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Home My WebLink AboutPermit Building 2007-7-16 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01045 ISSUED: 07/16/2007 APPLIED: 07/16/2007 EXPIRES: 01/16/2008 VALUE: $ 6,980.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 820 F ST ASSESSOR'S PARCEL NO.: 1703351211700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Laundry room addition Owner: DAVID RIDER Address: PO BOX 130 ELMIRA OR 97437 Phone Number: 541-935-4242 I CONTRACTOR INFORMATION I Contractor Type General Plumbing Contractor OWNER GARY'S ROOTER SERVICE License Expiration Date Phone 129990 06/24/2008 BUILDING INFORMATION I VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: 12.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: 58 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 106 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I NOTICE: ORK HIS PERMIT SHAlt EXPIRE IF THE W IUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. &i~([j~~ law requires you to ~ow rule.. ed~ by the Oregon Utility Y ~~ i ~8H~5fhose rules are set forth Storm runof~ from addItIOn to splash block or s~hed rM AR 952-001-0010 through OAR 952"()()1- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center 111-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pae:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01045 ISSUED: 07/16/2007 APPLIED: 07/16/2007 EXPIRES: 0111612008 VALUE: $ 6,980.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I DwelJin2s Patio/Porch Tvpe of Construction V Wood Frame Use Bid Amount $ Per Sq Ft or multiplier $103.00 $1.00 Square Footage or Bid Amount 60.00 800.00 Value Date Calculated Description Total Value of Project $6,180.00 $800.00 $6,980.00 07/16/2007 07/16/2007 ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $20.00 7/16/07 1200700000000000919 + 10% Administrative Fee $19.59 7/16/07 1200700000000000919 + 5% Technology Fee $15.45 7/16/07 1200700000000000919 + 8% State Surcharge $15.43 7/16/07 1200700000000000919 Building Permit $92.90 7/16/07 1200700000000000919 Dryer Vent $7.00 7/16/07 1200700000000000919 Fire SF Fee - Residential $2.95 7/16/07 1200700000000000919 Fixture $16.00 7/16/07 1200700000000000919 Minimum/Adjustment Mechanical $36.00 7/16/07 1200700000000000919 Minimum/Adjustment Plumbing $34.00 7/16/07 1200700000000000919 Plan Review Minor - Planning $116.00 7/16/07 1200700000000000919 Plan Review Residential $60.39 7/16/07 1200700000000000916 SDC Sanitary/Storm Admin $0.69 7/16/07 1200700000000000919 Storm Drainage Impervious Area $13.84 7/16/07 1200700000000000919 Vent Fan $7.00 7/16/07 1200700000000000919 Total Amount Paid $457.24 I Plan Reviews I Plannin2 Review 07/1612007 07/1612007 APP KMG Planning review/historic review approved by Kitti gale. Storm drainage from 6 X 9 foot addition to drain to splash block or shed roof. Existing house drains to splash blocks. Washer and dryer are relocated from existing house, thus no new SDC charges were collected. 7/16/07 MS Apaproved as noted on plans Public Works Review 07/1612007 07/16/2007 APP MS Structural Review 07/1612007 07/17/2007 APP DLM Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01045 ISSUED: 07/16/2007 APPLIED: 07/16/2007 EXPIRES: 01/16/2008 .vALUE: $ 6,980.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Reouired Insnections I 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. 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 Hm~};::i~ Owner or Contractors Signature It, d~ / / &7 Date Pa!!:e 3 of3 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 Penmt#: COM2007-01045 Address: 820 F STREET Issued by: David B. Date: 7-16-2007 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 state!11ent. This statement will be file~ with the pern:it. . . . Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A6r 3B: ~i... ~2. I own, reside in, or will reside iil the completed structure. . I understand. that! must become licensed as a construction contractor if the 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 wl10 work on the structure must be . licensed with the Construction Contractors Board. OR ~ 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 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. Notice to Property Owners-about Construction Responsibilities on the:reverse side of this form. . fl~~:b . . 70 tJ"luo? (Signature o.fpennit applicant) I (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 Acting as'V'our'Own ., .. ~, . t . .....~ , ,'" INFORMATION NOTICE TO PROPERTY OWNERS ABOUT .CONStRUCTION RESPONSIBILITIES'. Contractor? 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 ovvn contractor to constiuct 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. Employer You will, in most instances,.be ru.1~d to be an you use contractors not licensed with the Constru~tion construction or improvement of a residential . As contractors you contract with will be "employees" if . Board to. do labor in constructing or to assist in the . you must comply with the following: . Oregon's Witbholding l..aw: As an. e~ploye~; employees are paid. You will be liable for the tax employees. For more information, call the income taxes from employee wages at the tlme even you don't actually withhold the tax from your . at 503-378-4988. Unemployment Tax: As an employer; are required t6 pay a.tax for unemployment insurance purposes~ on the wages of aU employees. For more information, call Employment Department at 503-947-1488. .'="-- The Oregon Business Identification Number (BIN) Unemployment Insurance Tax. To file for a BIN, . appropriate forms. is a combined number for both Ol:egon.Withholding and 503-945-8091 or \'Vww.dor.state.or.us/formsoav.htmll for the "to the Oregon Workers' Compensation Law, If you fail.to obtain workers' compensation c1aimco"sts if one ofyout employees" is injured on the atith~ Department of Consumer and Business Workers' Insurance: As an employer, you and must obtain workers' .compensation insurance, you subject to penalties and be liable'for job. For more can the Workers' Services at 503-947-7815. u.s. Service: As an employer, you must withhold federal income tax fromempldyees'wages:..:...... You will be liable the tax payment even if you withhold the tax. For a Federal EIN number, call the IRS at 1-800-8294933 or visit'theii web site-at". . .,' ' ..: .Otber Concerns Code Compliance: As the permit holder for this requireme!lts that may be brought to your: you are . . . for resolving any failure to meet code Liability coverage work that must Insurance: and omissions such as to see if you have. adequate insurance water damage from pipe punctures, fire or , . , . \- . ~ \. sure you have sufficient time to your sure you have the skills to act as your own to notify building officials as contraCtor, to coordimlte the work of rough-in times so they can perfoml the required inspections. questions call the Consmlction 97309-5052. 06-01-04 (503-3784621) or write the agency at PO -CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER:. C0M2007-01045 NAME OR COMPANY: Dave Rider LOCATION: ~20 F Street TAX LOT NUMBER: 17033512 TL1l700 DEVELOPMENT TYPE: Addition to SFR NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): o I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 0.00 I $0.346 I = $0.00 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. x DISCOUNT RATE I 80.00 I $0.346 50% ITEM 1 TOTAL - STORM DRAINAGE SDC $13.84 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's x I 0 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I DISCOUNT $13.84 $13.84 COST PER DFU $26.83 COST PER DFU $20.40 = , $0.00 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A REIMBURSEMENT COST: I ADTTRIPRATE x I 9.57 B. IMPROVEMENT COST: I ADT TRIP RATE x I 9.57 I NUMBER OF UNITS I x I I 0 I I I x NEW TRIP FACTOR I 1.00 COST PER TRIP 20.43 I NUMBER OF UNITS I 0 x I_s,,--COSTPER)~ I $90.10 = , $0.00 x NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER- MWMC A REIMBURSEMENT COST: INUMBER OF FEU's I x. I 0 I B. IMPROVEMENT COST: NUMBER OF FEU's x o $0.00 $0.00 $0.00 $0.00 (' ICOST PER FEU I $91.61 ICOST PER FEU I $961.52 MWMCCREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4). = , $13.84 5. ADMINISTRATIVE FEE: Matt Stouder PREPARED BY = , $0.00 = , $0.00 , $0.00 , $0.00 r:/) ~ Q o u ~ ~ r:/) >-< o ~ 11070 :: 1091 ! 1092 11093 1094 1054 1055 1054 1056 CHARGE $0.69 ISUBTOTAL x ADM. FEE RATE I $13.84 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SDC CHARGES. DATE 0.69 $0.00 =1 $14.53 ._ ~..._ ~...._ ,.~_ k_ '._'_ -,_. -- -_.. 1079 1078 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001. CREDIT RATE/$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 q . $0.09 $0.05 o IS LANDELGIBLE 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 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = o 1979 $0.00 o $0.00 225 Fifth Street SpringUeld, 'oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01045 COM2007-0 1 045 COM2007-0l045 COM2007-0l045 COM2007-0l045 COM2007-0l045 COM2007-01045 COM2007-01045 COM2007-0l045 COM2007 -0 I 045 COM2007-0l045 COM2007-01045 COM2007-0l045 COM2007-01045 Payments: Type of Payment Check cReceint I RECEIPT #: 1200700000000000919 Date: 07/16/2007 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture Minimum/Adjustment Plumbing Dryer Vent Vent Fan Minimum/Adjustment Mechanical Fire SF Fee - Residential Plan Review Minor - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Paid By DA VID RIDER CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5095 ln Person Payment Total: Page 1 of 1 IO:32:20AM Amount Due 13.84 0.69 92.90 16.00 34.00 7.00 7.00 36.00 2.95 ll6.00 15.45 15.43 19.59 20.00 $396.85 Amount Paid $396.85 $396.85 7/16/2007 July 18th, 2007 David Rider PO BOX 130. Elmira, Oregon 97437 Enclosed is a form from the State of Oregon Construction Contractors Board that we neglected to have you complete and sign when you obtained your permits on July 16th, 2007 for the improvements to your residence at 820 F Street, Springfield, Oregon. Please fill in the appropriate "boxes" and sign and date the form. Please keep the pink copy for your records and return the white original form to me in the enclosed self stamped envelope at your earliest convenience. Thank you, and if you h~ve any questions, please feel free to phone me at 726-3753. (' ."-..... S incere4(, <:=~ ~) ./xach:1Cio ---rPdO . , cOClmunitY Services Division En~ 225 FIFTH STREET SPRINGFIELD, OR 97477 . (541) 726-3753 FAX (541) 726-3689 www.ci. springfield. or us