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Home My WebLink AboutPermit Building 2009-1-21 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectiou Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00028 ISSUED: 01/21/2009 APPLIED: 01/08/2009 EXPIRES: 07/21/2009 VALUE: $ 42,605.20 SITE ADDRESS: 307 72ND ST ASSESSOR'S PARCEL NO.: 1702353102000 Springfield TYPE OF WORK: Single Family Residence' PROJECT DESCRIPTION: Bed and Bath Additiou TYPE OF USE: Additiou Resideutial Owner: .Address: Phone Number: 541-337-5436 HOLBROOK DARWIN E JR & MAUREEN 2469 PINKERTON WAY LODI CA 95242 Contractor Type Geueral Electrical Contractor OWNER . OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constructiou Type Secondary Constructiou Type: # of Bedrooms: Frontyard Setb'ack: Side I Setback: Side 2 Setback: . Rearyard Setba.ck: Solar Setbacks: 24.00 26.50 21.00 0.00 Street Improvemeuts: Storm Sewer Available: Special Instruction: ,A!TENT!ON: Oregon law requires you t; '-~',;:' I,~'''''W'_ ~....~t-'H::..:'. uy lilt: vregon uHlny ~orCQN~~C~~~ 1,~r~~~'1~~I,~:~O~~~ 0090, You may obtain copies "f.t~QJJes b . . calling the center. (Note: tti~I~lepn~one lExplratlOn Date number for the Oregon Utility Notification . Center is 1-800-::l::l?-?1d4\ Phone BUILDING INFORMATION I # of Stories: Height of Structure Type of Heat: orced Air Electric V A Water Type: NOTICE' Range Type: THIS PERMlf~lit.ta~RlffiIgIF THE W(i}RK C801lTl-InOl7C1'\ 11"~r::c~ T! !I,? ~r,J"f,-;- J:i p;e-;- ML'\iDJilll' )'''N I , "''''J ANn 80 DAY PERIOD. Overlay Dist: , # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Bascmeut: Sq Ft GaragelCarport . Sq Ft Other: Occupaut Load: 9,583 440 R-3 REQUIRED PARKING Yes 27.50 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Notes: 'Storm water to tie into existiug system Paee 1 of3 Status Iss u ed CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00028 ISSUED: 01/21/2009 APPLIED: 01/08/2009 EXPIRES: 07/21/2009 VALUE:. $ 42,605.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluatio~ Oe~cri~ti~.~ I SFIDuplex R-3 VB 1&2 Family $ Per Sq Ft or multiplier $96.83 Square Footage or Bid Amount 440.00 Value Date Calculated Description Tvpe of Coustructiou Total Value of Project $42,605.20 $42,605.20 01/16/2009 ~ li'''''' 1'"i1.J Fee Description Amount Paid Daie Paid Receipt Number Plau.Review Residential $207.25 1/8/09 2200900000000000025 + 12% State Surcharge $74.52 1/21/09 2200900000000000077 + 5% Technology Fee $37.00 1/21/09 2200900000000000077 1st Appliance $79.00 1/21/09 2200900000000000077 Add, Alter, Extend Circ $55.00 1/21/09 2200900000000000077 Add, Alter, Exteud Circ Ea Add $6.00 1/21/09 2200900000000000077 Building Permit $414.01 1/2 1/09 2200900000000000077 Fife SF Fee - Residential $22.00 1/21/09 2200900000000000077 Fixture $57.00 1/21/09 2200900000000000077 Minimum/Adjustment Plumbing $1.00 1/21/09 2200900000000000077 Plan Review Miuor - Planning $119.00 . 1/21/09 2200900000000000077 Plan Review Residential $61.86 1/21/09 2200900000000000077 Sauitary Sewer - Improvement $126.22 1/21/09 2200900000000000077 Sanitary Sewer - Reimbursement $165.99 1/21/09 2200900000000000077 SDC Sauitary/Storm Admin $23.98 . 1/21/09 2200900000000000077 Storm Drainage Impervious Area $187.29 1/21/09 2200900000000000077 Vent Fau $9.00 1/21/09 2200900000000000077 Total Amouut Paid . $1,646.12 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. . Paee 2 013 -~~I!I~~!,I!it~'1'-""~ " . 'I ".~. ".',' ,,,';'" .~'");. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00028 ISSUED: 01/21/2009 APPLIED: 01/08/2009 EXPIRES: 07/21/2009 VALUE: $ 42,605.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reonired r nsoections 1 Footing: After treuches 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 Nailiug: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Iusulation: Prior to cover. Ceiling Insu]ation: Prior to cover. Final Building: After all required inspections have been requested and approved arid the building is complete. 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: Wheu all electrical work is complete. U ndernoor Plumbing: Prior to insulatiou or decking. By signature, I state aud agree, that I have carefully examined the completed application and do hereby certify that all iuformation hereon is true arid correct, aud I further certify that any and all work performed shall be done in accordance with the Ordiuances of the City of Springfield aud the Laws of the State of Oregon pertaiuing to the work described hereiu, and that NO OCCUPANCY-will be made of auy structure, without permissiou of the Community Services Divisiou, Building Safety. ] further certify that only contractors alid employees who are in compliance with ORS 701.005 will be used on this project. I further agree to eusure that all required inspectious are requested at the proper time, that each address is readable from th'e 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 t:'5"1:\\' /. \<,I-IP1 o."u"' C..""". ,.~..~ Date Paee 3 013 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-00028 NAME OR COMPANY: Darwin & Maureen Holbrook LOCATION: 307 nnd Street TAX LOT NUMBER: 1702353102000 DEVELOPMENT TYPE: Sin~le Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF: 440 LOT SIZE (SF): 1. STORM DRAINAGE 9583 Igj 10 10 u !gj .E- rn a ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F_ x I COST PER S.F. I I CHARGE I 525_00 I $0.357 I = $187_29 I RUNOFF ROUTED TO DR YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x j COST PER S.F_ I x I DISCOUNT RATE I I I 0.00 ! $0.357 1 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC $187.29 DISCOUNT $0.00 $187.29 1 1070 2 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU ! 6 ! $27.67 ~ , $165.99 i 1091 B. IMPROVEMENT COST: I I NUMBER OF DFU's I x COST PER DFU 6 I $21.04 ~ , $126_22 11092 ITEM 2 TOTAL. - CITY SANITARY SEWER SDC :: , $292.21 I 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x' 1 NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI I 9_57 I I 0 I I 21.06 1 1.00 I $0.00 1093 B. IMPROVEMENT COST: I 1 ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI I 9.57 I I 0 I $92.89 I 1.00 I $0.00 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC ~ , $0.00 ] .i 4. SANITARY SEWER - MWMr: .-1 . A. REIMBURSEMENT COST: " INUMBER OF FEU's I x ICOST PER FEU I I 0 I I $97.90 = $0.00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 0 I $1,009.17 = $0_00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC S,(NITARY SEWER SDC ~ , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $479.50 _I 5 ADMINISTRATIVE FEE: jSUBTOTAL x I ADM. FEE RATE I~ CHARGE I $479.50 5% 1 $23.98 I TOTAL SANITARY ADMINISTRATION FEE: 23_98 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 Kaye Wilson 1/9/2009 TOTAL SDC CHARGES =1 $503.48 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUJV ALENT = DRft.JNAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAlNAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 . IINTERCEPTORS FOR GREASE I OIL I SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASllER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 [SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURlNAL. STALL! WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 ~DU (Equivalent Dwelling Unit) is a discharJ::e eQuivalent to a single family dwelling unit (20 DF1J~) set at 1~7 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED 2 CREDIT RATE/$I,OOO 11 ASSESSED VALUE n $5.29'\0' ' _ $5.29'~: - $5.19~ $5: 12',ffi~~ti;, 'il~{~: s4..9~!~:~:::':;"t:~.:::r ..- $4.80'~ . ,-, $4:63~, ,.'W.&'k4)'i!.'!I:~ $4 .40 'ii':i;~:.;'" ;-:0~~~2:' :'s4'~072~ ,'c. . $3.67 '" ~Hr1'"iii;~ ..$1.80' $1.59'~:, $l.4~C', $1.25"", $1.09_' , :<::<1' $o.9~i~!'!r::'i':;'i:'IS $0.n;7-:l"' z:.- $0.48-'_ , ," , : $0.28'"-=- ~:i1rf;;! '~$o.o9~7~ . --.. $0.05"" I 1-' 1 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 IS LAND ELGlBLE 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 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 ~ I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 ~ I o TOTAL MWMC CREDIT . $0.00 = e, - . , . - . , . '. .' '. .' Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309"5052 . Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: COVli1 ZDO 9 - 000 zg 7Z...L So1-- SOl Address: . Issued by'" . Date: : Statement: Information Notice to Property Owners . . About-Construction Responsibilities Note: Oregon Law, ORS 701:055(4) requires reside,nt{al construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a buildJng , permit can be issued. This. statement is required for residential building, 'electrical, mechanical and plumbing p.ermits. Licensed architect mid engineer applicants, exempt from licensing under ORS 701_010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appwp,;ate blanks and initial boxes 1 and 2, an~, ~ither box 3A or 3B: ~I. _,I own, reside in, or will reside in the completed s~cture. ,'.. ~. 2. I understand that! must become licensed 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 instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. '. OR .~3B. I will be my own general contractor. . .... If! hire subcontractors, I will hire only subcoritractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor. who is . . licensed with the CCB and will immediately notify the office issuing this building permit of the name ofthe contractor. I hereby certify that the above information is correct and that I have read and do. understand.the.information Notice to{roperty Owners _about. cor truction Responsibilities. on the'reverse side of this form. ~ [~!\l.r Ui,,,,I f1 . . . ____14-/)'1 ({/ / (Signature of permit applicant)' ~ (Date) (White copy to issuing agency permit file, pink copy to applicant.) - Property _ owner.doc 06-01-04 ~ctmg)a:s ~Yro1uitl~awn"GeneJrai_Contractor? '.-- .... ~ -J .- , f- -- --, ....., . \-' INFORMAT'ION'NOTICETO,P.ROPERTY OWNERS' ,. ABOUT CONSTRUCTION ;RESPONSIBILlTIES: ,;' ,. '..J.-I " -. .J.. ~. . ..... NOTE: This Information Notice to Property Owners. about Construction Respon~tb/lities ;"~s developed by th~':' Construction Contractors Board in accordance with ORS 701,055(5), passed by the 1989 Oregon Legislature. .~ ' , :. ,," :. .."... .... ,," .'; .~i ' '.'.... ~.... ~'.'-'/ . If you are acting as your own'c.onJractor to construct a new ho~e or make ~ sUbstantial improvemenf to ail existi!1g structure, you can preventinany probltinisby being aware of,the fo!lowing responsibilities and concerns. Employer ,Responsibilities '.,..' '';:''''~~ .,"'. ....' ..';.:.,..,........'1. ~~),..'"..\\.:<;.. '.;....'1"1....". -"r~'l ,.' '\":- ,'\-:. ,oJ Y ou,wi}l; in:most instances, ,l?e:l\Iled \0, be an, "ep1plojei-" and.\he yontractors yO\! contr!,-ct with wilfbe "emplqyees" iJ you use" contractors not licensed with the .Construction Contraciors Board-to do labor-in constructing or to as'sist in the . '0;1 '.' '.., - . , I '" . , .._' . \.:: . - \ v.. . ..I' (.~. ,'. ' . \ , .". \ ,- ,~ ,'. coristruction or improvement of Ii residential stru.cture_ As the employer, you 'must comply with.the following: .;- .... ~,.. "'. \ '~. - '~.' ~.' -"",:1., ~~ ,'. ,to,; ~ -. - : '. r .... .. \"'.; . ...... '. ._, Oregon's Withholding Tax r.'aw: 'A~\~n empi~yer~ Y6~~1i~i.~ithh6Id -iiico~e 'tales fr~in ~mployee wage~ 'a:ithe time employees are paid. You will be .liable for the. tax payment~ !lven if you don't a_c!Ually withhold the tax from your ",".. .'.~ ,,_,{ ............~_. .. \<_ ._. {_'='_' ~, _', ~t r~,,~. ..... .l~ .._ . _ . ,,_. " employees.For more mfonnatlOn: call the Department'ofRevenue at 503-3'784988.:'''" . ' ..! f . - I ...... Unemploynient Insurance Tax: As an employer(youare required to:pay aclifor Wiemployment'insurance purpose~" on the wages of all employees. . For more information, call the Oregon Employment Department at 503-947,1488_ , "'. . ~,~,' The Oregon Business Identification Number (BIN) is a co~bined n)lmbe,r- fo[~,b9th. Qn,gqn'., Wi~holding anJ Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appropriate forms. '. . . ~.,..:, '-- I _ :' .' : . . ~ -: . ~r. i\- ., -<.1'1" i,J ,-,;... .n. '. ' 1,-.,.', i., ',,' , . .. I' ., r; .....,:.: , . .~.::. . j . ;.'It -;; ..:-. . Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must qbtain' worl<:ers' compensation insurance for your el)1ployees. If you fail to obtain workers' compensatior insur~nce', you could besubjec{to-pert~lti~s'iJ1d'tJ'e-H~ble' ror' ~Ifclaim bosis if oile 'ofyo-Jr'crtlployees is injUred on the job. For ~ore information, call the "Workers' .Compensatidri Di~sioh''ilt-the DejJartme";;t -of Corisumer'and Busines~ Services at 503-947-7815, ". U.S. Internal Revenue Service: As an employer, you must withhold 'federal-income tax from 'employees' Wag;;;;:-:' You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call tlie IRS at-I-800-8294933 or visit'their, web site at ~v\V.irs.Qciv. " .. '. "" .. ,- ,', ." _ ;'.1 . r ': '..' _ _I ", _ . . . "1,1. ',~ .... . ."c ': -','. :",,:~Oth~r,R~spOQ~ibiliti~~,;ln(lI;AreasofCon4:er~S ~-. '; . ' .. ' ~ ..' . Code Compliance: As the permit holder for this project, you are responsible for resol';ing any failure't(i ineet code requirements that may be .brol,lght to your attention through inspections. . :' ., "...... ~. ;'t.. ...' ~J ' .. _ ,".: ':.. c.. ! ^.,._ ;. _., ': ~. I. :.:.. ..~~' ~:.,~-_ .'. Lia_bility and Property Da~age'tIiSUi'aUce:' Contat'i yo~r insilranc\=' agentto ~ee if You have ~dequathnsurance coverage for accidents and omissions such as falling tools, paint over spray, water damjlge fro~ pipe punctur~s, fire or work that must be redone. ,'_. . ' -' , ' : /--7 -. " - , .. ~ ,Q_,. .'.'. I ~. "',jJ/," I 1.......... ' l -....\ ~ .. ......-.~"_ -,.. -~ \\ Time: Make sure you have sufficient time to supervise your-employees. -, - '.. ',' .. . . . . . . ," Expertise: Make sure you have thi s101i; to aci ~s.'yo~r~~ general corifra~tor, to c~rdinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. 11" Property _ owneLdoc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 COM2009-00028 Payments: . Type of Payment CreditCard cReceintl RECEIPT #: Date: 01/21/2009 2200900000000000077 Description _ Fire SF Fee - Residential Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary S,wer - Improvement SDC SanitarylStonn Admin Plan Review Minor - Planning Plan Review Residential Building Pennit Fixture Minimum/Adjustment Plumbing I st Appliance Vent Fan Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By DARWIN HOLBROOK. Item Total: Check Number Authorization Received By Batch Number Number How Received cJc 06794z In Person Payment Total: <, Page I of I 1:56:54PM Amount Due 22.00 187.29 165.99 126.22 23,98 119.00 61.86 414.01 57.00 1.00 79.00 9.00 55.00 6.00 37.00 74.52 $1,438.~7 Amount Paid $1,438.87 $1,438.~7 1/2112009