The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-8-15 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01201 ISSUED: 08/15/2007 APPLIED: 08/15/2007 EXPIRES: 02/15/2008 VALUE: $ 10,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 252 35TH ST ASSESSOR'S PARCEL NO.: 1702313100401 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Detached garage Owner: ALFRED BIEGHLER Address: 252 35TH ST SPRINGFIELD OR 97478 Phone Number: 541-747-9664 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION , # of Units: # of Stories: 1 Lot Size: Primary Occupancy Group: U Height of Structure: 12.00 Sq Ft 1st Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport 384 # of Bedrooms: Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: 10.00 Overlay Dist: Total: Side 1 Setback: 8.00 # Street Trees Rqd: Handicapped: Side 2 Setback: Paved Drive Rqd: Compact: Rearyard Setback: % of Lot Coverage: Solar Setbacks: 0.00 Street ImR,rovements: NUT~J:. Storm r ~Iable: specialW1~ ~MIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS p~J;tMr Notes: COlSi&tlli\tOO6I@Rrl3nAeNN'O'bKfg}j:~ IS NOT \!y 180 DAY PERIOD. OR I PUBLIC IMPROVEMENTS' '(i7v8~tdJ.twaIJa'Ilype:lelueo nu l:IOIlBOIPlON ^"\l~e u06e~a4} JO! Jaqw , d" al eUo. nsnou ~~l OUlIIBO 8U04 81 4l. 4vNJ ' Aq SalnJ e4l!0 se!doo UrelqO ABW no^, '0600 _ ~00-~S61:1VO 40noJ4l 0 ~OO- ~00-~S6 1:1'17'0 U! 1Il.l0llas are salnJ as041 'J8lUao UO!lBO!I!lON ~IIllO uo6sJO a4l Aq paldope S91nJ MOIIOJ o~'no^ S9JlnbaJ Mel uo6aJO :NOI1N311V Pa2e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garae:e Garae:e Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Garage/Carport Perm Serv/Fdr 200 amps or less Plan Review Minor - Planning Plan Review Residential Storm Drainage Impervious Area Total Amount Paid Plannine: Review Public Works Review Structural Review CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01201 ISSUED: 08/15/2007 APPLIED: 08/15/2007 EXPIRES: 02/15/2008 VALUE: $ 10,368.00 I Valuation Description I $ Per Sq Ft or multiplier $27.00 Square Footage or Bid Amount 384.00 Value Date Calculated Total Value of Project $10,368.00 $10,368.00 08/15/2007 ~ Amount Paid Date Paid Receipt Number $20.92 8/15/07 2200700000000001291 $16.26 8/15/07 2200700000000001291 $16.74 8/15/07 2200700000000001291 $12.00 8/15/07 2200700000000001291 $127.22 8/15/07 2200700000000001291 $70.00 8/15/07 2200700000000001291 $116.00 8/15/07 2200700000000001291 $82.69 8/15/07 2200700000000001291 $149.48 8/15/07 2200700000000001291 $611.31 I Plan Reviews I 08/15/2007 08/15/2007 08/15/2007 08/15/2007 08/15/2007 08/1512007 APP APP APP TAJ TSS DLM Storm water drains to splash blocks. 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. l..Jl.eouiredJnsnections. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Underground Electric: Prior to cover Pae:e 2 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01201 ISSUED: 08/15/2007 APPLIED: 08/15/2007 EXPIRES: 02/15/2008 VALUE: $ 10,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ,))} /13, ~ ~'JJ ~ Owner or Contracrt..s Signature ?:( - I c:- () '1 Date Pa2e 3 of3 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 #: f)J)-I?~O I 2..rJ / Address: 2 5"2- ~ S I!L sT Issued by: Date: Statement: Infol mation 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 be filed with the permit. Fill in the appropriate blanks arid initial boxes 1 and 2, and either box 3A or 3B:, ~ 1. % I own, reside in, or will reside in the completed structure. 2. ' I understand that I must become licensed as a construction contractor ifthe structure is sold or offered for sale before or on completion. D 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. 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 Responsibilities on the reverse side oft~is form. ;x JJ ~hL. " (Sigfiature of permit applicant) ?(-JS-of) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 \ '. ;", ' ... .-."" \, .',' , A~trll~g 'as- ~Ou1r"'Own General Contractor? ... t.. "'-0':'''.,.- . -..., ," '. ' - ,( -"-'INFORMATION :NOTICE TO PROPERTY OWNERS ' ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Properly Owners about Construction Responsibiiities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon LegislatUre. , ' I', " .' If you are acting as your own contractor to construct a .n~w home or make a substantial improvement to an existing structure, you can prevent many problems by being aware ofthe following responsibilities and concerns. Employer Responsibilities , . , .". - . y ou ~iH, in most instances, be ruled to, be ~n "employe;", and the contractors you,contract,Wlth will be "employees" if you use contractors not licen/il?d with the Const!Ucti,on Contractors Board to 'do labor in consn:1.1ctiI;tg or to as/iist in the constnictIon or imp! oycment of a ,:tesidential structure. As the ~mployel!"; you ~UBst co~ply with the' foilowing: \ . '. -, " . ". " Oregon's Withholding T~ Law: As aD. empl~yer, y6u must'~ithholdiricotrie taxes from'empioyee 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,cail the Department of Reveriue at 5'03~378-4988:' ',- ; ,.'. "',," ' ',', Unemployment Insurance Tax: As an employer; you are required-to"pay a tax:~for unemploymenfinsurance purpos~S<, on the wages of all vmployees. For more information, call the Oregon Employment Department at 503-947-1488. . . , ." - 0,' ),::.." , ,'..' "",' ..' " ;. The Of.egon Business I4entification Number (BIN) is a combined number for b~tl1; Qr~gon. Wi~oJding arid Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or wvvw.dor.state,or.us/formsnav.htmll for the appropriate forms. ,,' " , ' Workers' Comp'ensation Insurance: As an employer, you are subject iothe Oregon Workers' Compensation Law, and must obtain ,workers' comp~nsat~on insurance (or your employees. If youfail to obtain workers' compensation insurance, you could be subjec,t to peiia1ti~s and be-liable for alfdain:costs if one of your employees is injure~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. lfntemaB Revenue Service: As an employer, you must withhold federal income' tax: from 'employees' wag~.s~::' 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 orvisit'their:web site'at www.irs'.l!ov..' - , . Other Re~JP>onsibili1l:ies a~dAIreas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be ?rought to yoU! attention through inspections. '. . ... Liability and Property Damage-J[lffiSUIrahce: 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. ~" / '..J ..' 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, t6 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 ZON L1Y2- INITIALS N Y'^ DATE ~ -" 1'''50 - 0'-' SOURCE fIIV'(J~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~ _"2t'!rt:J 7 - ~/ 2-~ I Date t,', :":.,.. ......._. _',-",,^"" .".;,"_", ,-:"':,:::', ,,":',' ,u ,.::"" '.~ r :~.''',~,''':.'''':'''''-','?,_.-.,' 1. : ,LOCATION OF iNSTALLATION: .>, ' 3. COMPLETE FEE SCHEDULE BELOW i~c2'" ~~'~\aks''T;'''''d''>'''''' ,.."',:v~",,. ~2.~ ~ 8% State Surcharge tb .'S'~ liV S ICE: 10% Administrative Fee 8-7..0 THIS PERMIT SHALLlxfJ/hnolOgy Fee 4,,/0 AUTHORIZED UNDEfjo~~E'~~~t WORk / tJO, ~~ ~OMfVjENCED OR IS ABAf\lB&~~~/~QctTng Forms/Electrical Permit APPlication 7-07,doc NY 180 DAY PERIOD. lilt ,..'(jR LEGAL DESCRIPTION: / 7lJ 2.. :J I :I I () 0 ~O / JOB DESCRIPTION: 7)v~~~ C;~ ..... ' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. F,<^:":'/,,:T'::'::'.<,'.:->f;V"~c' '\(':0'-';-;'--; ,"___"':"';VAH .~,.:-;-: '::~-J}>:~;'- ,"7:~_:"'. 2. 'CONTRACTOR'IN~rA!-LA!'ONONLY, Electrical Contractor Address City oc:. vel..' to , ":>01 'If....- , r-. ",r, ,'" p'.'/ \.......-.- ,t:",.~,\, _.r. \., ' " - r r"..... '-' ,,\-, Supervi~Or'LicehseNumbe ,:, '..Ji.': ,)" '-n""" -: -:' ....; Expiration Date Constr, Contr. Lber ,', ,.' " '>.J'\- , \'.' v..' I 0., .". '" , - I ..Jn3 ,~" >1'..................... , Expirr~,ion Date, ,- \.., L .. \ ',~ \ " Signature of Supervising Electrician " I ' ',- ,)~,~, ' ,'~O-- ~ Owners Name ~72'q) !J/C-t9td<< Address 2-~2 -:<""Zl. cr / - - City ~.PrA Phone 7<7.7- ';;61 OWNER INSTALLATION The installation is being made on property I own which is not inteqded for sale, lease or rent. y A]s Si~tur~(, j;1 / '- ~~--~ Inspection Request: 726-3769 0,'_"~^" -. "'T.",:.:." ~--=,r:,:_:'<,--n:""'1r'-'~~;:", "", ,,",,' " A. ;.N~~;~~~idential,:-~!.~~J~,~I~~lti-Fa~~~y R~r ~~el,I!~g unit. Service Included 1000 sq. f1. 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. 'Se~vit~s ol"Feed,ers -;Inst~Uation,Alterations or Relocation: . '-'cO"/;..:,',,," '71J~tJ ,. , 200 Amps or less V-- $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180.00 Over 1000 AmpNaHsNTION: Oreaon laW;~e~.Q{fec:: \'()lItn Reconnect OnlyfOllow rules ado.p.tr:>rl hy t~f?Wg,:,n I_I~,;I;!~'_ , '" NJtficg~lon .G~.lJt~r. Those rules ar~$f}Horth ' c. ,Ie~p?ra~)i,i!S~pii~~~t2,li'~~JQlO thwughOAR952.001...', . trr'.:JCL. You may o~tElin copies of the rules by InstallatIOn, AItel.!~9~0tt:1l!~'~~ (Note: the telephone 200 Amps or lessr.~m.b8r for the Oregon I J$i!~PyqQOtlfi('~tin~ 201 Amps to 400 Amps Gentel is l-800-33127~~4) 401 Amps to 600 Amps $110.00 Ov:r60~/~,mps, o~ ,1000 Volts see "B," above, D. ,Branch Circuits "- ' ." ,'....-- New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 /2- 6{) 3 E. 'Miscellaneous'(Service/feedetnot included) -Each Installation '. ' Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50,00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges .- ~ -. 4. · SUBTOTAL OFABOVE " ,,:<'-,'~'.: '>--':"""."",.~ ,'" :,::"/>":':" ',~- COST PER DFU $26.83 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC o r/) ~ t:l o U ~ ~ r-< en I-< c:; ~ $149.48 1070 $0.00 1091 $0.00 1092 =1 $0.00 B. IMPROVEMENT COST: I ADT TRIP RATE I x NUMBER o.F UNITS x I COST PER TRIP I 9.57 I 0 I $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x COST PER FEU I 0 I $91.61 8, IMPROVEMENT COST: NUMBER OF FEU's x o 3, TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x' 9.57 I NUMBER OF UNITS' x I 0 ICOST PER FEU I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 5, ADMINISTRATIVE FEE: I SUBTOTAL x' ADM.FEERATE 1= I $149.48 5% I TOTAL SANITARY ADMlNISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Todd,Singleton 8/15/2007 PREPARED BY DATE COST PER TRIP 20.43 x INEW TRIP FACTOR I 1.00 1093 $0.00 x NEW TRIP FACTOR 1.00 $0.00 1094 = $0.00 1054 = 1 $0.00 11055 =1 $0.00 ;. 1054 = , $0.00 '11056 $0.00 r $149.48 ~I ! CHARGE $7.47 7.47 1079 $0,00 11078 -- TOTAL SDC CHARGES =/ $156.95 " DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESlDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =1 $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 Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01201 COM2007-01201 COM2007-01201 COM2007-01201 COM2007-01201 COM2007-01201 COM2007-01201 COM2007-01201 COM2007-01201 Payments: Type of Payment Cash cReceintl RECEIPT #: 2200700000000001291 Date: 08/15/2007 Description Plan Review Residential Storm Drainage Impervious Area Plan Review Minor - Planning Garage/Carport Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ALFRED BIEGHLER Item Total: Check Number Authorization Received By Batch Number Number How Received dIm In Person Payment Total: Page ] of I 9:23:50AM Amount Due 82.69 149.48 ] ]6,00 127.22 70,00 ]2,00 16,26 16.74 20,92 $611.31 Amount Paid $611.3 ] $611.31 8/15/2007