HomeMy WebLinkAboutPermit Building 2009-3-26 __~~~!,~~~J~~~'.,ut+,l_~jlIJI,! ; r . R Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00363 ISSUED: 03/26/2009 APPLIED: 03/19/2009 EXPIRES: 09/26/2009 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1440 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703253206600 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Batbl laundry addition Owner: BAKER RICHARD C Address: 1440 PLEASANT ST SPRINGFIELD OR 97477 Phone Number: 541-741-2986 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 13.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq F,t Other:' Occupant Load: 100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: R-3 REQUIRED PARKING Front yard Setback: Overlay Dist: , Total: 2 Side I Setback:' # Street Trees Rqd: Handicapp~d: Side 2 Setback: Paved Drive Rqd: ATTENT\Q~: OregC()Jillll:fOOUlres you to Rearyard Set&ltaIICE: 44.50 % of Lot Coverage: follow 11-I1.'ll0 adopted by fhe Oregon Utility Solar SetbackfHI8 PERMIT SHALbBOPIRE IF THE WORK Notification Center. Those rules are set forth . - --.-- - ildE/[f, To'le NT'nlT 'C' OInT :n r'\Hl a~?-nn1-f1f110 throuah OAR 952-001- !-IU I nun,,-L.,", u ~.,' ~F<l\IIVIPROVEMENTS I 0090. You may obtain copies ot tne rUles oy COMMENCED OR IS ABAND~ calling the center. (Note: the telephone Street ImprovA~\,nt{iO DAY PERIOD. ntmlbm'ilkllYlltlDregon Utility Notification Storm Sewer Available: Down93J1JrllffrJi;llRO-332-2344). Special Instruction: I. DEVELOPMENT INFORMATION I Notes: Page I of 3 _l!il~Q1Il1'GF.IIl;~D i I CITY OF SPRINGFIELD Status Iss u ed Building/Combination Permit PERMIT NO: COM2009-00363 ISSUED: 03/26/2009 APPLIED: 03/19/2009 EXPIRES: 09/26/2009 VALUE: $ 15,000.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V aluation DescriD~ion I Bid Amount Use Bid Amount $ Per Sq Ft or multiplier $1.00 Sq uare Footage or Bid Amount 15,000.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $15,000.00 $15,000.00 03/19/2009 - L.Fpr< P~;lU Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $120.09 3/19/09 3200900000000000171 + 12% State Surcharge $41.85 3/26/09 1200900000000000216 + 5% Technology Fee $17.44 3/26/09 1200900000000000216 1st Appliance $79.00 3/26/09 1200900000000000216 Building Permit $184.75 3/26/09 1200900000000000216 Dryer Vent $9.00 3/26/09 1200900000000000216 Fire SF Fee - Residential $5.00 3/26/09 1200900000000000216 Fixture $76.00 3/26/09 1200900000000000216 Sanitary Sewer - Improvement $147.26 3/26/09 1200900000000000216 Sanitary Sewer - Reimbursement $193.66 3/26/09 1200900000000000216 SDC SanitarylStorm Admin $20.33 3/26/09 1200900000000000216 Storm Drainage Impervious Area $65.64 3/26/09 1200900000000000216 Total Amonnt Paid $960.02 I Plan Reviews I Initial Review 03/19/2009 03/19/2009 APP LLH Public Works Review 03/19/2009 0312012009 APP LKW Storm water to tie into existing system Plan nine: Review 03/19/2009 03/2312009 APP DDK No Planning Issues. Structural Review 03/19/2009 03/24/2009 APP RWC 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. R'pf1l1irprlln.;-,np('tAl Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Paee 2 of 3 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00363 ISSUED: 03/26/2009 APPLIED: 03/19/2009 EXPIRES: 09/26/2009 VALUE: $ 15,000.00 225 Fifth Street, Springlield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before coveriug sheathing with linish materials. Framing Inspection: Prior to cover and after all rnugh 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. Perimeter Foundation Drains: After'gravel and liIter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rnugh Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to lilling trench and including required testing. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. 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. 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 Springlield 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 arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections arc 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. (LVcR~/ r '26 N~ 00( Owner or Contractors Signature Date Paec3 of 3 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 pennit#:~Of! -~'312~. Address: 1440 PIEa'S{lf) V- Issued by: ~',. Date:.~!.2...Lo I 09 Statement: Information Notice to Property Owners About. Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare 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 fi.ermiis. Licensed architect and engineer applicants, exempt from licensing under . ,- . ORS 701.010(7), need ~oi submit this statement. This statement will bejiled with the permit. . . ," Fill in the app,vp,iate blanks and initial boxes 1 and 2, and either box:3A or 3B:. l2-- ~ 1.. I ~wn, r~side in, or will reside in the completed structure. . \2dl7 '2. . I lll1derstand that I must become licensed as'a coristruction co~tractorifthe -structur~ is sold or . . offered for sale before or on completion. .. . . . <. D 3A. My gen~ral contractor is :1 (Name) (CCB #) I will instruct my general contracto~ that all subcontractors who work on)he structur~ must b~ licensed with the Construction Contractors Board. . OR ec[b 3B.. I will be my own general.contractor. If! hire subcontractors, I will hire only subcontractors 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 CCBand will immediately"notify the.officeissuing this building permit ofthe n~e of the contractor. I hereby certify tbat 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. u:)ca~ ?, HO-V"O~ (Si~ature of permit applicant) (Date) . (White copy to issuing agency permit jile, pink copy to applicant.) Property owuer,doc 06'01-04 - ;. ; '" A..~ting as~YQ\ir.~gwn Gen~mal.Oontractor:?' , \ . ./; I~FO~MAri~N 'N~)TICE'TO PROPERTY OWNERS :'- '," ABOUTCONSTRUCTION'RESPONSIBILlTIES '. \ ',' ,Co ;J~' '.1' :' .." . :.-1.' - ' " .;. ~., :' _ _ ,_ _,.....~ ~'!. r - . . NOTE: This Information Notice to Property Owners about Construction Responsib7iities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. "". ..- ':. '. '- :...: (. ~"1 .;.;;.,' - :r..~.- '......, .. .'...,~.,.-,' ..., ..~'''''.r'::'''_' If you are acting' as your'oWn ~ontractqr to construct a. n~v';-home or make a subs!antial improv.ement to ar;' existing structure, you can prevent,Irtany problems by:being aware of the folloWing resptmsibilities and <;oncerns. Employer Responsibiliti~s ~.' ~.' _ " ,-'" 1\':. ::~ '. \... . ."... . \ .' f" .' .... . You 'YiP; ir,rr;ost.instan,?es, .be rul~d toge ~,;:e!TIployer" and the so~tractors Y,Du. contrac.~ .with ~ilfbe"'e~ploxees" iJ you us~ contractors not lic.ensed ~ith theC<?rstruction Contr~ctors.:!30ard tO,do labor in. constructing o.rJo a~sist in,the ~ , '. .' .:.' I.......... . ~. . , . ~ ~., . . . "_ .'. . t .,. .' i, - , construction or iJ:nprqve11;1en~ of a,tesi~ential st.ruc~e. As the employer, you mu~t co~ply with the' following: , ... .... , <"... ..';'" .' . " ., . _..-'. " . ,t .... ". H..1.~ '.' . -. ....-.... ,\.." ,,' . ' ' Oregon's Withholding Tax Law: As an employer, you must withhJld'irtcome taxes from etnployee' wages' at the time employ~es are paid. You will be .liable fl?r the tax payments even if you do~'t actually withhold the tax from your employees. Formore.irifoITnation;.hiltheDepanmenf ofRe~ertue at 503.378-4988..... .';:r;.:,-, ';,,", ....l ~",";:; Unemployment insurance Tax:. As an employer; you arerequired to pay a tax for unemployment-insurance purposes on the wages of all employees. For more information, call the Oregon Emp]oyment Department at 503-947-1488. . . , ;. I .. ";. ..,. . , . ~ t . ':r 't: . ~ . ';,'j';"~':_,",: .:..1;':';':, ,.:,"I-.~".;'-.J"~'l:'.'::".' .1"'-.-." ,..;]~. '-" .A~" I. ;'~~;J"t~':_:':JP-I ~ ... " " The Oregon Business Identification Number (BIN) is a corr;bined. numbq._ fQr. ,bo~;Or.egon . Wj!~qlding and Unemployment Insurance Tax. To file for a BIN, call 503-945-809] or www.dor.state.oLus/formsoav.htmll for the' appropriate forms. ~: '.' ....'. :..:1 ~. "'-- . - . '. ." " ' Workers' CoD".pensatlon Insurance: As an employer, you'are subject to the Oregon Workers' Compensation Law, and must.obtain workers' .compensation insurance for your employees. If you. fail to obtain workers' compensation , .... " .~~ ...~! .. " ':'. . I""'~'~"'l"'._', 'U " ..... '., 'rl_ ,'" ...'t'.' ,,' .. . insurance, you could be subject !<:fpenaltiesand De liable for all'claim costs'ifone of-your employees is injured on the ' job. For more information, call' the Workers' Compensation Divis!oi{atiiie D.~p"':,:u~t'ofConsunier'and Business Services at 503-947-7815. .. u.s. Internal Revenue Service: 'As an employer, you must withhola' federal i;"coine tax 'frOin"empioyees','w.ages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1"800-829-4933 or visil-their..web site at W\V\".irs.l!Ov:~ . '. .! ,q ;." . ',. . . ' : ...:l-t . J' ,. " '.: '; 1 J ';, '. ,:;,..',,:,..~;t:.,>. t.... '. . '~.,r, ~ :;. . ~. .."..~-. ;;I,Qther,~~sponsibUities~~d. t\reas ,of Concer~s It l."r:'..."'. :-. OJ Code Compliance: As the permit holder for this project, you are responsible for resolvi~g 'any failure to meet code requirements that may be brought to your attention through inspections. ~~r.~' .... 'I" : _ '~,.;)";..~~I'; : '"':.....,~'.. ~ ."~:,..,, " .~, -;.' . , ".;..' ..': . ~ " .. -,... "." '. . Liability and PropertY' rl~nia'g~ '1Ilsnranc'e: . 'Conta~t 'y8rthrisur~nce agent' tos~e if YOli"l1ave adequate' insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. C . . '. ..__~_ __~..~.~ "_ _4 .' Time:. Make sure you,ha,:e sufficient time to supervise your employees:. <' ,. .. ... 1 . , <.'" ~ .... . \ ""., - ~" , ,.:.. . ,.;.. :,' Expertise: Make sure yo'll have 'the skills to ad as your own general contractor, to' coordinate 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 (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. . . ,. , Property_owner.doc 06-01-04 DIRECT RUNOFF TO CITY STORM'SYSTEM I IMPERVIOUS S.F., x I COST PER S.F. I I CHARGE I "184.00 I $0.357 I . = $65.64 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F.,'! x 1 COSTPERS.F. I,x I DISCOUNTRATE I I I 0.00 I. I $0.357' I 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC '$65,64 7-. SANITARY SEWER "CITY A. REIMBURSEMENT COST: I NUMBER OF DFUs I x.1 I 7 11 I, I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 7 , I JOURNAL OR JOB NUMBER: . J NAME OR COMPANY: LOCATION: TAX LOT NUMBER: I' DEVELOPMENT TYPE: NEW DWELLING UNITS L STORM DRAINAGE" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET - C0m2009-00363 Richard Baker 1440 Pleasant 1703253206600 Sjn~le Family.Residence o BUILDING SIZE (SF: r:;-' li:l o .U ice: !tJ.l E- .-</) ;'8 II ~ 184 LOT SIZE (SF): 6098 .- DISCOUNT $0.00 $65.64 I 1070 COST PER DFU I $27.67 . . I 11091 I $193.66 COST PER DFU $2l.04 $147.26 I II ]092 " . ITEM 2 TOTAL - CITY SANITARY SEWER SDC , 1 TRANSPORTATION " ~ I $340.91 A. REIMBURSEMENT eOST: I ADT TRIP RATE .' I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI 9.57 1:1 I 0 I I 2l.06 I l.00 I $0.00 I 1093 " I B. IMPROVEMENT COST: I ADT TRIP RATE :: I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 "I I 0 I I $92.89 I l.00 I $0.00 11094 ITEM 3 TOT AL- TRANSPORT A nON SDC 1 '= I $0.00 , 4 SANITARY SEWER - MWMf: , A. REIMBURSEMENT COST: i I INUMBER OF FEU's, I x I COST PER FEU' I 0 I I $97.90 = $0.00 ; 1054 B. IMPROVEMENT COST: I' INUMBER OF FEU's 'I x ICOST PER FEU I 0 III I $1,009.17 = $0.00 lOSS I MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 II MWMC ADMINISTRATIVE FEE $0.00 11056 ITEM 4 TOTAL _ MWMC SANITARY SEWER SDC = I $0.00 SUBTOTAL (ADD ITEMS 1.,2,3, & 4) ~ , $406.55 ~. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I~ CHARGE I $406.55 5% I $20.33 TOTAL SANITARY ADMINISTRATION FEE: 20.33 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 '1078 Kaye Wilson 3/20/2009 TOTAL SDC CHARGES =, $426.88 .1 PREPARED BY DATE I ,- ~--'- _II ..~- - DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAlNAGEFIXTIJRE UNlTS ---'1 (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE I UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS , I BATHTUB 0 0 3 = 0 -'I IDRlNKlNG FOUNTAIN 0 0 1 = o. 1 1 FLOOR DRAIN 0 0 3 = 0 1 1 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 1 I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 1 ILAUNDRY TUB 1 0 2 = 2 1 ICLOTHESWASHERI MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG I WATER STATION i ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0 1 I SHOWER SINGLE STALL 1 0 2 = 2 1 ISHOWER GANG Q'WMBER OF HEADS) 0 0 2. = 0 I ISINK: COMMERCIAL/RESlDENTlAL KITCHEN 0 0 3 = 0 .1 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESlDENTlAL BAR. 0 0 1 = 0 . IURINAL, STALL/WALL 0 0 5 = 0 ITOlLET, PUBLIC INSTALLATION 0 0 6 = 0 [TOILET, PRNATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU"S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 7 .EOU (EQuivalent Dwelling Unit) is a dischaO!:e equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day , MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 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 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 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) V ALUE I 1000 CREDIT RATE $0.00 x $5.29 ~ I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA TJON) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ I .0 TOTAL MWMC CREDIT $0.00 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Publie Works Department Job/Journal Number COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 COM2009-00363 Payments: Type of Payment Check cReceiotl RECEIPT #: 1200900000000000216 Date: 03/26/2009 Description Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStonn Admin Fixture 1st Appliance Dryer Vent Building Permit + 5% Technology Fee + 12% State Sureharge Paid By RICHARD C BAKER Item Total: Check Number Authorization Received By Batch Number Number How Received 683 KR In Person Payment Total: Pa.ge I of I 1:25:0IPM Amount Due' 5.00 65.64 193.66 147.26 20.33 76.00 79.00 9.00 184.75 17.44 41.85 $839.93 Amount Paid $839.93- $839.93 3/26/2009