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Home My WebLink AboutPermit Building 2006-11-7 ~~~ '. . _CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01148 ISSUED: 1lI07/2006 APPLIED: 09105/2006 EXPIRES: 05/07/2007 VALUE: $ 114,320.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2945 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1702193200302 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to single family residence and detached shop. Residential Owner: BRIAN THOMPSON Address: 2945 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-747-4764 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Plumbing Contractor OWNER OWNER OWNER License ~ Expiration Date Phone I)I~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 10.00 I BUILDING INFORMATION I 1l\0 # of Stories: lIeS 'l~ .\\,k'':! Lot Size: R-3 Height of Stru~~~ree,\1l eo.oN5.~00t\~ Sq Ft 1st Floor: U TYPf.~fltl!;iiP. \"e 01 ~~!! HeatoO,\Sq Ft 2nd Floor: VN ~\\Vater;.TYP'e:\ '0':1 Se IIl\eS ~ 9S?"- s'd',q Ft Basement: r~€ Range''t;yp.e:'i''O oil"" O"'\~e IIl\e Sq Ft GaragelCarport r ... l\ll- (".~,. "'I " ~" n0 \0\\0" ,t;nergy Path:O\\' ,eS 0 PathllO" ~!l Ft Other: ~\0~\\ica.\'SP'~i1ikl~d\Bu'!!dl';;{l?0' \"e \0~/a:~\ca.~\<'()ccupant Load: \" ... a 9:>~ _,I QU" .N.O\' ,,'hl ",-\0\ 'I'-D.EY,EI;OP~~;", ;j~~:ORMATiON);I~l' - Ca.\\I"~ \Ol\\'v. ,\.~\Jv- :oel '91'S \\llroverliiy.l'Dist: Urban Fringe Total: # Street Trees Rqd: Haudicapped: Paved Drive Rqd: Compact~ % of Lot Coverage: -r\-\'C 'l'l\J~ ?-,C \r \ S ~\J' . , -1;1-: . ~J- ....'I..'?\ _ ~';'~~\\ \ I PUBLIC IMPRO\\~bfJ\~\' ':i"~\)'C?-' ,\-\\':i r \)~c\) r\)\\ Fullv Improved \ r~;\-\\J?-,\1.'C\)\)\\~\\ewprM-~~: N II: ,~,,~C'C IT _r'l'iI. ID . o c\)~\,,<. t>-'l' ~'""r b'uts rams: t>-~'l \~lJ \) 903 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 970 REQUIRED PARKING 0.00 Street Improvements: Storm Sewer Available: Speciai Instruction: Curbside 5' Dryweli - Provide Drywell Engineering Notes: Storm H20 to drywell. Owner must provide calcs prior to approval. SDC's added w/50% drywell credit.JLP Paee I of 4 ~~. Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Garaee V Wood Frame Garaee Fee Descriptiou Plan Review Resideutial -Mecbanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit' Fire SF Fee - Residential Fixture MinimumlAdjustment Mechanical Plan Review Minor - Planning Sanitary Sewer - 1st 50 Feet SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan Water Line - 1st 50 Feet Total Amount Paid . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01I48 ISSUED: 11/07/2006 APPLIED: 09105/2006 EXPIRES: 05/07/2007 VALUE: $ 114,320.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 900.00 970.00 Value Date Calculated Total Value of Project $89,100.00 $25,220.00 $11'1,320.00 09/05/2006 09/05/2006 Fpp<. P'IiILI Amount Paid Date Paid Receipt Number 1200600000000001374 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 1200600000000001620 $399.36 $10.00 $94.41 $42.52 $68.03 $614.40 $93.65 $56.00 $39.00 $112.00 $45.00 $15.61 $312.12 $45.00 $6.00 $45.00 9/5/06 1117106 11/7/06 1117/06 1117106 11/7/06 11/7/06 11/7/06 1117106 1117106 11/7/06 1117106 1117106 1117106 1117106 1117106 $1,998.10 I Plan Reviews I Initial Review 09/1212006 09/1212006 APP LLH Plan nine Review 09/1212006 10/30/2006 APP TAJ Addition and garage are outside FEMA Flood Zone A. Public Works Review 0911212006 10/0212006 WE JLP Lft msg on recorder ueed storm drainage plan.JLP Paee 2 of 4 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01148 ISSUED: 11107/2006 APPLIED: 09/05/2006 EXPIRES: 05/07/2007 VALUE: $ 114,320.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541"726-3676 Fax 541-726-3769 Inspection Line Public Works Review 10117/2006 10/17/2006 WE JLP Public Works Review 11/0312006 11/03/2006 APP JLP Public Works Review 10/03/2006 10/03/2006 WE JLP Structural Review 09/1212006 10/03/2006 APP RJB (PW review complete, waiting for approved drywell cales.) File given to planning. Owner must provide drywell calcs, prior to approval from PW. Tara will return when Planning review complete. Owner is aware Lane County does not accept "Responsibility Form" when adding bedrooms, they will get LC "system approval" .JLP No Bedroom, LC info not necessary. Rcvd Drywell calcs & are approved by Matt. Rcvd call from Katrina Thompson. Storm to drywell. I provided here with the drywell outline documents @ front counter(self serve box). They will need to return cales to us prior to permit is issued.JLP 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 day, inspections requested after 7:00 a.m. will be made the following work day. Ueollire1Jn~ne~tions I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjuuction with footing andlor foundation inspection. . Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit pipiug and other equipment items are in place but prior to concrete. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheatbing 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. Hold Downs Installed: Special Inspection performed prior to placement of coucrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Paee 3 of 4 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-01148 ISSUED: I I107/2006 APPLIED: 09105/2006 EXPIRES: 05/07/2007 VALUE: $ 1I4,320.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbing: Prior to insulation or decking. Underlloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Drywell: Engineered Drywell is Required. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: Wheo all mechanical work is complete. 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 plaus will remain on the site at all ~~ ro..",...,.. Il--'-{)(P Owner or Contractors Signature Date Paee 4 of 4 -. \, .: ". ..' o. ... . 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 Permit #: CO/MZ 0_- 0 Ill..{ f 2- 91..1 ') /-h4-'7'~t/if ~L ~.~ 'br.f' · Date: /1 /7/6 ~ I Address: Issued by: Statement: Information 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 submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: k- I. I own, reside in, or will reside in the completed structure. 81-2. 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. In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. In 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 bereby certify tbat tbe above information is correct and tbat I bave read and do understand tbe Information Notice to Property Owners about Construction Responsibilities on tbe reverse side of tbis form. ctj/7c.JLt M JJ/l01<.4?- . (SignatUre of permit applicant) ; It~ 1-60 (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 Adnlm~ ~~ 'INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES '((])llIlJl" (Oh'W~Gel!lleJl"~ll C'l!ll~Ir~(c~((])Jl"? 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 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. EmlPnoyeJr lRespomlilOi.liti.es You will, in most instances, be ruled to be an "~mployer" 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 tbe employer, you must comply witb the following: Oregon's Witbbolding 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 (BIN) 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/fonnsnav.htmlI for the apt', VpJ. :ate 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 employces 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' wag~s. 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 ww\v.irs.I!ov. <Otllten- JReslPolllsibillitBes alllld Areas of. COlllcerlllls 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 work of rough-in and finish trades, and to notify building officials as the a"I" VI" ;ate 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 SaGFIELD SYSTEMS DEVELOPMEN.ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2006-01148 Brian Thompson 2945 Hayden Bridge - Addition 30X30 - Shop 24X40 1702193200302 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF; 1860 LOT SIZE (SF): _ 0 rn u.l Cl o U ~ u.l E- rn a ~ 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 0.00 I $0.336 1 = I $0.00 I 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 1860.00 I $0.336 I I 50% 1 = I ITEM I TOTAL - STORM DRAINAGE SDC '$312.12 2 SANITARY SEWER - CITY DISCOUNT $312.12 $312.12 11070 A. REIMBURSEMENT COST: I NUMBERO OF DFU's I x COST PER DFU $26.03 $0.00 11091 B. IMPROVEMENT COST: I I NUMBERO OF DFU's I x $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 I x I COST PER TRIP ~ x I NEW TRIP FACTORI I 9.57 I I 0 I i $19.81 I 1.00 I $0.00 1 t093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I 9.57 I I 0 I I $87.39 I 1.00 1 $0.00 11094 ITEM 3 TOTAL - TRANSPORTATION SDC ~I $0.00 I 4 SANITARY SEWER - MWIv'J:; A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $91.61 = $0.00 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I 0 I $961.52 = $0.00 I lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $312.12 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ CHARGE I $312.12 I 5% I $15.61 TOTAL SANITARY ADMINISTRATION FEE: 15.61 11079 IOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 J 1078 Jeff Prociw I 10/]7/2006 TOTAL SDC CHARGES =, $327.73 PREPARED BY DATE . . '. . D~INAGE rlAluRE UNIT (DFU) C~CULATJON TABLE - " NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS I (NOTE: FOR REMODELS. CALCUl.A TE ONL V TIlE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS IBAmTUB 0 0 3 = 0 iDRlNKING FOUNTAIN 0 0 1 = 0 iFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL I SOLIDS I ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH I ETe. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCi.i.URESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURlNAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 .EDU (EQuivalent Dwellin~ Unit) is a dischafJ~e equivalent to a sincle family dwellin~ unit (20 DFU's) set at 167 gallons per day I I i I I I I I ~ I I I I I I .1 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGffiLE 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 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = 225 Ji'iftb Street Springfield, Oregon 97477 541-726-3759 Phone ~ . :~ Wi:." c.f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-01148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-0 1148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-01148 COM2006-0 1148 COM2006-01148 Payments: Type of Payment Check cReceinll RECEIPT #: 1200600000000001620 Date: 11/07/2006 Description Fire SF Fee - Residential Building Permit Fixture Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC SanitarylStorm Admin Plan Review Minor - Planning Paid By BRIAN THOMPSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4840 In Person Payment Totai: Page I of I 1I:46:4IAM Amount Due 93.65 614.40 56.00 45.00 45.00 45.00 6.00 39.00 10.00 42.52 68.03 94.41 312.12 15.61 112.00 $1,598.74 Amount Paid $1,598.74 $1,598.74 11/7/2006