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Home My WebLink AboutPermit Building 2008-3-6 Status Issued CITY OF SPRINGFIELD BuiIding/Combin,ation Permit PERMIT NO: COM2008-00136 ISSUED: 03/06/2008 APPLIED: 01/30/2008 EXPIRES: 09/06/2008 . VALUE: $ 4,725.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1009 NANCY AVE ASSESSOR'S PARCEL NO.: 1703272206800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Bathroom addition Owner: RICHARD KRUMDIECK Address: 70 CARTHAGE COURT EUGENE OR Phone Number: 541~343-1155 I CONTRACTOR INFORMATION I Contractor Type General . Electrical Mechanical Plumbing Contractor License RICHARD LEE KRUMDIECK 47212 WEILAND ELECTRIC DIVISION, LLC. '175373 MONTGOMERY HEATING & AIR CONDIT 172006 OWNER ,. ..,.. I BUILDING INFORMATION I Expiration Date 02/11/2009 04/06/2009 09/08/2008 Phone 541-343-1155 541-747-7701 541-998-9423 # of Units: # of Stories: Primary Occupancy Group: ATTER~ON: OregcMtJi!Wt~8jtv6& to Secondary Occupancy Group: follow rules adopteCf&.lvetM~on Utility . Primary Construction Type Notificali6n Center. ~errifi1meare set forth Secondary Construction Typein OAR 952-001-0010ijJ:t~R 952..001- # of Bedrooms: ,-.- 0090. You may obtailE~lf(l)fIthe rules by. calling the center. ~e&mIhsItelbP~e, nla , nllmht:1r fnr thLOl:~'" II.ulf\~~':2e\' , CenlJeDlB'ltllWRM~FORMATION I Lot Size: Sq Ft 1st Floor: 58 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: 8.90 Overlay-His!: ' . # Street Trees Rqd: P~ve~nrive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUJ3LIC IMPROVEMENTS I Street Improvements: ' Storm Sewer Available: Special Instruction: ) Sidewalk Type: NOTICE: Downspouts/Drains: THIS, PERMIT SHALL EXPIRE IF THE WORK . AUTHORIZEQ.UNDERTHIS PERMIT IS NOT' COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ' Notes: Pa2e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00136 . ISSUED: 03/06/2008 APPLIED: 01130/2008 EXPIRES: 09/06/2008 VALUE: $ 4,725.00 225 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 45.00 Value Date Calculated Description ,Total Value of Project $4,725.00 $4,725.00 01/30/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $49.23 1/30/08 i200800000000000084 -Mechanical Issuance Fee- $20.00 3/6/08 1200800000000000206 + 10% Administrative Fee $17.97 3/6/08 1200800000000000206 + 12% State Surcharge $21.57 3/6/08 1200800000000000206 + 5% Technology Fee $8.99 3/6/08 1200800000000000206 Appliance Vent $7.00 3/6/08 1200800000000000206 Building Permit , $75.74 3/6/08 1200800000000000206 Dryer Vent $7.00 3/6/08 1200800000000000206 Fixture $64.00 3/6/08 1200800000000000206 Furnace - up to 100,000 btu $14.00 3/6/08 1200800000000000206 Gas Outlets 1-4 $5.00 3/6/08 1200800000000000206 Sanitary Sewer - Improvement $122.42 3/6/08 1200800000000000206 Sanitary Sewer - Reimbursement $161.00 3/6/08 1200800000000000206 SDC Sanitary/Storm Admin $14.17 3/6/08 1200800000000000206 Vent Fan $7.00 3/6/08 1200800000000000206 Total Amount Paid $595.09 I Plan Reviews I Initial Review 01/31/2008 01/31/2008 APP LLH Public Works Review 01/31/2008 02/01/2008 APP LKW , Structural Review 01/31/2008 02/21/2008 APP RWC Approved as noted. Planninl!: Review 0113112008. 03/9512008 APP TAJ, no Planning issues 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. Pal!:e 2 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00136 ISSUED: 03/06/2008 APPLIED: 01/30/2008. EXPIRES: 09/06/2008 VALUE: $ 4,725.00 .225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insnections I Footing: After trenches are excavated. . Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to d~cking. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall hisulation: 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 Plumbing: Prior to cover and in~ludingrequired testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 ofany 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 time7!-d,uriyns;;ti/_~) ,....,.. Ii', . " /"" \) ~~~ '" ~ ' 3" lsJ~O r '-.,...01 ---. Owner or Contractors Signature Date l. Page 3 of3 Construction Contractors Board 700 Summer St NE'Suite300 PO Box 14140 ' Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us. . /~ tJ -.\ tLl A " Permit #: ~ ,~t:..A.V. .,. . Address: \@ \''(lrt'~.. . . Issued by: 1> 0 .. Date:. Y~/D .r 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 permit can be issued. This siatement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under DRS 701.010(7), need not submit this statement, This statementwil/ be filed with the permit. Fill.in the appropriate blanks 1IDdinitial bDxes 1 and 2, an~: either bDX 3A Dr 3B: ~:. I .own, reside in, Drwill reside in the cDmpleted structure. I understand that I must becDme licensed as aCDnstructiDn CDntractDrifthe structure is sDld Dr ' .offered fDr salebefDre Dr .on cDmpletiDn. o ' 3A. My general contractDr is (Name) (CCB #) . . . . " l.win-instniCt my general cDntractDr that all subcDntractDrs WhD wDrk .on the structure must be licensed with the CDnstructiDn. CDntractDrs BDard. ' ~ OR ... r . B. ! Will berny own general contractor.. . . ... . .. If! mreimbcontractors, ! will hire only subcontractors iicensed with the Construction Contractors BDard. If! change my mind and hire a general cDntractDr, I will CDntract with a cDntractDr WhD is licensed with the CCB,an~ will immediatelynDtify the .office issuing this building permit Dfthe name .of the cDntractDr. . y I hereby certify that the above, information is correct and that I have, read and do understand the Information Notice to Pro r: owne~s about ~truction Responsibilities on the reverse side o~ this form. . Y:~,",0~ (Signature Dfperml pplicantY " (Date) (White copy to ~~~u.ing agency permit file, pink copy to applicant.) , .:~-q. Property _ owner.doc 06-01-04 '"~ r ;, /....... '-'..., "" Acting as~ :Yo~r. eneral Contractor? , '( f, ,." . , ., /- INFORNi~TION TO .PROPERTY OWNERS . --'\ c' . ' ''''<.' .. AB()'JT~~~~STRUCTIONRESPON~,IBllITIES, . , ~-~-- NOTE: This Information Notice to Properly about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORB 701.055(5), passed by the 1989 Oregon Legislature. .~ '. your own contractor to constrUct a new can ,p;evenfmany probleinsby, oeirig aware or make a substantial iHljJloveme~t 'an existing fol1owing responsibilities and concerns. . " . j ~ ~ ,be ruled to be an, ~'empl,oyer" not licensed \yith tQ.e Construqtion , of ,a tesidential s:tructUt.e,: , . ' . . ' , ' . the',contractQfs yo~ contract with,will be "empJoyees~'if to do labQrin consn.uctlng..QT ~o aSSIst in the rou must cmnply' th'e}oUowing: ,or _ ," . ,_: _ , _ ~ . . . . . . r As an enl'ployer, withhold income taxes from employee'wagesat'the6me You will be liable for the tax,payments even you d~.m't actually withhold the tax from your , :' >, l. ".., ,'~ ~ , ' ' ',' mpre information;'cal1 the Department at 503-318-4988. ,~;. on Tax: As an employer; you ate requiredto:p'ay a tax for ,unemPloyment insurance purpo's~s ' For more information, Employment Department at 503-947-1488. " '., .' .' , " : ,." " :, ": ~"'.1 ;,. , ..,. ''- ' .{i.' ,,: ". ,', .;;',,', ,..' ,",~" . .. G"\.,,,~' Identification Number. (BIN) ,,nUmber fprbot.\:10tegon" Withholding a~(r ", To file for a BIN, can or \Hvw,dor.state.oLus/formso<lv.htmit for the The Unemployment '';;;~~J Workers' As an employer, you' are obtain: \york~rs' y01ppensation fQr " be'suoj~bet:o-'penalt~es informatIon, call the Workers' at 503-947-7815, '. to the Oregon Workers' Compensation Law, . If you fail to obtain wo*ers' compensation c'o~ts if one bfyour 'employees 'is hi.Juredon'the the Department of Consumer, arid Business Revenue Service: ' As an employer,you You the tax payment even if you . IRS:an:..800-829.:4933:or"visit.therr web siteat"\vww federaf income the tax. For a from ~employees" ~wages,' EIN number, cail the Concerns Code As the permit holder for this that may ~e b,rou,ght to your "'~ ,.~,' , you are for failure to meet code Damage' Insurance:' and omissions such as -to'see i(you , , water damage adequate irisu:nince . pipe-punctures, or , t 1.-' sufficienttime to --- - . f'. "'--.......... """ ,'I- ''\''''/ ./'~. " , your , . the skins to as your O\\'Il building officials as .....; "" ~ to the work of rough-in so they can perform the inspections. caD the 97309-5052. Board (503-378-4621) or "J"rTite agency at PO CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2008-00136 NAME OR COMPANY: Rick Krumdieck LOCATION: 1009 Nancy TAX LOT NUMBER: 1703222001700 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS . 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM DRAlNAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 0.00 $0.346 = $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I 1 0.00 I $0.346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC I $0.00 DISCOUNT $0.00 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: NUMBER OF DFU's x 6 COST PER DFU $26.83 B. IMPROVEMENT COST: , 1 NUMBER OF,DFU's x, I COST PER DFU '6 1 $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $283.42 x 'NEW TRIP FACTORI 1.00 I $0.00 11093 J x 1 NEW TRIP FACTOR I 1.00 $0.00 1094 I ,I = $0.00 '1054 3. TRANSPORTATION A REIMBURSEMENT COST: ADTTRIPRATE x 9.57 I NUMBER OF UNITS I x I 0 I COST PER TRIP . 20.43 B. IMPROVEMENT COST: ADT TRIP RATE x 1 NUMBER OF UNITS x I COST PER TRIP 9.57 1 0 I $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: . NUMBER ~F FEU's I x B. IMPROVEMENT COST: INUMBER OF FEU's 1 x I 0 I I COST PER FEU 1 $95.35 COST PER FEU $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $0.00 o r/) ~ ~ o I~ r/) ....... o ~ $0.00 1070 $161.00 1091 $122.42 " 11092 I = $0.00 .I 1055 $0.00 11054 $0.00 I 1056 $283.42 5. ADMINISTRATIVE FEE: 1 SUBTOTAL x I ADM. FEE RATE 1= I $283.42 I 5% , TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $14.1 7 Kaye Wilson 2/1/2008 TOTAL SDC CHARGES PREPARED BY DATE 14.17 1079 $0.00 11078 ~, $297~J *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 , 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGffiLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $~OO x $529 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $O~O x $529 TOTAL MWMC CREDIT = 2 2 1979 $0.00 o $0.00 225 Fifth Street " Springfield, Oregon 97477 541-~~6-3759 Phone . Job/Journal Number COM200S-00136 COM200S-00 136 COM200S-00 136 COM200S-00 136 COM200S-00 136 COM200S-00 136 COM200S-00136 COM200S-00136 COM200S-00136 COM200S-00 136 COM2008-00 136 COM200S-00136 COM200S-00136 COM200S-00136 Payments: Type of Payment CreditCard cReceint 1 City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: i 1200800000000000206 9:44:14AM Date: 03/06/2008 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Furnace - up to 100,000 btu Vent Fan Appliance Vent Gas Outlets 1-4 Dryer Vent ~Mechanical Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee . Amount Due 161.00 122.42 14,17 75,74 '64,00 14,00 7,00 7,00 5,00 7,00 20,00 S,99 21,57 17.97 $545.86 Paid By RICHARD KRUMDIECK Itein Total: Check Number Authorization' Received By Batch Number Number How Received djb 02444A In Person Payment Total: $545,S6 $545.86 Amount Paid Page 1 of 1 3/6/200S