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Home My WebLink AboutPermit Building 2007-6-6 . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line * .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00660 ISSUED: 06/06/2007 APPLIED: 05/08/2007 EXPIRES: 12/06/2007 VALUE: $ 29,870.00 Status Issued SITE ADDRESS: 1233 KENRA Y LOOP ASSESSOR'S PARCEL NO.: 1703272207638 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence Owner: DANIEL BASARABA Address: 1244 KENRA Y LP SPRINGFIELD OR 97477 Phone Numher: .541-520-1303 Contractor Type General Electrical Mechanical 'Plumhing Contractor OWNER OWNER OWNER OWNER I CONTRACTOR I"rvI<.,l'IATION I License Expiration Date Phone BUILDING INFORMATION I VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 290 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 Electric Electric Electric Path'l nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.80 Overlay Dist: # Street Trees Rqd: Paved Driye Rqd: % of Lot Coverage: Total: Handicapped: Compact: 33.00 . 0.00 I PUBLIC IMPROVEMENTS I Street Imj\~Nf(r!)N: Oregon la\\\fliltvJiffiii~do Sidewalk Type: Curbside 5' Storm s~~PWJ'M~ill~popted by the Oregon LNlity NOTlrD~wnspoutslDrains: Curb and Gutter Special~rIi'JWGcti6\\1 CeDter. Those rules are set forth THIS PERMIT SHALL . ID ?AR ,952-001-0010 through OAR 952-001- AUTHORIZ EXPIRE IF THE WORK Notes: OCSlGrmltle'dlt'l'e:xIs'ttngs~ell).(J/.t",~ll.!k~I19~7 COM MEN EO UNDER THIS PERMIT IS NO calling the center. (Note: the telephone CEO OR IS ABANDON T number for the Oregon Utility Notification ANY 180 DAY PERIOD EO FOR Center is 1800-332 2344). . Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction V Wood Frame Dwellines Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee. + 8% State Surcharge Building Permit Fire SF Fee. Residential Plan Review Minor - Planning SDC SanitarylStorm Admiu Storm Drainage Impervious Area Total Amouut Paid . .CITY OF SPRINGFIELD Building/Combinatio., Permit PERMIT NO: COM2007-00660 ISSUED: 06/06/2007 APPLIED: 05/08/2007 EXPIRES: 12/06/2007 VALUE: $ 29,870.00 I Valuation DescrintionJ $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 290.00 Value Date Calculated Total Value of Project $29,870.00 $29,870.00 05/08/2007 L.Fpp< P~irl I Amount Paid Date Paid Receipt Number $164.87 $26.82 $18.28 $20.29 $253.65 $14.50 $1l2.00 $5.24 $104.71 5/8/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 2200700000000000674 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 1200700000000000709 $720.36 I Plan Reviews I Initial Review 05/1012007 05/10/2007 APP NJM Plannine Review 05/10/2007 05/15/2007 APP TAJ Outside flood zone and further than 25' from wetland. Public Works Review 05/10/2007 05/10/2007 WI JLP Rcvd 5/10/2007---Waiting in order PW rcyd for rvw.JLP WI 5/10107 Public Works Review 05/1112007 05/1112007 APP JLP Storm tied to existing system. JLP APP 5/10/07 Structural Reyiew 05/2212007 05/22/2007 APP RJB Structural Reyiew 05/10/2007 05/15/2007 WE RJB called owner and he will bring footing/foundation cross section in tc city 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. ~llJolrl '11\',JlIPI~tilnIM.l Footing: After trenches are excavated. Fouudation: After forms are erected bui prior to concrete placement. Paee 2 of3 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00660 ISSUED: 06/06/2007 APPLIED: 05/08/2007 EXPIRES: 12/06/2007 VALUE: $ 29,870.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to floor insnlation or decking. Floor Insnlation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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 ofany structure without permission ofthe Community Services Diyision, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 ~ \~ Owner or Contractors Signature ~--h-(J7 Date Paee 3 of 3 1",,";:/' 8J. . . . . . . ". ." . . '.' . 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 Pennit #: _ 0F1 . to.') Address: \0.:Do Yf'f\\U.l'y Issued bY\ ~~ Date: ~.LD .01 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the follOWing statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed 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. Fill in the "1'1"UI',;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: rfJ 1. I own, reside in, or will reside in the completed structure. D 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 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! 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 of this form. k-/707 . (Date) / ...... (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 06-01-04 AdnlIllg ~~ (Allill)" OWlIll GelIlleR"2ll C'tll"~ct@Jr? . ..... ., , . ! / (INFORMATION-NOTICE TO PROPERTY OWNERS " ABOUT CONSTRUCTION RESPONSIBILITIES -'_ J ,./ NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. 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. lEmjplloyeJr Re!lpoll1l.!lilbiilli~ie!l You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the followiug: Oregon'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 Department of Revenue at 503-378-4988. / 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 503-947-1488. " The Oregon Business Identification Number (iUN) is a combined number for both Oregon Withholding and Unemployment insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you 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 could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Divisiori at the Department of Consumer and Business Services at 503-947-7815. , ., , 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 a Federal EIN number, call the' IRS at 1-800-829-4933 or visit their web site at www.irs.I'Ov. ((1l~ibleJr JRes!p>i!}rrn!ili!biillii~lle!i arrndl AJrea!i olT Ci!}JID.~eJrHD!i Code Compliance: As the permit 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 aceidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. '- Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and fmish trades, and to notifY building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 ,'. - . CITY OF S"NGFIELD SYSTEMS DEVELOPME.ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS - COM2007-00660 Daniel Basaraba 1233 Kenrav_ Lp 17032752207638 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF: 312 LOT SIZE (SF): o ~I IC/l w Cl o U ~ W I- C/l G ~ I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 312.00 I $0.336 I = $104.71 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I I $0.336 50% I = ITEM I TOTAL - STORM DRAINAGE SDC '$104.71 2. SANITARY SEWER - CITY DISCOUNT $0.00 $t04.71 11070 A REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 0 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x 1 0 1 COST PER DFU $26.03 $0.00 1091 $19.79 $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 1 x I COST PER TRIP x INEW TRIP F ACTORI I 9.57 1 I 0 1 I $19.81 I 100 1 50.00 I 1093 B. IMPROVEMENT COST: I 1 ADT TRIP RATE I x 1 NUMBER OF UNITS I x 1 COST PER TRIP x INEW TRIP FACTORI 1 9.57 1 0 1 I $87.39 1 100 I $0.00 11094 ITEM 3 TOTAL - TRANSPORTATION SDC =, $0.00 ~. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 1 I $9161 = $0.00 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's 1 x ICOST PER FEU 1 0 1 I $96152 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I 50.00 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $t04.71 I 5 ADMINISTRATIVE FEE, I SUBTOTAL x 1 ADM. FEE RATE 1= CHARGE $104.71 I 5% I 55.24 TOTAL SANITARY ADMINISTRATION FEE: 5.24 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: 50.00 11078 Jeff Prociw 5/1112007 TOTAL SDC CHARGES =l $109.95 PREPARED BY DATE . . ... . . ~ '. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FlX11lRE UNITS IN01E, FOR REMODELS. CALCULA 1E ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 0 0 3 = 0 -I DRINKING FOUNTAIN 0 0 1 = 0 I iFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 I !INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER I MOP SINK 0 0 3 = 0 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 ~~ RECEPTOR FOR REFRlG I WATER STATION I ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 /SHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0 I SINK: COMMERCIMJRESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 IURlNAL. STALL I WALL 0 0 5 = 0 ITOILET. PUBLIC INST ALLA TION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 :EDU (Equivalent Dwcl1in~ Unit) is a discharge eauivalent to a simde family dwellin2. unit (20 DFU's) set at 167 'E!!!ons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ~ YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enler I forYe" 2 for No) 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enler I forYe" 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE /1000 CREDIT RATE 1985 $4.40 $0.00 X $5.29 ~, $0.00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 $2.73 $0.00 X $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 225 fi(tb Street Springfield, Oregon 97477 541-726~3759 Phone . ~::~ Wit . . Caof Springfield Official Receipt .Iopment Services Department Public Works Department Job/Journa' Number COM2007-00660 COM2007-00660 , COM2007-00660 COM2007-00660 COM2007-00660 COM2007-00660 .cOM2007-00660 COM2007-00660 Payments: Type of Payment Check cReceiot 1 RECEIPT #: 1200700000000000709 10:08:47AM Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC SanitarylStorm Admin Plan Review Minor - Planning Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By CANIEL BASARABA Date: 06/06/2007 Item Total: {;heck Number Authorization Received By Batch Number Number How Received IIh 2085 In Person Payment Total: Amount Due 14.50 104.71 5.24 112.00 253.65 18.28 20.29 26.82 $555.49 Amount Paid $555.49 $555.49 Page I of I 6/6/2007