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Home My WebLink AboutPermit Building 2009-3-10 CITY OF SPRINGFIELD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: C0M2009-00171 ISSUED: APPLIED: EXPIRES: VAllUE: I I 02/05/2009 09/10/2009 I SITE ADDRESS: 3791 .IASPER RD Springfield TYPE OF WORK: Accessory Building ASSESSOR'S PARCEL NO.: 1802061309800 . I TYPE OF USE: Residential PROJECT DESCRIPTION: BWOP Owner building oin to Garage in back of bouke '. , I Owner: COVERT JENNIFER Address: 3791 JASPER RD SPRINGFIELD OR 97478 I I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor OWNER OWNER License . Expiration Date Phone BUlLDlNG INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: ' Energy Patb: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I n/a I I I DEVELOPMENT INFORMATION I I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drivc Rqd: '% of Lot Coverage: REQUIRED PARKING Total: Handicapped: , Compact: , I .1.,.,-,!d'T".......' .L. Street Improvements: I PUBLIC IMPROVEMENTSJ'I;~ ~J~Pt~d 'b;'ih~vO~~~~~U~i1~~Y , ,.v...n,:uuun Cp~;gr. Thc<>p pIles are set forth ' 0 ^R 952 SIdewalk Type: In."\ -Ou I iUU I U mruugn OAR 952"001- 0090. You maDoWiispolltS/DrairiS:le rules by calling the ce~ter. (Note: the telephone' number for the, Oregon Utility Notification Center is 1.800~332-2344). Storm Sewer Available: Specia.IJ.l's!ruction: pm I!L;E: Notes':IIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT ;Ofvlfv1ENCED OR IS ABANDONED FOR ,NY 180 DAY PERIOD. Paee 1 of3 Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valllati~n Des.,ription I Descriotion Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project 1?pp~, Piid.I Fee Descriotion + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Fixtu re , Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $27.36' $11.40 $90.00 $57.00 $81.00 3/10/09 3/1 0/09 3/10/09 3/10/09 3/10/09 Total Amount Paid $266.76 Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00171 ISSUED: APPLIED: EXPIRES: VALUE: 02/05/2009 09/10/2009 Value Date Calculated Receipt Numher 3200900000000000155 3200900000000000155 3200900000000000155 3200900000000000155 3200900000000000155 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.in. will be made the following work day. IPP'l~ Electric Service; Approval required prior to utility company energizing senrice. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pal!e 2 of3 Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD i Building/Combination Permit PERMIT NO: C0M2009-00171 ISSUED: APPLIED: EXPIRES: VALUE: _ 02/05/2009 09/10/2009 By signature, 1 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 ORS701.005 will he 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 eard is located at the front of the property, and the approved set of plans will remain on the site at all times during co~struction. A </ Owner or Contractors Signature Pal!e 3 00 :s~ ;0 ~ 0 '1 Date 225 Fifth Streett Springfield, OR 97477 t PH(541)726-3753+ FAX(541)726-3689 1(m.":tt~'>"ft"'-';\C_C:'/:;::.!.Po,>.".1<1iK'. -)".,~'~ "",,~c'.~'~"lh.c: .1;a.1' 1i!1im:'DEeAR1iMENT~USEJ0Nlh'\':' ,': ;<~,;ii:::;.<;t:~"'x;",'~^;!i----;>!;;'f;'{y",~,;jaI::~r&:W'.4!<L~~~ ' I Permit no: Cq - 1 7 I I I Date: 3,--- )c)~ oC; I Ele~trical Permit A This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Il!IIFtl~1!0<::p':I!l[G"ciVEB.NMENi1IfP.:i:lJ:tR:QMP.:~~1 ~~j~I;EE~S:(;F1EOJrl!E~i1I~~~ I Zoning ap, p.ro. va. I veri~.e.d?.,.... O. ...Y. ..es,.O. No '..1' ~~~i!\~1it\1l~1~'?~r~10);jIQ1Y1lm(';~~t~l~tQt~lm, 1~~(;AmEGciRYd{01;(!f(;0NS;r,RIlJGmI0N~~,~'''''''''''j''''""",",,,,_7i5'''''''>_~I",''"oY ~" ~.~.iIililllll:~,eo~J~ I .,.., /" ~if... -- -~- '. I' - - 11""'_-'_ -' -, . I"" \ ~ I I Residential, per unit, service included: I. E~:~~~j~~~:;~"~~;lO~ I ~;:;~,:::~;"(%, .~~"" ;':::: I I City::1?5+td- I State: Of... I ZIP: CJ7 '(78'1 ,ILimitedenergy(2) $ 32.00 $ I i~=~iPI:S:<::R'l?,mj~NMQliiWJ~~~~ I ~~~~I:;::"S~~~~~~~ ~e~~:r (~}odular I $ 63.00 $ I I I Services or feeders: installation, alteration, relocqtion 1 I 1 200 amps or less (2) I $ 81.00 $ 1 1 20 I to 400 amps (2) $ 95.00 $ I I Name: O<".dl Y1~' +::Se'1-rl~+V- L.o.;-er<-r- 1401 to 600 amps (2) $158.00 $ I I Address: Ci'7'1 r.o C:, ez Sf 1 I 601 to 1,000 amps (2) $205.00 $ I I City:SV'C:;.{/t"I I State: f!){( I ZIP: S7'f7rl I Over 1,000 amps or volts (2) $469.00 $ I I Phon~: ';'11- 7:.s~/{,t(q I Fax: I I Reconnect only (2) $ 63.00 $ I I E-mail: j 1 Temporary s~rvices or feeders: installation, alteration, relocation I This installation is being made on residential or farm property 1 200 amps or less (2) $ 63.00 $ I owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00 $ 1 property is not intended for sale, exchange, lease, or rent. 'OAR 479.540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 $ I Signature: lOver 600 amps or 1,000 volts, see services or feeders section above ,I 1~~(;:0NmlY'~jfLoJ~1INsml\~L!'P.:mIQN~;;ti!~~:tl 1 Branch circuits: new. aileration, extension per panel I I Business name: ./ I la. Fee for branch circuits with purchase of a service or feeder fee: 1 I Address: ~ I I Each branch circuit 1/5 I $ 6.00 I $ I 1 City: _______ I State: /' 1 ZIP: lib; Fee for branch circuits without purchase of-a service or feeder fee: I I Phone: ~ax: 1 I First branch circuit (2) $ 55.00 1 $ 1 1 E-mail: / _______ 1 I Each additional branch circuit $ 6.00 1 $ j . I CCB license n9-'~ I BCD license ~ I Miscellaneous fees: service orfeeder not included I I Signil!g..~rvisor's li~ense no.: ,~, I Each pump or irrigation circle (2) $ 63.00 $ \ I PrU;t name of signing supervisor: 1 Each sign or outiine lighting (2) $ 63.00 $ 1 I Signature of signing supervisor: I Signal circuit or a limited-energy panel. $ 63.00 $ I alteration, or extensiori (2) I Each additional inspection: (I) I $58.00 $ 1~~~V6AP'gl!l~~N1fil!j.s:E~~'111 ,(A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [A]) 1 (C) Technology Fee (5% of[A]) I TOTAL fees and surcharges (A through C): $ Ii!. cfO $ I $ I $ I 440-2584-J (9/08/COM) Plumbing Permit Application 1~!itDEFrART"MEN~ffi4llsET0NnYlw~1 ~;~~~~-12i!c0i;;2:'>t~~~+.d1t:4;~~ I Permit no,: CCf - Ii I I I Date: 3,- lo~ Ge,l This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~f;1!'~l!f;'t(;A",1:GOYERN.Mt:Nli!!fARRROVAI1l'L~~iIqVi~i~~~1 I Zoning approval verified? 0 Yes 0 No I Sanitation approval verified? 0 Yes' 0 Nd 1~~QAmE.~0~yjC5I7.iC:ON$)ti~l!J.cml<:lN~~~~ I ~ldential I D Gov"rnment I D Commercial - 1~Ili'J<:lB:l!$jmE~INIi<:lRMMil<:lN~NDJjI!<:lCAf:I<:lN~~ I Job site address: 37q I 3JtSl7e~' {Zd. cityEt.-(t-Id, I St~te: 01... I ZIP 97 '(78' Subdivision: I Lot no.: 1~~~'IllOE$CRIP,,;f:I<:lNitQI'J\\W(:)~K~~~tl?~*181~ ~e. ' \.<. '~ ~oIM:.e.. QIL.W1o.bl.!d.5 4<'le.... +u. ' I ./ ".. ...re') 11.I~Jl~~IP,R<:lP.EBTiY~c:tWNERttJj!~~~ I Name:'Oe...,r1';, <f- 3U1n';W LO~' I Address: Q7Cj t,(..tz Sh I I City: YSl-lot. I State: 0,(, I ZIP: '77'17X' I I Phone: ~~/- 7'29 -/b '111 Fax: I I E-mail: This installation is being made on residential or farm properly owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020, Signature: gf!!t#SiIl;1!.c(jN1IiRACm.(j~'~IN$m~i2~AT:I(:)N~l~~W~~~~1 I Business name: ~ I I Address: ~ ~ I I City: ~ I State:~ r ZIP: I I Phone: ~ I I E-mail: /' ~ I I CCB license n9':/ I BCD license no.:~ I I Plumbing Ikense no.: "'-. I I Print name: I I Signature: I 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 440-2500-1 (l1/08/COM) ~'i""fM~"~~I;EE,jSCRE[)l'JI2E~~~&~ ~D;'";:".;'!f?'~~~Wt-:: III' ;,C' "'g'""'" . ;~.'~;~.~0f,:1~. ',:. '1.~"'t.~'I"",~~(iiis!llJ't. IlIlL.:iJ.6t\i;Ir:1 " escnn Ion . ,v ',plil0i',_;; ,:, v' ., ,-- _' _. ' :r"i~"ff;;:;:;f~~ -~.. .~::"- M .:. .J;LSd0i.tt:>1!~~,,~ u':\%*~ il@~~~ fiii'Lc.Q~ ." I New residential I 1 bathroom/I kitchen (includes: first 100 feet oj water/sewer lines, hose bibs, ice maker:, under floor low-point drains and ra~n-drain packages) I 2 bathrooms/1 kitchen $374.00 I 3 bathrooms/1 kitchen $439,00 I Each additional bathroom (over 3) $95.00 I Each additional kitchen (over I) $95.00 I Residential fire sprinklers (includes plan review) 1,0 to 2,000 square feet I $58.00 I 2,001 to 3,600 square feet 1 $116.00 I 3,601 to 7,200 squarefeet I $174.00 17,201 squarefeet and greater 1 $232.00 I Manufactured dwelling or pre-fab (circle one) I Connections to building sewer and I I $58 00 I $ water supply . I Commerci.al, industrial, and dwellings other than one- or two-family '1 Minimum fee I 1 $58.00 I $ 1 Each fixture 3' 'I $19.00 1 $6-/ I Miscellaneous fees 1100' storm, sewer, water line I Each fixture, appurtenance, and piping I Storm water re~entionJdetention facility Irrigation systems . Piping or private storm drainag<;: svstems exceedin2 the first 100 feet I 'Specialty fixtures I Reinspection (no. ofhrs. x fee per hr.) I Special reques.ted inspeCtions (no. of hrs. x fee' per hr.) f~;;d;~;;;~;l~;;;~~~B~! Minim::':: : ! Enter value of installation and equipment $ _' I Enter fee based on installation and equipment value. $238.00 $ $ $ . $ $ $ $ $ $ $76.00 $19.00 $19.00 $19.00 $19.00 $19.00 $58.00 $ $ $ $ $ $ $ $58.00 $ I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) 1 (B) Investigative fee (equal to [AD 1 (C) Enter,12% surcharge.(,12 x [A+BD 1 (D) Technology Fee (5% of [AD 1 TOTAL fees and surcharges (A through D): $ ,cd. $ I $ I. $ 1 $ I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00 171 COM2009-00 171 C0M2009-0017I C0M2009-00 171 C0M2009-00 171 Payments: Type of Payment Check cReceintl RECEIPT #: 3200900000000000155 Description Fixture Perm Serv/Fdr 200 amps or less, . Add, Alter, Extend CiTe Ea Add + 5% Technology Fee + 12% State Surcharge Paid By . DENNIS J. COVERT Received By NJM Check N urn ber Batch Number ., Page 1 of! City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/10/2009 12:55:02PM Item Total: Authorization Number How Received Amount Due 57.00 81.00, 90.00 11.40 27.36 $266.76 Amount Paid 1426 $266.76 $266.76 In Person Payment Total: 3/10/2009 '. Construction Contractors Board , 700 Summer St NE Suite 300 PO Box 14140 . Salem OR 97309-5052 Phone: 503C378-4621 Web Address: www.ccb.state.or.us - , -. . . . ' . . . . ". .." ", ..' . . Pennit #: (2q -- . . Address: s-:lC( I "j~r<<~ l ~l ( ., ~ \r,(SO@ ,; (2J~ , . f^v\.-," Date: S -I () - o~ . ". " Statement:lnforn"-ation Notice to Property Owners . . . - . About ConstructionR~sponsibilities , . ~i": " . ." ~ . FiILjri the appropriate blanks and,'initial bo~es I an1l2, and either box 3Aor 3B; "~ ~ I own,' reside in, or ~m.reside'inihe completed structure:. -- ., . . 0' 2. I understand that Imust become licensed asa construction contractor if the structure is sold or offered for sale before or on compietion. .- 0' 3A. My general,contractor is "'- : :s" .~. (Name) (CCB #) I will instnict my ge.nimii contractor thilt all subc()nrr.actors who work on the structure must be licensed with the C<mstruetion Contractors Board. ..'. ' -.;, ~ .' '. OR. ~iwilibe ~y.oWn gene~al ~ontractor: , . " "I.' . . '. , If! hire subcontractors, I will hire only subcontractors licensed with the:Construction,Contractors Board. Ifr:change my mind and hire a general cOJ?tractoi, '1 will contract with a contractor who is . 'licensed "(ith the CCB and willjrnillediately notify 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 theJoformation' Notice to Property O~ners _about Construction Responsibilities on the reverse side of this form. . ~ ' . _____ 3-;0'- 09 ~ 19nature of pepnit applicant) . (Date). . , . .. (White copy to issuing agency permit file, pink copy to:applicant.) PropertLowner.doc 06-01~04 ,-j, , , '. . ~ [<. -. C. '::.-, ,--- . Acting a~Pl"oiiJr' ()'wn"Genenll Contractor"';' I : r 1,"-::.>; . ,.... ..... .' j, , ., -~-,' I'INFORMATION NQTICE'TOjPROPERTY OWNERS ... ".;', A~Q,uT CONSTRUCJ'ION1RESPONSIBILlTIES ',' " " ... . ". '~_~ ~ . .. ~"wo'_~:. '., ..:.~_ '::,. <:~ ~~ - " ~ ..' .1 ., .,' . -. '~- ".A~) "; ':'"'~.; ~< '. . ~'I _.1 '..I' 'i. .' -.' 'j' TV . . _ ..... . .. NOTE: This Information Notice to Property Owners about Constructioh Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon 1.19gislature. _. ~. '~-; j..,.,~ ,::'-;' .il ~,~...: ~.'. :' ~)l';;,;,:'. ; :".~t;._:. ~{,..~~ ,- ....., ...<-;.>~,~'" :,"',' .., ' If you are acting.as your own contractor to construc\ a n,ew ho!:!!e or ma~e a'subs!antiaI impr,?vernent to an existing structure, you can prevent many 'ptoblemsby. belI11faware'of,the followiilgfesponsibililie.s and concerns. , Employer Responsi)>ilities -'....).'.'.~.:r;..~. .~.~. .~~'.,.....~,"'::..i.-.t... \..,.i;..',._.,......\',.-..~. ....,.j:..\.:.. .'" "~,... t,.. ,:":. You ;}yill; i!.111Jost .it;l,srances,.bt;Hl~d to q~an ~'e!TIployef:';l!l~ }t1':;~.<1nl:f2;Ctors y,o,,:!, contr~ct,~th',o/iJ! be ~'employees" if you u~~ ,,<:>nn:~c!<!~~,p~!\licel}sed ~ithi t~fC.e\l~tructiQn yOplI:~~t?r~\Board t~ ,d?, ,1a?~!in const;:;'f~pg or t<:>. ~,s~~st in the constructlOn"or 1l1!P:<1~eJl1~.!lt of,~\\e~l?ee!!al.,s~~tur~:~"As}~~~~~pl.oy,e.r, yo.u, mu~t ~9~f~Y ~lf~;~hef~~~~!~g: ' . . " .. - \ ..' . t ~"f~"~'4 .\., \..... . ....~.,: ..'.... '~\.. "'1 -' ;. \ ,.,. Oregon's Withholdjn.g Tax Law: As an employer,'you'must'withhold 'me orne 'taxes fromhemployee wages' at the time employees are paid. You will be liable for the tax payment~ even if you don't actually ,withhold the'tax from your employees. For more informatiori~c'illtllie D~~:, :,:,~nf'iif Reve~ue at 5(13:3~8:.4988r(~ '~""'" i '." ".'. "; i Unemployment InsnraneeTax~ A~ an emPloyei';'YOi1~arefequired'to';ay'at:l.X for unem]JIOym~t;jnsurance ~~s ,_: on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. ::. ;\..c _3'':';~~'.'_t~; j.~ iJ A......j..~.i,.1;::::.:,.:..V-:,,~. --:'fr:.~,;,::. ,", ~:: -.ft,.';"': ~ '1 ......: j~' 1: .'..;....~)~ ,:'4-,:,,',. ,'~ 1 The Oregon Business Identification Number (BIN) is a combined,}I1!!l!.bej~. f9rb'?,thi9reg<!I,l~Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fonnroav.htmll for the appropriate forms. . " "-.,,,1. '," .~. '( " _""'"'~_____..__ ._~ __ ,__,..__ ...___ ".~..., ~ .'~ .,.. ...._l . , ''... .1'"\ . .... '.' , .." Wo'rkers"Compensatioll Insurance: As an' employer/you are subject to the Oregon Workers' Compensation Law, aud must obtain workers' cump""sation insuranc.e, for your employees. If you fail. to obtain workers' cOInpensation , irisuI'anc~; y6~'co'Jili Br~uDJeht(>'~'eci~ltielcihd be:':'li~bletor ail claiin'costs' If 6n~iof'yo~ 'e\npfoy~~s' 'is ~rijured on the job. . For more.information, call'the Workers" .C';mp~,:sa:iion i)ivlslon'at'the.'I)'ejJaiimerit o["(,:ohsurtJer and Business Services at503-947-7&15. .,. 'I: . ..... U.S. Internal Revenue Service: As' an employer, you must withholO 'feoeral' income' tax" frotr("errir>loyees' 'wagcl: ~, You will beliable for the tax payment even if you didn't actually withhold the tax, .For a Federal EIN number, call the IRS'aPl"'800c829,493J-or"visj(ltheir web site 'at, ""vwli's,,rrov.,; rtJ' :kc" , ,-., J,~ ", ',"'mH' ", .':'; ",," " '. ' ~~,::'H.. ,~..,-'.:':''''': L..1.";~'''''.'J..;'.,'),::_~'~r "-1 ':~':iiW,~':'"": -,,_' ~'~5":"':"~ 't'J~:' \. ;,,~.-,'-:''1-::1';~r'.J'' ~ -'.U' . ,,'f. , '. Oth~I:'~e~.pom>il>iJitie~:.alD.~Ar~~s of(;o.Iic~rns ':iH ','~" ", ., - Code Compliance: As the perinit holder for this project, 'you are responsible for resolving "ri.y failure'to meet code requirements that may be brought tq your attention through inspections. '. ...... ..-~ '_~',,'_-.';':":"l.''''',,;_;:~ 't'-r.::"'j:'~JC,i:"_.";:~':'_"'r.~-:'\:'" :ii~:"<~. "'Y.'h'. Liability and Property Dliirtltge'ihsurance: 'C6ntiitY6~ 'ihsunlnce ~gent 'to':see if'you' nivead~quiiteihsuriii1ce' coverage for accidents and oinjssions suc~ as falling, tools, paint over spray, water damage.from pipfpu!lctur~s; fire or work that must be r.edone., ':, ' .' ""~ . .. -"\>.)--(,,\-~-_. -- ,--..-----.- -----_.>--,~)", Time: ,Make sure you'nav.e sufficient t~me-to supervis~ your employees, ,: i'.. ,,;,': ~ -:'." "::';~,'\ , . ..~ ":;':""'~:l:'f' ,t-.,_ ." lr, ~',,~.:.('.r., ~ ....' ~. ,.....\.~,. ,,;;;':., ... Expertise: Make sure you h'ave tfieskills t6 act as YoiJrbWh general contractor, to coordmate the work of rough-m and finish trades, and to notify.building officials as the ajJp,up,iate times so they can perform the required inspections. If you have additionai,questions call the Construction Contractor~.Board (503-378-4621) or write the agency at PO Box 14140, Salem, ()R ~7309-5052. . '>. ,.,~ ,~'l; "'. ~ '\.... , ".".. Property ~ owner.doc, 06-0 I '04 _~~R~~II:la.I?! .'. ~ I . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00171 ISSUED: 03/10/2009 APPLIED: 02/05/2009 EXPIRES: 09/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3791 JASPER RD ASSESSOR'S PARCEL NO.: 1802061309800 Springfield TYPE OF WORK: 'Accessory Building I TYPE OF USE: PROJECT DESCRIPTION: BWOP Owner bnilding onto Garage in back of house Residential Owner: COVERT JENNIFER Address: 3791 JASPER RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Electrical Plumbing Contractor WELDON EARL OATMAN OWNER License Expiration Date Phone 541-505-7223 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lo't Size: Sq,Ft 1st Floor: Sq' Ft 2nd Floor: Sq' Ft Basement: Sq Ft Garage/Carport Sq' Ft Other: OC,c~pant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I , I , I SIdewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Speciallnstrqctiun:. . A1IENTION: Oregon law reqUires you to follow rules adopted by the Oregon Utility No1ification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00171 ISSUED: 03/10/2009 APPLIED: 02/05/2009 EXPIRES: 09/30/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Desc~.in~io~ I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated . Total Value of Project fpr~ rlWU Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Fixture Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt'Number $27.36 $11.40 $90.00 $57.00 $81.00 3/10/09 . 3/10/09. 3/10/09 3/10/09 3/10/09 . 3200900000000000155 3200900000000000155 3200900000000000155 3200900000000000155 3200900000000000155 Total Amount Paid $266.76 I Plan Reviews I 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. Rpnllirprlln~ilP~tionfr;', I Electr~c Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When 'all electrical work is complete. Poee 2 of 3 . '<<IlIINO!!,IIOL,Dl --f' .~-~.. ,'- I j' Status Issued CITY OF SPRINtJ,HJ!,LD Building/Combination Permit PERMIT NO: COM2009-0017t ISSUED: 03/10/2009 APPLIED: 02/05/2009 EXPIRES: 09/30/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree,'that I have carefnlly examined the completed applicaiion 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 a'ccordance 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 he made of any structure without permission of the Community Services Divisiou, Building Safety. I further certify that DIlly contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to eusure 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 setof plans will remain on the site at all times during co struction. ;' f//-l'-' Z- - () '7 Owner oj" Contractors Signature Date Pa!!e 3 of 3 J 225 .lfifth .Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: Job/Journal Number COM2009-00 171 COM2009-00 171 CO~2009-00 171 Description. "Fixture + 5% TechnolQgy Fee + 12% State Surcharge Payments: Typ~ of Payme'nt . Paid By Check DENNIS J COVERT- cReccintl City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000235 Date: 04/02/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KLK 1434 In.Person Payment Total: P~ge 1 of 1 1:49:2IPM Amount Due I'Ii .00 8.55 20.52 $200.07 Amount Paid $200.07 $200.Q7 4/2/2009 Status Issued CITY OF SP~INGFIELD Building/Combination Permit PERMIT NO: COM2009-00171 ISSUED: OS/26/2009 APPLIED: 02/05/2009 EXPIRES: 11/26/2009 VALUE: $ 10,000.00 , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3791 JASPER RD ASSESSOR'S PARCEL NO.: 180206\309800 Springfield TYPE OF WORK: Accessory Building TYPE OF USE: PROJECT DESCRIPTION: BWOP Owner building onto Garage in back of house , Residential Owner: Address: COVERT JENNIFER 3791 JASPER RD SPRINGFIELD OR 97478 I CONTRACnm INFORMATION I Contractor Type Electrical Plumbing Contractor WELDON EARL OATMAN OWNER License 185563 , Expiration Date 02119/2011 Phone 541-505-7223 BUILDING INFORMA :ION I VN # of Sturies: Height of Structure Type of Heat: Water Type: Range Type: Energy Path:, Sprinkled 'Building: LotSize: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.00 15.00 0.00 Overlay nist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS' 'res you to Ivd' OreQon law requt ATT\::N I d Smewalktif\ype:e9on Utility folloW rules a Ol-'~~~';:h-;';'e ru'''S ,\re set forth NotificatIOn Cent DownsHoutslDrams~52-00;- in OAR 952-00; -O~t; ~~r;~~j~~ ~f\h'e rules by 0090.. You may 0 a Note: the telephone callmg the cen~r. ~on Utiiity NotificatIOn numbertor the. re8-00_332-2344). , Center IS ;- Storm Sew a!; ^A1Uable: . . 'U .II..t' Spec13llnsl},qc IOn: . I HIS PERMIT SHALL Notes: ',!jTHORIZED UNDER ~~~~RE IF THE WORK .OWVIENCED OR IS ABA PERMIT IS NOT ';JY 180 DAY'PERIOD. NDONED FOR Pa2e I of 4 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Constrnction Estimate Estimate Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Fixture Perm Serv/Fdr 200 amps or less + 12% State Snrcharge + 5% Technology Fee Fixture Plan Review Residential + 12% State Snrcharge + 5% Technology Fee I st Appliance Building Permit Penalty Fee - BWOP Mechanical . Plan Review Minor - Planning Total Amonnt Paid Initial Review 04/29/2009 Public \\-'orks Review 04/29/2009 Structnral Review 04/29/2009 Strnctnral Review 05/07/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00171 ISSUED: OS/26/2009 APPLIED: 02/05/2009 EXPIRES: 11/26/2009 VALUE: $ 10,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amonnt 10,000.00 $10,000.00 $10,000.00 041i9/2009 Value Date Calcnlated Total Value of Project 11"", P1irll Amonnt Paid Date Paid. Receipt Nnmber $27.36 $11.40 $90.00 $57.00 $81.00 $20.52 $8.55 $171.00 $88.40 $35.28 $20.65 '$79.00 $136.00 $79.00 $119.00 3/10/09 3/10109 . 3/10/09 3/10/09 3/1 0/09 4/2109 4/2/09 4/2109 4/29109 5/26/09 5/26/09 5/26/09 5/26/09 5/26/09 5/26/09 3200900000000000155 3200900000000000155 3200900000000000155 3200900000000000155 3200900000000000155 1200900000000000235 1200900000000000235 1200900000000000235 1200900000000000317 1200900000000000535 1200900000000000535 1200900000000000535 1200900000000000535 1200900000000000535 1200900000000000535 $1,024.16 Plan Reviews .1 NJM 05/06/2009 APP LKW No new surfaces added and no new fixtures 05/07/2009 WI CJC Waiting for planning to determine if the addition is permittable. Need to determine .what is truly existing and oew- it is not c1~ar whel1 the footprint of the bnilding was expanded. Robert Castille is investigating. 05107/2009 WE CJC Pace 2 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Planninl! Review 04/29/2009 05/08/2009 APP DDK Structural Review 05/14/2009 10 CJC 05/14/2009 Structural Review 05/19/2009 APP CJC 05/19/2009 CITY OF SPRINGFIELD Building/Combination Perinit PERMIT NO: COM2009-00171 ISSUED: OS/26/2009 APPLIED: 02/05/2009 EXPIRES: 11/26/2009 VALUE: $ 10,000.00 Approved as shown on plans. This is a non-conforming dwelling unit developed under County jurisdiction. This non-conforming dwelling unit cannot be expanded in size or height. Upstairs cannot be used as a separate dwelling unit. There shall be no plumbing in the upstairs portion of the dwelling unit. No electrical other than what is required for building safety for a storage/attic area shall be allowed. Forwarded to Robert Castille for approval. See conditions letter 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. ~Rpollirprl Insnections I Electric Service: Approval required prior to ntility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical workis complete. Framing Inspection: Pdo.. to cover and M'ter all rough in inspections have been approved. Wall Insulation: Prior to cover. 1, , ,. I' I Ceiling Insulation: Prior to cover. Final Building: After all required i....spections have been requested and approved and the building is complete. . L, Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Pa~e 3 of 4 i r" i, ~" I , !; Status Issued CITY OF SPRINGFIELD' , " Building/Combination Permit PERMIT NO: COM2009-00171 ISSUED: OS/26/2009 APPLIED: 02/05/2009 EXPIRES: 11/26/2009. VALUE: $ 10',000.00 225 Fifth" Street, Springfield, OR 541- 726-3753 Phone 541-726~3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 have carefully examined the completed application and do here~y certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall he 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 he ;'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 r~main on the site at all times d? /struction,' II // - ~~YF7 , .....-- ~- Owner or Contracto.rs Signature Date I: , " I IL. II I 1. Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Publi~:Works Department r Job/Journal Number COM2009-00 171 COM2009-00 171 COM2009-00 171 COM2009-00 171 COM2009-00 171 COM2009-00 171 Payments: Type of Payment Check cReceiotl RECEIPT #: 1200900000000000535 I' Date: 05/26/2009 , Description Plan Review Minor -,Planning, Building Permit I st Appliance Penalty Fee - BWOP Mechanical + 5% Technology Fee + 12% State Surcharge Paid By DENNIS J COVERT Item Total: Check Number Authorization Received By Batch Number Number How Received 206 In Person Payment Total: NJM Page I of I 10:16:35AM Amount Due 119.00 136.00 79.00 79.00 20.65 35.28 $468.93 Amount Paid $468.93 ' $468.93 5/26/2009