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Home My WebLink AboutPermit Building 2019-10-10$Pdti.,{sil[LD Building Permit Residential Structural Permit Number: 811-19-OO2060-STR IVR Number: 811068974173 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov 0Rr{]Sl",l Web AtJ.l ress; wwrv.springfield-or.gov Pernrit Issued: October 10, 2019 Catr lcry of Construction: Single Family Dwelling Sul , tted Job Vaiire: $29,709.16 De:,:.r i;rtion of Work: Garage conversion & add bathroom Type of Work: Alteration Worksite Address 564 5]RD PL Sprinqfield, OR 97478 Parcel 170233 1301803 Owner: Address: BRANDT MATTI.IEW S 564 53RD PL SPRINGFIELD, OR 97478 Btrsir'-'55 f'166g License CCB License Number 000000 Phone OWll''l - Primary Irr r,rtion 1'j ' :rrr.il Bt-tilclrrrr 1220 llrrderfloor Frarning/Post and Beam 1.1 iil l'rderfloor Il]sulation f ,il0 l;rsulation Wall 1.1,ir Irrsulation Clllinq 1 ,, ,':, fl I : .t nt ing Inspection Group Struct Res Struct Res Struct Res Struct Res Struct Res Struct Res Inspection Status Pending Pending Pending Pending Pending Pending p.' rr;t5 rrpire if wor k is not stnrtcd within 18o Days of issuance or if work is suspended for 180 Days or longer depending on thr" i-.1 ! aqency's policy. All prov 'iorrsof lawsarldordinancesgoverningthistypeofworkwill becompliedwlthwhetherspecifiedherelnornot. 6rantin,-; of a perrrrit (1i,,,:i ,)ot pr csunrc to give authority to violato or canccl the provisions of any other state or local law reqUlitin!l constructiorl rr tlle perfor ntance of construction. AT rt il r I ON: Orcgon j.,)vJ requires you to follow rules adopted by the Oregon Utility Notification Center. Thosa rules are s6t fortl,irrrAR952-OO1-0JlOthroughOAR952-O01-OO9O,Youmayobtaincopiesof therulesbycallingthcCenterat(5O3) All lror: ,rs or entitils pn-forrr;ng work urrder this permit are required to be licensed unless ex€mPted by ORS 701.010 (Structural/Mechanicirl), OhS 479.5.10 (Electrical), and ORS 693.010-020 (Plumbing). VlricLr': i;rspections are minimally required on each project and often dependent on the scope of work. Contact thr issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track lnsp€ctions at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811068974173 Scl',cdLrli: Lrr,ing the Oregon ePernritting Inspection App, search "epermitting" in the app store P,lrtcd .r: l0/10/:,Page 1 of 2 C:\myReports/reports//production/01 STANDARD TYPE OF WORK JOB SITE INfORMATION LICENSED PROFESSIONAL INFORMATION , . PENDING INSPECTIONS SCHEDULING INSPECTIONS Pcrnrit llumber: 8 1 1-19-002060-STR Page 2 ol 2 Fr:,: ,.. cr iptiorr Tr iri , r;y Fce Pl r; l. . cit - l"1ir, r', Cit;, SI:C: Ii rirnburserrcnt Cost - Local Wastewater SDC: I irtal Sewer Administration Fee SDC: I rrprovement Cost - Local Wastewater Strrrctr:ral buildinq !-{trnlit fee Strirr,'.r.rr'.,ri plan rcl i.'", fce St ,t.r i-)r.:('lcn SL'rcharqe - flldq (l2oLt of applicable fees) Printed o,i: L0/101i9 Quantaty 1 1023 76.35 503.94 Total Fees: Fee Amount $44.37 $141.00 $1,023.00 $76,35 $503.94 $452.40 $2e4.06 $s4.29 $2,589.41 Page 2 of 2 C : \myReports/reports//productionl0l SIANDARD PERMIT FEES {":*ri*f.r',-'l fii, t\il\ul t&Lv Transaction Receipt Bl 1-'t9-002060-sTR Receipt Number: 472661 Receipt Date:10/10119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54r-726-3753 permitcenter@ spri n gfi eld-or.gov $itt60,.t urww.springfield -or. gov Worksite address: 564 53RD PL, Springfleld, OR 97478 Parcel:1702331301803 ( Fees Paid Transaction date 10/1 0/'19 10t10t19 14t10t19 10/10/19 10t10/19 10t10/19 1 0/1 0/1 I Units 1.00 Ea 1.00 1,023.00 503.94 76.35 1.00 1.00 Ea Amount Amount Amount Ea Automatic Description Structural building permit fee State of Oregon Surcharge - Bldg {124/o of applicable fees) SDC: Reimbursement Cost - Local Wastewater SDC: lmprovement Cost - Local Wastewater SDC: Total Sewer Administration Fee Plan Review - Minor, City Technology Fee Account code 224 -0 A 000 -425602- 1 030 821 00000,215004-0000 61 1,00000-448024-8800 61 1 -00000-448025-8800 7 I 9-00000-426604-8800 1 00-00000-425002- 1 039 1 00-00000-425605-0000 Fee amount s452,40 $54.29 $1,023.00 $503.94 $76.35 $14'1.00 $44.37 Paid amount 5452.40 $s4.29 $1.023.00 $s03.94 $76.35 $141.00 $M.37 Payment Method: Credit card authorization: 861216 Payer: BRANDT MATTHEW S Payment Amount:$2,295.35 Cashier: Katrina Anderson Receipt Total:$2,295.35 Prtnted: 10/10/19 2:15 pm Page 1 of 1 FIN_TransactionReceipt_pr 1,, Cnv or SpRnvcFIELD, oREGoN Structural Permit Application Hffi225 Fifth Street t Springfield, OR 97477 . PH(541\726-3753 r FAX(54 I )726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. -> il424 zK<eDaz^e DEPARTMENT USE ONLY Permit no.: fi ( Date:{t l1 LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature:Date: This project has DEQ approval. Signature:Date: Zoningapproval verified: ! Yes ! No Property is within flood plain: ! Yes E No CATEGORY OF CONSTRUCTION @Residential n Govemment n Comrnercial Job site JOB s(,3 AND LOCATION <t cwt 1ar;nqfigli State: OR zIp:TH71 ^ ,. r Jsubdlvlslon:Lot no. Reference:Taxlot: PROPERW OWNER 96 w D q5-3Address: Name: lW City: S,an.,ru fi.1/state: 6lL zvt7fil Fax:9*//-zra '7tdPhone: lK@l|w,renE-mail: +he. bqw Building Owner or Owner's agent authorizing this application: Sign here: /r\-_-'.-.. N El-rnis installation is being."ai on residenia-t or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. coNTRACTOP4ft STALLATIO N Business name: { Address: State:ZIP:City:s-/aN ) Fax:Phone: -t1 vvE-mail CCB license no. Print name: Signature: Mechanical FEE SCHEDULE 1. Valuation information (a)Jobdescription: 4)trr4t{ /bJV *Ap7 fifllecul Occupancy Construction type: * Cost per square foot: Squarefeet: -+ Other information: Type of Heat: /Ly'.irr Energr Path: E new [alteration ! addition (b) Foundation-only permit? E Yes E No Total valuation:-$7Tdt0) 2. Building fees (a) Permit fee (use valuation table)$ (b) Investigative fee (equal to [2a]):$ s (c) Reinspection ($ perhour): (number ofhours x fee per hour) $(d) Enter 1 2oZ surcharge (.12 x l2a+2b+2c)\: $(e) Subtotal offees above (2a through 2d): 3. Plan review fees $(a) Plan review (65% x permit fee [2a]) $(b) Fire and life safety (65% x permit fee [2a]): $4q,ol"(c) Subtotal offees above (3a and 3b): 4. Miscellaneous fees $(a) Seismic fee, 1o/o (.01 x permit fee [2a]): $(b) Tech fee,5o/o (.05 x permit fee[2a]+PR fee [3c]) $I'OTAL fees and surcharges (2e+3c+4a+b): SUB.CONTRACTOR INFORMATION Name CCB License #Phone Electrical Plumbing Last edited 5-5-2019 BJones 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 701.325 (2ll 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: I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or l\ ./lX I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf 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 lnformation and I hereby certify that the information on Notice to Homeowners About Construction Responsibilities, this homeowner statement is true and accurate. y'tfrfTtttvJ EldQt)r rint Name of Permit APPlicant Signature of Permit lal o ?-tt z Date oGoPermit #: Address b'-( 5 ?a_ &L lssued by Date: 3 "lt4 This Copy for Permit Offices Propefi Owner Statement Regarding Construction Responsibilities lnformation Notice to Owners About Construction ResPonsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 9730$5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www. oreoon. oov/ccb Homeowners acting as their own general contractors to construct a or make a substantial improvement to an existing structure, can prevent by being aware of the following responsibilities: new home many problems a a a 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 empioyees. As an employer, you must comply with the following: Oregon,s Withholding Tax Law: Employers must withhold income taxes from employee wages at th-e time employ""siru 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 lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes bn the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon Withiolding and Unemployment lnsurance Tax. To file for a BlN, go online to the oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, 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 it tne Department of Consumer and Business Services at 800452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome 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.gov. a a a Other Responsibilities of HomeowRers: 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 lnsurance: Homeowners acting as their own contractors should coniact iheir 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 lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance' 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. a €l--^^^+, ^,.,nar :rlnnlod A-?O16 This Copy for Permit SPRINGFIELD ,b Transaction Receipt 811-19-002060-STR Receipt Number: 472315 Receipt Date: 9/5/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 permitcenter@sprin gfield-or.9ov OREGON www.springfi eld-or. gov Worksite address: 564 53RD PL, Springfield, OR 97478 Parcp-l 1702331301803 Fees Paid Transaction date 9t5t19 Units 1.00 Ea Description Structural plan review fee Account code 224-00000-425602- 1 030 Fee amount $294.06 Paid amount $294.06 Payment Method:Cred it card authorization : 888722 Payer: BRANDT MATTHEW S Payment Amount:$294.06 Cashier: Katrina Anderson Receipt Total:$294.06 Printed: 9/5/19 3:05 pm Page 1 of I Fl N_TransactionReceipt_pr t [r .r. JOURNALOR JOB NUMBER: NAME OR COMPANY: t,OCATION: TAX t,OT NUMBER: DEVEI,OPMENT TYPE: NEW DWELLING INITS IMPERVIOUS AREA DIRECT RUNOFFTO CITY STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET l9-002060-srR MATTI{EW BRANDT 564 53RD PL I 70233 130 l 803 A. REIMBURSEMENTCOSTlffioffi B. IMPRO\'EMENT COSTirMffiI onn ITEM I TOTAL - STORM DRAINAGE SDC 2. SAN]TARY SEWER. CITY A. REIMBURSEMENT COST: NUMBEROFDFU's 6 B. IMPROVEMENT COST: NUMBEROFDFU's 6 COST PER S.F. $0.301 COST PER S.F. $0.437 COST PER DFU $170.s0 COST PER DFU $83.99 NUMBEROFUNITS 0 NUMBEROFUNITS 0 COST PER FEU $ 135.93 COST PERFEU $1,620.8s COST PER FEU (,, R' ADM. FEE RATE 5% AREA DRAINING TO DRYWELL 0 $0.00 $1,s26.94 COST PER TRIP 19.86 COST PER TRIP $377.40 $0.00 $0.00 $1,526.94 CHARGE $76.3s CHARGE $0.00 CTIARGE $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: x x x x x x ADT TRIP RATE 9.s7 B. IMPROVEMENTCOST: ADT TRIP RATE 9.57 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBIJRSEMENT COST: NUMBER OFFEl,l"s 0 B. IMPROVEMENT COST: NUMBEROFFEU's 0 C. COMPLIANCE COST: NUMBER OF FEU'S 0 x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC suBTorAL (ADD rrEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL $1,526.94 TOTAL STORM ADMINISTRATION FEE TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE: TOTAL MWMC ADMIMSTRATION FEE . I-OCAL 0 Residence 0 LOT SZEI $0.00 $0.00 $0.00 $0.00 76.35 $0.00 $1,603.29 l09l t092 1093 1094 I 055 1056 a E1 (, t!Fa E] -E PREPARED BY Steven Petersen 9/6t2019 TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES X UNIT EQUIVALENT : DRAINAGE FIXTURE UNITS FOR CAITULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES UNIT FIXTURE ryPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS tsa toa mit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE UNITS 0 0 1979 *EDU $5.29 $5.19 $s.1 2 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIP (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND OF APPLICABLE) 0 VALUE / IOOO $0.00 CREDIT RATE $s.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ 1OOO CREDITRATE $0.00 x $5.29 TOTALMWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $o.tz $0.48 $0.28 $o.og $0.05 0 0 3 0BATHTUB 0 0 1 0DRINKING FOI.INTAIN 0FLOOR DRAIN 0 0 3 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 0 2 0LAI.INDRY TUB 0 0 0 3 0CLOTHESWASHER / MOP SINK 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. 1 0 2 2SHOWER, SINGLE STALL 0SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 2 0SINK: COMMERCIAL BAR 0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 1 0 1 1SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL. STALL / WALL 0 0 5 0 0 6 0TOILET, PUBLIC INSTALLATION 0 1 0 3 3TOILET, PRIVATE INSTALLATION 6 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE BEFORE I979 1979 1980 l98l 1982 1983 I 984 l 985 I 986 1987 1988 1989 l 990 t 99l 1992 1993 1994 I 995 t996 1997 1998 1999 2000 2001 r ADDRESS:.56,4 - .53ED R-ret Plon Review Checklisf MAP & TAXLOT : 17- 6z- -3i - l3- 61 6o3 PERMIT h t9 - Ooz(t'-rt- STR- E Etftt E u a af,,t fr a E E 'I!,4 ' Enter data into project log Check address on plans is correct Check to see if LDAP has been issued. LDAP Permit # Read all comments from other work groups to see if anything needs to be considered during structural review. check setbacks on Site Plan H. ttd/cE. o.fi3lbll oP Exrstrr.ra Gf,rrLDrN4 Faar"rF.ttN{ Check RLID to make sure taxlot matches what is shown on drawings, that topography lines are on the plans and that owner info matches Check to sei if lot is sloped or flat - lf sloped, will back deck meet setbacks lf a new home is being built at Mountaingate or River Heights, check the subdivision books to see if a Geo-Tech report is req. Check soils to determine whether or not a Geotechnical evaluation should be required lf property i$'on septic, check for proper setbacks from building to tank, distribution box, and leach field Make sure-tfbt property is not in Flood Hazard A affected property according to Mapspring (if it is we need 3 engineers surveys);t Check that everything required to be engineered has engineering and that the stamp is current Check the truss package and make sure it matches the plans (qty of trusses, type, attachements)- lf the numbering doesn't *match but the uplift and reactions look correct it is OK. Falls under field verify *Make sure that if there is HVAC equipment in the attic, the trusses were designed to support it Check overhang to make certain they don't proiect farther than allowed for fire separation lf rafter framing, check spans Check to see if anything over 4000lbs is bearing Oo*n ffi'Jii'ip tobtir;gi: lf dbtn.is needs to be enlarged. Check Hold Downs, highlight hold downs for the inspector Check Foundation Venting Check for propane tanks; look for setbacks, siesmic attachments, and protection of the tank. Make notes on plans with stepped foundations how far back they need to be from the edge of the cut and the uphill cut. Check header sizes Check footing sizes Make sure that if rebar is used that it has minimum cover depths. Check energy code requirements '' *Make sure that insulation called out meets the energy code and if not make note of the required R value. *On additions/remodels where existing conditions come into play, see code section N1101.3 & table N1101.2 Check tempered glazing (hazardous locations, windows in stairwell, within 24" of door, etc) tfrftt n Etg fi E tfr nI EI E u tfr E u iE $,il,.I E E ftil E R'a1 E !t E a Check bedrooms for egress (window sizes, make sure that garage door to house doesn't go into bedrooms) Check to see if there is a living area above the garage, if so, make note of 5/8" type X gyp board fire separation requirement. Check for mechanical equipment protection (bollards) in the garage lf DETACHED garage is being built less than 3ft to existing structure it needs to have 712 gVp board on the interior walls lf Garage is elevated, make sure columns supporting underfloor of garage are continous to footing (make note on plans) Check fire/sound separation assembly on 2 family dwellings Check for smoke alarms/Carbon Monoxide alarms (look on electrcial sheets if there aren't any shown on floor plan) Check wall bracing Check minimum room size Make sure that minimum bathroom fixture distances are met Check to make sure stairs meet code Check roofing material (composition shingles, Spanish tile, metal, etc.) Check for attic access and underfloor access on plans aFF-rlrr> 3<reE!r1 -- Check beam sizes Read over all the general notes to make certain that nothing was missed and there are no conflicts lF new SFD or ADU, make sure that Willamalane form is attached. Transfer all notes made by other work groups until there are two identical sets of plans (jobsite and city set) lnclude standard attachments : Exterior Wall Envelope Self-Certification Form Moisture Content Acknowledgement Form High-Efficiency Lighting Systems Oregon Residential Specialty Code (ORSC) Noise Ordinance Notice Smoke Alarm Ventilation Requirements for Kitchens and Bathrooms Green Approved Plans Cover Sheet (Found under "Cover" in file cabinet) Make sure that on all new sqtrfre|fiodt6gd,tthet,t'Fire€DGiiCh'argeil. t''"rr ri i? r " '*r'(r : ' . Add all inspections and fees into Accela (including Willamalane fee and addressing fee) Stamp plans with the "Reviewed for Code Compliance" stamp, sign the approved by line and perforate Approve Building Review line in Accela & call or email application with fees due and attach placard to jobsite set Signed electrical application received Print out the Fee Schedule and put it with the Willamalane Spreadsheet on the outside of the folder PutanyinspectionnotesintoAccelathatneedtobetherebeforetheplanisissued. A ..i.....,.0 r...1.,. check.o{f Proje.ct Lop.anf pptql toory's date. .. r.)r - ...q ../ ,lrl. },.rl ' i:i' t-t,(. r-r'i' $ E E E w E 6 A : PIan check items/notes