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Home My WebLink AboutPermit Building 2010-5-21 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1082 CLEARWATER LN ASSESSOR'S PARCEL NO.: 1802052408200 '~'~'{HXr '.",} f.j:",.~' ' ;l~'t3!;'~ j' 0" :,' ,\{ CITY OF SPRINGFIELD 'Building/Combination Permit PERMIT NO: COM2010-00191 ISSUED: OS/21/2010 APPLIED: 02/11/2010 EXPIRES: 11/21/2010 VALUE: $ 48,500.00 .' ,. PROJECT DESCRIPTION: Honse remodel and new dormer 'l!> .i Sp~'irigfiefd TYPE OF WORK: Single Family Residence \" ,\'. Owner: CAPOZZIELLI JEANETTE Address: 2653 CROWTHER DR EUGENE OR 97404 Contractor Type Electrical Contractor OWNER # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: ........_.,.... \.; , TYPE OF USE: Remodel Residential l' Phone Nnmber: 541~461-5949 I CON'I'RAGTORINFORMATlON ~ I' \'l'~ R-3 VB 4 License Expiration Date Phone BUILDING INFORMATION ~ 84.00 5.00 24.00 # of Stories: Height of Structure Type of Heat: Forced Air Gas .Water Type: Gas Range Type:, ,:' Gas Energy Pa!h:. . Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2~d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Page I of3 I DEVELOPMENT INFORMATION ~ "1"'1""!~ . REQUIRED PARKING Total: - -" Handicapped: Compact: . I PUBLIC IMPROVEMEl'fWrmOH: Oregon ',aw requires youto !: : follow r,ulcSidewii!IiHi'fp'e!he Oregon Utility , , Notification Center, Those rules are set forth , i OAR 952!OO'l'f{}IIV!J~~oAR 952-001- Storm water to tie into existing system.lSep~~~t'II3\.J may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notlflcallon Center 18 1-80o-3a2-2344). H.Ii.lIIU"-. THIS PERMIT SHALL EXPIRE 1~~DescriPtion I AUTHORIZED UNDER THIS PE,. '. DescriPtiOlCOMf\f.H~IiJjl~,!t'/.~~~DONIilIV~ Ft .' Squa.re Footage ANY 180 DAY PERIOD. or multIplIer 'or BId Amount Value Date Calculated CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00191 ISSUED: OS/21/2010 APPLIED: 02l1l/2010 EXPIRES: 1l/21/2010 VALUE: $ 48,500.00 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line ~.,.~~-+- -,.'.o.J ...... f',' . (~1;' ~'1';:J~! G:-.\ fr'o '., ~."l! :" Estimate $1.00 48,500.00 Estimate Total Value of Project ~ Fee Description Amount Paid ., . Date Paid . + 12% State Surcharge $22.08 ' "':;" . 2/11/10 + 5% Technology Fee' $9:20' -, 2/11/10 Residence Wiring 1000 Sq Ft $134.00 , 2/11/10 Residence Wiriug Ea AddU 500 $50.00 2/11110 Plan Review Residential $297.65 3/23/10 + 12% State Surcharge $123.95 5/21/10 + 5% Technology Fee $57.60 5/21/10 1st Appliance $79.00 5/21/10 3 Baths One & Two Family $402.00 5/21110 Appliance Vent $9.00,,~.,. , ::,1'"'0''' ., 5(21110 Building Permit $457.93';1" ::W";):!"l :"" ',"'5/21110 ~ I.. . Dryer Vent $9.00' ,,'{. ",' 5/21/10 . j . . . Exhaust Hoods $13.00 5/21/10 Fireplace (Listed) $20.00 5/21/10 Cas Outlets 1-4 $7.00 5/21/10 Plan Review Minor - Planning $119.00 5/21/10 Vent Fan $36.00 5/21/10 Total Amount Paid $1,846.41 Initial Review I Plan Reviews I. 03/26/2010 ;, ;' . OK DJB 03/26/20 I 0 "..r: Plannine: Review , . 03/30/20 I 0 APP DDK 03/26/2010 Puhlic Works Review 03/30/2010 04/01/2010 APP LKW Structural Review 03/26/2010 04/08/2010 WE CJC '\~d" ~ :1"~;' , 'r;'f' }.F, fti ~.~ ", .' ,. Structural Review 05/07/2010 05/07/20U) APP CJC , . $48,500.00 $48,500.00 03/23/2010 Receipt Number 3201000000000000044 3201000000000000044 3201000000000000044 3201000000000000044 1201000000000000258 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 2201000000000000554 Not approved as a separate dwelling unit. No additional cookiug facilitie, are allowed. Storm water to tie into existing system. Engineering required for truss alterations As noted on plans- recieved truss engineering 5/6/1 O. 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. Paee 2 01'3 . .. . . " i CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00191 ISSUED: 05/21/2010 APPLIED: 02/11/2010 EXPIRES: 11/21/2010 VALUE: $ 48,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line LReauired InsDections ~ Rough Electric: Prior to Cover ~_.;."i" \,.. . . ,~t.~{'. . ~ri, ',:~) . . ':'~l,r:'f " Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placemeut. Post and Beam: Prior to 11001' insulation or decking. Floor Insulation: Prior to decking. ,. Shear Wall Nailing: Before covering sheathing with linish materials. Framing Inspection: Prior to cover and after.all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Iustalled: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections,bave been requested and approved and the building is complete. , '''f'- ......... Underfloor Plumbing: Prior to insulation or:~ecki,ng'~i .-' ,: Rougb Plumbing: Prior to cover and includi~g:'requi~ed testing. 1", (.1'1" '"j Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical .work is complete. By signature, I state and agree, that I have carefully examined the coinpleted 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 fnrther 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. :. -' Owner or Contractors Signature >' ~~ r'{.~~~, ; "fIt; :"'!. Date \_;n1~/i ,~t':-: .j.'-" Pa2e 3 of 3 " Structural Permit Application SPRINOFIE.LD~" !Lf~2 .~!::.-:::~_.'; eJ-~,"_' -" , .l' "',. ..:.~, !..oEPARTI\IIE;.nUSE ONLy (CI.4'IZC>lO - O() I ? f Permit no.: / . ,/ 225 Fitlh SI"el' Springtield, OR 97477. PH(541)726-3753. FAX(54 1)726.3689' o Date: This permit is issued uuder OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, ,/ " LOCAL GOVERNMENT' APPROVAL This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF, 9ClNSTRUCTION :tesidential o Government D Commercial Reference: , --, ..\( ;;( c> g-Z.OC::;;> Name: E~mail: This installation is being made on residential or farm property owned by I member or my immediate family. and is exempt from licensing e:"S,Under ORS 701l. '-' CONTRACTOR INSTAlLATJON. Busmess name: O'vJ VI e..r ~U I \ d €or Address: So. ,<;, Oc-loo"~ City: State: .r ZIP: Phone: fax: E-mail: CeB license no,: Print name: Signature: .' .SUIl.CONTRAc;tORINWRMATION.' ..", ,: , Name CCB License Number Phone Number Electrical Plumbing Mechanical FEE. SCHEDULE 'I. Valuation 'information (a) Job description: Occupm'tcy Construction type: Square reet: Cost per square foot: Otha information: Type 01' Ileat: --A .b -L. P;"~f:: 1:3U:-r.. rlJ-L... Energy Path: D new alteration (b) Foundation-only permit? Total valuation: 2;Suildingfees (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a1): (c) Reinspection ($ per hour): (number of hours x fee per hour) D addition DYes /s...... s'-..:>D ,.., '...... $ $ $ (d) Enter 12% surcharge (.12 x [2a+2b+2cJ): (0) Subtotal of fees above (2a through 2d): 3, 'Plan review fees ,. " ' (a) Plan review (65% x permit fee 12a]): (b) Fire and life safety (40% x permit fee [2a1): (c) Subtotal offees above (3a and 3b): #4.1\"is"ellaneousfees . (a) Seismic fee. 1% (.0 I x permit fee [2a1): $ S $2 $ $ $ TOTAL fees and surcharges (2e+3c+4a): $ I -,j . Information Notice to Owners About Construction Responsibilities . (ORS 1"01.055 (5)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: . Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: . Oregon's Withholding Tax Law: Employers 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 Insurance Tax: Employers 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. . Oregon's 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 go to htto://www.oregon.aov/DOR/BUS/docs/211-055.odffor the appropriate forms. . Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their 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 workers 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. . Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may 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 website at www.irs.aov. Other Responsibilities of Homeowners: . Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. . Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. · Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. f/property-owner adopted 12-04-07 CONSTRUCTION CONTRACTORS BOARD 700 Summer Sl NE, Suite 300, PO Box 1411J, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 WebsiteAddress: www.oreaon.Qov/ccb This Copy for Permit Applicant J ,I . Property Owner Statement Regarding Construction Responsibilities Oregon Law 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. (ORS 701.055 (4)) 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. Please check the appropriate box: ~ own, reside in, or will reside in the completed structure and my general contractor is: --#.rtJp-;frl-=kY'U'~7;& ') Name CCB# Expiration Date D I will inform my'general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or [2<:J I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I 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 select a contractor who is licensed with theCCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. S~l/eM 0/Lj/ze I/uc:; Print Name of Penmit Applicant ,Q~~;:-~~~ Signature of Penmit Applicant !P?hi-V '2/- /0 Date Permit #: c/o - /9/ /0 ff" 2 W~{/JCL..f/!.y- -----J (5 :?Jj ~/(::) , Issued by: A)?-- - Date: ~ Address: This Copy for Permit Offices 225 Fifth Street Springfield, Oregon 97477 541-726"3759 Phone e~~ "'. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000554 Date: OS/21/2010 11: \0:56AM Job/Journal Number COM2010-00191 COM2010-00191 COM20 I 0-00 191 COM2010-00191 COM2010-00191 COM20 I 0-00 191 COM2010-00191 COM2010-00191 COM2010-00191 COM2010-00191 COM2010-00191 COM2010-00191 Payments: Type of Payment Cash Cash Description Plan Review Minor - Planning Building Permit 3 Baths One & Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) + 12% State Surcharge + 5% Technology Fee ",',1 ,'-;'1;' : ',Ji }( .,,'.' Item Total: Authorization Number How Received In Person In Person Payment Total: Amount Due 119.00 457.93 402.00 79.00 36.00 9.00 13.00 9.00 7.00 20.00 123.95 57.60 $\,333.48 Amount Paid $1,350.00 ($16.52) $\ ,333.48 Job/Journal Number COM2010-00191 COM2010-00191 COM2010-00191 COM2010-00191 COM20 1 0-00 191 COM2010-00191 COM2010-00191 COM20 I 0-00 191 COM20 I 0-00 191 COM2010-00191 COM20 I 0-00 191 COM2010-00191 Payments: Type of Payment Cash Cash "\ cReceintl Paid By JANETTE CAPOZZIELLI JANEETE CAPOZZILLI Check Number Received By, ~Batch Number '. .l':~jm '\ "1. nJm il Description Plan Review Minor - Planning Building Permit 3 Baths One & Two Family I st Appliance Vent Fan ':;'\~;. ,il, j\, ' Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) + 12% State Surcharge + 5% Technology Fee Paid By JANETTE CAPOZZIELLI JANEETE CAPOZZILLI Check Number Ba,tch Number Received By njm ;,.;~J~ -.. , .r '~h " . ;~...'~, , 1') h 1- '.<.' . Page 1 of I Item Total: Authorization Number How Received \n Person In Person Payment Total: Amount Due 119.00 457.93 402.00 79.00 36.00 9.00 13.00 9.00 7.00 2000 123.95 57.60 $\,333,48 Amount Paid $1,350.00 ($16.52) $\ ,333,48 5/21/2010 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 03/23/2010 1:16:58PM 1201000000000000258 Job/Journal Number COM2010-00191 Payments: Type of Payment Check cReceintl Description Plan Review Residential Paid By CORBAN CONSTRUCTION Hem Total: Check Number Authorization Received By Batch Number Number How Received djb 10 lOin Person Payment Total: '/,'.,1 "'l:~~~,. i.. Page I of I Amount Due 297.65 $297.65 Amount Paid $297.65 $297.65 ,:~ '* ' ,-' ! 'r ''t, 3/23/2010