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Home My WebLink AboutPermit Plumbing 2006-8-18 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .CITY OF SPRINliNELD Building/Combination Permit PERMIT NO: COM2006-0Ion ISSUED: 08/18/2006 APPLIED: 08/18/2006 EXPIRES: 02/18/2007 VALUE: SITE ADDRESS: 992 RAINBOW DR ASSESSOR'S PARCEL NO.: 1703342100600 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: Alteration PROJECT DESCRIPTION: Add shower and relocate toilet in existing bath Owner: KRYSTAL BOX Address: 992 RAINBOW DR SPRINGFIELD OR 97477 Contractor Type Plumbing Contractor OWNER # of Units: Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sola r Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Residential Phone Number: 541-870-6293 I} \0 _t":\I0.... . ,eCl"'" o~ \)"""1\'(\ I CONTRACTOR INFORMA'J:ION _I OIO\\e sa\ \0 Cl'l- \0";'<"' '":' _',GOu', ~ II}\OS_'O-).'. <;)s?o'J \-.'l ",,,'E-~~\ \C" r.oC\ licenSe' 1}<;J'(\Efpiration Date Phone ,I II} "CO~\CI. Cl \'(\\0. 0\ \1 IV . \,O~e ,",,\\0 .......('\ I"'\r\\ _"""eS ..,\90 ......('\ BUlLDlNGiNF(>RMA TIONfl ;l~$)" ~~~ ,",0\\\\1;<<- i(\~' "ou ,. oe(\\"" o~ 1.1\\ ?'2>I\I$. # ofStliries1:\I(\'0 \\Ie \\,e O\e~()()o'2>,:>'2.oCot Size: Height ofSIi.'uctl!r~O\ .,,1 is \- Sq Ftlst Floor: . .n"" Ce(\'V Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: . I DEVELOPMENT INFORMATION I ~'" '\ REO~IRED PARKING x.......C'J\ Overlay Dist: X. \'i: T~talf::> ~ # Street Trees Rqd: x.i-<;>\~ <;>x.\H~R~c:ypped: Paved Drive Rqd: . ~';>.\.\. ,y..f::> \J~pmpact: % of Lot Coverage:,,,"(;' ~\, S ~'Vx.~ 'X>';>.~\j \~\) \ <;>x.~ 'V \:l ,S I" .,I\S .0\1'1;: _ (\~ 0<;\. I PUBLIC IMPROVEM'EN;f'S."~x.~c,"(.~ <;>\.'\'.- r\J" <o\) 'V v ~\'\ \ Sidewalk Type: ';>.\" " pownspoutslDralns: . .. I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Paee I of2 _S5iAlNQI!I~ I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fixture Minimum/Adjustment Plumhing Sanitary Sewer - Improvement Sanitary Sewer - Reimhursement SDC Sanitary/Storm Admin Total Amount Paid . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01072 ISSUED: 08/18/2006 APPLIED: 08/18/2006 EXPIRES: 02/18/2007 VALUE: Total Value of Project L.Fel's Paid I Amount Paid Date Paid Receipt Numher $4.50 8/18/06 2200600000000001159 $2.25 8/18/06 2200600000000001159 $3.60 8/18/06 2200600000000001159 $28.00 8/18/06 2200600000000001159 $17.00 8/18/06 2200600000000001159 $38.14 8/18/06 2200600000000001159 $50.14 8/18/06 2200600000000001159 $4.41 8/18/06 2200600000000001159 $148.04 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Reouirl'd Tnsnections . Rough Plumhing: Prior to cover and including required testing. I 1 Final Plumhing: When all plumhing work is complete. I I' By signature, 1 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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. o~r:~~~~ors ~ign'.t; ~ \ \ 1') \ l..n Date Paee 2 of 2 e. . . \. ./ " " " .,' . 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 Pennit #: co'^" II '" - 0) 072- 9 9 Z b4( V\. 1.,,0 \..-i bit.. ':t> ~ Date: ~ II ~ b I I Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constrnction permit applicants who are not licensed with the Constrnction 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 <opp.vpciate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~l. ~. 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 #) 1 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 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 of this form. ~{\^0U ~ \>rr,'X \ (Signature of permit applicant) n\\Xclln (Da e) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 . . Adnnn~ ~~ 1( ([J)1illJr Ownn CG~nn~Jr~n CC([J)nn~Jr~~~([J)Jr'l , INFORMATION NOTICE TO PROPERTY OWNERS ; ABOUT 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 Legis/ature. 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. I lEmjplll@yeIr JRe~jpl@Iffi!}fillllili~lle~ 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 Number (BIN) is a cOl\lbined nwnber for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appl UP! ~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' cu".t'~"sation insurance, you could be subj!~ct 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 Conswner and Business Services at 503-947-7815. U.S. Internal 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 visit their web site at www.irs.l!ov. i' . <DtRileIr lResIPoll],!~nllJiiiniitaes aIllllol AIreas 011" COllllCeIrllllS 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. I Liability and Property Damage Insurance: 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. I! 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 fmish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions caIl 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 '. . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2006-01072 NAME OR COMPANY: K.rvstal Box LOCATION: 992 Rainbow Dr. TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF o LOT SIZE (SF): o '" LlJ o o u c.:: LlJ ~f- '" o LlJ c.:: I STORM DRAINAC,F DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, ,I COST PER S.F. I I CHARGE I I 0,00 I $0.323 I = $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I ' I COST PER S.F. I' I DISCOUNT RATE I I 0.00 I I $0.323 I 50% I ITEM I TOTAL - STORM DRAINAGE SDC , 50.00 -., !'\ANITARV c;;,FWFR '.-r-j"TY DISCOUNT $0.00 50.00 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I , COST PER DFU I 2 $25.07 550.14 11091 B.IMPROVEMENTCOST: I NUMBER OF DFU's I , I 2 I $19.07 538.14 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 588.28 ~ANSPORT~ A, REIMBURSEMENT COST: , ADT TRIP RATE I , I NUMBEROF UNITSI ' I COST PER TRIP , INEW TRIP FACTORI I 9.57 I I 0 I I $19.09 I 1.00 I 50.00 1093 R IMPROVEMENT COST: r ADTTRIP RATE I , I NUMBER OF UNITS I ' I COST PER TRIP , INEW TRIP FACTORI I 9.57 I I 0 I I $84.19 I 1.00 50.00 1094 ITEM 3 TOTAL - TRANSPORT A TION SDC = , 50.00 II ! 4 SANITARY ,FWFR _ MWMr A. REIMBURSEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I 0 I $82.03 = 50.00 I 1054 R IMPROVEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I 0 I I $865.31 = 50.00 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 1054 MWMC ADMINISTRATIVE FEE 50.00 1056 ITEM 4 TOTAL - MWMC SAN IT ARY SEWER SDC = , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 588.28 , ADMINISTRATIVE ff..E: ISUBTOTAL , I ADM, FEE RATE I~ CHARGE i $88.28 I I 5% I $4.41 TOTAL SANITARY ADMINISTRATION FEE: 4.41 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 1078 ~ cllrrylsln)'1llAltr 8/22/2006 TOTAL SDC CHARGES = $92.69 II PREPARED BY DATE " . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TUE NET ADDITIONAL F1XTIJRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE WPE NEW OLD EQUIVALENT UNITS I IBATHTUB 0 0 3 = 0 J1 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = '0 IiNTERCEPTORS FOR GREASE / OIL! SOLIDS / ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND/ AUTO WASH / ETe. 0 0 6 = 0 '1 ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 11 ICLOTHESWASHER - 3 OR MORE(EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 1 RECEPTOR FOR REFRIG /WATER STATION / ETe. 0 0 1 = 0 1 RECEPTOR FOR COM. SINK / DISHW ASHER / ETe. 0 0 3 = 0 1 SHOWER. SINGLE STALL 1 0 2 = 2 1 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 1 SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 1 SINK: COMMERCIAL BAR 0 0 2 = 0 1 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL! WALL 0 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 2 .EDU (Equivalenl Dwelling Unit) is a discharv:e equi~a.lcEt_lo a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$I.OOO II ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT! 2 BEFORE 1979 $5.29 (Enter I for Yes. 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT! 2 1980 $5.19 (Enter I for Yes. 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE 1 1000 CREDIT RATE ]985 $4.40 $0.00 x $5.29 = , SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 = I 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 1996" $0.92 I 1997 $0.72 I 1998 $0.48 il 1999 . $0.28 2000 $0.09 2001 $0.05 225 Fifth Street Springfield, Oregon 97477 541-720-3759 Phone tit ~;:~~. Ilk. . Ai of Springfield Official Receipt ~elopment Services Department Public Works Department Job/Journal Number COM2006-0 I 072 COM2006-0 I 072 COM2006-0 I 072 COM2006-0 I 072 COM2006-0 I 072 COM2006-0 1 072 COM2006-0 I 072 COM2006-0 I 072 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 2200600000000001159 Date: 08/18/2006 Description + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Fixture Minimum/Adjustment Plumbing Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Paid By KRYSTAL BOX Item Total: Check Number Authorization Received By Batch Number Number How Received djb 018411 In Person Payment Total: Page I of I 10:3S:24AM Amount Due 2.25 3.60 4.50 28.00 17.00 50.14 38.14 4.41 $148.04 Amount Paid $148.04 $148.04 8/18/2006