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Home My WebLink AboutPermit Building 2008-6-13 -iii:~... Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00628 ISSUED: 06/13/2008 APPLIED: 05/06/2008 EXPIRES: 12/13/2008 VALUE' $ 25,000.00 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 629 T ST ASSESSOR'S PARCEL NO 1703262404508 SprlRgfield TYPE OF WORK FamIly Room TYPE OF USE AddItIon Resldent..1 PROJECT DESCRIPTION Add sun room/famIly room Owner SUSAN STONEBURNER Address 629 T STREET SPRINGFIELD OR 97477 Phone Number 541-686-6179 I CONTRACTOR INFORMATION I Contractor Type Gener dl Electrical Plumbmg Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMA nON, VB # of Stories HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprinkled BUlldmg 1 Lot SIze 12 00 Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Path 1 Sq Ft Other n/a Occupant Load 6,098 154 # of UUltS Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Seconddry ConstructIOn Type # of Bedrooms R-3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback SIde 1 Setback SIde 2 Setback Redryard Setback Solar Setbacks' 1990, 000,_ Overlay Dlst # Street Trees Rqd Paved Drive Rqd % of Lot Coverage Total HandIcapped Compact -""~ A~ON' '~ll PUBLIC IMPROVEMENTS' Street ImprovementJOtllow rUles ad~r:!!!ttaw r~- " _ o ,flcatlon Ce ....... by thl to Storm Sewer AvaIla4'llDAR 952-00 nt~ Those ILl," ''',ty SpCClallnstructlOnOO9o Youm..!-otJ10fhro"C' ;'r ~)' forth callm9lhe.--,Obtam "-"", ~''':'OOl_ ....-... cen~t , ) , "u' Notes Stormwat......Ql8JSfflI-'~~t!; eaves ," es by C, ~ 13' '- It ~ I::JOe , ~r I' . I ... .;J l-b.... -' ~ ,ICatIOI) .....-- ~";-'4) S,dewalk Type Downspouts/DralRs NOTICE- THIS PE . AUTH RM"SHALLEXP COMMORIZED UNDER T IRE IF THE WOR ANY 18~~AEyD OR IS AB~~:rrNRMIT IS Nof PERIOD. ED FOR Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726,3753 Pbone 541-726,3676 Fax 541-726-37691I1spectlOn Lme Description Tvpe of ConstructIOn EstImate EstImate Fee Description Plan RevIew ResIdentIal + tOoA. Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend CIrc Add, Alter, Extend CIrc Ea Add BuddlRg PermIt FIre SF Fee - ResIdentIal Plan ReVIew MlRor' Plallnmg SDC SaUltary/Storm Admm Storm Dramage ImpervIOUs Area Storm Sewer, 1st 50 Feet CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00628 ISSUED' 06/13/2008 APPLIED: 05/06/2008 EXPIRES. 12/13/2008 VALUE. $ 25,000.00 I Valuation DescriDti?n I $ Per Sq Ft or multIplIer $100 Square Footage or BId Amount 25,000 00 05/06/2008 Value Date Calculated Total Value of ProJect $25,000 00 $25.000 00 Fpp<. P~ili I , Amount PaId Date PaId ReceIpt Number $16077 $36 90 $43 36 $23 87 $48 00 $1600 $24734 $770 $11600 $266 $53 29 $50 00 5/6/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 6/13/08 2200800000000000588 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 1200800000000000651 Total Amount PaId $805 89 I Plan ReViews I ImtIal ReView 05/06/2008 05/06/2008 APP LLH PublIc Works ReVIew 05/06/2008 05/07/2008 APP TSS Stormwater drams to eXlstmg eaves Plannme ReView 05/06/2008 06/06/2008 APP TAJ Flood zone "A" IS along the front of tbe lot The drea of the addItIOn IS In Zone X outsIde the 500 year flood pi am Structural ReVIew 05/06/2008 06/10/2008 APP RWC 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. Paee 2 00 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO. COM2008-00628 ISSUED: 06/13/2008 APPLIED' 05/06/2008 EXPIRES. 12/13/2008 VALUE: $ 25,000.00 225 FIfth Street, Springfield, OR 541-726,3753 Pbone 541,726-3676 Fax 541,726,3769 InspectIOn Lme ReoUlreli InsDectl~ns , Footmg After trenches are excavated FoundatIOn After forms are erected but prior to concrete placement Post and Beam Prior to floor msulatlOn or deckmg Floor InsulatIOn Prior to deckmg Frammg InspectIOn Prior to cover and after all rough m mspectlOns bave been approved Fmal BUlldmg After all reqUIred mspectlOns bave bee II requested and approved and the buIldmg IS complete Storm Sewer Lme Prior to fillIng trencb Rough Electric Prior to Cover Fmal Electric. Whell all electrical work IS complete By sIgnature, 1 state and agree, that I have carefully exammed the completed applIcallon and do hereby certIfy that all mformallon hereon IS true and correct, and I further cerllfy that any and all work performed shall be done m accordance WIth the Ordmances of the CIty of Sprmgfield and the Laws of tbe State of Oregon pertammg to the work described berem, and that NO OCCUPANCY wIll be made of any structUl e wlthollt permIssIOn of tbe CommunIty ServIces DIVIsIOn, BUlldmg Safety 1 further cerllfy tbat only contractors and employees who are m complIance WIth ORS 701 005 WIll be used on thIS project 1 furtber agree to ensure tha! all reqUIred mspectIons are requested at the proper lime, that each address IS readable from the street, tbat the permIt card IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all times dunng construction ..ah.t'- ~/2/A//fl/?:?J'AJ ~-/.3-LJP Owner or Contractors Slgllature Date Paee 3 of3 ZON ~O~ INITIALS lJV' DATE C(') . \0 .O'f) SOURCE ~(l- 3 SPRINGFIELD ," ~ Date {,')\~~\03 COMPLETE FEE SCHEDULE BEWW Jj" ," ~ " It Cll.. " -, _ ~' ..~.. , _ .;.. .1!'f', ,~IT)',;. Of, ~PRING!U~~P;, QREq.QNti ,f' , 225 F1FTI1 STREET. SPRINGFIELD, OR 97477 . PH (';41)726-3753 - FAX (~41)726.3689 New AlteralIon or ExtenSIOn Per Panel All. a) One 8. Ult \ $ 48 00 :Jt1. ~ Each Add. lIal CIrcUIt or WIth A \ \ I'l aJ 't \. "(\ l) L...._ D or Feder PermIt '-'(' $ 4 00 ~. Owners ame 0~ \ )\ U\ \C "o\} ,,' - - It.!> ' ~I" (l Nl' 'CL( Lo\lQ ,,0'0 \OJ. \'1\0. 0 0.10. S r/;OO'\ CIty _ \I. tx...-PhollelOTJ n- PumporlTflgatlon ~ 0,0 ;"c.'O'l~t~-s\\l~[>..?-9~:'les'O'I - SlgnlOutlme L.ghtmg...,.~~"\\O ~ 't :;. "\'I\~~'\l001 \'1\"_....'<:\0'0'" " ~'" \ fJ.\c, r' .- \Il -", ~~es \,,\4. 0.":>' OWNER INS i\LLA nON Lumted EllergyiRes ~~!1al 0"" ,.00 .<\ 1&<28 OQ<le ,....\llle o _,,\1 c :OW" ~\e \~ \, The mstallatlOn IS bemg made on property I own whIch Llm.ted Ellergy/Co~~rcla\ ci= ,,>! 0 _. '1> :JR.go.\1 c",~~~. d d < I I (I~\., o\\\.':' .(\0' 0..0#... IS not mtell e .or sa e, ease or rent Mmlmum ElectriC PermIt fns~ectlon Fe~'iS'$SQ;OILi\ <:im:lia4esa) \'6''J' " X-'" .'0,," 4 : SUBTOTAL OF ABOvE" '\Ol~el ,'0 '\ \ Q . 1,)\,,,, 'vG<;-' 12% State Surcharge <;-. "\ . lop, 10% Admmlstratlve Fee I (1 A ( ') 5% Technology Fee ~ :l-l ') Bl.'lJ') ELECTRICAL PERMIT AJ:~ICATION CIty Job Number (b ,~ -Vi IV LOCAl ION OF INSTALLATION: 101LC\ \-~QDr LEGA\~~1l624 04t=D8 JOB DESCRIPTION . P~ ~el.ble and expIre fwork IS not started wltbm 180 days of Issuance 0 If work IS Suspended for 180 days I 2\ CONlRAC10RINST~LATI _ ElectrIcal COlltractor \ Address \. ONLY ;" SupervIsor Llcellse N ber Exp.ratlon Date / _ -r. / ~"'h''''_ ".. \ 1\' COIIStr COlltrlNumber if\I5 FE~ ' 1 ~\J\ \'lVI'" EXPlra;z'o Date 9MMEh ;:f \tl'~ - SIgna e ofSupervlsmg ElectrICIan ~ CIty ...."" ~~~~ InspectlJln Request 726-3769 A New ResidentIal- Smgle or MultI-FamIly per dwelling umt ServIce Included 1000 sq ft or less Each add.tlJlllal 500 sq pOrtlOIl thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder $11700 ft or $2100 $55 00 B ServIces or Feeders - InstallatIon, AlteratIOns or RelocatlJln . , 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Recollllect Ollly $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 C Temporary ServIces or Feeders , InstallalIon, AlteratIon or RelocatIon \ 200 Amps or less' 20 I A'PP~ toAOO Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above D Branch CIrClllts $ 55 00 $ 76 00 $110 00 TOTAL Shared Dnve(f )/BUlldmg FormslElectnca1 Permit ApplicatIOn] -08 doc 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 ~ Penrut # ~ -01/"PJ Address \ d2q T Issued bA Q J:::Q...) s+- Date l (J' i~ [f?) Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law. ORS 701 055(4) requires residential constructIOn permit applzcants who are not lzcensed with the ConstructIOn Contractors Board to Sign the followmg statement before a bUlldmg permit can be Issued This statement IS required for reSidential bUlldmg. electrical. mechamcal and plumbmg permits Licensed architect and engmeer applzcants, exempt from lzcensmg under ORS 701 010(7). need not submit this statement This statement will be filed with the perrmt Fill m the appropnate blanks and ImtIal boxes 1 and 2, and either box 3A or 3B ~: I own, reSide m, or will reSide m 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 mstruct my general contractor that all subcontractors who work on the structure must be licensed WIth the ConstructIOn Contractors Board OR I will be my own general contractor If! hIre subcontractors, I will lure only subcontractors licensed WIth the Construction Contractors Board If! change my mmd and hIre a general contractor, I will contract WIth a contractor who IS licensed wtth the CCB and WIll l1nmedlately notIfy the office Issumg thIS bmldmg penmt of the name of the contractor I hereby certIfy that the above mformation 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. ~/~~b~~~/ ~-/3~? (Signature ofpenmt applicant) (Date) (White copy to Issumg agency permit file. pmk copy to applzcant) Property _ oWller doc 06,01,04 ,. ,...... '\ '",*".("'1 Acting a~~fYo-ut"'t)WIDl GeIDleIrai ContJ!"actor? 1 - -r 11 \- , . ~ . , <-INFORMATilON NOT,ICE TO 'PROPERTY OWNERS ~ J cJ 0) ABOUJ y9N~,f~UCTION RESPONSIBILITIES 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 substanttallmprovement to an eXlstmg structure, you can prevent many problems by bemg aware of the followmg responslbllIttes and concerns lEmpnoyer Responsibilities You wll], m most mstances, be ruled to be an "employer" and the contractors you contract WIth will be "emp]oyees" If you use contractors not lIcensed wIth the Construction Contractors Board to do labor m constructing or to assIst m the , . constructIOn or Improvement of a resIdential structure As the employer, you must eomply with the followmg: Oregon's Wlthholdmg Tax Law. As an employer, you must WIthhold mcome taxes from employee wages at the time employees are paId You WIll be lIable for the tax payments even If you don't actually Wlthho]d the tax from your employees For more mformatlon, call the Department of Revenue at 503,378-4988 -- " Unemployment Insurance Tax As an employer, you are reqUIred to pay a tax for unemployment msurance purposes - \ on the wages of all employees For more mfonnallOn, call the Oregon Employment Department at 503-947-1488 The Oregon Busmess IdentificatIOn Number (BIN) IS a combmed number for both Oregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-809] or WW\\ dor state or us/tonnsoav hlmll for the appJ vpuate forms Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtam workers' compensation msurance for your employees If you f"ll to obtam workers' compensation msurance, you could be subject to pena]tles and be hable for all claIm costs If one o{your employees IS mJured on the Job For more mformatlon, call the Workers' CompensatIOn DIVISIon at the Department of Consumer and Busmess Services at 503,947,7815 US. Internal Revenue Service As an employer, you must WIthhold federal mcome tax from employees' ~ages You WIll be hable for the tax payment even If you dIdn't actually WIthhold the tax For a Federal EIN number, call the' , IRS at ]-800-829-4933 or VISIt theIr web sIte at W\vw liS nov " .. ., '. " Otber Responnsibmtfies amI! Areas of O:mcenls , Code ComplIance. As the penmt holder for thIS project, you are responsIble for re~olvmg any faIlure to'meet code reqUlrem~nls that may be brought to your attentIOn through mspectlOns LJablhty and Property Damage Insurance. Contact your msurance agent to see If you have adequate msurance coverage for aCCIdents and ormsslons such as fa]hng tools, pamt over spray, water damage from pIpe punctllres, fire or work that mUot be redone '- , ~ ,,-- Time' Make sure you have suffiCIent time to supcfYlse your employees " Expertise Make sure you bave the skIlls to act as your own' general contractor, to coordmate the work of rough-m and fimsh trades, and to noltfy bUlldmg offiCIals as the appropriate tImes so they can perfonn the reqUIred mspectlOns If you have addlttonal qlle~tlOns call the ConstructIOn Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 Property_owner doc 06-01,04 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008,00628 NAME OR COMPANY Susan Stoneburner LOCA liON 629 T Street TAX LOT NUMBER 1703262404508 DCVELOPMENT TYPC SINGLE f AMIL Y RJ:SIDENCE NEW DWELLING UNII S 0 BUILDING SllE (SF 0 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOrF TO CITY STORM SYSTEM I IMPCRVIOUS S F x I COST PER S F CHARGE I 15400 I $0346 I = 1 $5329 I RUNOFF ROU I ED TO DRYWELL DESIGNED AND CONSTRUCTCD TO CII Y , fANDARDS IlMPCRVlOUS S F I x I COS f PER S F I x I DISCOUNT RATC 1 I o 00 1 1 $0 346 I 50% 1 ~ I DISCOUNT $000 ITEM I TOTAL, STORM DRAINAGE SDC 2 SANITARYSEWER,CIIY $53 29 A REIMBURSCMENT COST 1 NUMBER OF DFU's I 1 0 B lMPROVEMLNT COST I NUMBER OF DFU's I 1 0 1 x COST PER DFU $26 83 COSl PER DFU $20 40 x ITEM 2 TOTAL, CITY SANITARY SEWER SDC = , $000 3 TRANSPORTATION A REIMBURSEMENT COST I ADIIRJPRATE I x I NUMBER Of UNITS I x I COS I PER I RIP x INEW TRIP fACTORI 957 I o I 2043 1 100 1 B IMPROVEMENT COST I AD f TRIP RATE I x I NUMBER 001' UNITS I x I COST PER fRlP x INEWTRlPFAcrORI 1 957 I I $90 10 I 100 I ~ , ITEM 3 TOTAL, TRANSPORT A nON SDC = I $000 4 SANITARY SEWI~R, MWMf: A RFIMBURSEMENI COST INUMBER OF FEU's I 1 0 ICOST PER FEU 1 $9535 x B IMPROVEMCNT COST INUMBCR Of fEU's I x ICOST PER FEU I 0 I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I SUBTOTAL (ADD ITEMS I. 2, 3. & 4) = I I' I~ o o I~ o I L.Ll I.~ ~ I $53 29 1070 $000 I 11091 I 11092 I $000 $0 00 11093 I $000 11094 I = $000 11054 1 = $000 $000 1054 1055 5 ADMINISTRA IIVI: FI:E 1 SUBTOTAL x I ADM rEERATE 1= I $53 29 I 5% I TOTAL SANITARY ADMINISIRAnON fee TOl AL TRANSPORTATION ADMINISTRATION fEE Todd Smgleton PREPARED BY 51712008 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NEW FIXTURES x UNrT EQUIV ALhNT = DRAlNAGf:. FIXTURE UNITS I (NOTE J-OR REMODELS CALCULATE ONLY TIlE NET ADDmQNAL FIXTIlRES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYpC NEW OLD EQUIV ALCNT UNITS rBATHTUB 0 0 3 = 0 IDRINKJNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEpTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCCpTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER 1 MOP SINK 0 0 3 = 0 ICLOTHESWASHER,3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IREcEproRroR REFRIG/ WATER STATION / CTC 0 0 1 = 0 I RECEp I OR FOR COM SINK / DISHWASHER / CTC 0 0 3 = 0 I SHOWER. SINGLE Sf ALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF I lEADS) 0 0 2 = 0 ISINK COMMCRCIALIRESIDENTIAL KITCHEN 0 0 3 = 0 ISINK COMMERCW" BAR 0 0 2 = 0 ISINK WASil BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URlNAL. STALL! WALL 0 0 5 = 0 , IOILel. PUBLIC INSTALLATION 0 0 6 = 0 I TOILET. pRlVATE INSTALLATION 0 0 3 = 0 I MISCELLANeOUS DFU TYPE NUMBER OF eDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 .EDU (EqUIvalent Dwelling UnIt) IS a dtscharge eQuivalent to a smgle family dwelling umt (20 DFlJs) set al 167 ~Ilons per day , MWMC CREDIT CALCULATION TABLE. BASED ON COUNTY ASSESSED VALUE ~YEAR CReDIT RA TEI$I ,000 ANNEXED ASSEsseD VALue IS LAND ELGlBLE FOR ANNEXATION CREDIT> 2 I: BEFORL 1979 $529 (Enter I for Yes, 2 for No) 1979 $529 IS IMPROVI:MCN I ELGIBLI: roR ANNeX CREDII'? 2 1980 $519 (Enter I for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 I 1982 $498 I 1983 $480 CREDIT FOR LAND (IF APPLICABLE) I 1984 $463 VALUE /1000 CREDIT RATE I 1985 $440 $000 x $529 ~ , $000 I 1986 $407 I 1987 $367 CREDIT FOR IMPROVEMENT (IF AF I ER ANNEXA nON) I 1988 $322 VALUE / 1000 CREDIT RATe I ]989 $273 $000 x $529 0 I 1990 $225 I 1991 $180 I 1992 $159 TOTAL MWMC CREDIT = $000 I 1993 $145 I 1994 $125 I 1995 $109 I 1996 $092 , I 1997 $072 I: I 1998 $048 I 1999 $028 I 2000 $009 I I 2001 $005 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone a~~R"'tQ"''''-'>c. ", -'- , ~~.. .=.-, j , , ,,_ _-....- _ -I....;.> _, CIty of Sprmgfield OfficIal Receipt Development ServIces Department PublIc Works Department Job/Journal Number COM2008,00628 COM2008,00628 COM2008,00628 COM2008,00628 COM2008,00628 COM2008,00628 COM2008,00628 COM2008-00628 COM2008,00628 COM2008-00628 COM2008,00628 Payments Type of Payment Check cRece1011 RECEIPT #. 1200800000000000651 Date: 06/13/2008 DeSCriptIOn Fire SF Fee, ReSIdential Storm Dramage ImpervIOUs Area SDC SallltarylStorm Admm Plall ReView Mmor ' Plannmg BUlldmg Permit Storm Sewer, 1 st 50 Feet Add, Alter, Extelld CIrC Add, Alter, Extend CIrC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By SUSAN STONEBUMER Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received Ilh 9687 III Persoll Payment Total Page I of I 1 34 22PM Amount Due 770 5329 266 11600 247 34 5000 4800 1600 2387 4336 3690 $645 12 Amount Paid $645 12 $64512 6113/2008