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Home My WebLink AboutPermit Building 2008-3-17 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 995 SUNSET DR ASSESSOR'S PARCEL NO.: 1703341106202 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00188 ISSUED: 03/17/2008 APPLIED: 02/07/2008 EXPIRES: 09/17/2008 VALUE: $ 18,900.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Extend Living Room Owner: BURGESS RONALD R & RAMONA D Address: PO BOX 7094 EUGENE OR 97401 Phone Number: 541-746-0015 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building VB Lot Size: 16.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: 180 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I A~~~:TOf~gon law requires you to follcD.orofs.p:08(S~itntlt~ the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the centC'r (1\1(lte the telephone numbel tn( th(~ (;1.', ,:,' '_:'1,,;\1 I\lcilflcatlon Street Improvements: Storm Sewer Available: Special Irf~iM"G.'l@!~ Notes: ~~~!~r~~~~~ ~~~~J~~~.lEI~~~~ COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pal!:e 1 of3 C(?n~,~~ tv I .u...,Cj-\- :,~_ -.:..,:;4L~) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00188 ISSUED: 03/17/2008 APPLIED: 02/07/2008 EXPIRES: 09/17/2008 VALUE: $ 18,900.00 225 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 180.00 Value Date Calculated Description Total Value of Project $18,900.00 $18,900.00 02/07/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Copy 6th @ 75 cents $0.75 2/7/08 3200800000000000090 Miscellaneous Copy Chgs $1.00 2/7/08 3200800000000000090 Plan Review Residential $127.31 2/7/08 3200800000000000089 + 10% Administrative Fee $25.49 3/17/08 1200800000000000240 + 12% State Surcharge $29.50 3/17/08 1200800000000000240 + 5% Technology Fee $12.29 3/17/08 1200800000000000240 Add, Alter, Extend Circ $48.00 3/17/08 1200800000000000240 Building Permit $195.86 3/17/08 1200800000000000240 Fire SF Fee - Residential $9.00 3/17/08 1200800000000000240 Minimum/Adjustment Electrical $2.00 3/17/08 1200800000000000240 SDC Sanitary/Storm Admin $3.13 3/17/08 1200800000000000240 Storm Drainage Impervious Area $62.56 3/17/08 1200800000000000240 Total Amount Paid $516.89 Imtial Review 02/08/2008 Plan Reviews ~ APP NJM Planninl!: Review 02108/2008 02/08/2008 APP NJM No Planning issues Public Works Review 02/08/2008 02/13/2008 APP LKW Storm water to tie into existing system Structural Review 02/08/2008 03/03/2008 WE DLM Called owner, needs to provide floor plan and building elevations 3/4/08dlm. Structural Review 03/11/2008 03/12/2008 APP DLM Received additional requested drawings from the applicant 3/11/08dlm. See documents for Plan review comments. Pal!:e 2 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2008-00188 ISSUED: 03/17/2008 APPLIED: 02/07/2008 EXPIRES: 09/17/2008 VALUE: $ 18,900.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Reouired Insoections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building 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 umesdJ7~stl~ M4flcIl/7, P-t/ul!J Owner or Contractors Signature Date Pal!:e 3 of3 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL RERMIT APPLI~1:PON City Job Number (' 0' - ()C)\ <b 6 Date 1. LOCATION OF INSTALi!ATION: I: ' '/ qq6 ~~n~I'~ LEGAL DESCRIPTION: L-il//L.J~ ,Kd? &,/ljU(7't!)#~ JOB DESCRIPTION: L-I//d/Z ~/? ~/~ffd/~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ~ <'b~~~ CONTRACTOR~INSTALLATION 0 ) ~~'i, " ~~ ~~~ , ElectrIcal Contractof . , " Address " / City ",,_, /one ',,- Supe<v"or Li= r" ExpiratIon Date JI ~, ;/ Constr C07 Numbef / E . .j D xprratJ.Qn ate / / Sigpature ofSupervismg ElectrIcian / Owners Name K'. "" l v)...' ) Address OJq ( Sd kI ~'4- "T City ~IO pt ~ Phone 7 tf (.r 0tJ ,~ OWNrmf1~~LATION The lllfM~stfo_emJrfFS!fflft. <p)flJM~I~ WtmK IS not wtfrffi.~~~tt1J~fj'EWfms PERMIT IS NOT own~~~M~- ED OR IS ABANDONED FOR "'/ Y180 ~~R!QD. \ _ - \i_ y Inspection Request: 726-3769 3. , ~k, ' /, ~~'T~' CO~f.U1.E F.llli SCHEDUIJ!:,!;JEWW <<" < .;: > " A. " New Residential- Single or'Multi-Family per dwelling unit , -..' -.., (~ $11700 $ 21 00 $55.00 y " " '>, B. ServiceS or 'Feeders -:- InstaJl~tion, J\I,terations' o;"Relocation: ,> s~< $ 70.00 $ 83 00 $13 8 00 $180.00 $413 00 $ 55.00 $ 55.00 $ 76 00 $110.00 $ 48.00 4- S3 $ 400 E. Miscellaneous (Service/feeder not included) -Each InstaUation . (~ > "'"'' , Pump or rrrigation $ 55.00 Sign/Outline LIghting $ 55 00 Lumted Enef~&i~: Oreqon law re.OOfou to LimIted Ener~~fldoPted by the Glr~g()l Utl!lty . . . tificatj.Q!) Cef:lterTnD~rJj).as 8,f,8 s~t T0'Tn MID~m~m ,Ej~,~ctn1" wffRM~~llftW~'6'tfr9"d~1!'b1f\qJ~~3:~ge~ 4. SUBTOT~~ obtain cqpffiiilth" '<)- [) 0--0 12% State ';:~1Jfrl'g the 'Center. (N6f1':'" ~ (, ,. o . . er for the OreaclI1 l ~I, ' 10 Yo AdmIlllstra Ive F~enter IS 1-800-Jv, 5% Technology Fee Na~ TOTAL A A' ^ l'\ /7" Shared Dnve(T )/BUl1dmg Forms/Electncal PermIt ApplIcatIOn 1-08 doc VV\a,J ~.H' 0 '~i::-~') .: 0N CU'V- pel). f>oy; lD 9'1 &s~ (),< 'I !y:iJj Service Included 1000 sq ft. or less Each additional 500 sq ft. or portIon thefeof Each Manufact'd Home Of Modular Dwellmg ServIce Of F eedef 200 Amps Of less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Ovef 1000 AmpsN olts Reconnect Only C. Tem~h.ry ServiceS or Feeders , '" ~ ..,,~c,~ , > Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Ovef 600 Amps Of 1000 Volts see "B" above. t ~"'p ,~ , " D. 'IBranch CircuiiS- - '" " / -/!~ > New Alteration or Extension Per Panel One CirCUIt I Each AddItIOnal Circuit or WIth ' Service or Feedef PermIt CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00I88/Livmg Room ExtenSIOn NAME OR COMPANY Ron Burgess LOCATION 995 Sunset TAX LOT NUMBER 1703341106202 DEVELOPMENT TYPE Smg1e Family ResIdence NEW DWELLING UNITS 0 BUILDING SIZE (SF: 180 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS SF x COST PER S F CHARGE 18080 $0346 = I $6256 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF I x I COST PER S F x I DISCOUNT RATE I o 00 I I $0 346 I 50% = I ITEM t TOTAL - STORM DRAINAGE SDC '$62.56 o r:n ~ Q o U ~ ~ I:-< r:n >-< o gz DISCOUNT $000 $62.56 1070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x o B IMPROVEMENT COST NUMBER OF DFU's x o COST PER DFU $26 83 $0.00 1091 , COST PER DFU $20 40 $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $0.00 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE I ,x I NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTORI I 957 I I 0 2043 I 100 I $0.00 111093 B IMPROVEMENT COST I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR I 957 0 I $90 10 I 100 $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $0.00 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST I NUMBER OF FEU's x ICOST PER FEU I 0 I $9535 = $0.00 1054 B IMPROVEMENT COST INUMBER OF FEU's x 'COST PER FEU I 0 $990 39 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 II MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $0.00 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) =1 $62.56 5 ADMINISTRATIVE FEE SUBTOTAL x I ADM FEE RATE 1= CHARGE $62 56 I 5% $313 TOTAL SANITARY ADMINISTRATION FEE 313 11079 TOTAL TRANSPORTATION ADK1INISTRATION FEE $000 1078 Kaye Wilson 2/13/2008 TOTAL SDC CHARGES $65.69 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQillV ALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 = 0 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK SINGLE LA V ATORYIRESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 'EDU (EQUIvalent Dwelling Umt) IS a discharge eqUIvalent to a smgle famIly dwelling umt (20 DFU's) set at 167 gallons per day ., -. -" -.- MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $4 98 $4 80 $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 1 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 /1000 CREDIT RATE $0 00 x $5 29 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /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 Perrmt #: C<?' ~ (J:) IIf 2S , Address: 7/-' 5~/gz(e;--.J y~ ~ Date. 3/17 / o::? - . I I Issued by: Statement: Infollllation Notice to Property Owners About .Construction Responsibilities r Note: Oregon Law, ORS 701.055(4) requzres residentzal construction permzt applicants who are not licensed with the Construction Contractors Board to sign the following statement before a buildzng permzt can be issued. This statement is required for residential buildmg, electrzcal, mechanical and plumbing permzts. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submzt this statement. Thzs statement will b.efiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~l. ~2. I own, reside in, or will reside 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. Iwill 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 ofthe name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information xotiCR:e; :~:~:::::O::~C::: Responsibilities on llie reverse Sid:;:t,:s (White coPY to issuzng agency permit file, pznk copy to applzcant.) Property_owner doc 06-01-04 ,C: I \<',- Contractor? PROPERTY OWNERS RESPONSIBILITIES Acting as INFORMATION ABOUT NOTE: This Information Notice to Properly Owners about Construction Responsibllrlles was developed by the Construction Contractors Board in accordance with ORS 701,055(5), passed by the 1989 Oregon Legislature If you are as your own contractor to construct a new home or make a substanttallmprovement to an eXIstmg you can many problems by being aware the followmg responsIbIlities and concerns. , You WIll, m most be ruled to be an "employer" and contractors you contract WIth .wIlI be "employees" If you use contractors not lIcensed WIth the ConstructIOn Contractors , to do labor m constructing or 10 aSSist m the constructIOn or of a reSIdential structure. As YOlI must comply with the following: Oregon's employees are Tax I~aw: As an employer, you must mcome taxes from employee wages at the tIme WIn be liable for the tax payments even if you don't actually WIthhold the tax from your call the of at 503-378-4988. As an employer, you are For more mformation, call to pay a tax unemployment msurance purposes Employment Department at 503-947-1488. Identification Number (BIN) is a number for both Oregon WIthholdmg and Insurance Tax. To file for a BIN, call 503-945-8091 or \nvw.doT.state.or us/formsoav.htmll for the InSainmce: As an employer, you are to the Oregon Workers' CompensatIOn Law, and must obtain workers' compensatIOn msurance your employees. you fail to obtain workers' compensat1on msurance, you be subject to penaltIes and lIable costs 110ne of your employees 18 mjured on the Job. For more mformatlon, call the Workers' CompensatIOn at the Department Consumer and Busmess ServIces at 503-947 -7815. U.S. Revenue Service: As an employer, you must You \V111 lIable the tax payment even If you IRS at 1-800-8294933 or visIt thelr web SIte at W\\'W.lr~,gQY employees' wages, EIN number. can the Code As the penmt holder thIS may be brought to your attentiOn you are n:sponslbJe for resolvmg any fallure to meet code Insurance: Contact your and omISSIOns such as fallIng agent to see you have adequate msurancc over spray, water damage from pipe punctures, fire or must be sme you hme to superVIse your sure you the sk111s to act as your own to notify budding offICials as to coordmate the work of rough-m can the reqUIred InSpectIOns. (503-378-4621) or \vnte the agency at PO can the 97309-5052. 06-01-04 225 Fifth Street Sp~iIigfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 188 COM2008-00 188 COM2008-00188 COM2008-00188 COM2008-00 188 COM2008-00 188 COM2008-00 188 COM2008-00188 COM2008-00188 Payments: Type of Payment Cred ltCard cRecelOt I RECEIPT #: 1200800000000000240 Date: 03/17/2008 DescriptIOn + 12% State Surcharge + 10% Admmlstratlve Fee FIre SF Fee - ReSIdentIal Storm Dramage ImpervIOus Area SDC SanItary/Storm AdmIn BUlldmg PermIt Add, Alter, Extend Clrc Mmlmum/ Adjustment ElectrIcal + 5% Technology Fee PaId By RONALD BURGESS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 839243 In Person Payment Total: Page 1 of 1 11 :26:06AM Amount Due 2950 2549 900 6256 3 13 195 86 4800 200 1229 $387.83 Amount Paid $38783 $387.83 3/17/2008