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Home My WebLink AboutPermit Building 2008-2-29 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00158 ISSUED: 02/29/2008 APPLIED: 02/04/2008 EXPIRES: 08/29/2008 VALUE: $ 73,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 139 WOODLANE DR ASSESSOR'S PARCEL NO.: 1703262201900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition over existing garage Owner: SOKOL TRUST Address: 139 WOODLANE DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing Contractor PETE RAY RICHARDSON OWNER MARSHALLS IN C OWNER License 59650 Expiration Date 04/10/2009 Phone 541-726-5111 25790 12/23/2009 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ATTEN-'BtiIWI onI follow ru to ~'ficat;on C to<< y e Oregon Utility f AR 952_00eplm.siQlGSe rules are set forth. 2 o 0 v. H=UB~ght()AA 952.00~l.00 . IOU ma. . callin th ~ Rijites of the ruleaF3,tnc KJinb2 t e t.er ~:. ~he terephorliIectric C:~t ~ 'JIffy NotificatJiUlctric erIf~e i?-2344). 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: 704 I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE: __Xt"IHt: If Tlic\'e~tt I PUB~ HIS PERMIT IS NOT COMMENCED OR IS ABAN~b\~eeJIf(Jfjpe: ANY 180 DAY PERIOD. REQUIRED PARKING Total: 2 Handicapped: Compact: 80.00 20.00 20.00 Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Impervious surface area adjusted by TSS on 2/29/08. Fees updated. Paf!e 1 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00158 ISSUED: 02/29/2008 APPLIED: 02/04/2008 EXPIRES: 08/29/2008 VALUE: $ 73,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 704.00 Value Date Calculated Description Total Value of Project $73,920.00 $73,920.00 02/04/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $332.35 2/4/08 3200800000000000075 -Mech Iss 2+ Appliances- $40.00 2/29/08 2200800000000000268 + 10% Administrative Fee $79.65 2/29/08 2200800000000000268 + 12% State Surcharge $91.36 2/29/08 2200800000000000268 + 5% Technology Fee $43.87 2/29/08 2200800000000000268 Add, Alter, Extend Circ $48.00 2/29/08 2200800000000000268 Add, Alter, Extend Circ Ea Add $24.00 2/29/08 2200800000000000268 Building Permit $511.30 2/29/08 2200800000000000268 Dryer Vent $7.00 2/29/08 2200800000000000268 Fire SF Fee - Residential $35.20 2/29/08 2200800000000000268 Fixture $128.00 2/29/08 2200800000000000268 Miscellaneous Mechanical $29.00 2/29/08 2200800000000000268 Plan Review Minor - Planning $116.00 2/29/08 2200800000000000268 Sanitary Sewer - Improvement $163.23 2/29/08 2200800000000000268 Sanitary Sewer - Reimbursement $214.67 2/29/08 2200800000000000268 SDC Sanitary/Storm Admin $31.68 2/29/08 2200800000000000268 Storm Drainage Impervious Area $38.75 2/29/08 2200800000000000268 Vent Fan $14.00 2/29/08 2200800000000000268 Total Amount Paid $1,948.06 I Plan Reviews' Initial Review 02/04/2008 02/04/2008 APP NJM Public Works Review 02/04/2008 02/06/2008 APP LKW Storm water drains existing system Structural Review 02/04/2008 02/24/2008 WE DLM Engineering and const. drawings are not consistent. Advised contractor and contacted engineer for resolution 2/25.08dlm. Planninl! Review 02/04/2008 02/28/2008 APP EMM This addition shall have NO cooking facilities installed and shall not be considered a second dwelling unit and rented out as such. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00158 ISSUED: 02/29/2008 APPLIED: 02/04/2008 EXPIRES: 08/29/2008 VALUE: $ 73,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 02/28/2008 02/28/2008 APP DLM Received revised engineering cales and replacement drawings 02/28/08dlm. See documents for Plan review comments. 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. LReauired Insnections I Footing: After trenches are excavated. Shear Wall Nailing: Before covering sheathing with finish materials. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor 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. 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 during construction. .,~ vy tractors Signatur{)- I. ~ -2..q -I?fi 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 . Penmt #. cr;,.. EX) \5 g- Address' \ ~ ~ '\n:rrt l.t)nP -/ , . --:w Date 2/zl~~ / I Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residentlal construction permit applicants who are not licensed with the Construction Contractors Board to sign the followzng statement before a building permit can be zssued. This statement is required for residential building, electrzcal, mechanical and plumbzng permits. Licensed architect and engzneer applicants, exempt from licensing under ORS 701 010(7), need not submit this statement. This statement will be filed with the permzt. FIll in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. ~2. I own, reside in, or will resid~ in the completed structure. 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) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be lIcensed WIth the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. If I 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 issumg 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 about Construction Responsibilities on the reverse side of this form. x~~:;:~) ;)-:<:~tefY (Whzte copy to lSSUzng agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 '. Acting as- Your Own General Contractor? - _ I .:: INFORMATION NOT~CE TO PROPERTY OWNERS ABqUT 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 actIng as your own- contractor to construct a ne'~ ho~e or make a substanttalImprovement to an ~xIsting structure, you can prevent many problems by being aware of the following. responsIbIlItIes and concerns. Employer Re~pon~ibilitie~ 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 m constructing or to aSSIst In the .1' - - constructIOn or Improvement of a reSIdentIal structure. As the employer, you must co'mply with the following: ~ ~I . .' ,.. - , Oregon's Withholding Tax Law: As an employer, you must WIthhold Income taxes from employee wages at the tIme employees are paId, You WIll be liable fQr the tax payments even if you don't actually WIthhold the tax from your . - ",- employees. FOr more InformatIOn; call the Depa! (fllent of Revenue at 503-378-4988.' - . Unemployment Insurance Tax: As an employer, you-are "requIred to pay a tax for unemployment Insurance purposes on the wages of all employees. For more mformation, call the Oregon Employment Department at 503-947-1488. > It'_ . ... ....1' " ~ ,c.' I '. " The Oregon Busmess IdentificatIOn Number (BIN) is a combmed number for both Oregon WIthholdIng and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 0; www.dor.state.or.us/formsnav.htnl11 for the approprIate forms. .' Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CompensatIOn Law, and must obtaip wor~ers' c9mpensatIOn ins~ance for your employees. If you fall to obtain workers' CVH1pensatJon msurance, you could De subject to penalties ?l1d be hable for an-claim costs If one ofyo'ur employees is injured on the Job For more mformatJon, call the Workers' CompensatIOn DIviSIOn at the Department of Consumer and Busmess ServIces at 503-947-7815 U.s. lnaemal Revenue Service: As an employer, you must WIthhold federal mcome tax from employees' wages. You WIn be lIable 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 then: web SIte at W\VW.I1'S.gOV. . Other Responsibilitnes 3ll11dl A>xe'as of-Concerns Co<<lle Compliance: As the permIt holder for thIS project, you are responSIble for resolvmg any faIlure to meet code requirements that may be brought t.o your attentIOn through }nspections. Liability and Property Damage Insurance: Contact your insurance agent. to see if you have adequate msurance coverage for aCCIdents and omiSSIons such as fanmg tools, pamt over spray, water damage from pIpe p,unctures, fire or work that must be redone r-..... . .. ~ - \ ~ . I "....... - , , " ">::\0- ... Time: Make sure you have sufficient time to supervIse your employees: Expertise: Make sure you'have the skIlls to act-as your own general contractor, to coordinate the work ofrough-m and fimsh trades, and to notify building offiCIals as the approprIate tImes so they can perform the 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 06-01-04 ZON \~I INITIALS !'\ \ (\/\. DATE 2-)c:;,'-nV SOURCFfY\ r~\Y-r5') 2-l(-Cg 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEl..-l.KlCAL PERMIT APPLICATION City Job Number CC::>~ "Z-colr- 0 O~ J- 8" Date L 1. LOCATION Of",INSTALLATION: \3 g L2JF\f) J \ fLn1 "" ~ ~ ~,v, ~ A 3. COMPLETE FEE SCHEDULE BELOW " , ,'II' ;:r DE~CRIPTION: l, /> I A. New Resldeotial- SIngh> or Multi-FamBy per dweUlog uoit I ~ ~ ~N ~ ~ ~ / I/Vu,v~r ~~ervice Included JOB DESCRIPTIO~ ~{ 1000 sq. ft. orless $11700 Each 'addItional500 sq. ft or / 7 () 3 ~ :J-L t!J / <J brJ portion thereof $ 21.00 Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuanc~iJir1!'~ 0 Modular Dwelling ServIce or $55 00 Suspended for 180 days. fa/frw "111t:> . repnl1 I~~flr . . N " ,.s adq: 'eo' ";YUtre~yo t 2 CONTRACTOR INSTAii1t!l1;W/~ ~r' 7-~~~Z'fif~~~rs - Installation, Mt~rations o;:i~location: . 'OCg1" '- ~ ' 1-0C 1 1 tl - S are sa!"""'rt' ,I. u. ' . _ ~. Vf)/} na v 1rough OAR 0 II Electrical Contractor ~\ttIV\ cSpi+Jcf< O~tam car#@g &riffl~~?~Qo1. $ 70.00 - nUmber fa th~ ;r. (Note].QhrAm~Jfl~9&ps $ 83.00 Address r ~Cr \j i)~\.! ~~ enter IS ;~8~~~3~1tbW~Jf/~AmPS $13800 . \\ ( go~3$s to 1000 Amps $180 00 City 0 ~ . OL' Phone"7 l cOl:)77.. Over 1000 AmpsNolts $413.00 U ) . Reconnect Only $ 55 00 Supervisor LIcense Number / > ~ ''l ~'W~f~'" C. Temporary Sel)'ices: or Fe~~n ~> ~ ,~>~ , r i\ i ~" {~j i ^',~ Installation, Alteration or Relocation NOTICE- 200 Amps or less t;q 10 c:(1(N; PER"Mrr SMAl 201 Amps to 400 Amps / I AUTHORfZED UNDE l EXP1Rlil1RifiHEtwtJftfFPS ExpiratIon Dat "3 01/ ~MMf~C~- R THIS DtDAArr,~ .!IIWI000 V It "B" b I I . . I I;U On IS A8.4l1 (i)"faUmJU l&D1~\r::; ,0 s see , a ove SupervIsmg ElectricMY 180 DAY PERIOD. ."PGIIlc.lmrcuits, f .______ New Alteration or Extension Per Panel Y.J Lr trv..) ~N One Circuit I $ 48 00 4-2:J ~ '-.., Each Additional CIrcuit or with _.~ \ (0'- _ I I c..... (/' Service or Feeder Permit (0 $ 4.00 ~c./.. Owners Name cl ~l 'f/ "~\.....e..'4',^\ .JOf.co ' Address { ~ t l! ~ DoL ( .-\..vul_ E. ',1\1iscell~~eo~s (SerYlce/feeder ~ot included) -Each IDstaUat~on CIty c;~) FJ-.-I Phone 141 ~ '?~ 1_ ExpIration Date $ 55 00 $ 76.00 $110.00 OWNER INSTALLATION The installation IS being made on property I own which IS not mtended for sale, lease or rent. ~~~ Pump or irrigation $ 55 00 S1gn10utlme Lightmg $ 55.00 Limited EnergyIRes1dential $ 28 00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges / <- ~ ^qw~~~ ~ 4. SUBTOTAL OFABOVE " i ~ ".,," ^ /2~ 12% State Surcharge - ~. <0 1- 10% Administrative Fee ~ ... C\ -r'~ 5% Technology Fee f. (PO TOTAL 9/;41- Shared Dnve(T )/BUl1dmg FormslE1ectncal PermIt App(.catlOn 1-08 doc Inspection Request: 726-3769 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET 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 CHARGE I 11200 $0346 I = $38 75 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS SF I x COST PER S F x DISCOUNT RATE I o 00 I $0 346 50% = I COM2008-00 158/ AddItIOn Sokol 139 Woodlane 1703262201900 Smgle Family Residence o BUILDING SIZE (SF' 704 ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER8 OF DFU's I B IMPROVEMENT COST NUMBER OF DFU's 8 $38.75 LOT SIZE (SF) DISCOUNT $000 9583 " $38.75 x COST PER DFU $26 83 , x COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $377.90 3 TRANSPORTATION $214.67 $163.23 rn P-1 o o I~ rn ...... o gj 1070 1091 1092 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS IBATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC 0 0 3 = 0 INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER 1 MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 IRECEPTORFORREFRIG 1 WATER STATION IETC 0 0 1 = 0 IRECEPTOR FOR COM SINK 1 DISHWASHER 1 ETC 0 0 3 = 0 ISHOWER, SINGLE STALL 1 1 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK' COMMERCIAL BAR 0 0 2 = 0 I SINK. WASH BASINfDOUBLE LAVATORY 1 0 2 = 2 I ISINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 II URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 8 *EDU (EQUivalent Dwelling UDlt) IS a discharge eqUIvalent to a smgle famIly dwelling UnIt (20 DFU's) set at 162. gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I~~~ ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 ]987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $5.19 $512 $4 98 $4 80 $463 $440 $4 07 $367 $322 $273 $225 $180 $159 $145 $125 $109 $092 $072 $048 $028 $009 $005 2 2 1980 CREDIT FOR LAND (IF APPLICABLE) VALUE 1 1000 CREDIT RATE $0 00 x $5 19 = 1 $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 1 1000 CREDIT RATE $000 x $519 o TOTAL MWMC CREDIT $000 = 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00158 COM2008-00 158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00 158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 COM2008-00158 Payments: Type of Payment CredltCard cRecemtJ RECEIPT #: 2200800000000000268 Date: 02/29/2008 DescriptIOn Fire SF Fee - ResldentIa] Sanitary Sewer - ReImbursement SanItary Sewer - Improvement SDC SanItary/Storm AdmIn BUI]dIng PermIt Fixture Vent Fan Dryer Vent MIscellaneous MechanIcal -Mech Iss 2+ Apphances- Plan RevIew MInor - PlannIng Add, Alter, Extend Clrc Add, Alter, Extend C1rc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Storm DraInage ImpervIous Area PaId By JACQUELINE SOKOL Item Total: Check Number Authorization Received By Batch Number Number How Received dJb 010465 In Person Payment Total: Page 1 of 1 10:33:08AM Amount Due 3520 21467 16323 3] 68 511 30 128 00 1400 700 2900 4000 11600 4800 2400 4387 9] 36 7965 3875 $1,615.71 Amount Paid $1,61571 $1,615.71 2/29/2008