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Home My WebLink AboutPermit Building 2007-5-11 Status Issued . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/11/2007 APPLIED: 03/27/2007 EXPIRES: 11/11/2007 VALUE: $ 510,780.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2660 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1703240000101 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence replacing existing MH. Owner: JOHN & REBECCA COBB Address: 2660 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-726-0495 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor HIGH PASS CONSTRUCTION INC RICHARD STANLEY GROSHONG PACIFIC AIR COMFORT INC JOHN THE PLUMBER INC License 55779 Expiration Date 02124/2008 39237 107810 03/25/2010 07/24/2007 Phone 541-501-2854 541-485-7311 541-672-9510 541-686-4888 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: 2 Lot Size: Height of Structure: 33.00 Sq Ft Ist Flo?{O Type of Heat: Forced Air Gas ~l\8<<~iidI!~ Water Type: e ~s00~l'~ ~~ ~(\ Range TYP~:re.~'nON',?~~~'1 \,,~~~ iftaI~ ~6\ort Energy P~ft: fU\e~ auvtp~$e ~~,t.~ftlas2 Sprinklel$filla'ft'iQ(On centetntro t"{O~~wmt~\')'d"'S 'c 1Q,~fl~a\ _1\4..00 .~.I.\" 0' \" ......I'\A ...;1 - ~'" v..;F \8'''9'''' I DEVELOPMElitfUiirP\'J -- lS/U ~~O\e'. \~e ~\\\ca\\o{\ Q()9'J' 'tn9 Ce {. On \J\\\\~ Q UIRED PARKING a\\\nQ n Of8g 32.2~ . Overlay Dist:C ,bet ,ot t '!~o.(lpitiin-g Total: 2 # Street Tree~~d: 11 Handicapped: Paved Drive Rqd: No Compact: % of Lot Coverage: 4.00 2,838 1,626 1 R-3 U VB 560 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 45.00 205.00 1,325.00 1,325.00 Street Improvements: I PUBLIC IMPROVEME~'[.S' \NORK NU n ~ @~~~~ \f 1\-\E 1\-\\5 PERM\! 5~M-Wa ~W&iERM\1 \5 N01 f\U1\-\OR\IEO ~1B~sNOrd~$ fOR COMMENCEO OR \ SF site built home replacing Manufactured home.JLP f\N'l,,\80 O~'l PER.\OO. Storm Sewer Available: Special Instruction: Notes: Paee 1 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/11/2007 APPLIED: 03/27/2007 EXPIRES: 11/1112007 VALUE: $ 510,780.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I A.C. - Residen Deck/Balconv Dwellin2S Gara2e Tvpe of Construction AC - Residential Deck V Wood Frame Gara2e $ Per Sq Ft or multiplier $4.00 $19.00 $103.00 $27.00 Square Footage or Bid Amount 4,464.00 948.00 4,464.00 560.00 Value Date Calculated Description Total Value of Project $17,856.00 $18,012.00 $459,792.00 $15,120.00 $510,780.00 03/27/2007 05/03/2007 03/27/2007 03/27/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,197.89 3/27/07 1200700000000000332 -Mechanical Issuance Fee- $10.00 5/11/07 1200700000000000559 + 10% Administrative Fee $253.21 5/11/07 1200700000000000559 + 5% Technology Fee $123.95 5/11/07 1200700000000000559 + 8% State Surcharge $182.47 5/11/07 1200700000000000559 3 Baths One & Two Family $306.00 5/11/07 1200700000000000559 Appliance Vent $6.00 5/11/07 1200700000000000559 Building Permit $1,842.90 5/11/07 1200700000000000559 Dryer Vent $6.00 5/11/07 1200700000000000559 Exhaust Hoods $9.00 5/11/07 1200700000000000559 Fire SF Fee - Residential $251.20 5/11/07 1200700000000000559 Furnace - more than 100,000 $15.00 5/11/07 1200700000000000559 Gas Outlets 1-4 $4.00 5/11/07 1200700000000000559 Gas Outlets 4+ $2.00 5/11/07 1200700000000000559 Heat Pump $12.00 5/11/07 1200700000000000559 Plan Review Major - Planning $198.00 5/11/07 1200700000000000559 Plan Review Residential $38.02 5/11/07 1200700000000000559 SDC Sanitary/Storm Admin $40.21 5/11/07 1200700000000000559 Storm Drainage Impervious Area $804.14 5/11/07 1200700000000000559 Storm Sewer Each Addtll00' $42.00 5/11/07 1200700000000000559 Vent Fan $36.00 5/11/07 1200700000000000559 Total Amount Paid $5,379.99 I Plan Reviews' Initial Review 03/28/2007 03/29/2007 APP LLH Replace existing manufactured home with site built residence. Addressing fee and willamalane fees do not apply Paee 2 of 5 "~-""CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00450 225 Fifth Street, Springfield, OR ISSUED: 05/11/2007 541-726-3753 Phone APPLIED: 03/27/2007 541-726-3676 Fax EXPIRES: 1111112007 541-726-3769 Inspection Line VALUE: $ 510,780.00 Planninl! Review 04/25/2007 04/25/2007 APP EMM Floodplain Development Review completed and approved with conditions. Gave copies of conditions to building. Planninl! Review 03/29/2007 WI expecting floodplain development review to be completed on 4/20/07. Public Works Review 03/29/2007 04/05/2007 WI JLP PW Rcvd 3/29/07.JLP 3/29/07 **** File transferred to Liz in Planning, possible planning issues. Waiting to get back from planning to review.JLP 4/5/07 Public Works Review 04/26/2007 04/26/2007 10 JLP Rcvd sanitation authorization form from applicant. Hand delivered to Don Moore for filing w/building perm. file.JLP 10 4/26/07 Public Works Review 04/10/2007 04/10/2007 10 JLP Spoke w/Liz. She is still working on planning issue. Liz will return file to me when resolved for PW review.JLP IO/WI4/10/07 Public Works Review 04/18/2007 04/18/2007 WI JLP File transferred back to PW for Rvw. Liz asked for us to Route back to her rather than Tara when PW is done with Review. JLP 4/18/07 WI Public Works Review 04/23/2007 04/23/2007 WE JLP Lft msg for owners on machine @726-0495, 4:00pm. Need info on previous conditions, and to notify owner @ some point they need to have a L.C. Sanitarian approval for septic tank....to be provided to Building Department prior to completion of project. Waiting for info from owner. JLP WE 4/23/07 Public Works Review 04/24/2007 04/24/2007 10 JLP Rcvd call from owner. They are mailing L.C. Sanitarian form. Previous conditions are: 26X66 Mob w/8X16 porch, 2,2,1,1,1,1,1 for DFU's. Will complete rvw ltr. JLP 10 4/24/07 Public Works Review 04/24/2007 04/24/2007 APP JLP Site built replacing manufactured. Applied SDC's for storm H20 only. DFU info on previous note for record only. Storm tied to ditchline storm system. JLP APP 4/24/07 Structural Review 03/29/2007 05/07/2007 APP DLM See documents for Plan review comments 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. Pal!e 3 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00450 ISSUED: 05/1112007 APPLIED: 03/2712007 EXPIRES: 1111112007 VALUE: $ 510,780.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish 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 Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa!!e 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00450 ISSUED: 05/1112007 APPLIED: 03/27/2007 EXPIRES: 11/1112007 VALUE: $ 510,780.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. I~ (j a//~ S-~V/(,I7 Owner or Contractors Signature Date Pa!!e 5 of 5 0I,;,."",,_,A~ 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#:.LOW\ z,od1\"-' 00 L{S-~ , Addr~ss: 2bb 0 I+/t-vd v,;;,,'J; A..... _ JY~ Date:S /1t/t) 7 / ( Issued by: Statement: Infolll.ation Notice to Property Owners ,.:AboutConstruction Responsibiliti,es" 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 DRS 701.010(7), need not submit this statement. ,This statement will be filed with the permit. Fill'in the appropriate blanks andjrntial boxes 1 and 2, and either box,3A or 3B: ' ,~\ lNi 1. ,~2. J2if" 3A. My general contractor is 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. ~l(,d- ',~ lAv~d ~e) SS-77~ , (CCB #) . I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will be my own gelJeral contractor. , 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 contract with a contractor who is licensed with the CCB and will immediately notifY the office issuing this building permit ofthe name ofthe contractor. , , l 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. .,/; ,//' A-~ ~~c9/v -r-, ,,' (Signature ,of permit applicant) , (Date) (White copy to issuing agency permit file, pink copy to applicant.) ~ 0, . c u//tt , Property_owner. doc 06-01-04 Acting'acs. -\ INFORMAT'ION ABOUT eneral Contractor? OV\INERS RESPONSIBILI'TlES NOTE: This Information Notice to Property Owners Contractors Board in accordance with ORS Construction Responsibilities was developed by the passed' by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new structure, you can prevent many problems by being aware or ~make a substantial improvement to an existing following responsibilities and concerns. contractors you contract with will be "employees" if B~ard to do labor.in constructing or to assist in the , . must ,comply with the fonowing: You 'will, most instances, be ruled,to be an you use contractors not licensed with the Construction or improvement of ~ residential ' Tax Law: As an employer, You win be liable for the tax more information, call the , . . I' . taJi,es from employee wages at the time even you do~'t actually withhold the tax from your at'503-378-4988.' , " lJnemploynumt on wages Tax: As an employer, you For more information, to pay a tax Unemployment insurance purpose;; . Emplo)ment Department at 503-947-1488. ,Identification Number Insurance Tax. To file for a number for both Oregon Withholding and '. 1 or \\ww.dor.state.or.us/fonnspav.htmll for the approptia~e "., );.,;'" ; , ,~,:, , " Workers' Insurance: As an employer, you are and must obtain workers' cUlHJ!cnsation insurance insurance; you could15e subject to penalties and job. For moreinfonnation, call the Workers' Services at 503-947-7815. to the Oregon Workers' Compensation Law, you fail to obtain :",orkers' compensation costs if one of your employees is injured on the at Department of Consumer and Business U.S. Service: As an employer, you must Y Oti will be the tax payment even if you IRS"at 1-800-8294933 or visit their web site at federal income tax from employees' wages. the tax. For a EIN number, call the Code Compliance: As the permit holder for requirements that may brought to your you are for l'esolving any failure to meet code Liability and coverage for accidents work that must be redone. Insurance: ' omissions such as falling to' see if you have adequate insurance water damage from pipe punctures, fire or Time: Make sure you have sufficient time to Expertise: Make sure you have the skins to act and finish trades, to notify building officials as to coordinate the work of rough-in can perform the required inspections. If you have additional questions call the Box 14140, Salem, 97309-5052. or write the PO Property _ owner.doc 06-01-04 225 Fi,fth StI.eet Spriugfield;Oregon 97477 541-726-3759 Phone Cj~' Qf Springfield Official Receipt L iopment Services Department Public Works Department Job/Journal Number COM2007 -00450 COM2007 -00450 COM2007 -00450 COM2007-00450 COM2007-00450 COM2007-00450 COM2007-00450 COM2007-00450 COM2007 -00450 COM2007 -00450 COM2007 -00450 COM2007-00450 COM2007 -00450 COM2007-00450 COM2007 -00450 COM2007 -00450 COM2007 -00450 COM2007 -00450 COM2007-00450 COM2007-00450 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000559 Date: 05/11/2007 Description Fire SF Fee - Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - more than 100,000 Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ ~Mechanical Issuance Fee~ Heat Pump Plan Review Major - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By REBECCA COBB Item Total: Check Number Authorization Received By 'Batch Number Number How Received djb 7334 In Person Payment Total: Page I of 1 9:13:00AM Amount Due 251.20 1,842,90 306.00 42.00 15.00 36.00 6.00 9.00 6.00 4.00 2.00 10.00 12.00 198.00 804.14 40.21 38,02 123.95 182.47 253.21 $4,182.10 Amount Paid $4,182.10 $4,182.10 5/11/2007