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Home My WebLink AboutPermit Building 2004-10-28 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: COM2004-01185 ISSUED: 10/28/2004 APPLIED: 09/24/2004 EXPIRES: 04/28/2005 VALUE: $ 58,656.00 SITE ADDRESS: 3382 OREGON AVE ASSESSOR'S PARCEL NO.: 1702313106502 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: SFR addition (remodel garage into duplex unit - add upper story over garage for bedroom) Owner: SCHIPPOREIT STACI L Address: 3380 OREGON AVE SPRINGFIELD OR 97478 Contractor Type Architect General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I License Contractor JOSH RUPPENTHAL OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 129990 BUILDING INFORMATION I # of Stori~:icnu~ o.~(\U 2 .eiJr~l\\t~~U\\~-'~:'oo .\~ ~~9~\ '.~eat VN ~\"ON f.\\~. ~Wt~: f.-eUl nO" ~~\ric ua~d9\e\ Q~Ra6~'a~0_\OO.?Flo 'O~'M~iC e~~ 'Q~ \0 t\\~~\QO a() UO\\-e~. ~~h 1 "-A. S9\{\) \!'10 ~n~}!Jaft~Y.\2:sa\t\lI'-t-O'il!Jl ~.,c<6_...\nl a _,.M\O\J~ .\\."'~ u.~ .~~~\~})~~~~j~ON I f.\\\\'" "'91\t\ ~.a .1" nO" .. . , 0\ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: R-3 17.00 Phone Number: 541-746-6418 Expiration Date Phone 541-870-5521 06/24/2008 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: 340 Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: 4 Handicapped: Yes Compact: . r \t '~In"'v.. , I PUBL~~~(lVEM~~r~IE~?\~E \~M\1 \S ~01 ?t\-\~\\ \ .. t~ 1\-\\~:~t. ~G.~ Fully Improved 1\-\\5 r\\ltD U~D p..Sp..~~~t!VUYl" Yes p..U1\-\~t.~Ct.D Or\ \5 \) Downspouts/Drains: COW'''' I r\ \)p..'{ ?t.r\\O . p..~'{ '\ \)u Pae:e 1 of 4 Curbside 5' Curb and Gutter Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01185 ISSUED: 10/28/2004 APPLIED: 09/24/2004 EXPIRES: 04/28/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Bid Amount Dwellin2s Tvpe of Construction Use Bid Amount V Wood Frame $ Per Sq Ft or multiplier $1.00 $92.40 Square Footage or Bid Amount 27,240.00 340.00 Value Date Calculated Description Total Value of Project $27,240.00 $31,416.00 $58,656.00 10/26/2004 10/26/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $95.16 9/24/04 2200400000000001205 -Mechanical Issuance Fee-- $10.00 10/28/04 1200400000000001531 + 10% Administrative Fee $59.58 10/28/04 1200400000000001531 + 7% State Surcharge $41.70 10/28/04 1200400000000001531 1 Bath One & Two Family $145.00 10/28/04 1200400000000001531 Addressing Assignment $31.00 10/28/04 1200400000000001531 Building Permit $405.75 10/28/04 1200400000000001531 Dryer Vent $6.00 10/28/04 1200400000000001531 Exhaust Hoods $9.00 10/28/04 1200400000000001531 Minimum/Adjustment Mechanical $18.00 10/28/04 1200400000000001531 Plan Review Minor - Planning $59.00 10/28/04 1200400000000001531 Plan Review Residential $168.58 10/28/04 1200400000000001531 Sanitary Sewer - Improvement $219.36 10/28/04 1200400000000001531 Sanitary Sewer - Reimbursement $288.48 10/28/04 1200400000000001531 SDC MWMC Administration $10.00 10/28/04 1200400000000001531 SDC MWMC Improvement $865.31 10/28/04 1200400000000001531 SDC MWMC Reimbursement $82.03 10/28/04 1200400000000001531 SDC Sanitary/Storm Admin $42.09 10/28/04 1200400000000001531 SDC Transpo Admin $75.66 10/28/04 1200400000000001531 SDC Transpo Improvement $772.49 10/28/04 1200400000000001531 SDC Transpo Reimbursement $175.13 10/28/04 1200400000000001531 Vent Fan $12.00 10/28/04 1200400000000001531 Willamalane Attached (duplex) $924.00 10/28/04 1200400000000001531 Total Amount Paid $4,515.32 I Plan Reviews I Initial Review Plannin2 Review 09/27/2004 09/27/2004 09/27/2004 10/11/2004 APP SKG APP TAJ A duplex requires 4 off street parking spaces. Duplex meets minimum density requirements of MDR. Public Works Review 09/27/2004 10/01/2004 APP CS Pa2e 2 of 4 _SPI!UNG..fi!....IQ,Q.. ..iij.'.'......... ... '.:. ~J""A.. fl. ,~. , ..,., '" 1 .'~..~....,...'."."',.. ,'," ' CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-01185 ISSUED: 10/28/2004 APPLIED: 09/24/2004 EXPIRES: 04/28/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 09/27/2004 10/17/2004 APP DLM See documents for plan review comments. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~eouire~nsnections I 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. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Underfloor Plumbing: Prior to insulation or decking. 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. 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. Footing: After trenches are excavated. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Firewall: Located and constructed according to plans. 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. Underfloor Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Storm Sewer Line: Prior to filling trench. Pal.!e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01185 ISSUED: 10/28/2004 APPLIED: 09/24/2004 EXPIRES: 04/28/2005 VALUE: $ 58,656.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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. <{;)AA "I/"\._----....~--:- ~ . ,. Owner or Contractors Signature ~ Date 10'- Z-~~ O(i , Pal!e 4 of 4 225 Fifth Stree~ Springfietd, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt lelopment Services Department Public Works Department Job/Journal Number COM2004-01l85 COM2004-01185 COM2004-0 1185 COM2004-01185 COM2004-01185 ~i ;COM2004-01l85 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-0 1185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 COM2004-01185 '/; COM2004-01185 'j t -,J Payments: Type of Payment Check ',":' 10/28/2004 RECEIPT #: 1200400000000001531 Date: 10/28/2004 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Plan Review Minor - Planning Plan Review Residential Building Permit Addressing Assignment Willamalane Attached (duplex) 1 Bath One & Two Family Vent Fan -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Exhaust Hoods Dryer Vent + 7% State Surcharge + 10% Administrative Fee SDC Sanitary/Storm Admin Paid By ST ACI SCHIPPOREIT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 4720 In Person Payment Total: Page I of 1 2:41:53PM Amount Due 288.48 219.36 175.13 772.49 82.03 865.31 10,00 75.66 59,00 168.58 405.75 31.00 924.00 145.00 12,00 10,00 18,00 9.00 6.00 41.70 59,58 42.09 $4,420.16 Amount Paid $4,420.16 $4,420.16 COST PER DFU $24,04 B. IMPROVEMENT COST: NUMBER OF DFU's x 12 $18,28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9,57 1 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9,57 1 ITEM 3 TOTAL - TRANSPORTATION SDC = I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x 11 , COST PER FEU $82,03 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU' I 1 $865.31 MWMC CREDIT IF APPLICABLE (SEE REYERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , ), ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE '$2,412,80 '5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Matt Stouder ] 0/28/2004 PREPARED BY DATE .JRKSHEET LOT SIZE (SF): 8712 if1 ~ Cl o u p::: ~ E-< if1 >--< o ~ DISCOUNT $0,00 $0.00 1070 $288.48 1091 $219.36 1092 =, $507.84 COST PER TRlP $18.30 x NEW TRIP F ACTOR I 1.00 'I 1093 $175.13 COST PER TRIP $80,72 $947.62 x I NEW TRIP F ACTORI I 1.00 I $772.49 1109~ = $82.03 1054 = $865.31 l1055 $0.00 1054 $10.00 1056 $957.34 $2,412.80 CHARGE $120.64 42,09 1079 I $78.55 11078 TOTAL SDC CHARGES $2,533.44 I I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TI-IE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS BATHTUB 0 0 3 = 0 DR1NKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL! WALL 0 0 5 = 0 I TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 12 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 ]979 1980 ]98] 1982 1983 ]984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 ]997 1998 1999 2000 2001 CREDIT RATE/$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 =1 $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 #: COV'Vl "Z.-O v L( - 0 I I g- s: Address: ""3 S g-O Or~?O__, ~ CS Date: 10 -~.'<)Y , Issued by: Stat~ment: 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 COllstructio.n',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 s,ubmit ,this statement. This statement will be filed with the permit. , Fill in the appropriate blanks ~d initial boxes I and 2, and either box 3A or 3B: j2(',1. ... . ~/2. I own, reside in, or will reside, in the completed structure. I understand that 1 must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. '0 3A. My general contractor is (Name) . ,(CCB #) . , , I will instruct my general contractor that all subcontractors who 'yvork on the structure must be licensed with the Cc;mstruction Contractors Board. , OR ~3B. I will' be my own general co~tractor. 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 CC;B 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 tbeInformation Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ~. ~iA-,I~ --= ItJ-Z-)i'- olj (Signature'ofpermit applicant) (Date) (White copy Jo issuing agency permit file, pink copy to applicant.) " Property- owner.doc 06-01-04 " ,," v. j "A~tirlg' as::)[.otlr 'Own ,General C,ontractor? ') ; INFORMATION NOTI'CE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES .J , , NOTE: This Information Notice to Property Owners about Construction ResponsibiliHes was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. J If you are acting as your own contractor to construct a new home or make a substantial iWjJlovementto an existing structure, you can prevent many problems by being aware of. the following responsibilities and concerns. Employer Responsibilities You will, in most inst~nces, be ruled to be an "employer" and the contractors you. contract wi1)1 will qe "employees" if you us~ contractors not licensed with the Construction Contractors Boa:r:d 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: 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 'tactuaUy withhold the tax from your employees. For more information, call the Departfnent 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, can 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.oLus/formsuav,html1 for the appropriate forms. I 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 th~ Workers' Compensation Division at the Department of C6nsumerand Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold:federalincome 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, can the IRS at 1-800-829-4933 oi-visit their web site at www-irs.gov. .espon~ibilities, and Areas of Concerns . I Code Compliance: As the holder for this project, you are responsible for resolving any failure to meet code requirements ~hat may brought t~ your attention through inspe?tions. Liability and insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, over spray, water damage from pipe punctures, fire or that must be redone. \ ' Time: Make sure you sufficient time to supervise your employees. , Make sure you and Hnish trades, and to to act as your' own contractor, to coordinate the building officials as the appropriate times so they can of Construction Contractors (503-378-4621) or at Property _ owner.doc 06-0 i -04