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Home My WebLink AboutPermit Building 2006-12-06Status 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: COM2006-01347ISSUED: 1210612006 APPLTED| 10n9t2006EXPIRES: 06/0612007VALUE: $ 38,016.00 SITE ADDRESS: 2594 38TH ST ASSESSOR'S PARCELNO.: 1702194208900 PROJECT DESCRIPTION: Addition to existing single family residence Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-744-0117 License Expiration Date Phone Owner: Address: Contractor Type General Electrical Mechanical Plumbing ROBERT SHIMP 2594 38TH ST SPRINGFIELD OR 97477 Contractor OWNER OWNER OWNER OWNER CONTRACTOR INFORMATI( # 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 Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: .JLP Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Path I nla TICE I R-3 VB I 14.00 Wall Heat 384 7.00 REQUIRED PARKING Total: Handicapped: Compact: 30.00 0.00 iS; ffi&\*hltSfJ,$b:t- EXPIfiE lF THE W0BK #,H,t/*kil,Tffi hj#;J;ffii,}ffi ffi :; Pas,e 7 of 4 ANY 1BO DAY PERIOD Street adopted by Storm Those -0010ttrrough OAR copi€s of the rules numberfor fortt lilw Notes: Centeris 1 Utillty 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: COM2006-01347ISSUED: 1210612006 APPLIED: 10/1912006 EXPIRES: 06/0612007VALUE: $ 38,016.00 Description Dwellinss Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + l0oh Administrative Fee + 57o Technology Fee + 57o Technology Fee + 87o State Surcharge + 87o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fire SF Fee - Residential Fixture Minimum/Adj ustment Mechanical SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Vent Fan Total Amount Paid Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $99.00 384.00 Total Value of Project Amount Paid Date Paid Value $38,016.00 $38,016.00 Date Calculated 10n9t2006 $199.10 $10.00 $4.90 $45.75 $2.45 s21.92 $3.92 $35.06 $43.00 $6.00 $306.30 $19.20 $42.00 $39.00 $6.44 $r28.88 $45.00 $6.00 t0n9t06 t2t6t06 t2t6/06 t2t6t06 t2t6l06 t2t6l06 t2t6t06 t2t6t06 t2t6t06 t2t6t06 t2t6t06 t2t6t06 t2t6t06 t2t6t06 t2t6t06 t2l6l06 t2t6t06 12t6/06 Receipt Number 1200600000000001541 1200600000000001730 120060000000000r730 1200600000000001 730 1 200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 r 200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 1200600000000001730 s964.92 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 10t2712006 10t27/2006 10t27t2006 12t05t2006 APP APP SKG TAJ 10t27t2006 12t0512006 APP JLP IO LLH No Planning Issues. Outside flood zone A. Storm H2O to existing system ending at curb & gutter.JlP Forwarded to Tom Rogers for review 10t27t2006 tu08t2006 Paee 2 of 4 Valuation Descrintion I lees fatd I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3616 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01347ISSUED: 1210612006 APPLIED: l0/19/2006 EXPIRES: 06/0612007VALUE: $ 38,016.00 Structural Review Structural Review ty08/2006 12t0st2006 IO LLH 12t05t2006 12t05t2006 APP DJB Forwarded to Tom Rogers for review today 111812006. David Bowlsby has received a phone call from the owner needing plans. David is completing the plan review and I have emailed Tom to tell him not to do the plan review so we are not charged for it. See attached documents. Renrrirpd fnsneefions To Request an inspection call the 24 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. 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. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Storm Sewer Line: Prior to filling trench. 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. Pase 3 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01347ISSUED: 1210612006 APPLIEDT 1011912006EXPIRES: 06/0612007VALUE: $ 38,016.00 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 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, Buitding Safety. I further certify that only contractors and employees who are in compliance with ORS 70f .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 /2-/*o A Owner or Contractors Date Pase 4 of 4 22s FIFTH STREET . SPRINGFIELD.OF.97477 r PH:(541)726-3753 r FAX: (541)7263689 PERMIT APPLICATION City Job r3 Date i o o COXTPLETE FEE SCHED(JLE BELOW' A. Nell Residential - Single or Mutti-Familr pcr dt'clling unit' Service lncluded 1. LOCATION OF INSTALI-ATION: 3. LEGAL DESCzuPTION 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. 2. 00NTRACTOR TNSTALLATToN oNLY Electrical Contractor f) UJ Al f Address Supervisor License Number IS PERMIT IS NOT Si gnature of Supervising Electrician Owners Name Address City r/ Phone )/4 -q/7 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 Amps $ 69.00 401 to 600 ulila *15!lah jLD 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. Services or Ireeders - lnstallation. 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 D. E. Pump or inigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial ZON INITIALS DATE SOURCE $106.00 $ r9.00 $50.00 Alterations or Relocation: $ 63.00 $ 75.00 $ r 25.00 $163.00 $37s.00 $ s0.00 City One Circuit oUttain copies 2)/eoo-.--- Each b, oo $ s0.00 $ s0.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTALOFABOVE +1 e 8% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL 7,qL o (" o' ->1 Phone Inspection Request: 726-37 69 Shared Drive(T)iBuilding Fonns/Electrical Pennit Application 8-06.doc CITY.OF.SPRINGFIELD,OREGON h;t FlEll$,Fui ,"," THIS PERNlIT S C. Temporary Sen'ices or Feeders Those rulesare set fortk 952-001 Centeris 1 not included) -Each Installation NC OR IS Affi CITY OF SFdNGFIELD SYSTEMS DEVELOPMEN TTtORKSHEET JOURNAL OR JOB NUMBER: COM2006-01347 NAME OR COMPANY Robert LOCATION 2594 38th St TAXLOTNUMBER:1702194208900 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING LINITS 0 0 I. STORMDRAINAGE DIRECTRT]NOFFTO CIry STORM SYSTEM l- tr\,PERvrous s,F. xI rs+.oo COST PER S.F $0.336 COST PER S.F. $0.336 COST PER DFU $26.03 s19.79 NTIMBEROF UMTS 0 NUMBER OF T]NITS 0 ADM. FEE RATE 5o/o BUILDING SIZE 384 CHARGE $128.88 x DISCOTINTRATE 50o/o $128.88 LOT SrZE (SF): DISCOTINT $0.00 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS ITEM I TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER. CITY A. REIMBURSEMENT COST: IMPERVIOUS S.F 0.00 NUMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU'S 0 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ST]BTOTAL $128.88 x x x x x x x ITEM 2 TOTAL - CITY SA]\I-ITARY SEWER SDC $0.00 3. TRANSPORTATION A. REIMBTIRSEMENT COST: xxCOST PER TRIP $r 9.8r COST PER TRIP $87.39 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBTIRSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SAMTARY SEWER SDC SUBToTAL (ADD ITEMS 1,2,3, & 4) 5. ADMIMSTRATIVE FEE: $0.00 $128.88 CI{ARGE $6.44 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE: Jeff Prociw t2/s/2006 ADT TRIP RATE 9.57 $0.00 $0.00 $0.00 $0.00 $0.00 6.44 $135.32 1070 1091 1092 I 093 1094 1055 1056 079 078 (nr!n (J &r!Fa r!& COST PERFEU $91.61 COST PER FEU $961.52 PREPARED BY DATE TOTAL SDC CHARGES x DR-A.INAGE FD(TURE UNIT CALCULATION TABLE NIJMBER OF NEW FDflURES x UNIT EQUTVALENT: DRAINAGE FXTURE UNITS FOR CALCULATE ONLY TI]E NET ADDITIONAL NO. OF FXTURES LiNIT FXTURE TYPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TURE UI\ITS isa toa mit set at 167 MWMC CREDII'CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FXTIIRE UNITS 0 2 2 1979 +EDU BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 t987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.29 $5.1 9 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1,09 $0.92 $0"72 $0.48 $0.28 $0.09 $0.05 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 (IF APPLICABLE) VALUE / IOOO CREDIT RATE $0.00 x $5.29 CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 0 0 3 0BATHTUB 0 0 1 0DRINKING FOTINTAIN 3 0FLOORDRAIN00 0 3 0INTERCEPTORS FOR GREASE / O]L / SOLIDS / ETC.0 0 0 6 0INTERCEPTORS FOR SAND / AUTf WASH / ETC. 2 0LATINDRY TT]B 0 0 0 0 3 0CLOTTIESWASMR / MOP SINK 0006CLoTTTESWASHER - 3 OR MORE (EA) 0 12 0MOBILE HOME PARK TRAP (1 PEl TRAILER)0 0001RECEPTOR FOR REFRIG / WATER STATION / ETC 3 0RECEPTOR FOR COM. SINK / DISIIWASHER / ETC.0 0 0 0 2 0SHOWE& SINGLE STALL 0002SHOWE& GANG (NT]MBER OF HEADS) 0 3 0SINK: COMMERCIAL/RESIDENTLI.L KITCHEN 0 0 0 2 0SINK: COMMERCIALBAR 0002SINK: WASH BASIN/DOUBLE LA\.ATORY 0 0 1 0SINK: SINGLE LAVATORY/RESID ]NTIAL BAR 0005I]RINAL, STALL/WALL 6 0TOILET. PUBLIC INSTALLATION 0 0 0 0 3 0TOILET, PRTVATE INSTALLATIO]. I 0 YEAR ANNEXED CREITIT RATE/$1,000 ASS]]SSED VALUE 00 00 2000 2001 20 Construction Contractors Board 700 Summer St I\E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:www.ccbs!g]9.4g Permit *: bwt?9o)6 - O 13 q 1 Address:zS? L{ 3gtt^5 I Issued by:\r Date ? 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 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 1 and 2, md either box 3A or 38: &. A-, 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. 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subconffactors 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 fnformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. /D-/P-o/ ofpermit applicant)@ate) (White copy to issuing agency perrnitfile, pink copy to applicant.) Property_owner.doc 06-0 1 -M k Ae*$xxg a$ Your Owm Gcxrernt Canfrnetor? t N rCIRil{ATr0hrudsTtsE T& pffi#pffi Kyy sl,!f N x K$ ItssuT *sN$Y&sj*xsN &m$pff N$rsN Llyt€s f,l0ff." Ttis lnf*$ma#or Nofirs fo Properiy Our*ers e&oerf C**sfructisn Responsibillfics was derreloped by tlt* Consfrvcfi*n C*nfra*fors Soaret' ln accorda**e udf* OeS fOr"S5$fSJ, passed by th* ?98$ *reg*r {,*glslrfi;re. If you arc a*ting es y**r $w:t {)*nka*t*r t$ **r:stx"l;lft e &ew hqlxre *r ffi*k* a sr"rbsta*ti.a} in:pr*v*rnent {c *n existing skiletxre, ys* *en pr*v*.ert rnarry problems by being aware of the f*llowing responsibilities a::d csncer:l$. ffi xmgryXary*r Ktr$psexestfu $$it$cs Y** wil}, in rxost instanees, b': ruled to }:e *::r "elxplsy*r"' xrd ttrre c*r:&"a*t*r* y*u ***tract with will be "-*rnpleyees" if y$u u$fi ccnlra*t*r* ntl{, }i*e:rs,:d with the {lonstruction C*nkactors $*ard t* e3* }ab*r in co*skr:cting *r t** as*ist ix the cq:lrstr**ti*n *r improv*m*nt *f a resjder:tial stri"lsture . &s t*t* exnpl*y*r, ye$ xrxu$t e*xnply witk tfo* foll*wiug: &x.*g*aa'u W**hr?**{X&xsg ?'Nx 3,xwl As an em;1loyer, y*u rnxst withtr'l*}d inc**"i* tu*x*s &*m *mpi*yee x/,lg$$ at th* tinie *mg:I*y**s xr* paid" Y*r:r :xriltr h* 1{atbl* fbr th* tax pay:n*nts *v*n if 3r*r; d*n'l ;lr:trla}?y wit}:.herld th* tax fr*fi} y*ixr *mpl*y***" F*r:::*r* ix.fi:xxalion, e*li the X)*partrnent of Rev**uo at 503-3?8-4sES" lJnempl*yment lxsu:"*nc€ T,*x: As a* enrpletyer, you are req*ired to pay a tax for *nempla3nnmrt insurance purposes on the xre&e$ eif aII mxpl*yees. Sor m*rc ia{br!$ation, cail the Sregcn Hmpleilment l}epartrnext at 503-947-148S' ?h* Sreg*n ?}usin*s* Xd*crtificati*n tr{u:xb*r {EIfi} is a **mbi:ied n$r*ber f*r both Sregon 1#ithh*ietring and Llnempl*3xrent Insr:::an** Ta::. ?q; fil* f,*r a StrN, *atrl 5$3-$45-$fi$1 *r s'ww.{.iqx.t-tst$., fqrr lhe appr*priate fc)ffifls. Wor:kers' C*mpem*xtiom lx*uramcet As *r: ernpl*yer, ysu aro subject to th* {keg*:n W*rker*' Ccmper:saNi*m {,*tl.v, and rm*st a:hgain w$rkers' u**rpensxtion in*urailce f*r y*w en':pl*yees. If y*ll f*i} t* *btain w*rk*r$' **lxp*nsation igsuranee, y*u e*utrd be subjer:t to pexalties a:rd be li.*bl* f*r *11 ctrai:p c*sts if one *f y*ur ernpl*yees is injured oB the job" F*r m*re in{b:xraliu*, cr*l! the S/orkers' Cernrpensatiein D{visicn at the l)eparirnent of C*nsurner and Business $ervi*es at 5*3-*4?-?8 i$" U"S, Internat Reyenue $*rvice: As an ernployer" you must withhald federal inc*me tax from employees' wages' Y*u will be triable frr the tax p,a3rne*t even if y*u didn't *ctualiy withhcld the tax. For a Federal EIN nurcber, cail the $ther &,esp*nsibilitirs &n{f Ar*as *f Cmxesx"{l$ Crd* C6mrplixm**: As th* pi:rmit i:*lder &r th*s prc;*et, yoij Ere r*spr*nsihl* f*r res*lr''ing any frilxr* to meet c*de r*quire:n*nts that rnay be hro*Eht to y*ur *tter:fi*n ihr*xgh insp**t**ns, tr iabiltty *nd Pr*p*rty []m**tage Imsurance: Contaet y*xr insr:ra::*e ag*n{ tu se* if yox hav* adequate insurance $overag* {i:r g**id**ts anel *missicr":s xu,*}: *s 1*iling to*}s, paita{ $ver $}:}rity} r.vilter dan:age fr*r* pip* pilnetures, fire cr wnrk that rfiu*'be red*n*. Timc: Make sr:re yeu have suffisient tirne t* supervtse yotrr emptr*yets. txpertise: j!{ake surc y,r:u h;.ve the skills to act as your oi\,n general contractor. to coordinate the work of rough-in and finish kad*s, alrd t* nnlify buildirig o*fic1*ls as th* appr*priate times sci they c*n pe::f*rm th* req*ir*d inspecticns. If you have adelitional questiorrs c*1! the C*nstrurtiom C**trast*rs E*ard {5*3-3?&-4$21} or write t}:e agnncy at F0 Box 14140, Salerx, *R 973CI9-5$52. Property_o:rner.doc $$-$ tr -*4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C'' - of Springfield Official Receipt L- elopment Services Department Public Works Department RECEIPT #: 1200600000000001730 Date: 1210612006 e:30:4eAM Job/Journal Number coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-0r 347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 coM2006-01347 Description Fire SF Fee - Residential Building Permit Fixture Storm Sewer - lst 50 Feet Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 57o Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5olo Technology Fee + 8% State Surcharge + 10Yo Administrative Fee Amount Due 19.20 306.30 42.00 45.00 6.00 39.00 10.00 21.92 35.06 45.7 5 128.88 6.44 43.00 6.00 2,45 3.92 4.90 Item Total:$76s.82 Payments: Type of Payment Paid By CheckNumber Authorrzatlon Received By Batch Number Number How Received Amount Paid Check LEO L. LAYNG nJm 135 ln Person $165.82 P a ym e n t Tota I : -576 5.-BT cReceint I Page I of I t21612006 f;GtmffiI*