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Home My WebLink AboutPermit Building 2007-2-13 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00013 ISSUED: 02/13/2007 APPLIED: 01103/2007 EXPIRES: 08/1312007 VALUE: $ 35,226.00 SITE ADDRESS: 591 PINEDALE AVE ASSESSOR'S PARCEL NO,: 1703224206211 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing single family residence Owner: DELGADO LEO BARDO & ISABEL Address: 591 PINEDALE AVE SPRINGFIELD OR 97477 Contractor ATll::l'IllUh '-"""VI' " License Expiration Date . ~ I.....~V I W"1',dIO.:>> yuu (0 OWNER fO!'~w ~ules adopted by the Oregon Utility OWNER ~ollflcatlon Center. Those rules are set forti OWNER In OAR 952-Q01-0010 through OAR 952-001 OWNER 0090. You m,w nht,,;" ~",,:~- -, ..... -- 'I' l, calli IlffilJn.mNGlIINR(j)RMmiJQ~;~~; '" . numbb'1 lUllllI:I urGgon UtiHiy NOtiiN:tltiop CeI#lQf~0j"lOOO-332-2344) R-3 Height of Structure: - 17.00 Type of Heat: Electric Water Type: Electric Range Type: Electric Energy Path: Path I f'donCe~rinkled Building: n/a 'I;PlVEI1111I'~T10N I AVlftWilED UNDER T . .!~' ,,,,,WORK 11.00 COMME~wl~t, HIS PER~~~bJ~~~e 10,00 ANY 180 tMY~l!r.e.~~MIPONED FOR 15,00 Paved \:frW~lil.qd: % of Lot Coverage: 24.00 Contractor Type General Electrical Mechanical Plumbing # 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: I CONTRACTOR INFORMATION I Phone VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 342 REQUIRED PARKING Total: Handicapped: Compact: 0.00 , PUBLIC IMPROVEMENTS I Sidewalk Type: DOWDspoutslDrains: Notes: Storm H20 to existing system, Owner is responsible for obtaining any/all necessary Lane County Sanitarian documents and forwarding them to the City of Springfield Building Official.JLP Paee I of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines V Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Plannine Review Public Works Review Public Works Review Structural Review . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00013 ISSUED: 02/13/2007 APPLIED: 01103/2007 EXPIRES: 08/13/2007 VALUE: $ 35,226.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $103,00 Square Footage or Bid Amount 342.00 Value Date Calculated Total Value of Project L.Fpp< P.iWIJ $35,226,00 $35,226,00 01/03/2007 Amount Paid Date Paid Receipt Number $187,69 1/3/07 2200700000000000005 $35,09 2/13/07 1200700000000000147 $22,29 2/13/07 1200700000000000147 $26,70 2/13/07 1200700000000000147 $288,75 2/13/07 1200700000000000147 $17.10 2/13/07 1200700000000000147 $112.00 2/13/07 1200700000000000147 $11.52 2/13/07 1200700000000000147 $230,40 2/13/07 1200700000000000147 $45,00 2/13/07 1200700000000000147 Paee 2 of3 Storm H20 to existing system, Owner is responsible for obtaining any/aU necessary Lane County Sanitarian documents and forwarding them to the City of Springfield Building Official.JLP Waiting in order PW rcvd for rvw.JLP Plan reviewed by Shawn Eaton with the Building Department under contract with the City of Springfield, 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, inspectiDns requested after 7:00 a.m. will be made the following work day. $976,54 I Plan Reviews , 01/04/2007 01/04/2007 02/08/2007 02/11/2007 02/08/2007 NJM APP T AJ APP JLP 01/04/2007 01/04/2007 WI JLP 01/04/2007 02/01/2007 APP LLH -iiF~ . . CITY OF I)rKINGFIELD ' Building/Combination Permit PERMIT NO: COM2007-00013 ISSUED: 02/13/2007 APPLIED: 01/03/2007 EXPIRES: 08/13/2007 VALUE: $ 35,226.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insnect~ 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. Drywall: Prior to taping, Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. 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 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. .,~ IS 1.~? ~ 7 o er or Contractors Signature Date Pal!e 3 of3 CITY OF tllNGFIELD SYSTEMS D1:VELOPME&ORKSHEET JOURNAL OR JOB NUMBER: COM2007.00013 NAME OR COMPANY: Leobardo Del~ado LOCATION: 591 Pinedale Ave TAX LOT NUMBER: 1703224206211 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM ORAINAGE o DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S,F. I CHARGE 686.50 1 $0.336 = I $230,40 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. 1 x I COST PER S,F, I x 1 DISCOUNT RATE 1 I 0,00 I 1 $0.336 I 50% I = DISCOUNT $0,00 ITEM I TOTAL. STORM DRAINAGE SDC $230.40 $230.40 2, SANITARY SEWER - r.JTY A REIMBURSEMENT COST: I NUMBER OF DFU's 1 x o 1 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x 1 0 I COST PER DFU $26,03 $0,00 $19,79 so.oo ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $0.00 1 TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE 1 x I NUMBER OF UNtTS I x I COST PER TRIP I 9.57 , I 0 I I $19,81 B. IMPROVEMENT COST: 1 ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP I 9.57 1 0 1 $87.39 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 x INEW TRIP FACTORI 1 1.00 1 so,oo x INEW TRIP FACTORI 1 1.00 I $0.00 4, SANtTARY SEWER. MWMC II' q~ 18 u ~ ~ Vl a ~ 11070 l,., I 1 1092 I 11093 I 1 1094 j A. REIMBURSEMENT COST: I NUMBER ~F FEU's I x ICOST PER FEU 1 1 $91.61 = SO.OO 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU 1 0 I $961.52 = SO.OO 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 111054 MWMC ADMINISTRATIVE FEE SO.OO 11056 ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $230.40 I 5, AOMINISTRATIVE FEE: I SUBTOTAL x 1 ADM, FEE RATE 1= CHARGE I $230.40 I 5% I ' $11.52 TOTAL SANITARY ADMINISTRATION FEE: 11.52 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 11078 -, Jeff Prociw 2/8/2007 TOTAL SDC CHARGES =, $241.92 PREPARED BY OATE . . DRAINAGE J'lJl.I.mE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE Nfl ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 I = 0 DRINKING FOUNTAIN 0 0 1 I = 0 FLOOR DRAIN 0 0 3 I = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHES WASHER - 3 OR MORE rEA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 I SHOWER. SINGLE STALL 0 0 2 = 0 I I SHOWER. GANG ~ER OF HEADSt 0 0 2 = 0 ~ "m" 'OMM~"^"",,ID""m mUffiN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 ,I IURlNAL, STALL! WALL 0 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 i ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 -EDU (Equivalent DwellinR Unit) is a discharge equivalent to a sim.de family dwellin~ unit (20 DFU's) set at 167 JmIlons ocr day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ,. YEAR CREDIT RATFJ$I,OOO f 'j ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5,29 (Enter 1 for Yes, 2 for No) 1979 $5,29 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 2 1980 $5,19 (Enter I for Yes, 2 for No) 1981 $5,12 BASE YEAR 1979 1982 $4,98 1983 $4,80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4,63 VALUE/1000 CREDIT RATE 1985 $4,40 SO,OO x S5.29 ~ , SO,OO 1986 $4,07 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE/1000 CREDIT RATE 1989 $2,73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = SO,OO 1993 $1.45 1994 $1.25 1995 $1,09 1996 $0,92 1997 $0,72 1998 $0.48 1999 $0.28 2000 $0,09 2001 $0,05 e. . . ... 1 ... ... '. .' " .' . 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 Address: S9! P'V\ ~~/~ ~'i Date: zi:rh7 / I , > Permit #: COM z~ - 00 0 13 Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constroction permit applicants who are not licensed With the Constroction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the app.vp.:ate blanks and initial boxes I and 2, and either box 3A or 3B: ~L €r2. 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. 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 ~B, I will be my own general contractor. IfI hire subcontractors, I will hire only subcontractors licensed with the Construction Contraclors 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 notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and tbat I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on tbe reverse side of this form. ~,.:y,J,~ "d,rr;#A (~ture ofpeimit applicant) 62//5~7 (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 ". . AtCttnnn~ tal~ 1{ ((])1lIlIr ([>>wnn GenneIrtalll C((])nnttIrtal~tt((])Ir? , INFORMATION NOTICE TO PROPERTY OWNERS A80UT CONSTRUCTION RESPONSI81l1TIES ,~, ,. \ NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with 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 substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEmJl)lloyen- lRle!'lJl)oun!'lnlb>ili~fie!'l You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractqrs not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As tbe employer, YDO most comply witb the following: Oregon's Witbholding 'fax Law: As an employer, you must withhold income taxes from employee wages at the time emplDyees are paid. You will be liable for the tax payments even if you don't actually withhold thc tax from your employees. For more information, call the Department of Revenue at 503-378-4988, Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes 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 combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fonnsnav.htmll for the appropriate forms. Workers' Compensation 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' cDmpensation 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 503-947-7815. V.S, Interna! Revenue Service: As an employer, you must withhold federal income tax from employees' wa~":'-. 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 visit their web site at www.irs,l!ov. ((N:Jhtu lResponnsiilbiinntiies allllml AIreas olf <Com~ell"un!'l Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. 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, 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 general contractor, to' coordinate the work of rough-in and finish trades, and to notify building officials as the al'l"VI,,;ate times so they can perform the required inspections. If you have additional questions caU 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 22$ Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone . i;o~;'~ ; Wt.~ i .~". . _ ...,... -:.-. ___,7 x.J &y of Springfield Official Receipt Wvelopment Services Department Public WDrks Department Job/Journal Number COM2007-000 13 COM2007-000 13 COM2007-000 13 COM2007-000 13 COM2007-00013 COM2007-00013 COM2007-00013 COM2007-00013 COM2007-00013 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000000147 Date: 02/13/2007 Description Fire SF Fee - Residential Building Permit Storm Sewer - 1st 50 Feet Storm Orainage Impervious Area SOC Sanitary/Storm Admin Plan Review Minor - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LEOBAROO DELGADO ARELLANO Item Total: l.:heck Number Authorization Received By Batch Number Number How Received djb 10 lOIn Person Payment Total: Page I of I 9:24:48AM Amount Due 17.10 288.75 45.00 230.40 11.52 112.00 22.29 26.70 35.09 $788.85 Amount Paid $788.85 $788,85 211312007