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Home My WebLink AboutPermit Building 2008-6-30 \~ ~_ /2~ rl )~ 1rv CITY OF SPRINGFIELD Building/Combination Permit Status In Review PERMIT NO: COM2008-0095I ISSUED' APPLIED' EXPIRES VALUE: 06/30/2008 0110312009 $ 205,835,00 225 FIlth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 1329 31ST ST ASSESSOR'S PARCEL NO 1702303403900 SPRINGFIETYPE OF WORK Smgle FamIly ResIdence TYPE OF USE New ResIdential PROJECT DESCRIPTION Smgle Family ResIdence Owner WEINHOLD DAVID E & CHERYL L Address 40132 MCKENZIE HWY SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expn atlOn Date Phone General ADAIR HOMES INC 593 03/19/2010 503-645-1156 Electncal INTERSTATE ELECTRIC INC 117121 09/0512008 503-393-2223 Mechamcal ADAIR HOMES 03/1912010 541-895-3200 Plumbmg 3T PLUMBING INC 147077 03/0212009 503-932-2719 BUILDING INFORM~ T10N I 3 # of Stones HeIght of Structnre Type of Heat Water Type Range Type Energy Path Sprmkled BuIldmg 2 2600 Wan Heat Electnc Electnc Path I n/a Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 9,583 1,140 703 # of UUltS Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms I R3 U VB 440 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyal d Setback Overlay Dlst Total Side 1 Setback # Street Trees Rqd Handicapped SIde 2 Setback Paved Dnve Rqd ATTENTlnN Oregon law re~'I'l1U to Rearyard Setback % of Lot Covera~j,\ow rul~S adopted by the Oregon Utility Solar Setbacks Notlhcatlon Center Those rules are set forth NOTICE' I PUBLIC IMPROVE~~O~U~;;;~Y ;;t~~~:~~~I~~ ~~~e"r~u~e~n~y , calling the,glintl1,'ik ~ClJe' the telephone Street Impr'l'l'!me~RM1T SHALL EXPIRE"'llOffil! WORK number for1nlHiregbWfnllity Notification Storm SeweAI<iV/tI@mfED UNDER THIS PERMIf',S NOT CerA\llW8s~~)' Special InstOOfllmfNCED OR IS ABANDON ANY 180 D ED FOR Notes No storm sewdYafiilll(lP. Storm to splash blocks Pa2e 1 of 3 , ~ri:~ CITY OF SPRINGFIELD Building/Combination Permit Status Iu RevIew PERMIT NO' COM2008-0095I ISSUED, APPLIED, EXPIRES: VALUE, 06/30/2008 01/03/2009 $ 205,835,00 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectJon Lme I Val DatIOn DescrintlOn I DwelhD2s Gara2e V Wood Frdme Gara2e $ Per Sq Ft or multJpher $105 00 $28 00 Square Footage or BId Amount 1,843 00 440 00 Value Date Calculated DescnptlOn Tvpe of ConstructIOn Total Value of Project $193,51500 $12,32000 $205,835 00 07/01/2008 07/01/2008 Fpp< p~ Fee DescnptlOn Plan RevIew Resldenlldl + 10% Admmlstrallve Fee + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Amount PaId Date PaId ReceIpt Number $651 51 $550 $660 $275 $55 00 7/2/08 711 0108 7/10/08 7/10/08 711 0108 2200800000000001000 2200800000000001061 2200800000000001061 2200800000000001061 2200800000000001061 Total Amount PaId $72136 I Plan RevIews I PlanmD2 RevIew Structural RevIew 07/01/2008 07/01/2008 I nlllal Review 07/01/2008 07/01/2008 APP LLH Wlllamalane SDC does not apply EXlstmg resIdence to be demolIshed before constructIOn begms on thIs structure Fire fee credit gIVen for eXlstmg structure PublIc Works RevIew 07/0112008 07/03/2008 APP TSS No storm sewer available Storm dramage to splash blocks To Request an inspectIOn call the 24 hour recording at 726-3769 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 work day, I RP"lllW''' In<.nprhon<, I 7d,'1{-/ P(J&J;;;;,e- Ero"on/Gradmg InspectIOn Pnor to ground dIsturbance and after erosIOn measures are mstalled Paee 2 of 3 CITY OF SPRINGFl]<;LlJ Building/Combination Permit Status In Review PERMIT NO: COM2008-0095I ISSUED APPLIED: EXPIRES' VALUE 06/30/2008 01/03/2009 $ 205,835,00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By slgDature, I state and agree, that I have carefully exammed the completed apphcatlOn and do herehy certIfy that all mformatlOD hereon IS true and correct, and I further certIfy that any aDd all work performed shall be done m accordance wllh the Ordmances of the CIty of Splmgfield and the Laws of the State 01 OregoD pertammg to the work descnbed berem, and that NO OCCUPANCY will be made of any structure WIthout permlsslOD of the Commumty Services DIvIsIOn, BUlldmg Safety I further certify that only COD tractors and employees who are m comphance WIth ORS 701 005 wIll be used on this project I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the street, 1hat the permIt card IS oCdted at the front of the property, and the approved set of plans wIll remam on the sIte at all ~s~un co ~r?h / ILl Dc) \.. /' V Own r or Contractors S'gnature Date Page 3 of 3 :' ,~1:;@I~Y~@]t si!j~1'$~lJ~1F,rniJD~jdRi~~tt~-~~'i ~~l f ~ t~~~~ jr'H*;;".c:i::;,~_.t:;""'& ",'7'*?m"k- #'..(,. ~~"'~ :-~iINi+~1 ." 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL/PERMIT APPLICATION CltyJobNumber ClJ'fi2I)DY /(fY1SI I LOCATION OF INSTALLATION: )3~ -3\,St'5t LEGAL DESCRlPTION }()/_ <:Q '5:'-!-O?,q ()<'U B DES~T10N ,~ jJaV PermIts are non-transferable and expIre If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 CONTRACTOR INSTALLATION ONLY / / ,/ City PhoDe ,/ / EXpiration Date / // Constr Contr Number // ExpiratIOn-Date /' S)gnature of Supervlsmg Electrician Owners Nam@1Dd l J)2Ulhtld Address 4D\2b:> MG'l.a...nLu ~ City S;:A1 d Phone l1..lo 832 OWNER lNST ALLA TION InspectIon Request 726-3769 /' ZON INITIALS DATE SOURCE Date 3 ! cowiEii FEE SCHEVUu B1?WW -, A ' New ResldentJal- 8mgle or MultI-FamIly per dwelling unit. 1 ~ ~~w "'" ~_~ _"'-___'-_ _ ~ ~ _"--- __..., _ _....... ServIce Included 1000 sq ft or less Each additIOnal 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder $11700 $ 2100 $55 00 -~~~~" ~~~- _"CO_"""" B ServICes or Feeders -lnslallatIOD, Alterations or RelocatIon' ~" 1 ~n~ ~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 C l !emporary__S~rvlces or Feeder'; InstallatIon, AlteratIon or RelocatIOn :4l[<M~ less ,I $ 55 00 5~ 2WI~~fWv1WI~l EXPIRE IF" THE W~R~OO 'lWI"M!fflIl'!I?Il~R THIS PERMIT IS ~olf 00 <6-a~JlI~ltltWiDO{) W<<9 ~~WJIIE@troR D ~~9~REfIlQIJ. <', - . New Alteratmn or ExtenSIOn Per Panel One CirCUit Each AdditIOnal Crrcmt or WIth Service or Feeder Penmt $ 48 00 $ 400 r-----~~T'l'r~a~FT)]rBa liT ~ .. y~~ E : Mlscel eons lSen>ice'/f';~r,..!fl!l ,fn~tq.l:l!l2Rn- 11 nstallatlOn ~___ 1111"""'-r.ill!lSano.p.Fel:.uy ne'tll'tl~ I ,_ , _ P Notification Center Those rules a!,;;e set forth ump ori\V~A'W!J52-001-001 0 thm'lgh 01\1'1 M2'Jb01- SIgn/OulOOSG-llrhlWl'nay obtain caples of ttfi>>lJlllll by LUDlted Enll~lIilieJlOOler (Note the teillWooe LImIted EIIMJiBI?~r,1.Qt,t\l,El,9regon U\llIty Nil~~on 'Cer\~efrs 1-800 aJ2 2a4 , Mmlmum ElectrIC PermIt InspectIOn Fee IS $50 0 + Surcbarges 4 'SlmffimOFABOvE" '__~~~_ :)5 ,60 12% Slate Surcharge (,;. (,u U 10% Admmlstratlve Fee ::l. -7 :S 5% Technology Fee :S ,5 () TOTAL (() q gS Shared Dnve(T )/Butldmg FormslElectncal Penmt ApplicatIon 1-08 doc - Construction Contractors Board 700 Summer St NE SUite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www cch state or us Penrnt#Co'l"0J"oC-00'15/ - A_. +~(J~~I~I O<r Issued by:r / ~ Date "'1' 10- \ Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requires resldentwl constructIOn permit applicants who are not licensed with the ConstructIOn Contractors Board to sign the following statement before a bUilding permit can be Issued This statement IS required for resldentwl building, electrlcal, 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 m the appwpuate blanks and 1ll1t1a1 boxes 1 and 2, and either box 3A or 3B [2g1 D 2 I own, reside m, or will reside III 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 D 3A My general contractor IS (Name) (CCB #) I will mstruct my general contractor that all subcontractors who work on the structure must be licensed With the ConstructIOn Contractors Board OR La 3B I will be my own general contractor If I htre subcontractors, I Will hire only subcontractors licensed With the Construction Contractors Board If! change my mmd and hire a general contractor, I Will contract With a contractor who IS licensed With the CCB and w1llnnmed1ate1y notify the office IssUIng thiS bUl1dmg pemnt of the name of the contractor I hereby certify that the above mformatIon IS correct and that I have read and do understand the InformatIOn NotIce 0 Property Owners about ConstructIOn ResponSlblbtIes on the reverse side of thiS form t.\D OR atureofpemllt applicant) (Date) (White copy to ISSUing agency permit file, pink copy to applicant) Property_owner doc 06-01-04 . ~cting a('foliIrYOwn General Contractor? . ) , INFORMATION NOTICE TO PROPERTY OWNERS , I .. \. \ - ABOUT, ~ONST.RUCTION RESPONSIBILITIES " NOTE This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board In accordance with ORS 701 055(5}, passed by the 1989 Oregon Legislature If you are actmg as your own contractor to construct a new home or make a substanl1a11mprovement to an eXlstmg structure, you can prevent many problems by bemg aware of the followmg respons1b1hl1es and concerns Employer Responsibilities , ~ You WIll, m most mstances, be ruled to be an "employer" ard ,the contractors you contract WIth will be ~'emp10yees" If YOll use contractors not hcensed With the Construcl1on Contractors Board to do labor m construcl1ng or to assist m the \ . \ ~ , ~ construcl1on or unprovement ot a reSidential structure As the employer, you must comply with the followmg: j ~ < . Oregon'~ Withholding lax Law: As an employer, you must Withhold mcome taxes from employee wages at the time employees are patd You will be hable for the tax payments even If YOll don't actually Withhold the tax from your employees For more mformatlOn, call the Departtnent'ofRevenue at 503-378-4988 Unemployment Insurance TaX" As an employer, you are reqUIred to pay a tax for unemployment msurance purpos~- on the wages of all employees For more mformal1on, call the Oregon Employment Department at 503-947-1488 , , - The Oregon Busmess Idenl1ficatlOn Number (BIN) IS a combmed number ~Q.T both Oregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or wwv-. dor state or us/lonnsoav htmll for the appropnate forms ..; Workers' Compensation Insurance' As an employer, you are subject to the Oregon Workers' Compensahon Law, and must obtam workers' compensatlon msurance for your employees If you fall to obtam workers' compensal1on msurance~ y6ti could be subject to penall1es and be hab1e for all claim costs If one of yo lIT employees IS mJured on the Job For more mlormahon, call the Workers' Compensation DlVlslOn at the Department of Consumer and Busmess ServICes at 503-947-7815 , ' U.S. Internal Revenue Service' As an employer, you must WIthhold federal mcome tax from employees' wages',--. You WIll be hable for the tax payment even IfYOll didn't actually Withhold the tax For a Federal EIN nllmber, call the IRS at 1-800-829-4933 or ViSit thClr web site at vrww Ii s !IOV Other Responsibilities amJl ArefAs of Concerns 1 Code Comphsnce. As the pemnt holder for thiS project you are responSible for reso1vmg any failure to meet code reqUirements that may be brought to your attenl10n through mspeetlOns Liability and PropertY Damage Insurimce: Contact your IUsurance agent to see If you have adequate tnSllrance , - , coverage for accldent& and omiSSIOns sllch as fallmg tools, pamt over spray, water damage from pipe ptJnctures,\fire ~r k h b -~ ~- \ 'j II ' ' '..., wor t at must e reuone J I I - / I r i \ -1 :, L....J I (, I I " I'} I ' '....:.} J -)/:. ..J..\}<l" I!) lime. Make sure you have sllfficlent lime to supervise your employees ' \ ~-- ExpertIse: Make sure you have the skills to act as 'your; own general contractor, to coordmate the work of rough-m and fimsh trades, and to nOl1fy bUildmg offiCials as the appropnate omes so they can perform the reqUired mspeetlOlls If you have addloonal questlolls call the Construction Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 . , Property-owner doc 06-01-04 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00951 COM2008-00951 COM2008-00951 COM2008-00951 Payments Type of Payment Check cReLelOl1 RECEIPT #, ~~ City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001061 Date' 07/10/2008 DescnptlOn Temp Power 200 amps or less + ] 2% State Surcharge + 5% Technology Fee + 10% Admmlstratlve Fee PaId By LORI M WEINHOLD Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received nJm 964 In Person Payment Total Page 1 of 1 1047 13AM Amount Due 5500 660 275 550 $69 85 Amount Paid $69 85 $69 85 711 0/2008