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Home My WebLink AboutPermit Building 2005-10-24Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 2637 69 Inspe ction Line OFS Building/Co mbinatio n Permit PERMIT NO: COM2005-01294ISSUED: 101241200sAPPLIED: 0912312005 E)(PIRESz 0412412006VALUE: $ 164,749.00 SITE ADDRESS: 7991 Thurston Rd Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1702362000800 TYPE OF USE: PROJECT DESCRIPTION: Single family residence replacing existing home ' Single Family Residence New Residential Phone Number: 541-746-9463'. Owner: Address: DAVE PARKER 452 65TH ST SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical # of Units: Primary Occupancy GrouP: Secondary OccupancY Primary Construction TYPe Secondary Construction # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacla: Contractor MIKE BLANKENSHIP CORP G MILLER ENTERPRISES INC JUNG ENTERPRISES INC DOUGS PLUMBING INC Oregon you foll adopted 01-0010 through OAR 952-001. y obtain copies of the rules by caliirrg the centbr. (ttrotdqqe telephone num ber f or #fu@reg6{ Ufi [Sf Fi?Sfi bation 'o rced A$g$tst$q - e-o$q$?I$fl f 9o r : Electric Sq Ft Basenftnt: Electric Sq Ft Garage/CarPort Path I Sq Ft Other: n/a OccuPant Load: License 78966 Expiration Date 0u0912006 Phone 541-9124582 4t-2596 -937-2688 -688-338s 1 U VN R-3 84.00 55.00 18.00 # ofStories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled 1,506 682 3 Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: Urban Fringe 3 REQUIRED PARIflNG Total: 2 Handicapped: Compact: 0.00 PERMIT 1S NOT0tFOR Sidewalk TyPe: Downspouts/Drains Notes: No SDC fee',s sanitary to septic storm on site per Ken, Steve Graham 9/30/2005 cAS I'i 1of 4 I L Street CONI'RAL T'Ul TNI'UXMA T TU I Storm Sewer Avaitabfiff fg Special Instuuction: I Building/Com bin ation permitStatus: Issued 225 Fifth Street, Springfield, OR 541:7263753 phone 541-726-3676Fu 541:7 26.37 69 I nspe ction Line PERMITN ISSUED: APPLIED: E)GIRES:VALUE: $ 164,749.00 Value $6,024.00 $144,000.00 $14,725.00 $164,749.00 O: COM2 005-01294 70/24/2005 09t23t200s 04/24/2006 Date Calculated 10103t200s 09t23t2005 09t23t2005 Description Type of Construction A.C. - Residen Dwellings Garage AC - Residential V Wood Frame Garage $ Per Sq Ft or multiplier $4.00 $96.00 $2s.00 Square Footage or Bftl Amount 1,506.00 1,500.00 589.00 Fee Description PIan Review Residential -Mechanical Issuance Fee- + 10oh Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Heat Pump PIan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Storm Sewer Each Addtl 1001 Temp Power 200 amps or less Vent F'an Total Amount Amount Paid Total Value of Project Date Paid Receipt Number 1200500000000001385 1200500000000001594 1200s00000000001594 1200500000000001594 1200500000000001594 1200500000000001s94 1200s00000000001s94 1200s00000000001s94 1200500000000001s94 1200500000000001s94 1200500000000001594 1200500000000001594 1200500000000001s94 1200s00000000001s94 1200500000000001s94 1200500000000001594 1200500000000001594 $492.31 $10.00 $131.49 $92.04 $254.00 $776.90 $6.00 $9.00 $12.00 $12.00 $1s0.00 $12.68 $106.00 $57.00 $14.00 $s0.00 $18.00 9t23t05 10t24t05 10t24t05 t0t24t0s t0t24t0s l0l24tos 10t24t05 l0t24tos l0t24t0s 10t24t05 10t24t05 10t24t05 10t24t05 t0t24tos 10124t05 10t24t05 t0t24t05 $2,203.42 Fees Pa Plan Reviews Initial Review Planning Review Public Works Review 09t26t2005 09t26t2005 APP LLH Address of previous structure was 7995. Willamalane SDC is not applicable. Previous structure is being demolished under C5-1258 CaUed Mike for Storm drainage info Approved for splash block per Ken and Steve Graham 9/30/2005 CAS 09t30t200s 09t26t2005 10t04t2005 09/30/2005 APP APP TAJ CAS 09t26t200s 10t03t2005 APP RJBStructural Review 2of4 F SPRIN Buildin g/Co mbin atio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7264753 Phone 541-7264676Fa.x 541:7 2637 69 Irspection Line PERMIT NO: COM2005-01294ISSUED: 1012412005 APPLIEDz 0912312005 E)PIREST 0412412006VALUE: $ 164,749.00 To Request an inspection call the24 hour recording at 726-3769. All inspection 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all 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. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover 3 of 4 nsnections llf}.l D Status: Issued 225 Fifth Street, Springfietd, OR 541:726-3753 Phone 541-726-3676Fax 541 :7 26-37 69 I nspection Line Buildin g/Co mbinatio n Permit PERMIT NO: COM2005-01294ISSUED: 1012412005 APPLIEDT 0912312005E)?IRES: 0412412006VALUE: $ 164,749.00 Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certiff that any and all work performed shall 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 certiff that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. proper time, that each address is readable from tlre approved set of plans will remain on the site at all times during I further agree to ensure that all required inspections are requested at the the street that the permit card is located at the front of the property, and D Owner or Contractors Date 4of4 JOURNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNTIMBER: DEVELOPMENT TYPE: NEWDWELLING I.JMTS I. STORMDRAINAGE DIRECTRI.INOFF TO CIry STORM SYSTEM CITY OF S. .INGFIELD SYSTEMS DEVE LOPMET\ /ORKSHEET coM200s-01294 Mike 7991 Thurston I 702362000800 SINGLE FAMILY RESIDENCE 0 BUILDING SIZE 0 LOT SrZE (SF): 0.00 RI.NOFF ROUTED TO DRYWELL DESIGNED IMPERVIOUS S.F IMPERVIOUS S.F 0.00 NUMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 ADTTRIP RATE 9.s7 B.COST: eDTrnP nerB 9.s7 COST PER S.F s0.323 COST PER S.F $0.323 COST PERDFU $25.07 x CTIARGE $0.00 x x x x x AND CONSTRUCTED TO CIry STANDARDS DISCOLINTRATE 50o/o x DISCOLTNT $0.00 ITEM I TOTAL. STORM DRAINAGE SDC A REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC A.COST: $19.07 NUMBEROF LTNITS --0NUMBER OF UNITS 0 s%o 91301200s x x COSTPER TRIP -Tt9^09COSTPER TRIP -@ $0.00 NEw rRIF F qIeB 1.00 NEWTruP FACTOR 1.00 x x ITEM 3 TOTAL - TRANSPORTATION SDC A.COST: NUMBEROF FEU's 0 B.COST: N 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOT AL - NTWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3' & 4) x x SUBTOTAL $0.00 TOTAL SANITARY ADMINISTRATION FEE: ATIONTOT Slaym $0.00 $0.00 ! $0.00 a rrlnoU & E]Fa osl& 1091 1 093 1 070 1092 l 094 1078 0'19 1055 1054 l0s6 Iil FEUPERCOST -Wr, COST PER FEU -Saor4- CHARGE PREPARED BY aker DATE TOTAL SDC CHARGES x -aou:eeryP--To!q- Cheryl TYPE DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES X UMT EQUIVALENT:DRAINAGE FXTURE T]NITS FOR CALCULATE ONLY THE NETADDITIONAL NO. OF FIXTURES UNIT NEW OLD MISCELLANEOUS DFU TYPE NTIMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS DRAINAGE FIXTI'RE UNITS 0 2 1979 IEDU lsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLB:BASED ON COUNTY ASSESSED VALUE BEFORE I979 1979 I 980 I98l 1982 1 983 I 984 I 985 I 986 1987 I 988 1989 1990 t99t 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.19 $5.12 $4.e8 $4.80 $4.63 $4.40 $4.07 $3"67 $3.22 $2.73 $2.25 $1.80 RATE IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for yes, 2 for No)IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for yes, 2 for No) BASE YEAR 2 CREDIT FOR LAND (IF VALUE/ I 000 CREDIT $0.00 x $0.00 x TOTALMWMCCREDIT $5.29 CREDTT FOR IMpRovEt\4ENT (IF AFTER ANNEXATTOIgVALUE/ IOOO CREDITRATE $s.29 .59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.0s 0 0 3 0 0 0 1 0 FORINTERCEPTORS GREASE OIL SOLIDS ETC. FLOOR DRA]N 0 0 3 3 0 0 0 0 0 0 b 0 0 0 2 0 0 0 3 0 0 0 6 0 WASHSANDFORAUTO ETC. MOP SINK WASHER 3 MOREOR PHOME TRAPARK PER WATER TARECEPTORFORREFRIGSTION ETC. FOR COM.SINK ETC. LAI.INDRY TUB 0 0 12 00010 0 0 3 00020002000300020 SINK:KITCHEN COMMERCIAL BAR WASH VATORYLA S]NGLE STALL GANG OF 0 0 2 0LAVASINK:SINGLE BAR 0 0 1 0STALL /WALL 0 0 5 0PUBLIC 0 0 b 0PRIVATE 0 0 3 0 YEAR CREDIT RA TE/$1,000 ASSESSED VALUE 0 2000 200t 20 Parcels: 17 -02-3640-00g00 Applicant: PARKERTRISHA 452 65TH ST SPRINGFIELD OR 97478 Site Inspection Number: Work Description: MAJOR SEPTIC ALTERATION System Type: ALT_MJR, STI) Issued Date: }gl}ll2}Os Expiration Date: 09/01 12006 APPLICANT,S COF SEPTIC II\IS TALLATION PERIVIIT sP0s7342 {]*,r*,, Site: MAIN ST E/L 69TI{/R THURSTON RD 7995 THURSTON RD SPR Owner: WALKER GEORGE W & EVELYN M 7995 THURSTONRD SPRINGFIELD OR 97478 Projected Daily Flow: 450 gallons Septic Tank Size: 1000 gallonsDrainfield Size:225 feet Trench Depth: 24 in. Special conditions: INSTALL NEw DRAINLINES oN coNTo{rR IN AREA AS SHOWN ON APPROVED PLOT PLAN PROPERLY ABANDON OLD SEPTIC TANK OTHER REOUIREMENTS: 1. Installation of an effluent pump requires and Electrical Permit. 2. Install disposal kenches on contour. The trench bottom shall be level within a tolerance of plus or minus one (1) inch over the entire trench length. 3. Minimum of eight (8) inch fall from top of septic tank outlet to top of first header pipe leaving D-box. 4. New systems must meet setback requirements in Table I. Agurt 0910r/2005 Date LANE COI.INTY ON-SITE.SEWAGE OFFICE 125 E 8TH Avenue, Eugene OR 97401. PH: (5al) 682-3754. Fax: (541) 682-3947 I Construction Contractors Board Permit #: C oaeo -+' - O tZ? { 700 Summer St flE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Ad&ess: a ? 11 Th*r sl".-LJ Issued by:\(Date; lo - L -or Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and -plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. Thts statement will befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, arrd either box 3A or 38: \ tr l. I own, reside in, or will reside in the completed structure. { Z. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion' tr 3A. My general contractor is (Name)(ccB #) I will instrrct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board' OR .5L 38. I will be my own general conffactor' If I hire subcontractors,I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that r have read and do understand the rnformation Notice to property owners about construction Responsibilities on the reverse side of this form' l*,\)& (Signature of Permit aPPlicant)@ate) (White copy to issuing agency perrnitfile, pink copy to applicant') Property-owner. doc 06-0 I -04 ,dcting as hur Own Generat Cb-ntraetor? INFCIRMATION NOTICE TO ABOUT CON$TRUC?ION PROPERTY OWNERS RESPONSIBILITIES NOfE; This lnformation Notice to Properly Owners about Constructian Responsibilrfr'es was developod by the Constructian Cantractars Board in accordance witlt ORS 7U.A55(5J, passed by the 1989 Oregon Legislature" Ilyou are acting as your own confractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an o'employer" and the contractors you conbact wiih will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residsntial structure. As the employer, you must compiy with the following: Oregon's lVithholding Tax Law: As an employer, you must withhold income taxes from employee wagbs at the time employees are paid. You will be liable for the kx payments even if you don't actuatty wl*frota the tax from your employees. For more information, call the Departmeirt of,Revenue at 503-378-4988. : ; Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemploynent,insrrancc ,rrpor"*on the wages of all employees. For more information, call the Oregon Employment Department at 5A3-947-1488.\a The Oregon Business Identification Nun:ber (BIN) is a combined nunrber for bo,th Oregon Witbbolding andUnemp1oymentInstrranceTax.TofileforaBIN,calI503.945-8091orforthe appropriate forms. Workers' Compensation Insurance: As an ernployer, you are subject to the Oregon Workers' Compensation Law,ard must obtain worke.rs' eompensation insurance for your employees. If you faii to obtain workersi compensation insurance, you could be subjeci to penalties and be liabie for all claim costs if one'of your employees is injured on thejob. For more inforn,ation, call the Workers' Compensation Diviiion at the:Dep*ent of ionsumer aird Business Services at5t3-947-7815. .. U.S. Internal Revenue Service: As an employer, you must withhold fbderal iiicoine f,dx from,enrplor*"r, *rXYou will be iiable for the tax payrnent even if you didr't actually withhold the fax. For a Federal EIN number, call theIRSat 1-800-929*4.983 orr.isittheirurebsite .atg.$tryitqgay : ' other-Responsibilities snd Areas'of concerns'' Code Compliance: As the permit holder for this project, you are responsible for resotrring any failure to meet coderequkgments that may be bropght to your attention through inspections. Liability axd Property f)amagc trnsurance: Contact your insurance agent to see if you have adequate ihsurancecover:rge fbr aecldents and omissions such as faiiing lools. paint over spray, water damage from pipe punctures, fire orwork that must be redone. Time: Make sure you have sufficient time to supervise your employeos. . . , ; ,, Expertise: Make sure you have the skills to act as yori o*, general contractor,'to cobrilindie the work of rough-inand finish trades, and to noti$/ build.ing officials as the appropriate times so they can perform the required inspections. If you have additional questions cali the Construction Conkactors Board (503-3T34621) or write the agency at pO Box 14140, Salem, OR 97309-5052. property_owner.doc 06-01-04 -' 'i)''':; )i:i' i '; ;i'1r ' l ffi CITY OF SPRINGFIELD. ORECON 225 FIFTH STREET . SPRJNGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (54 ELECTRICAL City Job Number Date JOB DES Permits non-transferable if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Conffactor G e'"^-d €led Address Jro S. Rd City { td Phone Supervisor Li cense Number J6S4 S Expiration Date /6-/-o1 Constr. Cont. Number 8t r''lS Expiration Date /t - /D -o( Si gnature of Supervising Electrician Owners Name Address City Phone OWNER INSTALLATTON The installation is being made on Property I own which is not intended for sale, lease or rent' Owners Signature: Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs to 600 201 Amps to 400 AmPS 401 Amps to 600 AmPs $50.00 $ 63.00 163.00 $375.00 $ s0.00 $ 69'00 $100.00 $105.00 $ r9.00 lUoPfl? B. Installation, Alteration or Relocation r 200 Amps or less I $ 50'00 5D g) Over 600 or 1000 Volts see New 43.00 3.00 No\( Limited Energy/Residential $ 25'00 Limited Energy/Commercial $ 45'00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 7Yo Slale Surcharge l0% Administrative Fee TOTAL 4. Inspection Request: 726-37 69 Shared Drive(T:)/Building FormJElectrical Permit Application l-03'doc OFINS'TALLATION 3. A.New 1. or .? r.<ct 3 ONLY Services or Feeders -Installation, Alterations or Relocation: or Feeders Branch Circuits -Each Installation $ 50.00 s s0.00 OFABOW 225Ftfth Street if,T;,-#3,lir'ff :one7477 "r? gtSpringfield Official Receiptevelopm ent Services oepartm eilipublic Works O"pu.t_"J RECEIPT #:1200500000000001s94 JoblJournal Number COI{L2005-01294 COMt200s-01294 COMI2005-01294 coM200s-01294 coM2005-01294 coM2005-01294 , coM2005-01294 . qoM200s-01294 coM2005-01294 coM200s-01294 coM200s-01294 coM200s-01294 coM200s-01294 coM2005-01294 coM200s-01294 coM2005-01294 Description Plan Review Residential Building Permit 2Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Heat Pump -Mechanical Issuance Fee- Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Plan Review Major - Planning Storm Sewer Each Addtl 100' Dryer Vent + 7o/o State Surcharge + l0% Administrative Fee Date: 10124/2005 t:33:o0pM AmountDue 12.68 776.90 254.00 12.00 18.00 9.00 12.00 10.00 50.00 106.00 57.00 1s0.00 14.00 6.00 92.04 t31.49 Item Total: Tlpe of Payment Paid By Received By Batch Number Number How Received $1,711.11 Amount Paid CreditCard TRISHA PARKER djb 024791 In Person Payment Total: $1,711.11ffi i 101241200s lofl