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Home My WebLink AboutPermit Building 2007-9-27 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01145 ISSUED: 09/27/2007 APPLIED: 08/0212007 EXPIRES: 03/27/2008 VALUE: $ 81,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1055 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272203600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition Owner: GARY BARNES Address: 1055 DARLENE AVE SPRINGFIELD OR 97477 Phone Number: 541-517-2358 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor JOSEPH GEORGE HARVEY OWNER OWNER OWNER License 50805 Expiration Date 10/24/2008 Phone 541-912-7958 BUILDING INFORMATION I VB # of Stories: 2 Height of Structure: 22.50 Type of Heat: orced Air Electric Water Type: Range Type: Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 402 388 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 0.00 Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: '(tt8c-cS8-008- ~ SI .Ielue::,) UOIl130!!!lON ^l!I!+n uoBe.lO elH .I0! .Iaqwnu . - -.- ._~ ~'" '''~''~l) 'IQlIIArt aUl6ulII130 WU_....-.el-T -," ., I PUBLIC IMPROVEl'tt~al.n to selda::> U!13lqo ^13W no;.. '0600 .~ l:f9'Q:y'~noHR.o~00-~OO-G96 HVO ul 'llJO! las aJ13 SWfi~$lUao uO!l130!J!tON Nlllln u06a.lllow&~gJt~~HBHs,alnJ MOlloJ o,'nOA saJlnbaJ Mel Uoa'aJO :N0l.1.N311V 36.00 25.00 Street h~p'rovements: NOTice' Stor~ S~~ltS1Mff=sHAll EXPIRE IF THE WORK SpecIal IAUTHORIZED UNDER THIS PERMIT IS NOT Notes: C$MM>>WGEBrQSsl6.AiANt9Q~P' fOR ANY 180 DAY PERIOD. Pae:e 1 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01145 ISSUED: 09/27/2007 APPLIED: 08/02/2007 EXPIRES: 03/27/2008 VALUE: $ 81,370.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 790.00 DweIlinl!s Tvpe of Construction V Wood Frame Total Value of Project ~ Value Date Calculated $81,370.00 $81,370.00 08/02/2007 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $354.65 8/2/07 2200700000000001221 ~Mech Iss 2+ Appliances~ $40.00 9/27/07 2200700000000001508 + 10% Administrative Fee $69.21 9/27/07 2200700000000001508 + 5% Technology Fee $38.43 9/27/07 2200700000000001508 + 8% State Surcharge $52.21 9/27/07 2200700000000001508 Building Permit $545.62 9/27/07 2200700000000001508 Fire SF Fee - Residential $39.50 9/27/07 2200700000000001508 Fixture $48.00 9/27/07 2200700000000001508 Minimum/Adjustment Plumbing $2.00 9/27/07 2200700000000001508 Not Covered Mechanical $50.00 9/27/07 2200700000000001508 Plan Review Minor - Planning $116.00 9/27/07 2200700000000001508 Sanitary Sewer - Improvement $142.83 9/27/07 2200700000000001508 Sanitary Sewer - Reimbursement $187.83 9/27/07 2200700000000001508 SDC Sanitary/Storm Admin $16.53 9/27/07 2200700000000001508 Vent Fan $7.00 9/27/07 2200700000000001508 Total Amount Paid $1,709.81 Initial Review Planninl! Review Public Works Review Structural Review I Plan Reviews I 08/03/2007 08/06/2007 APP LLH 08/06/2007 08/21/2007 APP TAJ 08/06/2007 08/08/2007 APP TSS 08/06/2007 08/22/2007 WE DLM Pal!e 2 of 4 Stormwater drains to existing eaves. Construction drawings & truss dwgs not coordinated; will require changes. Requested corrected information. Designer will provide 8/22/07dlm. Talked to owner, said that contractor said all information was submitted with application. He wanted to meet to review problems 8/30/07dlm Owner missed appt. Called him, he said that designer is almost finished with revisions; will resubmit 9/4 8/31/07dlm. Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01145 ISSUED: 09/27/2007 APPLIED: 08/02/2007 EXPIRES: 03/27/2008 VALUE: $ 81,370.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/04/2007 09/26/2007 APP DLM Revised truss dwgs and bldg dwgs submitted. Design does not address lateral bracing at front of addition. Needs lateral engineering. Contacted owner; he will obtain lateral engr'g 09/10/07dlm. Received lateral engr'g & revised dwgs 9/24/07 dIm. 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. ~eouireCUnsnections I Footing: After trenches are excavated. Post and Beam: Prior to tloor 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. Final Building: After all required inspections have been requested and approved and the building is complete. Undertloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. 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. Masonry: Pat!e 3 of 4 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2007-01145 ISSUED: 09/27/2007 APPLIED: 08/02/2007 EXPIRES: 03/27/2008 VALUE: $ 81,370.00 225 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 ofany 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. ,~4~~- r -J- ;-0/ ( ~ Owner or Contractors Signature Date . Pa2e 4 of 4 -";' Construction Contractors Board' Permit #: C"I"'" 0 1/45 700 Summer StNE Suite 300 \ ace ~. .1""1 - . - - PO Box 14140 ' .~; Address: ~' . ~") J......tl JY ~ ~~~::~~3~37i8~~i20t2.. ,I,! IS.S.U. edbY:~.' oA.',' '1''(\ Date: q,. d-f---01 Web Address: www;ccb.state.or.us . r., . Statement: In~on:nation Notice to' Property Owners About Construction Responsibilities ~. ., . .' Note: Oregon Law, ORS 7Ql.055(4) requires residential construction permi/applicants whoare not licensed with the Construc#on 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 ehgineerapplicants, exempt from licensing under ORS 701.010(7),n.e~d not ~ubmit this statement.'fhis statement will be filed with thepermit. . . Fill in the appropriate blanks and ipitial,boxes land 2, and eith~r box 3A or 3B: .!; . JiLl. .~. I own, reside in; or will reside in the completed structure. , ;,1 . 2~. I understand that I musthecome licensed as a construction contractorifthe structure is sold or I offered for sale before or on completion. Ii, o 3A. My general contractor is: i' (Name) (CCB#) I will instruct my gener~l'contractor that all sub~ontractorswho work on the structure must be . licensed with the Construction Contractors Board. I 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 l1}ind and hire a general cot:ltractor; I will contract with a contractor who is licensed with the CCB ahd will immediately notify the office issuing this building permit ofthe . name.ofthe contractor. . . , I hereby certify that the above information is correct and that I have read and do understand the Information . Notice to Property Owners abo~t qonstruction Responsibilities on the reverse side of this form. Jd~~.. ~gnature of-permit applicant) Q-::J-7-o7 . (Date) (White copy (0 issuing agency permit file, pfnk copy to applicant.) . . . I' . PropertLowner.doc 06-01-04 . (., .' "f ~ . Acting as' Contractor? INFORMA liON -NOTICE TO OWNERS ABOUT . RESPONSIBILITIES '. \- .J- -' Information Notice to Property Owners about Construction Responsibilities was developed . the Contractors Board in accordance ORS 701.055(5), passed by the 1989 Oregon Legislature. are as your own contractor to construct a new you can many problems by being aware or make a substantial improvement to im existing 'following responsibilities andconcems. Employer . . ruled to be an "employer" with the Constructiop of a residential . coptractors you contract with will be "employees" if to do labor in copstructing or to as~ist in the c.rpployer,you must comply with the following: You will, most you use contracto~s not construction or employees are employees. For more l,aw: As'an you must liable for the tax call the income taxes [WIll employee at the time even you don't actually the tax from your at 503:'318-4988. Insurance Tax: As an employer, )lonare more information, to'pay a tax for unemployment insurance purposes:'-' Employment Department at 503-947-1488. The Identification Number Insurance Tax. To file for a number for bqth.Oregon Withholding and 1 or \v"w\v.dor.state.or.us/fonnsnav.htmll for the appropriate Insurance: As an compensation '. for subject to penalties and be liable caB the Workers' to Oregon Workers' Compensation Law, If you fail to obtain workers' compensation if one or'your employees is injured on the Department of Consumer and Business income tax from employees' wages,< withhold the tax. For a Federal EIN number, call the Reve:mu; Service: As an employer, you must You will be tax payment even didn't IRS at 1-800-829-4933 or visit their web site at Code requirements As the holder .may be brought to your project, you are ~hrough for resolving any failure to meet code and coverage for that must Damage Insurance: :." omissions such as see 'if you have adequate insurance over spray, water damage pipe punctures, fire or -- , , . sure you have time to sure you have the skins to .. as to notify building officials as contractor, to coordinate so can perform work of inspections. questions can the 97309-5052. (503-378-4621) or the agency at PO 06~O 1-04 ~. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2007-01145 NAME OR COMPANY: Gary BarneS LOCATION: 1055 Darlene TAX LOT NUMBER: 17-03-27~22-03100 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELUNG UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): 1. STORM DRAINAGE o r:/) ~ ~ o U 0::: ~ f-;. r:/) ..... tJ gz DISCOUNT $0.00 I, ITEM 1 TOTAL -STORM DRAINAGE SDq $0.00. $0.00 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 7 B. IMPROVEMENT COST: NUMBER OF DFU's x 7 COST PER DFU $26J83 $187.83 I 1091 COST PER DFU $20.40 $142.83 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = 1 $330.66 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I x NEW TRIP FACTOR I 9.57 I I 0 I I 20.43 I 1.00 $0.00 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS I x COST PER TRIP x INEW TRIP FACTOR I 9.57 0 I $90.10 I 1.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I 0 I $91.6] = $0.00 1054 B. IMPROVEMENT COST: NUMBER OF FEU's x ICOST PER fEU 0 I $96].52 = $0.00 lOSS MWMC CREDIT IF APPUCABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $330.66 I 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE CHARGE I $330.66 i 5% $]6.53 TOTAL SANITARY ADMINISTRAT]ON FEE: ]6.53 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078 Todd Singleton 8/8/2007 TOTAL SDC CHARGES =:1 $347.19 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNT AlN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 7 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRYs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 = $0.00 TOTAL MWMC CREDIT 225 Fifth Street , . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 COM2007-01145 Payments: Type of Payment Check cReceint I RECEIPT #: 2200700000000001508 Date: 09/27/2007 Description Fire SF Fee - Residential Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan Not Covered Mechanical ~Mech Iss 2+ Appliances~ + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By GARY BARNES Item Total: Check Number Authorization Received By Batch Number Number How Received JMN 1532 In Person Payment Total: Page 1 of I 9:38:08AM Amount Due 39.50 187.83 142.83 16.53 116.00 545.62 48.00 2.00 7.00 50.00 40.00 38.43 52.21 69.21 $1,355.16 Amount Paid $1,355.16 $1,355.16 9/27/2007