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Home My WebLink AboutPermit Building 1999-5-11 .SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990484 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3889 PINYON ST Assessors Map #: 18020614 Lot: 3 Block: Tax Lot #: 09700 Subdivision: JASPER PARK Owner: GREGORY HAIDER Address: 887 S.46TH ST. Phone #: 726-1646 City/State/Zip: SPLFD OR,97478 Describe Work: S.F.RESIDENCE NEW Contractor Cons t . Contractor # Expires Phone General: OWNER 0066416 05/14/98 726-1646 QUAD AREA: 3RSC CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2062 OFFICE USE -- LAND USE: 1111 # OF BDRMS: 3 RANGE: G OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: Pl 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. UNDERFLOOR DRAIN - Prior to cover or placement of concrete. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. ELECTRICAL SERVICE - Must be approved to obtain permanent power, GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. CURB CUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete, FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete, FINAL BUILDING - When all required inspections have been approved and the building is complete. ~ . SPRINOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990484 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3889 PINYON ST Assessors Map #: 18020614 Lot: 3 Block: Tax Lot #: 09700 Subdivision: JASPER PARK Owner: GREGORY HAIDER Address: 887 S.46TH ST. Phone #: 726-1646 City/State/zip: SPLFD OR,97478 Describe Work: S.F.RESIDENCE NEW Contractor Canst. Contractor # Expires General: GREGORY HAIDER -lHt&:: ;:3 5755 J,EAN-ROAD EU:':':: :H L1\KE OGlIll&- OS/14,'5JfJ Phone 12.6~ I~ 6JS 1121 QUAD AREA: 3RSC CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2062 OFFICE USE -- LAND USE: 1111 # OF BDRMS: 3 RANGE: G OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. UNDERFLQOR DRAIN - Prior to cover or placement of concrete. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceilingi Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH MECHANICAL - Prior to cover, ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. ELECTRICAL SERVICE - Must be approved to obtain permanent power. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete, . I . SPRINQFIELD 9,o.t/-B4 ~€l13 NIlml3€!F i -!l~8U4 1Ia~ 2 Lot Faces: N Topography: 2 Receipt Number: VA~~A~~NFt:' 6200 Total Height: 17 Lot Coverage: 33 % Lot Type: INTERIOR Date Paid: N Setbacks '" w 25 14 E 6 House ~~~~~e Received: 1R Received By: Item Main Garage Total Value ''''.ILlUNG PERMIT - - - Square Feet x 1490 572 $/Square Feet 69.64 18.34 Value 103,764.00 10,490.00 114,254.00 Building Permit Fee Surcharge/Admin 466.75 37.34 TOTAL FEE (A) 504.09 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS PIPE W/H 2 6.00 4.50 6.00 3.00 5.00 Mechanical Permit Issuance Surcharge/Admin 24.50 10.00 1. 97 TOTAL PERMIT (D) 36.47 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE 0.00 61.92 60.00 2,291.96 1,000.00 TOTAL MISCELLANEOUS PERMITS (E) 3.413.88 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE --- (A, B, C, D, and E combined) 7T??1/" /~ 4,127.24 ~3. 2.0 ~ 1-:170.1-+ I --- BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Job Number: 990484 Page 3 Plan Check Fee: 303.39 Received By: Plans Reviewed By: AL WARD Building Site Reviewed By: Date Paid: 04/12/99 Receipt Number: 33468 Date: 04/30/99 --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED 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 701.055 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 r7in on the site at all times during construction, 'Y ,,~~ ~ ~-I(-9J Date - -- VALIDATION Date Paid: c '< <J./~ - , s;h (5'5 A/ 7/") ~~ Tf;/~ ( Receipt Number: Amount Received: Received By: , Page 1 ENGINEERING DIVISION ,DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: GREGORY HAIDER Mail Address: 887 S.46TH ST. Tax Lot #: 1802061409700 Subdivision: JASPER PARK SPLFD OR,97478 Project Address: Lot: 3 Blk: Job No.: 990484 Phone #: 726-1646 PINYON ST Rev. No.: Book: 3889 Eng. Street Gravel Ac Mat 3889 PINYON ST EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS 6:1 FLAIRS Existing Curbcut: N ENGINEERING REQUIREMENTS Additional Right of Way: N Improvement Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Size of Line: 8 Location From N, Make Connection: Stubbed Out To Property Line: Y Depth: 4-6 In. Tee: 6 In. S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT PER PLUMBING CODE Ft STORM SEWER Available: Y Pipe Downspouts And Drains To: CURBS & GUTTERS Pipe Parking Lot Drainage To: N/A New Curbcut Appr. : Sidewalk Permit: Y Curbcut Permit: Y Y Width: Width: SIDEWALK AND STANDARD 5 Ft 31 Ft DRIVEWAY INFORMATION Width: 19 Ft Flairs: 6 Length: 32Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: MOLLY LINDBLOM Date: 04/19/99 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION . Issued by: c; ~1J~c/ ~ ~'l>7 hlf}t/t37J /1 '~/1 f ff ;r;;- r I Date: Permit #: Address: " 511;09 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction 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 registration under ORS 701.010(7), need not submit this statement, This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: s ~ I, I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion, D 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR a 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered 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 that I have read and do understand the Information Noil" A:: 't' C%:i~PO";bil";~ 00 <b. "..m '7'~; ro;,( c7 ~ture of permit applicant) (Date) . (White copy to issuing agency permit file, pink copy to applicant) - . ~1l1I10i"ma~i(()1l1I i\lo~ice ~o l?i"opei"~Y Ownei"s AlOou~ CiOJmis~i"ll.!c~Don ResiPIoll1lsilOm~Des Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting lL~ your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent man,Y problems by being aware of the following responsibilities and areas of concern. /EMPLOYER RESPONSiBiliTIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more infonnation, call the Oregon Depl. of Revenue at 945-8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurancc purposes on the wages of all employees. For more infonnation, call the Oregon Employment Department at 378-3524, Worker's compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' co~pensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will 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 945-7888. u.s, Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax, For more infonnation, call the Internal Revenue Service at 1-800-829-1040. OTMIER AESPO~SII3IL1TIIES AND A~EAS OF CONCERN: Code compliance: As the pennit 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 lmd omissions such as falling tools, paint overspray, water damage from pipe punctures, tire, or work that must be re-done, Time to supervio;e employees: Make sure you have sufficient time to supervise our employees. , Expertise: Make sure you bave the expertise to act as your own general contractor, to coordinate the work of rough-in and tinish trades, and to notify building officials at the ayy.vy.;ate times so they can perfonn the required inspections. If you have additional Questions, write or call the Construction Contractors Board (PO Box 14140, Salem. OR 97309-5052, 503/378-4621). The Board is located at 700 Summer Sl. NE Suite 300, in Salem prop.own.pm4 1/94 SP-001 I . .' JOURNWR JOB NO. "'f904&'4- ATTACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: .jJAI'DE. R- LOCATION: 2,~gq f,llfl\"O"" 'St- , DEVELOPMENT TYPE: SF D BUILDING SIZE: '20'" z.... LOT SIZE SQ. Ft. 1. STORM DRAINAGE (.) ~AL , '3<=-{IOj ) + q4:z. + ~2- IMPERVIOUS SQ. FT, :z.c...roY X $0.227 PER SQ. FT. $ IoOS.c.,C)- 2. SANITARY SEWER-CIT~ NO. OF PFU' S J tr' (See Reverse Side) X $47.14 PER PFU $ ~'b'2.. 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X (.0/ X $475.32 $ 4.8r),07_ X X $475.32 '$ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 277.# PER FEU $ '2.;/.44- B. IMPROVEMENT COST: I NO. OF FEU'S X 2.5. ~o PER FEU $ 2S. ~o < $ &4.05 > $ 10 00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL-MWMC SDC $ 2.4'g'.$4 SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 !Z./lC' Z . ? 2.- .I $ 10:\. ~ /J1 ~L. SDC Coordinator ATTACH 'A. WPD Date: 4-/J'9l!lS TOTAL SDC $ ;Z'Z9 J. 9" FIXTURE UNIT CALCULAjION TABLE: Number of New FixtueUnit Equivalent = Fixture Un~ts" (NOTE: For remodels. calculate only t_ET additional fixtures) , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub....,....................,..,.........,.".,.,.,.........,.....".,.. . Drinking Fountain,.,................................................,. Floor Drain..........,...................................................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... Clothes washer - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial SinktDishwasher/Etc.. Shower, Single StalL................................................ Shower, Gang..,. ..,.......,..................,........................ Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/WaiL............................................ ..... ..... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation....................,................... Toilet, Private............,.......................................... Miscellaneous: ..- . . ,I + 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 '7J I ~ , , I rz- ~ If /I TOTAL FIXTURE UNITS fi{ = Based on assessed value. If improvements occurred after annexation date in table, , CREDIT CALCULATION TABLE: calculate credits separates. I Year Annexed Rate per $1,000 Asse'ssed Value I I Rate per $1,000 Assessed Value Year, Annexed 1979 or before 1980 1981 1982 1983 1984 1985" 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 = Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) 1989 1990 1991 1992 1993 1994 -''', .1995 1996 1997 $1.98 1.55 1.15 0,96 0.83 0.67 0.52 0.38 0.21 J 427 X$' /5 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL IA. 0 S- = = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL........................., 0.4 CommericaL........................ 0.9 IndustriaL........................... 05 Governme.ntaL..................... 0.5 FIXUNITWPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . The following project as submitted has the following zoning, and does not require specific land use approval. 97477 ' 726_37~'IJ'mg Date <;;- f (- ~ '" KW 3. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Authorized Signaturo 1. LOCATION OF INs;;;;.r~N ~ ~ ~~'7 V ) LEGAL DESCRIPTION J f),()? 10(" /4- ~ LD(\. ELECTRICAL PERMIT APPLICATION City Job Number C:;9 Offj~_ ~'1qlT/) 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. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name C4~ ~~ ) '" (j II _ ' 'Address LU J/')? rr,' I Phone 72'-/0,L~ City S'j;? ;:7) , , OVNER INSTALLATION The installation is being made on property I own which is not intended for' sale, lease or ren t. Owners ",a tur~ /I .... J. V ~. J/I .-:--~ ~ -DATE~~2I'----f~~~-j-~------ RECEIPT II: ~:?)'~~ RECEIVED BY: //./7;. 'q- I COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Ccst Sum $ 8:.00 $ 1:..00 ,$ 40.00 Items S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home. or Modular, 'Dwelling Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: 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 200 amps' 'or less l.-/ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 ~()O $ 55.00 $ 80.00 see' "B" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder ,-Each installation Pump or irrigation Sign/Outline Lightinr Limited,'Energy/Res Limited 'Energy/Comm , , One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 . .." $ :~.OO not included) $ 40.00 ,$ 4'0.00 $ '20.00 $ 36.00 1tt~ /,l..U .-J7')tf) -(/r . , . . Job. No. C(1.() '-t t)1.{ , SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: G Jll:\~ ~,[~{~{jJl I.:l \.J PHONE: "lc.tJ..(" - \tnL\.(O STATE: O\S\ ZIP: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: ,2)~~<1 ~ ~ "F ~'.:%- Pial Name: ~~ \'-l Tax Lol Number: D~7m 1. DEVELPPMENT TYPE (Check appropriale dwelling(s). SOC calculalions and dwelling I ype deflnilions are on lhe back.) - A. ~inoIA-F::Jmilv DAt::Jr.hAn \. Single Family home NO. OF UNITS \ Manufactured home nol in a park $ 'r"...... tto X $1,000 per unit = "'-"-L> B. SinoIA'-F::Jmilv Att::Jr.hAQ NO. OF UNITS X $924 per unit = $ C. ,Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ManufacllJrAn HomA PIllIs. NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. sec CREDIT (If appncable) SOG-payer must fuJqSh proof of WiUamalane Credil approval. See SOO Oredit Wotf{sheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SOC reduced for Credil) $ ~ment Services Department City of Springfield :) I .L/ I 'j' <J Date