y2004 DISCOTINT $0.00 $0.00 $46.s0 $0.00 $0.00 $0.00 $0.00 2.33 $48.83 I 070 109 r 1092 1093 1094 1 055 r 056 079 078 U) E]noO & IJ.]Fa (, rr.l& I 1 IUL IT COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NTIMBER OF NEW FXTURES x UNIT EQUIVALENT : DRAINAGE FXTURE UMTS FOR CALCULATE ONLY TFIE NET ADDITIONAL NO. OF FIXTIIRES LINIT FIXTTIRE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS isa toa uit set at I 67 MWMC CRBDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FtxTURE UNITS 0 0 0 1979 *EDU BEFORE 1979 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / IOOO CREDIT RATE $0.00 x $5.29 CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT 1979 1980 l98l 1982 1983 1984 I 985 I 986 1987 1988 1989 t995 1996 1997 1998 1999 2001 $5.29 $5.1 9 $5.12 $4.98 $4.80 $4.63 $+.+o $4.07 $3.67 $3.22 $2.73 $2.25 $1.801991 1992 1990 1993 't994 $1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOLINTA]N 0 0 I 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS /ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTT{ESWASHER - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER" SINGLE STALL 0 0 2 0 S}{OWE& GANG CNUMBER OF IIEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 0 2000 CITY OF SPRINGFIELD, ORECON 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726'3753 . FAX: E LE CTRI CAL PERM IT APPLICATI ON /o4City Job Number CID.TzpfLraie,"Date Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 sl*$atftf*Frgt*l} $106.00 $ 19.00 $50.00 $ 63.00 $ 7s.00 $125.00 $163.00 $375.00 $ s0.00 63:a $ s0.00 $ 69.00 100.00 $ 3.oo 3 9n $ s0.00 $ s0.00 $ 2s.00 $ 45.00 do 3. 7S-U- l.311 LEGAL DESCRIPTION JOB DESCRIPTION L<aL r-)[t,sr Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Electrical Contractor Address t\0 Phon{ Supervisor License Number ts0 Expiration Date Constr. Cont Expiration Date Signature of Electrician Owners Name Address "/ v OWNER INSTALLATION The installation is being property I own which is not intended Owners City lrlrcS vnone%b-.21/ Amps Amps NB 1000 Amps/Volts .Reconnect Only Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial B. City L C Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 1oh State Surcharge 10% Administrative Fee TOTALInspection Request: 726-3769 rent. 4. Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc t 1.IOCsrrO.rYOr A. 2.Semices or - trnstall*tionr .ol: not included)I[stallation Construction Contractors Board 700 Surnmer St IrlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:rybs1[31!e.or.us Permit #: Address Issued by:5 -adggs & Date 0Y 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 residenttal 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 befiled with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38: f, 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. tr 3A. My general contractor is (Name)(ccB #) F ,R' I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 3B. I willbe 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 immediatelynotify the office issuing this building permit of the narne of the contractor. I hereby certify that the information is correct and that I have read and do understand the Information Notice to Property Responsibilities on the reverse side of this form. <o) (Date permitfile, pink copy to applicant.) Property_owner. doc I 2-09-03 of copy to ant) Acting ,{s your own General contractor? INFORMATION I{OTICE TO PROPERTY OWNERS AB€U.T CONSTRUCTTON RESPONSIBTL|fl ES , construct a new hor$e or make a suilstantial improvement to an *xisting by being aware of td.fcilowing responsibilities and concerns. If irou are acting as your own cofitractor to structure. J,ou can prel'ent manv probiems Employer Responsibilities You wiilr,in most instances, be ruled to be an "'ernployer" and the conrac.tors you contract with will be "employees" if you use contractors not licensed rvith the Constructron Contrac{o5s Bcard *o do labor in consfnrpting or trr assist in the conslruction or.imprcvement of a residential strucfure. As the employer, you.must conply with the following: I Oregon's Withholding Tax Law: As an employer. you nrust rvithhold income taxes from employee wagcs at the time employees are paid. Ycu rvill be iiable fbr the tax payments even if yop don't acrually with!9ld the tax ircm ycug employees.Foimoreinformation,cailiheDeparrmentofRevenueatsif-:z8gqS8. rr:r ':'' ',' ; ::;' Unemplo-vment fnsurance Tax: As an emplay6i.')rcu are required to pay a tax fdr unemployment insuranc" po.pui[* on the wages of all ernplol,'ees. For more inlormation. call the Oregon. bmployment Department at 503-9.X7-1488. ..:,!,.4 The Oregon Business Identification Number iBt$ is a combined.,number for bsth..Orqon lVithholding and Unemployrnent Insurance Tax. To {ile for a BEi. cali 503-945-8091 or u,r,,rv.dor.state.or.us./formsFaLhtgf[ for the '| : Workers' Compensation Insurance: As an emplover, you are subject to the Oregon trVorkers' Compensation Law, and must obtain workers' compensation insurance for your empioyees. If you fail to obtain workets' compensation insurance. 1,ou coukJ be subjeci to penaitiesand'be iiabie'for all'ctiim costs if one "f ;;;;il;;;;r ;,iur*o on thejob. For more inforinatioh, cali the Workers' Compensation nivision at the Depaament oi'Con.u*rr ai',d Busir:ess U.S. Internal Rel,enue Serl"ice: As an employer, yolr mlrst withhold federal incorrre tdii from employeeSt wagd!. You will be liable for the tax.payment even if I'ou didn't actually r.vithhold the tax. For a Federal EIN number. call the IRS at 866-81G206s bi fdx them at 80i.-620-i I5, Code Compliance: Ai.the.permit hatrder fdr'this projeet, you are responsible for resolving any failure to nreet code requirements that may bc brought,toyour attention through inspections..'. -' . t-, - Liability and Propertv Damage'fnsurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omisSions such as falling tools, paint oyer spray, *ater damage frcrn pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supen'ise your employees. Expertise: Make sure you have the skills to act as your o\\Tr g"lr*t contractor. io coordinate the rvork o1 rough-in and finish trades, and to natify building officials as the appropriate times so tirey can perform the required inspections. If you have additional questions call &e Conslruction Contractors Board (503-378-4621) or write the agency at PC} Box 14140, Salem, OR 97309-5052. Properry_owaer.doc 1 2-09-03 NO TE:!n{ormatianfi?rs to Awners CanstructionabautPropefty b tbaResporsiiililiesdevelop*d 'vConstructi*n Contractors ,nEoard accordance with 70ORS 1 lhe oaoIa55{5)passed by Oregon Legislature , :, I DEV ELOPM ENT SERV I C E5 D EPARTIW ENI August 4,2004 Scott Lawson 2576 ITth Street Springfield, Oregon 97471 Dear Mr. Lawson: Enclosed is a copy of the permit for your bedroom addition at your residence located at 2576 flth Street, Springfield, Oregon. When you obtained your permits, we neglected to properly include you on the permit as the contractor for the project. I am enclosing a copy of the permit for you to keep for your records. Sincerely Lisa Hopper Building Safety Supervisor 225 FIFTTI SIFEET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www. ci. sp ri ngf i e I d. o r. u s h Thank you, and if you have any questions, please feel free to phone me at 726-3790. [.ft, City of Springfield 225 Fifth Street, Springfield, OR97477 ' 541-726-3759 Phone 541-i726-3676 Falx March 16,2005 LAWSON SCOTT PATzuCK 2576 LTTHST SPRINGFIELD OR Job Number: Location: 97477 coM2004-00883 2576I7THST Project:Extend Master Bedroom & Closet 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 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 at2576 17TH ST which is set to expire on 4119/2005. 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 Safety Supervisor