HomeMy WebLinkAboutPermit Building 2008-6-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 631 MALLARD AVE
ASSESSOR'S PARCEL NO.: 1703221315300
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00512
ISSUED: 06/09/2008
APPLIED: 04/14/2008
EXPIRES: 12/09/2008
VALUE: $ 45,241.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Family Room Utility Room, Bath, and Garage Addition
Owner: MCCLINTOCK NICOLE C & JAMES B
Address: 631 MALLARD AVE
SPRINGFIELD OR 97477
Residential
Phone Number: 541-337-0373
I CONTRACTOR INFORMA nON I
Contractor Type
General
Contractor
OWNER
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
License
Expiration Date Phone
1
14.00
Wall Heat
Path 1
No
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
247
6,534
365
I DEVELOPMENT INFORMA nON I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
28.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
35.00
0.00
Urban Fringe
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS rtr
ATTE IO~,Qre,gflrUaw requires you to
follow rules a'86~&e 6~QlTe Oregon Utility
Notification Q)~8p~N\'ii.~:are set forth
In OAB 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note:. the tele~ho~e
number for the Oregon Utility Notification
1 -r,3 r.r.ro 'lroAA)
\J~IILt:1 1.;).UJ~t.:. ._~ . .
Notes: Soil #76 Urban -Chapman well drained soil
MnTir.r:.
THIS PERMIT SHAll EXPIRE IF THI: ~'c:~.~.
AUTHORIZED UNDER THIS PERMIT I fiThation Descri
CDMMENCED OR IS ABANDO.NED FO~Per Sq Ft Square Footage
Descnp~,on""" DA\TvD('rOfoCr'onstructlOn I' I'
f\l~ I I ()J' ,1 rcliTUU: or mu tip ler or Bid Amount
Street Improvements:
Storm Sewer Available:
Special Instruction:
Storm water to Splash block
Page 1 of 3
Value
Date'Calculated
/
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00512
ISSUED: 06/0912008
APPLIED: 04/14/2008
EXPIRES: 12/09/2008
VALUE: $ 45,241.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$105.00
$28.00
365.00
247.00
$38,325.00
$6,916.00
$45,241.00
04/14/2008
04/14/2008
Total Value of Project
~
Fee Descrintion Amount Paid Date Paid Receipt Number
Plan Review Residential $248.68 4/14/08 2200800000000000449
-Mech Iss 2+ Appliances- $40.00 6/9/08 2200800000000000856
+ 10% Administrative Fee $52.72 6/9/08 2200800000000000856
+ 12% State Surcharge $59.59 6/9/08 2200800000000000856
+ 5% Technology Fee $30.63 6/9/08 2200800000000000856
Building Permit $382.58 6/9/08 2200800000000000856
Dryer Vent $7.00 6/9/08 2200800000000000856
Fire SF Fee - Residential $30.60 6/9/08 2200800000000000856
Fixture $64.00 6/9/08 2200800000000000856
Minimum/Adjustment Mechanical $36.00 6/9/08 2200800000000000856
Plan Review Minor - Planning $116.00 6/9/08 2200800000000000856
SDC Sanitary/Storm Admin $3.67 6/9/08 2200800000000000856
Storm Drainage Impervious Area $73.44 6/9/08 2200800000000000856
Vent Fan $7.00 6/9/08 2200800000000000856
Total Amount Paid $1,151.91
I Plan Reviews I
Initial Review
04/15/2008
04/1612008
APP LLH
Public Works Review
04/16/2008
04/17/2008
APP LKW
Planninl! Review
04/1612008
05/01/2008
APP T AJ
Structural Review
04/16/2008
05/0512008
WE DLM
Problem; proposed roof framing is
structurally inadequate. Will meet
w/ Amy (oener's rep.) to resolve the
issue 5/5/08dlm
Structural Review
06/01/2008
06/09/2008
APP DLM
Designer called providing owners
acceptance for moving rafter ties for
roof stability, which will
substantially lower the ceiling height
in the center of the addition
5/18/08dlm.
Pal!e 2 of 3
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00512
ISSUED: 06/09/2008
APPLIED: 04/14/2008
EXPIRES: 12/0912008
VALUE: $ 45,241.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Reouired Insoections .
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.
Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
WaU Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
DrywaU: Prior to taping.
Final Building: After aU 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.
Final Plumbing: When aU plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When aU mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When aU electrical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certIfy that aU
information hereon is true and correct, and I further certify that any and aU work performed shaH 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 aU 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 aU
tiVst'"ct~ <~~~J h'-P-OJ'
O~ Contractors Signature Date
Page 3 of 3
.\
-
Penmt#. (!, B ....~ \{ ~ A
Address Lo 3 \ Wl1~(1 ~ ( ~
ISSUedbY~ Date:(t1Jl-tfCJ
........
. 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
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requzres residentzal construction permit applicants who are not
llcensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is requzred for residential building, electrzcal, mechanical and
plumbing permzts. Lzcensed archztect and engzneer applicants, exempt from licensing under
ORS 701.010(7), need not submzt thzs 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:
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
3B. I will be my own general contractor.
If! 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 Prope ers about Construction Responsibilities on the reverse side of this form.
//
(Signature of permit applicant) (Date)
(Whzte copy to issuing agency permit file, pznk copy to applicant.)
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Property- owner.doc 06-01-04
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Actil}.~~<~ \fo~Own K;eneral Contractor?
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( ...J; Y "lNFORMATION NOTICE 10 PROPERTY OWNERS
) ~)- -0 ABOUTyC'<2~.$JJUCTI9N RESPONSIBILITIES
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NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the:
Construction Contractors Board in accordance with ~~.: 701.0~~(5), passed by the 1989 Oregon Legis/at~re.
I
If you are acting as your own contractor to construct a new home or make a substantlalImprovement to an eXIsting
structure, you can prevent many problems by being aware'df the followmg responsIbilitIes and concerns.
I
Employer Re'~pon~ibilities
.. ,I -
You WIll, m most mstanccs, be ruled to be an '~employer" apd the contractors you contract with wIll be "employees" If
you, use contractors not hcensed wIth the ConstructlOn Contractors Board to do labor m constructmg or to assIst m the
construction or Improvement of a re~ldentlal structur~. As ~he empRo~er, you must co~ply wi~h the following:
Oregon's Withholding Tax Law: As an employer, you m~st WIthhold mcome taxes from employee wages at the tIme
employees are paId. You WIll be hable for the tax paym$ts even if you don't actually withhold the tax from your
employees. For more mformatlOn, call the Department' of Revenue at 503-378-4988.
I
I
Unemployment Insurance Tax: As an employer, you are ~equIred to p'ay a tax for unemployment msurance purposes
on the wages of all employees. For more information, call tPe Oregon Employment Department at 503-947-1488. "
.. I
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The Oregon Busmess IdenhficatlOn Number (BIN) IS ~ combmed number for both Oregon WIthholdmg and " "
Unemployment Insurance Tax. To file for a BIN, call 50~-945-8091 or wwv;.dor.state.or.usiformsuav.htmll for the
appropnate forms. i
I
Workers' Compensation Insurance: As an employer, yoh are subject to the Oregon Workers' CompensatIOn Law,
and mu~t obtam workers' cvwpensatlOn insurance for your employees If you fall to obtam workers' cVHwensatIon
msurance, you could be subject to penaltIes and be habJe fqr ,all claIm costs If one of your employees 'is injured on the
Job For more mformatlOn, call the Workers' CompensatI~m DiVIsion at the Department of ConsUmer and Business
ServIces at 503-947-7815. i
I '
U.S. :H:ntemal Revenue Service: As an employer, you must Withhold federal mcome tax from employees' wages. \',
You WIll be hable for the tax payment even If you dIdn't ac~ally WIthhold the tax. For a Federal BIN number, call the.__
IRS at 1-800-829-4933 or VISlt theIr web SIte at \V\VW.1l's.gov.
Other Re~1Ponsibilitfies. $lI1l.d AJrea~ of Co~ceJrlI1l.s
Co(jle Compliance: As the permIt holder for thIS project, you are responsible for resolvmg any faIlure to meet code
reqUlrements that may be brought to your attentlOn through lnspectlOns.
Liability and Property Damage Insurance: Contact yotlr Insurance agent to see If you have adequate msurance
coverage for aCCIdents and omiSSlOns such as falhng tools, Bamt over spray, water damage from pipe punctures, fire or
work that must be',redone.: . _ i ~. . -- :-. -: -.? , ...... ...:. _ . .._
- i .......... - \
. . I
Time: Make sure you have sufficient tIme to supervIse your employees.
I
I .... 'I
I ~ ~ ,
Expertise: Make sure you have the skIlls to act as your own general contractor, to coordmate the work of rougb-m
and fimsh trades, and to notify buIlding offiCIals as the appropnate tImes so they can perform the reqUIred mspectJOns.
I
,.
If you have addItIonal questions call the ConstructlOn Contractors Board (503-378-4621) or wnte the agency at PO
Box 14140, Salem, OR 97309-5052.
Property _ owner.doc 06-01-04
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUJV ALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR 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
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/ MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
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
I SINK COMMERCIAL BAR 0 0 2 = 0
I SINK WASH BASIN/DOUBLE LA V A TORY 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
'TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (EQUIvalent DwellIng Umt) IS a dIscharge eqUIvalent to a sIngle family dwellIng urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
]989
1990
1991
]992
1993
1994
]995
1996
]997
1998
1999
2000
200]
CREDIT RATE/$I,OOO
ASSESSED VALUE
$529
$529
$519
$512
$4 98
$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
= I
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
=
$000
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00512 I
NAME OR COMPANY McClmtock 1
LOCATION 631 Mallard I
TAX LOT NUMBER 1703221315300 I
DEVELOPMENT TYPE Smgle Family Residence 1
NEW DWELLING UNITS 0 BUILDING SIrE (SF: 0 LOT SIZE (SF)
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS SF x I COST PER S F l CHARGE
21224 $0346 = I $17344 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S F x I COST PER S F I x DISCOUNT RATE
o 00 I $0.346 I 150%
I
ITEM 1 TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF DFU's x
o
COST PER DFU
$26 83
B IMPROVEMENT COST
NUMBER OF DFU's I x
o I
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A REIMBURSEMENT COST
ADT TRIP RATE x
957
B IMPROVEMENT COST
I ADT TRIP RATE
I 957
NUMBER OF UNITS x I
o I
NUMBER OF UNITS x I
o I
=,
x
ITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
NUMBER OF FEU's x COST PER FEU
o $95 35
B IMPROVEMENT COST
NUMBER OF FEU's x COST PER FEU
o $99039
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRATIVE FEE
I SUBTOTAL x I ADM FEE RATE
I $73 44 I 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Kaye Wilson
4/17/2008
PREPARED BY
DATE
6534
en
~
Q
o
U
~
~
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VJ
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DISCOUNT
$000
$73.44
$73.44
1070
I
$0.00
1091
$0.00
1092
=,
$0.00
I
I
COSll PER TRIP
2043
I
COSTI PER TRIP
$90 IO
$0.00
I x NEW TRIP FACTOR
I 100
$0.00
1093
x I NEW TRIP F ACTORI
I 100 I
$0.00
1094
=
$0.00
I 1054
= $0.00 1055
$0.00 1054
I
I $0.00 1056
I
= , $0.00
I
=, $73.44
I
I
I
CHARGE
$367
367 1079
$000 1078
TOTAL SDC CHARGES =1 $77.11
0_-
225 Fifth Street
,
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
COM2008-00512
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000856
Date: 06/09/2008
DescriptIOn
FIre SF Fee - ResIdentIal
Storm DraInage Impervious Area
SDC SanItary/Storm AdmIn
Plan ReVIew MInor - Planning
BUIldIng PermIt
Fixture
Vent Fan
Dryer Vent
Mmlmum/ Adjustment Mechanical
~Mech Iss 2+ Apphances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
JAMES MCCLINTOCK
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
llh 2532b In Person
Payment Total:
Page 1 of I
3:22:33PM
Amount Due
30.60
73.44
367
116 00
382.58
6400
700
700
3600
4000
3063
5959
5272
$903.23
Amount Paid
$903 23
$903.23
6/9/2008