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Home My WebLink AboutPermit Building 2003-7-9 \....11 i: OF SPRlNtjf1lJi;LD . Building/Combination Permit Status Issued PERMIT NO: COM2003-00485 ISSUED: 07/09/2003 APPLIED: 06/12/2003 EXPIRES: 01109/2004 VALUE: $ 26,455.00 !'tV i i\:,L . -- - .r TII[ "IGn" TU~f~I,lMY"pliJi}\.J:.&r",L IT' :,\ SAUii-nmiZEDl1N'GtK 'rR~I};E~iRf:tIfj!;'1Wf Residence COMMENCfilHE3& &~~~DOt'jWIi~@~ Residential ANY 180 DAY PERIOD. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .dTTt-I'J IIUI\l:ureyui l tctvv Iv'1U"......... J"'_-..:~ . .'-- dopten ""y, Tnp t..J1eUUII \..HIIHY SITEI~DDRESSf. 621 CIn; VIE'Y>BLV'2,rt ~SSESSOR!S\p";~ll.eEL Nb,?p8 J!ih03341~04)OOOO: 1 OAR 952-001-001 0 throug U/-It1 :,j~"'. , . . ..... r.i:,\-,o;"\f thA rpla-S tl PROJECT(DESCRlP.'HON :.Of\ddition to'existing SFR ~:~l1inq the center. (Note: the tele.~no~~_ 'nbertnrtne ure~Ull UlIlIlY I...VL..,.........~'_. Owner: D.o,l'L,D.URLAMl.QQ?-2Cl44\. Address: 621<CITYVIEW BLVD SPRINGFIELD OR 97477 Phone Number: 541-744.1286 Owner: OWNER Address: I CONTRACTOR INFORMATION J Contractor Type Electrical Mechanical Owner Plumbing Contractor OWNER OWNER DON DURLAND OWNER License Expiration Date Phone 541-744-1286 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: 1 Height of Structure 13.00 Type of Heat: Forced Air Elect Water Type: Range Type: Energy Path: Patb 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 292 R-3 SETBACKS I DEVELOPMENT INFORMATION I 46.00 1.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 68.00 .14.00 33.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Page 1 of 3 , Plan Reviews , 06/13/2003 06/1312003 APP LLH 06/13/2003 06/20/2003 APP AJD A Tree Felling Permit is needed if 5 or more 5" diameter or larger trees are removed. tj 06/13/2003 06/1912003 APP VRJ As per 6-17-2003, 1:28pm conversation with property owner, wcstside storm drainage goes to street, eastside to splash blocks. Talked to Steve Graham 6-19-2003, 8:50 am, he will all applicant to go to existing system ( no new downspouts). 06/13/2003 07/0212003 APP RJB Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Not Covered Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Plan nine Review Public Works Review Structural Review CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00485 ISSUED: 07/09/2003 APPLIED: 06/12/2003 EXPIRES: 01109/2004 VALUE: $ 26,455.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $90.60 Square Footage or Bid Amount 292.00 Value Date Calculated Total Value of Project $26,455.20 $26,455.20 06/1212003 Ifpp~ Amount Paid Date Paid Receipt Number 1200200000000001500 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 2200200000000001206 $153.47 $10.00 $32.71 $22.90 $43.00 $3.00 $236.10 $45.00 $59.00 $4.03 $80.65 6/12/03 7/9/03 7/9103 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 $689.86 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. Paee 2 of3 ; CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00485 ISSUED: 07/09/2003 APPLIED: 06/12/2003 EXPIRES: 01109/2004 VALUE: $ 26,455.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line I Rel1l' 'red T nsoections , 11..1..1 I I r ] Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Post and Beam: Prior to Ooor insulation or decking, 4 Floor Insulation: Prior to decking. 5 Shear Wall Nailing: Before covering sheathing with finish materials. 6 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 7 Wall Insulation: Prior to cover. S Ceiling Insulation: Prior to cover. 9 Drywall: Prior to taping. ]0 UnderOoor Mechanical. Prior to insulation or decking and including required testing. II Final Mechanical: When all mechanical work is complete. ]2 Rough Electric: Prior to Cover 13 Final Electric: When all electrical work is complete. ]4 Final Building: After all required inspections have been requested and approved and the building is complete. 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 times . n r ion. .?l -----, 7--- Y ---03 Owner or Contractors Signature Date Paee 3 of3 '... ........ m.. = cr. ..... Q,) Q.J 1:l E E ........ Q::: ; ; -; c.. c.. ..... Cl,.) Cl,.) S':~ o ,~ -E 'l;l i: 0 ~~~ blJ...... .~ .$ = :c .. .. = Q.Ej:l., '" Q. .... 0 O;:j c~ U~ r- r- .". r- 0'1 = ~ o 0 ~-= ~...~ ..00'1 .:: "'I/) rJj,:g r-- ..'" .:=~ c:: OJ)~ fi:=r- ,~ I In...... N Q..". N"'1n :;; Il-< ~ .., 00'-0' ~';~8g~~g~~~~~ -~ciq:o\\DV'loMMNM..o =00 V'lMo:;t "<t" NMl"'l = N ~ o ~ e <( '" <:> <:> N -- 0'1 <:> -- r- <:> 0; ... .. ~ \0 <:> N .... <:> <:> <:> <:> <:> <:> <:> <:> <:> <:> N <:> <:> N N :it ... Q. ,~ .. '" .. Q::: '" " .:;: '" " g .6 .~ ~ gp " .- !r E 2 _ 0 '" ll.liZlii: 0J:l-s.. 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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#: COvVI Z.C .J ~OOLj 8':> Address: .62/ Cr-l-.... V \ \="".J J5/ J d -n.-..- ( Date: t /q / () ~ . / I .' C Issued by:.l1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permitapplicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permi(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 befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ~l. .:EJ 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. o 3A. My general contractor is (Name) (CCB #) . I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR .ft 3B. I will be my own general contractor. If! 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 of the name of the contractor. . I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Pr. ,rty ners about Construction Responsibilities.on the reverse side of this form. ~~/2-t? 3 (Signature of permit applicant) (Date) (White copy tc! issuing agency permit file, pink copy to applicant.) ~ Property _ owner.doc 03/11103 i~ , ," .... '3 I J 0 ~. J , -> ~ '. ~)) ,- , . ~,~~i~g ~S :Yo~~gwn,General Contractor? . INFORM~~ION N.qTlCE TO 'PROPERTY OWN~RS . ABOUT'CONSTRUCTION'RESPONSIBILlTIES ., .- . , . ... ....'\ \ NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance. with ORS 701.055(5), passed br 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 and concerns. Employer Responsibilities You will, in.most.instances; be ruled to be an "employer" and the contractors.you contract with will be "employees" if you use contractors not licensed. with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law:.As an employer~yo\l,mus! \\[ithhol~ inc.ometaxes from employee wage,s at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ID number, call the.,Busi~,ess Information Cen.ter at 503-986-2200... . ;';-( , Unemployment Insnrance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes /' . - . '., .' .~,. 1 ., - " ...... on the wages of all employees. For more IOforniation, call the Oregon Employment Department at 50.3-947- 1488. /.' Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must ohtain workers' compensation insurance for -your employees. If you fail to oblilinworkers' 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, call the Workers' Compensation Division at the Department of Consumer and Business Servicesat503-947.,781?.._,o' , . ) , , '..,1' t -":. :' ~1 I. U.S. Internal Revenue Service: As an employer, you .must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. ."I'm," ;'.j:, ,. f.,. ""< '-. .", . ,o(her ResponsibiJities 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 iIlspections'... . . .. . I. Liability and 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;iwater damage from pipe punctures,. fire or work that must be redone: :1'; ". '. , '.. r ,; ",,' . '\ r ..... , , Time: Make!ure 'you ~a~e.~uffici~t time to supervis~ y()ur eml'l()yees.. ~ '-,. " , , ,-' ,.' , ., .~ . ." 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 riotifY.ouiloing officials.as the appropriate times'sotney can.'p'erforurthe required inspections. . . '~.:/.~ " . If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property- owner.doc 03/11103 . -' .,'., '; '1 I . ~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FlXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL! SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG/WATER STATION / ETC 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 .- 0 iSHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS\. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V A TORY/RESIDENTIAL BAR 0 0 1 = 0 I 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 dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RA TEI$I ,000 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 r BEFORE 1979 $4.92 (Enter I for Yes, 2 for No) 1979 $4,92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $4.83 (Enter I for Yes, 2 for No) 1981 $4.77 BASE YEAR 1979 1982 $4,64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 VALUE / 1000 CREDIT RATE 1985 $4,09 $0.00 x $4.92 ~ I SO.OO 1986 $3,78 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2.98 VALUE / 1000 CREDIT RATE 1989 $2.52 $0.00 X $4.92 ~ , 0 1990 $2.06 1991 $1.64 1992 SI.45 TOTAL MWMC CREDIT = SO.OO 1993 $UI 1994 SI.13 ]995 $0.97 1996 $0.82 1997 SO.63 1998 $0.41 ]999 $0.22 2000 $0.04 .1 ,I I I I I I I I I I I I I CITY OF SI- ...1IIGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: "AX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS. 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 1 286.00 50.282 I = 1 $80.65 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. 1 x 1 COST PER S.F. 1 x 1 DISCOUNT RATE I I DISCOUNT I 000 I! 50.282 i. 1 50% ~ i $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $80.65 ~ Com2003'00485 Don Durland 621 City View 17033414 tl4400 SFD addition o . BUILDING SIZE (SF: o LOT SIZE (SF): o I~ a o u ~ 10:.) ,f-< en 6 ~ 2. SANITARY SEWER. c:ITY 11070 $80.65 A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x 1 COST PER DFU I 0 I 1 $22.09 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x I 0 . ITEM 2 TOTAL. CITY SANITARY SEWER SDC COST PER DFU $16.79 = , $0.00 !' 3. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADTTRlPRATE 1 x 1 NUMBER OF UNITS 1 x I 1 9.57 1 1 0 I 1 B. IMPROVEMENT COST: 1 ADTTRJP RATE 1 x 1 9.57 1 COST PER TRIP $74.17 $0.00 COST PER TRIP $16.81 1 NUMBER OF UNITS 1 x 1 i 0 1 1 ITEM 3 TOTAL - TRANSPORTATION SDC ~ , 4. SANITARY SEWER. MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I 0 1 5332.86 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I 0 1 $34.83 MWMC,CREDlT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDl ~ , $0.00 ~ , $80.65 I~ CHARGE 1 $4.03 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: ISUBTOTAL 1 x 1 ADM. FEE RATE $80.65 I I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 $0.00 x INEW TRIP FACTORI 1 1.00 I $0.00 1091 1092 I I ;1 11093 I 11094 I II I 1054 I 1055 1054 11056 J I I 4.03 1079 $0.00 J 1078 , = $84.68 II I x INEWTRIP FACTOR 1 1.00 I $0.00 $0.00 = $0.00 $0,00 $0,00 6/1912003 Virginia Jurasevich PREPARED BY DATE TOTAL SDC CHARGES \ne fO\\OWing ~J~ \ttsd h~~ land use 225 F[FTH STREET. SPR[NGFIELD, OR 97477 . PH:(541)726-3753 . f~i~64>I?iI'iti;r1'/Ii!llAi!e specIfic ,he d does nOf} ELECTRICAL PERMIT APPLICATION . 0 ' it~~~~~n .Jjjv<-: -o? CltyJobNumberCU....roo3_004gS- Dale IZh3 p .1.oning- - II . I f'.."'"~-_..._...',.,- ".,-._~~~.__..~~_..>r."":..,.' '._,'- . .-.'-' . . - "_. . -.--.- -- I. . LOCA:i'ION OF iN8TALLA110N 3. COMPLETE?FE,- d ':h~RJ(J.:~ in;' en ___ ~;ll tJ/77/)'iffN $..L}/fl /'-J",on'. ""';;:',"" "''''i-'':' . LEGAL DESCRIPTION kr# ~ A. : -!'Iew Rosidential-. Sin?looor Multl~Falllily per dwelling unit. ~ /00M /1LJLJ/77oN JOB DESCRIPTION /7033 1.11'-( TIt- / \ ,? ^ <') vt.--. o Lj'-lOD II ~I\ n 10// Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for [80 days. l- --~.. - r--.- - '-~--' -,.---- .. --,-' . 1 2. [(]f!NTR!:E!:?R lfrST~!i\.T!9N_ ()~pf .j Electrical Contractor Address City Phone Supervisor License Number 11/ ~ ~t5 J o Expiration Date. Constr. Conlr. Number Expiration Date Signature of Supervising Electrician ,- Owners Name ;;!)&N Pt/fif'L/j-/J/LJ Address db.:2;/ O/ff V/.6:# )3L.@ City 5P/""L? Phone 7Yt,/-/c?$h OWNER [NSTALLATlON The installation is being made on property i own which is not intended for sale, lease or rent. x Inspection Request: 726-3769 Service [ncluded 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. :Services'orFeeders'::' Installation; Alter~tioIls or-Relocation: "':;"_~~'''-"~_~",,,:_~..k;;:j': . 'm.'~':--""""" ~::.., ::~_. _" 200 Amps or less 20 I Amps 10 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpslV oils Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 . $ 50.00 '- " c. ~~~fe~~'I;~rM~~:' ~~r~ic~~:"~~Ye!~ie~;: Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. 1- "__~H - ",':""'1<". ~- D. : Branch 'Circ'uits - . --~_._,-,"~. ~ .._~--~-- -~, -~-"',',_-, ,.....'-~ New Alteration or Extension Per Panel One Circuit I ~ $ 43.00 Each Additional Circuit or with { Service or Feeder Pennit $ 3,00 L/3 s ;--,-----'~~-'....."",.;-- - -:--_'_'---,--'T "1:"- ~ -,-_._--;- E. ! .jVIisee!laneolls (Service/fe~der lliiJ inclnded) -Each [nstallation , _.__"w,_ __ '''~.~.;.,,''___~ "_':-_'.'_... ~~'.._,,_.._~'. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges -' -- .~- -,.--- --- -. --.----.-- -- - Lfb :3-ZZ i.j60 f 5~g Shuli..-G Dl1\liT )/BUlldmg Fonns/Elcctncal Penmt ApplicatIOn 1.03 doc 4. SUBTOTAL OF ABOVE. H' t~" ;./ h -~j.'" -~--,~,,-',-,"'....- 7% State Surcharge 10% Administrative Fee TOTAL