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Home My WebLink AboutPermit Building 2008-1-9 CITY OF SPRll~Gl'IELD Building/Combination Permit PERMIT NO. cOM2007-0I645 ISSUED 01/09/2008 APPLIED. 11/06/2007 EXPIRES 07/09/2008 VALUE $ 14,256 00 Status Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3841 VIRGINIA AVE ASSESSOR'S PARCEL NO 1702314402600 Sprmgfield TYPE OF WORK Garage PROJECT DESCRIPTION Detached gal age TYPE OF USE New ReSIdential Owner GUADALUPE DELGADO CARLOS Address 3841 VIRGINIA AVE SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Tvpe General Plumbmg Contractor OWNER OWNER License BUILDING INFORMA nON I # of U U1tS # of Stones 1 Pnmary Occupancy Group U HeIght ot Structure 13 00 Secondary Occupancy Group Type ot Heat Pnmary ConstructIOn Type VB W dler Type Secondary ConstructIOn Type Range Type # of Bedrooms Energy Path ATTENTION: Oregon law req!l\JeBll/DlI mllldmg nla fnllQw rlJlAQ Arln"t~rI "1' tho nrcgn'" IlhI...... Noltflcatlon Center. n t"'IJEl\lfl~@It!\lIm1PTilllFORMA TION . In OAR 952-001-0010 1,IoU,l.':' ~r", ~JLIJJ,! 0090. You may obtain copies of the rules by Front yard Setback calling the center (Note theQlllll'/ID'clllft SIde I Setback number for thl!<oIQ)gon UtlhtylMMftttll!i'lfs Rqd SIde 2 Setback Center IS 1-800-332-2~d Dnve Rqd Rearyard Setback 1500 % of Lot Coverage 3700 Solar Setbacks 000 I PUBLIC IMPROVEMENTS. Street Improvements Storm Sewer Available Speclallnstruchon Phone Number 541-515-1250 ExpiratIOn Date Phone Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelC3I port Sq Ft Other Occupant Load 528 REQUIRED PARKING Total Handicapped Compact SIdewalk Type DowospoutsfDrams 15' P U E at I ear of property, must move the garage 5' feet forward to accomodate thiS setback NOTICE: IRE IF THE WORK THIS PERMIT S~~~~ ;X~S PERMIT IS NOT AUTHORIZED UOR IS ABANDONED FOR COMMENCED ANY 180 DAY PERIOD. Notes Pa2e 1 of 4 Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme DescriptIOn Tvpe of ConstructIOn GaralIe Garal!e Fee DescnptlOn Plan RevIew ResldentJal + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend CtrC Ea Add Bmldmg PermIt Ftre SF Fee - Residential Perm Serv/Fdr 200 amps or less Plan RevIew Mmor - Planmng Plan RevlewlResldentlal HOUlly Storm Sewer - 1st 50 Feet Total Amount PaId ImtJal RevIew Pubhc Works RevIew Pubhc Works RevIew Plannml! Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' cOM2007-01645 ISSUED. 01/09/2008 APPLIED 11/06/2007 EXPIRES 07/09/2008 VALUE: $ 14,25600 I V SJh~"lOn DescrilltJOn I ~ 111.1 I $ Per Sq Ft or multlpher $27 00 Square Footage or Bid Amount 528 00 Value Date Calculated Total Valne of Project $14,256 00 $14,25600 01/08/2008 L.l?ftfrfr P~lrU Amount Paid Date PaId ReceIpt Numbe. $11616 11/6/07 1200700000000001369 $3199 1/9/08 2200800000000000025 $35 22 1/9/08 2200800000000000025 $20 48 1/9/08 2200800000000000025 $12 00 1/9/08 2200800000000000025 $161 54 1/9/08 2200800000000000025 $26 40 1/9/08 2200800000000000025 $70 00 1/9/08 2200800000000000025 $11600 1/9/08 2200800000000000025 $10000 1/9/08 2200800000000000025 $50 00 1/9/08 2200800000000000025 $739 79 Plan Reviews , 11/0712007 11/07/2007 APP LLH 11/07/2007 11/08/2007 10 Carlos Delgado IS puttmg m a drywell for thIs structure per my phone conversation with him SOllm 76 Malabon Also, wanted ot let ns know that he was usmg sldmg mstead of stucco for the garage 11/08/2007 11/09/2007 PEND LKW Ok after apphcant comes m and mdlcateds on plans where drywell WIll be placed 11/07/2007 11/20/2007 WE TAJ Meetmg with homeowner on 12/05/07 The has has been torn down We cannot Issue a permit for the gal age until he turns m plans for the house Then they both can be Issued together Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01645 ISSUED: 01109/2008 APPLIED. 11106/2007 EXPIRES 07/09/2008 VALUE: $ 14,256.00 -iC~~~ ~ ~A' ~ Status lss u ed 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Lme Pubhc Works RevIew 11/27/2007 11/27/2007 10 LKW Structural RevIew 11/07/2007 11/29/2007 APP DLM , Pubhc Works RevIew 12112/2007 12/12/2007 APP LKW PlanUlne RevIew 01/07/2008 01/07/2008 APP TAJ Structural RevIew 01/08/2008 01/08/2008 APP DLM CornmuDlcahon errOI no drywell, weep holes to CUI b & gutter Must have 6 feet of concrete for driveway apron Stated that later he was gomg to fill m dnvewav IUstead of gravel Approved as noted on the drawmgs Plans mdlcate electl Ical IUstallahons m garage I f electrical work IS to be done, an electrical permit must also be obtalUed 11/29/07dlm Mr Carlos IUdlcated that he WIll move the garage 5 feet foward to accomodate the 15' PUE easement 31 the real of the property The owner has also turned m a permIt fOI a house (COM2007-01781) Both of these permIts need to be Issued together RevIsed sIte plan & chaoged dimensIOns of garage (WIder but not as long) 1/8/07dlm To Request an IRspechon call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00 a m. Will be made the same workmg day, mspectlOns requested after 7 00 a.m. Will be made the followmg work day. ~efllllreCUnsnectlons I FoundatIOn After forms are erected but pnor to concrete placement Ufer Electrical Gronnd Install ground rod at footmg and call for mspectlOn m conjunction WIth footmg andlor foundatIOn mspectlOn Shear Wall Nallmg Before covenng sheathmg WIth fiUlsh matenals Frammg InspectIOn Pnor to cover and after all rough IU IUspectlOns have been approved Fmal Bu.ldmg After all required mspectlOns have been requested and approved and the bulldmg IS complete Storm Sewer Lme Pnor to filhng trench Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO' cOM2007-01645 ISSUED. 01/09/2008 APPLIED. 11106/2007 EXPIRES' 07/09/2008 VALUE $ 14,256.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme By sIgnature, I state and agree, that I have carefully exammed the completed apphcahon and do hereby certify that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work pel formed shall be done m accordance WIth the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY wtll be made of any structure wIthout permIssIOn of the CommuUlty ServIces DIvIsIon, Butldmg Safety I furthel certIfy th.lt only contractors and employees who are m comphance wIth ORS 701 005 wIll be used on thIs project I further agree to ensure that all reqUIred mspectlOns 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 remam 011 the sIte at all times dunng constructIOn C:.dJ..lul,Jll' ,r n "I t".IJ , ' 6/ J-'lC? /t'19 Owner or Contractors Signature Date Pa2e 4 of4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET ,,---, , JOURNAL OR lOB NUMBCR NAME OR COMPANY LOCATION I AX LOT NUMBER DCVCLOPMI:N f TYPC NEW DWCLLlNG UNII S Com2007-01645 Guadalupe Delgado Carlos 3841 Vlf~m.. 1702314402600 Smgle FdlTI11y Re<;idencc o BUILDING SILE (SF LO f SIZE (SI') 600 I STORM DRAINAGE DIRECT RUNOFF TO CI I Y STORM SYSTEM I IMPCRVIOUS S r x I COST PER S F CHARGE o 00 1 $0 346 I = I $0 00 I RUNOFF ROUTED TO DRYWELL DESIGNI:D AND CONSTRUCTED TO CI fY STANDARDS I IMPI:RVIOUS S I' I x I COST PER sri ,I DISCOUNT RATC I 1 I 772 00 I I $0 346 I I 50% I ~ 1 ITEM 1 TOTAL - STORM DRAINAGE SDC I $13356 2 SANITARY SEWER - CITY DISCOUNT $13356 A REIMBURSEMENT COST I NUMBCR OF Dru's I , 1 0 I 13 IMPROVEMENTCOSf I NUMBI:R OF DFU's I , I 0 I COST PI:R DFU $26 83 COST PER D" U $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $000 3 TRANSPORTATION A REIMBURSEMENT COST I ADT fRlP RAl I: I 957 I I NUMBER OF UNITS 1 , I o I I COS f PI:R TRIP 2043 , INEW fR1P FACTORI 1 100 I , 13 IMPROVCMEN f COST 1 ADl TR1P RA TC I , I NUMBER or UNITS I ,I COSl PER TRIP I 9 57 I I 0 1 1 $90 10 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0 00 , INEW IRIP FACTORI I 100 1 6534 $13356 $000 $000 $000 $000 I(/] I~ I~ 1L.Ll ,f--o (/J 6 L.Ll ~ 11070 11091 I I' I 1092 J 1093 I 11094 I 4 SANI I ARY SEWCR - MWMC A REIMBURSEMEN I COST INUMBER OF FEU's I ' I 0 B IMPROVCMENT COS I INUMBER OF FEU's I , ICOST PCR n:u I 0 I $990 39 MWMC CREDIT IF APPLICABLE (SCC RCVI:RSE) MWMC ADMINISTRATIVE FEE ICOSf PER FEU 1 $95 35 ITEM 4 TOTAL-MWMC SANITARY SEWER SDC =, ---- SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5 ADMINIS IRA T1VE FrE ISUBTOfAL , 1 ADM FEE RATE I~ 1 $13356 I 5% I TOTAL SANITARY ADMINISTRAnON FEE lOT AL TRANSPOR fA nON ADMINISTRATION FEE $000 $13356 CHARGE ~6 68 Kaye Wilson PREPARED BY 11/8/2007 TOTAL SDC CHARGES DATI: = $000 = $000 $000 $000 I 668 -L $000 = I $140 24 11054 I 11055 11054 11056 l I 1079 11078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER m NEW FIXTURbS x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE FOR RLMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE F1XTURL TYPE NEW OLD EQUIVALENT UNITS rBATIITUB 0 0 3 = 0 IDRINKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEP roRS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH I ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOl HLSW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (CAl 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RCCEPTOR FOR RErRIG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / C rc 0 0 3 = 0 SHOWER SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBCR OF HEADS) 0 0 2 = 0 I SINK COMMERCIALlRESIDEN riAL KITCHEN 0 0 3 = 0 ISINK COMMCRCIAL BAR 0 0 2 = 0 ISINK WASH BASIN/DOUBLE LAVAroRY 0 0 2 = 0 ISINK SINGLE LAV ATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL ~ r ALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSl ALLA nON 0 0 6 = 0 ITOILET, PRIVATE INSrALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBCR OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 -EDU (Eqwvalent DwelhnJ::, Unit) IS a dIscharge eQuivalent to a smgle fmmly dwellmg urnt (20 Dros) set at 167 ~lIons per day MWMC CREDIT CALCULA nON TABLE BASED ON COUNTY ASSESSED VALUE I YEAR CRLDIT RATE/$I,OOO ~ ANNEXED ASSESSED VALUE IS LAND CLGlBLE FOR ANNEXA lION CREDI f? 2 I BEFORE 1979 $529 (Enter I for Y os, 2 for No) I 1979 , $529 " IS IMPROVEMENT ELGIBLE FOR ANNCX CREDII'? 2 1980 $519 (Cnter I for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 ]982 ,$498 ]983 $'I 80 ,t=- CREDII rOR LAND (IF APPLlCABLCl 1984 $463 VALUE /1000 CREDIT RATE 1985 $440 $000 x $529 ~ I $000 1986 ---$4 07 1987 '$367 : CREDIT FOR IMPROVCMENT (I~ AFl ER ANNCXATION) 1988 $322 V ALUC / 1000 CREDIT RATC 1989 $273 $000 x $529 0 1990 '$225 ',,'$180 ' .=~ 1991 1992 $159 TOTAL MWMC CREDIT = $000 1993 $145 1994 $125 1995 ,$109, 1996 -$092 1997 $072 1998 $048 1999 $028 2000 $009 200t - - $005 225 FIVfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPliCATION CIty Job Number (1 J) rn ;),In) ~ - (f) :7'fY::I 01 (p~ 1 LOCATION OF INSTALLATION: 3gt../ I I/,'~ ,'/U'?<.. LEGAL DESCRIPTION 170")... 31 YU 6:d--{pO() JOB DESCRIPTION ~ o PermIts are non-transferable and expire If work IS not started wIth," 180 days ofIssnance or If work IS Suspended for 180 days 2 ,CONTRACTOR m.ST~~TI()N ONJ:Y_ ElectrIcal Contractor / / L Address CIty An T ExpiratIOn fOIl _ fON ()'-'>D- _ N . rUleS a -"~,, 'aw re o 11Cat1Q[I C doPted by th qUires you to i/l)Il'!P.El'r enter ;h^C e Oreoon ".... 090" ""'-Ou/-OOI -~:'ules ......."ty " You may b 0 through OAare Set fOrth Expmlt n~9-1l1ae- 0 tam co~_ R 952-nl)l nUmber fQrth""ttf (Note th '/fIe rUles b . SI ature ofSuPClllilgll~gCWVt'I't e telephone Y . IS 1-800-332_~~~/flcatJon Owners Name (nMtd./L I r Ctu..lo ~ Address I-fDC, C1 "F 0 fL-C,'1+.c.; "- CIty Sov""'\1~OL-LeA Phone hie; - 1)-<"0 OWNER INSTALLATION The mstallatlOn IS bemg made on p.up" oj I own whIch IS not mtended for sale, lease or rent V Owners SIgnature /'_ G'JI cl.." {v/7 '- o NOTICE: Date 3 - COMPLETE ~FEE SCHEDULE BELOW A New Res]~c?.!J~I- _S~ng~e or Mulh-Family per dwelhng un-,-t~_ ServIce Included 1000 sq ft or less Each addltJonal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServICe or Feeder $117 00 $2100 $55 00 - ,,- - - ~-, B ServIces or Feedel"S - In~tallatlOn, AlteratJons or RelocatIOn, 200 Amps or less I $ 70 00 7/J.1J-o 20 I Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 60 I Amps to 1000 Amps $18000 Over 1000 AmpsN olts $41300 Reconnect Only $ 55 00 C Temporary ServIces or Feedel"S InstallatJon, AlteratIOn or RelocatJon 200 Amps or less $ 55 00 201 Amps to 400 Amps $ 76 00 401 Amps to 600 Amps $110 00 Over 600 Amps or I?O!l_Volts see "B" abov~ D, Branch ClrcUlIs New AlteratIOn or ExtenSIOn Per Panel One CirCUIt $ 48 00 Each AddItIOnal CirCUIt or WIth "? /2- ServIce or Feeder Permlt $ 400 ~-- ~-~- E MIscellaneou. (Service/feeder not meluded) -Each InstallatIOn Pump or IIT1gatJon $ 55 00 SlgnlOutlme LIghtmg $ 55 00 LImIted EnergylResldentJal $ 28 00 Lumted Energy/Commerc13l $ 50 00 MID/mum ElectriC Permit InspectIOn Fee IS $50 00 + Surcharges -----,,- ~ -~ 22~ Fifth Street Sprmgfieid, Oregon 97477 541-726-3759 Phone .~ IIIj[ - - - - City of Sprmgfield OffiCial Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-01645 COM2007-01645 COM2007-0 1645 COM2007-0 1645 COM2007-0 1645 COM2007-0 I 645 COM2007-0 I 645 COM2007-0 I 645 COM2007-01645 COM2007-01645 Payments Type of Payment Check cRecemtl RECEIPT #: 2200800000000000025 Date' 01109/2008 DescnptlOn Plan ReView Mmor - Plannmg Storm Sewer - 1 st 50 Feet BUlldmg PermIt Fire SF Fee - Residential Plan Revlew/Resldentlal Hourly Perm Serv/Fdr 200 amps or less Add, Alter, Extend ClrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstrat,ve Fee PaId By GUADALUPE CARLOS Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received Ikw 1005 In Person Payment Total Page I of I 851 27AM Amount Due 11600 5000 161 54 2640 10000 7000 1200 2048 3522 3199 $623 63 Amount Paid $623 63 $623 63 1/912008 ,< CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007,01781 ISSUED. 01/09/2008 APPLIED. 12/06/2007 EXPIRES' 07/09/2008 VALUE. $ 293,550.00 Status Iss u ed 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 3841 VIRGINIA AVE ASSESSOR'S PARCEL NO 1702314402600 Splmgfield TYPE OF WORK Smgle FamIly ResIdence TYPE OF USE Ne" ResIdential PROJECT DESCRIPTION New Smgle Family ResIdence (to replace demohshed dwelhng & garage) Owner DELGADO GUADALUPE CARLOS Address. 3841 VIRGINIA AVE SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION I # of UOltS Pnmary Occnpancy Gronp Secondary Occnpancy Gronp Pnmary ConstrnctlOn Type Secondary ConstructIOn Type # of Bedrooms 5 # of Stones HeIght of Strnctnre Type 01 Heat Water Type Range Type Energy Path Spnnkled Bnlldmg 2 3100 Wdll Heat Electnc Electnc Path I nld Lot SIze Sq Ftlst Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft GaragelCarport Sq Ft Other Occnpant Load 1,454 1,396 I R-3 VB Frontyard Setback SIde I Setback SIde 2 Setbdck Rearyard Setback Solar Setbacks 2000 12 00 500 4700 000 I DEVELOPMENT INFORMATION I REQUIRED PARKING ATTENTION Oregon law reqlS you to Overlay Dlst follow rules adopted by the 0 dli U df.fYA 2 # Street Trees R.qd'IGatlon Center TtYose rule Ilw~r ll'rl/i Paved Dnve RljllOAr-i952-001'OOI()'ffirough 1lf'Y5lt. )01- % of Lot Covdt~g(;) You may obftil~~oples of the rules by calling the center. (Note the telephone nllmho,. f....... u..... -~~ - - -- ... f. -. -. I PUBLIC IMPROVEMENTSlenter IS l:a'OO:33'2:2a44';:"......Utl SIdewalk Type Setback 5' Street Improvements Fnllv Improved Yes Downsponts/Drams If new dnveway IS bemg constrncted flares cannot extend beyond property hne projectIOn mnst be setback 3 feet from property hne New dnveway wIdth shall not melnde prevlOns old dnveway LDAP reqlllred wllhont applymg for overwldth dnveway NnTlr~~' THIS PERMIT SHAll QRI)3J.JF T.Hf.lAlnt11l J AUTHORIZED UNDER T~?l~hr ,~~~~l'rtJon ~OM~NCED OR IS AShiNfD6N!:FJtFOR Sqnare Footage fiN!' ~(l(}ollWp~mOD. or mnltlpher or BId Amonnt Value Ddte Calculated Storm Sewer AvaIlable Spec..11 nstl nctlOn Notes DescriptIOn Paee I of 4 Status Issued 225 FIfth Street, Sprmglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspecllon Lme Dwelhnes V Wood Frame Fee Description Plan RevIew ResIdential -Mech Iss 2+ Apphances- + 10% Admmlstrallve Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two Family BUlldmg Permit Curbcut Permit Dryer Vent Exhaust Hoods FIre SF Fee - Resldentldl Mmlmum/Adlustment Mechamcal Plan Review Major - Planmng Plan Review Mmor - Plannmg Residence WII mg 1000 Sq Ft ResIdence Wmng Ea Addtl 500 Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC Transpo Admm Storm Dramage ImpervIOus Area Storm Sewer Each Addtll 00' Temp Power 200 amps or less Vent Fan Totdl Amount Paid Plannm2 Review 12/10/2007 Pubhc WOI ks Review 12/1012007 Pubhc Works Review 12/12/2007 Amount PaId $856 28 $40 00 $207 10 $23716 $11912 $33700 $1,317 36 $85 00 $700 $1000 $94 65 $1200 $205 00 $11600 $11700 $84 00 $367 27 $483 00 $63 II $412 02 $1600 $55 00 $2100 $5,262 07 $103 00 Total Value of Project Fpp\" tiua.I Date PaId 12/7/07 1/9108 1/9/08 1/9/08 1/9108 1/9/08 1/9108 1/9/08 1/9108 1/9108 1/9/08 1/9/08 1/9/08 1/9/08 1/9/08 1/9/08 1/9/08 1/9/08 1/9108 1/9/08 1/9/08 1/9108 1/9108 Plan Reviews I WE 12/10/2007 12/12/2007 10 APP LKW Paee 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2007,01781 ISSUED. 01109/2008 APPLIED. 12/06/2007 EXPIRES: 07/09/2008 VALUE: $ 293,550.00 2,850 00 $293,55000 $293,550 00 12/06/2007 Receipt Number 3200700000000000792 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 2200800000000000024 Will speak to Tara and Molly on 12/31/07 regardmg meetmg wIth the dpphcant regardmg 100' lot length and ared between bUlldmgs remammg Will need to mclude DdVld Bowlsby m dIscussIOn LKW Waltmg for LDAP to be taken out pnor 10 approval Will dsk Molly to nOllfy applicant to let them know Il IS requlI ed Will send the plans on to Tara fOI I eVlew -~""." CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-01781 ISSUED. 01109/2008 APPLIED. 12/06/2007 EXPIRES. 07/09/2008 VALUE. $ 293,55000 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Structufdl ReView 12/10/2007 12/12/2007 APP DLM See documents for Plan review comments Plannm2 ReVieW 01/07/2008 01/07/2008 APP TAJ Plot plan has been revised to rellect 100' dImenSIOn Pave filst 18' ofdllveway To Request an mspection call the 24 hour recording at 726-3769 All mspections requested before 7 00 a.m wIll be made the same workmg day, mspectlOns requested after 7.00 a m will be made the followmg work day. I R~,,~rprl Tn<nprtlOn<, I EroslOn/Gradmg InspectIOn Pno! to ground dIsturbance and alter erOSIOn measures are mstalled Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn m conjunctIOn wIth tootmg and/or founddtlOn mspectlOo Footmg After trenches are excavated Founddhon After fOl rus are erected but pnor to concrete placement Post and Beam Prior to floor IDsulatlOn or deckIng Floor InsuldllOn Pnor to deckmg FI ammg InspectIOn Prior to cover and after .111 rough III mspectlOns have been approved WalllnsulatlOn P.lOr to cover CedlOg Insulation Prior to cover Drywall Pnor to tapmg Fmal BUlldmg Afte. all reqUIred mspectlons have been .equested and approved and the bUlldmg IS complete Underlloor Plumbmg Pnor to msulatlOn or deckmg Underfloor Dram PrIor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Water Lme Pnol to filhng trench and mcludmg reqUIred testmg Samtary Sewer Lme Pnor to filhng trench and mcludmg reqUIred testmg Storm Sewer Lme Prior to filhng trench Fmal Plumbmg When all plumbmg work IS complete Rough MechaUlcal Pnor to Cover Fmal Mechamcal When all mechamcal wo. k IS complete Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred pnor to u"hty company energIZIng servIce Fmal Electnc When all electncal work IS complete Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO' COM2007-01781 ISSUED. 01/09/2008 APPLIED 12/06/2007 EXPIRES. 07/09/2008 VALUE. $ 293,55000 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Curbcut - Standard Alter forms are erected but pnor to placement of concrete By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certlty that all mformatlOn hereon IS true and correct, and I furthel certIfy that any and all work performed shall be done m accordance wIth the Ordmances of the CIty of Sp.mgfield and the Laws of the State ot Oregon pertammg to the work descnbed he. em, and that NO OCCUPANCY wIll be made of any structure wIthout permISSIon of the Commumty ServIces DIvIsIOn, BUlldmg Safety T further certify that only contractors and employees who a.e m comphance wIth ORS 701005 wIll be used on thIs p,oject I further agree to ensure that all reqUIred IUspectlOns are reqnested at the proper time, that each address .s . eadable from the street, that the permIt card IS located at the fl ont of the property, and the approved set of plans wIll remam on the sIte at all hmes dUrIng constructIOn /:;dIAJ"!<lO( (fl"lor ( Owner or Contractors Signature (")/ /0<] )oll Date Pa2e 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER Com2007-01781 Rc~lace Demolished Home NAMe OR COMP ANY Dcl~ado Guadaluoe Carlos LOCATION 3841 Virgm.. TAX LOT NUMBER 1702314402600 DEVELOPMENT TYPE Smgle Farruly ResIdence NEW DWELLING UNITS 0 BUILDING SIZE (SF 2850 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSITM I IMPERVIOUS S F x I COST PCR S F CHARGE I 119075 I $0346 I = I $41202 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F I x I COST PER S F I x I DISCOUNT RArE I I DISCOUNT I 0 00 I I $0 346 I I 50% I ~ I $0 00 ITEM 1 TOTAL - STORM DRAINAGE SDC $41202 2 SANITARY Sr:WER - rTTY A REIMBURSEMENT COST 1 NUMBER OF DFU's I x I 18 I COST PER DFU $26 83 B IMPROVEMENT COST I NUMBER OF DFU's I x COST PER DFU I 18 $2040 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $85027 -- ...-- 3 TRANSPORTATION A REIMBURSCMCN r COST I ADT TRIP RATE I x I 957 I I NUMBER OF UNITS I x I I 0 I I COST PER TRIP 2043 x INEWTRlPFACTORI I 100 I B IMPROVEMENT COST I ADTTRIPRATE I x I NUMBER OF UNIlS I x I COST PER TRIP I 9 57 I I 0 I I $90 10 ITEM 3 TOTAL - TRANSPORl A TION SDC ~ I $0 00 x I NEW 1 RIP F ACTORI I 100 I 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's I I 0 ICOST Pr:R rEU I $95 35 x B IMPROVEMFNT CO~ r INUMBER or I EU's I x ICOST Pr:R rr:u I 0 I $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , ~I $1,262 29 $000 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVE FEE I SUBTOTAL x ADM FEE RATE I~ I $1,26229 5% I TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORrATlON ADMINISTRATION FEE Kaye Wilson CHARGE $63 II TOTAL SDC CHARGES PREPARI:D BY DATE ~ 6098 C/) ~ ~ o u ~ [:: C/) ~ " ~ $41202 1070 ~ I $483 00 ,11091 I $367 27 11092 --.. J II $000 I 1093 I $000 I 1094 I = $000 L $000 : 1055 $000 11054 I ~ , $000 11056 I 63 II $000 =, $1,32540 1079 J 1078 , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIlRE UNITS 'I (NOTE FOR REMODELS CALCULATE ONLY TI-IE NET ADDITIONAL FIXTIJRES) NO OF FlXTURLS DRAINAGE I UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 ---0-- - . 3 = 0 ~I IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I !INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I [LAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 I !CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 I IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I [RECEPTOR FORREFRlG/WATER STATION /ETC 0 0 1 = 0 I I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 I I SHOWER, SINGLE STALL 2 1 2 = 2 I I SHOWER, GANG (NUMBER Of HEADS) 0 0 2 = 0 I ISINK COMMERCiALiRESIDENTIAL KITCHEN 1 1 3 = 0 I ISINK COMMERCIAL BAR 0 0 2 = 0 I ISINK WASHBASIN/DOUBLE LAVATORY 2 0 2 = 4 I ISINK SINGLE LAVATORYIRESIDENTIAL BAR 1 1 1 = 0 I IURINAL, STALL / WALL 0 0 5 = 0 I ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET, PRlV ATE INSTALLATION 3 1 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 18 ,,:EDU (EQUIValent Dwelhn1LUrut) IS a dIscharge eqUivalent to a smgle family dwelling umt (20 DRJ's) set at 167 gallons per day ---. - MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE I--~;~~~S~T~~~~O--G LAND ~LGIBLE FOR-~XATlON CREDIT' r-'YEAR L 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 2 $529 $529 $519 $512 $498 $480 $463 $440 $407 $367 $322 $273 $225 $180 $159 $145 $125 $109 $092 $072 $048 $028 $009 $005 (Enter I for Ye" 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT' (Enter I for Yes, 2 for No) BASE YEAR 2 1979 CRfDll ~OR I AND (JI' App! ICAB! E) V ALUL/IOOO CREDIT RATE $0 00 x $5 29 ~ , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE $000 x $529 o TOTAL MWMC CREDIT = $000 SPRINGFIELD ZON l ~f'Y7 _ ~ INITIALS "\M / .60!.. DATE I - l0 / rv; IW.JI SOURCE P'V ~ Date 1/ 91tJ~ CIW.Y OF SP.RlNGFIELD, OREGQN . " '" t.I - T""- _ ~"' e ,;.... 225 FlFTII STREET. SPRINGFIELD, OR 97477 . PII (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number --.C/M42.L)1)7- n/79;;/ ~ LOCATION OF INS1'ALLATION. .<; ~1d-JA/(tV< '{ 1:1 LEGAL DESCRIPTION J -, tJ Z :? /.:i4 e!J~ 6(J . , , JOB DESCRIPTION ,)>~~, ~~ Permits are nOD-transferable and expire If work IS not started wlthm 180 days of Issuance or If work IS Suspended for 180 days 2 CONTRAC1 OR INSTALLATION ONLY Electncal Contractor / Address CIty Phone / ExprratlOn Date Constr ctntr umber Exprratlo, ate SIgnature of Supervlsmg ElectrIcIan Owners Name 611Al}.dWt:!t! ~ , Address ~79 ,~ ~t Tll~Jt CIty ~~ Phone "5'/~-/2...jo -, , - OWNER INSTALLATION The mstallatlOn IS bemg made on property I own whIch IS not mtended for sale, lease or rent ;{ Owners SIgnature G.JJ.,.luIJQc , (or/ O~ InspectJon Request 726-3769 3 i COMPLETE FEE SCHh'DULE BEWW A New Resldentlal- Smgle or MultJ-Famlly per dwelhng umL ServIce Included 1000 sq It or less Each addIllonal 500 sq It or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder I 4- , $11700 / 11~ $2100 M.t!>O $55 00 B ServIces or Feeders - InstallatIon, AlteratIOns or RelocatIOn 200 Amps or less $ 70 00 20 I Amps to 400 Amps $ 83 00 40 I Amps to 600 Amps $138 00 601 Amps toA~QQ:~mN Drego" fa'" r9q~8u e: Over 1000 Ailipstvolt!es adopted bv thA 0 9tllltl, Reconnect ~(~Icatlon Center Those rljljlsli! ~ lillt fO"'h m OAR 952-001-0010 through OAR 952-001. C Tempo~ge;WtHl(Itwt~htJlS caples of the rules by ailing tne center (Note the telephone InstallatlOn?X\M.iw'o"r '!pEb9[,\!QPJ]I).Utllity NotlficatJon vl:lTller'1lf I :a'OU-,,32-23441 200 Amps or less ~ $ 55 00 55".00 201 Amps to 400 Amps $ 76 00 40 I Amps to 600 Amps $11 0 00 Over 600 Amps or 1000 Volts see "8" above D ' Branch CircUIts New AltefiitJ1>ii or ExtensIOn Per Panel \J I . ...._. One Clr~~~t PERMIT SHALL EXPII1~ I~ rHt:4JlJ\1lR1< Each A~p~t'!''1.~~lr/fffL~~'fhHIS PERMIT I~ .NOT ServIce or FeederJ'eQwl ~ 4'00 ~(Ji/!I\I,cNL,tu uR IS ABAI~uul~tu FOR , 'I" Hin n 'v rfl::cunr'l E MI~ce laneous,\Sertieelftetlrr not IUcluded)-Each InstallatIOn Pump or IITIgatJon $ 55 00 SlgnlOutlme LIghtmg $ 55 00 LUllIted EnergyIResldent131 $ 28 00 LImIted EnergylCommerc131 $ 50 00 Mllllmum Electnc PermIt InspectJon Fee IS $50 00 + Surcharges 4 SUBTOTAL OF ABOVE .2.. 5"' t. 6-0 .StD,? <- 25....60 I~.a.o .3 X /2. 12% State Surcharge 10% AdmlUlstratlve Fee 5% Technology Fee TOTAL Shared Dnve(T )/BUlldmg Forms/ElectncaJ Penmt Application 1-08 doc - Construction Contractors Board 700 Summer St NE Swte 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb state or us (~2CJO 7- 0/ 7~/(Jiu-e) Penmt # _ OJY1./? JJZJ 7"" 0 1 hc/S (61'tf:4C;,) Address 3134-1 V/.A'~/A:i'a Issued by Date Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requires resldentzal constructIOn permit applzcants who are not lzcensed with the ConstructIOn Contractors Board to Sign the follOWing statement before a budding permit can be Issued This statement IS reqUired for resldentzal bUilding, electrical, mechamcal and plumbing permits Licensed architect and engineer applzcants, exempt from lzcenslng under ORS 701010(7), need not submit this statement This statement Will befiled with the permit FIll m the appropnate blanks and lrutIal boxes 1 and 2, and either box 3A or 3B al ~2 I own, reside m, or wIll reside m the completed structure I understand that I must become hcensed 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 #) I WIll mstruct my general contractor that all subcontractors who work on the structure must be hcensed With the ConstructIon Contractors Board OR ~ 3B I Will be my own general contractor Iff hire subcontractors, I wtlllure only subcontractors hcensed with the ConstructIOn Contractors Board Iff change my mmd and hire a general contractor, I Will contract with a contractor who IS hcensed With the cCB and Will munedlately notIfy the office Issumg tins bUlldmg permit of the name ofthe contractor I hereby cernfy that the above mformatIon is correct and that I have read and do understand the InformatIon Notice to Property Owners about ConstructIon Responsibilities on the reverse Side of this form. x r;: I }(J. ~ Ci (.;(1 c (0 III of (Signature ofpenmt apphcant) 0/ / ox / () )( (Date) (WhIte copy to ISSUing agency permit file, pink copy to applzcant) Property_owner doc 06-01-04 \ ' \ ..,..., f'-,~. " :) \ . ......~....... , " ... ~........ \~\.. ~)'t ~,,\ Acting as Your Own 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 actmg as your own contractor to construct a new home or make a substanl1al Improvement to an eXIsting structure, you can prevent many problems by bemg aware of the followmg respOnslblhl1es and concerns Employer Responsibilities You wIll, In most mstances, be ruled to be an "employer" and the contractors you contract WIth will be "employees" tf you use contractors not hcensed wtth the ConstructIOn Contractors Board' t~ do labor m constructmg or to assIst In the construcl1on or In;'provement of a restdentlal structure As the employer, you must .c<<,>mpIy with the following, Oregon's Withholdmg Tax Law' As an employer, you must Wltwlold Income'taxes from employee wages at the time employecs are paId You WIll be hable for the tax payments even If you don't actually WIthhold the tax from your employees For more mformal1on, call the Department of Revenue at 503-378-4988 Unemployment Insurance Tax: As an employer, you are reqimed to pay a tax for unemployment msurance purposes on the wages of all employees For more Informal1on, call the Oregon Employment Department at 503-947-1488 , - The Oregon BUSiness Identification Number (BIN) IS a combmed number for both Oregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or www dor state or us/formsoav html1 for the appropnate forms Workers' Compensation Insurance, As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtam workers' compensatIon Insurance for your employees If you fall to obtam workers' cvmp~usatlon msurance, you could be subject to penalties and be hable for ~ll claIm costs If one of your employees IS Injured on the Job For more mformatlOn, call the Workers' Compensatton DIVISIOn at the Department of Consumer and Busmess SerVIces at 503-947-7815 " U.S. Internal Revenue Service: As an employer, you must WIthhold federal Income tax'from employees' wages You Will be hable for the tax payment even If you dIdn't actually WIthhold the tax For a Federal EIN number, call the IRS at 1-800-829-4933 or VISIt theIr web sIte at www Irs rrov , I Other Responsibilities and A-reas of Concerns Code ComplIance: As the penrut holder for thIS proJect, you are responstble for resolVtng any fmlure to meet code requrrements that may be brought to your attenl10n through mspecl10ns : Liability and Property Damage Insurance: - Contact your msurance 'agent to see If you have adequate msurance coverage for accidents and omIsSIons such as falhng tools, pamt over spray, water damage from pipe punctures, fire or work that must be redone Time: Make sure you 'have suffiCIent !tme to supervise your employees' - , " : ...,,' Expertise Make sure you' ha~e' the sloBs to act as your oWn general contractor, to coordmate the work of rough-m and fimsh trades, and to notify bUlldmg offiCIals as the app,vp"ate times so they can perform the reqUIred mspectlOns If you have addll10nal quesl10ns call the ConstructIOn Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 .../\"1 ".j' Properly_owner doc 06-01-04 225 Fifth Street Spnngfield, Oregon 97477 541-726-3759 Pbone f~~a"~;#4 IIIir: ~ ~ - City of Sprmgfield Official Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2007-01781 COM2007-01781 COM2007-01781 COM2007-01781 COM2007-01781 COM2007-01781 COM2007-01781 COM2007-01781 COM2007-01781 COM2007-0 1781 COM2007-01 78 I COM2007-0178I COM2007-01781 COM2007-01781 COM2007-01781 COM2007-0 1781 COM2007-01781 COM2007-01 78 I COM2007-01781 COM2007-0178I COM2007-0 1781 COM2007-0 1781 Payments Type of Payment Check cRccemtl RECEIPT #. 2200800000000000024 Date: 01/09/2008 DescnptlOn Sanitary Sewer - ReImbursement Sanitary Sewer - Improvement Storm Dramage ImpervIOus Area SDC Transpo Admm Curbcut PermIt BUlldmg PermIt 3 Baths One & Two Family Storm Sewer Each Addtl 100' Veut Fan Exhaust Hoods Dryer Vent Mmlmum/AdJustment MechanIcal -Mech Iss 2+ Apphances- Residence Wifing 1000 Sq Ft Residence Wifing Ea AddU 500 Fire SF Fee - ReSIdential Plan Review Major - Plannmg Plan RevIew Mmor - Plannmg Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By GUADALUPE CARLOS Item fotal Check Number AuthonzatlOn Received By Batch Number Number How Received Ikw 1005 In Person Payment Total Page I of I 8 42 02AM Amount Due 483 00 36727 41202 63 II 8500 1,31736 33700 1600 2100 10 00 700 1200 4000 11700 8400 9465 205 00 11600 5500 11912 237 16 20710 $4,405 79 Amount Paid $4,405 79 $4,405 79 119/2008