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HomeMy WebLinkAboutPermit Building 2019-06-24SPRINGFIELD } - OREGON Web Address: www.springfield-or.gov Building Permit Residential 1 & 2 Fam Dwelling (New Only) Permit Number: 811-19-000632-DWL IVR Number: 811027570856 Permit Issued: June 24, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Calculated Job Value: $95,533.20 Description of Work: ADU - New Single Family Residence Type of Work: New City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter0springfield-or.gov JOB SITE INFORMATION Worksite Address Parcel Owner: COBB FAMILY LIVING 2668 HAYDEN BRIDGE RD 1703240000101 TRUST Springfield, OR 97478 Address: 2660 HAYDEN BRIDGE RD SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone SEE PROPERTY OWNER Owner (Property) OWNER INFORMATION - Primary PENDING INSPECTIONS Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/ Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 6/24/19 Page 1 of 3 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-000632-DWL Page 2 of 3 Inspection Inspection Group Inspection Status 2999 Final Mechanical 1_2 Famdwell Pending 3999 Final Plumbing 1_2 Famdwell Pending 4999 Final Electrical 1_2 Famdwell Pending 1530 Exterior Shearwall 1_2 Famdwell Pending 1260 Framing 1_2 Famdwell Pending 2300 Rough Mechanical 1_2 Famdwell Pending 3170 Underfloor Plumbing 1_2 Famdwell Pending 4500 Rough Electrical 1_2 Famdwell Pending 1020 Zoning/Setbacks 1_2 Famdwell Pending 1090 Street Trees 1_2 Famdwell Pending 1110 Footing 1_2 Famdwell Pending 1120 Foundation 1_2 Famdwell Pending 1124 Foundation Drain/Waterproofing 1_2 Famdwell Pending 1135 Elevation Certificate 1_2 Famdwell Pending 1160 UFER Ground 1_2 Famdwell Pending 1220 Underfloor Framing/Post and Beam 1_2 Famdwell Pending 1410 Underfloor Insulation 1_2 Famdwell Pending 1430 Insulation Wall 1_2 Famdwell Pending 1440 Insulation Ceiling 1_2 Famdwell Pending 1999 Final Building 1_2 Famdwell Pending 3200 Sanitary Sewer 1_2 Famdwell Pending 3300 Water Service 1_2 Famdwell Pending 3400 Storm Sewer 1_2 Famdwell Pending 3500 Rough Plumbing 1_2 Famdwell Pending 3650 Shower Pan 1_2 Famdwell Pending 4220 Electrical Service 1_2 Famdwell Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811027570856 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Printed on: 6/24/19 Page 2 of 3 C:\myReparts/reports//production/01 STANDARD If r It Permit Number: 811-19-000632-DWL Page 3 of 3 PERMIT FEES Fee Description Quantity Fee Amount Residential wiring 864 $181.00 Technology Fee $127.54 Clothes dryer exhaust 1 $13.00 Gas fuel piping outlets 2 $8.48 Other fuel appliance 1 $18.00 Range hood/other kitchen equipment 1 $18.00 Ventilation fan connected to single duct 1 $13.00 Water heater 1 $18.00 Wood/pellet stove 1 $52.00 Plan Review - Minor, UGB $332.00 Single Family Residence - Baths 1 $323.00 Address assignment - each new or change requested externally, per each 1 $52.00 SDC: Total Storm Administration Fee 12.57 $12.57 SDC: Total Transportation Administration Fee 184.55 $184.55 SDC: Improvement - Transportation SDC 3506.54 $3,506.54 SDC: Reimbursement Cost - Storm Drainage 102.9 $102.90 SDC: Improvement Cost - Storm Drainage 148.4 $148.40 SDC: Reimbursement - Transportation SDC 184.51 $184.51 Fire SDC - New Res Construction Sq Ft fee - enter sq ftg 864 $51.84 Structural plan review fee $599.70 Structural building permit fee $922.62 State of Oregon Surcharge - Plumb (12% of applicable fees) $38.76 State of Oregon Surcharge - Mech (12% of applicable fees) $16.86 State of Oregon Surcharge - Elec (12% of applicable fees) $21.72 State of Oregon Surcharge - Bldg (12% of applicable fees) $110.71 Total Fees: $7,057.70 VALUATION INFORMATION Construction Type Occupancy Type Unit Amount Unit Unit Cost Job Value VB R-3 1 & 2 family 792.00 Sq Ft $118.45 $93,812.40 VB U Utility, misc. - 72.00 Sq Ft $23.90 $1,720.80 half rate Total Job Value: $95,533.20 Printed on: 6/24/19 Page 3 of 3 C:\myReports/reports//production/01 STANDARD 7 k k r( k §$ k Q 3 G k § k # / U) � a § ° 0 § $ % 0 - 3 = Cl) 2 CL §f§p) �& k & LO k k I -0 Ln 2 / 0 u \ L § E / { U \ / E ° k . <CL k � = S $ Q I S G . 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Date: 3 2 , i 9 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if woi suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land -use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: ❑ Yes ❑ No Property is within flood plain: ❑ Yes ❑ No CATEGORY OF CONSTRUCTION 2 Residential ❑ Government I ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: zw' dfyb&lBkfDf ch City: '44 l 1_0 i State: 42 ZIP:99'i?7 Subdivision: I Lot no.: Reference:v1 _ _ 0d _ Taxlot: 00101 PROPERTY OWNER Name: [ o6A r—Aytyi II- ' iAl i `r Address: -,Z6,&0 N-ft'I ,EA/ !ll b6 E 9b. City: I State: d/Z ZIP: q9y77 Phone: vyl g6y 63y7_ Fax: - - E-mail: Building Ownerjr Owner's agent authorizing this application: Sign here: _w4v le ❑ This instal on is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. CONTRACTOR INSTALLATION Business name: VRHAI Q C1F313 Address: City: State: ZIP: Phone: - - i Fax: - E-mail: CCB license no.: Print name: Signature: (c) Reinspection (S per hour): (number of hours x fee per hour) SUB -CONTRACTOR INFORMATION Name CCB License # Phone Number Electrical $ 3. Plan review fees Piumbing E (a) Plan review (65% x permit fee [2a]): S Mechanical $ (c) Subtotal of fees above (3a and 3b): Last edited 5-5-2017 B3ones FEE SCHEDULE 1. Valuation information (a) Job description: Ar,) U Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: ❑ new ❑alteration ❑ addition (b) Foundation -only permit? ❑ Yes ❑ No Total valuation: 1 $95 J S3. 2. Building fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection (S per hour): (number of hours x fee per hour) $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a through 2d): $ 3. Plan review fees (a) Plan review (65% x permit fee [2a]): S (b) Fire and life safety (65% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ (b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c]) $ TOTAL fees and surcharges (2e+3c+4a+b): $ SL t4 G -_ 1, M 70 Property Owner Statement Regarding Construction Responsibilities Oregon Law 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. (ORS 701.325 (2)) 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. Please check the appropriate box: ❑ 1 own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date 1-7 1 will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or r^ i I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. 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 select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. Print Name of Permit Applicant Signature of Permit Applicant Date Permit* � _ ` ` r D W �-- Address: l- MDG -11 EIR1 Q Issued by: � Date: Z j /I !z 0 This Copy for Permit Offices F Information Notice to Owners About Construction Responsibilities (ORS 701.325 (3)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers 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: Employers 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. • Oregon's Business Identification Number (BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business Registry. For questions, call 503-945-8091. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their 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 workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.00v. Other Responsibilities of Homeowners: • Code Compliance: As the permit holder -for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. ■ Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough -in and finish trades. CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 — Fax: 503-373-2007 Website Address: www oreao ,goV1ccb f/ry ncrh. rntiinPr Adnntari 9-7n16 This Copy for Permit :7 �i U L L O U LA tA C m n C O 0 a) m Y U N t U O O X m +m•+ a cu A. Vf N aJ C Y O Cm LnC Y O U 4- 4 O CU Y Y U U ai a) U U T . 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O rD r o zd rD 3 3 rD n rt fD N � -h c S o r M S � + (D r rl U v _ 3 O _ CL co c s iu i s � S O O i LC > f t f s' - fi � c s f r s s' f ;on n n n D S S i J fD rD rD ) 7r y'�C 7r 7c cr ( O O t LU I 0 r u rt O a3i t crq T N D- a rD rD 3 - 7 lu S fzoN = 3 3 o + 3 .O i O rrD ) OA C O N = � N - i rD UU Ln O y f S' :3 N U r -a -O 0 s ai Di s N S u r - n S s n N r E IN: L 4+ r. W 91i n n n n 3 S S S S rD rD fu m A n A A T. 77 7r 7r t 3 N -1ID N- r 3 o- 3 0 1 f]) O C * n rDO Q S• O oe N N O !11 rD N N Y t rD c O O N s rD E 0 3 cr f X O O N 61 iv ET 3 r 3 i Q � p O rD T` O 3• O aq CD r � A A N rD rD rr N S rD rD N rD 7 m O N O Y 7 L� O O O v LLL2L"`_L' 7T QE fD h fD rD N N r—Tr Q m O rD r v rt _ a o mQ rt N r — a n t= O A S CL rD r i 2 ° D n 3 O rD rD rOr '< O � rD f _ lD M 7i N O f :3< a r+ + D fD o O 3 c = a =3 n O m N a -, 0 r =rr t fp S) Q =n N rD Q f - m (D 3 fD rpt 3j n 1 = - - z a 'O -r ) -n 3 O v rt. O 3 rr �• O - C 3 - �' m = rn L ) 3 3�c C O 0 F, 3 rD rOt n s i� n w C D * r^ rD 7 s L s rr N O -" _0 — n n ET ( a n C C C - rr n) o) O - � u ❑- n r -r N rD r7 ;on n n n D S S i J fD rD rD ) 7r y'�C 7r 7c cr ( O O t LU I 0 r u rt O a3i t crq T N D- a rD rD 3 - 7 lu S fzoN = 3 3 o + 3 .O i O rrD ) OA C O N = � N - i rD UU Ln O y f S' :3 N U r -a -O 0 s ai Di s N S u r - n S s n N r E IN: L 4+ r. W 91i n n n n 3 S S S S rD rD fu m A n A A T. 77 7r 7r t 3 N -1ID N- r 3 o- 3 0 1 f]) O C * n rDO Q S• O oe N N O !11 rD N N Y t rD c O O N s rD E 0 3 cr f X O O N 61 iv ET 3 r 3 i Q � p O rD T` O 3• O aq CD r � A A N rD rD rr N S rD rD N rD 7 m O N O Y 7 L� O O O v JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS IMPERVIOUS AREA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET 19-000632 Jack and Becky Cobb 2668 Hayden Bridge Rd 1703240000101 Sincle Familv Residence NG SIZE (! MAX 45% 1. STORM DRAINAGE A. REIMBURSEMENT COST: DIRECT RUNOFF TO CITY STORM SYSTEM NUMBER OF FEVs x COST PER FEU ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x A. REIMBURSEMENT COST NUMBER OF FEU's 9.57 AREA DRAINING TO 1 0 19.28 IMPERVIOUS S.F. x 1.00 COST PER S.F. B. IMPROVEMENT COST: DRYWELL CHARGE x 700.00 x $0.294 = 700 x $102.90 B. IMPROVEMENT COST 9.57 1 AMPERVIOUS S.F. x COST PER S.F. = CHARGE 700.00 $0.424 = 700 $148.40 ITEM 1 TOTAL - STORM DRAINAGE SDC $251.30 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU s x COST PER DFU 0 $165.54 B. IMPROVEMENT COST: NUMBER OF DFU's x COST PER DFU 0 $81.54 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = $0.00 3. TR.4.NSPQR-1Af10N A. REIMBURSEMENT COST: A. REIMBURSEMENT COST: NUMBER OF FEVs x COST PER FEU ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR NUMBER OF FEU's 9.57 COST PER FEU 1 0 19.28 $1,597.44 1.00 = B. IMPROVEMENT COST: NUMBER OF FEU 's x ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR 9.57 1 $366.41 1.00 = ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER- MWMC A. REIMBURSEMENT COST: NUMBER OF FEVs x COST PER FEU 0 $131.89 B. IIAPROVEMENT COST: NUMBER OF FEU's x COST PER FEU 0 $1,597.44 C. COMPLIANCE COST: NUMBER OF FEU 's x I COST PER FEU 0 1 $22.82 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) $3,691.05 _ 1 $0.00 $3,942.35 A O U 0 V $102.90 $148.40 10 $0.00 1091 Su.On 1092 184.51 1093 1,506.54 1094 $0.00 105 $0.00 105` $0.00 $0.011 105 so.00 1056 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE = CHARGE $3,942.35 5% $197.12 TOTAL STORM ADMINISTRATION FEE $12.57 TOTAL SEWER ADMINISTRATION FEE: 0.00 TOTAL TRANSPORTATION ADMINISTRATION FEE: $184.55 TOTAL MWMC ADMINISTRATION FEE - LOCAL $0.00 TOTAL SDC CHARGES = I $4,139.47 1079 1077 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS OTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES FIXTURE TYPE NO. OF FIXTURES UNIT NEW OLD E UIVALENT DRAINAGE FIXTURE UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESWASHER / MOP SINK 0 0 3 = 0 CLOTHESWASHER - 3 OR MORE EA 0 0 6 = 0 MOBILE HOME PARK TRAP 1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR R.EFRIG / 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 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS "EDU E uivalent Dwelling Uniq is a discharge equivalent to a single family dwelling unit 20 DFU's) set at 167 gallons per day 0 0 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$1,000 ASSESSED VALUE j $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 ELGIBLE FOR ANNEXATION CREDIT? 0 (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. 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