HomeMy WebLinkAboutPermit Building 2007-8-6 (3)
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-0II54
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 02/06/2008
VALUE: $ 26,265.00
Status
Issued
SITE ADDRESS: 817 RIVER KNOLL WAY
ASSESSOR'S PARCEL NO.: 1703234311600
SPRING FIE TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: OWNER UNKNOWN
Address: 125 E 8TH AVE
EUGENE OR 97401
, CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
WIZARD ELECTRIC LLC
MARSHALLS INC
R J PLUMBING INC
License
Expiration Date
Phone
152766
25790
158500
09/05/2008
12123/2009
01/30/2008
54 I -484-5200
541-747-7445
541-521-1389
BUILDING INFORMATION I
Notes: '
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Ene.rg.:,,~~.
SPIJI\'tl"'! 109:
""~"(\ .c..
I DJr..W<~~;ll\~FORMATlON I
. *'~\,\, e:,\~~ ~~~V-
~fiV~. ~~ C;; ~~~~ ~'O~verlay Dist:
~~ 'l~ffI G..~ ~~ ,to ~ # Street Trees Rqd:
,\~fQ ~~~ ~~~ ~~f\j. Paved Drive Rqd:
~~ ~~~...~ ~ % of Lot Coverage:
~~~ \<@,lI\l
~{l,
, I PUBLIC IMPROVEMEl'(I'Sj' i ~ ~ ~
~Ii~'vuioo 'OdO=iti~81~ 1nII~
NotiflcatlonC0ntG1. ~Ill.!~.~~~
111 OAR e52.Ql)1.co10<<tl}(!'Bll\~1o
Clllro. voumav~~ <<l'JiOO~~
calRng ii'lo ~ii'lG1. (NCOO: ~ ~O~
oom!lol' 1'01 fuo OrogCl'l WIRy NmPlY'<lI~
@onicr!D 1~~'~b. .
R-3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
REQUIRED PARKING
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
16.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Paee I of3
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. LIlY OF SPRn~'--t<1J!,LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01154
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 02/0612008
VALUE: $ 26,265.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
I VaIu;,~ion DescriotionJ
Description
Dwellines
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
255.00
Value
Date Calculated
Total Value of Project
$26,265.00
$26,265.00
08/06/2007
L.Fpp< PIi.\U
Fee Description Amount Paid Date Paid Receipt Number
-Mecb Iss 2+ Appliances- $40,00 8/6/07 2200700000000001246
+ 10% Administrative Fee $35,62 8/6/07 2200700000000001246
+ 5% Technology Fee $17.81 8/6/07 2200700000000001246
+ 8% State Surcharge $28.50 8/6/07 2200700000000001246
Building Permit $260.22 8/6/07 2200700000000001246
Dryer Vent $7.00 8/6/07 2200700000000001246
Fixture $32.00 8/6/07 2200700000000001246
Gas Outlets 1-4 $5,00 8/6/07 2200700000000001246
Miscellaneous Mechanical $45,00 8/6/07 2200700000000001246
Plan Review Residential $169.14 8/6/07 2200700000000001246
Sanitary Sewer - Improvement $40,81 8/6/07 2200700000000001246
Sanitary Sewer - Reimbursement $53.67 8/6/07 2200700000000001246
SDC Sanitary/Storm Admin $4,72 8/6/07 2200700000000001246
Vent Fan $7,00 8/6/07 2200700000000001246
Total Amount Paid $746,49
I Plan Reviews I
Planoin!! Review 08/06/2007 08/06/2007 APP EMM
Public Works Review 08/06/2007 08/06/2007 APP BRC Adding one new sink, No new
impervious surface, BC
Structural Review 08/06/2007 08/06/2007 APP DLM See documents for plan review
comments
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.
~ In~.nections I
Footing: After trenches are excavated.
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheathing with finish materials,
Paee 2 00
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01154
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 02106/2008
VALUE: $ 26,265.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Final Building: After all required inspections have been requested and approved and tbe building is complete.
Rough Plumbing: Prior to cover and including required testing,
Final Plumbing: When all plumbing work is complete,
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas 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 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 tblifOiily' conti-setors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree t {~sure that all, re~uired inspections are requested at the proper time, that each address is readable from the
street, that the ermit card is I"cited at the front of the property, and the approved set of plans will remain on the site at all
,
times during Cl structio , /.
j
....cB.Cfa07
Date J
J'--.-
-Owner or Contractors Signature
Paee 3 of3
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Permit #: Q1}Z.( 2' 7 - () / I {;" f
_. 12,/7 A~,(;:i~~)'J['
Issued by: -:{::1>tf Date: ~ '6/0 7
,
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, ,
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
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. This statement will befiled with the permit.
Fill in the app.up.;ate blanks and initial boxes 1 and 2, and either box 3A or 3B:
~l.
~2.
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.
o 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
~ 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 certiy't -at the::~o::J:formation is correct and that I have read and do understand the Information
Notice to Pr pe own? t Construction Responsibilities on the reverse side of this form.
;G/
(")~I
~gnature of permit applicant) (Dat4)
(White copy to issuing agency permit file, pink copy to applicant.)
r.~t'_.:Lowner.doc 06-01-04
A~rrnnn~ ~~ 1(4!1lllIr (Q)wnn CGtennteIr~n CC~rrIr~~rr@Ir1
. INFORMATION NOTiCE TO PROPERTY OWNERS
Aa.~uT .CONSTRUCTION RESPONSIBILITIES
.
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 improvement to an existing
structure, you can prevent many problems by being aware of the following responsibilities and concerns.
lEmjpnoyell" Re5jpOrrn5nllllnnn~ne5
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will 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:
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 information, call the Department 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, call the Oregon Employment Department at 503-947-1488.
,
The Oregon Business Identification Nuinber (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.or.us/formsoav.htmll for the
app~....t-'&:ate 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, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 503-947-7815.
U.S. Intemal 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 ,~sit their web site at www.jrs.gov.
(()1tllneII" 1Re51P'~1ID5Ji!bilinn~fie5 2l1IDil!l AII"e215 ~1f C~Ire~eII"IID5
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections.
Liability and Property Damage linsurance: 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 you have the skills to act as your own general contractor, to coordinate 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, OR 97309-5052.
Property_owner.doc 06-01-04
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN~ORKSHEET
JOURNAL OR JOB NUMBER: COM2007-01154
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
817 River Knoll Wav
17-03-23-43 11600
Addition to SFR
o
BUILDING SIZE (SF:
o
LOT SIZE (SF):
10019
,,-
,I ~
ICl
10
u
II ~
rn
6
[lJ
P:::
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, I CHARGE
'0,00 S0.346 = , $0,00 ,
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 S0.346 , 50% ~ [
ITEM I TOTAL-STORM DRAINAGESDC 'SO.OO
2 SANITARY SEWER - CITY
DISCOUNT
$0,00
SO.OO
1070
A. REIMBURSEMENT COST:
! NUMBER OF DFU's I x
I 2
B. IMPROVEMENT COST:
I NUMBER20F DFU's I x COST PER DFU
S20,40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
S26,83
$53,67
1091
~ ,
$40.81
1092
= ,
S94.47
1 TRANSPORTATION
A. REIMBURSEMENT COST: 11093
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRlP F ACTORI
9.57 I 0 20.43 I 1.00 I SO.OO
B. IMPROVEMENT COST: I
I ADTTRIP RATE I x , NUMBER OF UNITS I x I COST PER TRlP x 'NEW TRlP FACTORI
9.57 I 0 S90, 10 I 1.00 SO.OO 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , SO.OO
4, SANITARY SEWER - MWM~
A. REIMBURSEMENT COST:
[NUMBER OF FEU's I x ICOST PER FEU
, 0 , S91.61 = SO.OO I 1054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
, 0 I S961.52 = SO.OO 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO,OO I 1054
MWMC ADMINISTRATIVE FEE SO.OO 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 SO.OO I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 S94.47 I
5, ADMIN1STRATIVE FEE:
\SUBTOTAL x I ADM, FEE RATE 1= CHARGE
,
, S94.47 I 5% , $4.72
TOTAL SANITARY ADMINISTRATION FEE: 1 4,72 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: I SO.OO [ 1078
Billy Curtiss 8/u/'ZMl TOTAL SDC CHARGES =1 $99.19
PREPARED BY DATE
. . , .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FlXl1JRE UNITS II
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTIJRES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 = 0
IDRlNKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
ILAUNDRYTUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP P PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG/WATER STATION /ETC, 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
WHOWER. SINGLE STALL 0 0 2 = 0
SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCi~L/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA TION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 2
~EDU (Equivalent Dwellinl!; Unit) is a di.scharRe equivalent to a single family d~Uim!; unit (20 DFU's) set at 167 Jtallons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO II
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5,29 (Enter I for Yes, 2 for No)
1979 $5,29 IS IMPROVEMENT,ELGIBLE FOR ANNEX, CREDIT? 2
1980 $5,19 (Enter I for Yes, 2 for No)
1981 $5,12 BASE YEAR 1998
1982 $4,98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4,63 VALUE / 1000 CREOIT RATE
1985 $4,40 $0,00 x $0,48 ~, $0,00
1986 $4,07
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3,22 VALUE / 1000 CREDIT RATE
1989 $2.73 $0,00 x $0.48 ~ , 0
1990 $2,25
t991 $1.80
t992 $1.59 TOTAL MWMC CREDIT = $0.00 I
1993 $1.45
199. $1.25 I
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0,09
2001 $0.05
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225.Fiftb s.treet
, ,
SprIngfield, Oregon 97477
541-726-3759 Pbone
Job/Journal Number
COM2007-01154
COM2007-01154
COM2007-0 1154
COM2007-01 154
COM2007-0 1154
COM2007-0 1154
COM2007-01154
COM2007-01154
COM2007-0 1154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Plan Review Residential
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Dryer Vent
Gas Outlets 1-4
Vent Fan
-Mech Iss 2+ Appliances-
Miscellaneous Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GORON GILL
~~
_ of Springfield Official Receipt
'ftIl!It:elopment Services Department
Public Works Department
2200700000000001246
Date: 08/06/2007
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
djb 01516A In Person
Payment Total:
Page I of I
3:1I:16PM
Amount Due
169,14
53,67
40,81
4,72
260,22
32,00
7,00
5,00
7,00
40,00
45.00
17,81
28,50
35,62
$746.49
Amount Paid
$746.49
$746.49
8/6/2007