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Home My WebLink AboutPermit Building 2006-8-18 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: .COM2006-00899 ISSUED: 08/18/2006 APPLIED: 07/18/2006 EXPIRES: 02/18/2007 VALUE: $ 35,244.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6940 C ST ASSESSOR'S PARCEL NO.: 1702353200202 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: SCOTT & RACHAEL ALLEN Address: 6940 C ST SPRINGFIELD OR 97478 Phone Number: 541-726-6020 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Plumbing Contractor OWNER . OWNER OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Iw',t r"o/ ' ".... -. 'Ires VOl' 'r. J ....:; v,.~-. BUILDING INFORMATION I~~':>/ rhose rules ~~on Utility V'-'0v. 'ruu r. . v~ ',0 through n ~ ,e Set forth # of Stories: C&lling th I 'clY Obi"atnlcoPi~Qt Siie~ 952-001_ Height of Stfl!.l,'ft!!ler f e CentEl!5.~OJote S~ Jilt iIs?Flo'Q~; by t' Or th,..~ . !dCl tGIr. . Type of Heat: or~(J Air':;~lec.t!jiSn UtS~Ff :2nU)}H.o.9~: Gente . ~I ~I r'~' Water Type: TiS 1-800-33' _, ,f!,-aa.Se.mCf~JH Range Type: q'FH;;.arage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: n/a Occupant Load: 356 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 22.00 10.00 I PUBLIC IMPROVEMENTS. Street Improvements: \ NU I ,CL S~itlt\Ylili~.lr THE WORK Fully Improved 1HIS PERM\1 nr- c IEBM\T IS NOT Curbside 5' Storm Sewer Available: Yes AUTHORIZED Utib'~JJi\~/E6~~ FOR Curb and Gutter Special Instruction: COMMENCED OR IS ABAND , I\.J\lV 180 DAY PERIOD. Notes: Storm drainage piped to curb face (weep hole) 07/24/061~JS . .' , Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00899 ISSUED: 08/18/2006 APPLIED: 07/18/2006 EXPIRES: 02/18/2007 VALUE: $ 35,244.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' I Valuation Description '1 Dwelline:s V Wood Frame $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 356.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $35,244.00 $35,244.00 07/18/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $187.69 7/18/06 1200600000000001080 -Mechanical Issuance Fee- $10.00 8/18/06 1200600000000001286 + 10% Administrative Fee $39.66 8/18/06 1200600000000001286 + 8% State Surcharge $30.30 8/18/06 1200600000000001286 Building Permit $288.75 8/18/06 1200600000000001286 Fire SF Fee - Residential $17.80 8/18/06 1200600000000001286 Miscellaneous Mechanical $45.00 8/18/06 1200600000000001286 Plan Review Minor - Planning $112.00 8/18/06 1200600000000001286 SDC Sanitary/Storm Admin $8.96 8/18/06 1200600000000001286 Storm Drainage Impervious Area $179.22 8/18/06 1200600000000001286 Storm Sewer - 1st 50 Feet $45.00 8/18/06 1200600000000001286 Total Amount Paid $964.38 I Plan Reviews I Initial Review 07/19/2006 07/19/2006 APP LLH Plan nine: Review 07/19/2006 08/03/2006 APP TAJ Public Works Review 07/19/2006 07/24/2006 APP CJS Storm drainage piped to curb face (weep hole) 07/24/06 CJS Public Works Review 08/18/2006 08/18/2006 APP JLP Met w/David B & owner at counter. Corrected sq ft. & SDC fees.JLP Structural Review 07/19/2006 08/17/2006 APP RWC 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. ~eQuiredJnsDections 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. Pae:e 2 of3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2006-00899 ISSUED: 08/18/2006 APPLIED: 07/18/2006 EXPIRES: 02/18/2007 VALUE: $ 35,244.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 times during co ti'uction. E--/y-O 6 , U~ - r "- Owner or Contractors Signature Date Pat!e 3 of 3 '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 ,>f$,......,_"'~, Pennit#:(_O(;fAz.dt~- (:) 0 3'99 Address: b ?lto C s \- ~ Date: ~/;8hb / / Issued by: Statement: Infolll ~ation Notice to Property Owners About Construction Responsibilities. Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can'be issued. Thi$ 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 I and 2, and either box 3A or 3B: kl. ~. I own, reside in, or will reside. in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. D 3A. My ge!leral contractor is (Name) (CCB #) 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. 1Ad1/2c- ------- (Signatur~ ofpemiitapplicant) ~..-IJ--Q 6 (Date) . (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 AdihlL~S \o1J._r Own General Contracto~? .' '-INFORMATION N'OTICE TO PROPERTY OWNERS , \ . ABOUT CONSTRUCTIO~ RESPONSIBILITIES 'l., 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 own contractor to construct a new home or make a substantial ilUp.ovement to an existing structure, you can prevent many problems by being aware of. the following responsibilities and concerns. . Employer Responsibilities ., ~ .,....:.~ . \ ~ You win;, in most instances, be. ruled to be an "employer" and the contractors you contract with willl?e "employees" if you use contracto.rs not licensed with the Construction Contractors Board t9 do labo~ in constructing or to assist in the construction or ilUp.ovement of a residential structure. ASJhe employer, you ,!llust 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 inforniation; cali tlie Department of Revenue at 503':378-4988. ..) '. :, . " " " Unemployment Insurance Tax: As an employer;'yo'u are required to pay a tax for unemployinent insurance purposes...... on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. .- . . --.-; ~ . . The Oregon Business Identification Number (BIN) is a combil1~d !}umber 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 cou~d be subjeCt to penalties arid be liable for aU'claim costs if one 'of your employees is injured. on the . job. For more information, call the Workers' Compensation Division at the'Department o(Consumer and Business Services at 503-947-7815. V.S; Internal Revenue Service: As an employer, you must withhold federal incom(:-!ax'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 visit their web site at w\vw.irs.l!ov~ ::. OtberResponsibilities ,and Areaso.f Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements th~t may be brought to your ~ttention through inspections. Liability and Property Damage irisurance:' Conta'ct your insurance' agent" to ~ee 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. " :,) \. ' i.' ", .~">.,..:. " , ,- Time:, Make sure you ha~e sufficient time to supervisle your employees. E~pertise: Make sure you have the skills to a~f as y~u/ own' general contractor, to ~ooidi.nat~ the work of rough-In and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, QR 97309-5052. Property_owner.doc 06-01-04 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS L..S..TORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE I 534.00 $0.336 = $179.22 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I 0.00 I $0.336 I 50% = L , ITEM ITOTAL - STORM DRAINAGE SDC '$179.22 2, SAlliIARY SEWER - \,IIY. . A. REIMBURSEMENT COST: I NUMBER OF DFU's x. I 0 B. IMPROVEMENT COST: NUMBER OF DFU's x o CITY OF S~RINGFIELD SYSTEMS DEVELOPMENI~oRKSHEET COM 2006-00899 Scott & Rachael Allen 6940 C St. 1702353200202 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF: 534 LOT SIZE (SF): '0 VJ P-l Cl o U p::: P-l f-< VJ G P-l p::: DISCOUNT $0.00 $179.22 1070 COST PER DFU $26.03 $0.00 1091 $19.79 $0.00 1092 = , I 1 TR~PORTill.QN ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 A. REIMBURSEMENT COST: ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 9.57 0 I $19.81 I 1.00 $0.00 1093 B. IMPROVEMENT COST: I ADT TRIP RATE' x NUMBER OF UNITS x I COST PER TRIP x NEW TRIP FACTOR I 9.57 0 I $87.39 1.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORT A TION SDC = , $0.00 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x ICOST PER FEU 0 , $82.03 = I $0.00 1054 B. IMPROVEMENT COST: NUMBEROFFEU's x ICOST PER FEU 0 I $865.31 = $0.00 1055 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054 I MWMC ADMINISTRATIVE FEE $0.00 j 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 SUBTOT AL (ADD ITEMS 1, 2,3, & 4) . = , $179.22 ] 5 ADMINISTRATIVE FEE' SUBTOTAL x I ADM. FEE RATE I CHARGE I $ 179.22 j , 5% I $8.96 TOTAL SANITARY ADMINISTRATION FEE: 8.96 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: 8/22/2006 ' TOTAL SDC CHARGES $0.00 1078 I $188.18 I .".-__J J ~ff Prociw PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULA TE ONL Y THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS IBATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 "EDU (Equivalent Dwelling Unit) is a discharge equiyalent to a single family dwelling unit (20 D~.U's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$I ,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 II 2 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 1979 2 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =, $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0:00 x $5.29 = I o TOTAL MWMC CREDIT $0.00 = 225 Fifth Street Springfi~la, Oregon 97477 541-726-3759 Phone (':...., of Springfield Official Receipt ... dopment Services Department Public Works Department Job/Journal Number COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 COM2006-00899 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000001286 Date: 08/18/2006 Description Fire SF Fee - Residential Plan Review Minor - Planning Building Permit Storm Sewer - 1st 50 Feet Miscellaneous Mechanical ~Mechanicallssuance Fee- + 8% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Paid By SCOTT ALLEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 569 In Person Payment Total: Page I of 1 9:27:00AM Amount Due 17.80 112.00 288.75 45.00 45.00 10.00 30.30 39.66 179.22 8.96 $776.69 Amount Paid $776.69 $776.69 8/1 8/2006