HomeMy WebLinkAboutPermit Building 2007-8-6
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01154
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 02/06/2008
VALUE: $ 26,265.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 817 RIVER KNOLL WAY
ASSESSOR'S PARCEL NO.: 1703234311600
SPRINGFIE 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
'.E9NTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
WIZARD ELECTRIC LLC
MARSHALLS INC
R J PLUMBING INC
License
Expiration Date
Phone
152766
25790
158500
09/0512008
12/23/2009
01/30/2008
541-484-5200
541-747-7445
541-521-1389
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy p~
S.. pr~t~ ing: n/a
'- ~'{\ .c.
~
~ . FORMATION'
. ~tr-.\'\' '\~, ~\)~
\tV~. ~"\ CE ~~~~ tr-.<Q~verlay Dist:
~~#f\ ~~~ (l.~~ ~~ \~ ~ # Street Trees Rqd:
'\'*~ y..(:)~ ~~~ ~~(;:j. Paved Drive Rqd:
~~""\ ~~~ ~~ ~ % of Lot Coverage:
(,(:)~ '\ r@.W
t.<'~
R-3
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
16.00
I PUBLIC IMPROVEMENT~ I 1 es you to
"'\1 I ~lm6U. egon aw requ r ..
follow rules adopted~~tift81@~ Utility
Notification Center. lQQse rules ~~ft~~~ ~C?rth
in OAR 952-001-0010ifm)8at\<e~&OO1.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-80()-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pa2e 1 of3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01154
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 02/06/2008
VALUE: $ 26,265.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellim!s
v Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
255.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$26,265.00
$26,265.00
08/06/2007
~
Fee Description Amount Paid Date Paid Receipt Number
~Mech 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 ,
.
Plauninl!: Review 08/06/2007 08/06/2007 APP EMM
Public Works Review 08/0612007 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.
~eouiredJnsDections .
Footing: After trenches are excavated.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Pa2e 2 of3
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01154
ISSUED: 08/06/2007
APPLIED: 08/06/2007
EXPIRES: 02/06/2008
VALUE: $ 26,265.00
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 the 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 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/t-h'lffi)'@y coiitraetors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree t1/~sure that aU, re~uired inspections are requested at the proper time, that each address is readable from the
street, that the ,ermit ca~d is ~oca'ted at the front of the property, and the approved set of plans will remain on the site at all
times during co structio . /
,b
c..
cf!l::hOl
Date J
-
--Owner or Contractors Signature
Pa2e 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
~'
Permit #: C1H.;( 20[) 7.- 0 / I (; f
Address: J;,/7 .A~ ~ ~ 4Pr-~
b'ned by, .. ...:.p~ Date o/~/6 7
Statement: Information Notice to Property Owners
About Construction Responsibilities "
Note.; Oregon Law, O'RS 701.055(4) requires residential c.onstructionpermit 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 notsubmit this statement. '0is statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 ~d2,and.eitherbox 3A or3B:
~' 1.
~2.
I own, reside in, or will reside in the completed structure.
I understand that I.mustbecome 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 orithe structure must be
licensed with the Construction Contractors Board. .
OR
~. 3B. I will be my own geheralcontractor.
If I '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 notifythe office issuing this building permit of the -
name of the contractor.
. .
I hereby cert1y-t~ltbOve-4nformation is correct and that I have read and do understand the Information
Notice to Pr. pe~ Own~t Constrnction Responsibi~ties on tbe reverse side of tbis form.
~ ~~. JOfPennitapPlicantl ~~~.
(White copy to issuing.agency permitfile, pink copy.to applicant.) .
PropertLowner.doc 06-01-04 -- -
"
Aciilig'..as,Y()~'r' ., General Contractor?
" . "IN~9RMAT.I.ON NOTICE TO PROPERTY OWNERS
;. AB~9Ut..CONSTRUCTION RESPONSIBILITIES
\ .I
_... ,...-- .._._...."-~--_.-
NOTE: This Information Notice to Properly about Construction Responsibilities was developed by theJ
Construction Contractors _~~~r~~~~~~rdance with ORS 7~(5), passed b~the 1989 or~~~~~~giS/ature.
If you are acting as your own contractor to construct a new
structure, you can many problems by being aware
or a substantial improvement to an existing
foHowing responsibilities and concerns.
Employer
You will, in most instances, be ruled to be ~.
you use contractors not licensed with the Construction
construction or improvement. . residential
contractors you contract \'Y'lth will be "employees" if
to do labor in constructing or to assist in the
you must co~ply with tbe following:
Oregon's Law: As an employer, you
employees are paid. You win be liable for the tax
employees. more information, call the Department
income taxes from employee wages at the time
even if you don't actually withhold the tax from your
503-378-4988.
Unemployment Tax: As an employer, youare
on the wages of all employees. For more information, call
"'>.
to pay a tax for unemployment insurance purposes.
Employment Department at 503-947-1488.
The Oregon Business Identification Number (BIN)
Unemployment Insurance Tax. To file for a BIN,
appropriate forms.
number for both Oregon Withholding and.
or \\l\v\v.dor.state,or.Lls/formsP3v.htmll for the
Workers' Compensation Insurance: As an employer, you are
and must obtain workers' cVHl}Jensation insurance for
insurance, you could subject to penalties liable
job. For more information, call the Workers'
Services at 503-947-7815.
to the Oregon Workers' Compensation Law,
you fail to obtain workers' compensation
costs if one of your employees is injured on the
Division at the Department of Consumer and Business
U.S. Intemal Service: As an employer, you must
You will be liable the tax payment even if you didn't
IRS at 1-800-829-4933ot visit their web site at
federal income .tax employees' wages';
the tax. For a Federal EIN number, call the
Codle As the permit holder for this project, you are
requirements that may brought to your attention
for resolving any failure meet code
and
Damage Immrance: Contact
and omissions such as falling tools,
agent to see i.f you
water damage
or
sure you-have sufficient time to supervise
sure you have the skills to act as your own
to notify building officials as
contractor; to coordinate the work of rough-in
so they can perform required inspections.
questions can the Construction
97309-5052.
06-01-04
(503-378-4621) or
the agency at PO
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S,F. x COST PER S.F, CHARGE
I 0,00 $0.346 = I $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 DISCOUNT RATE I I
I 0,00 I I $0.346 I 50% I = i
ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 I
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 2
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I "2
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
COM2007-0II54
817 River Knoll Way
17-03-23-43 I 1600
Addition to SFR
o BUILDING SIZE (SF:
ifJ
p:.)
Q
o
U
~
p:.)
t-<
if)
......
o
~
o
LOT SIZE (SF):
10019
DISCOUNT
$0,00
$0.00
1070
COST PER DFU
$26,83
$53.67
1091
COST PER DFU
$20.40
$40.81
1092
ITEM 2 TOTAL - CITY SANITARY SEWE"R SDC
B, IMPROVEMENT COST:
IADT TRIP RATE x NUMBEROOF .UNITS I x I
I 9.57 I
ITEM 3 TOTAL - TRANSPORT A TION SDC = ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x COST PER FEU
o I . $91.61
B. IMPROVEMENT COST:
NUMBER OF FEU's x
o
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $0,00
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $94.47
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $94.47 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x
9.57
Billy Curtiss
PREPARED BY
= ,
$94.47
I NUMBER OF UNITS x I
I 0 . I
x INEWTRIPFACTOR
I 1.00
COST PER TRIP
20.43
$0.00
r 1093
COST PER TRIP I x NEW TRIP FACTOR
$90. IO I 1.00
$0.00 I
$0.00
1094
=
$0.00
1054
ICOST PER FEU
1$961.52
= $0.00 1055
$0.00 1054
$0.00 11056
I
i!
I
CHARGE
$4.72
,
. I
4,72
1079
eI u/ 2.00(
,
11078
I
$99.19 I
"c~:_-_-"c.~~
$0.00
TOTAL SDC CHARGES
=,
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
\CLOTHESWASHER/MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERClAL/RESIDENTlAL KlTCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LAVATORY/RESIDENTlAL BAR 0 0 1 = 0
IURINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 2
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dw.:~ling unit (20 Dros) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE J 979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ELGlBLE 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
I
II
1998
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$QOO x $Q48
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0,00 x $0.48
o
TOTAL MWMC CREDIT
$0.00
=
225 Fi(th Street
Spri'ngfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
COM2007-01154
Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
2200700000000001246
Date: 08/06/2007
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
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 01516A In Person
Payment Total:
Page 1 of 1
3:11:16PM
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