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Home My WebLink AboutPermit Building 2006-04-05Status 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: COM2006-00267ISSUED: 0410512006APPLIED: 03/06/2006EXPIRESz 1011712006VALUE: $ 126,246.00 F SITE ADDRESS: 328 S 35th St ASSESSOR'S PARCEL NO.: 1703313400200 PROJECT DESCRIPTION: Single family residence Springfield TYPE OF WORK: Single Family Reddence TYPE OF USE: New ,Residential PhoneNumber: 541-726-1531 License Expiration Date Phone 541-606-2797 541-485-3345 Owner: Address: Contractor Type General Electrical Plumbing RANDY ST CLAIR 342 S 35TH ST SPRINGFIELD OR 97478 Contractor OWNER A.1 ELECTRIC LANCES PLUMBING CONTRACTOR INFORMATION # 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 Improvements: Storm Sewer Available: Special Instruction: # ofStories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: 2 Lot Size: 16.00 Sq Ft lst Floor: Wall Heat Sq Ft 2nd Floori Electric Sq Ft Basement: Electrlc Sq Ft Garage/Carport Path I Sq Ft Other: nla Occupant Load: I R-3 U VN 1,172 393 3 18.00 5.00 12.00 12.00 2.s0 20.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Drywell - Provide Drywell Engineering Fully Improved No Notes: Storm Drain to drywell. Calcs to be provided by Randy StClair prior to approval3/l506JLP PUBLIC IMPROVEMENTS Page I of4 J l, U lLlrll\ tr rN I \llllYl.q,_!_!l/l!_.1 trt!,v t LUrLYtt L\ t 11\r(Jt(lYrA r r(,l\ | F 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: COM200G-00267ISSUED: 0410512006APPLIED: 03/06t2006EXPIRESz 1011712006VALUE: $ 126,24G.00 Description Dwellings Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,172.00 393.00 Value $l16,028.00 $10,218.00 $126,246.00 Date Calculated 03t06/2006 03/06t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Minimum/Adj ustment Mechanical Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Single Family + lOoh Administrative Fee + 87o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Total Amount Paid Total Value of Project Date PaidAmount Paid $424.71 $10.00 $9s.24 $76.19 $2s4.00 $31.00 $653.40 $6.00 $9.00 $18.00 $150.00 $362.33 $476.33 $10.00 $865.31 $82.03 $116.61 $66.86 $805.70 $182.69 $885.02 $12.00 $l,0oo.o0 $14.40 $l1.52 $106.00 $38.00 s6,762,34 Receipt Number l 2006000000000002s0 12006000000000004r l 120060000000000041 I 120060000000000041 I 120060000000000041 I 120060000000000041 I I 20060000000000041 r r20060000000000041 l r20060000000000041 I 120060000000000041 I 120060000000000041 l 120060000000000041 r 120060000000000041 l 120060000000000041 I 120060000000000041 l 12006000000000004r l 12006000000000004r I I 20060000000000041 l 120060000000000041 I I 20060000000000041 1 I 20060000000000041 I 120060000000000041 r 120060000000000041 l r 200600000000000502 r200600000000000502 1200600000000000502 I 200600000000000502 3t6t06 4t5/06 4/5t06 4t5t06 4t5t06 4t5t06 4t5t06 4t5t06 415t06 4t5t06 4t5t06 4tst06 4t5t06 4tst06 4t5t06 4t5/06 4t5t06 4tst06 4tst06 4t5t06 4t5t06 4t5t06 4tst06 4t20t06 4t20t06 4t20t06 4t20t06 Plan Initial Review Planning Review 03t07t2006 03/10/2006 03/10/2006 04t04t2006 APP APP LLH TAJ Pas.e 2 of 4 Pave at least first l8' of driveway. ": Valuation Description I Fees Paid I F 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: COM200G-00267ISSUED: 04/0512006APPLIED: 03/06t2006EXPIRES: l0lt7tZ006VALUE: $ 12G,24G.00 Public Works Review Structural Review 03t10t2006 03n3t2006 APP JLP 03/10/2006 04t04t2006 0K RJB Owner came in today: Drywell calcs were reviewed & approved by Pam Meyer, Revised site plan and completed set back revisions, 3 ll7 /06JLP &CAS Forwarding, however do not issue permit until the following information has been provided and reviewed by PW 3/15106 JLP Owner to provide l) Drywell Calcs 2) Drywell overflow site plan 3)Revision of building set-backs3/1 4l06JLP 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. will be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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 cover. Ceiling 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Page 3 of4 red Insnections OF Building/Combination Permit PERMIT NO: COM2006-00267ISSUED: 0410512006APPLIED: 03/0612006 EXPIRESz 1011712006VALUE: $ 126,246.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Drywall: Prior to taping. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Water Line: Prior to filling trench and including required testing. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. Owner or Contractors Signature Date Pase 4 of4 *: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C;r., of Springfield Official Receipt I -- elopment Services Department Public Works Department RECEIPT #: 1200600000000000502 Date: 0412012006 9:34:44AM Job/Journal Number coM2006-00267 coM2006-00267 coM2006-00267 coM2006-00267 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 8% State Surcharge + l0%o Administrative Fee Amount Due 106.00 3 8.00 n.52 14.40 Item Total:$ | 69.92 Payments: Type of Payment Paid By Received By Batch Number Check N umber Authorization Number How Received Amount Paid CreditCard RANDY STCLAIR nJm 416854 In Person Payment Total:$169.92 $169.92 cReceint I Page I of I 412012006 cF*ril{*Ftsfs 225 FIFTH STREET . SPRINGFIELD,oRgT4TT . pH:(54I)726-3753 o FAX: (s4l)726-368g PERMIT APPLICATION City Job Number 1 SPT TIGFIELE'zoN INITIALS DATE N SOURCE Date q*t3- zcT a A. Nerv llcsidential - Singlc or r\,lulti-Famil1. per dwelling unit. CVZ / $106.00 /OG $le.oo -3( -()c ,ht OF INSTALIA 3 351t,s+ LEGAL DESCzuPTION a c-r*) 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 C O NT RACT O R IN STALLATI ON O NLY B. Services or Feeders - fnstallation. Alterations or Reloc:rtion: Electrical Contractor H n&o $50.00 Address ?.D,gofu 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 * $ 63.ooi .$ 75.00 $ 125.00 $ 163.00 $375.00 $ 50.00 ciw E*b Er/e .e Ynone A06' ? ?9 7 ? Tror Supervisor License Number 4Ba Expiration Date Constr. Contr. Number r.t1 I s7 Expiration Date 3 S of Owners Name Address 3 Phone OWNER INSTALLATION The installation is being made on properly I own which is not intended for sale, lease or rent. Owners Signature: 5 C. Temporary Services or Feeders d Installation, A.lteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps S 69-00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volts see "B" above. D. Brant:h Circuits New Alteration or Extension Per Panel one circuit $ 43'oo Each Additional Circuit or with S.*i.. or Feeder Permit $ 3'00 E.Miscellaneous (Service/feeder not included) -Each Install:rtion Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited EnergyiCommercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4.SUBTOTAL OF ABOI,E 8% State Surcharge 10% Administrative Fee TOTAL $ 50.00 $ s0.00 $ 2s.00 $ 4s.00 .P sa Inspection Request: 726-37 69 Shared Drive(T:)/Building FonnsiElectrical Pemit Application l -06.doc o COII,IPLETE FEE SCIIEDULE BELOI{ 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 72* JOB DESCRIPTION # 0 o=,\A o j vou to 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: COM2006-00267ISSUED: 0410512006APPLIED: 03/0612006EXPIRES: 10/0512006VALUE: $ 126,246.00 SITE ADDRESS: 328 S 35th St ASSESSOR'S PARCEL NO.: 1703313400200 PROJECT DESCRIPTION: Single family residence Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: Address: RANDY ST CLAIR 342 S 35TH ST SPRINGFIELD OR 97478 follow rules adoPted b Notification Center. Those rules are set forth 541-726-1531 Contractor OWNER A-l ELECTRIC CRAIG ARNEY PLUMBING LLC License Expiration Date 1-0010 throu h oAR 952-001- tain cop res o eru ES ,y r. (Note: the telephone 10t2st2007 ) Contractor Type General Electrical Plumbing 167015 Phone 616-455-2223 541-606-2797 s4t-736-9582 )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh 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: 1 R-3 U VN 7 16.00 Wall Heat Electric Electric Path 1 nla 1,172 393 3 18.00 s.00 12.00 12.00 2.50 20.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARIilNG Total: 2 Handicapped: Compact: Curbside 5' Drywell - Provide Drywell Engineering Fully Improved No 'n*'ililTll$El*' NotesTHl$&tfiffiBflgfyf1Pf ffiH njfflf66,fted by Randy stclair prior to approvalii/1506JlP AUTHOHIZED UNDER rHrs pinr,,riirs rvorCO]IIMENCED Ofi IS NSANOO]\;D ibNANY iB0 riay pERlOD. '-v"LU ' \ )PMENT INFORMATION PUBLIC IMPROVEMENTS Page 1 of4 T I 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: COM2006-00267ISSUED: 0410512006APPLIED: 03/0612006EXPIRES: 10/0512006VALUE: $ 126,246.00 Valuation Descrintion Description Dwellings Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,172.00 393.00 Value $116,028.00 $10,218.00 $126,246.00 Date Calculated 03t06t2006 03106t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee ' + 8o/o State Surcharge ' 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Minimum/Adjustment Mechanical Plan Review Major - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area' Vent Fan Willamalane Single Family Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number r2006000000000002s0 120060000000000041 1 120060000000000041 I 1200600000000000411 1200600000000000411 120060000000000041 I r2006000000000004r I 120060000000000041 1 120060000000000041 I r20060000000000041r 1200600000000000411 120060000000000041 I 120060000000000041 I r20060000000000041 r 120060000000000041 I 120060000000000041 I r20060000000000041 r 1200600000000000411 120060000000000041 1 1200600000000000411 1200600000000000411 120060000000000041 1 r20060000000000041 I $424.71 $10.00 $9s.24 $76.19 $254.00 $31.00 $653.40 $6.00 $9.00 $r8.00 $1s0.00 $362.33 $476.33 $10.00 $865.31 $82.03 $116.61 $66.86 $805.70 $182.69 $885.02 $12.00 $1,000.00 3t6t06 4tst06 4tst06 4tst06 4t5t06 4t5t06 4t5t06 4t5t06 4t5106 4t5t06 4t5t06 4tst06 4tst06 4t5t06 4tst06 4tst06 4tst06 4t5t06 4tst06 4lst06 4t5t06 4t5t06 4tst06 $6,592.42 tr'ees Pnid Plan Reviews Initial Review Planning Review 03t0712006 03n0t2006 03n0t2006 04t04t2006 APP APP LLH TAJ Pase 2 of4 Pave at least first 18' of driveway. F 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: COM2006-00267ISSUED: 04t05t2006APPLIED: 03/06t2006EXPIRES: 10/05t200GVALUE: $ 126,246.00 Public Works Review Structural Review 03n0t2006 03fi3t2006 APP JLP 03n0t2006 04t04t2006 0K RJB Owner came in today: Drywell calcs were reviewed & approved by Pam Meyer, Revised site plan and completed set back revisions. 3 ll7 (06ILP &CAS Forwarding, however do not issue permit until the following information has been provided and reyiewed by PW 3115106 JLP Owner to provide 1) Drywell Calcs 2) Drywell overflow site plan 3)Revision of building set-backs3/l4106[LP 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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 cover. Ceiling 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rpnrrirpd Insnpefions Paee 3 of4 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: COM2006-00267ISSUED: 04t05t2006APPLIEDz 03t06t2006EXPIRES: 10/05t2006VALUE: $ 12G,246.00 Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility company energizing pole. Drywall: Prior to taping. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Water Line: Prior to filling trench and including required testing. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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. 4 - g- -a,6 Owner or Contractors Signature Date Page 4 of 4 Construction Contractors Board Permit #:LAy^o6 ooL6 -7 Address:3Ltr -S 35+\ s \- Issued o*e,4 6_ob Statement: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith 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, aad either box 3A or 38: E l. I own, reside in, or will reside in the completed structure. Et 2. I understand that I must become licensed as a constnrction conffactor 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 nnme 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. 2-22-oL (Signature of permit applicant) @ate) (White copy to issuing agency permitfile, pink copy to applicant.) 700 Summer St IrlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:www.ccbsltgle.or.uq F Property_owner.doc 06-0 l -04 Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNER$ ABOUT CONSTRUCTION RE$PON$IBILITIES If you are exlstmg structure, . Ernpfoyer Responsibilities You yill, in most instanc-es, be ruled to be an l'employer" and the conhactors you contrac,t with will be "qgrployees" if you u$€ cnn[actorp,not licens*d udth.the Cgnstruction Contractors Board to do iabor in constructi.ng o.r to assist in the construction orimprpvemeat o-f a ggsidential itnrcture. As the ernfloyer, you musf comply with ihe following: Oregon's \ilithholding Tax Lsw: As an empioyer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't acfually withhold the tax frcm yotn employees. For more information, cail the Deparhaent of Revenue at 503-3?84988. ' ' : Unemployment Insurance Tax; As an ernployer, you are required to pay a tax for unemploynrent insrrance pu{pose6 jJ on the wages of all employees. For more iaformation, call the Oregon Employment Department at 5A3-947-1488. : The Oregon Business Identification Numbsr Gn$ is a combiRed nurnber for both Oregon \Mithlolding and ' Unemployment lnsurance Tax. To file for a BIN, call 503-945-8091 or wyw.dor.state.or.us/furmspay.htmll for the appropriate forms. : lVorkers' Compensation Insurance: As an empioyer, you are subject to the Oregon W'orkers' Compensation Law, and must-obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-78 I 5. U.S. Internal Revenue Service: As an empioyer, you rnust withhold federal income tax from 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 lhe IRS at,{:804-8294933 or visit their web site at www.irsgrv" Other Responsibitities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code reQu-irements that m.qy be broughl to ygur attentiol lhrough inspections. . . . Liability and Property Damage fnsurance: *Contact your insurance agent to see if you have adequate insurancE' cov€rage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone" Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own geneial contractor, to coordinate the work of rough-in and finish trades, and to notily building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Conkactors Board {5A34784621) or write the agency at P0 Box 14140, Salem, OR 97309-5052. .. . i Property_owner.doc 06-0 1 -04 NATE: Tttis lnformation Natice to Property Awners aiouf Constructian Responslb#ifies was developed by the Constructian Contractors Eoard in accardance wtth ORS 7U.A55{5,}, passed by the 19Bg Aregon Legislature" CITY OF Sm{INGFIELD SYSTEMS DEVELOPMET\ - ,UORKSHEET JOURNAL OR JOB NUMBER: COM2006-00267 NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING TINITS StClair 328 S 35th 1702313400204 SINGLE FAMILY RESIDENCE BUILDING SIZE I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 7809 IMPERVIOUS S.F 1700.00 RLINOFF ROUTED IMPERVIOUS S.F 2080.00 NUMBER OF DFU's l9 B. IMPROVEMENT COST: NIIMBER OF DFU's t9 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.s7 SUBTOTAL s3,669.41 COST PER S.F $0.323 COST PER S.F. $0.323 COST PER DFU $25.07 $19.07 NUMBER OF L]NITS I NUMBER OF UMTS I ADM. FEE RATE 5o/o CHARGE $ilg.10 DISCOTINT RATE 50o/o $88s.02 1 900 LOT SrZE (SF): DISCOUNT $335.92 x TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS x x x x x x x x ITEM I TOTAL - STORJVI DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $838.66 COST PER TRIP $19.09 COST PER TRIP $84. I 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBE,R OF FEU'S I B. IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMTMSTRATIVE FEE ITEM 4 TOTAL - M\ilMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4') 5. ADMINISTRATIVE FEE: $957.34 $3,669.41 CFIARGE $183.47 TOTAL TRANSPORTATION FEE: CherylSlaymaker 3/15/2006 PREPAREDBY DATE COST PER FEU $82.03 sE85.02 s362.33 $82.03 $86s-31 $10.00 r 16.61 $3,852.88 1070 1092 1093 1094 I 055 I 056 079 078 aH t-1oQ & IJ.]Fa or!& I@ COST PER FEU $865.3 t TOTAL SDC CHARGES TOTAL SANITARY ADMINISTRATION FEE: l09l DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES X UNIT EQI.NVALENT: DRAINAGE FD(TURE UNTTS FOR REMODELS, CALCULATE ONLY THE NET ADDMONAL NO. OF FIXTLIRES L'NIT DRAINAGE FIXTURE 0 2 FXTURE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE T]NITS isa toa unit set at 167 IIyIWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 +EDU BEFORE'1979 1979 I 980 t98l 1982 I 983 I 984 I 985 1986 1987 I 988 1989 I 990 l99l 1992 1993 1994 I 995 t996 1997 I 998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $+.+o $+.oz $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / IOOO $0.00 CREDITRATE $5.29 IS LAND ELGIBLE FORANNEXATION CREDIP (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 (IF APPLICABLE) 2 1979 x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALT]E / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 3103BATHTUB 0010DRINKING FOLNTAIN 0003FLOOR DRAIN 0030INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0060INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0002LATINDRY TT]B 3 310CLOTHESWASHER / MOP SINK 00b0CLoTTTESWASHER - 3 OR MORE (EA) 12 000MOBTLE HOME PARK TRAP (l PER TRAILIB) 0010RECEPTOR FOR REFRIG / WATER STATION / ETC. 0003RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 2 210SHOWER SINGLE STALL 0002SHOWE& GANG (NUMBER OF HEADS) 3 310SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 2 00SINK: COMMERCIAL BAR 0 0 2 0STNK: WASH BASIN/DOUBLE LAVATORY 2201SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0005URINAL, STALL/WALL b 0TOILET. PUBLIC INSTALLATION 0 0 2 0 3 6TOILET, PRIVATE INSTALLATION l9 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 2000 2001 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Oflicial Receipt _ revelopment Services Department Public Works Department RECEIPT#: 1200600000000000411 Date: 0410512006 tt:24:34AM Jcb/Journal Number ci)M2006-00267 coM2006-00267 coM2006-00267 coM2006-00267 coM2006-00267 co},[2006-00267 coM2006-00267 coM2006-00267 coM2006-00267 coM2006-00267 cJM2}O6-00267 cbt'nooe-oozet coM2006-00267 coM2006-00267 coM2006-00267 G)M2006-00267 cDM2006-00267 c:(twtzoo6-00z6l c)M2006-00267 coM2006-00267 coM2006-00267 coM2006-00267 Description Addressing Assignment Willamalane Single Family Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Vent Fan Exhaust Hoods -Mechanical Issuance Fee- PIan Review Major - Planning Dryer Vent Minimum/Adjustment Mechanical + 8% State Surcharge + l0% Adminishative Fee Amount Due 31.00 1,000.00 88s.02 476.33 362.33 182.69 805.70 82.03 865.31 10.00 I16.61 66.86 653.40 2s4.00 . 12.00 9.00 10.00 150.00 6.00 18.00 76.t9 95.24 ltem Total:$6,167.71 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard '\ RANDY ST. CLAIR njm 6167.71 In Person Payment Total: $6,167.71 -56J6-77 r1 .t ..\ tfl ',{ 4t5t2006 Page I of I IHMT].D