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Home My WebLink AboutPermit Building 2007-05-21Status 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: COM2007-00665ISSUED: 0512112007 APPLIED: 05/0812007 EXPIRESz lll2ll2007VALUE: $ 4,104.00 SITE ADDRESS: 717 19TH ST Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1703361212300 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Extend Patio Roof at side of building (over new deck) Install 6' patio door Owner: Address: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Contractor Type General Electrical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: AUTH CHAVEZ FRANCISCO Q 717 N I9TH ST SPRINGFIELD OR 97477 VB ff Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building E/F WORK d: oh of Lot Coverage: Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: r far t U 216 nla Hfi4IT COttt IZED UNDlttlE18.00 0R REQUIRED PARKING Total: Handicapped: Compact; FB ANY tB0 0Rts IDAYPER/AD Street Improvements: Storm Sewer Available: Special Instruction: Notes; Adding impervious area only. Storm to tie to existing system. JLP APP 5ll1/07 Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Pase I of3 * 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: COM2007-00665ISSUED: 0512112007APPLIED: 05/0812007 EXPIRES: 1112112007VALUE: $ 4,104.00 Description Deck/Balconv Type of Construction Deck $ Per Sq Ft Square Footage or multiplier or Bid Amount $19.00 216.00 Total Value of Project Amount Paid Date Paid Value $4,104.00 $4,104.00 Date Calculated 05/08/2007 Fee Description Plan Review Residential + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Building Permit Fire SF Fee - Residential Minimum/Adj ustment Electrical SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $44.46 $16.92 $7.92 s12.67 $43.00 $68.40 $10.80 $2.00 $3.22 $64.44 $4s.00 $318.83 st8t07 stzu07 st2u07 5tzu07 5t2u07 5t2t/07 5t2u07 5t2u07 st2u07 5tzu07 st2U07 Receipt Number 1200700000000000s38 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 2200700000000000790 ['ees Paid Plan Reviews Initial Review Plannine Review Public Works Review Public Works Review Structural Review 05n012007 0sn0t2007 05n0t2007 05nU2007 0strot2007 05n5t2007 05fi0t2007 05nt/2007 APP APP NJM TAJ WI JLP APP JLP 05n0t2007 0sn0t2007 APP DLM Porch needs at least l0' setback from front property line. Plot plan is illegible. Rcvd 5/10/2007--Waiting in order PW rcvd for rvw.JLP WI 5/10/07 Adding impervious area only. Storm to tie to existing system. JLP APP 5nu07 See documents for Plan review comments. To Request an inspection call the 24 hour recording at 726-3769, AII 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. Insnecfinns Footing: After trenches are excavated. Paee 2 of3 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Buitding/Combination Permit PERMIT NO: COM2007-00665ISSUED: 0512112007 APPLIED: 05/0812007 EXPIRES: lll2ll2007VALUE: $ 4,104.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 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 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 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. o 52r 07 Owner or Contractors Signature Date Page 3 of3 h JOURNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING TIMTS I. STORMDRAINAGE DIRECT RUNOFF TO CIry STORM SYSTEM CITY OF S"-ilNGF!ELD SYSTEMS DEVELOPME]T,/ORKSHEET coM2007-00665 Francisco Chavez 7t7 lgth st 0 SINGLE FAMILY RESIDENCE 0 BUILDTNG SIZE (SF, 192 LOT SZE (SF):0 IMPERVIOUS S.F 192.00 RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS COST PER S.F $0.336 COST PER S.F $0.336 COST PER DFU $26.03 $r 9.79 NT]MBER OF TINITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 5% CHARGE $u.44 DISCOTINT RATE 50Y. ffi4.44 DISCOT]NT $0,00 xIMPERVIOUS S.F. 0.00 ITEM l TOTAL- STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBT]RSEMENT COST: x x x x x x ITEM 2 TOTAL - CITY SAITITARY SEWER SDC $0.00 3. TRANSPORTATION COST:A. NUMBER OFDFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 SUBTOTAL s64.44 xxxCOST PER TRIP $ 19.81 COST PER TRIP $87.39 $0.00 NEW TRIP FACTOR 1.00 NEWTRIP FACTOR 1.00 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's 0 x x B. IMPROVEMENT COST: NUMBEROF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS l, 2, 3, & 4) 5. ADMIMSTRATIVE FEE: $0.00 $6.4.44 CTIARGE $3.22 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw s/1112007 ADT TRIP RATE 9_57 s64.44 s0.00 $0.00 $0.00 $0.00 $0.00 $0.00 s0.00 3.22 $0.00 $67.66 I 070 l09l r092 I 093 1094 I 055 l 056 079 078 ar!n Q &r!Fa El IE COST PER FEU $91.61 COST PERFEU $96 r.52 PREPARED BY DATE TOTAL SDC CHARGES x x DRAINAGE FXTURE UNIT CALCULATION TABLf, NUMBER OFNEW FXTURES x LIMT EQUTVALENT: DRAINAGE FXTURE UMTS FOR CALCI.II.ATE ONLY THE NET ADDITIONAL NO. OF FIXTURES T]NIT TYPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TURE TINITS isa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED oN cot NTy AssEssED VALUE 20 DRAINAGE FIXTURE 0 2 2 1979 +EDU BEFORE 1979 1979 I 980 l98l 1982 r 983 I 984 I 985 1986 1987 1988 r 989 I 990 1991 1992 1993 1994 I 995 1996 1997 I 998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $+.+o $4.07 $3,67 $3.22 $2.73 $2.25 $1.80 VALTIE / IOOO $0.00 CREDIT RATE $5.29 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 OF APPLICABLE) x CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 2001 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTIIB 0 0 3 0 DRINKING FOL]NTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE /OIL/SOLIDS/ETC 0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH /ETC.0 0 6 0 LATINDRY TUB 0 0 2 0 CLOTHESWAS}IER / MOP SINK 0 0 3 0 CLOTI{ESWASMR -3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (r PER TRATLER)0 0 12 0 RECEPTOR FOR REFR]G / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER /ETC.0 0 3 0 SHOWE& SINGLE STALL 0 0 2 0 SHOWE& GANG o\TULIMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOTIBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 TIRINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 PRIVATE INSTALLATION 0 0 J 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 2000 IUr \l I Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: !ryry.g$!4!4q Permit #: Address: Issued by: ruDA b.r Date:a Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3.{ or 3B: l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contactors Board. OR 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and wilt immediately noti$r 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 reyerse side of this form. D z-/ a> ,tr X X €_ (Signature of permit applicant) (White copy to issuing agency permil file, pink copy to applicant.) (Date) ( Property_owner. doc 06-0 I -04 ,.) Acting as t6ur Own General Contractor? INroNnnRrION NoTICE TO PROPERTY oT,yNERS ABOUI EON$TRUCTION RTSPONSIBILITIES NOfEj Tt"tis lnfarmation Natice to Propefty Awners abaut Canstruction Responsrbi/rlies tvas developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Aregon Legislature. lf you are acting as ).our own co*tractor to construct a oew home or make a substantial improvemer:t to an existing structure, you can prevent many probt*re tybeing atvare of the following responsibilities and concems. Employer Responsibilities ': .-- You will, in most instances, be ruled to be an "ernployer" and the contractors you contract with will be'.'er4plo. yees" if yCIu g$e conhactors not licenscd with the Conskuction Contractors. Board to do labar in conskuctfng or to assist i$ the construction or improvement of a residential skucture. As the eqrployer, ygu must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be iiable for the tax palments even if you don't actuaiiy withhold the tax *orl your employees. For m*re infirrmation, call the Deparrrnent oiRevenue ai SOt-glS*ptr8. .' i i Unemployment Insurance Tax: As an employer, yCIu me?equired topay a tax fcr unanployment insurat{cc purporg}( on the wages of all employees. For more information, call the Oregon Employmeat Department at 503-947-1488. andThe {hegon Busin*ss l<Jentificatio* Number {Et}.I) is a ccnrbined lumber for both Oregon Withholding UnemploymentIxsur*nceTax'TofileforaBIN,caIi503.945-809lorw$'w-Mforthe appropriate forms. lVcrkers' Compeusation Insurance: As an employer, you are subject to the Gregon rfforkers' Compensation Law, and must obtain workers' compensation insurance fgr your employees. If you fail to obtain workers' compensation rnsurancd, you could be subject to penalties and be liaUle for all clarm costs if one of your emplbSees is injured nn the job. For more infiormatir:n, call the Workers' Compensatio'ir Division at the'Department of Cort'sumer and Business Services at 503-947-78 i5. ti.S. Internal Revenue Scrvice: As an employer, you must withhold Heratr income tax from employeds'-rvagggf Y*ii will be liable f*r th* tax pa)'rll*nt even if ycu didn't actually vrithhold the tax. For a Federai *IN number, cail the IRS at 1-800.829-4933 or visit'thair,web site at v/rylyJl_&gay i, 1,. ' .. . : . , .'....|otherRespon*ibiIities.and.AreasofCqncerns Cade Complianc*: As the permit holder for this project, you aie responsible far resolr,ing any faiiur€ to meet code requirements.that may bc brought to {g,y.r attentron through inspcclions. : :.: r Liability and Prop'erty Damage'Instrance: Coritact your insurance agent to sde if you have'aCequate'iirsr-trance'F coverage for accide:rls ancl omissions such as lalling tools, paint oyer spray, water damage {iom pipe punciures, fire or rvork that must be red*ric. Time: Make sure 3,lru have sufficient tirne to supervise your ernploye*s, Expertise: Make sure you have the skills to act as your'bwn generdl corEactor, to coordfnate the work of rcugh-in and finish trades, a:rd to notify building officiais as the appropriate times so they can perform the required inspections. If you have additi*nal qxr:slions *a11lhe Construci,ion Contract*rs B*srd (503-37S-4$21) or rvrits th* agency at I)0 I]*x 14140, Salem,0R 9?309-5$52. Property_owner.doe *6-0 1 -04 \(* s,PFlnrqFlELD zoN LJJ INITIALS DATE 225 FIFTH STREET . SPRINCFIELD, oR97477 o PH:(541)726-3753 o FAX: (511)726-3689 %,souRcE n15 ELE CT7..I CAL P ERM IT AP P LI CATI ON 5'?l-o-.1Date City Job Number 1. LOCATION OF INSTALIATION: 3' COMPLETE tEE SCHEDLTLE BELOW z. LEGAL DESCRIPTION A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Serv'ice or Feeder 1.Vl' A I I 70 3 30/L/z Lvz) JOB DESCzuPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. 2. ]2NTRACTOR TNSTALLLTTDN ONLY Electrical Contractor Address Phone Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 10 through€AR IdUG,}(lStarrr Over ter. (Note: the rele r the Oregon Uritiry Not Installation, Alteration or Relocation fll0It Amps or less IH/S AUIHO c0trtut ,I IE ANY AY $106.00 $ 19.00 $50.00 urro$ v t H) 60 f,o B. Ciry 40fl New or One Circuit 8% State Surcharge l0% Administrative Fee 5% TechnologY Fee B"n"tt $ 43'oo +3 * D Each Additional Circuit or with Service or Feeder Permit $ 3'00 E. l\{iscellaneous (service/feeder not included) -Each Installation 12fi)_?ga ssc.o Pump or irrigationPhone $ s0.00 Sign/Outline Lighting $ s0.00 Limited Energy/Residential $ 25'00 Limited EnergY/Commercial $ 45'00 Minimum Electric Permit lnspection Fee is $45.00 * Surcharges nl/r\/. 3s' Inspection Request: 7 26-37 69 TOTAL Shared Drive(T: )/Buitding Forms/Electrical Permit Application 8-06.doc Alterations or Relocation: $ 50.00 $ 69.00 $ 100.00 ss,, e 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone r:ty of Springfield Official Receipt . -velopment Services DePartment Public Works Department RECEIPT #: 2200700000000000790 Date: 0512112007 2:56:52PM Job/Journal Number coM2007-00665 coM2007-00665 coM2007-00665 coM2007-00665 coM2007-0066s coM2007-00665 coM2007-00665 coM2007-00665 coM2007-00665 coM2007-00665 Description Building Permit Storm Sewer - lst 50 Feet Add, Alter, Extend Circ M inimum/Adj ustment E lectrical Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin + 5%o Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 68.40 45.00 43.00 2.00 10.80 64.44 3.22 7.92 12.67 16.92 Item Totai:s274.37 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard FRANCISCO CHAVEZ DJB 088814 In Person s274.37 Payment Total: -$ffi cReceint I Page I of I 5t212007