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Home My WebLink AboutPermit Building 1997-4-1 SPRINQFIELD Page 1 RBSIDENTIAL PBRMIT APPLICATION CITY OF SPRINGFIBLD COMMUNITY SBRVICBS DIVISION BUILDING SAFBTY Job Number: 970329 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3220 RALBIGHWOOD AVE Assessors Map #: 17032213 Lot: Block: Tax Lot #: 18400 Subdivision: OWner: TIM/LYNN WOODLBY Address: 3220 RALEIGHWOOD AVE Phone #: 741-0754 City/State/Zip: SPRINGFIELD, OR 97477 Describe Work: BDRM/BATH ADDIT & PATIO ADDITION Const. Contractor Contractor # Expires Phone General: OWNER Plumbing: OWNER Electrical: OWNER 0047638 11/13/95 476-2821 QUAD AREA: 5RNW ZONING CODE: LOR VN OFFICB USB -- LAND USE: 1111 OCCY GROUP: R3 # OF UNITS: 1 CONSTR. TYPE: 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. RBQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concret~ UNDERFLOOR PLUMBING - Prior to insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover ROUGH ELBCTRICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL BLBCTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: N Solar Approved: Y Total Height: 12 Lot Type: INTERIOR Setbacks S W E 21 37 24 Setbk From NPL: 89 N House Item Main BUILDING PBRMIT Square Feet x 114 $/Square Feet 64.66 = Value 7,371.00 SPRINGFIELD Job Number: 970329 Page 2 Garage PATIO Total Value 0.00 2,634.00 10,005.00 Building Permit Fee Surcharge/Admin 86.50 6.93 TOTAL FIlIl (A) 93.43 PLUMBING PIlRMIT --- Item Fixtures 3 Fee 30.00 Plumbing Permit Surcharge/Admin 30.00 2.40 TOTAL CHARGIl (C) 32.40 --- MISCIlLLANEOUS PIlRMITS --- Surcharge/Admin SYSTEM DEVEL CHARGE ELECTRICAL PERMIT 0.00 110.22 37.80 TOTAL MISCIlLLANEOUS PIlRMITS (Il) 14B,02 (Ilxcluding Electrical) unless otherwise noted TOTAL AMOUNT DOll (A, B, C, D, and E combined) 273.85 --- BUILDING VALOIl, PLAN CHIlCK AND BUILDING PIlRMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 56.23 Date Paid: 03/05/97 Received By: LORNE PLEGER Plans Reviewed By: BOB BARNHART Date: 03/31/97 Building Site Reviewed By: LISA HOPPER Receipt Number: 24760 --- ADDITIONAL COMMENTS --- By signsture, I stste snd 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 701.055 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 locpted at the front of the property, and the approved set of plans will the site at all times during construction. / At\ Aim Signaturl( \ Date SPRINGFIELD Job Number: 970329 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION ~Cj\ \(1 4.\.Q( tif;<i'S Page 3 JtJll NU. Sl>t3 ,",0. ?103'Z.9 . . ATTACHMENT B . CITY OF SP~NGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET / NAME OR COMPANY: .1/1'1 < J..'tJi.Iw . WooDL.E"\ LOCATION: . '3ZZ-b IU\LEIGI"'w~r,D Aut:., . DEVELOPMENT TYPE: S.J<.D.. ..OO.rlOU BUILDING SIZE: LOT SIZE -..., '$ I" II 0 I SQ. Ft. 1. STORM DRAINAr,~ . IMPERVIOUS SQ. FT. d6(; X $0,216 PER SQ. FT. $ 10" <J..l. 2. $ANTTARY SFWFR-r.TTY NO. OF PFU'S (See Reverse Side) X $44.75 PER PFU $ - 3. TRANSPORTATION NO OF UNITS X. TRIP RATE X COST PER TRIP X X $451. 26 $ X X $451. 26 $ X . X $451.26 $ 4. SANTTARY SFWFR-MWMr. , NO. OF PFU'S x$20.69 PER PFU+$10 MWMC/ADM FEE $ .(Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ -- -- TOTAl -MWMr. sor. $ .. SUBTOTAL (ADD ITEMS-1.2,3 & 4) $ 10'l~1 . T- , - 5. AOMTNTSTRATTVF ~ BAsE CHARGE (SUBTOTAL ABOVE) X .05 $ 5~ -rP.Aj.. flo1.<f1LLiSftt:i?. Troy MeAll ister SDC Coordinator' .. Date: ">/../en .' . ".",', . ' IQI~I "Z. . . $ /10 'Z._./ sn~ FIXTURE UNIT CAlCUI..i.TION TABLE: Number of New Fixas X Unit Equivalent ,= Fixture Units (NOTE: For remodels, calculate o.e ~ additionartixturBs) . ' '. . NUMBER OF . UNIT FIXTURE . FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub...............................:....,....:........................... . . Drinking Fountain..................................... .'.....:......... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. IntBrceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher....... ...'............... .~..... .... Clothes washer - 3 Or More...................................... MobilBHome Park Trap (1 Per Trailer}.................. RecBptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwashe'r/Etc.. Shower, Single Stall................................................. ShowBr, Gang.......................................................... . Sink: 'Bar, Commercial, Residential Kitchen......:................. Urinal.. Stall/Wall.....................................................,. Wash Basin/Lavatory, SingIB.............,.................... ToilBt, Public Installation........................................ ToilBt , PrivatB.:..... .......,.......... ...'............................ MiscBllaneous: 2 .1 2 3 6 2 6 6 1 3 2 1/Head, 2. 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION T:ABLE: . calculatB crBdits separates.. . I, Based on assBssBd VaIUB. If improvements occurred after annBxation date in table, Rate pBr $1,000 ,I ASSBSSBd ValuB Year AnnBxBd Rate per $1,000 Ass'essed Value YBar Annexed ~ I 1979 or bBforB 1980 1981 1982 1983. 1984 1985 1986 $3.72 3.64 3.58 3.45 3.30 3.i5 2.96 2.68' 1987 1988 1989 1990 . 1991 1992 1993 1994 1995 $2.34 1,95 1.53 1.11 0.73 0.56 0.44 ().27 0.13 .' Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $' (Rate X Assessed Value) = Improvement (if laftBr annexation date) , ' = CREDIT TOTAL - $ r- .. r.. .RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidBntial...........:..........:.... 0.4 . Conimerical;..:......;.............. 0.9' Industrial..............:............~. 05 ...... G~vernmental.:.........:..::".... 0.5 IMPERVIOUS AREA ;=' TOTAL LOT SIZE X RUNOFF COi:FFICIENT '! .', r , +'. . . . . Permit#: q~O~t.C1 Addre" JJ?-to R~~'tu~ ISSUedbY:~_) Date: 4, \ .Q1 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential cons/ruc/ion permit appli- canis who are not registered with the Construction Contrac/ors 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 registration 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: g D 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. D 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR [J;}-- 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify th~t the above information is correct and that I have read and do understand the Information Notice to Property ~ners abou;JC nstruction Responsibilities on the reverse side of this form. \!. , ~/ ," \ \J M- t/,!,Cf1 ( i1natu\e of permIt a Jplicant) (Date) (White Cvpy to issuing agency permit file, pink copy to applicant) . . lill'U~oU'meJ~Dol'i No~ic0 ~o P;uo~siity OWi'lsU's A[O;on.J~ Cons~~\i.lc~tOi1l ~:ss[Oonsiroi~i~~e$ !:. I Note: This Informatioll Notic~, to Proper/)' Owners ahout Constmctioll Responsihiliti~s was developed hy the Constmc/ion Contractors Board ill accordance wi/h ORS 70/,055(5/ If you are acting as your own contractc>rto construct a ncw home or make a substantial improvementto an existing structure. you can prevent many probl~ms by being aware of the following responsibilities and areas of concern, cru:PLOVE~ :1l:SPONSIBILlTIES: If you hire persons not regiStered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvemen: of a residential structure. you will. in most instances. be ruled to be an employer and the people , . you hire w ill be employees. As the employer, you must comply with the following: Oregon's withholding tax hew: Asan employer. you must withhold income taxes from employee wages atthetime 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 infornlation. call the OregonDept. of Revenue at 945-8091. 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 378-3524. Worliers' compensation insurance: Asan employer, you are subjectto the Oregon Workers' Compensation La\\. and must obtain workers' compcnsation insurance for your employees, [fyou fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on thejob, For more information. call the Workers' Compensa:ion Division at the Department of Consumer and Business Services at 945-7888, U.S. !nternal Revenue Sen'iee: 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 more information. call the Internal Revenue Service at 1-800-829-1040. O::-HER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the perm it holder for this project. you are responsible for resolving any fai lureto meet code requirements that may be brought to your ~ttention through inspections. Liabilil)' and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions suc,h as falling tools, paint overspray, water damage from pipe punctures. fire. or work that must be re-done, Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the workofrough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections, If you have additional questions. write or call the Construction Contractors Board (PO Box 14140, Salem. OR 97309-5052, 503/378-4621), The Board is located at 700 Summer SI. NE Suite 300, in Salem. prop-own.pm4 1/94 '. ,& - .' _,r}" ~.. ~. Permit #: q~O~tC1 Addre~ ~nD R~~:t\l-d ISSUedbY:~_) Date: 4. \ .q'l Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential cons/ruction permit appli- cants who are no/ registered with the Construction Contractors Board to sign the following s/atement 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 registration under ORS 701.010(7), need not submit this s/atement. . This statement will be filed with /he permit. "' Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: o D 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. D 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. [S}-3B. , OR'" 'J l I Ii" ;/.',': I i - . /J . 'w" I I will be my own general cbntractor. I If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and 'hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify thf' t the above information is correct and that I have read and do understand the Information N'Ii<< " ProP~~ ~T'~;,~~i:~"cti" R"p,.,'bmti"" lb, ''''~ ';.';:~ ;'m (~i~,natu,e of permit ']:Jplicant) (Date) (White c Jpy to issuing agency permit file, pink copy to applican/) . . ":J'jf,""r?"""'-^'"",,,':.' ""^:",,,,, r."" =tQ,7"""''''''rM' "",n,,,,,,,,,,,,,,,,, i.~~.V'U"~~Cu~~..w'~~. li\n~,""'I.:.J""" ,,\Wi ' UV~IJI\\;iU.,.;V VVVUJ"'~-WI A::;o;tl iCO::~'~T::C~;CT: ~e~}loC'J~Ebl::j~o3s Note: This Informatioll Xotice to Prope,.~l' Owners ahout Cuns/ruction Responsihili/i<'S ll'l/" del'eloped h)' the Construc/ion ('on/rac/ors Board in acmrdance l1i/h ORS ~OI.()55(5). If you are acting as your own contractorto construct a new home or make a substantial improvementto an existing structure. you can prevent many problems by being all are of the following responsibilities and areas of concern. 'C'ln;,' ~". :'~ ,,>"=~''l>O~'<>I<:>'L'-I'::''.. .:!...hL ..........,. ._..i i'_~. .'-~ ol .. .,-oi;/). If you hire persuns not registered \l ith the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement ofa residential structure. you \l ill. in most instances. bc ruled to be an employer and the people you hire \lill be employees. As the cmployer, you must comply \lith the follOlling: Gregon'swilhtlolding ~ax law: Asan employer, you must withhold income taxes from employee \l ages at thetimc employees are paid. You Vl ill be liable for the ta)\, payments even if you don't actually \lithhold thc tax from your employees. For more informatiou. call the Oregor. Dept. ofRevcnue at 945-8091. Vn~mplo)'ment 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 Dcpartment at 378-3524. Wor/,ers' compensation insurance: As an employ cr, you are subject to the Oregon Workers' Compensation Lavv. and must obtain workers' compensation insurance for your employees. I I' you fail toobtain workers' compensation insurance, you may be subjectto penalties and \l ill 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 945-7888. '0.5. :ntern::! Revenue Service: As an employer. you must v, ithhold federal income ta)\, from employees' \lages. You \l ill be liable forthe tall. paymentev~n if you didn't actually \lithhold the tax. Formore information. call the Internal Rcvenue Service at 1-800-829-1040. orK:::R RESPO~S!3Ll""IES A~D A~;EAS OF CONCE~i\J: Code compliance: As the perm it holder for th is project.) ou are responsible for resolving any fa ilureto meet code requirements that may be brought to your attention through inspections. ~iability and pro]l~i"t) dar:u:gc insurance: Contact your insurance agentto see if you have adequate insurance coverage for aceidents and omissions such as falling tools, paint overspray, water damage from pipe punctures. fire. or work that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. ;Expertise: Make sure you have thccxpertisc to act as yourD\\n general contractor, to coord inate the work of rough -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions. 'trite or call the Construetion Contractors Board (PO Box 14/40, Salem. OR 97309-5052. 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1/94