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Home My WebLink AboutPermit Building 2008-5-16 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00517 ISSUED: 05/16/2008 APPLIED: 04/14/2008 EXPIRES: 11/1612008 VALUE: $ 37,380.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1423 MILL ST ASSESSOR'S PARCEL NO.: 1703263300300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Master Bedroom/Bath Addition Owner: GARRA TT BLAINE Address: 1423 MILL ST SPRINGFIELD OR 97477 Phone Number: 541-686-6114 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: 1 Height of Structure 16.00 Type of Heat: aseboard Electric Water Type: Range Type: Energy Path: Path 1 Sprinkled Building No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 23,958 356 R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.60 90.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 98.00 I PUBLIC IMPROVEMENTS I .AI I r:.lffiON: Oregon law reqUires you lO . Street Improfo1mW~Oles adopted by the Oregon Utility Sidewalk Type: Storm SeweNAijfioatirm Center. Those rules are set forth NOTICEt>ownspoutslDrains: Curb and Gutter Special InstJnc.CMfa:952-o~nMi\~o~ g\ftPefJ52-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090.. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT Notes: calling the center. (Note: the telephone number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. Pal.!:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00517 ISSUED: 05/16/2008 APPLIED: 04/14/2008 EXPIRES: 11/16/2008 VALUE: $ 37,380.00 225 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 356.00 Value Date Calculated Description Total Value of Project $37,380.00 $37,380.00 04/14/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $215.19 4/14/08 2200800000000000456 -Mechanical Issuance Fee- $20.00 5/16/08 1200800000000000507 + 10% Administrative Fee $52.89 5/16/08 1200800000000000507 + 12% State Surcharge $61.33 5/16/08 1200800000000000507 + 5% Technology Fee $31.35 5/16/08 1200800000000000507 Building Permit $331.06 5/16/08 1200800000000000507 Fire SF Fee - Residential $17.80 5/16/08 1200800000000000507 Fixture $80.00 5/16/08 1200800000000000507 Minimum/Adjustment Mechanical $43.00 5/16/08 1200800000000000507 Plan Review Minor - Planning $116.00 5/16/08 1200800000000000507 Sanitary Sewer - Improvement $142.83 5/16/08 1200800000000000507 Sanitary Sewer - Reimbursement $187.83 5/16/08 1200800000000000507 SDC Sanitary/Storm Admin $22.79 5/16/08 1200800000000000507 Storm Drainage Impervious Area $125.09 5/16/08 1200800000000000507 Storm Sewer - 1st 50 Feet $50.00 5/16/08 1200800000000000507 Vent Fan $7.00 5/16/08 1200800000000000507 Total Amount Paid $1,504.16 I Plan Reviews , Structural Review 04/16/2008 04/15/2008 APP DLM See documents for Plan review comments Initial Review 04/15/2008 04/16/2008 APP LLH Public Works Review 04/16/2008 04/16/2008 APP LKW Storm to curb & gutter Planninl.!: Review 04/16/2008 05/0112008 APP TAJ 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. Pal.!:e 2 of3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM2008-00517 ISSUED: 05/16/2008 APPLIED: 04/14/2008 EXPIRES: 11/16/2008 VALUE: $ 37,380.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Inspections I 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. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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. Shower Pan. Prior to covering and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: 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. ~(~ \i, , 11 f/CfJ/\1p t; /1//1 j tJ1 I 'v I Date Owner or Contractors Signature Pal.!:e 3 of3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00517 AdditIOn NAME OR COMPANY Garratt Blame LOCATION 1423 Mill Streeet TAX LOT NUMBER 1703263300300 - DEVELOPMENT TYPE Smgle Famlly Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF~ 356 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S F x COST PER S F I I CHARGE 36150 $0346 = I $12509 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF x I COST PER S F I x I DISCOUNT RATE I 0 00 I $0 346 I i 50% ITEM ] TOTAL - STORM DRAINAGE SDC '$]25.09 23958 r/) ~ Q o u ~ ~ E--< r/) >-< o ~ DISCOUNT $000 $]25.09 1070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's x I 7 B IMPROVEMENT COST I NUMBER OF DFU's x I 7 COST PER DFU $26 83 ,= $]87.83 I 109] COST PER DFU $20 40 $]42.83 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $330.66 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRJP RATE x NUMBER OF UNITS x COST PER TRIP x INEWTRJPFACTOR I 957 0 2043 I 100 $0.00 1093 B IMPROVEMENT COST I ADT TRIP RATE - x NUMBER OF UNITS x I COST PER TRIP x INEWTRJPFACTORI I 957 0 I $90 10 I 100 I $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =, $0.00 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's I x COST PER FEU 0 I $95 35 = $0.00 1054 B IMPROVEMENT COST INUMBER OF FEU's x ICOST PER FEU I 0 j $99039 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 .,-- SUBTOTAL (ADD ITEMS], 2, 3, & 4) = I $455.75 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE CHARGE I $455 75 I 5% $22 79 TOTAL SANITARY ADMINISTRATION FEE 2279 1079 I TOTAL TRANSPORTATION ADMINISTRATION FEE $000 1'1078 Kaye Wilson 4/16/2008 TOTAL SDC CHARGES =, $478.54 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS IBATHTUB 0 0 3 ;:;: 0 IDRINKING FOUNTAIN 0 0 1 ;:;: 0 IFLOOR DRAIN 0 0 3 ;:;: 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 ;:;: 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 ;:;: 0 I LAUNDRY TUB 0 0 2 ;:;: 0 ICLOTHESWASHER/MOP SINK 0 0 3 ;:;: 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 ;:;: 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 ;:;: 0 I RECEPTOR FORREFRIG / WATER STATION / ETC. 0 0 1 ;:;: 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 ;:;: 0 I SHOWER, SINGLE STALL 1 0 2 ;:;: 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 ;:;: 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 ;:;: 0 ISINK COMMERCIAL BAR 0 0 2 ;:;: 0 I SINK WASH BASIN/DOUBLE LAVATORY 1 0 2 ;:;: 2 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 ;:;: 0 IURlNAL, STALL! WALL 0 0 5 ;:;: 0 TOILET, PUBLIC INSTALLATION 0 0 6 ;:;: 0 TOILET, PRIVATE INSTALLATION 1 0 3 ;:;: 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 ;:;: 0 TOTAL DRAINAGE FIXTURE UNITS 7 *EDU (EqUIvalent Dwellmg Urnt) IS a discharge eqUIvalent to a smgle falmly dwellIng urnt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $5.29 $519 $512 $498 $480 $463 $440 $407 $367 $322 $273 $225 $180 $1 59 $145 $125 $109 $092 $072 $048 $028 $009 $005 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I 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 ;:;: 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 Pemnt#:~2OtJ13- 00517 Address. /423 J-U//L ,\T, Issued by )>ju()~ D:e~ 5/11o!(E Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requzres residentzal constructIOn permzt applzcants who are not licensed with the Construction Contractors Board to szgn the following statement before a buildzng permit can be issued. This statement zs requzred for residentzal building, electrical, mechanical and plumbing permits. Licensed architect and engzneer applicants, exempt from licenszng under ORS 701.010(7), need not submit thzs statement. This statement wzll be filed with the permzt. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: )Z1 1. ~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.- 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 ~ 38. I will be my own general contractor. If I 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 buildmg 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. ~. '(c '1~' I \L. -75.tCwtVV..:J r; / J 1/ D <6 (Signature of permit applicant) - . (Date) (White copy to issuing agency permit file, pznk copy to applicant.) Property_owner. doc 06-01-04 Acting as Your:Own General Contractor? I ' \ , INFORMATION NOTICE TO PROPERTY OWNERS , ,~ ABOUT' CONSTRUCTION RESPONSIBILITIES , ': A - ,\ ," ~ (" \ NOTE. This Information Notice to Property 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 actmg as your own contractor to construct a new home" or make a substantIal Improvement to an eXIsting structure, you can prevent many problems by be~ng aware of the following responsIbilItIes and concerns, Employer Responsibilities . , You WIll, in most instances, be ruled to ~e an "employer" and the contractors you contract with wIll be "employees" If you ~se contractors not lIcensed WIth the ConstructIon ~ontr~ctors Board to do labor m constructIng or to asslst in the constructIOn or Improvement of ~ !esi~entIal structure;: As \tDe em~loyer:, you must comply with t~e following: Oll'egon's Withholding Tax Law: As an e:rripl~yer, you mu~t WIthhold mcome taxes from employee wages at the tlme employees are paId. You WIll be ljable for the tax payments even if you don't actually WIthhold the tax from your employees. For more mformatIOn, call the 'Department Of Revenue at 503-378-4988. -, -. , J Unemployment Insurance Tax: As an employer, you are-reqUlred to.pay a tax for unemployment msurance purposes"~ on the wages of all employees. For more mformatIon, call the Oregon Employment Department at 503-947-1488 ' , t ,...._- ~.. ,- -. . :'-t it. The Oregon Busmess IdentIficatIOn Number (BIN) is a com1?jned number for - bot~ Orygon WIthholding -;nd . . Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or ww\,',dor.state or us/formspav.htmll for the. approprIate forms. ~ I , 1 Workers' Compensation Insuuance: As an employer: you are subject to the Oregon Workers' CompensatIOn Law, and must obtam wor)<~rs' compensatIOn insurance for your employees. If you fall to obtam workers' compensatIon msurance, you could be' subject to penalties and be'lIable for all ClaIm costs If one of your employees ISlnjured on the Job. For more mformatIon, call the Workers' CompensatIOn DIViSIOn at the Department of Consumer and Business ServIces at 503-947-7815. U.S. internal Revenue ServRce: As an employer, you must Withhold federal mcome 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 X'V'\VW.IrS.l!OV. Otlb1elr ReSp(f)lIlSi6illltie~ 'Sind! AIrea~ ojf C(f)IBlC_eIrJIJlS Code Compliance: As the permit holder for thIS project, you are responsIble for r~solvmg any faIlure to meet code requirements that may be brought to your attentIon through inspectIOns. , I ,I Liability and Property Damage Insurance: Contact your msurance agent to see 1f you'have adequate insurance coverage for aCCIdents and omiSSIOns such as fallmg tools, paint over spray, water damage from pIpe punctures, fire or work that must be redone , '\; ~ }- Time: Make sure you have sufficient tlme to supervIse your employees. Expertise: Make sure yo~ have the skIlls to act as your own general contractor, to coordmate- the work of rough-m and fimsh trades, and to notIfy buIlding offiCIals as the appropnate tImes so they can perform the reqUlred 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 06-01-04 225 Fifth.Street Sprjngfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 COM2008-00517 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000507 Date: 05/16/2008 DescriptIOn Storm Drainage ImpervIOus Area SanItary Sewer - Reimbursement SanItary Sewer - Improvement SDC SanItary/Storm Admm Plan RevIew Minor - Plannmg BUlldmg Permit Fixture Storm Sewer - 1 st 50 Feet Vent Fan -MechanIcal Issuance Fee~ Mmlmum! AdJustment MechanIcal FIre SF Fee - Residential + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By KARl BLAINE Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 133 In Person Payment Total: Page 1 of 1 9:03:48AM Amount Due 125 09 187 83 142 83 2279 116 00 331 06 8000 5000 700 2000 4300 1780 31 35 61 33 5289 $1,288.97 Amount Paid $1,28897 $1,288.97 5/16/2008