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Home My WebLink AboutPermit Building 2004-5-7 rl . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00174 ISSUED: 05/07/2004 APPLIED: 02/13/2004 EXPIRES: 11/07/2004 VALUE: $ 7,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1145 MAIN ST ASSESSOR'S PARCEL NO.: 1703354107200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Foundation & interior repair __.....Iir~c;. \IOU to O --r""'\O"I~ ure, ljV" '~"h' . 0' regon Utility wner: IIffiAMER STMJtEllItJ'1 t e h Address: 4~JIt,~~DEIDRlibRN'iu?\O~gRm'GIiD:}l,J) '8~ 97478 I' ..,,:~~t\"n Center. I _'- r'lIIR 952-00 . .'.0' Af\952-001-UU'U '''.--:~ 1'l'f'JuleSOY In vou may obtain cOPles\o U;ONJ:R6CTOR INFORMATION I 0090. 1 lNote: t ,.. '. .. ~\ng the center. U Tty NotificatiOn Contractor ~Mnber fopg~ttactm" tl ~2344). License General nu Cefil,~800-332 Electrical THINK ELECTRIC 154326 Plumbing THOMAS E WHITE 86252 I BUILDING INFORMATION I Expiration Date Phone 02/1112005 541-232-1212 09/25/2005 541-726-9778 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN #,ofIStnries: Lot Size: NliIeighfofAStructure EXPIRE IF THE Vlf.ltnlst Floor: TL"P "1;1'" II ;:,nr\LL ('p,,""T \:r, ype of-Heat:UNDER THIS PERMITI""'q...., 2nd Floor: -11"r:.1:1~1\ ALWater"'FYPe: IS ABANDONED FOl\q Ft Basement: C~"rige.l1lyp:.';l OR . Sq Ft Garage/Carport A~'1et~tlII PERIOD. Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage, REQUIRED PARKING Total: Handicapped: Compact: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of3 . Status Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Foundation Onlv Use Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge Building Permit Dryer Vent Exhaust Hoods Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Vent Fan + 10% Administrative Fee + 7% State Surcharge Add, Alter. Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Initial Review Structural Review 02/17/2004 02/17/2004 I Valuation Deseriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 3.700.00 4,000.00 . CITY OF SPRIrljul'lJ<.LD Building/Combination Permit PERMIT NO: COM2004-00174 ISSUED: 05/07/2004 APPLIED: 02/13/2004 EXPIRES: 11/07/2004 VALUE: $ 7,700.00 Value Date Calculated Total Value of Project Fpp< P~irl J Amount Paid Date Paid / $3,700.00 $4,000.00 $7,700.00 03/15/2004 03/15/2004 $44.46 $10.00 $18.18 $12.73 $91.80 $6.00 $9.00 $28.00 $24.00 $17.00 $6.00 $9.30 $6.51 $30.00 $63.00 2/13/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 5/7/04 5/7/04 5/7/04 5/7/04 Receipt Number 2200400000000000139 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 2200400000000000493 2200400000000000493 2200400000000000493 2200400000000000493 Repair of non-conforming building OK per Tara Jones. rjb To Request an inspection call the 24 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. $375.98 I Plan Reviews I 02/17/2004 03/12/2004 APP RJB APP RJB 8 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. IRrr'~ Paee 2 00 . . CITY OF ~rKll~tj1<lJ<.;LD Building/Combination Permit Status Issued PERMIT NO: COM2004-00174 ISSUED: 05J07J2004 APPLIED: 02/13/2004 EXPIRES: 11/07/2004 VALUE: $ 7,700.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Final Building' After all required inspections have been requested and approved and the building is complete. 5 Drywall: Prior to taping. 10 Rough Plumbing: Prior to cover and including required testing. 3 Final Plumbing: When all plumbing work is complete. 9 Rough Mechanical: Prior to Cover 2 Final Mechanical: When all mechanical work is complete. 12 Rough Electric: Prior to Cover 13 Electric Service: Approval required prior to utility company energizing service. 14 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 be made ofany structure without permission ofthe 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 tbe 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 tiTi~n:::tr&~ ~ 1/~7l37A7A) Owner or Contractors ~nature \5/7/ d(f?o/ ~/'L Date Paee 3 of3 r ,225,FKth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00174 COM2004-00174 COM2004-00174 COM2004-00174 Payments: Type of Paymeut CreditCard 5/7/2004 . RECEIPT #: Wi~ 2200400000000000493 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ANDRI AZIEDZIC lliity of Springfield Official Receipt .velopment Services Department Public Works Department Date: 05/0712004 Item Total: Check Number Authorization Batch Number Number How Received Received By nJm ,';'\' Page I of I 00378 001281 In Person Payment Total: .' ,. 11:14:40AM Amount Due 63.00 30.00 6.51 9.30 S108.81 Amount Paid $108.81 S108.81 .. Status Issued * . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00174 ISSUED: 03J15/2004 APPLIED: 02/13/2004 EXPIRES: 09/15/2004 VALUE: $ 7,700.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1145 MAIN ST ASSESSOR'S PARCEL NO.: 1703354107200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Foundation & interior repair Owner: KRAMER STEPHEN P Address: 42113 DEERHORN RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I '. Contractor Type General Electrical Plumbing Contractor OWNER THINK ELECTRIC TUCKER PLUMBING CO License Expiration Date Phone 154326 109801 02/11/2005 541-232-1212 11/07/2004 541-343-8008 I BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENTINFORMATION I Front yard Setback: ,. Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: !PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: OU to Speciallnstr.uction:ION'Ore9on laW requires YUt'I'ty AI I t=.l'll . d by the Oregon II Notes: follOW rules adopteThose rules are set Ion \Iotificatlon cente~1O through OAR 952-00 n OAR 952-001-0 ain copies of the rules' 0090. You may obt Note: the telephone calling the center. ( n Utility Notification number for the.o~e~~,,_qq'-_'-344). ,.. --........... - Sidewalk Type: Downspoutsillrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. "" Pa~e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .~ Description Tvpe of Construction Bid Amount Use Bid Amount Foundation Onlv Use Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge Building Permit Dryer Vent Exhaust Hoods Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Vent Fan Total Amount Paid Initial Review Structural Review 02/1712004 02/17/2004 . . Uti' OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00174 ISSUED: 03/15/2004 APPLIED: 02/13/2004 EXPIRES: 09/15/2004 VALUE: $ 7,700.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 3,700.00 4,000.00 Value Date Calculated Total Value of Project $3,700.00 $4,000.00 $7,700.00 03/15/2004 03/1512004 Fpp<. P'Ii4,I Amount Paid Date Paid Receipt Number $44.46 $10.00 $18.18 $12.73 $91.80 $6.00 $9.00 $28.00 $24.00 $17.00 $6.00 2/13/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 3/15/04 2200400000000000139 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 1200400000000000319 $267.17 I Plan Reviews , 02/17/2004 03/12/2004 APP RJB APP RJB Repair of non-conforming building OK per Tara Jones. rjb " To Request an inspection call the 24 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. ~~.l'IIPIr-tin.lll.l 1 Post and Beam: Prior to Door insulation or decking. 2 Floor Insulation: Prior to decking. 3 Framing Inspection: Prior to cover and after aU rough in inspections have been approved. 4 Wall Insulation: Prior to cover. 5 Ceiling Insulation: Prior to cover. 6 Final Building: After all required inspections have been requested and approved and the building is complete. 7 Drywall: Prior to taping. ' 8 Rough Plumbing: Prior to cover and including required testing. 9 Final Plumbing: When all plumbing work is complete. Pal!e 2 00 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00174 ISSUED: 03/15/2004 APPLIED: 02/13/2004 EXPIRES: 09/15J2004 VALUE: $ 7,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line \ 10 Rough Mechanical: Prior to Cover 11 Final Mechanical: When all mechanical work is complete. By signature, I stale 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 ofany 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 construction. - JJbr~ - Owner or Contractors Signature :5 -/6' - 6 Y Date Pa2e 3 of3 225 Fifth Street ." Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00174 COM2004-00l74 COM2004-00174 COM2004-00 174 COM2004-00l74 COM2004-00 174 COM2004-00174 COM2004-00 174 COM2004-00174 COM2004-00174 Payments: Type of Payment Check -~.",,~,.,-!.'I,--",'.,.' , 1tiiI'" ""', '- ..,',.".-.:' , ~ .. '"'''''' .. .*~.<' .cc Receipt #: 1200400000000000319 Description Fixture Minimum/Adjustment Plumbing Vent Fan Exhaust Hoods Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Building Permit + 7% State Surcharge + 10% Administrative Fee Received By dim Check Number Batch Number Authorization Number Paid By STEPHEN P KRAMER 468 ~,.~ City of Springfield Official Receip~ ,~ , Development Services Department Public Works Department '_ Date: 03/15/2004 1l:38:16AM Amount Paid Item Total: 28.00 17.00 6.00 9.00 6.00 24.00 10.00 91.80 12.73 18.18 $222.7] . ^. How Received Amount Paid In Person Payment Total: $222.71 $222.7] . -. . . \. / " " " " . .. - . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: Ct.ID? ~ODI7f Address: J 11.\ ~~/.... J fr I Issued by: ; .A-='~:1\~ Date:' '] lit) AJf -, "" - f I 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 statement will befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: % ~ 2. 1. ~eside 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 offere~ for sale before or on comple~on. o 3A. My 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 ~ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notifY the office issuing this building permit of the name of the contractor. I bereby certify tbat tbe above information is correct and tbat I bave read and do understand tbe Information Notice t~prop rty Owl about Construction Responsibilities on tbe reverse side oftbis form. S -/O~(J Y SIgnature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 03/11/03 \. . '.' ..,. ' " \ " . ---..... ,~~tft~J~~~ '.~~(~~.'~Wll1l , .' INFORMATION NCmCE TO PROPERTY OWNERS "'. ABOUT .CONSTRUCTION RESPONSIBILITIES . <Gell1leIr21ll C({}ll1ltIr21~t({}Ir? ,,' NOTE: This Information Notice to Properly 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 acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. :!Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes 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 a State Business ill number, call the Business Information Center at 503-986-2200. . .' Unemployment Insurance Tax: As an employer, you are required to pay a tax f()r unemployment insurance purpos.es on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. _' Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. " .~' "'. Other Responsibinities and Areas of Concems Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. \ Time: Make sure ypu' h~ve sufficient time to supervise your employees. " Expertise: Make sure you have the skills to act as your own general contractor, to coordinate 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 (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 03/11/03