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Home My WebLink AboutPermit Building 2004-06-02SPRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2004-00464ISSUED: 0610212004APPLIED: 0412312004EXPIRES: 1210212004VALUE: $ 800.00 SITE ADDRESS: 1197 38TH ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCELNO.: 1702304304400 TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Garage conversion - convert detached garage into bedroom and bath Owner: ECKHOFF MARILYN J Address: 1197 38TH ST SPRINGFIELD OR 97478 PhoneNumber: 541-510-1747 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWIIER OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Side 1 Setback: Side 2 Setback: Rearyard $Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Type: Dist: Rqd: Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 VN 280 nla REQUIRED PARKING Total: Handicapped: d $e PUBLIC IMPROVEMENTS Notes: Pase I of3 -L uuNII(AUrur(rNlu]ryJ l,UrLL[l\U INT1.,T(rY|Ar rrJNJ Compact: Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00464ISSUED: 0610212004 APPLIEDz 0412312004 EXPIRESz 1210212004VALUE: $ 800.00 Description Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adj ustment Plumbing Plan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid Tvpe of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 800.00 Total Value of Project Amount Paid Date Paid Value $800.00 $800.00 Date Calculated 04t23t2004 $29.25 $10.00 $18.40 $12.88 $43.00 $6.00 $4s.00 $42.00 $39.00 $3.00 $71.00 $120.47 $158.48 $13.9s $6.00 4t23t04 6t2104 6t2t04 6t2t04 6t2t04 6tzt04 6t2t04 6t2t04 6t2t04 6t2t04 6tzt04 6t2t04 6t2t04 6t2t04 6t2t04 Receipt Number 1200400000000000s37 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 1200400000000000838 r200400000000000838 r200400000000000838 1200400000000000838 1200400000000000838 $618.43 Fees Paid Plan Reviews Initial Review Planning Review Planning Review Public Works Review 04t27t2004 04t27t2004 04t27t2004 05t07t2004 OK RJB TAJWI 0st27t2004 0st27t2004 APP TAJ 04t27t2004 05t0512004 APP VRJ 04t27t2004 04t27t2004 wI TCM Permit on hold until the Habitable space in Accessory Building Issue is resolved. Meeting is scheduled for 5114. Left message with Marilyn Eckhofftoday. tara OK as habitable space, not to be considered an additional dwelling unit. No other Planning issues. tara Called applicant sanitary sewer to existing house. SDC 's calculated for new plumbing fixtures. A free standing garage cannot be converted to habitable space. E-mail sent to Terry Jones Planner 1. Structural Review Paee 2 of 3 - Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00464ISSUED: 0610212004APPLIED: 0412312004 EXPIRESz 1210212004VALUE: $ 800.00 Structural Review 06t0u2004 0610y2004 0K TCM Approved by Tara and Planning Dept. 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. I Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Wall Insulation: Prior to cover. 3 Ceiling Insulation: Prior to cover. 4 Drywall: Prior to taping. 5 Finat Building: After all required inspections have been requested and approved and the building is complete. 6 Rough Plumbing: Prior to cover and including required testing. 7 Final Plumbing: When all plumbing work is complete. 8 Rough Mechanical: Prior to Cover 9 Final Mechanical: When all mechanical work is complete. 10 Rough Electric: Prior to Cover 11 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 certify 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 OCCUPAI\CY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that alt required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. /"a,0( Owner or Signature Date Page 3 of3 L l(eouired Inspectrons 225 Fifth Street Springfietd, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt relopment Services Department Public Works Department RECEIPT#: 1200400000000000838 Date: 0610212004 11:18:43AM Job/Journal Number coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 coM2004-00464 Description Building Permit Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture Minimum/Adjustment Plumbing Vent Fan Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review - Planning + 7% State Surcharge + l0%o Administrative Fee Amount Due 45.00 158.48 120.47 13.95 42.00 3.00 6.00 39.00 10.00 43.00 6.00 7l.00 12.88 18.40 Item Total:$s89.18 Payments: Type of Payment Paid By checkNumber Authorlzatlon Received By Batch Number Number How Received Amount Paid Check MARILYN ECKHOFF djb 1473 In Person $589.18 PaymentTotal: ffiiE- 6/2/2004 Page I of I Kfr Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Permit #: @ta -oa\6.1 Address: (19? 3g*l =_I Issued by:\< Date:6-Z - o.1 Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with 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. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and,2, and either box 3A or 38: K K 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) f, I will instruct my general conffactor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor. 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 I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature applicant)(Date) w Property_owner. doc 03/ I I /03 'copy to issuing agency permitfile, pink copy to applicant.) l"; cu Actf;mg a$ Your Swm Gemeral Cs&tra*tsr? INITORffiATISN ru*TICE TO PKffPffiffi?Y *WT{€ftS ABOUT *Sf'I$TRUCTI*N Rffi Spffi M$iffi {*-lTlf; S ,VOff: I&is Infnrmafion Notice fo Prop*rfy Swners aiouf C*nsfrucfi*n Responsr*fldi*s w#$ deu*Joped *y ftre Consfrucltbn Co*fra*fors Eoard in accordance Hrlfl O&S f0?.05${5J" passed by th* f g8$ Oregar legisfafure. Xf y*u are a*ting as ,y*u{ *rwn contractor tc consh-uct a new hcrne or n:ake a substantial irnprcvqrur:;t l* e$ *xisting stru*ture, yorl ffan pre v*n{ n:any pr*hl*rns hy heing aruar* *{'lhs f*lk:wi*g re sp*xsihiiities an<3 **:rcems. ffi xmployer Respo*sihilitiex Y*l: wi}I, in rn*st insta*ces, be ruied t* be an "employer" and the *ontract*rs you ccntr"a*t with will he "employe**" if y$u use *ilntractors not ilcensed with the C*nstructicn C*ntractors S*ard to do l:rbor in c*nstrusting or t* assist ln the c*nstmction or impr*vernenl *f a residential $ffucture" As the empl*yer, 1,$u {$u$t cornply wi*h t}t* foli*witlg: ()regon's Withhclding Tax Law: As an employer, ycu must withh*ld i**:*me taxes trorn ernpl*yee wege$ at the time employees are paid. Yr:* will be liahte fcr the tax payrn*nts evefi if .v*r; rtr**'t actriali.v rvithhnld the tax fr*rn your ernpl*yees. F*r a State Business tr$ *umber. cali lhe liusiness lnl'orrvratl*n ilent*r al 5{i3-986-2?{i*. Un*nrpk:ym*xt Imrllrune* Txx: Ax an ernployer, yorl *re r*quired t* pay a tax fcir unemplerSrr*e*t i$sllranse purys$es on the wages cf all e*rployees. Fcr rnore information, call the Oregon Rmpk:yn*nt *epartment at 503-94?*1488. lYorls,ers' Campensation {nsuraneer As an employerf you are subje*t to the Orcgon Workers' Compensation Law, and must otltain workers' compensation insurance for your emphyees. If you fail tc obtain workers' *ompensation insurance, you couid be subject to penalties and be liable f.or ali ciaim costs if one of your employees is injured on the job. For more information, call the Warkers' Compensation Divisir:n at the l)epartment of Consumer and Business Services at 503-947-78 I 5. U,S. Internal Reyenue $ervice: As an empioyer, you must withhold federal income tax frorn employees' wages. You will be liabie for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, cali the IRIi at 866-816-2065 or fax them at 801-62CI-7i 15. *ther Kesp*msihiliti*s and Arees sf il*meenxs Code {ourpliance: As the permit hclder fcr this project, you ars responsibie fi:r resolvi*g any faiiure t$ rn*et co{3e r*quiremenls that may be br*ught to your attentlon through inspe*ti*ns. Liatrilit.v anri froperty Ilamage fns*raxee: Cr:nta*t y*ur insxranrs ag*nt to $*€ if yr:u hale ael*qxatr* insura*ec csverage fbr accidents and omissions such as {aliing tools, paint over spray, water damage from pipe pxnctures, {irs or rvcrk that must be redone. Time: Make sure you have sufficient time to supervise your empl*yees. Sxpertise: Make sure you have the skills to act as your own general ccntractor, to coordinate the work of r*ugh-in and finish trades, and to notify building officials as the appropriate times so they can perfo,nn the requirecl inspeations. If you have additional questions call the Construction Canfractors B*ard {503-3?84621) or write the ageney at F0 Box 14140, Salem, OR 97309-5052. Fropert_v*orvner.dsc 031 tr tr 103 225 FIFTH STREET . SPRINGFIEL*, OR97477 o PH:(541)726-3753 . FAX: (5 26-3689 E LECTRI CAL P E RM IT AP PLI CATI O N City Job Number COM2OO4-00464 Date Z AY 1.3. I 197 38ft Street LEGAL DESCRIPTION 17023043 0,1400 A.New Residential - Single or Multi-Fanrily per drvelling unit. JOB DESCRIPTION $ 106.00 $ 19.00Add/alter/extend 3 circuits Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days.$s0.00 ) to 400 Amps to 600 Amps to 1000 Amps Amps/Volts Only 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 COJ{fRACTOR INSTALIAIIO-IV ONl}' B. Services or Feeders - lnstallation, Alterations or Relocation: Electrical Contractor 1t00 Amps or less $ 63.00 s 7s.00 $12s.00 s163.00 $37s.00 $ 50.00 Address City Supervisor License Expiration Date Constr. Contr of Supervising Electrician i Owners Name Marilyn Eckhoff Address 1 197 38tr Street Cify Springfield Phone 541-510-1746 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Installation, Alteration or 200 Amps or less to 400 see "B" above Extension Per'Panel One Each Additional Circuit or with Service or Feeder Permit 2 50.00 s 69.00 $100.00 $ 43.00 $ 3.00 43 6 E. Misccllaneous (Service/feeder not included) -Each lnstallation Pump or irrigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges SUBTOTAL OF ABOVE 49.00 7%o State Surcharge 3.43 10% Administrative Fee 4.90 TOTAL $57.33 s s0.00 s s0.00 s 2s.00 s 4s.00 Y/ht>)/,,.^AD,0/t---c-w Inspection Request: 726-3769 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc Services or Feeders \t 201 gro D. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS Eckhoff tt97 Street 17023043 tl 4400 Conversion DIRECT RUNOFF TO CIry STORM SYSTEM BUTLDTNG SIZE (SF) 0 LOT SrZE (SF): TO CITY STANDARDS 0 0 x ITEM 1 TOTAL. STORM DRAINAGE SDC COST: f rMPffirJS s.F. xI o.oo RUNOFF B. IMPROVEMENT COST: NUMBER OF DFU's 7 COST PER S.F $0.290 TO DRYWELL DESIGNED AND COST PER S.F s0.290 COST PER DFU s22.64 DISCOLNTRATE s0% $0.00 DISCOUNT $0.00 x A. ITEM 2 TOTAL - CITY SANITARY SEWER SDC $278.9s A. REIMBURSEMENTCOST: ADTTRIP RATE 9.57 B.IMPROVEMENT SUBTOTAL s278.95 COST PER DFU st7.2l NUMBER OF UNITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 5% COST PER TRIP st'l.23 COST PER TRIP $76.01 $0.00 NEWTRIP FACTOR 1.00 NEWTRIP FACTOR 1.00 x x x x xx xx ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENTCOST: NUMBEROFFEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBToTAL (ADD ITEMS 1,2,3, & 4) x $0.00 $278.95 CHARGE s r 3.95 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich stst2004 CHARGE $0.00 IMPERVIOUS S.F 0.00 NUMBEROF DFU's 7 $120.47 $0.00 $0.00 I $292.90 1070 1091 1092 1 093 1094 1055 1056 1079 1078 a E] l-{oU HFa orI]& ADTTRIP RATE 9.57 COST PER FEU $314.63 COST PER FEU $214.23 PREPARED BY DATE TOTAL SDC CHARGES x x DRAINAGE F'IXTURE UNIT CALCULATION TABLE NUMBER OF NEW FD(TURES x I.INIT EQUIVALENT : DRAINAGE FIXTURE UMTS FOR CAICULATE ONLY T}IE NET ADDITIONAL NO. OF FIXTURES UNIT FXTUREryPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS rsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIxTURE I-INITS 0 IEDU BATHTUB 1 0 3 3 DRINKING FOLINTAIN 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 LALTNDRY 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 REFRIG / 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 SNK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIALBAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 UR[NAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 1 0 3 3 7 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE IS LAND ELGIBLE FORANNEXATION CREDIP (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE/ IOOO $0.00 CREDITRATE $5.04x I $o.oo CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.04 =t 0 TOTAL MWMC CREDIT = | $0.00 BEFORE 1979 $5.04 1979 $5.04 1980 $4.95 l98l $4.88 1982 $4.75 1983 s4.58 1984 $4.41 1985 $4.20 1986 s3.88 1987 $3.50 1988 $3.07 1989 $2.60 1990 $2.14 1991 $1.71 1992 $1.52 1993 $1.38 1994 $1.r9 1995 $ 1.03 1996 $0.87 1997 $0.68 1998 $0.46 1999 $0.27 2000 $0.09 2001 $0.04 20