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Home My WebLink AboutPermit Building 2010-4-9 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1175 LAUREL AVE ASSESSOR'S PARCEL NO.: 1802064200304 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00346 ISSUED: 04/09/2010 APPLIED: 03/22/2010 EXPIRES: 10/09/2010 VALUE: $ 4,725.00 Springfield TYPE OF WORK: Manufactured Home on Priv"te Lot New PROJECT DESCRIPTION: TYPE OF USE: Relocate Existing Manufactured Dwelling to New Site Residential ,,,t., Owner: HARRISON RICHARD B & ELIZABETH F.' I ' Address: PO BOX 465 '. . SPRINGFIELD OR 97477 Sidewalk Type: . "..: ..-, ~';'~..:N,.... ,.,.. Downspou ts/D raills :~;,.\~Jif".": Storm water connects to rain garde~ \CE~ IF l\1E WOR\( .':;, ~~\~ PERMIl SH~ll ~~~~ERMIT IS NO~.):;; . , '~\ \ \-IOR\2EO UNDER OONEO fOR \"::'" 01\'( PERIOD. Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R3 VB Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: 10.00 24.00 59.00 39.00 7.50 Street Improvements: Storm Sewer Available: Spedallnstruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION . License Expiration Date Phone 2 U;I....:l )'SH ,^ lDregon Utility ~~e rules are set forth NotijliiliY9D:!;lK; -00'1 0 through OAR 952-0~bl Size: In QWR%PitrBl1tMtI copies of the rulesSqYFt 1st Floor: OO~lOJI:fI~hler. (Note: tlHlti!l\El~honYll Ft 2nd Floor: g. 'e Oregon UliI\tfeN9Wlcatl~l/ Ft Basement: nl#iR ~r er is 1-6oo-332EaM1oI. Sq Ft Garage/Carport Energy ath: Sq Ft Other: Sprinkled Building: No Occnpant Load: 1,173 I DEVELOPMENT INFORMATION .'"' REQUIRED PARKING Oihlay'O.st: . #'S'treet Trees Rqd: 'Paved Drive Rqd: % of Lot Coverage: Urban Fringe Yes 3.10 , Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated , ,~aee 1 of 3 rj':~t. ~\ l;,i,: . ";:;:~~tl " . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate Fee Description Plan Review Residential Plan Review Residential Reversal - Plan Review Residen + 12% State Snrcharge + 5% Technology Fee Addressing Assignment Fire SF Fee - Residential MannI' Home State Issnance Manufactnred Home Conn - Plmb Manufactured Home Feeder Manufactured Home Placement Plan Review Major - Planning SDC Sanitary/Storm Admin SDC Tran Reimbnrs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Storm Drainage Impervious Area Total Amount Paid Initial Review 03/26/2010 Plannine Review 03/26/2010 Structural Review 03/26/2010 Pnblic Works Review 04/02/2010 < " ,'" \1. L!' for'(!;1 .';:_".. ,'.'.,'.',. m ':;:;.~ 0'1' $1.00 .' Total Valu'e of Project 42,000.00 ~ Amount Paid $56.71 $264.35 $-264.35. ,'" $62.76,:~: $36.70, $38.00 :, $59.40 $30.00 $63.00 $63.00 $397.00 $211.00 $10.52 $211.21 $931.65 . $57.14 $210;30 ; $2,438.39 I Plan Reviews I 03/26/2010 .", J.: 04/0112010 ''t-o , 04/01/2010 04/06/2010 ~ , 1:'/ -,- Date Paid 3/22/10 3/22/10 3/22/10 4/9/10 4/9/10 4/9/10 4/9/10 4/9/10 . 4/9/10 4/9/10 4/9/10 4/9/1 0 4/9/1 0 4/9/10 4/9/10 4/9/10 4/9/10 OK DJB API' DDK API' CJC API' LKW CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00346 ISSUED: 04/09/2010 APPLIED: 03/22/2010 EXPIRES: 10/09/2010 VALUE: $ 4,725.00 $42,000.00 $42,000.00 03/22/2010 Receipt Number 1201000000000000253 1201000000000000250 1201000000000000252 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 1201000000000000324 EXEMPT from WilIamalane SDC per Rebecca Gershow at WilIamalane/llh A permanent enclosed storage area with a minimum of 32 square feet is required. The minimum setback to the future Right of Way is 10'. Approved with altachements. Storm water to rain garden 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. ,"I- Page 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued . .;. PERMIT NO: COM2010-00346 ISSUED: 04/09/2010 APPLIED: 03/2212010 EXPIRES: 10/0912010 VALUE: $ 4,725.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ''\-' , . I ReQuired InslJections I Site Inspection: To be made after excavation but prior to settiog forms. ManuI' Home Set Up: When installation of all piers or stand~ is complete. ManuI' Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. Final ManuI' Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. By signature, [ state and agree, that [ have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and I further certify t~at any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La,ys oflhe"State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commnnity Services Division, Building Safety. [ further certify that only contractors and employees who are in compliance with ORS 701.005 willbe used on this project. [ 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. Owner or Contractors Signature 4. q. mil> Date 'I.. 11;( 'l.,':' ...~~,.\";:.~ l\ r.~ ~", ot ':. ; Paee'3 of 3 Electrical Permit Application I t 225 Fifth S'mt.Springfleld, OR 97477.PH(541)726-3753HAX(541)726-3689 . fe, DEPARTMENTUS'EONLV' ( '<',~y.w. ' Date: b w- 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. '; ',:', :EOCALi:GO\lERNMENT i;Ap.I'!R0YA8'i;':*{;l.~o'\;:;' Zoning approval verified? 0 Yes 0 No ~f,'i!i!;1!;7i,:Ri(CArEGORy,,~OF.:'C()NSl'RUC.l]ON}'i'" .., ' Residential D Government D Commercial ~~;{":OB~$IJ[E~INI7E1.RI\IIArf()Ni;AND~UQCA'ljIONif~!iii~'l1! '.. ..:OESCRIPTIOr.,fOF' .\Nd.RKri\t\';~\r:i';-'?~:":;:1~T~!{_,"~ '~' tl- Name: City: Phone: .9 ail: s 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, exc ange, lease, or rent. OAR 479.540(1) a 79.560(1). Signatur Business name: Address: City: Phone: E-mail: CCB license no.: ZIP: BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: . ~~ ~~ Ys 440-2584-J (9/08/COM) i'~:\;'~,~;~?!~\1~~;~r~~~*~~.1f:1::_E;-~,S'~,Ff E]jJ!) ~_E~~)i:f,t~l~f~?;~W!t~\f~~~r&2 i.~,~~g~~,~\!;i?_~_r~~!i?:~,~';?~,r ji1~;, (')'~.~~~*.,'~8:!Y>', Cost, Total ~;..'.=~~~:~ " ," '.-- c:ost: /, 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 $lD~ ~ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to t ,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, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 40 t 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 ofa service or feeder fee: Each branch circuit I $ 6.00 I $ 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 ':lot 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: (J) $58.00 $ _ ~'jl~~ .. (A) Enter subtotal of above fees lo~ ~}/ (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [AD $ \ .5t " (C) Technology Fee (5% of [AD $~ .\c:.. TOTAL fees and surcharges (A through C): nlJ.. '1 \ Windows Live Hotmail from Qwest Print Message Page 1 of 1 ~.. \\\~ \(u)~ Willamalane SDC From. Rebecca Gershow (RebeccaG@willamalane.org) Sent: Wed 2/24/10 8:33 PM To: sfggod@q.com (sfggod@q.com) Cc: Greg Hyde (GregH@willamalane.org); dbowlsby@cispringfield.or.us (dbowlsby@cispringfield.or.us) Geroge and Sharon: Greg Hyde asked me to check and see if a manufactured home at 1175 Laurel St in Springfield requires a SDC for parks. As your lot is outside the city limits and the city is not requiring you to annex, then you are also outside of the Willamalane district boundary, and no parks SDC is required. Feel free to let me know if you have any additional questions. Rebecca Rcllt'((!1 Gl'r~JlOw. Park PloJl!!cr tVillal111711I1IC Park rIlld P,ccrcl1tiol/ District 2505 32.Jld St. Sprillgtidd OR 97478-6302 PI!: 54'1-736-4052 Fax: S4'1-736-4043 ~ebec-'.I1gCijlwillnlllnl!l1K.org wlU7.u.willnmnlnne.org http://co122w.col122.mail.1ive.com/mailiPrintShel1.aspx?type=message&cpids=4450a7dO-... 2/26/2010 e. . . . . . . . . ", .' ", .' . . 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 #: (.{O - 3 l' &, Address: 1/7.s- ~\N..;I A~. Issued by: 57't7d' S{M'~.~Jd:ole... Date: 3. ?-2-. J V Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants 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 imd initial boxes 1 and 2, and either box 3A or 3B: ~1. )2f 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. D 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 . ;z( 3B. I will be my own general contractor. If! 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 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 ofthis form. 1~ 1~)~O ture of permit applicant) . (Date) (Wh!te' copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 A(Ctnllllg ~~ .1{ mUlIr Own GencIraH -COlllltIr~(Ct@Jr? , . INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES, " 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 acting as your own contractor to construct a new home or make a substantial im~rovement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. JEmjplllGyeJr ReSjplGIlSilM.llities You will, in most instances, be ruled to be an "employer" and the contractors you contractwith will be "employees" if you use contractors not licensed with the Con~truction (;ontractors Board to do labor in copstructing or to assist in the construction or improvement of a residential structure. As the .employer, yon mnst 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 more information, call the Department of Revenue at 503-378-4988. Unemployment Insnrance 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. '. The Oregon Business Identification Number (BIN) is a combined number for both: Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.uslformspav.htrnll for the appropriate forms. 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 suoject to penalties ahd be liable for all chiim costs if one of YOll!' 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 1-800-829-4933 or visit their web site atwww.irs.gov. 'Ii OtllneJr ResjpGllllsilbillities 2llJlli!ll Areas olf CGlJlltell"'\rns '. Code Compliance: As the permit holder for this project, you are responsible for resolviQg any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insnrance: 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. '. - ~~..... '. \ I.. \ \ ~ . J ' Time: Make sure you have sufficient time to supervise your employees. '. . . , Expertise: Make sure you have the slcills 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 _ owneLdoc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ? .~ . :.... 1201000000000000324 Date: 04/09/2010 11:20:18AM Job/Journal Number COM20 1 0-00346 COM20 I 0-00346 COM20 1 0-00346 COM20 1 0-00346 COM20 I 0-00346 COM20 I 0-00346 COM20 1 0-00346 COM20 1 0-00346 COM20 I 0-00346 COM20 1 0-00346 COM20 1 0-00346 COM20 1 0-00346 COM20 1 0-00346 COM20 I 0-00346 Payments: Type of Payment CrcditCard cRcceint I ,. -;. Description _: Plan Review Major - Planning '. Manufactured Home Placement Manufactured Home Conn - Plmb Manufactured Home Feeder Manuf Home State Issuance Addressing Assignment Fire SF Fee - Residential Storm Drainage Impervious Area SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Sanitary/Storm Admin SDC Transportation Admin + 12% State Surcharge + 5% Technology Fee Paid By ELIZABETH HARRISON Check Number Received By Batch Number .djb. ,,'-.' ':,10{.H ,01; p."'. . I'''~ ..,..to::. , .~. ., , '.!{:~ I '. I'-~" ,.' I ~ ..<,~. Page I of I Item Total: Authorization Number How Received Amount Due 211.00 397.00 63.00 63.00 30.00 38.00 59.40 210.30 211.21 931.65 10.52 57.14 62.76 36.70 $2,381.68 Amount Paid o 1599c In Person Payment Total: $2,381.68 $2,381.68 4/9/20 I 0