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Home My WebLink AboutPermit Building 2004-1-26 -.... .. · Ul1' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00030 ISSUED: 01/26/2004 APPLIED: 01/09/2004 EXPIRES: 07/26/2004 VALUE: $ 36,960.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2325 GROVED ALE DR ASSESSOR'S PARCEL NO.: 1703262200222 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Bedroom/Bath addition over garage Owner: KENNETH MELLOR Address: 2325 GROVEDALE DR SPRINGFIELD OR 97477 Phone Number: 541-746-7273 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor HAROLD KOROP OWNER OWNER OWNER License 93742 Expiration Date 09/10/2005 Phone 747-7433 BUILDING INFORMATION I VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 2 24.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 400 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 '. Path 1 SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 30.00 I PUBLIC IMPROVEMENTS. Street Improvements: . res you to Storm Sewer Avallabl5N'Ore9on laW r,aqUl UtTty Special InstTu'CfJtnl do ted by thEI Oregon I; r\ , 1ollow rules a Pr Those rules are set 0 , Notes: 40t\tication cente '10 throuqh OAR 952-00 " OAR 952-991-0,0 ih copi;as 01 the rules l 0090. You may obta ote: the tel9pho~e calling the center. (~n Utility NotificatIOn number for the.01re~(\n_3'\2_2344). r""l"'tO"'I~ ~ Sidewalk Type: NOT'C@.ownspoutslDraini~E IF 'THE WORK lH\S PERM\"\" ~~~~~ ~~S PERM\1IS NO'T ~~~3~~i~o OR IS ABANDONED FOR , MIl' 160 DA'i PERIOD. Pal!elof3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Dwellines V Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Copies - Ea AddtI @ 50 Cnts Ea Copy Ist @ 75 cents Fixture Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid 41. · CITY OF I:)rK11~\..-NJ<.LD . Building/Combination Permit PERMIT NO: COM2004-00030 ISSUED: 01/26/2004 APPLIED: 01/09/2004 EXPIRES: 07/26/2004 VALUE: $ 36,960.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 400.00 Value Date Calculated Total Value of Project $36,960.00 $36,960.00 01/09/2004 F pp< tii.lLI A.mount Paid Receipt Number Date Paid $191.49 $40.66 $28.46 $43.00 $27.00 $294.60 $7.50 $0.75 $42.00 $ 120.4 7 $158.48 $13.95 1/9/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 2200400000000000018 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 1200400000000000111 $968,36 I Plan Reviews I Initial Review 01/12/2004 01/12/2004 APP LLH Plannine Review 01/12/2004 01/1312004 APP TAJ Solar OK, no other planning review neccessary because addition is over the existing footprint. Public Works Review 01/12/2004 01/13/2004 APP VRJ Structural Review 01/12/2004 01/23/2004 APP RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working dalY, inspections requested after 7:00 a.m. will be made the following work day. ~,ptl In.n~ I Erosion/Grading Inspection: After all erosion measures are in place. 2 Footing: After trenches are excanted. 3 Foundation: After forms are ere,:ted but prior to concrete placement. 4 Post and Beam: Prior to floor imiUlation or decking. 5 Floor Insulation: Prior to decking. 6 Framing Inspection: Prior to co"er and after all rough in inspections have been approved. Paee 2 of3 tit · CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00030 ISSUED: 01126/2004 APPLIED: 01109/2004 EXPIRES: 07/26/2004 VALUE: $ 36,960.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 1 I' I 7 Walllnsulation: Prior to cover. 8 Ceiling Insulation: Prior to cover. 9 Drywall: Prior to taping. 10 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 11 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Rough Plumbing: Prior to cover and including required testing. 13 Shower Pan. Prior to covering alld including required testing. 14 Water Line: Prior to mling trench and inclnding required testing. 15 Sanitary Sewer Line: Prior to filling trench and including required testing. 16 Final Plumbing: When all plumbing work is complete. 17 Rough Mechanical: Prior to Cover 18 Final Mechanical: When all mechanical work is complete. 19 Rougb Electric: Prior to Cover, 20 Final Electric: Wben all electrical work is complete. , By signature, I state and agree, tbat I bave carefully examined the completed application and do hereby certify tbat all . information hereon is true and correct, nod I further certify that any and all work performed shall be done in accordance with tbe Ordinances of tbe City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I further certify tbat only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project. 1 furtber agree to ensure that all required inspections are requested at tbe proper time, tbat eacb address is readable from tbe street, tbat tbe permit card is located at tbe front of the property, and tbe approved set of plans will remain on the site at all times during construction. L~~ ~~~~ /-?6-0Y Owner or Contractors Signature Date Paee30f3 lOO1 . " II OL 225 FIFfH STREET. SPRINGFIELD" OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 \ .l v. ..,,' //2~Oi- ' dA, I ' . l':!=:"....: .....:A~~:>-'G'""'.._'_,.>"':;>.',.r._~'...J.,;~...~.~~~:.lZ!1Ji. --:?'j.'~~~~I' 3. ~J.COMJ?EETE'FEE;SCHEDULE.BELOW,'i''fE ;",-:;;:f.'~'I~\"[!ii' ~...~~.,z,.ii:U1.if~'Io.!l~~~Wf5-a~~--.. - -. ~~iJ-'..:;', Lrto!l1lo1J~ON taJ:l1- " - JOB DESCRIPTION' '"' ~~er~~e~ir~~~ ' not started within 180 days of issuance or if work is Suspended for 180 days.' weoNfRA.CtoRq&S.T'}i'r,l'ln;~;p.~~ ~"""~~;QV~~~~:tii{~' - -~'- , / 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 .~TTE:NTi L 401 Amps to 600 Amps $125,00 'VI/uW :'.JrenO Notifi ~UI ac1'J "n/aWre . 601 Amps to 1000 Amps $163.00 in (,I.~U o1m.:.t~c1 by ths o~u"esftvJ/j 1800 AmpsIVolts $375.00 0090 v 95 -001-(10' , nose rut ego~ect Only $ 50,00 . '0 ma 10throu eSareS;'~~I!.. Calll th :JIot.tainc .ghOA.R"'5g~_"""~S"''''''''''''''''''''"F'''''d'''_.''~'~ .~~.,,," Supervisor License e ""'n.. O'fJle~ f" norarY"'-cenlces or>~ er.s, '> ~" .' ~;r"l e' "'a~.._.. ....0 th ~:'WlI.;_" '. ~....'w 1i/:O::>:{" J;< '''- . I ;;!;:i,...~i" . 'or the O~.. Ilvote: th e rUles h, Center;" .'6g0n UtiJif'~Nte/e'fJhdn<ta1Yation, Alteration or Relocation . s- ~ Off! f> UU-332_234<$) I CatlflihAmps or less . 20 I Amps to 400 Amps 40 I Amps to 600 Amps A, 'Over 600 Amps or 1000 Volts see "B" above. "0 !frki:'?~~-'~~9r~' ~...-- '" . . ~ rlC'~ D. iWBrianclFeircuit.' " .- . . T/f r::." "'~, . U IS PERM New Alteration or Extension Per Panel ,., T/fORll. IT'~E/cuit ' J..,/ $ 43,00 4- ~"cro ~ >':::fJ1lNI ED lffiJ1J.Ii!\.[d\'IR1AAl-~ircuitorwith q "0 '~l'A.fJ.iIJtJCED oltl'rVaelitrtfi.,e'~de/fP~w. . $ 3.00 Z-:L- () l" )1y Pf8ri~~~~~Ii~~~~1i1!(\f!~~r,r~~~ i W"~..~-~:J'}-.fJ;J;;F8tj -"'~""""~""-~'"'~~"iilil Phone ~Jo- -r\=?:;'J Pump or irrigation $ 50.00 , , - Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 ELECTR1CAk!..Fo.~1JAP"pLr.CJ.J.ION City Job Number ~ft. OClJ:l) Date 1. rq;OOOii5NJ):iiisr'f'''/qw~''1fI!II. . ~.,- ~~ ~'2.."'>iO';;~~' ..~"'~.jj. ~ '~-- ' ~LJI~ e / 'f City Expiration Date f Supervising Electrician City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A ~. ."N"".~!i),J;j>.R'''t''f''ii<d,.-;!tiJt'~I: '-'S'~'I~')I]V1:i"-1 ~1."t~F"""'-~~I'f}'l'~t;-d~I'I'~ritif?f~!".....'~~-.-'.'" . ~,ew~' eSI en 13 .t,: m(r e:orI U 1- am.I y,per~ we tntT'umt:- ,'r' ,,_'3;,,';$'j;~~~'il>:~~~"'~.J:;,,}~"',:!:,"'~~~~A.~'c..~~,,\lo ..-\.~r~, ~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 !i;.~~:m~~~"""'/i';V:;li2~"'lt""",~j~ B. =,~t~ Fe=~~~~.!L~i;;}.I~,~.}JWJ&!~lRs~'l:,~ $ 50.00 $ 69,00 $100.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.~;::~i~ 7~~~ 10% Administrative Fee 7. ~ <;i;/ ~9D TOTAL Shared Drive(T:)lBuilding FonnslElectricnl Permit Application 1-03.doc .. . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2004-00030 NAME OR COMPANY: Kenneth Mellor LOCATION: 2325 Groved.le TAX LOT NUMBER: 17032622 tI 222 DEVELOPMENT TYPE: SINGLE F AM IL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF; 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 0.00 I 50.290 = I $0.00 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 DISCOUNT I 0.00 I 50.290 I 50% = I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC $0.00 2, SANITARY SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 7 I 522.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 7 517.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, o $0.00 $158.48 $120,47 $278.95 rn ~ o o u ~ ~ rn ~ t) ~ 1070 109\ 1092 . .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT - DRAINAGE FIXTURE UNITS ","~G,l INOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS jBATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETG. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETG. 0 0 3 = 0 ISHOWER. SINGLE STALL 0 0 2 = 0 I~HOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INST ALLA TION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 7 .EDU (Equivalent Dwellin~ Unit) is a ~isc~e equivalent to a sinJde family dwellin$!; unit (20 DFU's) set at 167 ~lons ~ day MWMC CREDIT CALCULA nON 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 I CREDIT RA TE/$I,OOO -I I ASSESSED V AWE - S504-1 S5.04 S4.95 S4.88 S4.75 S4.58 S4.41 $4.20 S3,88 S3.50 S3.07 $2.60 $2.14 $1.71 SI.52 SI.38 S1.l9 $1.03 SO,87 SO,68 SO,46 SO,27 SO,09 SO,04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) V AWE /1000 CREDIT RATE $0.00 x $5.04 - I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE $0.00 x $5.04 o TOTAL MWMC CREDIT , . $0.00 = I I I II I -. . . \ .: " " " " . .' .. CQnstr-uction Contractors Board 700 Summer St NE Suite ,,00 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us , Pennit#: f1A#& 0803D Address: 2-<2- c; ,/;~~ ISSUedby:4~' Date: (/U/eJ. Statement: Inflormation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are 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 sllbmit this statement. This statement will befiled with the permit. Fill in the appwp,;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: B-1. tz- 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. o 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 Constru.ction Contractors Board. OR ~ 3B. 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 :0~~2~ers a:;~~Iities on the reverse Si::ZiS;'6 _ c Y (Signature of permit applicant) (Date) . (White copy to issuing agency permit file, pink copy to applicant.) :',uy,uLowner.doc 03/11/03 . . , . ',' - \ : \ \' . , A'~tnJillg Jll~ ~ll~UnIr' Owrrn GerrneIl"mll (OomtIl"md({j)Il"? " .. .: . "....,\ '..' ..~ ..,.... - \ , INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CON'STRUCTION RESPONSIBILITIES \ 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 Leg/s/ature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can pTevent many problems by being aware of the following responsibilities and concerns. Employer'Responsibilities 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 following: 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 a State Business ID number, call the Business Information Center at 503-986-2200. " Unemployment Insurance Tax: As an employer, you are Tequired to pay a tax for unemployment insuTance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. ' . 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 Division 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 866-8]6-2065 or fax them at 80]-620-7115. " .. /, Other Responsibilities arnd Areas of Concerns 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 accidents 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 wOTk 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 call the Construction ContractoTs BoaTd (503-378-4621) or write the agency at PO Box ]4140, Salem, OR 97309-5052. Property_owner.doc 03/11/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number . COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 COM2004-00030 Payments: Type of Payment CreditCard - . ,;,e ...~""'.._' ',8 ItliT.,,"'-".._,".',-,",.,'.'.,'.., ',"'..', ~.' :, ...' ... .... ;j ,&; ." "" ,..,," ',.."" 0... .. ... .. .~, ,'''''"" ',. Receipt #: 1200400000000000111 Description Copy 1st @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Sanitary Sewer - Improvement Building Permit Fixture Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Received By dIm Check Number Batch Number Authorization Number Paid By KENNETH MELLOR 000383 026654 City of Sp~ingfield Official Receipt Development Services Department Pnblic Works Department Date: 01126/2004 3:IO:15PM Amount Paid 0,75 7.50 158.48 13,95 120.47 294.60 42,00 43,00 27.00 28.46 40.66 $776.87 Item Total: How Received Amount Paid In Person Payment Total: $776.87 $776.87