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Home My WebLink AboutPermit Building 2008-2-29 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1623 Menlo Lp ASSESSOR'S PARCEL NO.: 1703273302100 PROJECT DESCRIPTION: Bedroom Addition Owner: BRONDEL DIANNE K Address: 1623 MENLO LOOP SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00116 ISSUED: 02/29/2008 APPLIED: 01/25/2008 EXPIRES: 08/29/2008 VALUE: $ 13,230.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: 541-953-3287 JE I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 VB 1 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building 1 15.00 Electric Electric Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 126 Path 1 n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.00 41.50 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I ATTEN"SJ~~e'frcm: follow r~e . cfnnt law requires you to Notlficatiorf~~~~ts~}iiiB<<l Oregon Uti/ity in OAR 952-001-0010 those rules are set forth 0090. You ma 0 . rough OAR 952-001- calling the c~nt~~al(Joi'es of the rules by number for the Or~gonO Sfil~~e tel~1?ho~e Center is 1 800 3 Y NotifIcation - - 32-2344). Street Improvements: Storm Sewer Available: Special Instruction: N1il>T~E: Gutter to existing system THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Dwellinl!s Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fire SF Fee - Residential Miscellaneous Mechanical Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Public Works Review Structural Review Planninl! Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00116 ISSUED: 02/29/2008 APPLIED: 01125/2008 EXPIRES: 08/29/2008 VALUE: $ 13,230.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 126.00 Value Date Calculated Total Value of Project $13,230.00 $13,230.00 01/25/2008 ~ Amount Paid Date Paid Receipt Number $99.42 1/25/08 3200800000000000061 $20.00 2/29/08 3200800000000000143 $26.13 2/29/08 3200800000000000143 $30.60 2/29/08 3200800000000000143 $12.75 2/29/08 3200800000000000143 $48.00 2/29/08 3200800000000000143 $4.00 2/29/08 3200800000000000143 $152.96 2/29/08 3200800000000000143 $6.30 2/29/08 3200800000000000143 $50.00 2/29/08 3200800000000000143 $99.42 2/29/08 3200800000000000143 $4.19 2/29/08 3200800000000000143 $83.74 2/29/08 3200800000000000143 01/28/2008 01/28/2008 $637.51 I Plan Reviews I 01/28/2008 APP NJM 01/28/2008 APP LKW Storm drains to gutter to existing system 02/20/2008 APP RWC 02/21/2008 APP TAJ No Planning issues 01/28/2008 01/28/2008 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. UleouiredJnsnections. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00116 ISSUED: 02/29/2008 APPLIED: 01/25/2008 EXPIRES: 08/29/2008 VALUE: $ 13,230.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. .f)JA~ ~~~.~ Owner or Contractors Signature (Jd--/~9/6g ( I Date Page 3 of 3 225 Fll'.n STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION / City Job Number (' 1) ~ ZOO 1?- 00 I! b Date 1. ~W&iTroN oJi1i\iStffJi:i4TIiJ - iZi3~:~''''''#1;;v7~-'''' -L~o" '", 'WiiiI ""--~J . ".." .. .... ........... ~" LEGAL DESCRIPTION: /705 Z~ ~Y-A.vt;,~,'OOA. ~:X~~:lli!<<!!~~"I~~:~!~g!~:o~""" tv l7lt)..-t PeNf /IfF tP/'f()()/I'r L-sr- ~""N./i?r.-i Service Included JOB DESCRIPTIN:~ 1000 sq. ft. orless . A d....- I Each additional 500 sq. ft. or n I () ^ portion thereof Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. fiooNTRAcrO}{7iv~'i!I1fM~6N:ONi~ii,i 2. 2. \J%.W;G, .kffi&)w~~9fu\2'~,,~~~~ ' J~~ Electrical Contractor Address Phon~",-- Supervisor License Number J ~ Expiranon Date 0 City Constr. Contr. Number Expiration Date Signature of Supervising Electrician OwnersName ~/i4V\\AEF bro~c I JY/~/o LI Phone -; zb - 4 2~f Address /(,23 S?A CIty OWNER INSTALLATION The installation is being made on property I own which is not IDtended for sale, lease or rent. ~~e:~ Inspection Request: 726-3769 $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $55.00 :<~\ .;<///..y::/if ~ B. ~~r'i~~or 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps tchTM-Miilfs'N Oregon ISIJIJ t "'C: J$B8:001 10 601 Amps,t~o~8n~'lJLV adopted,.~~ ~hG.:)r'$~8'o~do,.I!lty l\rollir6'arfDT, tenter. T,,\.",vc; I u,~;:, ~J,~ SPbtCJllf I Over 1000i~P.~J~-001-001 0 t,",r'::'~g~ 1)~~14:.P -001 Reconnec1:00OO',. You may obtam "'''rlo~ '::'ffr?jf~~eS-a'i 109 ner Mi @.C flit ,,~, ili1ern'teflff'i=i:lu - Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. ~<^''\.''''- -<' -1 -- D. New AlterJtiIJj)096G:Uii~i6~)(aIRE IF THE WORIV ,;8 One CircuiAUTHORIZED UNDER THILe.E~rt~:PqS .NDT'7~ Eac~ Additllin8.Il~-<Nil.t~f)v6~ IS ABAflJDONE.Pd60R ' / ServIce or r,~f'lte~ gEfIBlAV PERIOD, ,. '$ '-1 $ 55.00 $ 76 00 $110.00 r,.1tyrT~__;/ ~~~/-w"~~<':i,"'S~~_J,ro!fllv \0 - ,- N"'1'~"'~~;;;"j;W_{;~\~t7' E. ~_iSCel~=~~!~T~!f~ea!~::~,9~' ~fi~~t!!l:~~~',I,' Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55 00 Limited Energy/Residential $ 28 00 Limited Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges A"'.....".~/ ~~ W'ffW""W"::'t 4. ~L TJ1l5,aE#A.B ~'\'w:~w.Av:v:.""Si~ * ~N"{O -.. 12% State Surcharge 10% Administrative Fee 5Zo 5% Technology Fee 760 /lk ' 6t-j TOTAL 7 /1;;' _ Shared Dnve(T )/BUI.1dmg Fonns/Electncal Pe ~~ 1-08 doc 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 SF x I COST PER SF' CHARGE I 242 00 I $0 346 = I $83 74 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F I x I COST PER S F x DISCOUNT RATE I , 0 00 / $0.346 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC $83.74 ITEM 2 TOTAL - CITY SANITARY SEWER SDC B IMPROVEMENT COST I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP I 9 57 I 0 I $90 10 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $0.00 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's x I 0 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's I x I 0 I B IMPROVEMENT COST I NUMBER OF DFU's I x I 0 I 3 TRANSPORTATION A REIMBURSEMENT COST I ADTTRIPRATE I x I 957 I B IMPROVEMENT COST INUMBER OF FEU's x I 0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET COM2008-00116/ Bedroom AdditIon Diane Brondell 1623 Menlo Loop 1703273302100 SmgIe FamIly Residence o BUILDING SIZE (SF: o rn P-1 o o u ~ P-1 f-< rn ...... o gj 126 LOT SIZE (SF) DISCOUNT $000 $83.74 1070 COST PER DFU $26 83 $0.00 1091 COST PER DFU $20 40 $0.00 i;I~2 = 1 $0.00 NUMBER OF UNITS x I o I COST PER TRIP I x NEW TRIP FACTOR 2043 I I 00 $0.00 1093 x INEW TRIP FACTOR I 100 $0.00 1094 I COST PER FEU I $9535 $0.00 1054 = ICOST PER FEU I $990 39 = $0.00 1055 $0.00 1054 $0.00 1056 =1 $0.00 =1 $83.74 CHARGE $419 419 1079 $000 11078 TOTAL SDC CHARGES =1 $87.93 -J 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 I SUBTOTAL x ADM FEE RATE I $8374 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 1/28/2008 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 LAUNDRYTUB 0 0 2 = 0 CLOTHESW ASHER I MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG I WATER STATION I ETC 0 0 1 = 0 IRECEPTOR FOR COM SINK I DISHWASHER I ETC. 0 0 3 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK- COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL I WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (EQUIvalent Dwellmg Unit) IS a discharge eqUivalent to a smgle family dwelling UnIt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $463 $440 $407 $367 $322 $273 $225 $180 $159 $145 $125 $109 $092 $072 $048 $028 $009 $005 IS LAND 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 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0 00 x $5 29 = 1 $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = 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#:(~rn LtrDr - 00 l (y Address: \lo0~ \Yv1Y\ 10 Lp Issued bY.~U lV\... Date, 'J..1z.Pt 108 Statement: Information Notice to Property Owners About Construction Responsibilities Note. Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are 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, mechamcal and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under- ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. FIll in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ 1. I own, reside in, or will reside in the completed structure. D 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) (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 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 Property Owners about Construction Responsibilities on the reverse side of this form. () J~~~.62~d(){)i url)(A~ ~ ~. 7J!h.I1!-h~ 10., (Signature of permit applicant) ----(Date) . I (White copy to ISSUing agency permit file, pink copy to applzcant.) PropertLowner.doc 06-01-04 Acting as Your' Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION 'RESPONSIBILITIES -... . I " - \ 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 ne~ home or make a substantIal Improvement to an existing structure, you can prevent many problems by bemg aware of the followmg responsibilities and concerns. Employer Responsibilities You wIll, m most mstances, be ruled to be an "employer" and the contractors you contract with wIll be "employees" if you use contractors not lIcensed"with the ConstructIon Contra~tors Board to do labor m constructIng or to aSSIst m the construction or Improvement of a. resldentlal structure. As the employer, YOU! must comply with the following: Oregon's Withholding Tax Law: As an employer, you must WIthhold mcome taxes from clllployee wages at the tIme employees are paId. You will be lIable for the tax payments even If you d(;m't actually withhold the tax from your employees. For more mformatlOn,' call the Department 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 mformanon, call the Oregon Employment Department at 503-947-1488. - - The Oregon Busmess IdentlficatlOn Number (BIN) IS a combmed number for both1 Oregon WIthholdmg and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or W\v\".dor state.or.us/formsnav.htmll. for the appropnate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CompensatlOn Law, and must obtain workers' compensatlOn insurance for your employees. If you fall to obtain workers' compensahon msurance, you could be subject to penaltIes and be-hable for all claim costs If one of your employees IS mJured on the Job. For more mformation; can the 'Workers' CompensatIOn DIViSIOn at the Department of'Consumer and Busmess ServICes at 503-947-7815. u.s. InternallRevenue Service: As an employer, you must WIthhold federal mcome 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 \v'....'Wjrs gOV.' Other RespcInlsibijities ,and Areas of Concerns Code Compliance: As the pennlt holder for thIS proJect, you are responSIble for resolvmg any faIlure to meet code reqUl:ements that may be brought to your attentIOn through mspect~ons. - - Liability and Property Damage Insurance: Contacf your msurance agent to see If you ~ave adequate insurance coverage for aCCIdents and omISSIons such as fallmg tools, pamt over spray, water damage from pipe punctures, fire or work that must be redone . . Time: Make sure you have sufficient tIme to supervIse your employees Expertise: Make sure you have tlie skIlls to act as your own general contractor, to coordinate the work of rough-m and fimsh trades, and to notIfy bUIldmg offiCIals as the appropnate hmes so they can perform the reqUlred InSpectIOns. If you have addItIonal questions can the ConstructlOn Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052. Property-owner doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 116 COM2008-00 116 COM2008-00 116 COM2008-00 116 COM2008-00 116 COM2008-00 116 COM2008-00 116 COM2008-00 116 COM2008-00116 COM2008-00 116 COM2008-00 116 COM2008-00 116 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 3200800000000000143 Date: 02/29/2008 DescrIptIOn Fire SF Fee - ResidentIal Storm Dramage ImpervIOus Area SDC Samtary/Storm Admm Plan Review ResidentIal BUlldmg PermIt Add, Alter, Extend C1rc Add, Alter, Extend Clrc Ea Add Miscellaneous Mechamcal ~Mechamcal Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% Admm1strat1ve Fee Paid By DIANNE BRONDEL Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIved nJm 03573z 035732 In Person Payment Total: Page I of I 10:37:46AM Amount Due 630 8374 419 9942 152 96 4800 400 5000 2000 1275 3060 26 13 $538.09 Amount Paid $538 09 $538.09 2/29/2008