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Home My WebLink AboutPermit Building 2009-10-1 ,~} ~RfNCl"'I"""" - .i( vc~c? ~,,,,,,,,,,,,,!I,. f!_}I, 'lJ,. "',, ,. CITY VI' I'lrKll~lJ1<lELD Status Issued Building/Combination Permit PERMIT NO: COM2009-01355 ISSUED: 10/01/2009 APPLIED: 09/14/2009 EXPIRES: 04/01/2010 VALUE: $ 47,068.00 225 Fifth Street;.springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 654 53RD PL ASSESSOR'S PARCEL NO.~ 1702331303500 Spnngfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to Existing Residence- 370 s.f. and New Garage- 298 s.f, Residential Owner: MILLIGAN LESLIE M Address: 654 53RD PL SPRINGFIELD OR 97478 Phone Number: 541-461-1872 Phone Number: 541-747-9619 I CONTRACTOR INFORMATION' Contractor Type General ~! Electrical Plumbing Contractor OWNER OWNER OWNER . License Expiration Date Phone BUILDING IN~ORMA TION, # of Units: # of Stories: 1 Lot Size: , Primary Occupancy Group: R3 Height of Structure Sq Ftlst Floor: 370 Secondary Occupancy Group: U Type of Heat: Sq Ft 2nd Floor: Primary ,Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport 298 # of Bedrooms:. Energy Path: Sq Ft Other: ..__.__ Sprinkled Building: AllJIgNTION9ffrmm'ri /arw%quires yoU to "V"V". , '-..-w rUles aaoptea by me uregon Utility THIS PERMIT SHALL EXp!rD-EYEWRMElN;f INFORMATION;lation Center. T\U;o"mlmsrpA'J'ltJQItt; AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 ""gold" UMH "~Ol- Frontyard Setback:1MENCED OR ~:9"0)ANDONE[,qv&f\ay Dist: 0090. You may obtailTot\il!es of the rules bY2 Side 1 Setback:ANy 180 DAY PERI~i # Street Trees Rqd: calling the center. H\lndi~\Jppt:d:3~hone Side 2 Setback: . Paved Drive Rqd: number fy/;;he OrereOn\~!lfli Notification Rearyani Setback: 84.00 % of Lot Co;~rage: f5~oer is 1-800-332-2344). Solar Setbacks: 0.00 ,I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: For this parcel in Jasper Meadows 7, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, nntil the subdivision is accepted by City Council" . Notes: Paee 1 of3 Status Is-sued -- CITY OF SPRIr'lliJ<IELD Building/Combination Permit PERMIT NO: COM2009-01355 ISSUED: 10/01/2009 APPLIED: 09(1412009 EXPIRES: 04/0112010 VALUE: $ 47,068.00 225 Fifth Street, Springfield, OR 541-726-3753 Ph'one 541-726-3676 Fax 541-726-3769 Inspection Line I V ~Iua~ion ~es.cri?tion I U VB Utility R-3 VB1&2 F~milv $ Per Sq Ft or multiplier $37.72 $96.83 "Square Footage or Bid Amount 298.00 370,00 Value Date Calculated Description Garage/Misc SFffiuplex Tvpe of Construction Total Value of Project $11,240.56 $35,827.10 $47,067.66 09/14/2009 09/14/2009 FpplO', P<:J~ Fee Description" Fire SF"Fee - Residential Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Eo Add Building Permit Fixtnre Perm ServlFdr 2(}(} amps o~ less Plan Review Minor - Planning SDC Sanitary/Storm Admi~ Storm Drainage Impervious Area Amount Paid Date Paid Receipt Number $33.40 $292.90 $85.99 $41.78 $79.00 $30.00 $450.61 $76.00 $81.00 $119.00 $13.30 $266.01 9/14/09 9/14/09 10/1109 10/1109 10/1109 10/1109 10/1109 10/1109 10/1109 10/1109 10/1109 10/1109 1200900000000001058 1200900000000001058 3200900000000000688 320(}900000000000688 3200900000000000688 3200900000000000688 3200900000000000688 3200900000000000688 3200900000000000688 3200900000000000688 3200900000000000688 3200900000000000688 Total Amount Paid $1,568.99 I Plan Revie\Vs I Initial Review" 09/15/2009 09/2112009 APP LLH Planning Review 09/22/2009 APP DDK Approved as shown on plans. Public :Works Review 09/29/2009 APP Storm water to tie into existing system. Foundation must be minimum of 10 feet from septic or drainfield As noted on plans Structnral Review 09/29/2009 APP CJC 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. ' Page 2 of 3 CITY OF SPRINul'lJ!,LD Building/Combination Permit Status Iss u ed " PERMIT NO: COM2009..01355 ISSUED: ]0/0112009 APPLIED: 09/]4(2009 EXPIRES: 04/01120]0 VALUE: $ 47,068.00 225 Fifth Street, Springfield,OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectionLine Reouired Insnections I Footing: After trenches are excavated. Foundation: After for,ms are erected hut'prior to concrete placement. P~st and Beam: Prior to 1100r insulation or decking. Floor Insulation:' Prior to decking. , Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Walllnsulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have heen requested and approved and the building is complete. Rough Plumbing: Pri,or to cover and including required testing. Underl100r Drain: Prior to cover or placement of concrete. Underl100r Plumhing: Prior to insulation or decking. Final Plumbing: When all plumbing work 'is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete; Rough Electric: Prior to Cover 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 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 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 construction. re0J~/91J~j?p~ Owner or Contractors Signa;ure. - / ~ /p-o/-o9 Date " Paee 3 of3 225 Fifth Street . Springfield, Oregon 97477:,> -----... 541-726-3759 Phone Job/Journal Number" COM2009-01355 COM2009-01355 COM2009-0 1355 COM2009-01355 COM2009-01355 COM2009-01355 COM2009-01355 COM2009-01355 COM2009-01355 COM2009-0 1355 Payments: Type of 'Payment Check cReceint 1 City of Springfield Official Receipt Development Services Department Public Works Department REGEIPT #: 3200900000000000688 Date: 1010112009 .Qescriptio~ . Plan Review Minor - Planning ,Building' Permit , 'Fixture - . , 1st Appliance :- Perm SefY/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State'Surcharge , Storm Drainag~ 'Impervious Area SDC Sanitary/Storm Admin .+ 5,% Te~hnology Fee < Item Total: Check Number Authorization Received By Batch Number Number How Received KR 998 In Person Payment Total: Paid By LESLIE M MILLIGAN ,. Page I of 1 1I:48:IOAM Amount Due 119.00 450,61 76,00 79.00 81.00 30,00 85.99 266.01 13,30 41.78 $1,242.69 Amount Paid $1,242,69 $1,242.69 10/1/2009 Electrical Permit Application e t 225 F;fth Street'Spri~gfield, OR 97477tPH(541)726-3753t FAX(541)726-3689 . . 1~;i"'i,DE~~~RTMENfGsE' ONCY:;,... <'J.-,.: '" -... ;'",.')',1/,.' ~., "..:'._;, ,..'..~.' . ,'-".;', :.- , . '"i:' .':' I Penn it noC1 - t 355 I Date ~/J1'/eq 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. , . 1ili'!!120CJl.L::(>(')VERNMEN;n1)l;~F'R0YA~%~i'!'*'t''''f;;i~\~1!'.,' 1 Zoning approval verified? 0 Yes 0 No l~i:i~ith,;,ii,);f:~'cATE(>ORY;;{O~?CONSljRlJCTION~;~;;0%';t,;'" ':?; 1 0 Residential I 0 Government I 0 Commercial 1~\":J_OBisJmE\~IN~QRMNrfIONUAND~LO:CA;r;loN~'if(;~!l I Job site address:,?';-1 s3!Y? P.L... I City:S0f2.; y;f:dd. I State: () tZ 1 ZIP:l) 74 7'6 I Refer~ce: I '/0 ~ ~.:b\~ 1 Taxlo!.: Dosx.) I"." ,c,;,,' "'" :"DESCRllnI0N:OF.wORK':,~fl)':i?:""';'~f{'\~\;?' I 1 I 'PROI'ERTYcOWNER " I Name: /-e.c; liE? /Y7 /VI1/JiGt1..Y\ 1 Address: 60'-) 53.B.E> P"L.. 1 city5e)('J.;rye.f;~/ci I State: 0((, 1 ZIP'17i17B 1 Phone~'''I-tj.6/ -/ %7f).. 1 Fax: 1 E-mail: This installation.i,s being made on residential or farm property owned'bytm~\or.a member of my immediate family. This proper't)i'i5:n6tfjjit~D~eQ;fQt\~"-leE~~1!jgf, ~i*,\~l()'~!1( OAR 479S~~SI1:qI(,9i'\7:%'868\'lbER' THIS PERMIT IS NOT Signatu~e:\1:,!iFNr.Fn OR lS j~RANf!()NFn, FfJ.R I. '. "'M,li\{iC~NjljRJ\Or:Q~I'r\NST Att.ATION'. .~, I Business name: tJ w/I!.e~ 1 Address: 1 City: 1 Phone: 1 E-mail: ;-t:: . I'State: 1 Fax: I ZIP: CCB license no.: 1 BCD license no,: Signing supervisor's license no,: I Print name of signing supervisor: I Signature,~f signing supervisor~ ~cf\ \\)' V rr ~t.R. ~ 440-2584.) (9/08/COM) If~:'1'~%r(i\~;i'~~!1~Ir~~5f~~E_I;~,S"QRE_PJ]J~EtwWl~~~Ki~~T~~~~ I . ," ,..'.....e,. "':"''''''''1-"''1 .001.... 'I 'N~mber: ~f.i~~p'~eciio'n~"p'&it~in~'(.-,)~;' :;'. 'Q"Aty': i _ --:. C()~!:~:;, ',.:rotaJ: _., I...,.,.... -'" .,',." ....~:' "'. .d'.,.. .....' ....;'-.. . :. .~,~ ''';''-''''~''.~ ....',; :. "" -,-'5... .......<(;..~ .>_'>'_'-'0"'<,,,,.,i\. .,!':.... ,', ~..."I ~. ,.}.:!!.>:. '". ".,- . .,1\: ,,,ea._,.~~.,, . t.. ,cpS(. ,1_, I Residential, per unit; service included: I 11.000 sq, ft, or less (4) $134.00 $ I Each additional 500 sq. ft. or portion $ 25.00 $ thereof . I Limited energy (2) $ 32.00 $ ! Each manufactured home or modular . $ 63.00 $ dwelling service or feeder (2) I Services or feeders: installation. alteration, relocation I 200 amps or less (2) 1- $ 81.00 $ 201 to 400 amps (2) $ 95,00 $ 40 I to 600 amps (2) $158.00 $ 60 I to \000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocarion 200 aw~~.~~\ef~((~~. ()fP.f1nn IRW rer ,uire~ \$J6,3!OO $ 20It'o;~00'.mps,(2)adopted by the I )regl ,r$L1W"OO $ 40]~~60b7rhlnsrUyemer. I F1U::iB IUill'~ alii ;:.t::lIUllll :_,,^r.rtp..),_f'l~ nn-lA.hl'...."rthnt.oo$12:6...QQ_ $ OveD~~~~.Pj~i~1~,9.90~tqIi~,.~te,:.s~:~\ge_s!o!. .f~e(ter~ ?e:<,:~ion above B h....:':....,. ~D^ .....>::'\>"",'.-.." .f!\I(')tl" tr,o tOlonnnile ranc 'elr.cults; ne~,~a t,!,rarlon e}~~n~fOn,R~Qit:11!l:_'~ a. Fee lfcW iJr'af-khvcircuTIs yHi~;pUu'rcfiase' oY.~;strvici'or ~t'e'eder fee: I :pnror Ie::. 1.n,Il'-.'1.j~-LU'-t'-tJ. Each branch circuit I $ 6.00 I $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) I I $ 55.00 $ Each additional branch circuit I 2- $ 6.00 $ I Miscellaneous fees: service or feeder ,:/or included 1 Each pump or irrigation circle (2) ! $ 63.00 $ 1 Each sign or outline lighting (2) 1 $ 63.00 $ I Signal circuit or a limited-energy panel, I $ 63.00 $ alteration, or extension (2) I. Eaeh additional inspeetion., (I) i 1 $58.00 $ 1 1'="'e"""''''t1-r.'''~j!.i.r.~:S)i~",''I', .,-,;~.~,-- ..-- ;t---'---.--"'-~.....,,--,- --1:-<-'-r:,""",''', -0"'<'" ~,','" ,n, ''''','';,' '''.'1 ~~ali,1i!M~jf~d?wt;:it~f~R~I1ICANT~USE~1l.~~~j~;~~1~-fi1;~:};~:i I (A) Enter subtotal of above fees $ (Minimum Permit Fee $58.00) 'I'(B) Enter 12% surcharge (,12 x [A]) $ I 1 (C) Technology Fee (5% of[A]) $ I I, TOTAL fees and surcharges (A through C): $ I, Construction Contractors Board. 700 Summer St NE Suite 300 PO Box 141'40 . Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: Co/'1 z.-&i31 ~ & J-.',37 S 5 Address: h <;4- -:-53 fU:) PL-A.c.E . ISSUedby:~L- Date: '9./14-/er Statement: Information Notice to Property 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 following statement before a building permit can be issued. This statement is required for 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 stfJtement will befiled w~th the permit. Fill in the al'l',vl'.;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~ 1. ~ 2. I own, reside in; or will reside in 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. . , o 3A: ~y general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR lZI 3B. I will be my 9wn gener;tl contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors' Board. Ifl change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will imniediately notify the office issuing this building permit ofthe 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. cf2L- 9#~f~_;" 9-/~-oCJ (Signature ofpermit apPlicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01'04 - -~".--- .....- ,- -:Aitihg'as\~r(ouib(OwnGel!ll.eraLCon.tractor?,'. ' ,'~;. k'. 'INFbRiVlATlo~::-NOTICETO PROPERTY OWNERS ': '~", \ ....,\1;'. \ \\' ABOU!,:~O~\~T~UCTIONiRESPONSI~ILlTlE~ : . :t: ~< .~" . ~. NOTE: This Information Notice to Property Owners about Construction Respdnsibilities' was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by/he 1989 Oregon Legislature. If you are acting as your owncontracior'to construct a new home' or make'a substantial impr~vement to aIi existing structure, you can preyenfmany problems by!>eipg aware:of the following responsibilities and concerns. Employer Responsibilities " . ..?.. " .1:... .' ...... 1." '. ....:' \ " .' . ......:../ .'. ..' .~';~,' . f You wi)l; in most ins.tance.s, be .ru)ed to ~e ~ ."eIl}ployer,'" and the contracior~ yo~ ~ol).tract ~th will !>e ."employees" if you.).lse p~mtractor~ not l!cens9d with. the, Const,ru,ctjon Contracto~s,.Bo,ard to do labqr in constructing or to ~ssist in the construction or improvemeq\ of a resid~ntial structure. As'the employer, you mU,st cp!llply with the following:, .' -...... . ,.' ." \~- ~\ ~ '. ' '~'i.~ \ . _ '" .... .,~.., ,;'_..~' ,. ," . ,-'. ,_ ,," \I- Oregon's Withhoiding Tax t~w:- As im e~ployer, you tTIus\\viihi16id i';co'~e 'i~es' 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 from your employees. For more information,'calltlle'Deparcineht'J(Revenue' at 503-3784988:' -' .' ':. " ' , 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 information, call the Oregon Employment Department at 503-947-1488. ';'-"'~..'.:.1...,.-_~'t ~~:' >,'1. ~f,"' -"q .', :4.... .'~ ' /' The Oregon Business Identification Number (BIN) is a cOl1)bined number. for. b<;lth Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the al'l"Vl'.:ate forms, ".. " '"r , "-> ~ J . ...., Workers' Compensation Insurance:.As an employer, you are. subject to the Oregon Workers' Compensation Law, and must,ob~~in ',Yorkers' cuu'I'''usation insura!1cefor your employ'~es. If you fail to obtain workers' compensation insurance, 'you could be sullject'to pertalties and :be hable 'f(if' ail claim' costs if one of your empioyees is injured on the job. For more information, call the Workers' Compensaiion DiVision at the Departme'nt of Consumer and Business Services at 503.947-7815. ' U.S. Internal Revenue Service: As an employer, you must withhold federal income'tax frrimemployees"wagd. You will be liable for the tax paYment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRSat'P800'8294933 or visit their' web site.atw:ww:irs."ov. ,. " '," r, ~ '..,' . . .. '4,' . ~, . I,"' '\: " Other lRe~ponsibilities 3J!Ud Areas9f C~mcern~ , ' ..~f . Code Compliance: As the permit holder for this project, you are responsible for resoi~;ng imy"fai'lure'to meet code requirements that may be brr,lUght to .your attention through inspections. . '. .' ,',,, '....'), .:' -. ...' "'; '.: ".. ". -'.:', .~.: '. '....-. ~~.' .. ",.'~ Liability and I'roperty riamag~'insuillDce: 'Cohfuct :your insiJrance ~gent to se~ if you have: adeq~te 'insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that mus\bj: redQn~. " .... t . " ., . \ '~', " ,- "." .... ~ . ....,. .. .---.-. ~---",.-'_...~--~ '. ". . Time: Make sure YOll have sufficient time to supervise your employees.' ':;J., ,. " Exp~rtise: Make sUre you. h~ve ilie sltills to a6t' as y~'u~ ri'wngen'eiai 'co~tiaci~r; \6 ~oordinate 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 Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052, ,....r. Property _ owner.doc 06-01-04