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Home My WebLink AboutPermit Building 2008-3-17 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00273 ISSUED: 03/17/2008 APPLIED: 02/25/2008 EXPIRES: 09/17/2008 VALUE: $ 12,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2435 16TH ST ASSESSOR'S PARCEL NO.: 1703243402100 Springfield TYPE OF WORK: Bathroom PROJECT DESCRIPTION: Bath addition TYPE OF USE: Addition Residential Owner: HARLEY ANDREW J & EDWINA F Address: 2435 N 16TH ST SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing I CONTRACTOR INFORMATION' Contractor EUGENE ROLLINS OWNER OWNER License 180729 BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Primary Occupancy Group: R-3 Height of Struct8Q'\O 14.00 Secondary Occupancy Group: \Qf~ 'I Uti\\\'I Electric Primary Construction Type N;:fbN~ Otego ~~~90~e\ 10M Electric Secondary Construction Type:A.TTE fU\e& adopte !@lta\'i'~ 952..001. Electric # of Bedrooms: 10\\~t a\\OO ceo\~~1 l\~~ .\es bY Path 1 Not' c 962..001""" .' . one n/a \n O~~ \\,.. r'o,! ~n~ t'+let':" '~e J e ~;li"''' 00:\\\09 \\'\, 91fll~~~RMA TION I rnbet ~t ~\._~.."~ I\U ceo\8f \I Overlay Dist: 5.00 # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I ~~ ~ \~"t\\~Q.~~T Type: ~,~'t. ~I\\~ \S'\\\JT' . ~t'~ S\\~~'" ,c:. \,t."\'4" !J1\~nspouts/Drams: Septic, added 1 ~~\ll~:\\~~ 1~1t'f.AO~ts~K) \~~ ~\1.tO \) \S ~~~~V Downspouts to curb & gutter ~U~~o ~~Ct.O 0" ~oO. CO,,^\'!\ 0.00"''( \,t.V\ ,..~'( '\ g Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!:e 1 of3 Phone Number: 221-4931 Expiration Date 02/27/2010 Phone 747-8751 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 120 Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Curb and Gutter Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00273 ISSUED: 03/17/2008 APPLIED: 02125/2008 EXPIRES: 09/17/2008 VALUE: $ 12,600.00 225 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 120.00 Value Date Calculated Description Total Value of Project $12,600.00 $12,600.00 02/25/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $93.85 2/25/08 1200800000000000172 + 10% Administrative Fee $30.24 3/17/08 1200800000000000241 + 12% State Surcharge $35.57 3/17/08 1200800000000000241 + 5% Technology Fee $14.82 3/17/08 1200800000000000241 Add, Alter, Extend Circ $48.00 3/17/08 1200800000000000241 Add, Alter, Extend Circ Ea Add $4.00 3/17/08 1200800000000000241 Building Permit $144.38 3/17/08 1200800000000000241 Fire SF Fee - Residential $6.00 3/17/08 1200800000000000241 Fixture $48.00 3/17/08 1200800000000000241 Minimum/Adjustment Mechanical $43.00 3/17/08 1200800000000000241 Minimum/Adjustment Plumbing $2.00 3/17/08 1200800000000000241 SDC Sanitary/Storm Admin $2.08 3/17/08 1200800000000000241 Storm Drainage Impervious Area $41.52 3/17/08 1200800000000000241 Vent Fan $7.00 3/17/08 1200800000000000241 Total Amount Paid $520.46 I Plan Reviews ~ Public Works Review 02/26/2008 02/27/2008 APP LKW septic no fees Storm to curb & gutter Planninl!: Review 02/26/2008 03/05/2008 APP T AJ No Planning issues Structural Review 02/26/2008 03/07/2008 WE DLM Incomplete drawings. Called owner and requested floor plan and bldg. elevations 3/7/08dlm. Structural Review 03/11/2008 03/12/2008 APP DLM Received requested drawings. See documents for Plan review comments. Initial Review 02/26/2008 08/26/2008 APP NJM Pal!:e 2 of3 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: cOM2008-00273 ISSUED: 03/17/2008 APPLIED: 02/25/2008 EXPIRES: 09/17/2008 VALUE: $ 12,600.00 225 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. L Reouired InsDec~ 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Shear Wall Nailing: Before covering sheathing with finish materials. 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechalllcal: 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. t/t~/YI~~~a~/ Owner or Contractors Signature I 3-//~6rf Date Pal!:e 3 of3 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 SF x I COST PER S F CHARGE I 120 00 I $0 346 = $41 52 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F x I COST PER S F x I DISCOUNT RATE I l 0 00 I $0 346 I 50% = I COM2008-00273 Andrew Harley 2435 16th Street 1703243402100 Smg1e FamIly ReSIdence o BUILDING SIZE (SF~ ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's I . 0 B IMPROVEMENT COST 1 NUMBER OF DFU's I 0 x COST PER DFU $26 83 COST PER DFU $20 40 x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 B IMPROVEMENT COST ADT TRIP RATE 957 I NUMBER OF UNITS' x I I 0 1 . I NUMBER OF UNITS x I I 0 I =, x ITEM 3 TOTAL - TRANSPORTATION SDC 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's x I 0 ICOST PER FEU I $95.35 B IMPROVEMENT COST !NUMBER OF FEU's x I 0 ICOST PER FEU I $990 39 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 I ADM FEE RATE I $41 52 I 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 3/13/2008 PREPARED BY DATE 120 $41.52 = , $0.00 LOT SIZE (SF) DISCOUNT $000 COST PER TRIP 2043 x INEWTRIPFACTOR I 100 COST PER TRIP x NEW TRIP FACTOR $90 10 1 00 $0.00 I' $0.00 1 I' $41.52 CHARGE $208 TOTAL SDC CHARGES =, o $41.52 $0.00 $0.00' $0.00 $0.00 = $0.00 = $0.00 $0.00 $0.00 208 $000 $43.60 r:/J ~ Q o U ~ ~ E-< r:/J ...... o ga 11070 1091 1092 1093 1094 1054 1055 1054 11056 1079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRlNKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS I ETC 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER I MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG I WATER STATION I ETC 0 0 1 = 0 RECEPTOR FOR COM SINK I DISHWASHER I ETC. 0 0 3 = 0 SHOWER., SINGLE STALL 0 0 2 = 0 I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK COMMERCIAL BAR 0 0 2 = 0 ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (EqUIvalent DwellIng Umt) IS a dIscharge eqUIvalent to a smgle family dwellIng umt (20 DRYs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $4 63 $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 = ZON let r INITIALS ^1(VI DATE .3f Jf('J6 R . } SOURCE rY) IX fh ~ 225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (O,..M e. 008' -0 C> 271 1. LOCATIONOFINSTAELATION: ',,", ~+~S /Z'''~ 'Sr""'''''''' LEGAL DESCRIPTION /70:3 2.~. ~f. C)E-/~ 0 JOB DESCRIPTION tiv~E ; /t1~f/6 AA-7Jl~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. cONTRAcrOR INSTALiATIO~ ONLY.' h,A A ~ A;' ~ .<..' / > J " I 2. Electrical Contractor Address CIty Phone 8ul""""'" Licen" Numw _ \ 1\ ~{).,- Exprration Date O'T Constr Contr Number ExprratIon Date SIgnature of Supervismg Electnclan Owners Name A h.~ ve ItJ J. 11ff.r-e-(y I ~ \-~ Phone 7 4 7- \f II 0 Address ;).. 4 1 S- CIty ~t"r1h~C('e11k - OWNER INSTALLATION The mstallatIon IS being made on property I own which is not 1Dtended for sale, lease or rent. r- (1erS~ignaj2{/~ ~~V / Inspection Request: 726-3769 3. or 11'"1/0:; I ' COMPLETE FEE SCHEDULE BELOW Date ~ / < e A. New Resid~~tial-" Single:"or!Multi-Family per dw~lling unit. Service Included 1000 sq ft or less Each additIOnal 500 sq. ft. or portion thereof $117.00 $ 2] .00 Each Manufact'd Home or Modular Dwellmg Service or Feeder $55 00 ~ "" ;. -, B. Services or"Fe~ders::.... Installation, Alterations or Relocation: ~ , ' ;~,,' ,~ v ~ ~ J ,'~ ~'" ( ~ "' 200 Amps or less $ 70 00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $13800 60] Amps to ] 000 Amps $180 00 f~~!!~8~~aw requin=:~ yuu TO ~~I:'OOOO ''U~~'d'erQ)pted by the Oreg U'" IN~/:~~~CeDter. ~hose rules ar~t f~:rn ",," , ~. L ',~9~~itfw;au"~952"()01. o 9~i' You may obtam Copies of the rules by n~MI~'O&eJ\WEraiJRtii:~eI&!laptrone 200 ~ ~e9~egon Utility Notification $ 55 00 . VClfllif ..... .-600-332-2344' 201 Amps to 400 Amps ,. $ 76 00 401 Amps to 600 Amps $11000 Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits ." , ~ <, < , New Alteration or Extension Per Panel One CrrcUlt / $ 48.00 Each Additional Circuit or with I Service or Feeder PermIt $ 400 4g 6-() -I-~ E. ~cellaneous (Service/feeder not inclu'ded) -E~ch Installation NOTIGt- ", . '." ". u. THIS~iiJdA\.l EXPIRE IF THE WOR~ 55.00 AU~afHil~gTHIS PERMIT IS NO '$ 55 00 COMMIiN06G~~i~~DONEo-FCR $ 28 00 AN'l~~ti~~ercial $ 5000 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTO'J;AL"OF ABOVE 52- tH) 12% State Surcharge ;:. .2--r- 10% Admmistrative Fee ~ # U 5% Technology Fee ~ .teJ'J TOTAL (p(p.G{ Shared Dnve(T )/Bmldmg Forms/Electncal PermIt ApphcatlOn 1-08 doc 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#dMO" -O:J~~ C-Y\0C: 1/ _.~ SI Addre~v I.tI . Issued by' '1\6 Date' .'J /; 7 10 7' - / j'- Statement: Information Notice to Property Owners About Construction Responsibilities , Note: Oregon Law, ORS 701.055(4) requires residentzal constructIOn permIt applicants who are not lzcensed with the Construction Contractors Board to sign the following statement before a buddmg permit can .be issued. ThIs statement is required for resIdential bUlldmg, electrical, mechanical and plumbing permits. Lzcensed 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. e appropriate blanks and initial boxes 1 and 2, an~ either box 3A or 3B: 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. D 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be /lice~sed wit~:"e Construction Contractors Board. ~B. 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 ofthe 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 a~out Construction Responsibilities on the reverse side of this form. ;>< ~/114J ~ f1u/l~ / ::3 --/7/oi (Signature of permit fPlicant) (Date) (WhIte copy to issuing agency permIt file, pmk copy to applicant) Property- owner.doc 06-01-04 Contractor? '> NOTICE TO OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES 1_ This Information Notice to Properly Owners about Construction Responsibilities was developed by the 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 you can problems by bemg aware of the a substantial improvement to an eXIst10g responsIbIlIties and concerns. You 10 most you use contractors not constructIon or ruled to be an "employer" wIth the Construction of a reSldenhal structure. As the contractors you contract wIth will be "employees" If to labor 10 construct1Og or to assist in the you must comply the following: Tax Law: As an you must will be hable for tax call the Department of Income taxes from employee wages at the tIme even if you don't actually wIthhold the tax from your at 503-378-4988. on the wages As an For more to pay a tax unemployment insurance purposes Employment Department at 503-947-1488. Busmess IdentIficahon Number Unemployment Insurance Tax To file for a appropnate fOIms. (BIN) IS a comb1Oed number for both Oregon WIthholdmg and or Vl\vw.dor.state or us/foImsn<lv.html1 for the Workers' Compensation As an employer, you are and must obtam workers' compensatlOn 10surance for your Insurance, you could be subject to' be hable for more mfonnatlOn, call the Workers' Compensation at 15 to Oregon Workers' CompensatIon Law, If you fall to obtain workers' compensatlOn costs If one of your employees is 10Jured on the at Department Consumer and Bus10ess As an employer, you must even If you dIdn't thcrr weh SIte at W\"\'\v.l1:s_.J!Q~. federal mcome tax from employees' wages. tax. For a Federal EIN can the As holder for thIS to your attentlOn you are for resolVIng any fallure to meet code coverage Insurance to see If you have adequate Insurance over spray, water damage )from plpe or .... "''''... J ....J-t tune to and fimsh sure you skllls to act as your own to notIfy bmldmg ofI1clals as to the of rough-In tImes so they can pcrfoIm the reqUIred questIOns call the 97309-5052. ) or the agency at PO 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 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 COM2008-00273 Payments: Type of Payment Check cRecemt I RECEIPT #: 1200800000000000241 Date: 03/17/2008 Description FIre SF Fee - ReSIdentIal BUildIng PermIt FIxture MInimum/AdJustment Plumbmg Vent Fan MInimum/AdJustment MechanIcal Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Storm Dramage ImpervIOus Area SDC Sanitary/Storm Admm + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By EUGENE ROLLINS Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed dJb 760 In Person Payment Total: Page 1 of 1 11:39:38AM Amount Due 600 144 38 4800 2.00 700 43.00 48.00 4.00 41 52 208 14.82 35.57 3024 $426.61 Amount Paid $42661 $426.61 3/17/2008