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Home My WebLink AboutPermit Building 2006-4-21 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2006-00286 ISSUED: 04121/2006 APPLIED: 03/09/2006 EXPIRES: 10/21/2006 VALUE: $ 79,398.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2797 BURLINGTON AVE ASSESSOR'S PARCEL NO.: 1703244103026 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Two - story addition TYPE OFOUSE:. gAddit~,Onequires ycR'eSirlential ATTENTI N:--ure iOllla,vT , , follow rules adopted by the Oregon Utility , ~ __.__ ThAN:> n IIp.s are set forth I\lUlII1IJdLIVI' '-'~, ,.- f"\/::'D 9(\1- in OAR 952_001-(Rh:Qne~Nru:~.:.bhe.QA!541"'-4 -8078 0090. You may obtain caples of the rules by callinq the center. (No~e: ,t,he .t~~~P:~~~:n nllmber for the ure~ulIVlll1LY ,,~...,--'- I CONTRACTOR INFORMATioN ('enter is 1-800-332-2344). Owner: Address: BECK JAMES G & CHRISTINE M 2797 BURLINGTON AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone VB BUILDING 1r~1' uRMA TION I N01\CE'. CYrJ1oJ: 1\; 1HE WORK # of Stories: 1-1 c. RMII SHf\ll (.J;J()trsfz~: ~. \ N01 Height ofStruttu~e PE l1J:n \ INDER 1$ij$'lPts~F1bbrK Type of Heat: f\\JTHOR Wa1l'OeatS "SalJ{OOidfIDo~p:R MCNCe I) \ 1\';\ \ t\UjlIN Water Type: COM (. EIectriR DSq Ft Basement: Range Type: f\NY '\ 80 DAY Pt 10 Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 401 401 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.20 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 47.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Storm to existing system / curbface.JLP 3/27/06 Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00286 ISSUED: 04/21/2006 APPLIED: 03/09/2006 EXPIRES: 10/21/2006 VALUE: $ 79,398.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description I Valuation Description I $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 802.00 DweJJin2s Tvpe of Construction Value Date Calculated V Wood Frame Total Value of Project $79,398.00 $79,398.00 03/09/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $316.97 3/9/06 1200600000000000282 -Mechanical Issuance Fee- $10.00 4/21/06 1200600000000000525 + 10% Administrative Fee $58.87 4/21/06 1200600000000000525 + 8% State Surcharge $47.09 4/21/06 1200600000000000525 Building Permit $487.65 4/21/06 1200600000000000525 Fixtu re $56.00 4/21/06 1200600000000000525 Minimum/Adjustment Mechanical $39.00 4/21/06 1200600000000000525 Sanitary Sewer - Improvement $171.63 4/21/06 1200600000000000525 Sanitary Sewer - Reimbursement $225.63 4/21/06 1200600000000000525 SDC Sanitary/Storm Admin $22.59 4/21/06 1200600000000000525 Storm Drainage Impervious Area $54.59 4/21/06 1200600000000000525 Vent Fan $6.00 4/21/06 1200600000000000525 Total Amount Paid $1,496.02 Initial Review Plannin2 Review Public Works Review Structural Review I Plan Reviews ~ 03/10/2006 03/10/2006 APP LLH 03110/2006 03/28/2006 APP TAJ No Planning issues. 03/10/2006 03/27/2006 APP JP Owner Vacated (1) one bedroom in main house (see file for letter), Only a "Septic Responsibility Form", is required from Lane County. Owner has provided S.R.F. (see file). Storm to existing system / curbface. 3/27/06JLPOwner to bring in plans showing vacating original master Bdr. Shld only need "Septic Responsiblity Form" from L.c. 3/20/06JLPWaiting for L.C.Sanitary "Authorization Notice" & Storm plan from applicant.3/13/06JLP 03/10/2006 04/06/2006 APP RJB Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00286 ISSUED: 04/21/2006 APPLIED: 03/09/2006 EXPIRES: 10/21/2006 VALUE: $ 79,398.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspection 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(]llireCUnSDections I 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. 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. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00286 ISSUED: 04/21/2006 APPLIED: 03/09/2006 EXPIRES: 10/21/2006 VALUE: $ 79,398.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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, t:;zat the ermit card is located at the front of the property, and the approved set of plans will remain on the site at all times during truction. V /.- gal: ~~Z-J-O{ 0700',"ctO<S S;goatore Date Pal.!e 4 of 4 $171.63 1092 II $0.00 11093 CITY OF S~INGFIELD SYSTEMS DEVELOPMENf\'ORKSHEET ' JOURNAL OR JOB NUMBER: COM2006-00286 NAME OR COMPANY: James & Christine Beck LOCATION: 2797 Burlington Ave TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 50,75 LOT SIZE (SF): I, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I I 169,001 $0,323 = $54.59 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, x I COST PER S,F, x DISCOUNTRA TE DISCOUNT I 0,00 I $0,323 50% $0,00 8217 ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 9 $54.59 $54.59 COST PER DFU $25,07 $225.63 B, IMPROVEMENT COST: NUMBER OF DFU's x 9 $19,07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $397.26 3, TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x 9,57 I NUMBER OF UNITS x I 0 COST PER TRIP $19,09 x INEW TRIP FACTOR I 1.00 B, IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x 9,57 0 x INEWTRIPFACTORI I 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC = , COST PER TRIP $84,19 $0.00 $0.00 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 0 $82,03 B, IMPROVEMENT COST: NUMBER OF FEU's x o = $0.00 ICOST PER FEU I $865,31 = $0.00 $0.00 $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA BVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , = ! $0.00 - - - - SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5, ADMINISTRATIVE FEE: I SUBTOTAL x 1 ADM. FEE RATE 1= I $451.85 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $451.85 CHARGE $22,59 22,59 $0,00 Cheryl Slaymaker PREPARED BY TOTAL SDC CHARGES 4/20/2006 = J $474.44 DATE ,.-- -~~ - -- .--- - - .,- - , r:/) W o o u ~ W t-< r:/) ...... tJ ~ 1070 1091 1094 1054 lOSS 1054 1'1056 11079 j 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRYTUB 0 0 2 = 0 ICLOTHESWASHER/ MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 9 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5,29 $5,29 $5.19 $5,12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT = $0,00 Construction Contractors Boa'rd 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#:Ceo ~ t,.D2- ~~, Address, ;;n en €cur II' ~r-') . Issued by' N ~^' ~ Date, '-i - 20 ~ 'U Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, DRS 701. 055(4) 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.' This statement is requiredfor 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. Fili In the appropriate blanks and initiai boxes 1 and 2, and either box 3A or3B: ~ 1. o 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 tompletion. o 3A, My general contractor is (Name) (CCB #) I will instruct my general contractor, that all subcontraCtors who work on t~e structure must be licensed with the Construction. Contractors Board. OR tKI 3B': I will be my 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 ofthe name of the contractor. ' , I,hereby certify that the above information is correct and that I have read and do uIiderstand the Information 'Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ' d .~~ ... . fL~G)-ob, 'l (Signatlire'ofpermit applicant) (Date) /', (White copy to issuing agency permit file, pink copy to. applicant.) Property_owner. doc 06-01-04 Acting as Y'onrOwn General Contractor? 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 improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities gnd concerns. Employer Responsibilities You win, in most instances, be ruled to be an "employer" ~nd the contractors you contract with will "employees" if you, ~se contractors not licensed with the Constructjon Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the e~pIoyc:r, you must comply with the following: Withholding Tax Law: As an employer, you must withhold income taxes- from employee wages at the 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, can the Depcul1Hent of Revenue at 503.:-378-4988. Unemployment Insurance 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.us/fonnsnav.html1 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 subject to penalties and be liable for all claim costs if one of your employees is injured on the job, For more information, cali 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 incoine tax from employees' wages.1( You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, can the IRS at 1-800-829-4933 or visit their web site at www.irs.lwv. . Other, Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. . . . . Liability a'nd Property Damage Insurance: 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 pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. , , , Expertise: Make'sure you' have the skills 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 can the Construction Contractors Board (503-378-4621) or write the agency at PO 14140, Salem, OR 97309-5052. Property_O'ivner.doc 06-01-04 225 Fifth S,tr~et Springfield, Oregon 97477 541-726-3759 Phone ~ -.~ of Springfield Official Receipt _ .;velopment Services Department Public Works Department Job/Journal Number COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 COM2006-00286 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000000525 Date: 04/21/2006 Description Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee~ + 8% State Surcharge + 10% Administrative Fee Paid By JAMES G, BECK Item Total: Check Number Authorization Received By Batch Number Number How Received njm 1007 In Person Payment Total: Page 1 of 1 9:28:45AM Amount Due 54.59 225,63 171.63 22,59 487.65 56,00 6,00 39,00 10,00 47,09 58.87 $1,179.05 Amount Paid $1,179,05 $1,179.05 4/21/2006