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HomeMy WebLinkAboutPermit Building 2007-09-20 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00750 ISSUED: 06/11/2007 APPLIED: OS/24/2007 EXPIRES: 03/20/2008 VALUE: $ 114,124.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6001 E ST ASSESSOR'S PARCEL NO.: 1702342300600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Shed dormer addition to existing single family residence Owner: V ANESSA AND DAVID DOLBY Address: PMB 347 - 5729 MAIN ST SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION. Contractor License OWNER OWNER ASSOCIATED HEATING & AIR CONDITIO 106275 OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: 2 Height of Structure: 25.50 Type of Heat: orced Air Electric Water Type: Range Type: Energy Path: Path 1 Sprinkled Building: n/a VB I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Phone Number: 541-746-7343 Expiration Date Phone 08/31/2008 541-683-2590 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,108 REQUIRED PARKING Total: Handicapped: Compact: ~....., . e~ moNo QraSCP.: 'iM. !FeEl.Wee r:~ t: foHow rules adopt~d tt\PIWIBIOtefSlWOO;'MENTS I . -~otlflcatlon Center. Th~ rult:t15 iU6 ll56' IU Street Improvemen!1i OAR 952-001-0010 through OAR 952-001. Sidewalk Type: Storm Sewer A vailaOnso. You may obtain copies of the rules by N dn~tI''pouts/Drains: Special Instruction: calling the center. (Note: the telephone lrll:~ number for the Oregon Utility Notification THIS PERMIT SHAll EXPIRE IF THE WORK Notes: Center Is 1-800.332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00750 ISSUED: 06/11/2007 APPLIED: OS/24/2007 EXPIRES: 03/20/2008 VALUE: $ 114,124.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellines Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 1,108.00 Value Date Calculated Description Total Value of Project $114,124.00 $114,124.00 OS/24/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $399.36 5/24/07 2200700000000000834 ~Mechanical Issuance Fee~ $10.00 6/11/07 3200700000000000387 + 10% Administrative Fee $71.48 . 6/11/07 3200700000000000387 + 5% Technology Fee $32.97 6/11/07 3200700000000000387 + 8% State Surcharge $52.75 6/11/07 3200700000000000387 Building Permit $614.40 6/11/07 3200700000000000387 Fire SF Fee - Residential $55.40 6/11/07 3200700000000000387 Not Covered Mechanical $45.00 6/11/07 3200700000000000387 + 10% Administrative Fee $13.60 9/20/07 1200700000000001220 + 5% Technology Fee $6.80 9/20/07 1200700000000001220 + 8% State Surcharge $10.88 9/20/07 1200700000000001220 Add, Alter, Extend Circ Ea Add $16.00 9/20/07 1200700000000001220 Fixture $42.00 9/20/07 1200700000000001220 Minimum/Adjustment Plumbing $8.00 9/20/07 1200700000000001220 Perm Serv/Fdr 200 amps or less $70.00 9/20/07 1200700000000001220 Sanitary Sewer - Improvement $122.42 9/20/07 1200700000000001220 Sanitary Sewer - Reimbursement $161.00 9/20/07 1200700000000001220 SDC Sanitary/Storm Admin $14.17 9/20/07 1200700000000001220 Total Amount Paid $1,746.23 I Plan Reviews I Initial Review OS/25/2007 OS/25/2007 APP LLH Plan nine Review OS/25/2007 06/01/2007 APP TAJ Public Works Review OS/25/2007 OS/29/2007 APP JLP Public Works Review Structural Review 09/20/2007 OS/25/2007 09/20/2007 OS/25/2007 APP BRC APP RJB No Planning issues No new Imp Area. No new DFU's (all shown as "future"). No plat maps pulled.No new SDC fees. JLP APP 5/29/2007 Calculated SDC's for 3 new fixtures. 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 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00750 ISSUED: 06/11/2007 APPLIED: OS/24/2007 EXPIRES: 03120/2008 VALUE: $ 114,124.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insoections 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Electric Service: Approval required prior to utility company energizing service. 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 wiH 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 wiH 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 wiH remain on the site at all ti:~'oo'tru,t;oo. ~j 1/;xJ/o1 !J Date I I Owner or Contractors Signatud Pa2e 3 of 3 225 Fifth Street Springfleid, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 COM2007-00750 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001220 Date: 09/20/2007 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture Minimum/Adjustment Plumbing Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DAVID DOLBY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6161 In Person Payment Total: Page 1 of 1 11 :43:30AM Amount Due 161.00 122.42 14.17 42.00 8.00 70.00 16.00 6.80 10.88 13.60 $464.87 Amount Paid $464.87 $464.87 9/20/2007 ZON Lo-",- INITIALS N tv--. DATE q -Z'f-cr SOURCE '~0 Spz.., 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COVIA e..CC 7- 0 <.) 750 Pump or irrigation Si~n!OutJine Lighting OWNER INST ALLA nON fA lIT I ENTlI8m~tOJ~~ltJm~t~'A~~!P you, ~o o ow ru es aoop-tea t{fltie 'Oregon Ut1liii The installation is being made on property I own whicNotificatioltim\Wte~~~~<t~%:t~set forth $ 50.00 is not intended for sale, lease or rent. In OA'Ri'DSi8iOO1OOG1fl4I1tougitJ ~~is $50.00 + Surcharges 0090. yo . . calling 0 number f~W~Qlilgoblnijtility Notification CdOCDterAi1n1r&oo~.2844). 5% Technology Fee 1. {);:('O I S LEGAL DESCRlPTIO~ t (70 Z 3 Lf Z 3 (CeO { r ~,eQ ()ObCYC JOB DESCRlPTION: / ~ 0 ~ S' l Z-v <- i t/ c (rLvL-:- f-s- 'Permits are non-transferable and ~xpire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor Address City Phone Supervisor License Number ~(~ 0\1 Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name V ~f::ssA De>/ t~7 >47 - !;7Z c:; ufAt/\/ SP:. Phone 7'1& -7~l.{3 Address rm g City S~f' )I O~},s~;j Inspection Request: 726-3769 q -21) -01 Date 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only l0;?()~P$ 70.00 . $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c .t7f~mpgJ:ltl7Y5)e~yic~~grjf:~~U Ol\CE~ mpE 'f 1'HE t~~\l$h\ItUn~~,~I~_T \5 NOT 00". ~GPt\lIiflHdNDER ~ANDONEO FOR $ 55.00 ~~eN000<OOn~ A $ 76.00 ff,fm tgAl~QD. $110.00 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 L./" I $ 55.00 $ 55.00 $ 28.00 TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.qoc 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 #: (OV1l\ e:o-o 7 - 0 0"7 )0 boO! ~ ~::? sf- 7ha~-;1 / / Address: Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701,055(4) requires residential cons~ruction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing 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 _ OR8. 701.010(7), need not submit this statement, _ This st(ltement . will be filed, with the permit. .' Fill jn the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: '~i. fr2. I own, reside in, or will reside in the completed structure~ I understand that 1 must become licensed as a construction contractor-ifthe structure is sold or' offered for sale before or on completion. . o 3A. My general contractor is (Name) (CCB #) .. I will i~struct my general.cpntractor that all subcontractors who work on the structure must be licensed with the Constniction Contractors Board. . OR ~ 3B. I will be my own general contractor. If! 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 of the contractor. I hereby certify that the above information is correct and that I have read ami do .understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this. form. .0/l!d/N)~ .... 9/:xJ/Ul <- . (Signature~t- applic~ ) .... _' '. ' - " . I (Date) . . (White J/py to issui~g€mcy permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 CODtractor?:: iINFOR~~TI6~ NOTIce-TO PROPERTY OW'NERS ABOUT RESPONSIB.llITIES '. \. " ..~~,~ '.. ~ ....::.... "- '.~ . ',: "- Information Notice to Property Contractors Board in accordance Construction Responsibilities was developed by the ORS 701.055(5), passed by the 1989 Oregon Legislature. . ',I-" as your o~ contractor to construct a can prevent many problems by or m~ke a substantial improvement to ~n ex.isting following responsibilities andconcem.s, . i ',' ~ . -' . d. . ~ '.': . ruled to be .an . with the ConstrJ.cti911 a.~esidential str11ctuie'- contract with yviU be "employees" if do labor iii COl1structing or to assist in the . must comply following: , . ..'~. . You-will, you ~se construction 1. '. taxes from employee at the time even you don't actually withhold. the tax from your. at5'03-3784988""~' :':~" ;", t.-.' . ..' . Oregon's employees are employees. For more tax. forunemploylnent-insurance purpos~~ Department at 503-947-1488. ~..... f1' ~. ";". ". . i~.).' . :.- . . for both,:.Qregon WJtbholding and '<~. or w\}.rw.dor.stafe.oLus/formsnav.htmll for the Identification To file The to Oregon Workers' Compensation Law, . you fail to obtain. compensation . 'ifpne 'Of'your employeei'ls1njured on the at the'"DepartIDent' of Consumer ana Business As an employer, you must even if you wbb site at \V\\'W " .' employees' wages>' EIN number, call the '. , > " .. ~f .~. >,). >. . '- YOll are failure to meet code such as Insurance pipe punctures, fire or :...",;0. ';:.' time to work of rough-in inspections. 1) or the agency at PO 06-01-04 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET C0M2007-00750 - Addine, J new fixtures- DavidDolby 6001 E Street 17-02-34-23 TL600 Single Family Residence o BUILDING SIZE (SF: JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF,TO CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. . __ I CHARGE I 0.00 $0.346 $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x' I COST PER S.F. x DISCOUNT RATE 0.00 I' $0.346 50% r:/J ~ ~ o u I~ ~ r:/J I--< o ~ o o LOT SIZE (SF): DISCOUNT $0.00 ITEM 1 TOTAL ~ STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I. 6 I $0.00 . $0.00 1070 . COST PER DFlJ $26.83 $161.00 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 6 I I. COST PER DFU I $20.40 $122.42 1092 ;", I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: ADTTRIPRATE x 957 $283.42 j! I NUMBER OF UNITS . x I 0 x I NEW TRIP FACTOR' I 1.00' COST PER TRIP 20.43 $0.00 1093 B. IMPROVEMENT COST: ADT TRIP RATE x 9.57 I NUMBER OF UNITS I x I 0 I x INEWTRIPFACTOR . I 1.00 COST PER TRIP $90.10 $0.00 $0.00 1094 =, .ITEM 3 TOTAL- TRANSPORTATION SDC 4. SANITARYSEWER-MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 ' I ICOST PER FEU I . $91.61 = I $0.00 1054 = , $0.00 1055 =, $0.00 1054 , $0.00 1056 I " I B. IMPROVEMENT COST: INUMBER OF FEU's x I 0 ICOST PER FEU I $961.52 MWMC CREDIT'IF APPLICABLE (SEE REVERSE) '. '. MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE $283.42 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: I. I $0.00 $283.42 CHARGE $14.17 14.17 1079 $0.00 1078 "I $297.59 J Billy Curtiss 9/20/2007 TOTAL SDC CHARGES PREPARED BY. DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BA TIlTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FORREFRlG /WATER STATION /ETe. 0 0 1 = 0 !RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER., SINGLE STALL 1 0 2 = 2 I SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 1 0 3 = 3 MlSCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 *EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE; BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGlBLE 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 "" , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT . I " ." 1'.1 I II N ....... ... It) .. or- ... ... \, ~ ..... o .I N " II r7). , i J . J :::;'J z~") . r-' 3~' : () J '\ t 1,-- I.... L"........ ~.,;J3z I, "." I . I: ' . 3~1 !(. c.l..~se..,. ... ... ... ... .. .. 7'-78 .. .. . boa , E-- ~ ~ C~.......C;)1- 00, 0........11..\ '\)_\s~ . b1 . -.4 RECREATiON 31'11"v ROOM ^ 10'10" OFfiCE 14'5~t31 5/0X3/0 WfNOOW -, f I 3'-1. .; 4'-28 .J 6'-11" .32' -9" .,1 ~ .\ " ,- I -< DOWN ,,--r .'" , f':" ' 3/0)(6.18 .., ..'.. _: ,j WI" ~ " NDOW OR FUll \ .'-' ~ GlAZE DOOR \: ~ '- '" ~. II O. .- j '" .' , . .- ... II LANDING ,.... I .1" J I ,~ 11'-0" II ~ ..... ~..::",-...,~,~ ~u.o Ol..(-1" ,/," v.>Pr\.J.- fs"+I'" 't' . J ,,' '\ I . "3fc:." ;':>';r.' 1.- I 3""" eft. w..\ aroJ" .~ j Sl4"~ . ' '. .,.~ .... . . ":.~'J .~ .:. n" .4cl~""; , ' ~ ,i _..".._....._~' 'It .I It) ... J ... \ ..... \ 1" I ..