HomeMy WebLinkAboutPermit Building 2019-12-300nEG0l.{
Web Address: www.springfield-or.gov
Building Permit
Residential Structural
Permit Number: 8f f -19-OO2539-STR
IVR Number: 81 1080789450
City of Springfleld
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
Email Address : permitcenter@springfield-or, gov
SPRIN6TIELD
&
Permit Issued: December 30, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $25,000.00
Description of Work: Garage conversion into habitable space
Type of Work: Alteration
Worksite Address
6895 C ST
Springfield, OR 97478
Parce!
t702353202900
Owner:
Addressr
Owner:
Address:
BELLINA GIANNINA MARIA
6895 C ST
SPRINGFIELD, OR 97478
BELLINA JOSE A
6895 C ST
SPRINGFIELD, OR 97478
Business Name
OWNER - Primary
License
ccB
License Number
000000
Phone
Inspection
1999 Final Building
1260 Framing
1410 Underfloor Insulation
1430 Insulation Wall
1440 Insulation Ceiling
Inspection Group
Struct Res
Struct Res
Struct Res
Struct Res
Struct Res
Inspection Status
Pending
Pending
Pend ing
Pend i ng
Pend ing
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.
Sched ule or track inspections at www. buildingpermits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811080789450
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits exPire if work is not started within 18O 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 UtiliW Notification Center. Those rules are set
forth in OAR 952-OOI-OO10 through OAR 952-OOf-OO9O, You may obtain copies of the rules by calling the Center at (5O3)
232-L947,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.O1O
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693,OlO-O20 (Plumbing).
Printed on; 12/30/19 page 1 of 2 C:\myReports/reports//production/Ot STANDARD
TYPE OF WORK
,OB SITE INFORITIATION
LICENSED PROFESSIONAL INFORMATION
PENDING INSPECTIONS
SCH EDULING IN SPECTIOI{S
Permit Number: 81 1-19-002539-STR Page 2 of 2
Fee Description
Technology Fee
Plan Review - Minor, City
Copies - larger than lLxL7, per each
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
Structural plan review fee
Structural building permit fee
State of Oregon Surcharge ' Bldg (L2o/o of applicable fees)
Printed on; 12/30/19
Quantity
1
6
682
335.96
50.9
Total Fees:
Fee Amount
$41.s2
$141.00
$24.00
$682.00
$33s.e6
$s0.90
$262.ls
$403.30
$48.40
$ 1,989.23
Page 2 of 2 C | \myReports/reports//production/0 1 SIAN DA RD
FERT.{IT TEES
SPN.INGTIELD
,w
0ltf s0tt
www. springfi eld-or. gov
Worksite address: 6895 C ST, Springfield, OR 97478
Parcel: 1702353202900
Transaction Receipt
81 1 -1 9-002539-STR
IVR Number; 81 1080789450
Receipt Number:473399
Receipt Date: 12130/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
perm itcenter@sprin gfield -or. gov
Transaction Units
date
1213A119 1,00 Ea
12t30t19 1.00 Ea
12t30119 682,00 Amount
12t30119 335.96 Amount
Description
Structural building permit fee
State of Oregon Surcharge - Bldg
(12o/o oI applicable fees)
SDC: Reimbursement Cost - Local
Wastewater
SDC: lmprovement Cost - Local
Wastewater
Fees Paid
Account code
224-00000-425602-1 030
821 -00000-2 1 5004-0000
61 1 -00000-448024-8800
61 1 -00000-448025-8800
Fee amount
$403,30
$48.40
$682.00
$335.96
$50.90
$24.00
$141.00
$41 .52
Paid amount
$403.30
$48.40
$682 00
$33s 96
$s0.90
$24 00
$'141.00
$4 1 .52
12t30t19 50.90Amount SDC:TotalSewerAdministrationFee 719-00000-426604-8800
12130119 6.00 aty Copies - larger than 1 1x17, per each 224-00000-425602-0000
12t30t19 1.00 Ea Plan Review - Minor, City 1 00-00000-425002-1 039
12t30t19 1.00 Automatic Technology Fee 204-00000-425605-0000
Payment Method: Credit card Payer: BELLINA JOSE A Payment Amount:$1 ,727.08
authorization:01 091 d
Cashier: Katrina Anderson Receipt Total:$1,727.08
Printed: 12130/19 11:37 am Page 1 of '1 F I N_Tra nsactionReceipt_pr
Ctry on SpRTNcFIELD, oREGoN
Structural Permit Application
225 Fif\h Street . Sprinsfield, OR 9'14'17 . PH(541)'126-37 53 . FAX(541 )726-3689
This permit is issued under OAR 9lE-460-0030. Permits expire if work is not started within 180 days of
suspended for 180 days.
7'
iffiffit
DEPARTMENT USE ONLY
Permit no.
te - ooL35g*STrL
Date: itlrZ/t9
or if work is
F[o.^,"..:> Dl.-DL
B*- 6vL (u-S
ty @-Et*./.-
Cagu,-,r*,04-nb
t,tl- fi3/ll_or -r nE c0-eD(T dav'D t+e i-.ANnlD
LOCAL GOVERNMENT APPROVAL
This project has final land-use approval.
Signature:Date:
This project has DEQ approval.
Sigrature:Date:
Zoning approval verifieil: f] Yes E No
Property is within flood plain: I Yes E No
CATEGORY OF CONSTRUCTION
fr[ Residential I Govemment I Commercial
JOB SITE INFORMATION ANO LOCATION
Ft State: OA
Job site address:
Subdivision:Lot no.
Reference:Taxlot:\'f p])59Zo4Ot
PROPERTY OWNER
Name:
Address:C
State, De zP:$fl(
36Phone:
E-mail:
Building Owner or Ownr
Sign here: NAU
fr'. ug.nr authorizing this application
E fni, irrtuttutijn is bli*[ made on residential or farm property owned
by me or a member of my immediate family, and is cxempt from
licensing requirements under ORS 701.010.
CONTRACTOR INSTALLATION
Businessname: O.,jA>ffl^
Address:
City:State:ZIP:
Phone:Fax:
E-mail:
CCB license no.:
Print name:
Signature:
FEE SCHEDULE
1. Valuation information
LpvJ S(a) Job description:
Occupancy
Construction O?e
Square feet: )f
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
fl new lalteration ! addition
(b) Foundation-only permit? ! Yes E Uo
$
egt-
Total valuation:
2.
(a) Permit fee (use valuation table)s "{o7. ?o
$(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number ofhours x fee per hour)$
(d) Enter I 20lo 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 l2al)$ ?1,2 G
(b) Fire and life sal-ety (65% x permit lee [2a]):$
(c) Subtotal of fees above (3a and 3b):$
4. Miscellaneous fees
(a) Seismic fee, loh (.01 x permit fee [2a]):$
(b) Tech fee,5o/o (.05 x pennit fee[2a]+PR fee [3c])$
I'OTAL fees and surcharges (2e+3c+4a+b):$\\b1.23
SUB-CONTRACTOR INFORMATION
Name CCB License #Phone
Electrical
9w\ysz
Plumbing
D6LoQ)
Mechanical
owrguL
Last cdited 5-5-2019 BJoncs
E tge so He Let'r Y urtr.t- Gfuas{ <ttts
Are1Lcrcrc>,!) r-r PM Pct+-' (4{14 trele
ztP:1'tl
Fax:
Property Owner Statement
Regarding Gonstruction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Conltruction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2ll
I have read and understand the tnformation Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
Sose buvLl uA
Print Name of Applicant
Applicant
\\IZ t,1
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
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.
Permit #:bgqt cAddress:
lssued by Date
d<*
t>l tzTq
This Copy for Permit Offices
Date
WL;-E
lnformation Notice to Owners About
Construction Responsi bi I ities
(oRS 701.325 (3))
CONSTRUCTION CONTRACTORS BOARD
PO Box 14140, Salem, OR 97309-5052
Telephone: 503-378-4621 - Fax: 503-373-2007
Website Address: www.oregon.oov/ccb
a
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 th-e time employees ire 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
With-holding 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 800*452-0288.
Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from
employee wageJ. 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
o
a
a
a
Other Responsibilities of Homeowners:
Code Compliance: As the permit holderfor 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'
propefi Damage and Liability lnsurance: 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. t_iaOility lnsuiance 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
a
f/nrnnar*rr merncr :dnnfed g-701 6 This Copy for Permit
SPRINGFIELD
tt
ORiGON
www.spri ngfield-or. gov
Worksite address: 6895 C ST, Springfield, OR 97478
Parcel: 1702353202900
Transaction Receipt
8t 1-19{02539-STR
Receipt Number: 472966
Receipt Date: 11112119
City of Springfield
Development ahd Public works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
permitcenter@spri ngfield-or. gov
Fees Paid
Transactlon date
't'U12t19
Unats
1.00 Ea
Description
Structural plan review fee
Account code
224-00000425602-1 030
Fse amount
$262.1 5
Paid amount
$262.1 5
Credit card authorization
08906C
Payer: Jose Bellina Payment Amount:$262.1 5
Cashier: Thayne Smith Recelpt Total 0262.1 s
Printed: 11/1219 1:40 pm Page 1 of 1 FIN_TransactionReceipt_pr
tr
?
Payment Method:
JOTIRNAL OR JOB NUMBER:
NAMEORCOMPANY:
I.OCATION:
TAX T,OTNUMBER:
DEVEI,OPMENT TYPE:
NEW DWELLING UNITS
IMPERVIOUS AREA
DIRECT RUNOFFTO CITY STORM SYSTEM
A. REIMBURSEMENT COST
IMPERVIOUS S.F.x
0.00
B. IMPROVEMENT COST
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
NUMBEROFDFU'S
4
B. IMPROVEMENT COST:
NUMBER OF DFU'S
4
x
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBEROFFEU's
0
C. COMPLIANCE COST:
NLMBER OFFEU's
0
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
COST PER S.F.
$0.30 I
COST PER S.F.
s0.437
COST PER DFU
s 170.50
COST PER DFU
$83.99
NUMBER OF UNITS
0
NUMBEROFUNITS
0
COST PER FEU
$135.93
COST PER FEU
s 1,620.85
COST PER FEU
s22.82
ADM. FEE RATE
5o/o
AREADRAINING TO
DRYWELL
0
$0.00
$1,017.96
COST PER TRIP
19.86
COST PER TRIP
s377.40
$0.00
$0.00
$1,017.96
CIIARGE
$50.90
CHARGE
$0.00
CHARGE
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
L00
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
Convemion
6895 C Street
1702353202900
Residence
x
x
x
x
x
x
xx
xx
x
x
MWMC CREDIT IFAPPUCABI.E (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
ITEM 4 TOTAL- MWMC SANITARY SEWI,R SDC
SLJBTOTAL (ADD ITEMS 1,2,3, & 4\
5. ADMINISTRATIVE FEE:
SUBTOTAI
$1,017.96
TOTAI, STORM ADMINISTRATION FEE
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMIMSTRATION FEE:
TOTAL MWMC ADMINISTRATION FEE. I,OCAL
0
0SIZE
M,\X 450/o
s0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.90
$1,068.86
1070
1091
1092
1093
1094
1054
1055
1054
1056
a
,r.l
O
t!F0
IJ.]
PREPARED BY Steven Petemen DATE tU12t2019
TOTALSDC CHARGES
lrcERvr6ffi1-a:66-
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT : DRAINAGE FIXTURE LTNITS
FOR CAI'UI-A,TE ONLY TI{E NET ADDITIONAL
OF FIXTURES
LTNIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
0
1979
*EDU
.29
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
$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
0
VALUE/ IOOO
$0.00
CREDIT RATE
$s.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.se
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 0 0 3 0
DRINKING FOTINTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRYTUB 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 REFRIC / 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 1 0 1 1
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 1 0 3 3
ANNEXED ASSESSED VALUE
BEFORE 1979
't979
1980
1981
1982
1983
1984
1985
1986
1987
1988
01989
1990
t99l
1992
1993
1994
1995
1996
'1997
1998
1999
2000
2001
JOLIRNAL OR JOB NUMBER:
NAME ORCOMPANY:
IOCATION:
TAX I,OTNUMBER:
DEVEI,OPMENT TYPE:
NEW DWELUNG UNITS
IMPERVIOUS AREA
DIRECT RUNOFFTO CITY STORM SYSTEM
A. REIMBURSEMENT COST
IMPERVIOUS S.F,
CITY OF SPRINGFTELD SYSTEMS DEVELOPMENT WORKSHEET
l9-002539-STR
JOSE BELLINA
6895 C ST
1702353202900
Residence
B. IMPROVEMENT COST
I TMPFRVIoIJS sf.
I oon
ITEM I TOTAL- STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A.COST:
x
B. IMPROVEMENT COST:
NUMBEROFDFUh
4
0.00
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
COST PER S.F.
$0.301
COST PER S.F.
$0.437
COST PER DFU
$170.50
COST PER DFU
s83.99
NUMBEROFUNITS
0
NUMBER OF LINITS
0
COST PER FEU
s135.93
COST PER FEU
$ 1,620.85
ADM. FEE RATE
5o/o
AREA DRAINING TO
DRYWELL
0
$1,017.96
COST PER TRIP
19.86
COST PER TRIP
$377.40
$0.00
$0.00
CHARGE
$50.90
CHARGE
$0.00
CHARGE
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
x
x
x
x
x
x
ITEM 2 TOTAL - CITY SANITARY Sf,WER SDC
A. REIMBURSEMENT COST:
x
x
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FE{-]'S
0
B. IMPROVEMENT COST:
x
x
xNUMBER OFFEU'S
0
C. COMPLIANCE COST:
NUMBEROFFEU's
0
MWMC CREDIT IFAPPLICABLE (SEE
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
sL,rBTOTAt, (ADD ITEMS 1,2,3, & 4',)
5, ADMINISTRATIVE FEE:
SUBTOTAL
$1,017.96
TOTAL STORM ADMINISTRATION FEE
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTAT]ON ADMINISTRATION FEE:
MWMC ADMIMSTRATION FEE . IOCAL
0
LOT SIZESIZE
MAX45%
$0.00
$0.00
$33s.96
$0.00
$0.00
50.90
s0.00
$1,068.86
1070
r09l
t092
1093
I 094
I 055
I 056
a
Ela
(,
t!F2o
IJ.,]/,
077
078
ruo[
NUMBEROFDFU's
4
COST PER FEU
$22.82
017.96
Petersen DATE llt27t20l9
TOTAL SDC CHARGES
x
0.00
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBEROFNEW FXTURES X UMT EQUIVAI-ENT = DRAINAGE FXTURE UNITS
FOR CArcUTATE ONLY THE NET ADDITIONAL
FIXTURES
UNIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20
TOTAL DRAINAGE FIXTURE UNITS
lsa toa unit set at 167
DRAIN
FIXTURE
LINITS
0
0
0
t979
*EDU
$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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO
$0.00
CREDITRATE
$s.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ 1OOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.e2
$0.72
$0.48
$0.28
$0.09
$0.05
0003BATHTUB
1 000DRINKING FOUNTAIN
0 0 3 0FLOOR DRAIN
0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 6 00INTERCEPTORS FOR SAND i AUTO WASH / ETC.
0 0 2 0LAUNDRYTUB
3 000CLOTHESWASHER / MOP SINK
0 6 0CLOTHESWASHER - 3 OR MORE (EA)0
00012MOBILE HOME PARK TRAP (I PER TRAILER)
1 000RECEPTOR FOR REFzuG / WATER STATION i ETC.
0 0 3 0RECEPTOR FOR COM. SINK i DISHWASHER / ETC.
2 000SHOWER, SINGLE STALL
0 2 0SHOWER, GANG (NUMBER OF HEADS)0
0003SINK: COMMERCIAL/RESIDENTIAL KITCHEN
2 0SINK:COMMERCIAL BAR 0 0
0 2 0SINK: WASH BASIN/DOUBLE LAVATORY 0
1 0 1 ISINK: SINGLE LAVATORYiRESIDENTIAL BAR
0005URINAL, STALL / WALL
0 6 0TOILET, PUBLIC IN STALLATION 0
1 0 3 3TOILET, PRIVATE INSTALLATION
4
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
BEFORE 1979
1979
1980
1981
1982
1983
I 984
I 985
1986
1987
1988
1989
1990
t99t
1992
1993
t994
I 995
1996
1997
t998
1999
2000
2001
MWMC CREDIT CALCULATION TABLE: BASED ON COI.INTY ASSESSED VALUE
E
E
E
m
&
E
E
tr
ADDRESS CBqS C Atarc<MAP & TAXLOTfI4t, -tS.-a? - tryr@
Garage Conversion Checklist
Check address on plans is correct
Read all comments from other work groups to see if anything needs to be considered during structural review.
Check that parking is not an issue tf '
lf bedrooms are being added and the property is on septic, need some sort of letter of approval from Lane County
Check that everything required to be engineered has engineering and that the stamp is current
Check floor framing
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Check energy code requirements
xMake 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)
eck bedrooms for egress (window sizes, make sure that garage door to house doesn't go into bedrooms)
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 to make sure if attic access is in garage and it's going away, that there will still be attic access.
Check beam sizes
Read over all the general notes to make certain that nothing was missed and there are no conflicts
Transfer all notes made by other work groups until there are two identical sets of plans (jobsite and city set)
lnclude standard attachments :
Exterior Wa ll 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)
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Stamp plans with the "Reviewed for Code Compliance" stamp, sign the approved by line and perforate
Approve Bullding Review line in Accela & call or email application with fees due and attach placard to jobsite set
Signed eleclrical application received
Print out the Fee Schedule and put it with the Willamalane Spreadsheet on the outside of the folder
Put any inspection notes into Accela that need to be there before the plan is issued.' .'r- \
Plan check items/notes
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