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Home My WebLink AboutPermit Building 2000-9-18 , ?' . I Job#OO-01257-01 I .~_. Page 1 of 4 TRANS#:01-0003246 DATE:SEP 18 2000 AMT RECD:2 $ 4204.35 CHANGE: CASHIER: 059 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01257-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4324 Cole Way Spr Assessors Map#: 18020524 Lot: 11 Block: Addition: Owner: Address: Charles Petersen 3227 Partridge Way Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor Charles Petersen 3227 Partridge Way, Springfield, OR 97477 Charles Petersen 3227 Partridge Way, Springfield, OR 97477 Charles Petersen 3227 Partridge Way, Springfield, OR 97477 Charles Petersen 3227 Partridge Way, Springfield, OR 97477 Tax Lot #: 40690 Subdivision: Redwood Village Phone Number: 541-501-5828 City/State/Zip: Springfield, OR 97477 New Value: $105,645 Registration # Expiration Date Phone NOTICE: 541-501-5828 THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NO'! COMMENCED OR IS ABANDONED FOI~41-501-5828 ANY 180 DAY PERIOD. 541-501-5828 541-501-5828 v" .,-"!,,,~. equlresyo~~t' '''1 ," .". ..It/P'cL. oy the Oregon Utility . ,.----;l:-....J....r1 . . l-' .l-j'Ht:11 IIIV~Cl\J....,...,....I_--- ~ Office Us't'~ .;~;. .,111; .001 0 through OAR 952-QOi Land Use: SingleIFamilY'IilWllilin?PPiC#~Bmf3I\f~?Y 1 Zoning Code: LDR no {h.e center. (Note:ffi~~~~~~2:f6WuP: Dwelling Bedrooms: 3 Ih" wtheOregonUtW~}j~ urce: Wall Heat R EI . ... '.,' ,. ; .P"(l_"~'1_;J, . ange:; ectnc . .' "sq: 0 tage: 1420 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 working day. Footing Foundation Post and Beam Floor Insulation Ceiling Insulation 3RSC 1 (VN) Wood Frame Electric Required Inspections I Buildinll -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. - Prior to cover. i r Shear Wall Nailing Framing Wall Insulation Drywall Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical SW-Curbside CC-Standard I Job# 00-01257-01 I Required Inspections I Building I -Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. . . I Electrical -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. - When all electrical work is complete. I Plumbing - Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. I Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanical work is complete. I Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Page 2 of 4 Curbside - 5' o 8 To Curb and Gutter 4 0010010000 00:00 AM Types Of Warning Devices Reqd. .. r Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: . I Job# 00.01257-01 I Overlay District: # of Street Trees: 2 . 3: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Planner: Ruth Klein Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 #Of Bedrooms: 3 Handicap Access? D ,Area (Sq. r ..:) I Main: 1420 Accessory~OO Fee Residential Plan Check Additional Plan Check Additional Plan Check Hourly Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Vent Fan to One Duct Dryer Vent Flood Plain FEMA: n/a Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 Accessory Structure # Of Stories: 1 Height (feet): 18 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1820 I. Paid On Receipt# Plan Check 08/16/2000 2930 08/16/2000 2930 09/18/2000 3246 08/16/2000 2930 Building 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 Electrical 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 Plumbing 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 Mechanical 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 Value/Quantity Fee Amount 106,225 226 -226 $291.69 $226.06 $-226.06 $.00 $291.69 105,645 $446.50 $31.26 $13.40 $491.16 1 2 $85.00 $30.00 $8.05 $3.45 $126.50 1 $.00 $160.00 $11.20 $4.80 $176.00 1 $4.50 $1.50 $.45 $6.00 $3.00 2 1 <" ~ . O' . Job# 00.01257-01 . Page 4 of 4 Value/Quantity Fee Amount Fee Paid On Receipt# Mechanical 09/18/2000 3246 09/18/2000 3246 Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 09/18/2000 3246 09/18/2000 3246 50 1 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Total System Development System Development 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 09/18/2000 3246 2,466 20 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 09/18/2000 3246 1 Grand Total Plan Check Type Checked By Date Completed Initial Review-Res Lisa Hopper 08/17/2000 Engineering-Res Steve Templin 08/23/2000 Planning-Res Ruth Klein 08/30/2000 Structural-Res Don Moore 09/08/2000 Comment $10.00 $1.05 $26.50 $60.00 $60.00 $120.00 $591.84 $997.20 $507.82 $242.76 $22.05 $10.00 $118.58 $2,490.25 $1,000.00 $1,000.00 $4,722.10 NO OCCUPANCY UNTIL CITY ACCEPTS INFRASTRUCTURE 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 701.055 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 apP:prof ~ans will remain on the site at all times during construction. ---"" ~ ?/Af),JT) Z""~ignature Date .. . p.'~ Willamalane t, ~ Park & Recreation District . f. . SYSTEM DEVELOPMENT CHARGE ORKSHEET NAME:~\\{\lli ~ PHONE:.5t)\:~ ADDRESS: ~~~~J STATE:~ZIP: Ql1Jl , LOCATION OF PROPOSED BUILDING S: ~ Street Address: -4 ~86- ~~ \ 0 \J.... 'Xu ^' n/iJ Plat Name: Tax Lot Number. ~ &\ it)LXYV-JU \ 1. OEVELPPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) Job. No. ["().tJ\~ .01 . A ,Sinolp.-FRmilv Dp.IRr.hp.rf " Single Family home NO. OF UNITS ( Manufactured home not in a park X $1,000 per unit = $ltCfJ.Cfj B. SinQIp.-FRmilv AttRr.hp.Q NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartmen\ NO. OF UNITS X $692 per unIt = $ D. .MRnllf::J.Ql1/rp.rf HomA P:>m 3. TOTAL WILLAMAL~ NEf SDC ASSESSED , (If SOC reduced for Crecm ~~\'1~:t~rtmem City of SPringlle~es[ X $699 per unit 0: $ $lQCCl_OS 2. SDC CREDIT (If appficable) SOG-payermust furnish proof of 0{ Willamalane Credit approval. See SDC Credit Wod<sheet.$ P $lDOO'Oc) NO. OF UNITS WILLAMALANE SDC I I Date' ~ - ,.- \. . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01257-01 NAME OR COMPANY: PETERSON LOCATION: 4324 COLE WAY TAX LOT NUMBER 18-02-05-24-06900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 1820 LOT SIZE: 9010 , J ~TnllM DRAINAGE IMPERVIOUS SQ. FT. 2466.00 x $0.240 PER SQ. FT. $591.84 I 2 SANITARY SFWER-cITY NUMBER OF PFU's (SEE REVERSE SIDE) 20 x $49.86 PER PFU $997.20 I 3 TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x 1.01 x $502.79 PER TRIP x $502.79 PER TRIP $507.82 I $0.00 I x TOTAL TRANSPORTATION SDC $507.82 I 4 SANITARY SFWFR - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's x $22.05 PER FEU $22.05 I $0.00 I $10.00 I $274.81 I -$2,371.67 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDc SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVE FEES' BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $118.58 I ~T~ SUC CUURDINATUR 08/23/2000 UATE TOTAL SDC CHARGES I $2,490.25 I ~ . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETc. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESWASHERlMOP SINK cLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TORIW A TER ST A TlON/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URlNAL,STALLAVALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 2 2 2 .. x x UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 I 2 2 I 6 4 PLUMBING FIXTURE UNITS 4 o o o o 4 o o o o o o 2 o 2 o 8 o o o 20 $0.00 $0.00 . . CREDIT TOTAL $0.00 TOTAL PLUMBING FIXTURE UNlTS=1 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $4.74 1990 $1.96 1980 $4.65 1991 $1.55 1981 $4.59 1992 $1.36 1982 $4.46 1993 $1.23 1983 $4.30 1994 $1.05 1984 $4.14 1995 $0.90 1985 $3.93 1996 $0.75 1986 $3.63 1997 $0.57 1987 $3.26 1998 $0.35 1988 $ 2.85 1999 $ 0.15 1989 $2.40 ~ ~ CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ELECTRICAL PERMIT APPL~~:?\ON ( City Job Number ('() .~I'~rO 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ~ C. Temporary Services or Feeders Installation, Alteration or Relocation Expiratio Date ""- 200 amps' 'OT less \ $ 40.00 ~ Sir of 201 amps to 400 amps $ 55.00 Supervising Over 401 to 600 amps $ 80.00 Over 600.amps or 1000 volts see liB" above Permit are non-tr sferable and expire if work is not started.within 180 days of issuance or if, work is suspended for 180 days. . alNTRACTOR INSTALLATION ONLY /' / City Supervisor Expiration Cit Owners Name~ \m Addres~C) The installation is being made on property I own which is not intended for sale, lease or rent. Owners ~ -------~------------------------------ DATE: RECEIPT 11: RECEIVED BY: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only Branch Circuits Items \ 'L. Cost Sum $ 85.00 ~ $ 15.00 3) .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 " New, Alteration or Extension Per Panel One Circuit ~Each Additional ~, Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 C() , -. . . . .' . . . . ". .' . " C~nstruction Contract. 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 pennit#:Jn-~O/ Address: f .3 2. JC!;wAj' Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701. 01 0(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ~ I. I own, reside in, or will reside in the completed structure. ~ 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. ,~ OR ~ 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered 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 ofthis form. ~~ . (Signature of permit applicant) q~-;( 1m) /. / (Date) (White copy to issuing agency permit file, pink copy to applicant.) i\ prop-own/f/ 3-99 ~ ...-. ",. . . . . .., , . InformatioQ Notice to Property Owners About Construction Responsibilities Note: This Information Notice /0 Property O~1-ners about Construction Responsibilities was developed by the Construction COlllraclOrs Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the consiruction or improvement of a residential structure; you will, in most inslances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregun'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 for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 503-945-8091. 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 information, call the Oregon Employment Department at 503- 378-3524. Workers' compensation insurance: As an employer, YOn are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7810. U.S, Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages, You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. Other Responsibilities and Areas of Concerns Code compliance: As the pennit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, 'paint overspray, water. damage' from pipe punctures, fire. or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503-378-4621). The Board is located at 700 Summer St NE, Suite 300, in Salem. prop-own/fl 3-99