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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