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Home My WebLink AboutPermit Building 2004-12-09Buildin g1C ombin ation Permit Status: Issued 225 Fifth Streel Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 lnspection Line PERMIT NO: COM2003-01004ISSUED: 1210912004 APPLIED: 10/03/2003 EXPIRES: 06109/2005VALLIE: $ 16,913.00 SITE ADDRESS: 2732 WAYSIDE LN ASSESSOR'S PARCEL NO.: 1703224403000 Springfield TYPE OF Garage in oaR sgX&EQEfffi13x 52-ggl Residential PROJECT DESCRIPTION: Add garage with storage room paid. Revised: Enlarging add'n for Sgggg Owner: HARLESS MARK T Address: 2732 WAYSIDE LN SPRINGFIELD OR 97477 num Center is 1 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER C PERKINS ELECTRIC OWNER OWNER License Expiration Date Phone 1s9537 04/15/2008 541-895-4466 # of Units: Prim ary Occupancy Group: Secondary Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkhd Overlay Dist: # Street Trees Paved Drive Rqd: 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 u-l VN 22.00 416 1,008 nla Urban Fringe 8.00 25.00 Sidewalk TYPe: "t Ki DownsPouts/Drains Storm drainage to drywell. sDC soil type requires 0.2 infiltration rate for drywell sizing' 5.00 REQUIRED PARKING Total: Handicapped: Compact: Notes: l of 4 \,I BU IL L,ING I N} L'KIVIA I IUI\] - Status: Issued 225 Fifth Street SpringfieH, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line CIry F PRIN Buildin g/C ombination Permit PERMIT NO: COM2003-01004ISSUED: 1210912004 APPLIED: 10/0312003 EXPIRES: 0610912005VALIIE: $ 16,913.00 Desc rirrtion Dwellings Garage Fee Description Plan Review Residential + l0o/o Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm Serv/Fdr 200 amps or less Plan Review - Planning Plan Review/Residential Hourly Refund - SDC Storm SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical PIan Review/Residential HourlY Vent Fan + l0oh Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Minimum/Adj ustment Electrical Total Amount Total Value of Project Date Paid Receipt Number 1200200000000002264 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 r200200000000002473 1200200000000002473 1200200000000002473 r200200000000002473 1200200000000002473 r200200000000002473 1200200000000002473 r200400000000000452 1200400000000000452 r200400000000000452 r200400000000000452 12004000000000004s2 1200400000000000452 r2004000000000004s2 r2004000000000004s2 1200400000000000452 3200400000000000363 3200400000000000363 3200400000000000363 3200400000000000363 Tvfre of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $24.30 Square Footage or Bid Amount 1,183.00 696.00 Value $107,179.80 $16,912.80 $124,092.60 Date Calculated 0312212004 0312212004 Amount Paid s271.34 $54.3s $38.04 $18.00 $417.45 $63.00 $s9.00 $l r2.50 $-157.76 $7.89 $31s.52 $4s.00 $10.00 $3s.85 $2s.09 s229.45 $6.00 $84.00 $33.00 $315.00 $6.00 $4.50 $3.15 $43.00 $2.00 10/3/03 tut7t03 tut7l03 tUt7t03 tr/17t03 tut7l03 tUt7t03 tUL7l03 tUt7l03 tUt7t03 11fi7t03 tut7t03 4t8104 4t8t04 4t8t04 4t8t04 4t8t04 4t8t04 4t8t04 4t8t04 4t8t04 t2/9t04 t2t9t04 t2t9t04 t219/04 $2,041.37 )aid Initial Review Initial Review 10/06/2003 0u2612004 APP APP APP 2of4 LLH LLH Per note from David Bowlsby, revisions only routed to Don Moore for structural review. Planning Review 10t0712003 10t29t2003 TAJ Valuation Description I 10t0712003 01t2612004 CITY Buildin g/C ombination Permit Status: Issued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 lnspection Line PERMIT NO: COM2003-01004ISSUED: 1210912004 APPLIED: 10/0312003 EXPIRES: 06/0912005 VALIIE: $ 16,913.00 Public Works Review Public Works Review Public Works Review Public Works Review Revised Plan Review - Stru Structural Review Structural Review Structural Review Structural Review 10t07t2003 t0n4t2003 WE VRJ 10t17t2003 10n7t2003 APP VRJ Left message for property owner. Site plan does not show storm drainage. Storm drainage to drywell. SDC soil type 76-Malabon Urdan Lane Complex requires 0.2 infiltration rate for drywell sizing. A PERK tesl from a licenced geologist is required if applicant sizes drywell with a higher infiltration rate or a smaller drywell. No change in impervious surface. Received most of requested information from applicant 3/10/04. Still need septic approval from Lane Co. dlm Received septic authorization form county 311612004 dlm Revised plans for larger garage with F.R. behind & B.R. suite above. See documents for revised plan review comments. Received requested information; called applicant for clarification of submittal. Additional revisions to be made to plan review comments & notes on plans. OK to process. Lil12t2003 Met w/ Luke Harless; Revisions will require engineering analysis for existing fdn. wall and footing btwn. existing garage and dwelling to determine adequacy. AIso need engineering analysis of proposed Wf beam.in garage. Plumbing fixture layout at master bath is missing. Requested this information from the applicant. dlm 21912004. Questions on existing foundation and floor framing, roof configuration and septic field to be resolved. Called owner, left message on ans. machine. Need to resolve. Contacted applicant today; faxed letter requesting add'l info. to his office. 10/30/2003 dlm 02t09t2004 02t23t2004 03/10/2004 02t2312004 03n0/2004 VRJ DLM APP IO 03n6t2004 0312312004 APP DLM tUt0t2003 tUt4t2003 APP DLM 0u2612004 02t09t2004 WE DLM 10t07t2003 r0t29t2003 WE DLM 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. 3of4 CITY Buildin g/C ombination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2003-01004ISSUED: 1210912004 APPLIED: l0/0312003 EXPIRES: 0610912005VALUE: $ 16,913.00 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved' Drywall: Prior to taping. Final Building: After a[ required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Eleciric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Floor Insulation: Prior to decking. Shear wall Nailing: Before covering sheathing with finish materials. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Rough Plumbing: Prior to cover and including required testing' Underfloor Plumbing: Prior to insulation or decking. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete' Final Etectric: When all electrical work is complete. Rough Electric: Prior to Cover Owner or Contractors Signature Date By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 occupANcy will be made of any structure without permission of the community Services Division, Building Safety. I further certis 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 all required inspections are requested at the proper time, that each address is readabh 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. 4ol 4 Required lnsnectlons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt velopment Services Department Public Works Department RECEIPT #: 3200400000000000363 Date: 1210912004 3242:L2PNI Job/Journal Number coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 Description Add, Alter, Extend Circ Minimum/Adj ustment Electrical + lYo State Surcharge + l0%o Administrative Fee Amount Due 43.00 2.00 3. 1s 4.50 Item Total:$s2.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard CLYDE PERKINS nJm 324746 Phone $52.65 PaymentTotal: ----ffi t2t9/2004 Page I of I SPnlil6PrII-Q LEGAL DESCRIPTION I 7os '/q Ut66D Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 daYs. $33;?*i1lr:,Fi5ilt, :,, :,,:r -.;t r.,i: -:rl+^- ak 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-37s3 o FAX: (541)726-3689 PERMIT APPLICATION City Job Number Date 1.3 1000 sq. ft. or less additidi6tEOOTJQt{; Er, 200 AmPs or less 201 AmPs to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmpsA/olts Reconnect OnlY Each Qrego n law requlrsu portion ttrefeffiw rules a dopted by the O hose-lt1e-s are set Each Modular Feeder 0090 u may 200 AmPs or less 201 AmPs to 400 AmPs 401 AmPs to 600 AmPs Pump or i:rigation Sign/Outline Lighting Limited EnergYlResidential Limited EnergY/Commercial 7% State Surcharge t0% Administrative Fee TOTAL r-0010 through OAR 952-001- odbtain coPies of tttso.0os bJ-- ., Electical Contractor Address $ 63.00 s 75.00 $125.00 $163.00 $375.00 i L Eii:iRr tr *{P.qqoCity3/Qes,,'.: il ruoo.g qL / Supervisor License Number Expiration livls /? ^/ '<-'Z> Expiration Date ? -,/-r'- D tr Signature of Supervising Electrician Owners Name Address City Phone OWNER INSTALLATION The installation is being made on propeffy I own which is not intended for sale, lease or rent' Owners Signature: Installation, Alteration or Relocation C. D. $ s0.00 $ 69.00 $100.00 Volts see "B" above. $ 50.00 $ 2s.00 Hl-:"iltion or Extension Per'1.-$ 43.00 # -@ Each Additional Circuit or with { ? no Service or Feecier Permir E. Minimum Electric Permit Inspection Fee is $45'00 + Surcharges 1 c:'C)a/. 6D 3.t Inspection Request: 726'37 69 4. Shared Drive(T:/Building FormiEiectrical Permit Apptication I 43'doc , A. New Residential - Single or Service Included B. .)v Constr. Contr. Number llf-6,77 Q. Qxl,rs € '7: 4/-- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01004ISSUED: 1111712003APPLIED: 10/0312003 EXPIRESz 0912312004VALUE: $ 124,092.60 SITE ADDRESS: 2732 WAYSIDE LN ASSESSOR'S PARCEL NO.: 1703224403000 Springfield TYPE OF WORI(: Garage TYPE OF USE: New PROJECT DESCRIPTION: Add garage with storage room above. Revised: Enlarging addrn for garage w/ F.R.downstairs and a B.R. suite above. Owner: HARLESS MARK T Address: 2732 WAYSIDE LN SPRJNGFIELD OR 97477 PhoneNumber: 541-606-0582 Residential Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone CONTRACTOR INFORMATION # of Units: Primary Occupancy Secondary Primary Construction Secondary # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 1 \S NB of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street the ,Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 22.00 416 1,008 \s0 REQUIRED PARJ(NG Total: Handicapped: Compact: s.00 rO o o o(,\?2)Type: Downspouts/I)rains: soil type requires 0.2 infiltration rate for drywell sizing. DEVELOPMENT INFORMATION Notes: Storm drainage toI Page I of4 \fA. j h.oo Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01004ISSUED: llll712003APPLIED: 10/0312003 EXPIRESz 0912312004VALUE: $ 124,092.60 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $24.30 Square Footage or Bid Amount 1,183.00 696.00 Value $107,179.80 $16,912.80 $124,092.60 Date Calculated 03t22t2004 03t22t2004 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential + l0oh Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm Serv/Fdr 200 amps or less Plan Review - Planning Plan Review/Residential Hourly Refund - SDC Storm SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge Building Permit Dryer Vent Fixture Minimum/Adj ustment Mechanical Plan Review/Residential Hourly Vent Fan Total Amount Paid Receipt Number 1200200000000002264 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200400000000000452 12004000000000004s2 1200400000000000452 1200400000000000452 12004000000000004s2 r200400000000000452 1200400000000000452 r200400000000000452 r200400000000000452 $271.34 $54.3s $38.04 $18.00 $417.45 $63.00 $s9.00 $112.50 $-1s7.76 $7.89 $315.52 $4s.00 $r0.00 $3s.85 $2s.09 $229.4s $6.00 $84.00 $33.00 $315.00 $6.00 10/3/03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut1t03 tut7t03 tur7t03 tyt7l03 4t8t04 4t8t04 4t8t04 4t8t04 4/8t04 4t8t04 4t8t04 4t8t04 4t8,t04 $1,988.72 Fees Paid Plan Reviews Initial Review Initial Review Planning Review Public Works Review 10t06t2003 0U26t2004 10t07t2003 10t07t2003 t0t07t2003 0u26t2004 10t29t2003 10n4t2003 APP APP APP WE LLH LLH TAJ VRJ Per note from David Bowlsby, revisions only routed to Don Moore for structural review. Left message for property owner. Site plan does not show storm drainage. Paee2 oI 4 Yaluation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01004ISSUED: llll712003APPLIED: 10/0312003EXPIRES: 0912312004VALUE: $ 124,092.60 Public Works Review Public Works Review Public Works Review Revised Plan Review - Str Structural Review Structural Review Structural Review Structural Review 10n712003 10n7t2003 APP vRJ Storm drainage to drywell. SDC soil type 76-Malabon Urdan Lane Complex requires 0.2 inliltration rate for drywell sizing. A PERK tesl from a licenced geologist is required if applicant sizes drywell with a higher infiltration rate or a smaller drywell. No change in impervious surface. Received most of requested information from applicant 3/10/04. Still need septic approval from Lane Co. dlm Received septic authorization form county 311612004 dlm Revised plans for larger garage with F.R. behind & B.R. suite above. See documents for revised plan review comments. Received requested informationl called applicant for clarilication of submittal. Additional revisions to bt made to plan review comments & notes on plans. OK to process. tut2t2003 Met w/ Luke Harless; Revisions will require engineering analysis for existing fdn. wall and footing btwn. existing garage and dwelling to determine adequacy. Also need engineering analysis of proposed WF beam.in garage. Plumbing fixture layout at master bath is missing. Requested this information from the applicant. dlm21912004. Questions on existing foundation and floor framing, roof configuration and septic field to be resolved. Called owner, Ieft message on ans. machine. Need to resolve. Contacted applicant today; faxed letter requesting add'l info. to his office. 10/30/2003 dlm 02t0912004 02t23t2004 03n012004 02t23t2004 03fi0t2004 VRJ DLM APP IO 03n6t2004 03t2312004 APP DLM tut0t2003 tut4t2003 APP DLM 0u26t2004 02t09t2004 WE DLM 10t0712003 10t29t2003 WE DLM To Request an inspection call the 24 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. Paee 3 of4 L] Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2003-01004ISSUED: tlll7l2003APPLIED: 10/0312003EXPIRES: 0912312004VALUE: $ 124,092.60 Reouired Insnections 1 2 3 4 5 6 7 8 9 10 11 t2 13 t4 15 16 t7 18 19 20 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Rough Plumbing: Prior to cover and including required testing. Underfloor Plumbing: Prior to insulation or decking. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 OCCUPANCY 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 all 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 a^L-/ Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ty of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000000452 Date: 0410812004 10:20:08AM Job/Journal Number coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 Description Plan RevieWResidential Hourly Building Permit Fixture Vent Fan Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + loh State Surcharge + 10% Administrative Fee Amount Due 31s.00 229.4s 84.00 6.00 6.00 33.00 10.00 25.09 35.85 Item Total:$744.39 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check MARK HARLESS djb In Person Payment Total: $744.39 -$i4-45' t34l 418/2004 Page I of I arel P *)NE t FtlE SANITATION AUTIIORIZATION NOTICE FOR SP047058 Permit Sub-Type: AUTHSITE Apptication Ddte: 03/O5]2OO4 Proposed activity: AUTHORZATION NOTICE WI'IELD VISIT Job Address: 2732WAYSIDE LN SpR ft;m,, Applicant: HARLESS LUKE 2732WAYSIDE LANE SPRINGFIELD OR 97477 Parcel #: 17-03.22-44-03000 Owner: IIARLESS MARK T 2732WAYSIDE LN SPRINGFIELD OR 97477 Discussion: Tank pumped by Royal Flush on 03-09.04. Probed approx. 60' drainline. Second line appears to have been cut offby in ground swimming pool. No evidence of failure. Well drained soil Repair area available. Setbacks mel Authorized?: Y Y:Yes N:No Inspection By: jm Inspection Date: 03lll/2004 fnspector Signature:Date: 2-/Z-f Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2003-01004ISSUED: llll712003APPLIED: 10/0312003EXPIRES: 0511712004VALUE: $ 61,680.00 SITE ADDRESS: 2732 WAYSIDE LN ASSESSOR'S PARCEL NO.: 1703224403000 PROJECT DESCRIPTION: Add garage with storage room above Owner: HARLESS MARJ( T Address: 2732 WAYSIDE LN SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PhoneNumber: 541-606-0582 License Expiration Date PhoneContractor Type General Electrical Plumbing Contractor OWNER OWNER owNER CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: ATTE to\low # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: ) R-3 u-1 VN 22.00 416 1,008 Rearyard Setback: Solar Setbacks: Urban Fringe 8.00 Sidewalk Type: Downspouts/Drains: 0.2 infiltration rate for drywell sizing. REQUIRED PARI(NG Total: Handicapped: Compact: drvwell. SDC soil tvne reouires.NOTICE: Jlll-s IERM|T SHALL ExplRE tF THE WoRKAUTHORIZED UNDER THIs irirr,tiili'ilor COJ\4MENCED OR IS NgENOONid;b;''' ANY 1BO DAY PERIOO. - --' ' V'I DEVELOPMENT INFORMATION Notes: Page I of3 rules Street Storm I, Ult-trlt\ rJ rNI urilvrA. I 42\l 5.00 1 \alv by .Those OAR o Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01004ISSUED: llll7l2003APPLIED: 10/0312003EXPIRES: 0511712004VALUE: $ 61,680.00 Description Dwellinss Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 416.00 1,008.00 10/3/03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 tut7t03 fi,n1t03 tut7t03 Value $37,689.60 $23,990.40 $61,680.00 Date Calculated tut4t2003 tut4t2003 Total Value of Project Date PaidFee Description Plan Review Residential + l0oh Administrative Fee + 1Yo Stile Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm Serv/Fdr 200 amps or less Plan Review - Planning Plan Review/Residential Hourly Refund - SDC Storm SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid Amount Paid $271.34 $s4.3s $38.04 $18.00 $417.45 $63.00 $s9.00 $112.50 $-157.76 $7.89 $315.52 $4s.00 $1,244,33 Receipt Number 1200200000000002264 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 1200200000000002473 E'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Public Works Review 10t06t2003 10t07t2003 10t07t2003 10t07t2003 10t29t2003 10n4t2003 APP APP WE LLH TAJ VRJ 10n7t2003 10n7t2003 APP VRJ Left message for property owner. Site plan does not show storm drainage. Storm drainage to drywell. SDC soil type 76-Malabon Urdan Lane Complex requires 0.2 infiltration rate for drywell sizing. A PERK tesl from a licenced geologist is required if applicant sizes drywell with a higher infiltration rate or a smaller drywell. Pase 2 of3 hliSFtELt) Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-01004ISSUED: llll712003APPLIED: 10/0312003 EXPIRESz 0511712004VALUE: $ 61,680.00 Structural Review Structural Review 10t07t2003 10t29t2003 wE DoN tut0t2003 tut4t2003 APP DLM Questions on existing foundation and floor framing, roof configuration and septic field to be resolved. Called owner, left message on ans. machine. Need to resolve. Contacted applicant today; faxed letter requesting add'l info. to his office. 10/30/2003 dlm Received requested information I called applicant for clarification of submittal. Additional revisions to br made to plan review comments & notes on plans. OK to process. tu12t2003 To Request an inspection call the 24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wiII be made the following work day. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 1 2 3 4 I 6 7 8 9 10 red Insnections 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 OCCUPANCY 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 all required inspections are requested at the proper time, that each address is readable from the street, that the permit at the front of the property, and the approved set of plans wiII remain on the site at all times or Contractors Signature Paee 3 of3 Date /?o !!q 225 Fifth Street ?' Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200200000000002473 Date:1111712003 10:52:25AIVI Job/Journal Number Description Amount Paid coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area SDC Sanitary/Storm Admin Refund - SDC Storm Plan Review - Planning Building Permit Plan Review/Residential Hourly Storm Sewer - lst 50 Feet + lYo State Surcharge + 10o/o Administrative Fee 63.00 18.00 315.52 7.89 (1s7.76) 59.00 417.45 l12.50 45.00 38.04 54.3s - Item Total: P Type of Payment Paid By Received By Batch Number Authorization Number lfow Received Amount Paid Cash Change MARKHARLESS MARK HARLESS djb djb In Person In Person Payment Total: $973.00 ($o.o l ) $972.99 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 coM2003-01004 Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area SDC Sanitary/Storm Admin Refund - SDC Storm Plan Review - Planning Building Permit Plan RevieVResidential Hourly Storm Sewer - lst 50 Feet + 7o/o State Surcharge + l0o/o Administrative Fee Item Total:$972.99 63.00 18.00 315.s2 7.89 (1s7.76) 59.00 417.45 112.50 45.00 38.04 54.35 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Cash Change MARK HARLESS MARK HARLESS b b dj dj In Person In Person Payment Total: $973.00 ($o.ol) $972.99 *FF,'*SFtXLa { GFIEIDIORE-GONCITY.OF 22s FIFTE STREDT . SPRINGFIELD' OR 97477 o PIf:(541)726-3753 r FAX: E L ECTRI CAL P Er.NI IT AP P LI C ATI O N Ciry lob Nurnber , Datc -6' I " COIff,RdCTORINSTAI,f,ATIONONLVL- .l Electrical Contractor CllrN EE f,At<T]fLL Address LO CAT I O N O F IN S'TALLAT T O TI 273L VvfrlsttDe Al- LEOAL DESCRIPTION I -703'zz q.1 03 oo c) .IOB Permits Are non-transferable ind erpire if work is not sterted within lEO rtrys of issu*nce or if work is Suspendcd for lE0 days. Phone Supcrvisor License Number Expiration Date Constr. Contr. Bxpiration Datc Si gnature of Supervising Elcctrician Owners Name Address t MARK H , tr3q 32 DE I^I. ciry SAIAAIEIE1D_ Phone ffiA582 iOWNDRINSTALLATION NOTICE: The installatioqil, U"ing madc on properry I is not intcndod for salc, loo.qe or rent. COMMENCE Owuers A. 'Ncw Service Included 1.000 sq. fl. or less Each addltlonal 500 sr;. tt. ur portion thereof Each Manufuct'd Houro ur Modular Dwelling Scrvice or Fccder B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60) Arnps to 1000 Amps Ovcr 1000 AmpsA/olts Reconnect Only D. Punrp or ir:igatiulr SigdOutline Lighting Limited OF ABOVE 7% Stnte Surchargc I Oozir Aduriuistrativc fco TOTA,L Multi-Fanrlly pc1 dwellin'g unit; $ 106.00 $ 19-00 $50.00 $ 5o.oo $ 2-.s.00 s 45.00 Fse is $45.00 + Surcherges 00 3, t City .:. ",' , - -': .. Services or Feeders - Instntlation, Altcrations or Relocntion: ,,1], r $ 63.00 r.B ao $ 75,00 $125.00 $163,00 $375.U0 $ s0.00 C Temporafy:services or Feeilers r: ' i| ' Installation, Alteration or Relocation 200 Amps or less $ 50.00 20) Amps to 400 Arnps $ 69.0u 401 Arnps b 600 Amps $100,00 Ovm 600 Amps or 1000 Volts see "8" above. Ncw Alteration or Extension Pcr Panel Each Add,tlonal Circuit or witb / Service or Feedcr Permit q s 3.m lg E. MiscellnneOts (Servicci feederl not iilcluded) -Eaclt Instirllitioir l Inspection Rcqucsh 726^3769 ANY 18IJ DAY+ ShorerJ Dtive(T: /Building FonnsiEl cchical Pcmit Applioittirnr I -03'doc '' '' 'i i Rcsidenfiil :.r". r':'r.-. ..-.: CITY OF I. {INGFIELD SYSTEMS DEVELOPMEI\ ,{ORKSHEET JOURNAL OR JOB NUMBER: Com2003-01004 NAME OR COMPANY:Mark Harless LOCATION 2T32WaysideLane TAX LOTNUMBER:17032244 tl 3000 DEVELOPMENT TYPE: SFD - addition NEW DWELLING UNITS 0 BUTLDTNG SrZE (SFl 0 LOT SrZE (SF):0 ar!no O & E]Fa o rI]& 1070 loer I 1092 1093 1094 1054 1055 1054 1056 t079 1 078 I. STORM DRAINAGE DIRECTRLINOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F s0.290 CHARGE $0.00 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 1088.00 x COSTPER S.F $0.290 x DISCOUNTRATE 50% DISCOUNT $157.76 ITEM 1 TOTAL - STORM DRAINAGE SDC $157.76 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 0 x COST PER DFU s22.64 B. IMPROVEMENT COST: NUMBER OF DFU's 0 x COST PER DFU st7.2t : I $o.oo ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 3. TRANSPORTATION A. REIMBURSEMENTCOST: ADT TRIP RATE 9.57 x NUMBER OF TINITS 0 x COST PER TRIP s17.23 x NEWTRIP FACTOR 1.00 l-$o-0-6- B. IMPROVEMENT COST: ADTTRIP RATE 9.57 x NUMBER OF TINITS 0 x COST PER TRIP s76.01 x NEW TRIP FACTOR 1.00 : I $o.oo ITEM 3 TOTAL. TRANSPORTATION SDC A. REIMBURSEMENTCOST: NLIMBER OF FEU'S 0 x = I $0.00 B. IMPROVEMENT COST: NLIMBER OF FEU's 0 x = I $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =$0.00 COST PER FEU $3 r4.63 COST PER FEU s214.23 SUBTOTAL (ADD ITEMS I,2,3, & 4)sls7.76 5. ADMINISTRATIVE FEE: SUBTOTAL s157.76 x ADM. FEE RATE 5% CHARGE $7.89 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich t01t712003 PR.EPARED BY DATE TOTAL SDC CHARGES l-Fiffi- t $o.oo : I $o.oo l-3r- DRAINAGE FIXTURE UNIT CALCULATION TABLEDIi,U NUMBER OF NEW FIXTTIRES x T]NIT EQUIVALENT = DRAINAGE FXTUR,E LTNITS DRAINAGE FIXTURE I.INITS NO. OF FIXTURES FIXTURE TYPE NEW OLD (NOTE: FORREMODELS,CALCULATE ONLY TTIE NET ADDITIONAI FIXTURES) UNIT EQUIVALENT 0 0 3 0BATHTI.-IB 0 0 I 0DRINKING FOIINTAIN 0FLOORDRAIN003 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC. LAUNDRY TUB 0 0 2 0 0 0 3 0CLOTHESWASHER / MOP SINK CLOTHESWASHER- 3 ORMORE (EA)0 0 6 0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0 0 1 0RECEPTOR FORREFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 0 2SHOWER, SINGLE STALL 0 0 0 0 2 0SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 0 0 2 0SINK: COMMERCIAL BAR SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL IWALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 0 0 3 0TOILET, PRIVATE INSTALLATION 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FIXTURE UNITS +EDU rsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE 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 0 0 1979 CBTDIT FOR LAND (IF APPLICABLE) VALUE / 1OOO s0.00 CREDITRATE $4.92x I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $4.92 TOTAL MWMC CREDIT BEFORE 1979 $4.92 1979 $4.92 1980 $4.83 l98l $4.77 1982 $4.64 1983 94.47 I 984 $4.30 1985 $4.09 1986 $3.78 1987 $3.41 1988 $2.98 1989 $2.s2 l 990 $2.06 t99'l s 1.64 1992 s 1.45 I 993 $1.31 t994 $ 1.13 1995 s0.97 1996 $0.82 1997 $0.63 1998 s0.41 1999 $0.22 2000 $0.04 =l-d-- l-$o.-o-o- Construction Contracr.rrs Board Permit #:COtuZg . ^O IOOLI 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Address: Z 3Z LJ 5rO > G Date:7 d7Issued by: Mr u 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 be filed with the permit. Fill in the appropriate blanks and initial boxes I and,2, and either box 3A or 38: 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 #) I will instruct my general contractor that all subconffactors who work on the structure must be licensed with the Constnrction Contractors Board. OR 38. I will be my own general contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners Responsibilities on the reverse side of this form. /o -s- as applicant)(Date) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 03/1 l/03 F 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 nurme of the contractor. _i Y6ur ()wn Generat CoXtractor? IFITORMATISN ffOTICffi TCI PROPERTY SWNHR$ ABOI,JY SSNSTftIJ*TICIN ftffi SP*F{$IBI[.ITIH$ Ar$ff; Ifois informaflan #rffce fo Property Suvfiers a*cuf #o,"lsfrucfron Responsibilifres w*s developed by l*e Gonsfruc#on Confracfors Soard in acc*rd*nce wittt OfrS fSr.055{5J, passed by the 1989 Oregon legis/*fure" If y*u *r* a*fing e$ .vilur *rr.rr *ontract*r to eonstru*t * new home or rnake a substantjal improver*e*t {r} {i& *xistrng str"ri*t*te, y*ri *;)n pr*venl n:a:rv pr*bl*ms b-v b*ing ;iwar* *f the l't.rltr*rvi*g req:*xsibilitiss ancl *on*erns. Srnploysr Re$p*nsihilities You *'i11, in most instaRces, be rutred to i:e an "employer" and the c*nlractors you conkact with will be "employees" if yoil tr$e c*ntractors n$t licensed with the Conslructi$n Contractors Board t* do labor in ccnstructing or to assist in the ccnstructiE:n or improvement i;f a residential strusture" As thr employer, you must *ornply wi{}r th* ftrllowing: Sreg*n's Witltholding Tax Law: As an emplcyer, you must withh*kl i*come taxes frorn emplayee wages at the time emptroyees ar* paid" Yriu ru.'rll he liahl* fr:r tir* tax payment$ evefl if you don't actually rn'ithh*}d the tax frrm your emplcyees. For a State B*siness K) number, eall tire Business lnt'nn, ration Center at 5S3-986-2200. Unernployme*t Insurance Tsx: As an empk:yer, yolr are required to pay a tax far unemployment insurance purpo$es cn the rvages of all employees. For rnore information, call the Oregon Smplcyment Department at 503-947-i488. 'lVorkersn Compensation lnsuranc*; As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtair workers' cr:mpensation insur*ncs for yow employees" trf you faii to obtain workers' oompensation , insurancs, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For mcrs information, call the Warkers' Cornpensation Divisior at the Department of Cansumer and Business Services at 503-947-7Bi 5. U.$. lnternal Revenue Service: As an employer, you must withhold federal incorne tax *om employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 ar fax them at 8CI1-620-7115. $ther Responnibilities snd Aree$ sf C*neerns Cod* Coxxpli*nee: As the p*rn:it halder fur this proj*ct, yilu are resp*nsiirie for res*lving any failure to meet code requirements that n:ay be br*ught to yeur attentir:n through inspections. I",iabili*y and frcpertS, $*rnage Insuranee: C*nta*t y*ur insuranee agent t$ $*e if you have adequate insurance {:*verage for accidents and cmjssjcns such as falling t*ols, paint sver spray, water damage from pipe punctrxes, firr or work that rrrust be redone. Time: Make srxe you have sufficient time to supervise your employees. f,xpertise: Make sure you have the skilis to act es your own general confractor, to coordinate the rvork of rough*in and finish trades, and to natifu building officials as the appropriate fimes so they can pe,rform the required inspections. If you have additi*nal questions cail the Canstruclion Contractors Board (503-3?8-4621) or write the agency at P0 Box 14140, Salem, CIR 9?30q-5052. Property*owner.elac 0311 1 103