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Home My WebLink AboutPermit Building 2008-06-25 Uli' OF SPRINGFIELD Building/Combination Permit Status OK to Issue PERMIT NO: COM2008-00923 ISSUED APPLIED. EXPIRES' VALUE 06/25/2008 01/14/2009 $ 10,75200 225 F,fth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIne SITE ADDRESS 5864 F ST ASSESSOR'S PARCEL NO 1702342300329 Spnngfield TYPE OF WORK Shop TYPE OF USE New ReSIdentIal PROJECT DESCRIPTION Shop Owner MARK SPENCER Address 5864 F ST SPRINGFIELD OR 97478 Phone Numher 541-741-0815 I CONTRACTOR INFORMATION . Contractor Type General Electncdl Contractor OWNER OWNER LIcense ExpiratIOn Date Phone BUILDING INFORMATION I #ofUUlts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms v # of Stones Height of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BuddIng Lot SIze 1600 Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other No Occupant Load 384 VB I DEVELOPMENT INFORMA nON , , REQUIRED PARKING rP~ "Iou to Overlay Dlst ~ I"IN reCl'!'otdl \ "\MY O eCo\\ 0. C "'Pl U , # Street Trees Rq<t'-r,-:"1101'1 r 'd b'J \\'18 Hilllalcdpped~ ~\ ,to," d pIa J I' are'~ Paved Dnve Rqd nllO'J'I Tules a 0 [ \\,Ose l\J [CO";!P1/5!;; 00'- % of Lot Covera~ \\Ca\lon Cen\e 0,0 \\\rOUg\1 O~~e [ules bY NO~p..R 952-00,.0 \aln copIes 0 elep\\one U"\ ,_" m'?t\J ab ,>--1....+0 t\le t _....hr\1'"\ NOTICE: SI-Iflll EXPIRE \~ lIoBljfeWPRovE~;9 tM c~~t~'regonlltMi~~~)"--' TU\<:; PERMIT S PEHwll' 'v ,,! . n,;~~er tor t < .B00-332- Street Imp"dV~m~!l~ZED UNDER 11-11 cOR nU C~eWlftk'Type AU1I-1U\,\1 flBflNDONED r Storm seW~.A/:aIlahlf,ED OR IS Downspouts/DraInS lJl~\\VIL:r\l"" SpecIallnstfl'\W"fBO D{>,Y PERIOD Frontyard Sethdck SIde 1 Setback SIde 2 Setback Rearyard Setback Solar Setbacks 500 10 00 10 00 Notes Stormwater to eXIstIng eaves P dge I of 3 -ii:~ U I ):' VI' ~ndNGFIELD Building/Combination Permit Status OK to Issue PERMIT NO. COM2008-00923 ISSUED' APPLIED: EXPIRES: VALUE: 06/25/2008 01/1412009 $ 10,75200 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 F dX 541-726-3769 InspectIOn Lme I Valuation Descrmtlon I Garaee Tvpe 01 ConstrnclIon Garaee $ Per Sq FI or mullIpher $28 00 Square Footage or Bid Amount 384 00 Vdlue Dale Calculated DescnotlOn Tolal Value of Project $10,75200 $10,75200 06/25/2008 L.VfI'" P~\lU Fee DescnptlOn Amount Paid Date Paid ReceIpt Number Plan RevIew ResldenlIal $82 69 6/25/08 1200800000000000694 + 10% AdmmlstralIve Fee $27 52 7/25/08 2200800000000001150 + 12% State Surcharge $33 03 7/25/08 2200800000000001150 + 5% Technology Fee $1956 7/25/08 2200800000000001150 Add, Alter, Extend C1rc Ea Add $12 00 7/25/08 2200800000000001150 BUlldmg Pel nllt $12722 7/25/08 2200800000000001150 Perm Serv/Fdr 200 amps or less $70 00 7/25/08 2200800000000001150 Pldn Review MlIlor - Plannmg $11600 7/25/08 2200800000000001150 SDC Samtary/Storm Admm $810 7/25/08 2200800000000001150 Storm Dramage ImpervIOus Area $161 94 7/25/08 2200800000000001150 Storm Sewer - 1st 50 Feet $50 00 7/25/08 2200800000000001150 Storm Sewer Each Addtll00' $1600 7/25/08 2200800000000001150 Total Amount Paid $724 06 I Plan RevIews I ImtJaI Review 06/25/2008 06/25/2008 APP NJM Pubhc Works Review 06/25/2008 06/27/2008 APP TSS Stormwater to eXlstmg eaves Structural Review 06/25/2008 07/11/2008 APP CJC Plannmg ReVIew 06/25/2008 07/18/2008 APP TAJ To Request an mspectIOn call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m WIll be made the same workmg day, inspections requested after 7'00 a.m. wIll be made the followmg work day Rrnlllrp'\Jnsnectlons I Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete pldcement Shedr W dll Ndlhng Belore covermg sheathmg With fimsh matenals Paee 2 of 3 -~. CITY OF SPRINGFIELD. Building/Combination Permit Status OK to Issue PERMIT NO. COM2008-00923 ISSUED: APPLIED. EXPIRES: VALUE' 06/25/2008 01/1412009 $ 10,752.00 225 Fifth Street, Sprmgfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeclIon Lme Frammg I nspectlOn Prior to cover and after all rough m mspectlOns have been approved Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buIldmg IS complete Ufer Electrical Gronnd Install ground rod at foolIng and call for mspectlOn m conjunctIOn With footmg andlor foundation mspectlOn Rough Electric Pnor to Cover Fmal Electric When all electncal work IS complete Electric ServIce Apploval reqUIred prior to ulIhty company energIZIng service By signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerlIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY Will be made of any structure Without permisSIon of the Commumty Services DIVIsIOn, BUlldmg Safety I furthel cerlIfy that only contractors and employees who are III comphance With ORS 701 005 wIll be used on thiS project I further agree to ensure that all requlI ed mspectlOns are requested at the proper lIme, that each dddress IS reddable from the street, that the permit card IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all times dUring construction /##S:;;; Owner or Contracto;; ~ture Date Paee 3 013 ZON \ d--v INIIIALS ()m ./ DArE I-J-'C....-I..ft.. SOURCC(Y\ P {Y2/ 22<; nFTI! STRHT . SPRINGFILLD, OR 97477 . PI! (541)726-3753 . MX (541)726-3689 ELECTRICAL PERMIT APPLICATION City job Number ~~dX-(-y}q.:z? <:::..IEAlU<<L t::- s 1- E E~~r\f~it:bi:~~(S~~~1f~~{dt~.I.lOt~~lt~~~E:l;h~~~;~~t;:il , 55?' - 77J.b ':JLoal10I,HjjiiNSI&I.:i1ifON:::'n'." Cc~ ,,--'_ _ _ _ ::7'1l. {__.J>..-:~~L..x~~ _\~..:>.~}_~_ to .' iu ~~'15:..7 _S ~ (576'/ F fr) LCGAL DESCRIPTION /7t72 3"</23 t70 g 2.."1 JOB DCSCRIPTlON ,lVEl1/ i)e7t9-Crn--i> .SIfrJ (" Permits are non-transferable and expire If work IS not started wlthm 180 days of ISsuance or If work IS Su'pended for 180 days , -:':';'" "~"l-"-'''''' -~.,....,..".,.,.,~"~ .',. ...~:i 2 L S9~';rEA2>~Z(),R I1YSrJuJ;iJ{QV~~N5Yr2 ElectrIcal Contract "' C)W~ Address Phone City Supervisor License Number ExpiratIOn Date Constr Contr Number EXpiration Date Signature at Supervlsmg Electncmn Owners Name ~ Slrh l{ City 5: P~D Phone --- ~ c<?WNER INs;:;r~ Address The mstallatlOn IS bemg made on plOperty 1 own which IS not mtended for sale, lease or rent Ownel s Signature Inspeclion Request 726-3769 Date ~/2..J/o,f 3 i" COMPLIZiifFE/:,"sCl-IEDUI;E B1;iow7:-r, \ }Ul~,,-__ ~_" '-~~ _\,...,....,." ~"",' ~ _ ~ ~..l" t, 1; ...'-:-"'-.6'_"""' ~~" - ...."""~-:;;"q-" c ~ ,..<t~-~ ';- "F", - - ~- -- ~ A ~~.t\~~~'~~_I~:!!tI31 ~,Sll~gle~czr ~ult;-[~lIllh~1?er d\$>JhllgJlI~~~~1 t"'; Service Included 1000 sg ft or less Each addltlOnal 500 sg ft or portlOn thereof Each Manufact'd Home or Modular Dwellmg Service or reedel $11700, $ 2100 $55 00 !i\_1:".!'~ !;Tr,-b. ~~,,::r-~""~;t~~"-"""'~;:-["'>'--~--"""~---'J B [~~:~~~~~ ~F~d~~!.~~I~~_Y~~~!~ ~ltcr~~~JI~~ ~r~_I~e!r~~t~1l ~':i3 TJO 200 Amps or less $ 70 00 201 Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 60 I AifE""llqPj}y>..J!lP~gon law reqUires yt'\t<<fO Over OOlmll'INoltsJpted by the UI"\JV': ~dtUil\ IIOW'"'" ~.. I - --f..... :Jerrmtll' Rec'jq$'iRkQJjlyn Center Those, ul_~O;: A 952~c}lI1 '1'.0952-001-0010 throug, ". I s b t:;='"lnJ~ ,J~'~-"-;::-7'in\a'n-coples_ol_the ru~ e y <--;.,;: --.",-17', c "TCOOW"J#lS.m.~e~ llt Feidel..~ the\teleRhone -";r ";V;':\~"''' j ,- - -calltn9'th"e'Centoer ~g\~~'U\;i1ty- Notll1catlon~'" ..~, ,-.." 41 nHmb"l lor 1M re 4) Install....".., }\~'i{~e?~S'~~~(!ljwu:34 200 Amps or less $ 55 00 20 I Amps to 400 Amps $ 76 00 401 Amps to 6Ci!D.1iliSE: SilO 00 Over 600 AmpIlj.!SoIlfilVl'd1lI s~HM:la~~IRE IF THE WORK D f ~ch:(jlrt\lI~\HO RIZglL'u ~ D El3o:rHI_~ PSR M 11JS':~9J~~,n k '. C01\lLMENCEo"OR:!S-ABANDONED FO'R-"- ---j New AlteratIOJtI~Y'1'tlD"BI\~ Wffltm1 One CIrcuit $ 48 00 Each Addmonal CIlCUlt or wIth ServIce or feeder Pennlt '3 $ 400 I'}..... Pump or IrngatlOn $ 55 00 Slgn/Outlme Llghtmg $ 55 00 Limited Cnergy/ResldentJaI $ 28 00 Lll11lted Energy/Commercldl $ 50 00 Mmlmum ElectriC Permit InspcctlOn Fee IS $50 00 + Surcharges It'~~ ----,;-~..,.<" ~~4~'""""~ "r- ~ ~"4r~.:r~ 4 :,SUBTOIALOFABOVl<, ~..l ,'''-'''' ,_ ~-_"" ,,_ ~~ '-'0_ " ~_ ~ <<-'. 12% State Surcharge ] 0% AdministratIve fee 5% I echnology ree 82- 'i'8y ~zo lflO 10 C;(!L TOTAL Shared Dnve(T )/Bulldll1g forms/Clectncal Pcrmll Appl1CdtlOIl 1-08 doc Construction Contractors Board penmt#( P"'lmZ1TTJ rr~CDqd.3 700 Summer St NE Sulle 300 c:: 9'/ ~ 4 .j-- -<.....,..- PO Box 14 I 40 AISsdudreSSy ,,--)0, lV_ '//\ / ;-' '---' I Salem OR 97309-5052 AL^ Date 7 /...;{ ~ /, ci Phone' 503-378-4621 I ' (.. '\ / () S::t::~:~:;~::tion Notice t~r~perty 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 the followmg statement before a bUIldmg permit can be Issued This statement IS required for reSidential bUlldmg, electrlcal, mechamcal and plumbmg permits Licensed architect and engmeer applicants, exempt from lIcensmg under ORS 701010(7), need not submit this statement This statement will befiled with the permit Fill III the appropnate blanks and InItIal boxes 1 and 2, and either box 3A or 3B 61 rt2 I own, reSide Ill, or WIll reSide III the completed structure I ooderstand that I must become licensed as a constructIOn contractor Ifthe structure IS sold or offered for sale before or on completIon /??ar;- sPe a--~ (Name) o 3A My general contractor IS '3B (ccB #) I will Ill~truct my general contractor that all subcontractors who work on the structure must be licensed with the ConstructIOn Contractors Board OR I will be my own general contractor IfI lure subcontractors, I Will hire only subcontractors licensed with the ConstructIOn Contractors Board IfI change my mmd and lure a general contractor, I will contract with a contractor who IS licensed with the ccB and will l1nmedJately notIfy the office Issumg tlus bUlldlllg permit of the name of the contractor I hereby certIfy that the ahove mformatlOn 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. ~"'Ph';;;;;-- (0"') (WhIte copy to Issumg agency permit file, pmk copy to applicant) Property_owner doc 06-01-04 '" Acting as Your -Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION,RESPONSIBILlTIES . - ' 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 substantJal Improvement to an eXlstmg structure, you can prevent many probl~ms by bbng aware of the followmg responslbllIhes and concerns Employer Responsibilities You wIll, m most mstances, be ruled to be an "employer" a~d the contractors you contract ~Vlth Will be "employees" If you u,e contraetors not lIcensed with the ConstructIOn Contractors Board to do labor In constructJng or to assIst In the 'I . \. '"' _ ~"\ constructIOn or Improvement of a resldenhal structure As the emplDyer, you must comply with the followmg: , ' , Oregon's WIthholding Tax Law. As an employer, you must WIthhold uic'ome taxes from employee wages at the lIme employees are paId You WIll b~ lIable for the tax payments even If you don't actually Withhold the tax from your_ employees For more mformatlOn, call tIie Department of Revenue at 503-378-4988 " , ~ Unemployment Insurance Tax: As an employer, you are reqUIred to pay a tax for unemployment Insurance purposes ... on the wages of all employees For more mformatJon, call the Oregon Employment Department at 503-947-1488 \ - J. C \ The Oregon Busmess IdentJficatJon Number (BIN) IS a combmed number for both Oregon Wlthholdmg and Unemployment IDsurance Tax To file for a BIN, call 503:945-8091 or W\VW dOl state or us/tormsnav htmll for the appropnate forms ~, :.... _ ), " \ ,- . Workers' CompensatIOn Insurance' As an employer, you are subject to the Oregon Workers' CompensatIOn Law, and must obtam workers' compensation msurance for your employees If you faIl to obtam - workers' compensatlon msurance, you could be subject to pemiltles' and be hable for all claIm costs If one of yoUr employees IS mjured on the Job For more mfonnatJon, call the Workers' CompensatIOn DlVIslOn at the Department of Consumer and Busme5S ServIces at 503-947-7815 ,\ , U.S. Internal Revenue SerVIce' As an employer, you must wIthhold federal IUcome tax from employees' wages \ You Will be liable for the tax pay,?ent even If you dIdn't actually wIthhold the tax For a Federal EIN number, cal1 the \ IRS at 1-800-829-4933 or VISit their web sIte atw\vw lIS_!!9." -, .' t, ~ I . ,Other Responsibilities and Areas of ConceJrns Code Comphance: As the permIt holder for thl' project, you are responSIble for rcsolvmg any faIlure to meet code requrrements that may bc brought to your attention through InspectIOns LiabilIty and Property Damage Insurance' Contact your msurance agent to see If you have adequate'msurancc coverage for accldcnts and otnlSSlOns such as falhng tools, pamt over spray, water d.amage from pipe punctures, fire or work that must be redone . < .... L TIme Make sure you have suffiCIent time to supefV1se your employees ExpertIse Make sure you h'ave the slol1~ to act as your oWn general contractor, to coordmate the work of rough-m and fimsh trades, and to notify bUlldmg offiCIals as the appropnate hme, &0 they can perform the reqUlrcd mspecttons If you have additIOnal questIOns call the Construction Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 PropertL o\vner doc 06-01-04 225 FIfth Street Spnngfield, Oregon 97477 541-726-3759 Phone ""Jiljf ~ I . .~~; CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00923 COM2008-00923 COM2008-00923 COM2008-00923 COM2008-00923 COM2008-00923 COM2008-00923 COM2008.00923 COM2008-00923 COM2008-00923 COM2008-00923 Payments Type of Payment CredltCard LRecemtl RECEIPT #. 2200800000000001150 Date: 07/25/2008 DescriptIOn Storm Dramage ImperVIous Area SDC SamtarylSlorm Admm BUildmg PermIt Storm Sewer - I sl 50 Feet Storm Sewer E.ach Addtl 100' Plan ReView Mmor - Plannmg Perm ServlFdr 200 amps or less Add, Alter, Extend CIfC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By MARK A SPENCER Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received nJm 04485b In Person Payment Total Page I of I 2 30 05PM Amount Due 16194 810 12722 5000 1600 11600 7000 1200 1956 3303 27 52 $64137 Amount Paid $64137 $64137 7/2512008