The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-7-21 -ii:~ Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line SITE ADDRESS 1555 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO 1703252200100 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO, COM2008-00679 ISSUED' 07/21/2008 APPLIED. 05/1312008 EXPIRES: 01/21/2009 VALUE' $ 124,488.00 Springfield TYPE OF WORK Garage PROJECT DESCRIPTION Garage with FamIly Room ahove Owner BOSISTO CURTIS L & JILL E Address 1555 HA YDEN BRIDGE RD SPRINGFIELD OR 97477 TYPE OF USE New ResldenlIdl Phone Numher 541-746-1678 I CONTRACTOR INFORMATION I Contractor Type General Mechamcal Plumbing Contractor OWNER OWNER OWNER License EXPIratIOn Date Phone BUILDING INFORMATION I # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms R-3 U VB # of Stones HeIght of Structnre Type of Heat Water Type Range Type Energy Path Sprmkled Bmldmg 2 2650 Waif Heat Lot SIZe Sq Ft 1 st Floor Sq Ft 2nd Floor Sq Ft Bdsement Sq Ft Garage/Cdrport Sq Ft Other Occupant Load 936 40,511 936 Path 1 No I DEVELOPMENT INFORMATION I Frontyard Setback SIde 1 Setback Side 2 Setback Rearyard Setback Solar Setbacks 8600 10 00 000 Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage REQUIRED PARKING Urban Frmge Total HandIcapped Compdct 11'UBLlC IMPROVEMENTS I , reqUIreS you'! . Stre<A1'A]>>:<Tteh\;Ji\rego~ ba~he Oregon Utility StorffilS1~~V~~e~~;t\h:Se rules are set ~~1h Spe~~fitW,~ig~_OO1_001 0 through OAR 952'es b: 10 DAR \j oples olthe ru, ~090 ~You may obtalO c , J~I phone Not ca\lffi~rffleI~~~~~~>>fibtlicatlon numberci~~:e:i6 1-800-332-2344). SldeWdlk Type Downspouts/Drams NOTICE: IF THE WORK THIS PERMIT ~~~~~ ~~~~ERMIT IS NOT ~~~~~~~~D OR IS ABANDONED FOR ANY 180 DAY PERIOD, Pal!e I of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO. COM2008-00679 ISSUED, 07/21/2008 APPLIED: 05/1312008 EXPIRES: 01/21/2009 VALUE: $ 124,48800 __~N..~ WiL' . I Status Iss u ed 225 FIfth Street, Sprmgfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn Lme I Valuation Descnotlon I DescnptlOn $ Per Sq Ft or mnllipher $105 00 $28 00 Square Footage or BId Amount 936 00 936 00 Tvpe of Construclion Dwelhn!!s Gara!!e V Wood Frame Gar a!!e Total Value of Project L.Fpp< P,,~ Value Date Calculated $98,280 00 $26,208 00 $124,48800 05/13/2008 05/13/2008 Fee DescrmtJOn Amount PaId Date PaId ReceIpt Numher Plan ReVIew Resldenlial $463 02 5/13/08 2200800000000000655 -Mechamcallssuance Fee--- $20 00 7/21/08 1200800000000000799 + 10% Admmlstralive Fee $93 79 7/21/08 1200800000000000799 + 12% State Surcharge $97 48 7/2 1108 1200800000000000799 + 5% Technology Fee $48 92 7/21/08 1200800000000000799 Buddmg Perm.t $71234 7/21/08 1200800000000000799 DemohtlOn $50 00 7/21/08 1200800000000000799 FIre SF Fee - Res.denlial $75 60 7/21/08 1200800000000000799 Fixture $48 00 7/21/08 1200800000000000799 M.mmum/Adjustment Meehamcal $43 00 7/21/08 1200800000000000799 Mlmmum/Adjustment Plumbmg $200 7/21/08 1200800000000000799 Plan ReVieW Mmor - Plannmg $11600 7/21/08 1200800000000000799 Storm Dramage ImpervIOUs Area $235 73 7/21/08 1200800000000000799 Vent Fan $700 7/21/08 1200800000000000799 Total Amount PaId $2,012 88 I Plan ReVIews I Imlial ReVIew 05/14/2008 05/14/2008 APP LLH Pubhc Works ReVIew 05/14/2008 05/15/2008 APP LKW Structural ReView 05/14/2008 06/09/2008 WE RWC Planum!! ReView 05/14/2008 06/18/2008 APP TAJ Structural ReView 07/15/2008 07/15/2008 APP RWC Pa!!e 2 of 4 Credit for fire fee gIven for carport bemg demolIshed Carport IS 360 square teet Total addllion IS 1872- FIre Fee IS for 1512 square feet Storm drams to eXlstmg sy'tem/on seplie 1) prOVIde truss detaIls and layout 2) prOVIde beam calc's, sizes and locatIOns 3) prOVIde lattenal fort shear CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO. COM2008-00679 ISSUED' 07/2]/2008 APPLIED: 05/13/2008 EXPIRES 01121/2009 VALUE. $ 124,48800 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme 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 workmg day, mspectlOns requested after 7'00 a m WIll be made the followmg work day Uelllllre'"Llnsnections I Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn 10 conjUnctIOn WIth footmg andlor founddtlOn IDspectlOn Footmg Alter trenches are excavated Foundahon Alter forms are erected but pnor to concrete placement Floor InsulatIOn Pnor to deckmg Shear Wall NailIng Before covenng sheath 109 WIth fimsh matenals, Shear Wall NaJlmg Before covermg sheathmg With fimsh matenals Frammg InspectIOn Pnor to cover and after all rough 10 mspectlOns have been approved Wall InsulatIOn Pnor to cover Cedmg InsulatIOn Pnor to cover Fmal BUlldmg After all requIred mspectlOns have been requested and approved and the buJldmg IS complete Pen meter FoundatIOn Drams After gravel and filter cloth IS mstalled but pnor to backfill Underfloor Plumbmg Pnor to msulahon or deckmg Underfloor Dram Pnor to cover or placement 01 concrete Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Water Lme Pnor to fillIng trench and mcludmg reqUIred testmg Samtary Sewer Lme Pnor to fillIng trench and mcludmg reqUIred testmg Fmal Plumbmg When all plnmbmg work IS lUmplete Undertloor Mechamcal Pnor to IIlsulatlOn or deckmg and mcludmg reqUIred testmg Rough Mechamcal Pnor to Cover Fmal Mechamcal When all mechamcal work IS complete Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Paee 3 of 4 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINtjl'lJ<,LD' Building/Combination Permit PERMIT NO' COM2008-00679 ISSUED. 07/2112008 APPLIED: 05/13/2008 EXPIRES: 01/21/2009 VALUE: $ 124,488,00 By sIgnature, 1 state and agree, that 1 have carefully examllled the completed apphcatlOn and do hereby certIfy that all mformatlOn hereon IS true and correct, and I further certIfy that any and all work pertormed shall be done m accordance wltb tbe Ordmances of tbe CIty of SprIngfield and the Laws of the State of Oregon pertammg to tbe work descrIbed herem, and tbat NO occur ANCY "III be made of any structure wltbout permISSIOn of the CommuDlty ServIces DIVISIOn, BUlldmg Safety I further certIfy that only contractors and employees who are m comphance wIth ORS 701 005 wIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns 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 remam on the sIte at all tImeSda~2t~ Owner or Contractors SIgnature ra2e 4 of 4 /-21<'O~ Date CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY LOCAfION TAX LOT NUMBER DEVELOPMENT TYPE NEW DWELLING UNITS I STORM DRAINAGr: COM2008,00679/ Garage FamIly Room CurtiS & Jill BOSIStO 1555 Hayden Bndge Road 1703252200100/ On sept!c'syslem Smgle family ReSidence o BUILDING SIZE (SF 963 LOT SIZE (SF) o DlRECl RUNOfF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S F CHARGE 681 25 I $0346 I = I $23573 I RUNOFF ROU I ED TO DRYWELL DESIGNED AND CONSTRUCTeD TO CITY ~ TANDARDS I IMPERVIOUS S Fix I COSf PER S Fix 1 DISCOUNT RATE I I o 00 1 1 $0 346 1 1 50% I ~ ITEM 1 TOTAL - STORM DRAINAGE SDC ,- 2 SANITARY SEWER - CITY A RI:IMBURSCMENT COST I NUMBER OF DfU's I x I 7 I B IMPROVCMENT COST I NUMBCR OF DFU's I x I 7 I COST PER DFU $000 COST PER DFU $000 ITEM 2 TOTAL, CITY SANITARY SEWER SDC = , 3 fRANSPORl A TlON A REIMBURSEMeNT COST I ADT1RIPRATE I x I 957 1 B IMPROVEMENT COST I ADT TRIP RATE I I 957 I I NUMBER OF UNITS 1 x 1 I 0 1 1 x I NUMBER OF UNITS I x 1 1 0 I I = , ITEM 3 TOTAL - TRANSPORTATION SDC DISCOUNT $000 $235 73 I' , lfJ u.l (:) o u ~ u.l ,f-< -I G gj $235 73 1070 --:1 $000 $000 $000 COST PER TRIP x I NEW TRJP FACTORI 2043 1 1 00 I $000 COST PER TRIP 1 x INEW TRIP FACTORI $9010 J I 100 I $000 I $000 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF fEU', I x I 0 I B IMPROVCMENT COST INUMBER OF FEU's 1 x 1 0 1 ICOST PER FEU I $95 35 ICOST PER FEU 1 $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVC FCE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I, 2, 3, & 4) 5 ADMINISTRATIVE FEE 1 SUBTOTAL x 1 ADM FEE RATE I~ 1 $235 73 I 5% I TOTAL SANlfARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRAIION FEC Kaye Wilson 5/15/2008 PREPARED BY DATE , , I $000 J 1078 ':-,~ = $000 = $000 $000 $000 = , ~ , $000 $235 73 CHARGE $1 I 79 I 179 TOTAL SDC CHARGES 11091 I 11092 I I I 11093 1094 11054 I 1055 1054 1056 I I ,I 11079 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXllJRES x UNIT EQUIVALENT = DRAINAGe FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FrXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCEPTORS fOR SAND / AUTO WASH / CTC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 0 0 3 = 0 ICLOTIffiSWASHER,3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FORREFRlG /WATER SfATION /ETC 0 0 1 = 0 IRECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0 I SHOWER, SINGLe STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HeADS) 0 0 2 = 0 ISINK COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 I SINK COMMERCIAL BAR 0 0 2 = 0 I SINK WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 7 .CDU (EqUivalent Dwelling UIllt) IS a chscharge eqUIvalent to a ~mgle falmly dwelling umt (20 DFU's) ~et at 167 gallons per day . MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE I II YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO 11 ASSESSED VALUE . ~ ~ j$~29 , : I - $5 29 __......,++' j- --$519 '_~""1' i'I$512~-l~"':.=': __, $498 - J] ~' ;~$4 80"_,, , , ~- -' +'$463"" .:- + ~,~ $440~: - ~f f i! . ~ - - ~ $4 07~'-, --=,,7":- C'~$3 67 'C,> ' , $3 22 ,,'c " >" ~"_ r $2 73 ~-~-'" " I _ ,_,- : $225 "~ l"'o+ '$180 ' h ~ $1 59~+_ I ~ - .J l =--=',$1451:+ - f,':$1 25^LL ," $1 09~ - '" $0 92~ J)-,- r iL-- "" ',,$072 ,__ , ,$048, ',c "'$028'- - 1~1:[/$009' P "'_ = $0 OS':-eo - __-..t J _ _ _ ~ ~ II IS LAND ELGlBLE FOR ANNEXA nON CREDIT" (Enter I for Y cs, 2 for No) IS IMPROVEMENT eLGlBLE FOR ANNEX CREDIT" (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $000 x $529 ~ I $000 CREDIT FOR IMPROVEMENT (IF ArTeR ANNEXAl JON) VALUE/1000 CREDIT RATE $000 x $529 ~ I o TOTAL MWMC CREDIT = $000 I I - Construction Contractors Board 700 Summer St NE Smte 300 PO Box 14140 Salem OR 97309-5052 Phone 503-378-4621 Web Address' www ccb state or us Penmt# ~OWlWOg, 00079 Address 1555 ~DeN P:,~C6-e Issued by ~ I2-D '( - 2-i -0 'l' Date Statement: Information Notice to Property Owners About Construction Responsibilities Note Oregon Law, ORS 701 055(4) requires residential constructzon permit applzcants who are not licensed with the Constructzon Contractors Board to szgn the followzng statement before a bUIldzng permit can be Issued This statement IS requzred for resldentzal bUIldzng, electrical, mechanzcal and plumbzng permits Licensed architect and engzneer applzcants, exempt from llcenszng under ORS 701010(7), need not submit this statement Thzs statement will be filed wzth the permit Fill m the appropnate blanks and mIl1al boxes 1 and 2, and either box 3A or 3B ~1 ~2 I own, reside m, or will reside m the completed structure I understand that I must become hcensed as a constructIon contractor If the structure IS sold or offered for sale before or on completIOn o 3A My general contractor IS (Name) (CCB #) I will mstruct my general contractor that all subcontractors who work on the structure must be hcensed with the ConstructIOn Contractors Board OR ~ 3B I Will be my own general contractor If! hire subcontractors, I Will hire only subcontractors hcensed with the Construcl1on Contractors Board If I change my mmd and hire a general contractor, I Will contract with a contractor who IS hcensed With the CCB and wlllnnmedtately notIfy the office Issumg thIS bUlldmg penmt of the name of the contractor I hereby certify that the above mformatIon is correct and that I have read and do understand the InformatIOn NotIce to Property Owners about ConstructIOn ResponSIbilitIes on the reverse SIde ofthls form, ;;;~ e~ /~ df -ff~ (Signature ofpenmt apphcant) (Date) (WhIte copy to Issuzng agency permit file, pznk copy to applzcant) Property_owner doc 06-01-04 , ( ! l~ "' '\ ' ~ l 'f r' Acting- as -Y ou't Own Gener-al Contractor? ( " \1 \ ~ <.... i I." 1 . 4-1 \ , INFORMATION NOTICE TO PROPERTY OWNERS ABOUJ CONSTRUCTION RESPONSIBILITIES , , , , NOTE This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board In accordance wtlh ORS 701 055(5), passed by the 1989 Oregon Legislature If you are actIng as your own contractor to construct a new home or make a substantIallmpr!lVement to an eXIstIng structure, you can prevent many problems by bemg aware of the followmg responsIbilItIes and concerns , Employer Responsibilities . , You will, m most mstances, be ruled to be an "employer" aqd the contractors YOI! contract wIth wIll be "employees" If you use contractors not lIcensed Wlth the ConstructIon Contractors Board to do labor m constructmg or to asSISt m the construction or Improvement of a resIdential slnicture As the ,employer, you must comply ~lth the followmg, .... .. \ Oregon's Withholding Tax Law: As an employer, you must wIthhold mcome taxes from employee' wages at the time employees are paId You will be lIable for the tax payments even If you don't actually wltfiliold the tax from your employees For more mformatlOn, call the Department of Revenue at 503-378-4988 " ' Unemployment Insurance Tax. Ai; an employer, you are requITed to pay a tax for unemployment msurance purpose's. on the wages of all employees For more mformatlon, call the Oregon Employment Department at 503-947-1488 ': ., . ., "j " The Oregon Busmess IdentIficatIOn Number (BIN) IS a combmed number for both Qregon Wlthholdmg and Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or www dor state 01 us/formsnav htmll for the appropnate forms Workers' Compensation Insurance: As an employer, you are ,ubJect to the Oregon Workers' Compensation Law, and must obtam workers' comPrnsa!lOn msurance for your employees If you fall to obtam workers' compensation msurance, you could be subject to p'enaltles and be lIable for all claIm costs If one of your employees IS mJured on the Job For more mformatlOn, call the Workers' CompensatIon DIVISIon at the"Department of Consumer and Busmess Semces at 503-947-7815 US, Internal Revenne ServIce As an employer, you must WIthhold federal mcome tax from employees' wages) You wlIl be hable for the tax payment even If you dIdn't actually WIthhold the tax For a Federal ElNnumber, call the IRS at 1-800-829-4933 or VISlt theIr web sIte at WW\\ 1r.~Q." . f f e Other Responsibilities alllld Areas of CO~CeJl"J!lS', Code ComplIance: As the permit holder for thIS project, you are re,ponslble for resolvmg'lmy faillire to meet code reqUirements that may be brought to yoU! attention through mspectlOns "l 1, ... .. --' . ... f I LiabIlity and Property Damage Insurance' Contact your Insurance agent'to see If yOU have adequate Insurance coverage for aCCIdents and omISSIOns such as falling tools, pamt over spray, water damage from pIpe punctures, fire or work that must be redone , "''2> " TIme Make sure you have .ufficlent tIme to supervIse your employees --. ~ , , r~ J ~ i \ \ "- I .. , ExpertIse: Make sure you have the skills to act as your own general contractor, to coordmate the work of rough-m and fim.h trades, and to notIfy bUlldmg offiCIals as the appropnate times so they can perform the reqUired Inspections Tfyou have addItional questIOns call the ConstructlOn Contractors Board (503-378-4621) or wflte the agency at PO Box 14140, Salem, OR 97309-5052 Property_owner doc 06,01-04 225 FIfth ~treet Springfield, Oregon 97477 541-726-3759 Phone ~:;~~~ ~i ' ~~" ~ CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008,00679 COM2008,00679 COM2008-00679 COM2008,00679 COM2008-00679 COM2008-00679 COM2008-00679 COM2008,00679 COM2008,00679 COM2008-00679 COM2008,00679 COM2008,00679 COM2008-00679 Payments Type of Payment CredltCard cRecemtl RECEIPT #, 1200800000000000799 Date: 07/21/2008 Descnptlon Fife SF Fee - ResIdential DemolitIOn Stonn Dramage ImpervIOus Area Plan RevIew Mmor - Plannmg Buildmg Penn It FIxture MmnnumlAdJustment Plumbmg Vent Fan MlmmumlAdJustment Mechamcal -Mechamcallssuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Admlmstral1ve Fee PaId By HAL J BOSISTO Item Total Check Number AuthorizatIOn ReceIVed Bv Batch Number Number How Received ddk 037856 In Person Payment Total (l Page 1 of 1 101335AM Amount Due 7560 5000 235 73 11600 71234 4800 200 700 4300 2000 4892 9748 9379 $1,54986 Amount Paid $1,54986 $1,54986 7/21/2008