HomeMy WebLinkAboutPermit Building 2007-3-6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1385 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO.: 1703252205900
Springfield
PROJECT DESCRIPTION: Garage extension and Remodel Kitchen
Owner: BEN MURRAY
Address: 1385 LA WNRIDGE A V
SPRINGFIELD OR 97477
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00024
ISSUED: 03/06/2007
APPLIED: 01104/2007
EXPIRES: 09/06/2007
VALUE: $ 8,316.00
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
Phone Number: 541-744-1258
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
U
VB
I DEVELOPMENT INFORMATION I
License
Expiration Date Phone
Lot Size:
14.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
308
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side 1 Setback: 19.00 # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: .. 20.00 % of Lot Coverage:
Solar SetbaclU: I t:l\! I H.JI\l:ureyuli0:60V reqUires you to
follow n 11p.~ ::irlnrtArl h~1 tho ("\""'01.:'1 ~'~~t'~V
~otification Center. Those.ruiIDm.,!18~~ROVEMENTS J
StreetImmq,A~9g~-OO1-001~throughUA'R'952-00i ROTI~i~walkType: .,
Bo<go~..~u may obtarn <f19~Y@9f?r,~rules l THIS Rr:QMI~ SHAI L EXPIRE IF lHECWrmWe 5
Stor~ SeweJCti~!l;~It~~ center. (Note: th&te~r;3hone )),d#iis outs'!lYrams: S PER'Mirl~~ffrtter
Special InslrmW8~:rforthe Oregon Utility Notification AUTHORIZE . UNDER THI
Centaris 1-800-3~~2344) COMMENCED OR IS ABANDONED FOR
Notes: Storm H2(j to eXIsting sytem.:J't"y""" < ANY 180 DAY PERIOD.
Pa\?:e 1 of 3
Total:
Handicapped:
Compact:
23.90
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: cOM2007-00024
ISSUED: 03/06/2007
APPLIED: 01/04/2007
EXPIRES: 09/06/2007
VALUE: $ 8,316.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Gara2:e
Tvpe of Construction
Gara2:e
$ Per Sq Ft
or multiplier
$27.00
Square Footage
or Bid Amount
308.00
Value
Date Calculated
Description
Total Value of Project
$8,316.00
$8,316.00
01/04/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $64.74 1/4/07 2200700000000000015
~Mechanical Issuance Fee~ $10.00 3/6/07 1200700000000000240
+ 10% Administrative Fee $28.80 3/6/07 1200700000000000240
+ 5% Technology Fee $19.23 3/6/07 1200700000000000240
+ 8% State Surcharge $21.81 3/6/07 1200700000000000240
Add, Alter, Extend Circ $43.00 3/6/07 1200700000000000240
Add, Alter, Extend Circ Ea Add $12.00 3/6/07 1200700000000000240
Building Permit $99.60 3/6/07 1200700000000000240
Exhaust Hoods $9.00 3/6/07 1200700000000000240
Fire SF Fee - Residential $15.40 3/6/07 1200700000000000240
Fixture $28.00 3/6/07 1200700000000000240
Minimum/Adjustment Mechanical $36.00 3/6/07 1200700000000000240
Plan Review Minor - Planning $112.00 3/6/07 1200700000000000240
SDC Sanitary/Storm Admin $5.17 3/6/07 1200700000000000240
Storm Drainage Impervious Area $103.37 3/6/07 1200700000000000240
Storm Sewer - 1st 50 Feet $45.00 3/6/07 1200700000000000240
Total Amount Paid
$653.12
I Plan Reviews I
01/05/2007 01/0512007 APP NJM
01/05/2007 02111/2007 APP TAJ
01/05/2007 01/12/2007 WI JLP
0210812007 02/0812007 APP JLP
01/05/2007 01/2412007 APP LLH
Waiting in order PW rcvd for
rvw.JLP
Storm H20 to existing sytem.No
need to pull sewer or plat maps.JLP
Plans approved by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
Initial Review
Plannin2: Review
Public Works Review
Public Works Review
Structural Review
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.
Pa2:e 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insoections I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-00024
ISSUED: 03/06/2007
APPLIED: 01104/2007
EXPIRES: 09/06/2007
VALUE: $ 8,316.00
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and 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: 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
time'~:;/AAA/AA
~
I
Owner or Contractors Signature
Pa\?:e 3 of 3
2) - b.-
OJ
;
Date
ZON (-DIL.
INITIALS N i'\I\
DATE '6-<0 -'0,
SOURCE fn ~<.
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICALPE~1f ~ON
City Job Number { !.-, ~ Date
1.
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.
City
Expiration Date
~
~
Owners N,m, 1\21\ >>..\1$;
Address \ 3<05 tJ, ~ II
City ..<l ~~ PhoneJ -r
OWNER I~S~LLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
owners~gn re::1Y [u
. ,h 1<J UII' ;:J yUU _
,-,.: : .-..' .' ',''- '-". ' '(!leu ti,:ty
fo~I?W \'.UII~~:~~::.a~h:e fuies are et fOG
Notlilca~lo.: ,.." ,,0.01 0 through 0 -001
ltI)SPAtih\lfRl.~st:, ~23"Necbpies 0 th rules l
0090. You .~ay 0 t - I ote' the t phone
callin.9 m~ ~~~;~~~n uiility Notification
f!umbedof~ .... ~ '8""00-332-2344).
Center I;;:> i"
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit I
Each Additional Circuit or with ...A
Service or Feeder Permit- \
4~fP
V2.pO
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergyIResidentia1 $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~fP
8% State Surcharge 4 .~n
1O~~!Tative FeeA. 5D-
5~~Jtgy Fee I) - .. '15.
T~~S PE~MIT SHALL EXPIRE IF THTE WO~fi..Lo5
~BelhWeY~~nIUhSsJ?I~Il?eJk1t N{ijll/cation 8-06.doc
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
CITY OF Sff3NGFIELD SYSTEMS DEVELOPME~r~ORKSHEET
COM2007-00024
Ben Murray
1385 Lawnridge
1703252205900
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF:
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
, NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 308.00 I $0.336 . = I $103.37
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I
I 0.00. I $0.336 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $103.37
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFUs x
o
B. IMPROVEMENT COST:
NUMBER OF DFU's x
o
o
COST PER DFU
$26.03
$19.79
LOT SIZE (SF):
DISCOUNT
$0.00
o
$103.37
$0.00
$0.00
iZJ
~
Cl
o
U
~
~
iZJ
......
o
~
1070
11091
1092
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAlNAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRlNKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
\RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
/RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIMJRESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
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 ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
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 l1000 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 #: C:7 - '~m 2 <i ~
Addres,,\~g~ UumLuiG\l, ~
IssuedbY"-M'\ ~ Date, ~ -oc,,~07
U
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) 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 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 be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
D 1.
D 2.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor ifthe structure is sold or
offered for sale before or on completion.
D 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
D 3B. I will be my own general contractor.
If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
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 ofthe
name of the contractor.
I hereby certify that 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.
~!Y\ ''\.A^~.-,_ 3-(~ - D '7
(Signature of permit ap~ican~ ' . (Date)
(White copy to ~ing agency permit file, pink copy to applicant.)
PropertLowner.doc 06-01-04
ii,4
Acting as
INFORMATiON NOTICE- TO PROPERTY OWNERS
ABOUT CONSTRUCTIONRESPONSIBIUTIES
, . ,
our', Own', General Contractor?
~. .,'.' .
NOTE: This Information Notice to Properly Owners about Construction Responsibifities was developed by the
L~~~=~~~tion 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 iUlplovement to an existing
structure, you can prevent many problems by being aware of the following responsibilities arid concerns.
. .
You will, in most instances, be ruled to be an "employer:" and. the contractors you contract with wi11 be "employees" if
you use contractors 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 the employer, you must comply with the following:
E~pl?~er Responsi~nities
r '..
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time
employees are paid. You wi11 be )iable for the tax payments even if you don't actually withhold the tax from your
employees. For more information, call the Depi:rrtrTIent 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 employees. For more information, caB the Oregon Employment Department at 503-947-1488.
The Oregon Business Identification Number (BIN) is a combi,ned :Qumber for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.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' compensation
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, can the Workers' Compensation Division at the Department of Consumer and Business
Services at 503-947-7815.
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 a Federal EIN number, call the
IRS at 1-800-829-4933 or visittheirweb site at w\vw.irs.gov.
Other Res.ponsibilities and Areas of Concerns
Code Complhmce: As the permit holder for this project, you are responsible for resolving any failure to "meet code
requirements j:hat 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 YOli'h~ve" th~ ~kil1s to aetas yi~r owtt' gen~ra:l cbh~actor,to~6ordihate' the work of rough-in
and finish trades, and to notify building officials as the app! UP! ~ate times so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503-378-4621) or \VI'ite the agency at PO
Box 14140, Salem, OR 97309-5052.
, . ~-. j lj~""'.. ., ~.~ ": .....~ ;.
Property _ owner.doc 06-01-04
225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C:.L.. of Springfield Official Receipt
1. dopment Services Department
Public Works Department
Job/Journal Number
COM2007-00024
COM2007-00024
CO M2007 -00024
COM2007 -00024
COM2007-00024
COM2007-00024
COM2007-00024
COM2007-00024
COM2007-00024
COM2007-00024
COM2007-00024
COM2007-00024
COM2007 -00024
COM2007-00024
COM2007-00024
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000240
Date: 03/06/2007
Description
Fire SF Fee - Residential
Building Permit
Fixture
Storm Sewer - 1st 50 Feet
Exhaust Hoods
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee~
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BEN MURRAY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1120
In Person
Payment Total:
Page 1 of 1
2:10:13PM
Amount Due
15.40
99.60
28.00
45.00
9.00
36.00
10.00
103.37
5.17
112.00
43.00
12.00
19.23
21.81
28.80
$588.38
Amount Paid
$588.38
$588.38
3/6/2007