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Home My WebLink AboutPermit Building 2004-10-11itrrrl$ 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: COM2004-0lll7ISSUED: l0llll2004APPLIED: 09/0812004 EXPIRESz 0411112005VALUE: $ 27,720.00 SITE ADDRESS: 2526 34TII ST ASSESSOR'S PARCEL NO.: 1702193100207 PROJECT DESCRIPTION: Extending Master Bedroom Suite Owner: SMITH GERALDENE E Address: 2526 N 34TH ST SPRINGFIELD OR 97478 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential License Expiration Date PhoneContractor Type General Electrical Mechanical Contractor Owl\tER OWNER OWNER OWI{ER 12.00 # of Units: Primary Occupancy Group: Secondary C)ccupancy Group: rnmary uonstruction'Iype Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Stories are Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: o{ the Notfiication -2344). Path I nla Lot Size: Sq Ft lst Floor: Sq -F1 2nd Ploor-; Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: \t \s Type: set tortn 952-001- 300 REQUIRED PARJSNG Total:Urban Fringe 29.60 0.00 yes Storm drainage to existing as per o$ CONTRACTOR INFORMATION DEVELOPMENT INFORMATION Notes: Pase I of3 E T bttos fdoo ITY 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: COM2004-0lll7ISSUED: l0llll2004APPLIED: 09/0812004 EXPIRESz 0411112005VALUE: $ 27,720.00 Description Dwellinss Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Vo Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adj ustment Mechanical Minimum/Adjustment Ptumbing rhu nrYtrH lYltn()r - Phnning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Total Amount Paid Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 300.00 Total Value of Project Amount Paid Date Paid Yalue $27,720.00 $27,720.00 Date Calculated 0910812004 $157.27 $10.00 $38.10 $26.67 $43.00 $6.00 $24r.95 $42.00 $33.00 $3.00 $59.00 $109.68 $144.24 $18.14 $108.81 $12.00 9t8t04 t0nu04 10fiLt04 10fiu04 l0ltu04 t0nu04 t0nU04 t0tru04 l0nu04 lOllll0il 10/11/04 l0ltu04 t0lrU04 10/11/04 t0nu04 10/11/04 Receipt Number 2200400000000001136 1200400000000001454 1200400000000001454 1200400000000001454 1200400000000001454 1200400000000001454 12004000000000014s4 r200400000000001454 t200400000000001454 12oo4oo000000001{5{ 1200400000000001454 120040000000000r454 1200400000000001454 12004000000000014s4 1200400000000001454 1200400000000001454 $1,052.86 tr'ppc Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 09n0t2004 09fiot2004 09n012004 09n0t2004 09t27t2004 09t22t2004 APP APP APP SKG TAJ MS 09tr0t2004 09t27t2004 APP DLM 912212004 - Storm drainage to connect to existing. - MS See documents for plan review comments 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Paee 2 of3 Reouired Insnecfions Valuation Descrintion I Building/C ombination P ermit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-0lll7ISSUED: l0llll2004APPLIED: 09108t2004EXPIRESz 04ltU200SVALUE: $ 27,720.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Underfloor Plumbing: Prior to insulation or decking. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Rough Electric: Prior to Cover Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Final Mechanical: When all mechanical work is complete. 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 lnspections 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. lo-^o Owner or Contractors Date Pase 3 of 3 225 t ,dreet Sprin, .^;ld, Oregon 97477 541-726-3759 Phone ntty of Springfield Official Receipt _ -velopment Services Department Public Works Department RECEIPT #: 1,2004000000000014s4 Date: 70/11/2004 7o:56:22AM Job/Journal Number coM2004-011l7 coM2004-01I l7 coM2004-01117 coM2004-01l l7 coM2004-01l l7 coM2004-01I l7 coM2004-01117 coM2004-01I l7 coM2004-01I l7 coM2004-0l l l7 coM2004-01I l7 coM2004-01I l7 coM2004-01I l7 coM2004-01I l7 coM2004-01I l7 Description Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + lYo State Surcharge + l0% Adminishative Fee Amount Due 108.81 144.24 109.68 18.14 59.00 241.9s 42.00 3.00 12.00 33.00 10.00 43.00 6.00 26.67 38.10 Item Total:$895.s9 Payments: Type ofPaYment Paid By Received By Batch Number Number How Received Amount Paid djb 022615 In Person Payment Total: $895.59CreditCardRICK DAUGHERry $89s.s9 10/11/2004 Page 1 of 1 225FIFTHSTREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 oF ELE CTRI CAL P ERMIT AP P LICATI O N City Job Number Date 1.3. 5 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less s$rl:rrffGfil*n!-{, $ r06 $50.00 LEGAL DESCRIPTION Address SHA A. B. JOB DESCRIPTION Permits are non-transferable and expire if work is ' not started within 180 days of issuance or if work is Suspended for 180 days. ., Electrical Contractor NOTICE: City Phon'e R IS ABANDON r?# fimH(o 400 Amps r.fiflr$mto 6oo AmPs ifi$ffipr to l00o Amps -Over 1000AmpWolts AUTHO EDU NCED O S PER LL EXPIRE IF $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 (3 $ 3.00 e A 1B O DNTffiTUU Reconnect Only Supervisor License Expiration Date Constr. Conff Signature of Supervising Electrician Owners Name Address City Phone OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, lease or rent. Owners Signature: S FO U C€ Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 New Alteration or Panel One Circuit torm $ s0.00 $ s0.00 $ 2s.00 $ 45.00Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 7% State Surcharge l0% Administrative Fee TOTAL ts oe 7o s3Inspection Request: 726-3769 4. Shared Driv{T:/Building Forms/Electrical Permit Application l -03.doc -Each Installation w :es or Feetlers /7"% /? 3/ oo2n7 Residential $ 19.00 Over 600 Amps or 1000 Volts see "B" above. ?,4 HILL& DALE EN6INEERIN6, LLC 74 EAST l BTH AVEN U T, SU ITE #5 EUC,ENE, ORE6ON 9]401 (541) B6B-o667 FAX: (541) 868-oBBB 03104105 Parker Homes 2471'l Wolf Creek Rd Veneta, OR 97487 RE: 723 and 759 S. 48th - Drainage inspection- Job #33-05 As you requested, a site visit rvas performed at the above locations on 03/03/05 to inspect the installation ofthedrainlineasrecommendedbythisofficeinthelenerdated02l2ll05. Theinspectionofthe drainline installation rvas performed prior to the placement of the round rock over the drainline. The perforated drainline is encased in a silt sock and placed at the base of the footing, as recommended, and tied to solid line that has a 1% slope to the curb. As the drainage has been installed as recommended, the clean round rock may norv be placed over the line, and inspections by the Ciry of Springfield may be performed. Thankyouforthisopportunirytobeofservice. ifyouhaveanyquestionsregardingthisreport,contact me at 868-0667. Sincerely, 6IN %%, Pamela S. Hillstrom, P.E. .s Permit #: Address: -o ///7Construction Contractors Board 700 Sumner St ltlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress: www.cc['q!g!94g 2521,)/Z Issued by:-} 6 Date: /0 o Statement: lnformation Notice to Property Owners About Gonstruction 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 appltcants, exemptfrom licensing under ORS 7 0 1 .0 1 0(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 3,{ or 38: l. 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. E ,E 'K 2 3A. My general contractor is (Name)(ccB #) I will instruct my general conhactor 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. lo - // -o4 (Signature of (Date) (lThite copy to issuing agency permitfile, pink copy to applicant.) Property_owner. doc 06-0 I -04 Acting as Your Own General Coirtractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES If you are acting as your own contractor to construct a new home or make a substantiai improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities aad ooncerns. Employer Responsibilities You will, in most instances, be rulqd to be an '.'gqployer" and the coatractors you contact with will be "employees" if you u$e contaotor.s not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or. improvernent of a residential ptructure. As the employer, you must compty 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 liable for the tax payments even if you don't actually withhold the tax frorn your employees. For more information, call the Departnrent of Revenue at 503-378-4988. ' ' ; Unemployment Insurance Taxr As an employer, you are required topay a tax for unemployment insurance purposp- on the wages of all employees. For more information, call the Oregon Employment Deparfment at 503-947-1488. ,tt,The Oregon Business Identification Number (Bb{) is a combined rurmber for both Oregon Withholding and Unernpioyment Insuranee Tax. To {ile for a BIN, call 503-945-8091 or www.dor.state.or.us/forrnspay.htmli for the : appropnate forms. . .: lVorkers' Compensation Insurance: As an employer, you are subject to the Oregon W'orkers' Compensation Law, and must obtajn workers' compensation insurance for yolr epployees. If you fail to obtain worksrs' compensation,: .: insuranci, yori'could be subject to penalties and be liable for all claim costs if one of your employees is irr.iured on the job. For more information, call the Workers' Compensation Divisiofl at the Departrient of Consumer and Business Services at 543-947 -7 81 5. U.S. Intern*l Revenue Service: As an employer, you must withhold federal incorne tax from employees' \r/ag.e-s" , You will be iiable fbr the tax palirnent even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-82e-4-' ;il:;:r.-.;ffiffi"d Areas or concerns Code Compli*ncc: As the permit holder for this project, you are responsibtre for resolving any faiiure to meet code requirementsthatmaybebroughttoyourattentiontlrroughinspections' Liability and Froperty T)amage fnsurance; Cortact your insurance agent to see if you have adequate insurance coverage fcr :iccidents a*d r:rnissions such as lalling tools, paint ovrr spray, water riamage fror: pipe punclures, {ire cr work that must be rcdone. \.' - ) -* : r:.. Tixne: Make sure you have sutficient tirne m supewise your cmpl6yees. Expertlse: &{ake sui'c'rbu have the ski}lq to act as your o\1rr general ccntractor, to coorclinate the work of rough-rn and finish trades, a;:<i t* ilr)tiiy building r>fficrals as lhe appropriate tirnes s* tl"rey can pertorm th* rcqxireel inspeclrrrns. If you have additional questions call the Consm.rction Conkactors Board (503-3784621) or write the agency at P() Box 14140, Salem,OR 97309-5052. .;r , ,rr: ;3.,,. . Properfy_owner.doc 06-0 1 -04 NATE: This lnformation Natice to Property Awners about Construction Responsibilities l4/as developed by the Construction Contractors Eoard in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. CITY OF SP(INGFIELD SYSTEMS DEVELOPMEN T ,{ORKSHEET JOURNAL OR JOB NUMBER: COM2004-01I l7 NAMEORCOMPANY:G Smith LOCATION 2526 34th Street TAX LOTNUMBER:17021931 TL 00207 DEVELOPMENT TYPE:Addition to SFR NEWDWELLINGUMTS 0 I. STORM DRAINAGE DIRECT RTINOFF TO CITY STORM SYSTEM BUILDING SIZE 0 CIIARGE $108,81 x DISCOUNTRATE 5OYo $108.81 LOT SZE (SF):9148 I- IMPERVIous s.E x - | :s r.oo RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F. 0.00 NLIMBER OF DFU's 6 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SUBTOTAL $362.73 COST PER S.F $0.3 r 0 COST PER S.F $0.3 r 0 COST PER DFU $24.04 NUMBER OF L'NITS 0 NUMBER OF L'MTS 0 ADM. FEE RATE 5o/o x x x x x DISCOL'NT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: B.IMPROVEMENT x $ r 8.28 ITEM 2 TOTAL - CITY SAMTARY SEWER SDC $2s3.92 3. TRANSPORTATION A. REIMBURSEMENT xxxCOST PER TRIP $18.30 COST PER TRIP $80.72 $0.00 NEW TRIP FACTOR r.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBT]RSEMENT COST: NUMBER OF FEU's 0 x B, IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT tF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $362.73 CHARGE $1 8.1 4 TOTAL SANITARY ADMINISTRATION FEE: TRANSPORTATION ADMIMSTRATION FEE: Matt Stouder 912212004 NTIMBER OF DFU'S 6 44.24 $109.68 $0.00 s0.00 $0.00 $0.00 I 8.14 $380.87 I 070 l09l 1092 I 093 1094 1054 1055 1054 I 056 079 078 0 E] t-.1o(-) &trlFa (,r!& ADTTRIP RATE 9.57 COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FDflURES x UNTT EQLIIVALENT: DRAINAGE FDffURE UNITS FOR REMODELS, CALCULATE ONLY T}IE NET ADDITIONAL NO. OF FIXTTIRES LINIT DRAINAGE FIXTURE UNITS 0 2 0 1979 FIXTURE TYPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE UNITS rsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 .EDU BEFORE 1979 .29 $5.29 $5.1 I $5.12 $4.98 $4.80 $4.63 $+.+o $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE/ IOOO $0.00 CREDIT RATE $5.29 1979 1980 t98t 1982 I 983 1984 1986 1987 I 988 1989 1990 l99l 1992 1993 1994 I 995 1996 1997 I 998 1999 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR q4EDIT FOR LAND (IF APPLICABLE) x1985 CREDIT FOR IMPROVEMENT OF AFTERANNEXATION) VALT]E/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 0 0 3 0BATHTUB 0001DRINKING FOUNTAIN 0 3 0FLOOR DRAIN 0 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0006INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 2 0LALNDRY TUB 0 0003CLOTHESWASHER / MOP SINK b 000CLoTHESWASHER - 3 OR MORE (EA) 0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER) 0001RECEPTOR FORREFRIG / WATER STATION / ETC. 0 3 00RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 2 2SHOWER SINGLE STALL 0002SHOWER, GANG (NUMBER OF HEADS) 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 0 2 0SINK: COMMERCIAL BAR 0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 1 1SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 0 5 0URINAL, STALL / WALL 0TOILET, PUBLIC INSTALLATION 0 0 6 3 3TOILEI PRryATE INSTALLATION 1 0 6 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 2001