HomeMy WebLinkAboutPermit Building 2019-09-17E-H Building Permit
Residential Structural
Permit Number: a1 1-19-OO1975-STR
IVR Number: 81107781 4054
Email Address: perrnitcenter@springfi€ld-o..govW€b Addr€ssr www.springfi eld-or.9ov
Permit lssued: September 17, 2019
Category of Construction: Single Family Dwelling
Calculated Job Value: $10,286.64
Description of Work: Addition (kitchen)
Type of work: Addition
Worksite Address
3858 LONG RIDGE DR
Springfield, OR 97478
Parcel
1802061310007
Owneri
Address:
PLUEARD ]EFFREY ] &
WENDY K
3858 LONG RIDGE OR
SPRINGFIELD, OR 974'?8
Business Name
OWNER - Primary
License
ccs
License l{umbar
000000
Phone
lnspection
1999 Final Building
1260 Framing
1020 zoninglsetbacks
1110 Footing
1120 Foundation
1220 Underfloor Framing/Post and Beam
1410 Underfloor Insulation
1430 Insulation Wall
1440 Insulation Ceiling
1530 Exterior Shearwall
Inspection Status
Pending
Pending
Pending
Pend in9
Pending
Pending
Pending
Pending
Pending
Pending
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.
Pcrmits explre It work is not st rted within IEO oays of issuance or It work ls suspcnd€d for 18O Days or tonger det €ndtng onth. lssuing agency's policy.
All PtoYisions of lari6 and ordlnances govemlng this type ot work wlll be complled wlth whether specttt.d her€tn or not.
Granting of E permlt do€s not Presume to Clve authorlty to violate or cancel the provialons ot any othGr state or tocal taw
reeulating constructlon or the pertormanae of construcuon,
ATTE TIOi: oregon law requires you to follow rule6 sdopted by the Oregon udllty t{otlfl.adon cent r. Thos€ rutes.re setforth ln OAR 952-OOl_OOrO through OAR 952-oo1-oO9O. You may olrtaln copbs of tne .ules by calling the Conter at (503)
232-L987.
All Peisoo5 or ertitles Pertorming work under this permat ar€ requlrEd to be llccnsed unless exempted by ORS 7O1.O1O
(Structu.all?llechanlcal), ORS 479.540 (Electrtcat), and ORS G93,O1O-O2O (ptumbtng).
Prhted on: 9/17119 pag€ 1 of 2 c:\hyReEDrts/Eportt/producrorvor STANoARo
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
TYPE OF WORX
,OB SITE INFORMATION
LICEI{SED PROFESSIONAL INFORII.IATION
PENDING INSPECTIONS
Inspectlon Group
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
SCHEDULING INSPECTIONS
Permlt l{umber: a1 1-19-00197s-STR
Schedule or track anspections at www.buildingpermits.oregon.gov
call or text the word 'schedule" to 1-888-299-2821 use IvR number: ALLO77A74054
Schedule using the oregon ePermitting lnspection App, search "epermitting" in the app store
Page 2 of 2
Fee Description
Technology Fee
Plan Review - Minor, City
SOC: Improvement Cost - Storm Drainage
SDC: Total Storm Administration Fee
SDC: Reimbursement Cost - Storm Drainage
Fire SDC - New Res Construction Sq Ft fee - enter sq ftg
Structural building permit fee
Structural plan review fee
State of Oregon Surcharge - Sldg (12o/o of applicable fees)
1
85.65
7.23
59
84
Quantity Fee Amount
$25.19
$ 141.00
$8s.5s
$7.23
$s9.00
$s.04
$219.90
$L42.94
$26.39
$712.34Total Fees:
Construction Type
VB
Occupancy Type
R-3 1&2family
Unit Amount
84.00
Unit Unit Cost
Sq Ft $122.46
Total Job Value:
Job value
$ 10,286.64
$10,286.64
c:\myReports/rcportt/prcduction/01 STANoARD
PER TT FEES
VALUATION I1{FORMATION
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Structural Permit Application SPRINGFIEI,O
h
225 Fifth sEeq . springfield. oR 97477 . PH(54t )726-3753 . FAX(541 )726-36E9 otarG0 r{
.?
DEPARTMENT USE ONLY
Permit no.: \4-OO \q"t
I;^,;abl D!'\\q
ce or ifwork is
r
1l
SUB-CONTRACTOR INFORMATION
Nsmc CCB Liccnsc #Phone
Electrical
Plumhing
LOCAL GOVERNMENT APPROVAL
Date
This project has final land-use approval.
Signature:
This project has DEQ approval
Sigrature:
Zoning approval verified: E Yo fl No
Property is within flood plain: ! Yes ! t'lo
CATEGORY OF CONSTRUCTION
(Residenrial ! Government E Commercial
JOB SITE INFORMATION AND LOCATION
ZIP
g
City: 5
Lot noSuMivision:' U
raxtot)b,Lote l3l ooo?Referencc:
PROPERTY OWNER
Name: .fC ut41,L (Address:3859
ztP:T7{City:State:f,{-
Building Owner or is applicationOwner's agen authorizing th
Phone:Lt2
E-mail t
Sign here:
EfThis installation is being iJade on residential or farm property owned
by me or a member ofmy immediate family, and is exempl from
licensing requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Business name
Address - ^ 0rA'--
City f''n 17"State:
Phone:V Fax
E-mail
CCB license no.
Print nanrc:
Signature:
Mecbanical
FEE SCHEDULE
l. Valuation information
)I(a) Job descriptioo:
Occupancy
Construction type:
Square feet
Cost per square foot:
Type of Hest:
Energ/ P{th:
I new flalteration ! addition
(b) Foundation-only permit? E yo E tto
Totalvaluationr S
2. Building fees
(a) Permit fee (use valuation table)S
(b) lnvestigative fce (equal to [2a])s
s
S(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$(e) Subtotal of fees sbove (2r through 2d):
3. Plan review fees
sffi lLlv(a) Plan review (65% x permit fee [2a]):
5(b) Fire and life safety (65% x peamit fee [2a])
S(c) Subtotsl of fees rbove (3a aod 3b):
4, Nliscellaneous fees
(a) Seismic fee, l% (.01 x permit fee [2a]):s
(b) Tech fee, 5% (.05 x permit fee[2a]+PR fee [3c])s
JOTAL fees 8trd surchrrgei (2e+3q+4e+b)s
l-ast edited 5-5-2019 BJones
Cnv or SpnrNrcFIELD. oREGoN
This permit is issued under OAR 918-460-0030. Permits €xpire if work is not started within 180 deys of
suspended for 180 days.
om-. folv GLE4 - -TuS
/-n't '' o*
Sf-^- - P?
-z
Date:
Job site address:
!tx., DR
Fax:
ZlPl
Other information:
(c) Reinspection ($ per hour):
(number ofhours x fee per hour)
P roPertY Owner Statement
Regarding Gonstruction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Conitruction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 70'1.325 l2ll
This statement is required tor residential building, electrical, mechanical, and plumbing pormits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7)' need not
submit this statement This stalement will be filed with the permit.
Please check the approPriate box:
t r I own, reside in, or will reside in the completed structure and my general contractor is
Expiration Dale
I will inform my general contractor that all subcontractors who work on the structure must be
ticensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that lwill
reside in. lf I hire subcontractors, lwill hire only subcontractors licensed with the Construction
Contractors Board. lf I change my mind and hire a general contractor, lwill select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the ofiice
issuing this Building Permit.
tr
il
I have read and undeEtand the lnformation Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
hJrn
Print Name of Pe t Applicant
Phaq^/'Zla-l
Signature of Perm lic€ni Dale
Z
(1- oo\qq.s
{i
Datelssued
D^a3
\1
Permil #:
Address:
This Copy for Permit Offices
Name ccB#
r"
l|t
lnformation Notice to Owners About
Construction ResPonsi bi lities
(oRs 701.325 (3))
CONSTRUCTION CONTRACTORS BOARD
PO Box 14140, Salem' OR 973095052
Telephone: 503-378-4621 - Fax: 50+373-2007
Website Address; www. oreoon ' oov/ccb
general contractoE to constlucl a new home
ln existing structure, can prevent many Problems
the following resPonsibilities:
Homeowners who use labor provided by workers not licensed by the construction contractors
ao"rJ, r"y 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,sWithholdingTaxLaw:Employersmustwithholdincometaxesfromemployeewages
.t tf'L tir" employeesire paid- You will be liable for the tax payments even if you doi't actually
withhold the tax fiom your employees. For more information, call the Department of Revenue at
503-378-4988.
UnemploymentlnsuranceTax:Employersarerequiredtopayataxforunemploymentinsurance
ffi|j",;; ih" *rg". of alt employeei. For more information, call the Oregon Employment
Department at 503-947-1 488.
oregon,sBusinessldentificationNumber(BlN):isacombinednumberforbothoregon
Wtn-6ofOing and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business
Registry. For questions, call 503-945-8091
WorkersCompensationlnsurance:EmployersaresubjecttotheoregonWorkersCompensation
Lr*, ".0 must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain
woil"r" corp"nsation lnsurance, you could be subjecl to penalties and be liable for all claim costs
it on" J vour irorkers is iniured on ih"joo. For more information, call the workers compensation
biri.L, liin. Departmeni of Consumer and Business Services at 800-452-0288.
Tax\Mthholding:EmployersmustwithholdSocialsecurityTaxandFederallncomeTaxfrom
;rily;;;"1;; you'may be tiabte for the tax payment, even if you didn't actually withhold the tax.
Foi a iederal EIN number, go online to www irs oov'
Homeowners acting as their own
or make a substantial imProvement to
by being aware of
a
a
a
a
a
Other Responsibilities of Homeowners:
codeCompliance:ASthepermitholderforaconstructionproject,thehomeownerisresponsible
tir ^"t'tyirg-Urliaing
ofiiciais at the appropriate times' so that the required inspections can be
oerformed. Homeowners rr"
"tao
,"rpon"ible for resolving any failure to meet code requirements
it
"t
.ry be found through inspections'
PropertyDamageandLiabilitylnsurance:Homeownersactingastheirowncontractorsshould
t"ni"ctin"i, insJrance agent to ensure adequate insurance coverage for accidents and omissions,
such as falling tools, paint ou"r.=pr"y, water iamage ft9' ?ip" punctures' fire' or work that must be
redone. Liability lnsurance must belufiicient to cover iniuries to persons on the job site who are not
;;;";;;'t"d as employees by workers compensation lnsurance'
Expertise:Homeownersshouldmakesuretheyhavetheskillstoactastheirowngenera|
*,itrr.t"i, and the expertrse requireo to coordinate the work of both rough-in and finish trades.
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JOT]RNAI-ORJOB NUMBER
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
l9-001975-sTR
JEF} & WENDY PLUEARD
3858 LONGRIDGE DR
si
NAME OR COMPANY:
IOCATION:
TAX IOT NUMBER:
DEVEIOPMENT TYPE:
NEW DWELLING UNITS
IMPER!'IOUS AREA
I, STORM DRAINAGD
DIRECT RLNOIT TO CITY STORM SYSTEM
A, RIIMBURSEMENT COST
IMPERVIOT]S S,F
196.00
B. II{PRO\TMENT COST
NUMBER OFDFU'S
0
B. IMPRO\TI,{ENT COST
0
A. IMPROVEMENT ('OS ]
ADT TRIP RATE
9-57
SUBTOTAL
st44.65
COST PER S,F
s0.l0l
COST PERS,F
$0.437
COST PER DFU
$170.50
COST PER DFU
s83.99
NT-'MBEROF tJN]TS
0
NTJMBER OFUNIl'S
0
COST PER FEU
$85.93
COST PER FEU
s1.620.85
COST PER FEU
$21.82
ADM FEE RATI:
AREA DRAINING TO
DRYWELL
0
CTIARGE
$59.00
$85.65
1.00
NFW TRIP FACTOR
1.00
Sl Ll{.65
s0.00
COST PER TRIP
19.86
COST PER TRIP
s377.40
s0.00
s0.01,
Sl:l:t.65
CHARGE
$7.2.1
I'IIiM 2 TOTAL - CITY SANITARY Sf,Wf,R SDC
A. REIMBURSEMENT COST
,ADT TRIP RATE
9_51
ITE]\I 3 TOTAL - TRANSPOR'I'ATIO\ SDC
4, SANITARY SEWER . MWMC
A, REIMBL]RSEMENT COST
NUMBER OF FEU\
0
B IMPROVEMENT ('OS I'
NIIMBFR OF FliI I\
0
C, COMPIIANCE COST
NT]MBER OF FETI'S
0
MWMC CREDIT IF APPUCABIT (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
I I t \t r ToTtL, \l\\ \lc s.\\lr.\Rt sr-\\ t-R sD('
sriBToTAL (ADD rTf,MS 1,2,3, & 4)
5. ADMINISTRATIVF- ITE
TOTAL STORM ADMINISTRATION FEE
TOTAI SEWFR ADMINISTRATION FEE:
TOTAI TRANSPORTATION ADMTMSTRATION FEE:
TOTAL MWMC ADMINISTRATION FEE . LOCAL
0 r.oT szE (sF):0UILDING SIZE (SF)I
MAX .159i,o [,44X 350/0 0
$s9.00
sli5.65
[IIm
s0.00
s0.00
$0.00
ffim
s0.00
$0.00
$0.00
$7.21
ffm
0.o0
$0.00
s0.00
st5t.E9
1070
l09l
1092
r09l
I05.1
1055
1054
1056
1019
l07E
Q
071
IT
-E
EL
E
0
PRFPARED BY Sre!en Pehen DAII]Et21t20t9
TOTAL SDC CIIARCES
1802061310007
NEW TRIP FACTOR
f rMP-FEll6IEf il-l-ffir-
ITEM I TOTAL - STORM DRAINAGf, SIT
2. SANITARY SEWER- CITY
A. REIMBURSEMENT COST:
]. TRANSPORTATION
NUMBER OF DFT]'S
FIXTURE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINACE FIXTURE UNITS
.hDtr (val€.1D!ell Unit
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBEROFNEW FIXTIJRES x (JNIT EQUTVAI-ENT = DRAINAGE FIXTTJRE UMTS
OTL: rOR REMODIIS CATUTATE ONLY T}tE NET ADDITIONAI FIXTURES
LJNIT
NEW OLD UIVALENT
DRAINAGE
FIXTURE
UNITS
0
is a disch
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
limil d$ell DFUt) set at 167 llons da
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Ento I for Yes, 2 for No)
BASE YEAR
$5.29
$5.29
$5.19
$s.12
$4.98
$4.80
$4.63
$4.40
s4.07
$3.67
$3.22
$2.73
$2.25
$1.80
0
t979
VALUE / IOOO CREDIT RATE
50.00 x $5.29
CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION)
VAIUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
3BATHTUB00 0
0DRINKING FOUNTAIN 0 0 1
FLOOR DRAIN 0 0 3
0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC
6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0
0 0 2 0LATNDRY TUB
0 3 0CLOTHESWASHER / MOP SINK 0
0CLOTHESWASHER. 3 OR MORE (EA)0 0 6
0 0 12 0MOBILE HOME PARK TRAP ( I PER TRAILER)
0RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1
0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC
0 2 0SHOWER. SINGLE STAIL
0 0 2 0SHOWER, GANG (NUMBER OF HEADS)
3 0SINK: COMMERCIAL/RESIDENTIAI KITCHEN 0 0
0 0 2 0SINK: COMMERCIAL BAR
2 0SINK: WASH BASIN/DOUBLE LAVATORY 0 0
0 0 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0 5 0URINAL. STALL / WALL
0 0 6 0TOILET. PUBLIC INSTALLATION
0 3 0TOILET. PRIVATE INSTALLATION 0
0
CREDIT RATE/$I,OOO
ASSESSED VAIUE
YEAR
ANNEXED
tsEFORE I9?9
1980
l98l
1982
r 9s-1
001985
r986
1987
1988
01989
1990
l99l
00t992
1991
1995
1991
t99S
1999
2000
NO. OF FIXTURES
0
NUMBER OF EDU'S
20
CREDIT FOR LAND (IF APPLICABLE)
0
0
0
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