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HomeMy WebLinkAboutPermit Building 2010-4-9 CITY OF SPRINGFIELD Building/Combination Permit . :'} - ,~, :" 1 "'~: '.',1 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00217 ISSUED: 04/09/2010 APPLIED: 02/17/2010 EXPIRES: 10/09/2010 VALUE: $ 45,264.00 SITE ADDRESS: 502 17TH ST ASSESSOR'S PARCEL NO.: 1703362405800 Springfield TYPE OF WORK: Accessory Bnilding PROJECT DESCRIPTION: New Accessory Building TYPE OF USE: New Residential Owner: Address: BARNES STEVEN & SARA 502 17TH ST SPRINGFIELD OR 97477 I CONT'RACTOR INFORMA nON I Contractor Type Electrical Contractor OWNER License BUILDING INFORMA nON ~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary"Construction Type: # of Bedrooms: # of Stories: U Height of Structur'i\teS yOU \0 v..'tTEN1IO~~~m:~Y{;:~egon ~:- talloYI fUle~._e rules ate ~.o01. "otltl:"~~11l"hf!lU.~ ~e tules bY In 0 nl\ItY~~RI)'WIe \elephO~ ~~;~f~~li_n Cene ' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: '. "! Overlay Dist: # Street Trees Rq'd: Paved Drive Rqd: % of Lot Coverage; 5.00 14.50 0.00 ...,.'., ,.,."... Phone Number: 541-914-4903 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,454 1,200 REQUIRED PARKING Total: Handicapped: Compact: 2 21.00 I PlIBLlCIMPROVEMENTS I Street Improvements: Sidewalk Type: '~<:";':;J,i~\..,,;..~' , ~~:~:Is)en:;;,~~~~~ble: Per Ken Albrecht phone call, owner will,agree to 10';/P:J,t~;;~~~t'end of property. Accessory building will be ~9t""H~t'ite plal1.iIlot'\9liAm:t~Jl~,aBl .':;' Notes: Shed needs to be removed out of P.lI.E. Stor\ll~~il'll:~~""~" 1,,\$ \lEI' tOn f()? ,',<." 1\1\';:> n. \)\'\tl~f\ D()~~V; ,,\0,' . Descrilltion Tvpe of Construction Square Footage or Bid Amount Pa2e I of 3 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 I nspection Line Gara!!e/Misc U VB Utility Fec,Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Building Permit Fire SF Fee - Residential Perm Serv/Fdr 200 amps or less Plan Review Major - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amonnt Paid '.,....".,. ,- '.:' $37.72 Total Valne of Project ~ Amount Paid $283.38 $62.76 $36.70 $6.00 $435.97 $60.00 $81.00 $211.00 $17.50 $349.94 Date Paid 2/17/10 4/9/10 4/9/10 4/9/10 4/9/10 4/9/10 4/9/10 4/9/10 4/9/10 4/9/10 $1,544.25, I 'Plan Reviews ~ Pnblic Works Review 03/11/2010 Initial Review 02/18/2010 Planning Review 02/18/20 I 0 Structural Review 02/18/2010 Initial Review 03/02/2010 StructuraJ Review 03/03/2010 Structural Review 03/09/2010 Plannine: Review 03/11/2010 02/18/20 I 0 02/23/20 I 0 03/01/20 I 0 03/03/2010 03/05/2010 ""'1,0, "',J__" 'l." '0,3/09/2010' 03/11/2010 WI APP LLH WE DDK WE CJC APP LLH WE CJC WI CJC APP DDK Pa!!e 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00217 ISSUED: 04/09/2010 APPLIED: 02/17/2010 EXPIRES: 10/09/2010 VALUE: $ 45,264.00 1,200.00 $45,264.00 $45,264.00 02/17/2010 Receipt Nnmber 2201000000000000148 1201000000000000325 1201000000000000325 1201000000000000325 1201000000000000325 1201000000000000325 1201000000000000325 1201000000000000325 1201000000000000325 1201000000000000325 LKW Easement issues waiting for information from survey Height of proposed structure exceeds beight oI primary strncture (bonse). Owner will ask architect to revise the drawings. On hold untH revised drawings have been received. Waiting for revisions to satisfy Planning requirements. Revisions to Chris Carpenter Revisions show change in location of' structure which does not meet setback requirements. As noted on plans- Minimum setback Irom PL 5ft. Revised plans received. No part of accessory structure may be within 3' ofthe property line. CITY OF SPRINGFIELD Status 'Issued Building/Combination Permit PERMIT NO: COM201O-00217 ISSUED: 04/09/2010 APPLIED: 02/17/2010 EXPIRES: 10/09/2010 VALUE: $ 45,264.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 03/23/2010 03/23/2010 APP LKW Accessory building will be moved on site plan to accomodate new P.U.E per phone call on 3-23-20]0 from Kurt Albrecht. Owners will sign ne" agreement and vacation of blanket easement. Storm water to curb. Structural Review 03/24/20 I 0 03/24/2010 APP KLK 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. LRe~uired InsDections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with linish materials. Rough Electric: Prior to Cover Final Electric: When all electrical work is c~J!iplete. . , Framing Inspection: Prior to cover and aft.~r.'aiJ rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building 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 corrcct, and 1 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 structnre 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 Pl'operty,.and the approved set of plans will remain on the site at all times during construction. :. 'i' " (00 Owner or Contractors Signature Date ... ~ ": ..,) Paee 3 01'3 Ete<;trlcal Permit Application . D 225 Fifth Street+Springfield, OR 97477. PH(541)726-37S3+FAX(541)726-3689 '- ;,L-;- ,_ .. i.I,',,"-',: , , .~, ,'- . ." 0", 'OEP'ARTMENTUSE. ONLY .,h'., Permit no.: Cw- 2--1-7- Date: '7 - 1.- 1- - JI:7 This permit is issued under OAR 918-309-0000, Permits are uontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . I';': ":" .'- iGbCAL:GOilERNMENT {AP'f!ROYAI!!i..:'.:(:NiJ'i"l:yg." Zoning approval verified? 0 Ves 0 No ~:::;!f"i':i/;i\CATEGORY;Wc5r;:~CONSTRUCTI()N;:;? . Residential 0 Government 0 Commercial f1il~~'iJOBji,SIJiEdINI;()RI\IIATlbNx7ANjjY'I!.O(::'A'liI()N;';;~Iif:~'*ri' Job site address: City- Reference: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended .for sale, exchange, lease, or rent. OAR 479.540(1) and 79560(1). Signature. Business name: Address: City: Phone: E-mail: CCB license no.: ZIP: Fax: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~~ l\~ ~~ 440-2584-J (9108ICOM) '\I~~'R;'~:'!?'P:"!f;;\~\;fi~~~f.tF,tEr~S'CRI:,_DQIBI;~~J1li<lti,%';'ffi.1'~E.~~f'S~~~'~: ~' .:'. :.",\,;:,:,t'<" ,.-,\d.>":<lr.,''''':-'" .,' '% ..' , '-17,( -t_. ,.,~~;I,,~';".'Ji,;,,;~.p'.~!:*f:'''f, ./' ;Number\6f,~~spe~ii~;ri~~~er-it~.in~C) .~~~": 'Qi~'.' COSt' Total .....'... ':...$, -, ,""\ ":;"'~~~._,.c;!"I'.;O-,.:!,' ""\~'" \:J~_" ",- ." ,;;:'~ea;t:' .'".osL .: Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) J $ 81.00 $ 'd( 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ - Temporary services or feeders: installation, altercHion, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above ' Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $" b. Fee for branch circuits without purchase of a service or. feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ,:/ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ':~;t~,~;;[~!1~N~~~ffj0~#fK~Age_mCANf[~;tJ,SE~;:~t,:fJj~j"~~~~h~~1i:.~~a~~i!-;::':; (A) Enter subtotal of above fees $ 'i? (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ JOI{'I (C) Technology Fee (5% of [A]) $ I.{~.r TOTAL rees and surcharges (A through C): $ /01.71 .. . . . . . . ", ." . . 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 #CJ8- - 2- J 1- Address:>92-- :f--.+ rIf 5"r.ef2/3:r Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permitapplicants whoare 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 be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: o 1. o 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before or on completion. 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 tlJ 3B. I will be my own general contractor. I \ If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I 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 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. ~'i. p~.. __ _1(.,110 (Signature of permit applicant) ~ . tDate) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 06-01-04 Acting as 'Y OlUur Own General Contractor? \ -. . . INFORMATION 'NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION'RESPONSIBILlTIES 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.beirig aware of the following responsibilities' and concerns, JEmpioyer 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 C9~traciors Board to do labor in constructing or to 'assist in the construction or i)Dp~~)Vement of a ,residential structure. As the employer, you must comply with the following: Oregon's Withholding T~x L~w: 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 more information, cali the Departri1ent 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 information, call the Oregon Employment Department at 503-947-1488. ,L # ,.".' ., - ,'-'I' . The Oregon Business Identification Number (BIN) is a combined num.ber for both: Oregon Withholding and Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formspav.htmll for the appropriate forms. :' . , ' , _. . " .t I . . Workers' CompensatIon Insurance: As an employer, you are subject to the Oregon Workers' CompensatIon Law, and must o1)tain 'Vorkers' 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 illjui-ed on the job. For more information, call the Workers' Compensaiioh Division at the'DepartrnentofConsumerahd Business Services at 503-947-7815, \ / U.S. Internal Revenue Service: As an employer, you must withhold federal -income tax from employees' wage~;( You will be liable for the tax payment even if you didn't actually withhold the tax, For a Federal EIN number, call ~J1'e \ IRS at 1-800-829-4933 or visit their web site at \vww.irs.,gQ,Y. I ;' , OtherResponnsibiJIitnes annrll A.reas of (oJ!lceJrlll~ , , 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, . . ., . Liahility 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 p'ipe punctures, fire or work that must be redone. II i "r>- --~.\...~ ". c> l r~ ~ ! __, - -- "_. _ (..- ~t;.~ , ,. ;r----'+u-:~ - "It' -., - .. - -~"':.:f...-1:;~>.. \ ___...,,;._t-..--".::-t~~_ Time: Make sure you have sufficient time to supervise your employees. ' Expertise: Make sure you ha\:e the ~kills to act as your own general contractor, to coo~dinate 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 can the Construction Contractors Board (503-378-4621) or write the agcncy at PO Box 14140, Salem, OR 97309-5052. Property_owner. doc 06-01-04 Structural Permit Application 225 Fifth Street. Springfield, OR 97477 . PH(54 1)726.3753 . FAX(54 1)726-3689 , CITY OF SPRINGFIELD, OREGON ~~ 1j;:-,.'" ~ Y" "''"'F'" ':"'J"", '?Y';;"''''''''," .....'.'_ i li.PEPARTMENT: USE'0NI.:Y;ffi ,;."""-,,,. L,,-*__ ~,,,,,~,'~ ---t,," ...,~A, Permit nOCW-~:?-J-1- Date: 7- - 1 1- - W This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for] 80 days. [(leAL GOVERNMENTAPPR9\1A~,,;c"~ This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes 0 No Property is within flood plain: 0 Yes D No CATEGO~Y OFCpNSTRUeTioN c"') ...,..,~ = c-..J l:- ...-t lD W L.l.. ':;"',:i'~'<d Job site address: City: Lot 00.: Taxlot: & 58 ~ c,~ ~ ZIP. 1<\"'\1 Phone: E-mail: tE> ~O This installation is being made on residential or fann property owned me or a member of my immediate family, and is ex~!'llrom Iicensil requirementsunderO S701.01O. 5It1.1n-f/fe''3 Sign here' i,~i",;,';3i:0~i::;b:~~,9.NTRACTOR~1INS'tA~~ATI6N't~,,~, "'(;J:~~;1<J~~1~,;1 Business name: Address: City: Phone: E~maiI: CCB license no.: Print name: State: Fax: ZIP: Signature: ~~!Sl'-B'fc.Qi\JJ:~(t(QBI!NE()~N!Arlo_fi'j;I~~r~j~ Name CCB License Number Phone Number Electrical Plumbing Mechanical CoAf't'~ : K'c.c ~-r k UM.. 6::1-1-r !{" ,-, , "", ~EJ:_S~HEDULi";.(','F:' "i:,"'", " ' ~, ~ 'i:'y.juatio~inforl!1..tioli,;:. ,.f. ,':'.> .;r~:;,:' ,. . (a) Job description: J....1Fi J.J ~ lH,J)4 Occupancy (j Construction type: \T..s Square feetl A4 Cost per square foot: Other infonnation: Type of Heat: Energy Path: gpew D alteration D addition (b) Foundation-only pennit? DYes DNo Total valuation: ~-. . ik " " 'f '-,,~.; ~;",; ~; (a) Pennit fee (use valuation table): $ (b) Investigative fee (equal to [2a)): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal offees above (2a through 2d): $ -.--,,", "F'--"'-';}e;,~":, ',; ;3;"Plan\review:feesr J' !::"}~tt'it'~',,2t~ 1.~': (a) Plan review (65% x pennit fee [2aD: $ (b) Fire and life safety (40% x pennit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ y< ,};:;.: 'J; (a) Seismic fee, 1% (.01 x permit fee [2aD: $ TOTAL fees and surcharges (2e+3c+4a): . 5'"11- - ~y~ - 3.31.>' \t>~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii{~. City of Springfield Official Receipt Development Services Department Publie Works Department RECEIPT #: 2201000000000000148 Date: 02/17/2010 11:18:23AM Paid By DENNIS CHUCK BAILEY Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 283.38 $283.38 Job/Journal Number COM20 I 0-00217 Description P.lan Review Residential Payments: Type of Payment CreditCard Amount Paid KLK KLK 09787C In Person Payment Total: $283.38 $283.38 \\D~::lo'2.. -'\ ()S~ cReceinll Pa.ge I of I 2117/20 I 0 225 Fifth Street . .. . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000325 Date: 04/09/2010 3:03:50PM Job/Journal Number COM20 1 0-00217 COM20 I 0-00217 COM20 1 0-00217 COM20 I 0-00217 COM20 I 0-00217 COM20 I 0-00217 COM20 I 0-00217 COM20 \ 0-00217 COM20 I 0-00217 Payments: Type of Payment Cash Change Descriptip" Building Pennit Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Plan Review Major - Planning Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin + 12% State Surcharge + 5% Technology Fee .'.",;\ , . Amount Due 435.97 81.00 6.00 60.00 211.00 349.94 17.50 62.76 36.70 $1,260.87 Amount Paid $1,261.00 ($0.13) $1,260.87 Job/Journal Number COM2010-00217 COM20 I 0-00217 COM20 I 0-00217 COM20 I 0-00217 COM20 I 0-00217 COM20 I 0-00217 COM2010-00217 COM20 I 0-00217 COM20 I 0-00217 Payments: Type of Payment Cash Change cReceioll Paid By STEVEN BARNES STEVEN BARNES Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: Description Building Pennit Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Plan Review Major - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin + 12% State Surcharge + 5% Technology Fee Paid By STEVEN BARNES STEVEN BARNES Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb In Person In Person Payment Total: '. ; 'iI, , Page I of I Amount Due 435.97 81.00 6.00 60.00 211.00 349.94 17.50 62.76 36.70 $1,260.87 Amount Paid $1,261.00 ($0.13) $1,260.87 4/9/2010