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Home My WebLink AboutPermit Building 2007-10-30 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01470 ISSUED: 10/30/2007 APPLIED: 09/27/2007 EXPIRES: 04/30/2008 VALUE: $ 13,608.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3851 S E ST ASSESSOR'S PARCEL NO.: 1702314403600 Springfield TYPE OF WORK: Shop TYPE OF USE: New Residential PROJECT DESCRIPTION: Shop Owner: DEBRA TITUS Address: 3851 S E ST SPRINGFIELD OR 97478 Phone Number: 541-746-6298 I CONTRACTOR INFORMATION' Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: # of Stories: 1 Lot Size: Primary Occupancy Group: U Height of Structure: 10.00 Sq Ft Ist Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: Energy Path: Path 1 Sq Ft Other: 504 Sprinkled Building: n/a Occupant Load: ' I DEVELOPMENT INFORMATION , REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: 5.00 # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: 10.00 % of Lot Coverage: Solar Setbacks: 0.00 A""'T~t\J_'_/' _ , '. -" .........". " ";Ul\f! :~'V Y0"" '''F.- \10 t I PUBLIC IMPROVEMEN'ftSJ,s adoDted h)' the' ~~~"~r. UI~, ,0 I~UllJl(;\:H/On Cent.-.r Thr." ".01...,,, \:J I dllty F II I din OAR 9r::.2 001 Slde,,:alk<ry.pe:, are set forth u y mprove ;), -0010 through OAR 952- _ Storm Sewer Available: Yes 0090" You may cJ!).AM/nSrR9~MgJoNR~: I 001 Special Instruction~ , calling the center. (Note: the tele;~oe~ebY h..OnCE: number for the Oregon Utility Notification Notes: Soil is #1Q,nS PERMIT SHALL EXPIRE IF THE WORK Center is 1-800-332-2344). llIlTI..l(1PI7Cn "~ln~R THI" rrf'~.'IT 'f"I 'JOT ___r:_~1 Ie. """11\' f~-I; COMMENCED OR IS ABJif\!l:lfll\lJ:n j:()fi .. I ANY 180 DAY PERIOD. ,,,'yamaHait' escrmtlOn $ Per Sq Ft Square Footage or multiplier or Bid Amount Street Improvements: Description Type of Construction Value Date Calculated Pal!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garal!e Garal!e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Planninl! Review Public Works Review Public Works Review Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01470 ISSUED: 10/30/2007 APPLIED: 09/27/2007 EXPIRES: 04/30/2008 VALUE: $ 13,608.00 $27.00 504.00 Total Value of Project $13,608.00 $13,608.00 09/27/2007 ~ Amount Paid Date Paid Receipt Number $99.42 9/27/07 2200700000000001512 $17.82 10/30/07 1200700000000001349 $13.45 10/30/07 1200700000000001349 $12.24 10/30/07 1200700000000001349 $152.96 10/30/07 1200700000000001349 $25.20 10/30/07 1200700000000001349 $116.00 10/30/07 1200700000000001349 $9.27 10/30/07 1200700000000001349 $185.47 10/30/07 1200700000000001349 $631.83 I Plan Reviews I 09/28/2007 09/28/2007 09/28/2007 09/28/2007 10/19/2007 10/03/2007 APP APP WE NJM TAJ LKW called owner for information on water runoff Per Mr.DaleTitus they will be water diversion to drain and splash boxes. Approved as noted on drawings. 10/08/2007 10/08/2007 OK LKW 09/28/2007 10/09/2007 APP DLM 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. [Jeouireq.rnsnections' Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01470 ISSUED: 10/30/2007 APPLIED: 09/27/2007 EXPIRES: 04/30/2008 VALUE: $ 13,608.00 225 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, 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 t;me~~;o~ r---~ J 0---50- 07 Owner or Contractors Signature Date Pal!e 3 of 3 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 Pennit#: ~ 7- t)lf7/J Address: '3SS / r). e (rr; ISSUedbY:~ j1(.J natejD/20J0""7 U Statement:. Information Noti~e to Property Owners , , About Construction Responsibilities / 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 ORS 701.010(7), need not submit this statement. This statement will b(! filed with the permit, . ' , Fill in the appropriate blanks and initi~l boxes 1 and 2, and. either box 3Aor 3'8: )~ 1. J8: I own, reside in, or will reside in the completed structure: 2. ,'I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. D 3A. My general contractor is (Name) (C.CB #) , I will instruct my.'general contractor that all subcontractors who workon the structure mustbe , licensed with the Construction Contractors Board. OR )8( 3B. I will be my own g~neral 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 of the name of the contractor. )< " I hereby certify that the above inform~tion is corr~ct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ./2~ .0~, (SIgnature of permIt applIcant) /'0- SO-C)? (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner,doc 06-01~04 r. \ Jrct'~iii ~ ~ ".re ~ ........ \::.~ ,,-\1J 1M O~MAr~~;"~OTICE ABOUT . , eneral Contractor?- PROPERTY OWNERS RESPONSIBILITIES , .' . 'ft,/~;~;';;;;;';;;";;;;;;';';~ prope~y 6wners about ConstrucYon ResponSibilftie;;;; rievelop;'d. ." b.,.Y...,.,'t.h:l.e.,. . Contractors Board in accordance ORS 701.055(5), passed by the 19890regon Legislature. J can ,. own contractor to construct a new many prohl~ms by being aWare , ~ ... , or make a substantial improvement to an existing following responsibilities'andl;:oncerns, . If you are Employer , , will,; if!. . ' be.ruled to ,be, ,p1 "e!TIploy~( you use contractors not.1icensed with the Construction ,.. " 'r' . , or of a'residential structure, . I .' " :~_; -.... ~ . ", . . . contractors you contrapt with will be "employees" if , . to do labor in ~ons!TUctip.g;'Qr to ~_s~ist in the you mu~tcomply with tl!e fon,?~~~g: Oregon's employees are employees. : \ - -, ,. ': - -'. - . "..., \ Tax l,aw: As an employer, you must You will be liable for the tax more informatiori;'\;alfthe Department , . taxes from employee wages at the time even you don't actually yrith!101d the tax from your at503-318~4W~8: .,..,', "~.i~...",' .'.":'. . . - .." -. ." ~ .; ..~-- ,.--. '..' . " ot';.. " ,'. '-' .'.. to pay' 3. :tax 'for' unemplo:ymeht- insUrance 'purposi'&<( Emplo.yment Department at 503-947-1488, .. I '.. ,-" ~ '\, ...~{~- ;J',',' ~,p'*">", number f9r,-botl1" O~egon. Yv'ithholding and or \vww,dor,state,er.us/formsnav.htmll for the on Tax: As an employer, yeu are of an employees. For more informatio.n, Identificatio.n Number is a To. file for a BIN, call ". and Insurance: As an employer, compensatio.n insurance for II, .",' ,_' . , subj'ect to penalties and can the W Drkers' to' the Oregon Compensation Law, , you fail t~ obtain workers' cD111pensation c'ostsif Dne ofYOl.ir employees is inj~red Dn the attlie'bep'aitinent o(Consumer and Business jDb, 5. . .' ~ federal "income .taX the tax. Fer a ,: ,', ~">.~4':~. -wag~ -". call the ..... u.s. You will IRS 'at 1 Service: As an employer, yeu must tax payment even Dr visit their webslte at " ,..- . - .~ . ... ~ " ...-. , . . Insurance: Dmissions such as for rese]vin"g any failure meet cDde Code As the permit helder for this may .hr.~H.lgh! toyou:- attentiDn _. 4>_ r.... , have insurance' pipe punctures, fire or ~..\ ~\.: ~'. ;' , ". ..../" , must.be "" . , ' ( ", , :"- sufficient time to supervise and "' ~kills to. aetas your o~' ' building officials as t6 coordinate' the work of rough-in can perfmm the required inspections, (503-378-4621) Dr the agency at PO 06-01-04 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x o B. IMPROVEMENT COST: NUMBER OF DFU's x o COST PER DFU $26.83 COST PER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ,- --,~ "- ,. 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I 9,57 B. IMPROVEMENT COST:, ADT TRIP RATE x , 9,57 , NUMBEROOF uNITS I x : I NUMBER OF UNITS x i 0 ITEM 3 TOTAL-TRANSPORTATIONSDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I 0 B. IMPROVEMENT COST: INUMBER OF FEU's x / 0 ICOST PER FEU I $95.35 ICOST PER FEU I $990.39 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 . I ADM. FEE RATE $185.47 ,I 5% TOTAL SANITARY ADMINISTRATION FEE: ' TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 10/3/2007 DATE 1= . DISCOUNT , $0.00 = , $0.00 COST PER TRIP 20.43 I x NEW TRIP FACTOR I 1.00 COST PER TRIP I x NEW TRIP FACTOR $90.10 I 1.00 = , $0.00 r .- - _..~- - - ,." o $185.47 $0.00 $0.00 $0.00 $0.00 r:n i:.il o o u ~ ~ r:n >-< o ~ 1070 1091 1092 1093 II 11094 I $0.00 r I $185.47 CHARGE $9.27 , I TOTAL SDC CHARGES, = I '- = $0.00 = $0.00 $0,00 $0,00 9,27 $0.00 $194.74 1054 1055 1054 I 1056 1079 1'1078 I I I DRAINAGE FIXTURE UNIT (DFU) CALC,!!-LATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB ~ 0 0 3 = 0 I DRlNKlNG FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 0 0 3 = 0 \CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBlLE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 /RECEPTORFORREFRlG I WATER STATION I ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0 SHOWER SINGLE STALL 0 0 2 = 0 I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASHBASINIDOUBLELAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 'URINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family ~~~.l!in~ unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0.00 x $5,29 =1 $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01470 COM2007-01470 COM2007-01470 COM2007-01470 COM2007-01470 COM2007-01470 COM2007-01470 COM2007-01470 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001349 Date: 10/30/2007 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JEAN TITUS Item Total: Check Number Authorization Received By Batch Number Number How Received njm 2161 In Person Payment Total: Page 1 of 1 1 :43:05PM Amount Due 25,20 185.47 9.27 116.00 152.96 13.45 12.24 17.82 $532.41 Amount Paid $532.41 $532.41 10/30/2007