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Home My WebLink AboutPermit Plumbing 2007-6-25 I, Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00527 ISSUED: 06/25/2007 APPLIED: 04/10/2007 EXPIRES: 12/25/2007 VALUE: $ 19,440.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2745 E ST ASSESSOR'S PARCEL NO.: 1703361402400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Garage addition to existing single family residence Residential Owner: Address: JACOB GULLEDGE 2745 E ST SPRINGFIELD OR 97477 Phone Number: 541-746-6480 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 U VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 15.00 Lot Size: Sq Ft,lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 776 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 Overlay Dist: # Street Trees Rqd: Paved, Drive Rqd: % of Lot Coverage: Total: Handicapped: Y.9mpact: 0.00 "~ ~~.l:lY ). :.':':2t :urtil : '- -,r \ ~;).'-u". 1- i~(j)nCf.: I PUBLIC IMPROVEMENTS' ',-~ _ ~ ():-tho ruleS by Street ImJif.9'1ements:r SH F II I d " Sidew'alk+Typ-e':lcne LnlVI/ ALL EXP U Y ~prove 't' I " ,I ,r ' Setback 5' Storm S'J~~H~Y::;~abletJNDER /HE II- T'Ht'Y~e~R1< ' ' , I,' DQ,w,n~~0'u'f~IDAil~9 Curb and Gutter speciaIOn$tr,uFti~n;:~ THIS PERMIT IS NOT ' , , I 1>' I , L ,,1-v0~ ~344). AN " v CI l1t OR IS ABANDON Notes: ~tJ~.Q dt.~ib.~LHcc.Brb & gutte~PPfPo~ner 4/16 via phone--only adding 15X18 driveway under this permit. RV pad @ later time. SDC fees per current site plan. JLP APP 4/16/07 Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Carport Garal!e Carport Garal!e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fire SF Fee - Residential Garage/Carport Plan Review Minor - Planning Plan Review Residential SDC Sanitary/Storm Admin SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Planninl! Review Public Works Review Public Works Review Public Works Review CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2007-00527 ISSUED: 06/25/2007 APPLIED: 04/10/2007 EXPIRES: 12/25/2007 VALUE: $ 19,440.00 I Valuation Description I $ Per Sq Ft or multiplier $20.00 $27.00 Square Footage or Bid Amount 216.00 560.00 Value Date Calculated Total Value of Project $4,320.00 $15,120.00 $19,440.00 06/25/2007 06/25/2007 ~ Amount Paid Date Paid Receipt Number $85.02 4/10/07 1200700000000000388 $26.92 6/25/07 2200700000000001022 $17.12 6/25/07 2200700000000001022 $18.43 6/25/07 2200700000000001022 $38.80 6/25/07 2200700000000001022 $185.40 6/25/07 2200700000000001022 $112.00 6/25/07 2200700000000001022 $35.10 6/25/07 2200700000000001022 $2.12 6/25/07 2200700000000001022 $16.31 6/25/07 2200700000000001022 $42.29 6/25/07 2200700000000001022 $326.22 6/25/07 2200700000000001022 $45.00 6/25/07 2200700000000001022 04/11/2007 04/11/2007 04/11/2007 $950.73 I Plan Reviews , 04/11/2007 APP NJM 05/08/2007 APP TAJ 04/11/2007 WI JLP 04/16/2007 APP JLP Rcvd 4/11/2007---Waiting in order PW rcvd for rvw.JLP WI 4/12/07 Storm drainage to curb & gutter. Per owner 4/16 via phone--only adding 15X18 driveway under this permit.Not widening approach. RV pad @ later time. SDC fees per current site plan. JLP APP 4/16/07 Garage expansion, added additional sq ft after SDC's were originally completed. Calculated new sq. ft. and added fees. BC 04/1612007 0612512007 06/25/2007 APP BRC Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00527 ISSUED: 06/2512007 APPLIED: 04110/2007 EXPIRES: 12/25/2007 VALUE: $ 19,440.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-367.6 Fax 541-726-3769 Inspection Line Structural Review 04/27/2007 05/08/2007 WE LLH The Building Department has requested additional information to process plan. Owner has been notified. Approved by Dave Mortier with the Building Department under contracl with the City of Springfield. Forwarded to the Building Department for structural review under contract with the City of Springfield Structural Review 06/19/2007 06/19/2007 APP LLH Structural Review 04/11/2007 04/27/2007 10 LLH 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. ReQuired Insoections , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. 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 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 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. a.,~. h/.a, ~ner ~/6n;"a~t~rs Sign-a;.r.:; ~ -;25- 0-7 I Date Pal!e 3 of 3 Construction Contractors Board 700 Summer St NE Suite 3.00 PO Box 14140 Salem OR 97309-5052 .' Phone: 503-378"-4621 Web Address: www.ccb.state.or.us Permit #: ( ~ / - {)(JS;:;;-, . Address:;:J-J4_~.. A sr Issued by:/h~, : /}J Datet tJ<;-J07 . /' / / . I l). State~ent: 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 requiredfor residential build.ing, 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 1 and 2, and either box 3A or 3B: W 1. . I own, reside in, or will, reside in the completed structure. D 2.., I understand that! 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 instt.uct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR' .81 . 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 contraGtor, I will contract with a contractor,who is licensed with the CCB and will immediately 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 r:eadand,do understand the Information Notice to Property Owners about Construction Responsibilities on. the reverse ,side of this form. ;:?~~A-.' ~ " t/ (Signature~permit applicant) ,,6 -25--07 (Date) (White copy to issuing agency permit file, pink copy to Cfpplicant.) Property- owner. doc 06-01-04 ( . A~tirig:~~' You" . ..... . - ~- ... , ' .INF0RMA:rION \ ABOUT ...., ~.- ...~... 'I., . Contractor? . OWNERS RESPONSIBiLITIES \ ...<l. ~ ...:. This Information Notice to Property about Constructfon Responsibilities was developed by the Construction Contractors Board in 'accordance with 701.055(5), passed by the 1989 Oregon Legislature. . .' . ~ ' If you are acting as your OVVll 'contractor to construct a new structure, you can prevent many'pI'oblemsby..being ,. . .' ~ ()r a substantial improvement to an existing fol1owing responsibilities and concerns: Employer . .., .. You will, moshnstances, be ruled to b~ an "employ~" you use contractors not licensed with the Con;;tryQtlon construction impro~em.ent of a restdential ,structure. , . . '. c~mtractors you contrac,twith will be "employees" if Board to do labor col1structlng or to assist in the you ~ust comply with the fonowi~g: .- Oregon's Tax Law: As an emj51oyer,you employees are }.)aid. You will be liable fQr tax employees. more information, call the income taxes from employee wages at the time . you don't actually witl$old the tax ffum your at :503-378-4988. " ' on Insurance Tax: As an employer, you' are employees. For more information, call pay a tax fonmemployment insurance purposeK Employment Department at 503-947-1488. ...... . . ..'., -. .. Identification Number (BIN) Tax. To file for a BIN, U1}r.nber for, both. Oregon Withholding and or w"\vw.dor.state.or.us/formsoav.htmll for the appropriate Workers', Insurance: As an you are and must 9btain ,.' .' compenration insurance. f?r YOl,rr insurance, you could be subject t6 penalties and be liable job. For more information, the Workers' Services at 503-947~7815. . to the Oregon Workers' Compensation Law, . If you fail to obtain workers' compensation costs If one of your empioyees 'is injured on the at the Department of Consumer ahd Business ,U.S. Internal Revenue As an employer, you must the tax payment even if you or visit their-Web site at 1;V\VW federal' iricome . lax from' employees' 'wagesX withhold the tax. For a Federal EIN number, call the .~ of As the perr:hit holder for m<.lY be brought to your attention ~r ' -. . ~ . . you are responsible for resolving' ~ny failure to meet code agent t6 see if you have: adequate insurance over spray, water damage from pipe punctures, fire or Damagf; Insurance': coverage for accidents and omissions such as faning must be redone,. - "- - ~......\ --- -~ ....... --- . \ .............. . ---. '-. sure you~have sufficient time to ~, ~"-)~ ,- ,~-~,..... ~,. . -.-,::. - - " '.u ~ ~.~ ......... ,........ .......... _ :--.... ._ '. ~. ~ "',-.' -.,-' - '-:'~"-""" /. \::-=~: ~...'- -~. :,~. . , sure you have the skills to as and to notify building officials as contractor', .to coordinate the work of rough-in so they can perform the_ required inspections. questions call the 97309-5052. 06-01-04 (503~378-4621) or the agency at PO 225 Fifth Street Sl?r~ngfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 COM2007-00527 Payments: Type of Payment Check cReceint I RECEIPT #: 2200700000000001022 Date: 06/25/2007 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Storm Sewer - 1 st 50 Feet Plan Review Residential Garage/Carport Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Item Total: Check Number Authorization Paid By Received By Batch Number Number How Received SELCO COMMUNITY CREDIT nJm 14000047 In Person Payment Total: Page I of 1 2:49:03PM Amount Due 326.22 16.31 112,00 45.00 35.10 185.40 38.80 17.12 18.43 26.92 42.29 2.12 $865.71 Amount Paid $865.71 $865.71 6/25/2007