HomeMy WebLinkAboutPermit Building 2007-7-26
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00936
ISSUED: 07/26/2007
APPLIED: 06/25/2007
EXPIRES: 01/26/2008
VALUE: $ 64,272.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 635 NIGHTHAWK LN
ASSESSOR'S PARCEL NO.: 1703274203400
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition over existing garage
Owner: PAM LUNYOU
Address: 635 NIGHTHAWK LN
SPRINGFIELD OR 97477
Phone Number: 541-463-7906
I CONTRACTOR INFORMA nON I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 Height of Structure:
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: Energy Path: Path 1
AI I cNTION: Oregon law requlrJ96~.~d Building: n/a
fOt1OW rules aaopl8o oy '\~. " l..
Notification Center. Those M 1 INFORMA nON,
In OAR 952-001-0010 through OAR 952-00 -
Frontyard SetbSOSP. You may obtain copies ofthIM-P})ist:
Side 1 Setback: calling the center. (Note:.~e tel. fRe~ Trees Rqd:
Side 2 Setback: number for the Oregon UtIlIty No ~9'l9rive Rqd:
Rearyard Setback: Center 111-800-332-2344)% of Lot Coverage:
Solar Setbacks:
2
22.50
Wall Heat
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: 624
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Gravel
No
Sidewalk Type:
Downspouts/Drains:
Notes: Stormwater directed to existing eaves.
NOTICE:
THIS PERMIT SHALL EXPIRE 1f THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00936
ISSUED: 07/26/2007
APPLIED: 06/25/2007
EXPIRES: 01/26/2008
VALUE: $ 64,272.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriution I
Dwellinl!s
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
624.00
Value
Date Calculated
Description
Total Value of Project
$64,272.00
$64,272.00
06/25/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $278.95 6/25/07 2200700000000001018
-Mechanical Issuance Fee- $10.00 7/26/07 1200700000000000964
+ 10% Administrative Fee $64.44 7/26/07 1200700000000000964
+ 5% Technology Fee $30.66 7/26/07 1200700000000000964
+ 8% State Surcharge $49.05 7/26/07 1200700000000000964
Add, Alter, Extend Circ $43.00 7/26/07 1200700000000000964
Add, Alter, Extend Circ Ea Add $9.00 7/26/07 1200700000000000964
Building Permit $429.15 7/26/07 1200700000000000964
Fire SF Fee - Residential $31.20 7/26/07 1200700000000000964
Fixture $42.00 7/26/07 1200700000000000964
Minimum/Adjustment Mechanical $39.00 7/26/07 1200700000000000964
Sanitary Sewer - Improvement $138.53 7/26/07 1200700000000000964
Sanitary Sewer - Reimbursement $182.19 7/26/07 1200700000000000964
SDC Sanitary/Storm Admin $28.25 7/26/07 1200700000000000964
Storm Drainage Impervious Area $244.33 7/26/07 1200700000000000964
Storm Sewer - 1st 50 Feet $45.00 7/26/07 1200700000000000964
Vent Fan $6.00 7/26/07 1200700000000000964
Total Amount Paid $1,670.75
I Plan Reviews I
Initial Review 06/26/2007 06/26/2007 APP LLH
Planninl! Review 06/26/2007 06/28/2007 APP TAJ No Planning issues
Public Works Review 06/26/2007 06/27/2007 APP TSS Stormwater directed to existing
eaves.
Structural Review 06/26/2007 07/13/2007 10 LLH Forwarded to the Building
Department for review.
Structural Review 07/13/2007 07/18/2007 APP LLH Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield,
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.
Pal!e 2 of 3
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00936
ISSUED: 07/26/2007
APPLIED: 06/25/2007
EXPIRES: 01/26/2008
VALUE: $ 64,272.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Reouired Insoections I
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.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
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.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building 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.
~~r2~
.w:- ~____
Owner or Contractors Signature
?r;26~cJ '7
Date
Paj!e 3 of 3
225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PE/VWT ~!l.L.'C C1ATION
City Job Number ~ '} \", ~~
1. \$!)OF,IN~~
LEGAf .A~SC!t'l\~ 'l}, rr-..
\~ \D?J~ ~ ~ 1- O~A)
1\1{' _DESC~~ " n \ ,\ 01\' ·
\JllJ\do~ \\ \LU. ~~IJJ.;)
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Sus ended for 180 days.
2.
ONTRACTOR INSTALLATION ONLY
Address
City
\
.. ."
.I --" ,L.",")
Date
3.
COMPLETE FEE SCHEDULE BELOW
~~lAL-WW~k\ _
DATE { \.\ ..(7 F/
SOURCE ~ 'V'?
-j
A. New Residential- Single or Multi-Family per dwelling unit.
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
$117.00
$ 21.00
$55.00
B. Services or Feeders - Installation, Alterations or Relocation:
"II 200 Amps or less
// 201 Amps to 400 Amps
401 Amps to 600 Amps
, 60 h~s to 1000 Amps
:Bllone ;:;,-.-\d ~~"t\f~~\\~ AmpsNolts
~N1\01t Of~ d b'~ \he 0199 ~~nly
"\\~ tU\e~ ad?:;t "thOse t ..0:::,\...
Supervisor License N mbP ~,f.C9.\\On C6~'tY'''l;(')'.hfOU. 1 ~y Services or Feeders
/ ~o;..J,\t1. 95Z-UU' ~."6\f\ COP\~S 0 ~i!\\evr~c'l"~
~ .....,..,' 11" Oil"" ~ ' ~t\6 v ,~\r.1n
Expiration Date /' ",I'> 'IOU tn" '"~.. 'H(lle, ~ ~,lD_UaftWrf, Alteration or Relocation
ii.1"'U~ , ":. ~1{'I.~Yft06 \ .,. I': 'lO;
, cali\ng \; the r.~e ,~~'Amps or less
umber ~ ~~Ii'\\et' \I '\ 201 Amps to 400 Amps
~ 401 Amps to 600 Amps
Expiratio Date
. Over 600 Amps or 1000 Volts see "B" above.
re of Supervising Electrician D. Branch Circuits
New ~te~ation or Extension Per Panel I ~~ AJl. c:;[J
~~~ \$~~:).
/) _ ' ./ ~ \ . Each Additional Circuit or with...-:z.. 7l au
{-"ce/,./ I -f ! /' "^ m Service or Feeder Permit .. . J $ J1? ~ .
Owners N,m~ ~_, _\, '3~
Address uI"6 V::J }..J \(X " ~~ V E. Miscellaneous (Service/feeder not included) -Each Installation
City ~\." ~[A f.11J JPil)~ "\\0 t>.lq~mp or irrigation $ 55.00
-\ \~ Sign/Outline Lighting $ 55.00
OWNER INSTALLATION Limited Energy/Residential $ 28.00
The installation is being made on property I own which Limited Energy/Commercial $ 50.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + surc~ar es :
4. SUBTOTAL OF ABOVE H' .
Ow.ners Signature: .4 ~ ~ ~
~~<"" ~ :Y~ ~l
./"~____ ..---"C'~ __.-::-.......---;7_--- ____ 8% State Surcharge . n
,. - ~-,~ /~ -- 10% Administrative Fee c;:..,.1.....t2.
5% Technology Fee f.ld)
SHAUr~"~1R,t IF . VJCfU{ ., \,,~ 0 \--1/
U THiS ~~T(m/'~t1rg Fonns/Electncal Penrut ~n '7-07.~oc
Inspection Request: 726-3769
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55,00
$ 55.00
$ 76.00
$110.00
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 #: CoM z..o-o -, - C) C 93.6
Address: b 3. S- M~ M +-. 11 ,A-tNt:- L At
-:bI\ Date: 7/Z6~ '7
I ,,-
Issued by: .
.' Statement: Information Notice to Property Owners
About Construction Responsibilities - .
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare 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. Thif statement will be filed with the.permit.
. :Fill in'the appropriate blanks'and initial boxes 1 and 2, and either box 3A or- 3B: . .
.~. 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 g~neral 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 .
PB. I will be my own general contractor.
If I hire subcoritractoi-s~ I will hire only subcontractors licensed with the Construction Contractors
Board. 1fT 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 RespoJ.1sibilities on the reverse side of this form.
~~~ '\. /?--2/.!7")--;'
~ ~ ~iUre of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property ~ owner. doc 06-01-04
J
Acti'ng' ~ts \Yo,~~~i' Own General Contra,ctor?
. ..J \ ,- .. C' , , \l' .
..; INF'ORMATION TO PROPERTY OWNERS'
ABOUT CONSTRUCrlQN RESPONSII;31L1TIES
).
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with 701.055(5), passed by the 1989 Oregon Legis/ature.
If you are acting as your own contractor to construct a new
structure, you can prevent many problems by behig aware
or a substantial iHl1JIOVcment to an existing
foHowing responsibilities and concerns.
Employer
You ,will, in most instances~ be ruled. to be an '~employer" . contractors you contract with will be "employees" if
you u'se contractors licens~d '/;'lith the Construction Contr:actors to labor in CO~$tructing or to assist in the
construction or i:mprovement of a residential ~tructure. you must comply witb tbe foUm,:ving:
. '
Oregou's . As an employer, you must
employees are paid. You will be liable for the tax
employees. For more information, caihhe
taxes from employee wages at the time
even you don't actually withhold the tax from your
at 503-378-4988. :
Unemployment
on the wages
Tax: As an employer,
employees. For more information,
to pay a tax'for unemployment insutance purposes '..~.
Employment Department at 503-947-1488.
., ':.>
The Business Identification Number (BIN) is a
Unemployment Insurance Tax. To file for a BIN, call
: appropriate
number for both .oregon Withholding and ".,
. ." - - ... '.."
or \v'\vw.dor.state.or.us/formspav.htmll for the
Insurance: As an employer, you are
compensation insurance for your
insurance, be subject to penalties and . Yiable '
job. more infonnation, can the Workers' Compensation
at
to the Oregon Workers' Compensation Law,
you fail to obtain workers' compensation
c1a:imcosts if one of your employees is injured on the
at Department Of Consumer and Business.
U.S. Internal Reverme Service: As an employer, you must
You will be liable tax payment even if you didn't
IRS at 1-800-829-4933 or visit their web site at
federal income tax from employees ~ wage~:
the tax. For a Federal EIN number, call the
Code Compliance: As the pem1it holder for this
requirements that brought to your attention
you are
for resolving any failure to meet code
Insurance:
and omissions such as falling
to see if you have adequate insuran~e
water damage from pipe punctures, fire or
sure you
time to
your
the skills to act as
building officials as
contractor, to coordinate the work of rough-in
so can perform the required inspections.
and
questions call the Construction
97309-5052.
06-01-04
(503-378-4621) or write the agency at PO
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
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 . 728.00 .1 $0.336 I = I $244.33 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x' DISCOUNT RATE
I 0.00 I $0.336 50%
C0M2007-00936
Pamela Lunyou
635 Nighthawk Lane
17-03-27-42-03400
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF:
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A: REIMBURSEMENT COST:
NUMBER OF DFU's x
7
$244.33
COST PER DFU
$26.03
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 7
$19.79
ITEM 2 TOTAL -' CITY SANITARY SEWER SDC
=1
$320.72
3. TRANSPORTATION '
A. REIMBURSEMENT COST:
ADT TRIP RATE x
9.57
I NUMBER OF UNITS x
I 0
COST PER TRlP
$19.81
B. IMPROVEMENT COST:
ADT TRIP.RATE x NUMBER OF UNITS x
9.57 0
COST PER TRIP
$87.39
$0.00
ITEM 3 TOTAL - TRANSPORTATION SDC
= 1
4. SANITARY SEWER - MWMC
728
LOT SIZE (SF):
DISCOUNT
$0.00
x 'NEW TRIP FACTOR'
1.00
x I NEW TRlP FACTOR
I 1.00
o
$244.33
$182.19
$138.53
$0.00
$0.00
V1
~
Cl
o
u
~
~
f-<
V1
......
c:>
~
1070
1091
1092
,.1093
1094
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLELAVATORYIRESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfjeld, .oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
Payments:
Type of Payment
Cash
Change
Job/Journal Number
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007 -00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
COM2007-00936
Payments:
Type of Payment
Cash
Change
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000000964
Date: 07/26/2007
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Storm Sewer - 1st 50 Feet
Vent Fan
Minimum/Adjustment Mechanical
. -Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DANIEL LUNYOU
DANIEL LUNYOU
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb In Person
djb In Person
Payment Total:
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Storm Sewer - 1st 50 Feet
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DANIEL LUNYOU
DANIEL LUNYOU
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
In Person
In Person
Payment Total:
Page I of I
11:20:17AM
Amount Due
31.20
244.33
182.19
138.53
28.25
429.15
42.00
45.00
6.00
39.00
10.00
43.00
9.00
30.66
49.05
64.44
$1,391.80
Amount Paid
$1,400.00
($8.20)
$1,391.80
Amount Due
31.20
244.33
182.19
138.53
28.25
429.15
42.00
45.00
6.00
39.00
10.00
43.00
9.00
30.66
49.05
64.44
$1,391.80
Amount Paid
$1,400.00
($8.20)
$1,391.80
7/26/2007