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Home My WebLink AboutPermit Building 2007-10-30 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4454 JASPER RD ASSESSOR'S PARCEL NO.: 1802052405200 PROJECT DESCRIPTION: Attached garage Owner: DA VID ROSS Address: 4454 JASPER RD SPRINGFIELD OR 97478 Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER # of Units: Primary Occupancy Group: U Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 24.00 5.90 0.00 Street Improvements: Storm Sewer Available: Special Instruction: CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01615 ISSUED: 10/30/2007 APPLIED: 10/30/2007 EXPIRES: 04/30/2008 VALUE: $ 11,340.00 SPRINGFIE TYPE OF WORK: Garage TYPE OF USE: New Residential Phone Number: 541-913-1848 I CONTRACTOR INFORMATION' License Expiration Date Phone NOTICE: 7111!1 ~ ~~fv1l7 ;:)~ iALL ~ri'n'e 'If Tnt'Viluhl\ I BUILDING INFOR.Mr\-~D UNDER THIS PERMIT IS NOT # of Stories: COMMENCED OR IS 4.~t\~QPNED FOR Height of Struc&~ 180 DAY PERIOrsq Ft 1st Floor: 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: nla Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Dri~fft!r.mON: Oregon law requtres ~ct: % of Lot ~8ff&Vf~les adopted by the Oregon Utility Notification Center. Those rules are set forth . Jr I \ LI J C' P. .~\-.~. c-" .u....u!:''"''.r'f'" - ,- U '" II WU~II r\' ..,""'_ ","v"l PUBLIC IMPR Y obtain copies of the rules by eal mg t e eente~. c/J'W}fl; ~llf!lephone number for the Ordgon1J\ifitYftotifieation Yes Center Is VOOO_~s: Notes: Garage will tie into existing house for drainage to weep holes to storm Pa!!e 1 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01615 ISSUED: 10/30/2007 APPLIED:. 10/30/2007 EXPIRES: 04/30/2008 VALUE: $ 11,340.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Garal!:e $ Per Sq Ft or multiplier $27.00 Square Footage or Bid Amount 420.00 Value Date Calculated Description Garal!:e Tvpe of Construction Total Value of Project $11,340.00 $11,340.00 10/30/2007 ~ Fee DescriPtion Amount Paid Date Paid Receipt Number + 10% Administrative Fee $25.88 10/30/07 1200700000000001348 + 5% Technology Fee $17.69 10/30/07 1200700000000001348 + 8% State Surcharge $19.02 10/30/07 1200700000000001348 Add, Alter, Extend Circ $48.00 10/30/07 1200700000000001348 Add, Alter, Extend Circ Ea Add $4.00 10/30/07 1200700000000001348 Building Permit $135.80 10/30/07 1200700000000001348 Fire SF Fee - Residential $21.00 10/30/07 1200700000000001348 Plan Review Minor - Planning $116.00 10/30/07 1200700000000001348 Plan Review Residential $88.27 10/30/07 1200700000000001348 SDC Sanitary/Storm Admin $7.27 10/30/07 1200700000000001348 Storm Drainage Impervious Area $145.33 10/30/07 1200700000000001348 Storm Sewer - 1st 50 Feet $50.00 10/30/07 1200700000000001348 Total Amount Paid $678.26 I Plan Reviews , Planninl!: Review 10/30/2007 10/30/2007 APP TAJ Public Works Review 10/30/2007 10/3012007 APP LKW Garage will tie into existing drains to weep holes to storm Structural Review 10/30/2007 10/3012007 APP DJB 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. ~eouiredJnsnections , Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pal!:e 2 of 3 Status Iss u ed CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01615 ISSUED: 10/30/2007 APPLIED: 10/30/2007 EXPIRES: 04/30/2008 VALUE: $ 11,340.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Firewall: Located and constructed according to plans. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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. " ~J}Q~~~_ Owner or Contractors Signature j 'lJ-"60 - (')/ Date Pal!e 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2007-01615/Garage NAME OR COMPANY: David Ross, Jr. LOCATION: 4454 Jasper Road TAX LOT NUMBER: 1802052405200 DEVELOPMENT TYPE: . Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF: 420 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S:F. x I COST PER S,F, CHARGE . 420,00 I $0.346 " = $145.33 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. ' x I COST PER S,F. I x DISCOUNT RATE I 0.00 I $0.346 50% I 9583 r/) i:1.l Cl o u ~ ~ IE--< r/) ...... o ~ DISCOUNT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC , . $145.33 $145.33 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x o . B. IMPROVEMENT COST: NUMBER OF DFU's x o COST PER DFU $26.83 $0.00 1091 COST PER DFU $20.40 $0.00 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = 1 $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x 9.57 I NUMBER OF UNITS" x I 0 COST PER TRIP 2D.43 x INEWTRIPFACTOR" I 1.00 $0.00 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I . COST PER TRIP 1 9.571 0 I $90,10 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $0.00 4. SANITARY SEWER- MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x o I x I NEW TRIP FACTOR I 1.00 = 'I $0.00 1094 ICOST PER FEU . I $95,35 I II r = $0.00 1054 B. IMPROVEMENT COST: NUMBER OF FEU's I x o I ICOST PER FEU I $990.39 DATE = '$0.00 1055 $0.00 1054 $0.00 1056 $0.00 $145.33 ,. CHARGE $7,27 1 7,27 1079 'I $0.00 1078 I TOTAL SDC CHARGES =1 $152.60 ~ MWMC CREDIT IF APPLICABLE (SEE REVERSJ;:) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 5. ADMINISTRATIVE FEE: . ISUBTOTAL x ADM. FEE RATE I $145.33 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 10/30/2007' DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FORREFRlG / WATER STATION /ETC. 0 0 1 -. 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ] 67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE] 979 ]979 ]980 ]98] ]982 ]983 ]984 ]985 ]986 1987 ]988 ]989 1990 199] ]992 1993 1994 1995 1996 ]997 ]998 1999 2000 2001 CREDIT RATE/$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 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE/1000 CREDIT RATE $0.00 x $5,29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5,29 o TOTAL MWMC CREDIT $0,00 = 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 #: <.... 0""'1 z...cr-6 '7 - 0/ 6 f J 44 S-L{ "dA-s-Pc-VL (~d. 01< Date: /Ohoh'J fIt Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are 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 and initial boxes 1 and 2, and either box 3A or 3B: ~. yY'2. 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 #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~B. 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 ofthe 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. ~ '>JV~"Y'-- 10-30 - D'7 = Q -' (sr-goature of p~ ~licant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 Act~n.g, ~'s , , ' _.' General Contractor? ":II\.IFORMATION NOTICE TO PROPERTY OWNERS ABOUT"CONSTRUCTION RESPONSIBILITIES .~ . . j NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by 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. 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, Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with wj11 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 tbe 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 503-3784988. ' 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, can the Oregon Employment Department at 503-947-1488. .., The Oregon Business Identification Number (BIN) is a combined' number for both Oregon Withholding an,l"" Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formspav.html1 for the appropriate fOnTIs. 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 ?bta~n workers' compensation insurance, you could be subject 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 Consullier 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 jf you didn't actually withhold the tax. For a Federal EIN number, can the IRS at 1-800-8294933 or visit their web site at w\vw.irs.gov, .!.. . - , Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirem~~ts that may be brought to your attention thr~ugh inspections, , " Liability and Property Damage Insurance: Contact your insurance agent to s~e 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. 1-., ~, Time: Make sure you have sufficient time to supervise your employees. . ., .' '.' . . ~.' - ." . Expertise: Make sure you have the skills to act as yoUr 'ov\'I1genefal contractor; to coordinate the work ofrough-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 (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ ovmer.doc 06-01-04 225 Fifth Street Springfit;ld, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01615 COM2007-0 1615 COM2007 -01615 COM2007-01615 COM2007-01615 COM2007-01615 COM2007-01615 COM2007-01615 COM2007-01615 COM2007-01615 COM2007-01615 COM2007-01615 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001348 Date: 10/30/2007 Description Plan Review Residential Building Permit Storm Sewer - 1st 50 Feet Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DAVID ROSS JR Item Total: Check Number Authorization Received By Batch Number Number How Received d j b 110610 In Person Payment Total: Page 1 of 1 11:11:27AM Amount Due 88.27 135.80 50.00 48.00 4.00 21.00 145,33 7.27 116.00 17.69 19.02 25.88 $678.26 Amount Paid $678.26 $678.26 10/30/2007