HomeMy WebLinkAboutPermit Building 2007-06-04Status 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 -00770ISSUED: 0610412007APPLIED: 05/3012007
EXPIREST 1210412007VALUE: $ 35,020.00
F
SITE ADDRESS: 1137 S 45TH ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1802052405802
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Addition to existing single family residence. (Kitchen & Fam. Rm. expansion)
PhoneNumber; 541-741-4460Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
WADE HOLADAY
I137 S 45TH ST
SPRINGFIELD OR 97478
Contractor
OWNER
OWNER
q@ense
isNot
Expiration Date Phone
t0s
hul\\
# 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:
Street Improvemetrts:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
o/r/o
rul 0l
Nlo\
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
340
Curbside 5'
Curb and Gutter
ss0I
VB
15.00
Gas
Path I
nla
REQUIRED PARKING
Total:
Handicapped:
Compact:
Ar
.rr0
q\),Sa Sidewalk Type:
Downspouts/Drains:['Yes
Notes: Stormwater to connect to existing gutter and outfall to weep holes in street.
Pase I of3
,
1\\E\t
o\
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 -00770ISSUED: 0610412007
APPLIED: 05/3012007
EXPIRES: 1210412007VALUE: $ 35,020.00
Description
Dwellinss
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Exhaust Hoods
Fixture
Minimum/Adjustment Plumbing
Miscellaneous Mechanical
Plan Review Minor - Planning
Plan Review Residential
SDC MWMC Administration
Storm Drainage Impervious Area
Total Amount Paid
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$103.00 340.00
Total Value of Project
Amount Paid Date Paid
Value
$35,020.00
$35,020.00
Receipt Number
1200700000000000678
r200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
1200700000000000678
Date Calculated
05/30/2007
$43.98
$27.59
$35.18
$43.00
$18.00
$288.7s
$9.00
$28.00
$17.00
$36.00
$112.00
$187.69
$5.64
$tt2.77
614/07
6t4t07
6t4t07
6t4t07
6t4t07
6t4t07
6t4t07
614107
614107
6t4t07
6t4t07
6t4t07
6t4t07
6t4t07
$964.60
tr'ees Paid
Plan Reviews
Planning Review
Public Works Review
Structural Review
05t30t2007
05t30t2007
05t30t2007
0st30t2007
APP
APP
TAJ
BRC
06t0u2007 06t0u2007 APP DLM
Stormwater to connect to existing
gutter and outfall to weep holes in
street. No new sanitary sewer
connections.
Requested add'l section drawing and
engineering for new footing and
truss modification. 5/30/07ldm.
Received requested info. 5/31/07dlm.
Requested and received engineer's
signed approval of new truss
connections. 6/l/07dlm. See
documents for Plan review
comments.
Pase 2 of3
Valuation Description 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: COM2007 -00770
ISSUED: 0610412007
APPLIED: 05/3012007
EXPIRESz 1210412007VALUE: $ 35,020.00
To Request an inspection call the 24 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.
WaIl Insulation: Prior to cover.
Ceiting Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
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.
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 Communify 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.
Un[ri n,\ *\ilt]*
Owner or Contractors Signature
Page 3 of3
Date
t(eourreo lnsDectlons
Construction Contractoas Board permit *: {obv:,Lc*,-f -oO17O
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
WebAddress: rvww.ccbslbl44q
Address: tt31 S qS+'*l
Issued by:>< Date: e-?-O7
Statement: lnformation Notice to Property Owners
About Construction Responsibil ities
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 3B:
\E-r.
&2.
k
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
tr 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 corect 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 permit @ate)
(White copy
Property_owner. doc 06-0 I -04
I
agenq) permitfile, pink copy to applicant.)
&***xxffi es b oxr ffwxx ffiexx*rnl Cutrtrartor?
.SPFTIl|,GFIELEq..:iH,.."^ l" +: .!H
,l 't*W,.. %,*''..otu
ZON a
INITIALS
DATE
SOURCE Th S225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH;(541)726-3753 o FAX: (541)726-3689
E LE CTRI CAL P ERMIT AP P LICAffON
City Job Number 7-OO7 70 ( o-a - L<>trl
3. CAMPLETE,FEE SCTTEP ULE BELO\{
A. Nex Ilesidential - Single or fi'Iulti-Family per dwelling unit.DESCRIPTIONI
JOB DESCRIPTION
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Date
aullo ot\l
2'
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd
Modular or
F \t \s
$106.00
$ 19.00
$50.00
CONTIIL4 CTOR TNSIX.LLA or Relocation:
Ciry
1
Electrical Contractor
Address
Phone
Supervisor License Number
Expiration Date
Constr. Contr. N
Expiration Date
Signature of Supervising Electrician
or less
to 400 Amps
to 600 Amps
to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
296
$ 63.00
$ 75.00
$ 12s.00
$ 163.00
$37s.00
$ s0.00
$ 50.00
$ 69.00
$ 100.00
C.
,\,)o
ca\SIf.q L96 see "B" above.00'
.- /1
o\Alteration or Extension Per Panel/ $ +:.oo 4s
6 $ 3.oo /9
E. Miscellaueous (Service/feeder uot included) -Each Installation
Owners Name
Address
OWNER INSTALLATION
The installation is being made on properly I own which
is not intended for sale, lease or rent.
Owners
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
8% State Surcharge
10% Administrative Fee
5% Technology Fee 3
75.o 3
$
$
$
$
50.00
50.00
25.00
45.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
+a
/
Inspection Request: 726-3769
4.
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06.doc
ffi
1. LOCATIAN OTI}{S?IAIL4TIA?{:
ru
q\ro\
citt 1,,/F rnone 7/ #ao
I
JOURNAL OR JOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UMTS
I. STORMDRAINAGE
DIRECT RLINOFF TO CIry STORM SYSTEM
GITY OF SF.INGFIELD SYSTEMS D
-00770
Wade & Cinda
I I 37 South 45th Street
I 8-02-05-24 05802
SINGLE FAMILY RESIDENCE
0
ENi -,ORKSHEET
DISCOI-INT
$0.00
BUILDING SIZE (SF. 336 LOT SZE (SF):
CHARGE
$112.77
0
IMPERVIOUS S.F. x
336.00
RUNOFF ROUTED TO
IMPERVIOUS S.F
0.00
NIIIvIBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OFDFU's
0
DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
COST PER S.F.
$0.336
COST PER S.F
s0.336
COST PER DFU
$26.03
s19.79
NT]MBER OF T]NITS
0
NUMBER OF T]NITS
0
ADM. FEE RATE
5%
DISCOUNTRATE
50o/o
sl12.77
x
x
x
x
x
x
x
x
ITEM I TOTAL - STOR]U DRAINAGE SDC
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SAMTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
$0.00
COST PER TRIP
$ r 9.81
COST PER TRIP
$87.39
$0.00
NEW TRIP FACTOR
L00
NEW TRIP FACTOR
r.00
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ST]BTOTAL
$112.77
xx
xx
ITEM 3 TOTAL-TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITELS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
sll2.77
CHARGE
$5.64
TOTAL SANITARY ADMIMSTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Billy Curtiss 513012007
COST PERFEU
$91.61
$0.00
$0.00
s.64
$118.41
1 070
1091
1092
1093
1094
l0s
I 056
1079
I 078
a
tu
t-l
Q
&rI]Fa
oHd
IUL
COST PER FEU
$961.52
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES x UNTT EQUIVALENT = DRAINAGE FXTURE UNTTS
FOR CALCULATE ONLY THE NET ADDMONAL
NO. OF FXTURES
LINIT
DRAINAGE
FIXTURE
UNITS
0
2
1979
FIXTURE ryPE NEW OLD
MISCELLANEOUS DFU TYPE NLMBER OF EDU'S
TOTAL DRAINAGE FXTURE UNITS
isa toa mit set at I 67
IVTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
*EDU
BEFORE 1979
1979
1980
l98r
1982
I 983
1984
I 985
I 986
1987
1988
1989
I 990
1991
1992
1993
1994
1995
1996
1997
l 998
1999
$5"29
$5.29
$5.1 I
$5,12
$4.98
$4.80
$4,63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
IS LAND ELGIBLE FORANNEXATION 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 (tF APPLICABLE)
2
VALUE i IOOO
$0.00
CREDITRATE
$5.29x
CREDIT FORIMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CRE,DIT$1.59
$1.45
$1.25
$1.09
$0,92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 0 0 3 0
DRINKING FOTINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LATINDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLoTHESWAST{ER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWE& GANG (NLIMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL K]TCHEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL / WALL 0 0 5 0
TOILET, PT'BLIC INSTALLATION 0 0 6 0
TOILET, PRTVATE IN STALLATION 0 0 3 0
0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
2001
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci' of Springfield Official Receipt
D- ;lopment Services Department
Public Works Department
RECEIPT #: 1200700000000000678 Date: 0610412007 l0:23:14AM
Job/Journal Number
coM2007-00770
coM2007-00770
coM2007-00770
coM2007-00770
coM2007-00770
coM2007-00770
coM2007-00770
coM2007-00770
coM2007-00770
col[t{2007-00770
coM2007-00770
colfd2007-00770
coM2007-00770
co}/l2007-00770
Description
Plan Review Residential
Plan Review Minor - Planning
SDC MWMC Administration
Storm Drainage Impervious Area
Building Permit
Fixture
Minimum/Adjustment Plumbing
Exhaust Hoods
Miscellaneous Mechanical
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5olo Technology Fee
+ 8% State Surcharge
+ 10o Administrative Fee
Amount Due
187.69
I12.00
5.64
112.77
288.75
28.00
17.00
9.00
36.00
43.00
18.00
27.59
3 5.18
43.98
Item Total:$964.60
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check CINDA HOLADAY djb In Person
Payment Total:
$964.60
-ffi6d-
112
Page 1 of I 61412007cReceint I