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Home My WebLink AboutPermit Building 2007-7-19 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01076 ISSUED:. 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01/19/2008 VALUE: $ 11,124.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2240 EL BONITA PL ASSESSOR'S PARCEL NO.: 1703244202703 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Bathroom addition in existing garage Owner: KRISTIN WALL Address: 2240 EL BONITA PL SPRINGFIELD OR 97477 Phone Number: 541-968-9555 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Electric Sq Ft Basement: Sq Ft Garage/Carport nent Path Sq Ft Other: n/a Occupant Load: R-3 I DEVELOPMENT INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: ATTENTION: ~w;~aIJ':li~qulf81 you to Storm Sewer Available: follow rules aIklWR4&wtlM.-Qmgon UtIlity Special Instruction: \lIORl<. Notification Center.--Those rules are set forth ,n1\CE: p\RE \f1'\1E '4'4 :T In OAR 952-001-0010 through OAR 952.001- NJt~'~: S ..A~l~\"~~ne~lr'i~gnd fixtures drain QP~ti~01N(Jlg@~mtPleths oftelethephorulene8 by 1\-\\ \-'t \\t.\DER1\1t\) n fOR calling the center. (NOI e: e 1~""'\1:n ,~ .. -. YlO~I\\l= . f'l SJIAQ"'''I .,,~~. tlotiloaUA- AU \ nv I I - OR \~ fo'OfWlli'. · .... ..w .....,.' \~ ,I. , COMMENCED ER\OO. Center 181-800-332-2344). ~'l180 O~'l P Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01076 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01/19/2008 VALUE: $ 11,124.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!s V Wood Frame $103.00 108.00 $11,124.00 $11,124.00 07/19/2007 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $34.18 7/19/07 1200700000000000944 + 5% Technology Fee $17.09 7/19/07 1200700000000000944 + 8% State Surcharge $27.34 7/19/07 1200700000000000944 Add, Alter, Extend Circ $48.00 7/19/07 1200700000000000944 Add, Alter, Extend Circ Ea Add $12.00 7/19/07 1200700000000000944 Building Permit $135.80 7/19/07 1200700000000000944 Dryer Vent $7.00 7/19/07 1200700000000000944 Fixture $96.00 7/19/07 1200700000000000944 Gas Outlets 1-4 $5.00 7/19/07 1200700000000000944 Minimum/Adjustment Mechanical $31.00 7/19/07 1200700000000000944 Plan Review Residential $88.27 7/19/07 1200700000000000943 Vent Fan $7.00 7/19/07 1200700000000000944 Total Amount Paid $508.68 I Plan Reviews I Planninl! Review 07/19/2007 07/19/2007 APP TAJ No Planning issues. Public Works Review 07/19/2007 07/19/2007 APP TSS Addition adds no impervious surface, fixtures drain to septic. No SDC charges. Structural Review 07/19/2007 07/19/2007 APP DLM Approved as noted on plans 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. ~e(]uiredJnSDections I Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Pal!e 2 of 3 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2007-01076 ISSUED: 07/19/2007 APPLIED: 07/19/2007 EXPIRES: 01119/2008 VALUE: $ 11,124.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is inst~lIed and required testing and capped if not attached to an appliance. Rough Electric: Prior to Cover Final Electric: When all electrical work 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 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 nn~:iJirj (;r 1/ - I OwneVor Contractors Signature 7//1/S / I ) Date Pal!e 3 of 3 Address: . (/M--? :2.a37- 010'76 ~24-o 8'(,,&///7/#1- ,<M:A:J? Date, ':;//VtJ? 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 #: Issued by: Statement: Information _ Notice to Property, Owners _ - , , About Construction Responsibilities Note: Oregon Law; O{?S701.055(4) requires residelltial construction permit applicants whoare not licensed -With-the Construction Contractors Board to sign the following statementbefore a building permit ca~ be._ t~su'ed.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), l1eed not submit this statement. This statement will be filed with the permit. Fill,in the appropriate blanks and initial boxes I and 2, ~d either box 3A or.3B: /" ~1._ .A~: I own~ reside iri,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. o 3A. My general contractor is (Name) (CCB #) 1 wilhnstruct, my:general contraGtor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. ..' ' OR ~ 3B. I will beII:1Y own general contractor. If I 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 ofthe contractor. - I here ,,~n; y that the above information is correct and that I have read and do understand the Information No . ce to Pro erty Owners about Construction Responsibilities on the reverse side of this form; /1~1<<1~'cV ?/ (Signature of permit applicant) --- ~/I ,.Jo I f r (Date) , --.....- (White copy to issuing agency permit file, pink copy to applic~nt.) Property- owner. doc 06-01-04 <:. Acting as Your!, . . . , .": ,",';, " . ;'.'.'''-5. INFORMATION 'NOTICE ,PROPERTY OWNERS ABOUT CONSTRUCTION'RESPONSIBILlTIES eneralContractor? . r"- , NOTE: This Information Notice to Property Owners about Construction 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 own 'contractor to construct a new home or a substantial impr<(vemerit to an existing structure, you can prevent many problems by -being aware-of the foHawing ,n~sp:onsibi1ities 'imd.concems. Employer You w'ill: in instanc~s, ruled to be an you use contractors. not licensed with the Construction ~ . . \. '.' .... - . construction or improvement of.a residential .~ . . " .~. : ,_: .",. . .~. (,... .' ' co~tra9tors youc~ntract with-wili'~e "employees" if Boa.n;Lto do labor in c~l1~mxc~ing or to assist in the . ~ust, cQmply' wjtJi ~he. fol~owing: . ...!' .il . " . " ' Oregon's Law: As an employer, employees are will be liable for the tax_ employees. For more information, call the Department must ~ithhoid 'iric-ome t~x~s from ~mpioyee 'wages at the time even you. don't actually withho~d the tax from your at 503-378-4988.' '. .~. -- ,- -., ,; Unemployment on the wages of As an employer; required ,to pay a tax for -unemployhient insurance pUrpo~~s< For more information, call Employment Department at 503-947-1488. " .- -...'" , .~. - ~,. , "", :,":--;'~/"':: " -. ....;: ~., ," ~,:. >, . :-.,' is a combjn~d,_ri!lffiber for ~.b9t;h' O!.egonWithh~lding and 503-945-8091 or W\'v'w.dor.state.oLuslformspav.htmil for the The Oregon Identification Number (BIN) Unemployment Insurance To file for a BIN, - appropriate H~' .,' ",.' ;' ~ '."..-., . ~ .' . . ' .: . Workers' Compensation Insurance: As an employer, 'you are and mu~t oqtfiin wo.r](~!-;.s~ ,compensa!ion .' for insurance, y6u'could bc'stJ.bJeCt t6 penalties job. more call the Workers' Services at 15, to the Oregon Workers' Compensation L~w, . you f~il".to (}btain workers' compensation costs if one COfyour employyes..is inJured 'on the , Division ' "Department 'Of ConsumerartdBusiness U.s. Service: As an employer, you mllst You will be tax. payment even if you didn't IRS at 1-800-829-4933 6r'visit theirweb federal.-income. tax -from employees ' wag€8.'- withhold the tax. For a Federal EIN number, call the :- ~ r. I ..' -, J _ .:. Code requir~me~ts As permit holder for this may be 1;~ou,~ht toyou; a~entio~ are for resolving <iny failure to -meet code and for Insurance: omissions such as \ must be_redone., I \ '\"> \ \- ( t \ ~--- suffi\~ient time to 'to see if you have- adequate. insurance dam;qge fr.6fn pipe punctures, fire or work -.-.....-... -, ---' ) your .:- ' :. .. ~ '''';~ r sure you the skills to act as to notify building officials as cbrttractor, to 'coordinatd the ~ork of rough-in so they can perform the required inspections. questions call the 97309-5052. (50.3-378-4621) or write the agency at PO ,I '. '-.,'( 06-01-04 ZON L-ufl- INITIALS N 'IV\. DATE 1.... I C'j./ 01 SOURCE nvv~-'t.,..o 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689 ELECJ KlCAL PERMIT APPLICATION City Job Number (~ 2-Ctf)"/ - D I () 7 0 Date 3. 1. LOCATION OF INSTALLATION: 22-?/CJ r( ~/ / /?+ LEGAL DESCRIPTION: J7{)J 244-2- {)27CJ~ , JOB DESCRIPTION: !1A-TItt/))JYt.< / tLLL(/ ~ ~ Permits are non-transferable and expire l work is not started within 180 days of issuance or if work is Suspended for 180 days. A. New Residential - Single or Multi-Family per dwelling unit. Service Included $117.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $ 21.00 $55.00 B. Services or Feeders - Installation, Alterations or Relocation: 2. ti~ffEt!CTORINSTALLATION ONLY ElecitQLS~h&1Mbl SHAll EXPIRE IF nu:wom< AUTHORiZED UNDER THiS PERMiT IS NOT Add@OMMfNCfO OR IS ABANDru(ED FOR- ANY 180 DAY PERIOD. City Pho $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only ATTENrION: Dreg law requires you to su~~r~p~~sa .~ by ~"'~ 0~~n ~J~jr!ity- Notmcatlon Ce sr. fhose ru!e~ are \list forth E:i!pi~~e I-C01.Q..ihrq)1Jg.~ OA~ ~~?-(l01~ OOS~;. Yo" ay oba~li1 capias of the rul~$ by Con~.l . rl~hSfR~~r. (No~G: ih@) telephone numbarfor the OmGon utm:y Notification Expiration G:Rptel" is I..a00-332-2344). C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 55.00 $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits Signature of Supervising Electrician . ~oo /2-- New Alteration or Extension Per Panel One Circuit ~ $ 48.00 Each Additional Circuit or with Service or Feeder Permit L $ 4.00 Owners Name m M/c- J1 / kl/, Address 2.:24CL/3--/ - ~ - ......- City ~;lr1 Phone96@-/Jrr E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges OWNER INST ALLA nON The installation is being made on property I own which i 'ntended for sale, lease or rent. hl7,O-O 4- 250 ~c>--..J '"2, c--() ~r 4. SUBTOTAL OFABOVE 8% State Surcharge 10% Administrative Fee 5% Technology Fee - TOTAL 7< ~ <g,O Shared Drive(T:)/Building ForrnsfElectrical Permit Appftcation 7:07.doc Inspection Request: 726-3769 22~ Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0 I 076 COM2007-01076 COM2007-01076 COM2007-01076 COM2007-01076 COM2007-01076 COM2007-01076 COM2007-0 I 076 COM2007-0 I 076 COM2007-01076 COM2007-01076 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 07/19/2007 1200700000000000944 Description Building Permit Fixture Vent Fan Dryer Vent Gas Outlets 1-4 Minimum/Adjustment Mechanical Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MARK M WALL Item Total: Check Number Authorization Received By Batch Number Number How Received dim 282707 In Person Payment Total: Page 1 of 1 11 :29:02AM Amount Due 135.80 96.00 7.00 7.00 5.00 31.00 48.00 12.00 17.09 27.34 34.18 $420.41 Amount Paid $420.41 $420.41 7/19/2007