The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-3-31 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00288 ISSUED: 03/31/2008 APPLIED: 02/27/2008 EXPIRES: 09/3012008 VALUE: $ 14,560,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3633 E 18TH AVE ASSESSOR'S PARCEL NO,: 1803032003001 Eugene TYPE OF WORK: Garage TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Garage addition Owner: KEEN DAVID & AMBER Address: 35 S 21ST ST COTTAGE GROVE OR 97424 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # o~ Stories: requireS you to U ATTENml~~t3SVtuJMffi Oregon Utility foiiow n.1Ii'YP~ltif~~e r~les are set forth VB Notlflcatl~fet 1eO through OAR 952-001- in OAR 9R~~1 'i'n copies of the rules by 0090.. Ycm.mi'f n. ~tjpte: the telephone n~~~I~~'E~8d8lP~mty:~tifttl'atiOn I DEvEL~MrE~::;kM1"TIdN I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 520 Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 36,00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: 18,30 0,00 I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: NOTICE: Downspouts/Drains: Special Instruction: Soil is well drained #27, so spla1lfl~P'l!}J{Ml.,IS'R')~tl EXPIRE IF THE WORK Notes: Talked to owner regarding checking with Lane AWJJiPn.zij1uV.NJ:lf8o~.fl~6.W:tJ~tPJarad 2-29-2008, before pouring concrete. tUlvfME.~CED OFfis'ABANDONED FOR ANY 180 DAY PERIOD. Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00288 ISSUED: 03/31/2008 APPLIED: 02127/2008 EXPIRES: 09/30/2008 VALUE: $ 14,560,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Garae:e Tvpe of Construction Garae:e $ Per Sq Ft or multiplier $28.00 Square Footage or Bid Amount 520.00 Value Date Calculated Description Total Value of Project $14,560.00 $14,560.00 02/27/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $105,00 2/2 7/08 1200800000000000185 + 10% Administrative Fee $31.95 3/31/08 2200800000000000374 + 12% State Surcharge $35,22 3/31/08 2200800000000000374 + 5% Technology Fee $20.48 3/31/08 2200800000000000374 Add, Alter, Extend Circ Ea Add $12.00 3/31/08 2200800000000000374 Fire SF Fee - Residential $26.00 3/31/08 2200800000000000374 Garage/Carport $161.54 3/31/08 2200800000000000374 Perm Serv/Fdr 200 amps or less $70,00 3/31/08 2200800000000000374 Plan Review Minor - Planning $116,00 3/31/08 2200800000000000374 SDC Sanitary/Storm Admin $5,14 3/31/08 2200800000000000374 Storm Drainage Impervious Area $102,77 3/31/08 2200800000000000374 Storm Sewer - 1st 50 Feet $50,00 3/31/08 2200800000000000374 Total Amount Paid $736,10 Initial Review Public Works Review I Plan Reviews I 02/28/2008 02/28/2008 APP NJM 02/28/2008 02/28/2008 WE Concrete driveway information needed. 02129/2008 02/28/2008 APP LKW Soil is well drained #27, drainage to splash box will be allowed 02/28/2008 03/07/2008 APP TAJ Not considered an expansion of non-conforming use, Side setback needs to be at least 5 feet. 02128/2008 03/26/2008 APP RWC Public Works Review Plannine: Review Structural Review 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. Pae:e 2 of3 CITY OF SPRINGFIELD j Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-00288 ISSUED: 03/31/2008 APPLIED: 02/27/2008 EXPIRES: 09/30/2008 VALUE: $ 14,560,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reauired Insoections I Site Inspection: To be made after excavation but prior to setting forms, Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have been approved, Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, 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. iJo,. cJ /C? " 3~3(-O~ Owner or Contractors Signature Date Pa!!e 3 of 3 225 Fifth Street Springfield,~ Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 COM2008-00288 Payments: Type of Payment CredltCard cRecelOll RECEIPT #: 2200800000000000374 Date: 03/31/2008 DescriptIOn Fire SF Fee - Residential Storm Drainage ImpervIOus Area SDC Samtary/Storm Admin Plan Review Minor - Planning Garage/Carport Storm Sewer - 1 st 50 Feet Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By DA VI D KEEN Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJ b 081824 In Person Payment Total: Page 1 of 1 8:26:11AM Amount Due 2600 10277 5 14 11600 161 54 5000 7000 1200 2048 3522 31 95 $631.10 Amount Paid $631 10 $631.1 0 3/31/2008 3, ZON \ (tV INITIALS - N V'---' DATE ~ -\-O.:s SOURCE~nS{''?...I 3ft/~/ \ I / COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number L.o~ z...o oX- - 0 0 z& g- 1. LOCATION OF INSTALLATION: "3 b>> t: /8+-'-. ~ LEGAL DESCRIPTION JOB DESCRIPTION S\.\ ~ (JA,vt!:-( ~ J L( .....COCA. h- I 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. CONTRACTOR INSTALLATION ONLY Electncal Contractor Address CIty Phone Supervisor LIcense Number trsf\.,/ _Jf/, ~/ ExpIratIOn Date Constr Contr Number ExpIratIOn Date Signature of SupervISIng ElectncJan Owners Name ~v~ k~e1f\ Address ~ Co '~3 C, 18-+\1-. ~~, CIty Cu.-~ Phone 2- <35-oZ53 OWNER INST ALLA TlON The mstallatlOn IS bemg made on property I own whIch IS not mtended for sale, lease or rent. ogQ~~ Inspection Request: 726-3769 Date A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq ft or less Each addItIOnal 500 sq ft or portIOn thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 $ 21 00 $55 00 B, Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less / $ 70 00 20 I Amps to 400 Amps $ 83 00 401 Ampk'to 600 Amps !8\IV requires you to $138 00 :,,, ~ :' 'j by the Oregon litlllty 60 I Amp~Je 1000rAWPose rules aff: €et ~tti 18000 , ,ovex-\1.99Q-001NtiY~~hrough OAR 9S2-001$413 00 OlR:~~9~t~Yobtaln copies of the rules by 55 00 calling the cen::er, (Note: the telephone c.nu~pitPlii9~6i~I0~Wlt!~tificatiOR Center is 1-800-332-2344). Installation, Alteration or RelocatIOn 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D. Branch Circuits 7D $ 55 00 $ 7600 $110 00 New Alteration or Extension Per Panel One CIrcUIt $ 48 00 Each AddItIOnal CIrcUIt or WIth ServIce or Feeder PermIt '"3 $ 4 00 / 2 E. ~~'mWttf~Y(f.tfe6'1Re>~FrlfHDtWQ1ItKch Installation PuJi't~lf\Q.~~ UNDER THIS PERMIT IS NPo~ slgG,(dM~t!C~rQR IS ABANDONED F~5 00 LIIl\N~ E&J)gp~~~R\\~D. $ 28 00 LImIted Energy/Commercial $ 5000 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. SUBTOTAL OF ABOVE 87 78v ~ZO LIfO' /DC(14 12% State Surcharge 10% Admmlstratlve Fee 5% Technology Fee TOTAL Shared Dnve(T )/BuIldmg Forms/Electncal Permit ApphcallOn 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 Penmt#CZ-Otl2gV Address: '3(0 3 ~ ~. I ~ '~ -i\Jd Date: -:>P7 /oJ? I / Issued by. Statement: Information Notice to Property Owners About Construction Responsibilities , Note: Oregon Law, ORS 701.055(4) requires residentzal constructIOn permit applicants who are not licensed wzth the Construction Contractors Board to sign the following statement before a building permit can be zssued. This statement is required for residential buzlding, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. Thzs statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and 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 licensed with the Construction Contractors Board. OR y3B. 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 ofthis form. J}~ ~ '3-s/-oB (Signature of permit applicant) (Date) (Whzte copy to zssuing agency permit file, pmk copy to applicant.) Property_owner doc 06-01-04 Acting as eneral Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE' This/nformation Notice to Property 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 actmg as your own contractor to construct a new home or make a substantlallmprovement to an eXlstmg structure, you can prevent many problems by bemg aware ofthe followmg responsIb1l1hes and concerns. You WIll, m most instances, ruled t9. be an "employer" and the contractors you contract W1th will be "employees" If you use contractors not licensed With the ConstructIOn Contractors Board to do labQr m constructmg or to assist m the constructIOn or_improvement of a resIdenhal structure. As , you must comply with the following: Oregon's employees are employees. Tax Law: As an employer, you must WIthhold Income taxes from employee wages at the hme You wIll be hable for the tax payments even If you don't actually WIthhold the tax from your more mformation, call the Department of . at 503-3784988. As an employer, you arc'TcqUlred to pay a tax for unemployment Insurance purposes For more informatlOn, Oregon Employment Department at 503-947-1488, The Oregon Business Idenh.ficatIO_n Number (BIN) Unemployment Insurance Tax. To file for a BIN, appropnate forms. number f9r both Oregon WIthholdmg and or \v\vw.dor.state.or us/formspav.htmll for the Workers' Compensation Insurance: an you are and must obtam compensation msunInce for your msurance, you could subject to penaltIes and liable for Job. For more mformatlOn, call the Workers' ServIces at 503-947-7815. to the Oregon Workers' Compensatlon Law, you fall to obtam workers' compensatlOn costs if one of your employees IS Injured on the at the Department of Consumer and Busmess V,S. Service: As an employer, you must You w1l1 be for the tax payment even If you IRS at 1-800-8294933 or VISIt theIr web SIte at \V\V\V 1rS.,29.Y. federal Income tax from employees' wages" the tax. For a Federal EIN number. call the " Con.cern.s Code As the permit holder project, you are responsIble for resolvmg any failure to meet code reqUIrements that may brought to your attention through Liability and aCCIdents work must be <, -,' \ Insurance: Contact such as tool&, over to see if you have adequate insurance water damage from pipe punctures, fire or '~ \ \\ Time: sure you tIme to supervise your Make sure you and fimsh trades, to notl skIlls' to act as your own general bmldmg as bmes so to coordmate the work of rough-In can perfonn the required If you have addItIOnal questions call the Box 14140, Salem, OR 97309-5052. (503-3784621) or wnte the agency at PO Propclty _owner-doc 06-01-04 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAlNAGE 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 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 /LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 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 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 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 Urnt) IS a dIscharge eqUIvalent to a smgle fa~ruly dwellmg urnt (20 DFU's) set at ] 67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 ]985 1986 1987 1988 1989 1990 199] 1992 ]993 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 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 JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOT NUMBER DEVELOPMENT TYPE NEW DWELLING UNITS I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S F CHARGE j 0 00 I $0 346 I = I $0 00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F I x COST PER S F I x I DISCOUNT RATE I I 594 00 $0 346 I 50% I ITEM 1 TOTAL - STORM DRAINAGE SDC I $102.77 , 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's x I 0 B IMPROVEMENT COST I NUMBER OF DFU's x I 0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET C0M2008-00288 . DavId & Amber Keen 3633 E 18th Ave 1803032003001 Smgle FamIly ResIdence o BUILDING SIZE (SF: LOT SIZE (SF) 8276 r:/) ~ Q o U ~ I~ >-< cJ I~ 594 DISCOUNT $10277 $102,77 1070 COST PER DFU $26 83 $0,00 1091 COST PER DFU $20.40 $0,00 1092 = I ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0,00 3. TRANSPORTATION A REIMBURSEMENT COST- I ADT TRIP RATE x NUMBER OF UNITS' x COST PER TRIP x NEW TRIP F ACTORI I 957 0 2043 100 I $0,00 1093 B IMPROVEMENT COST 1 ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP I x NEW TRIP FACTOR I 9_57 0 I $90 10 1 100 $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $0,00 , 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's I x ICOST PER FEU 0 I I $95 35 = $0,00 1054 B IMPROVEMENT COST 'NUMBER OF FEU's x ICOST PER FEU 0 I $99039 = $0,00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $0,00 SUBTOT~L (ADD ITEMS 1,2,3, & 4) =1 $102,77 -I ...,..,...- 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE 1= CHARGE I $10277 I 5% I $514 TOTAL SANITARY ADMINISTRATION FEE 5 14 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE $000 1078 Kaye Wilson 2/29/2008 TOT AL SDC CHARGES =1 $107.91 PREPARED BY DATE