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Home My WebLink AboutPermit Building 2007-9-4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01101 ISSUED: 09/04/2007 APPLIED: 07/26/2007 EXPIRES: 03/04/2008 VALUE: $ 6,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 115 DORRIS ST ASSESSOR'S PARCEL NO.: 1803022401800 SPRINGFIE TYPE OF WORK: Foundation TYPE OF USE: New Residential PROJECT DESCRIPTION: Foundation for bouse and garage move. REF:COM2007-01100 for demolition permit. Owner: MOLL Y WIDMER & CHRIS ME LOTTI Address: 13621-2 S 2ND ST #1 SPRINGFIELD OR 97477 Phone Number: 541-746-7548 I CONTRACTOR INFORMATION. Contractor Type General Plumbing Contractor OWNER ROBINSON PLUMBING INC License Expiration Date Phone 107124 07/13/2009 541-345-6909 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ' 30.00 5.00 80.00 70.00 25.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Urban Fringe REQUIRED PARKING Total: 2 Handicapped: Compact: 8.70 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: . I VI requ~ you to Special Instructif& I c,roON: Oreg~ bathe Oregon Utility follow rules adopte ThJ e ru\es are set forth Notes: Stor~~~%~g~ OAR 952-001- In OAR 952 0 bt'n copies of the rules by 0090. You may 0 at Note: the tele~ho~e calling the center. ( Utility NotificatIon mber for the Oregon ) nu center \s 1_800-332-2344 . Sidewalk Type: Downspouts/Drains: Curb and Gutter NOTiCe: EXP\RE \f THE WORK 1H\S PERMtT S~~i~ 1H\S PERM\T \5 NOT AUTHOR\ZED UOR \S ABANDONED fOR COMMENCED A NY 180 DAY PERlOO. Pal!:e 1 of 3 1'\ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01101 ISSUED: 09/04/2007 APPLIED: 07/26/2007 EXPIRES: 03/04/2008 VALUE: $ 6,000.00 ......... Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 6,000.00 Bid Amount Use Bid Amount Total Value of Project ~ Value Date Calculated $6,000.00 $6,000.00 07/26/2007 Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $23.93 9/4/07 2200700000000001385 + 5% Technology Fee $22.22 9/4/07 2200700000000001385 + 8% State Surcharge $19.15 9/4/07 2200700000000001385 Foundation Permit $84.32 9/4/07 2200700000000001385 Miscellaneous Plumbing $50.00 9/4/07 2200700000000001385 Plan Review Major - Planning $205.00 9/4/07 2200700000000001385 Plan Review Residential $54.81 9/4/07 2200700000000001385 Storm Drainage Impervious Area $379.24 9/4/07 2200700000000001385 Storm Sewer - 1st 50 Feet $50.00 9/4/07 2200700000000001385 Temp Power 200 amps or less $55.00 9/4/07 2200700000000001385 Total Amount Paid $943.67 I Plan Reviews I Initial Review Plannin2 Review 07/26/2007 07/26/2007 07/26/2007 APP TAJ Public Works Review 07/26/2007 07/26/2007 APP BRC Pa2e 2 of3 Quick permit Dorris Creek at the back of the existing house is a wetland area. Owner to stake top of bank closest to homesite. Area of disturbance cannot be closer than 13' 6" from this point. Place orange construction fencing along this line and keep all construction activity out of this area. No street trees are required based on existing trees along the ROW. Replacing existing SFD. Site on septic and was credited for existing impervious area. Stormwater to weephole in curb. BC Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01101 ISSUED: 09/04/2007 APPLIED: 07/26/2007 EXPIRES: 03/04/2008 VALUE: $ 6,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 07/26/2007 08/24/2007 APP DLM This permit is for foundations for the moved dwelling and garage as well as roof drainage lines to the street gutter. Additional permits for water line outside teh bldg. and the sanitary sewer line connection to the septic system, as well as water and sewer connections to the building may be required. This must be coordinated with the city building inspectors. Any modifications to the moved structure may also require permits. Verify with the building inspector. dim Waiting for septic permit from Lane Co. and application for moving permit before this permit can be issued 08/01l07dlm 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. Reauired Insoections , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. "- /-.~~ ownet:r Contracto#si6.ature Date 1/4 /01- I I Pa2e 3 of 3 ZON L1YZ.. INITIALS r jJ e"""" DATE q -1 -C-' SOURCE Y\A~~) Date ~ r1 /' D'1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C<1J41) afJ 7 - 61 / (J / Over 600 Amps or 1000 Volts see "B" above. D. B{a}\c.h.a.H.-cnits ~,\Ct~ t tr;-r,:'";- ... ..-.. t: f THE WORK NeW-rAlfSr~f~J~~\Jg ~~ireJ," 15 NOT One ~'J~iro'R\ZED UNDER T\-\iS PE~Mil~~o EacH,{ ~a~~l?g'l\\t<i:frFpt9. R l5t~. BANDlH\1ED l"uK Servf-c"eJ~Vlflee-d~ '''E'eg. . $ 4.00 Owners Name 7tlrr~ M~~iP /J/fidrl ,~NY i 80 bA\rnf3ERIOO. . Address -L3 142/5_ . f, 2~ :;r. E. Miscellaneous (Service/feeder not included) -Each Installation City ~n> Phone Z-l-t, -7.~ 1. LOCATION OF INSTALLATION: 1/5 ~ l\f-, LEGAL DESCRIPTION: )61) 3 CJ2 24 b/'hcnJ JOB DESCRIPTION: - ) 6# fi} AaYbe r , Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. :;",:=:::OR INSTALLATI07 / ~ ~e '\ Signature of Supervising Electrician OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. )< ~SiAiUfY~ ,- II V 1 A/lA_f//; Inspection Request: 726~3769 3. COMPLETE FEE SCHEDULE BELOW A. New Residential- Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $ 21. 00 $55.00 B. Services or Feed.ers - Installation, Alterations or Relocation: 200 ~:~. 1m.' N: Crag'on law .reqUlT. a.s 't~i~' 201 ~lt~;o;4Q~;,A~pte.~. by tile ,U,re9UI~lft8~h 401 ~pictO:16f}O tm~'~er. ! ~ose ru.~~~ CAlt\~2.!b~_ . flA.' Qhl") ani -001 0 li1iOUl::?" O.~ v 601 ~mps''l:b''l'f)OO ~mR~ va' In CO",i"'~ f\i tl1e$dl$9rooy POPl)... You me" 00, I l-' Ove r~IAmP.fu'Yci.rts..^l"'r '\Note: the .t.. e\e~ r:::H '~a u 1<;; cell .... - \ .~ t>n.n Reconrre'CI ' niYF.or .'.I"e Oreaon Utilitv Notllll~.lI\'J" !flum erl lil ;oJ '4) Center .is i _80Q-332-234 . C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less ~ $ 55.00 S6~oeJ 201 Amps to 400 Amps $ 76.00 40 I Amps to 600 Amps $110.00 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 OF ABOVE C:;~O'"D 8% State Surcharge ...- ~.4o 10% Administrative Fee .t!:;""~ 5Z) 5% Technology Fee z...7 S- TOTAL t:?7.C,S Shared Drive(T:)/Building Forms/Electrical Pennit Application 7-07.doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 1096.00 I $0.346 = I $379.24 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE 0.00 I $0.346 50% COM2007-01101 Molly Widmer 1362 1/2 South 2nd Street 18-03-02-2401800 Replacement of SFR o BUILDING SIZE (SF' . ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY ; A. REIMBURSEMENT COST: NUMBER OF DFU's x II B. IMPROVEMENT COST: I NUMBER OF DFU's x I II $379.24 o LOT SIZE (SF): DISCOUNT $0.00 21780 $379.24 T- I~ Q o u ~ P-l r-< r/J >-< o ~ I 1070 COST PER DFU $26.83 COST PER DFU $20.40 = , ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 " " .3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE . x I 9.57 I NUMBER OF UNITS I x I I 0 I I COST PER TRIP 20.43 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP I 9.57. I 0 I $90.10 ITEM 3 TOTAL-TRANSPORTATIONSDC = , $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 . MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= I $379.24 '5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: B. IMPROVEMENT COST: INUMBER OF FEU's x I 0 ICOST PER FEU 'I $91.61 . ICOST PER FEU I $961.52 $0.00 I x NEW TRIP FACTOR 1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1091 1092 1093 1094 1054 1055 1054 1056 $379.24 x NEW TRIP FACTOR 1.00 CHARGE $18.96 0.00 $0.00 7/26/2007 Billy Curtiss PREPARED BY DATE TOTAL SDC CHARGES $379.24 - - '-- 11079 1,1078 / DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNlTS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 1 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 1 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 1 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 1 1 = 1 IURINAL, STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 1 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 11 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set~~ 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter 1 for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 ]983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE / 1000 CREDIT RATE 1985 $4.40 $0,00 x $5.29 =1 $0.00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) ]988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 I. 1990 $2.25 I 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 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 fIlS D~/S S~ Pe~t #: fa ~ 'l..OC 7 - c!) Ii () ( Address: ~ 362 . . ~. -_:. S:' ~.,- J,. J- Issued by: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed witk.the Construction Contractors Board to sign the following statement before ci building permit can be issued. This stateineni 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 ~ppropriateblanksand initial boxes 1 and 2, and either box .3A or 3B: ~... 'rt2' 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. V3A. My general contractor is OWII&- (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be , licensed with the Construction Contractors Board. . OR .. A 3B. I will be my own general conlractor. ' , ' , ,', , . , .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 notify the office issuing this building permit of the mune 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. MUr ) zrr8.J~ O~ l (~it applicant) ~ate) / > (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 ~ 1 \ -\ ." '..\ - , " " ~ -'," .-;.:;:......,;.......... ~. ' ._..~? :-~;- - ~... " as' Your .' ~" ,Contractor? :.." . ~ ;. !NFORMATlh~~t:dOTICE TO PROPERTY OWN"ERS ABOUT CONSTRUCTION. RESPONSIBILITIES ,,<<....-...._".___....w.,,"'_.~.____~__~..."""__.._.^ , " , NOTE: This Information Notice to Property about Construction Responslbiilties was developed, the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to " new structure, you can prevent niany problems ,by being '.~. . , ' or make a substantial improvement to an existing following responsibilities and'concerns. Employ'cr . . ," contractors you contrac~ \yith will, be "ywployees" if Board to do labor in constructing or to assist in the must comply '\'fUn thefoUowing: , , . r.' . You will, in most instan9cS, be ft!Ied t~ bean you u~e ponn:actors not licensed wi,!h.tpe, construction or improvement of a -residential . , .'" ." - 4- '- ~ Oregon's employees are employees. ~ . ' \' . 'fax As an employer, You will b~ liab~e f9r the more information, call tnebepartirient iiicom~ taXe~ from employee wages 'at the time if you don't actually withhold the ,tax from your 503-378-4988: ' o~ the wages "'I. to' pay a tax.for UnemploymentinSPfance purpose;>'.~ Employment Dep~rtment at 503-947-1488. , Tax: As an employer~ ' employees. For more are call ...'....; . ':' ::". . ;.::-" : "~,..;, J. ~~>:J.f/'~ :...<;... ' ,. i.. :j.. "1;.(" ....\...:..:.-..:..... 'fl, ~ ~._ ..: 1}':1111ber for ,bQth,Oregon W.i!~o.1ding and," '\ or wvV\v.dor.state.or.usiformspav.htmll for the .. The Identification Number Unemployment Insurance . appropriate forms. - - ", ~- ,', ~/..~ \ \ .:..~:;..,.~) . -. . ~~. ~ . Workers' and must Insurance: As an cvwpensation insurance , stibj~c't' tb 'pin~Ui~s 'ahd:i;e call the Workers' :r....' j you subjecno the Oregon Workers' Compensation Law, your en1ploy:yes. If you fail obtain workers' compensation f~rian' 'c l~im' costs' if ~:l11e'of yol.U- ep)p~oyees is injured on 'the at the" bepartfuent 'of Consum:er' arid Business you job. more Serv1cCS at 503-947-7815. ., . federal, income tax' from employees ' . wages. ':, . withhold the tax. For a Federal EIN number, call the \, As an employer, you must tax payment even if you didn't or visit their web .. ~. .~.. f ;, ' :'L. . As the permit holder for this to,You: attention " you are for resolving any'fal1ur6 tl:f meet code Code _: ~>~ 'i:,~'(: "~< ;>( , Inimrance: omissions such as a:gerit to' see if you adequate insurance. water damage'/rom pipe fire or ~.' t', ~ .~ . , +" \ ",\ \ : .~ ':',^\,.)'~ \~::<,-,- ( -~ '\':7~~:i sufficient tiine to your .', ."..~ .~' ;. ..' - ....:: .;. and 'the'skins to building officials as dbrractor; to' coo~'dinate the so can perform of rough-in inspections. (503-378-4621) or 'Write the agency at PO the Construction 97309-5052: 06-01-04 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 COM2007-01101 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001385 Date: 09/04/2007 Description Plan Review Residential Foundation Permit Storm Drainage Impervious Area Plan Review Major - Planning Storm Sewer - 1st 50 Feet Miscellaneous Plumbing Temp Power 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MOLL Y WIDMER Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 09037C 09037C In Person Payment Total: Page 1 of I 1:43:56PM Amount Due 54.81 84,32 379.24 205.00 50.00 50.00 55.00 22.22 19.15 23,93 $943.67 Amount Paid $943.67 $943.67 9/4/2007