HomeMy WebLinkAboutPermit Building 2007-05-23Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2007-00558ISSUED: 0512312007
APPLIEDz 0411712007
EXPIREST 1112312007VALUE: $ 59,644.00
PROJECT DESCRIPTION: Family room and carport addition
SITE ADDRESS: 2475 19TH ST
ASSESSOR'S PARCEL NO.: 1703244301300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
PhoneNumber; 541-741-9892
law req ulres you tu
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tollow ru
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oAR 952-00{otit
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ication
952-00
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1-00 10 through
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Note: the telePhone
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
DANIEL MOREHOUSE
2475 I9TH ST
SPRINGFIELD OR 97477
Contractor
OWNER
OWNER
OWNER
OWNER
ne
nter. (
:^^ ^aO ccA4\
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure: 13.00
Type of Heat: Forced Air Gas
Water Type: Gas
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Total:
Handicapped:
Compact:
468
572
R-3
U
VB
[:::;#Xfi NOTICE:
sprinliteu nuirftil$ PER
, Electric
Path I
MrT {ihlALr
R IS ABANDO $f,tUifi,,PARKING
19.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
9/o of Lot Coverage:
,r,r,tY 1q0 t]AY PER|0n
Urban Fringe
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes: Storm tied to existing system. JLP APP 4124107
Paee I of4
FIELD
Building/Combination Permit
PERMIT NO: COM2007-00558ISSUED: 0512312007
APPLIEDT 0411712007
EXPIRESz 1112312007VALUE: $ 59,644.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Valuation Descriotion
Description
Carport
Dwellings
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Dryer Vent
Fire SF Fee - Residential
Fixture
Minimum/Adj ustment Mechanical
Miscellaneous Mechanical
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Vent Fan
Total Amount Paid
Total Value of Project
Date Paid
4n7t07
5t23t07
st23t07
st23t07
5t23107
5t23t07
5t23t07
st23t07
5t23t07
st23t07
5t23t07
5t23t07
st23t07
5t23/07
5t23t07
st23t07
st23t07
st23t07
5t23t07
st23t07
Receipt Number
1 200700000000000422
1200700000000000620
1200700000000000620
r200700000000000620
1200700000000000620
I 200700000000000620
1200700000000000620
l 200700000000000620
1200700000000000620
r200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
1200700000000000620
Tvpe of Construction
Carport
V Wood Frame
$ Per Sq Ft
or multiplier
$20.00
$103.00
Square Footage
or Bid Amount
572.00
468.00
Value
$t 1,440.00
$48,204.00
$59,644.00
Date Calculated
04n7t2007
04n7t2007
Amount Paid
s266.27
$10.00
$66.27
$36.13
$48.85
$43.00
$12.00
$409.65
$6.00
$s2.00
$56.00
$24.00
$9.00
$r 12.00
$39.s8
$s2.0s
$22.03
$349.04
$4s.00
$6.00
$1,664.87
Fpes Peid
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Public Works Review 04t24/2007 04t24t2007
04n8t2007
04t20t2007
04t20t2007
04/20t2007
0snu2007
04t23t2007
APP
APP
WI
APP
APP
LLH
TAJ
JLP
JLP
LLH
Rcvd 4/2312007---Waiting in order
PW rcvd for rvw.JLP Wl4l23l07
Storm tied to existing system. JLP
APP 4t24/07
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Structural Review 04t27t2007 0st08t2007
Paee 2 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00558ISSUED: 0512312007
APPLIEDz 0411712007
EXPIRESz 1112312007VALUE: $ 59,644.00
Structural Review 04t20t2007 04t27t2007 IO LLH Forwarded to the Building
Department for structural review
under contract with the City of
Springfield
To Request an inspection call the24 hour recording at 726-3769. All inspections 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.
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 coYer.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
leonired Insnecfions
Page 3 of4
I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
GFIELD
Building/Combination Permit
PERMIT NO: COM2007-00558ISSUED: 0512312007
APPLIEDz 0411712007
EXPIRES: 1112312007VALUE: $ 59,644.00
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 Cify 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 du ring construction.
or Contractors Signature Date
Page 4 of 4
Construction Contractols Board
700 Summer St IYE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccblb!@q
Statement: lnformation Notice to Property Owners
About Gonstruction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential constructton permit applicants who are not
licensed with the Construction Contractors Board to sign the following 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, md either box 3A or 38:
W l. 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 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 of permit applicant)
(White copy to issuing agency permitfile, pink copy to applicant.)
)
Permit
oate: 5 -)34'rl
Ad&ess:
Issued
\q{^ Jt
Property_owner.doc 06-0 I -04
[h^z\ oa
JOURNAL ORJOB NUMBER
NAME ORCOMPAN'Y:
LOCATION:
TAX LOTNUMBEK
DEVELOPMENT TYPE:
NEW DWELLING UMTS
1. STORM DRAINAGE
CITY OF SF FIELD SYSTEMS DEVELOPMENT )RKSHEET
58
2475 lgth
244301300
SINGLE F Y
0 BUN-DING SITF 040 LOT SZE (SF):
STORM SYSTEM
I
DIRECTRTINOFF TO CITY
l-npERvtous s-r.
I to+o.oo
x
TO DRYWELL DESIGNED
x
COST PER S.F.
$0.336
COST PER DFU
$26.03
$19.79
NLIMBER OF UMTS
0
NUMBER OF I.'NTTS
0
ADM. FEE RATE
5Yo
FEE:
CHARGE
$349.04
TO CITYRI.INOFF
COST:
SLIBTOTAL
s440.67
DISCOUNT
$0.00
ITEM 1 TOTAL- STOR]VI DRAINAGE SDC
2. SANITARY SEWER. CITY
A COST:
x
B.
A
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST:
x
x
xx
x
COST PER TRIP
$19.81
COST PER TRIP
$87.39
$0.00
NEW TRIP FACTOR
1.00
NEWTRIP FACTOR
1.00
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANTTARY SEWER - MWMC
A COST:
NUMBEROFFEU's
0
COST:
x
x
B.
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SI]BTOTAL (ADD ITEMS L, 2, 3, & 4')
5. ADMIMSTRATIVE FEE:
$440.67
CIIARGE
$22.03
x
TOTAL SANITARY ADMIMSTRATION FEE:
TOTAL
Jeff Prociw 4t2412007
IMPERVIOUS S.F
0.00
COST PER S.F
$0.336
$349.04
$0.00
$0.00
$0.00
27.03
s462.70
1070
l09l
1092
1093
1094
l 055
r 056
aHnoU
&
rI1FU)
()
H&
079
078
IflNUMBER OF DFU's
2
NUMBER OF DFU's
2
ADT TRIP RATE
9.57
COST PERFEU
$91.61
NUMBER OF FEU'S
0
COST PER FEU
$961.52
PREPARM BY
AT]ON
DATE
TOTAL SDC CHARGES
x
x
x
DRAINAGE FD(TIJRE T]NTT CALCULATION TABLE
NTIMBER OF NEW FDOURES x IINTT EQUTVALENT - DRAINAGE FDffURE LNITS
FOR CALCLII.A.TE ONLY TT{E NET
NO. OF FD(TURES
LINIT
NEW OLD
MISCELLAI.{EOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FDff t]RE LINITS
lsa toa unit se{ at 167
MWMC CRTDIT CALCT]LATION TABLE: BASED ON COUNTY ASSESSED VALUE
Bgnong 1979
IS LAND ELGIBLE FORANNEXATION CREDIT?
@nter I for Yes, 2 for No)
IS IMPROVEME\II ELGIBLE FORANNEX. CREDIT?
@nter I for Yes, 2 for No)
BASE YEAR
CREDIT@
20
DRAINAGE
FD(TI-IRE
LINITS
0
2
1979
*EDU
2t979
1980
1981
1982
1984
x1985
1986
1987
1988
1989
1990
199t
1992
1993
1994
1998
t999
2001
vArLtE / 1000
$0.00
CREDITRATE
$5.29
$4.07
$3.67
$3.22
CREDITFOR IMPROVEMENT (IF AFTER ANNEXATIO].O
VALL]E / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
$2.73
$?.25
$1.80
1995
1997
1996
BATHTUB 0 0 3 0
DRINKING FOUNTAIN 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 b 0
I-AT]NDRY TUB 0 0 2 0
CLOTI{ESWASHER / MOP SINK 0 0 3 0
CLOTTIESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STANON / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISITWASI{ER / ETC.0 0 3 0
SINGLE STALL 1 0 2 2
0sHowE&GANG (NLTMBER OF HEADS)0 2 0
SINK: COMMERCIAL/RESIDENTTAL KITCHEN 0 0 3 0
SINIC COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 1 1 0
I.,IRINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
1 1TOILET, PRTVATE INSTALLATION 3 0
2
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALI.IE
0
2000
' $1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
CITY OF SPRINGFIELD, OREGON
.FfiI ,l:LD ZON
INITIALS
DATE
SOURCE225 FIFTH STREET o SPRINGFIELD, OR 97 477 o PH:(541)72G3753 . FAX: (541)72G3689
ELECTRICAL TION
City Job Number
3.
A.
52a-o"Date
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion tlereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
IS
$s0.00
are and expire work is
not days of issuance or if work is
Suspended for 180 days.
)
Address
Supervisor License
Expiration Date
Constr Number
Date
of Supervising Electrician
Owners
OWI\ER ALLATION
The installation is being made on properfy I own which
is not intended for sale, lease or rent.
Owners Signature
Minimum Electric Permit Inspection Fee is $45.00 +
8% State Surcharge
l0% Administrative Fee
5% Technology Fee
TOTAL
B.
City
Panel
t
4
$ 63.00
$ 7s.00
$12s.00
$163.00
$375.00
$ 50.00
$ s0.00
$ 69.00
$100.00
$ 43.00
$ 3.00
44ddv-b
City or irrigation
Lighting
,, r ,S,$OJo
.,o|'Ju$L[)J0ft so'oo
$ 2s.00
$ 45.00Limited
EnergylResidential
Energy/Commercial
Contractor
Inspection Request: 726-37 69
4.
Shared Drive(T:)/Building Forms/Elect-ical Permit Application
0
$106.00
$ 19.00
tollow
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;+v of Springfield Official Receipt
elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000620 Date: 0512312007 2t42:43PM
Job/Journal Number
coM2007-00558
coM2007-00558
coM2007-00ss8
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00ss8
coM2007-00558
coM2007-00558
coM2007-00558
coM2007-00ss8
coM2007-00558
coM2007-00558
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Storm Sewer - lst 50 Feet
Vent Fan
Dryer Vent
Miscellaneous Mechanical
M inimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Plan Review Minor - Planning
+ 5olo Technology Fee
+ 8% State Surcharge
+ lj%o Administrative Fee
Amount Due
52.00
349.04
s2.0s
39.5 8
22.03
409.65
56,00
45.00
6.00
6.00
9,00
24.00
10.00
43.00
12.00
I12.00
36.r3
48.85
66.27
Item Total:$1,398.60
Payments:
Type of Payment Paid By Received By
efiecENumEer
Batch Number
Authorization
Number How Received Amount Paid
Check DANIEL J MOREHOUSE njm 4840 In Person $ 1,398.60
Payment total:
-5I3DEI66-
cReceint I Page I of I s123t2007
*$nl*ir*Flhr.s