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Home My WebLink AboutPermit Building 2007-7-2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00885 ISSUED: 07/02/2007 APPLIED: 06/15/2007 EXPIRES: 01102/2008 VALUE: $ 199,807.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1772 Kellogg Rd ASSESSOR'S PARCEL NO.: 1703331100700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: JOHNSON WINONA A Address: 891 ANDERSON LN SPRINGFIELD OR 97477 Phone Number: 541-687-9001 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor MT ZION EXCA V A TION LLC OWNER OWNER OWNER License 163990 Expiration Date 04/0112009 Phone 541-729-8841 BUILDING INFORMATION I 3 # of Stories: 2 Height of Structure: 26.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 4,891 788 1,025 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U . VB 484 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.00 10.00 9.90 33.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 4 Yes 31.10 Total: Handicapped: Compact: 2 AI IcNTION: Oregon law reqUir. IMPROVEMENTS I Street Im~kmthwl. adopted by the Oregon Utllty Sidewalk Type: . , Notification Center. Thosl~wnnn~ttforth NOTICE;.. CurbSide 7 Storm SelffoA~Je01-0010through OAR 9~01- THIS PEFWtlrYHutsiDrains: To Storm Sewer Special I~.tiY8u may obtain copies ofthe rules by AUTHORIZED ALL EXPIRE IF THE WORK calling the center. (Note: the telephone ,UNDER THIS PERMIT IS NOT Notes: ~tftSr .lllliJOIte~~itJ ~~j;~cpl'ivate storm ease~MM6~@RdlSt~8fAm!1ONm~re part of P30522. Center is 1-800-332-2344). ANY 180 DAY PERIOD. Pa2:e 1 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00885 ISSUED: 07/02/2007 APPLIED: 06/15/2007 EXPIRES: 01102/2008 VALUE: $ 199,807.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellin2:s Gara2:e Tvpe of Construction V Wood Frame Gara2:e $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage or Bid Amount 1,813.00 484.00 Value Date Calculated Description Total Value of Project $186,739.00 $13,068.00 $199,807.00 06/15/2007 06/15/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $578.92 6/15/07 1200700000000000779 ~Mechanical Issuance Fee~ $10.00 7/2107 1200700000000000851 + 10% Administrative Fee $154.15 7/2/07 1200700000000000851 + 5% Technology Fee $81.23 7/2/07 1200700000000000851 + 8% State Surcharge $114.13 7/2/07 1200700000000000851 3 Baths One & Two Family $306.00 7/2/07 1200700000000000851 Addressing Assignment $31.00 7/2/07 1200700000000000851 Building Permit $890.65 7/2/07 1200700000000000851 Dryer Vent $6.00 7/2/07 1200700000000000851 Exhaust Hoods $9.00 7/2/07 1200700000000000851 Fire SF Fee - Residential $114.85 7/2/07 1200700000000000851 Furnace - up to 100,000 btu $12.00 7/2107 1200700000000000851 Gas Outlets 1-4 $4.00 7/2107 1200700000000000851 Heat Pump $12.00 7/2/07 1200700000000000851 Plan Review Major - Planning $198.00 7/2/07 1200700000000000851 Residence Wiring 1000 Sq Ft $106.00 7/2107 1200700000000000851 Residence Wiring Ea Addtl 500 $57.00 7/2/07 1200700000000000851 Sanitary Sewer - Improvement $534.34 7/2/07 1200700000000000851 Sanitary Sewer - Reimbursement $702.72 7/2/07 1200700000000000851 SDC MWMC Administration $10.00 7/2/07 1200700000000000851 SDC MWMC Improvement $961.52 7/2/07 1200700000000000851 SDC MWMC Reimbursement $91.61 7/2107 1200700000000000851 SDC Transpo Improvement $836.32 712/07 1200700000000000851 SDC Transpo Reimbursement $189.58 7/2/07 1200700000000000851 Storm Drainage Impel'Vious Area $1,073.13 7/2/07 1200700000000000851 Vent Fan $24.00 7/2/07 1200700000000000851 Willamalane Single Family $2,303.00 7/2107 1200700000000000851 Total Amount Paid $9,411.15 I Plan Reviews I Initial Review 06/18/2007 06/18/2007 APP LLH Pa2:e 2 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2007-00885 ISSUED: 07/02/2007 APPLIED: 06/15/2007 EXPIRES: 01/02/2008 VALUE: $ 199,807.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannin2: Review 06/1812007 0612512007 APP T AJ 4 street trees are required unless they are already in: one on Anderson and 3 on Kellogg. Use Anderson for front for setbacks. Stormwater connects to existing 8" pipe in private storm easement. Public Works Review 06/18/2007 06/21/2007 APP TSS Structural Review 06/18/2007 06/21/2007 APP RJB 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. ~e{]uireCUnsDections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Pa2:e 3 of 4 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: cOM2007-00885 ISSUED: 07/02/2007 APPLIED: 06/15/2007 EXPIRES: 01/02/2008 VALUE: $ 199,807.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 um';2;;;::Z7J _ 7/~~ Owner or Contractors stature Date Pa2:e 4 of 4 Date ZON ~ INITIALS ~~ ~ DATE (0 .\.~.U . ,,'I SOURCE +\. /2-1 01 I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C.OW'\. 'l..-,- 7 - 00 ~ ~~- 1. I 77 Z. ret.c...o &6-. . (L~ LEGAL DESCRIPTION: 170 3 3~) if Parcell, Partition Plat No. 2007-P2131 JOB DESCRIPTION: ~ . _ ~'l..(\,'1 New Construction ~$ ~~~ 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. Electrical Contractor Address City Phone Supervisor License Number ~ 6~ Expiration Date $ J Constr. Contr. Number ~, ,f..x@:irationDate _ ..... \lfonv ;1-:;\:... c'.'.r,".'\- I'r \ \.o,r n I If. '_.. WtlLLL'Y' ,.~ ~)$gfa~~o~SHP.t~iii?~iSi~~;MT IS NOT .'1..1"\ If) ; .J UN" ,-", ". 00 cOR , I I....." "-- .. . ~ r"o f-- r . ..- ,- I\f: Ie. .,', ~ ,~L '.J, \ ..\,., _'.p no\ t" c: It \ \..! l..' . Owners Name WinonCl ,1ohnRon Address 891 Anderson Lane City Springfield Phone 541-687-9001 OWNER INST ALLA nON The installation is being made on property I own which is not intond e d.. f1..or saf.le;i ~ase or nt.. ~wife Signature: , / .,' / '- -(~/>' - Inspection Request: 726-3769 3. 00900 A. dwelling unit. Service Included 1000 sq. f1. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder \D\.a .~ ~~ / :s $106.00 $ 19.00 $50.00 B. Serviccs or Feedcl's - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. Tcmporary Scrviccs or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps ". '" $100.00 Over 600 000 Volts see "w' aboye.' .,"J D. CY Ncw Alteration or Extension Pcr Panel '.' \ One Circuit $ 43.qq Each Additional Circuit or with Service or Feeder Pennit . \ '$ 3.ob .. ."",.; '0 ,:'~J.l..iV E. l\'1~~,C~,I!rr!leQUS (ServiceYfeeder not included) -Each InstaIllltioll Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 M:.ni;;;t;~;~;;tion Fee is $45.00 + SUTi~~.cV 8% State Surcharge 1 ~ 10% Administrative Fee I ~ 5% Technology Fee ~\ S TOT AL })Jj) I 4?t- Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06.doc ~ '~f .~ . .. '.~ CITY OF SPRINGFIELD SYSTE.N1~. DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2007-00885 NAME OR COMPANY: Winona Johnson LOCATION: 1772 Kello~ TAX LOT NUMBER: 17-03-33-11 00700 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1964.5 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 3197.50 I $0.336 = I $1,073.13 ' RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS . I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I DISCOUNT I 0.00 I $0.336 50% I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $1,073.13 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 27 COST PER DFU $26.03 B. IMPROVEMENT COST: NUMBER OF DFU's I ' x 27 . $19.79 o $1,073.13 $702.72 $534.34 rf) P-1 Cl o u ~ P-1 E-< rf) ...... o ~ 1070 109] 1092 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUN ALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG /WATER STATION /ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 i' I SHOWER, SINGLE STALL 1 0 2 = 2 j- I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 .ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$l ,000 ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4 .40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 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) VALUE /1000 CREDIT RATE $0.00 x $5.29 = J $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT . 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 #: CCWl,7--0.07-0C) ~g~ . )77l' !Lc5I(o.fJ? ~. Date ~d (J~OI- Address: Issued by: Statement: h,formation Notice to .Property Owners About.Construction Responsi~ilities . Note: Oregon Law, ORS 701.055(4J.requires residential construction permit applicants who are not . licensed With the' Construction Contractors Board to sign the following statement before a building permit can be issu~d. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed.architect and engineer applici:mts, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will. be filed with the permit. .. . Fill inthe appropriate blanks and initi.al boxes I and 2, and either box 3A or 3B: . 1::9.1. B- 2. I own, reside in, or will re~ide in the completed structu{e. . I understand that I must become licensed as a construction contractor if the structure is sold' or offered for sale before or on completion. B-- 3A. My general contractor is' i'VlT tiode)( (. (Name) /63770 (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B.. I will be my own general contr.actor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. In 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 n~e of the contra,ctor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owner bout Construction Responsibilities on the reverse side of this form. a/A-- b'/l=O:;- (Signatu' of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to 'applicant.). Property _ owner. doc 06~0 1-04 Acting Contractor? OWNERS RESPONSIBILITIES " : \ '. . \ NOTE: This Information Notice to Properly 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 structure, you can prevent many problems by being aware or 11 substantial improvement to an existing following responsibilities and concerns. You will, instances, be ruled to be an "employer" you use contractors not with the Construction or of 11 residential structure. contractors you contral;t with will be "employees" if ,Board to do labor in constructing or'to assist in the . you must comply with the foUQwing: I~aw= As an employer, you must will be liable for the tax more infonnation, call the . ' income taxes from employee wages at the time even you don't actually withhold the tax from your at 503-378-4988. Unemployment Immrance Tax: As an employer, are on For more infonnation, can to pay 11 tax for unemployment insurance purpo~eS--=- Employment Department at 503-947-1488. " The Oregon Identification Number (BIN) is a combined number for both Oregon Witl;1holding and Tax. To file for a or w\v\v.dor.state.oLus/formsDav.htrnll for the, ) ~' . '; ~ -- to the Oregon Workers' Compensation Law, . If you fail to ,obtain workers' compensation costs one of your employees is injured on the at the Department of Consumer and Business Insurance: As an employer, you are and must workers' compensation insurance for you be subject to penalties. be liable job. more information, call tbe Workers' at 503-947-7815. Revemw Service: As an employer, you must tax payment even if you or visit their web site'at federal income tax' from employees' wages. the tax. For a Federal EIN number, can the As the pennlt holder may bebrought to your attention you are responsible for failure to meet code Irtsurraillce: and omissions such as insurance to see if youliave adequate insurance. over spray, water damage fro~ pipe punctures, fire or .; , Make sure time to your and finish sure you the skills to act as your own to notify building officials as to coordimite the work of rough-in . so they can perform the required inspections. " questions call the OR 97309-5052. 06-01-04 (503-378-4621) or write the agency at PO 225 Fiftli Street Spr4rigfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007 -00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007 -00885 COM2007-00885 COM2007-00885 COM2007 -00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 COM2007-00885 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000851 Date: 07/02/2007 Description -Mechanical Issuance Fee- Plan Review Major - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Heat Pump Paid By WINONA JOHNSON Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 02597B In Person Payment Total: Page 1 of 1 9:30:06AM Amount Due 10.00 198.00 81.23 114.13 154.]5 31.00 2,303.00 106.00 57.00 ] ]4.85 1,073.13 702.72 534.34 189.58 836.32 91.61 961.52 10.00 890.65 306.00 ]2.00 24.00 9.00 6.00 4.00 12.00 $8,832.23 Amount Paid $8,832.23 $8,832.23 7/2/2007