HomeMy WebLinkAboutPermit Building 2004-11-23
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01319
ISSUED: 11/23/2004
APPLIED: 10/25/2004
EXPIRES: OS/23/2005
VALUE: $ 26,171.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 538 CASCADE DR
ASSESSOR'S PARCEL NO.: 1802022206900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Carport and 2nd floor addition
Owner: STEVE KLOPP
Address: 538 CASCADE DR SPRINGFIELD OR 97478
Phone Number: 541-9~5-1223
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
ROGERS CONSULTING & CONST INC
License
52638
Expiration Date
11/12/2005
Phone
541-915-1223
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Con~truction Type
Secondary Construction Type:
# of Bedrooms:
I BUILDING INFORMATION I
IWJ18CIt. . .
T ~of Stones: Lot Size:
R-3 A~/S PEliergf1t~. ~ Iypcture Sq Ft 1st Floor:
THORr~lj " r6 EXPIRE IF TH Sq Ft 2nd Floor:
vNCOMME~~tor eR THIS PER E WORK Sq Ft Basement:
ANY 180 lffl~e ~& ABANDONEMIT IS NOT Sq Ft Garage/Carport
1t1il!rj'yEiFM1iD 0 FOR Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Yes
15.10
REQUIRED PARKING
Total:
Handicapped:
Compact:
20.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Sidewalk Type: . ,
Fully Improved A I . t:NTION: Orenon faw fft$lU{r: ou to CurbSide 5
Yes follow rules ado )fe2ro!~~fbr8c m\~ .. Curb and Gutter
Storm drainage piped to curb face... . P U u'I regon Utility
NotifIcation Center. Those rules are set forth
In OAR 952-001-D010 through OAR 952-001.
0090.. ~~u may obtain copies of the rules b,
. '-'1:#1 Hl:#r. \1"40le; UlS telspnone
flIP he Oregon Utility Notification
.sr is 1-800-332-2344).
Square Footage
or Bid Amount
Valuation De
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Value
Date Calculated
Pa2e 1 of3
Status
Issued
CITY OF SPRINGFI~Ltl
Building/Combination Permit
PERMIT NO: COM2004-01319
ISSUED: 11/23/2004
APPLIED: 10/25/2004
EXPIRES: OS/23/2005
VALUE: $ 26,171.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Carport
Dwellines
Carport
V Wood Frame
$16.60
$92.40
352.00
220.00
$5,843.20
$20,328.00
$26,171.20
10/25/2004
10/25/2004
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $153.47 10/25/04 1200400000000001508
-Mechanical Issuance Fee- $10.00 11/23/04 1200400000000001648
+ 10% Administrative Fee $32.61 11/23/04 1200400000000001648
+ 7% State Surcharge $22.83 11/23/04 1200400000000001648
Building Permit $236.10 11/23/04 1200400000000001648
Not Covered Mechanical $45.00 11/23/04 1200400000000001648
Plan Review Minor - Plann~ng $59.00 11/23/04 1200400000000001648
Plan ReviewIResidential Hourly $67.50 11/23/04 1200400000000001648
SDC Sanitary/Storm Admin $9.56 11/23/04 1200400000000001648
Storm Drainage Impervious Area $191.22 11/23/04 1200400000000001648
Storm Sewer - 1st 50 Feet $45.00 11/23/04 1200400000000001648
Total Amount Paid $872.29
I Plan Reviews I
Initial Review 10/27/2004 10/27/2004 APP SKG
Plan nine Review 10/27/2004 11/0412004 APP TAJ
Public Works Review 10/27/2004 10/28/2004 APP CAS Storm drainage piped to curb face
Structural Review 10/27/2004 11/17/2004 WE RJB Plans have been checked and all
infomation is in system. Requesting
information on how new rafters for
carport are attched to existing
house, called on 11/18/04. Plans are
on hold.
Structural Review 11/23/2004 11/23/2004 APP DLM
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Paee 2 of3
.
.~$PFlINGt:'I:m..D
t
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01319
ISSUED: 11/23/2004
APPLIED: 10/25/2004
EXPIRES: OS/23/2005
VALUE: $ 26,171.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 c I trUCjJ / ~ /> ~
16{ IA '{ ~-' / /r-Z 3-0 V
~er MonYract::rs Signature Date
Paee 3 of 3
'.
.Construction Contractors Board.
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052 .
Phone: 503-378-4621
Web Address: www.cC{h.state.or.us
Permit #: G:?VVl ZO(.;..A~'f - c.? I -::> ( ~
Address:
.53<3
~($
f'AscA ,~c:- ~ fL
Date: I ( / z ""3 /0 L(
I I
Issued by:
statement: Information Notjce 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 Quilding, electrical; mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this stateme1)t. This statement will be filed with the permit.
',' J" ", " . ' -..
Filf in the appropnate blanks and initial boxes 1 and 2, and either box 3A or 3B:
~
,'-B-'2.
1. . 1 own, reside in, or will resid~ in the completed structure.
1 understand that 1 mUst become licensed as a construction contractor if the structure is sold or
, offered for sale before or on completion.
!
szb~g
(CCB #)
~ 3A. My general contractor is L..:..'M (L, L ~ ~o G t:sIL. S'
(Name)
'1 will instruct inygeneral contractor that all subcontractors who :work on the structure must be
licensed with the Construction Contractors Board.'
OR
o 3B. 1 will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board.' If! 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 w prop;:;; a1E: R~ponslbmties on ilie reve~ Si~ ;~: :~: V
/ (Si~tfue of permit ~pp~icant) (Date)
, (White copy to iss,uing agency permit file, pink copy to applicant.)
PropertLowner.doc 06-01-04
,. "
...
Acting as"'Y'out~'Own General Contractor?
"'.\ .") '.. .
I~FORMATION NOTICE TO PROPERTY OWNERS
ABQUT CONSTRUCTION RESPONSIBILITIES
~
~
NOTE: This Information Notice to Property Owners about Construction ResponsibiNties was developed by the
Construction Contractors (3oard in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your mvn 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
r,"
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 lic.ensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structure. As the .empl(byer, 'yon mnst comply with thefoUowing:
. .
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 50-3-378-4988.' . .
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 combined number for. both Oregon Withholding and
Unemployment In.surance Tax. To file for a BIN, can 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the
appropriate for,ms. ; '. ....
Workers' Compensation Insurance: As an employer; you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compc1?sation ins1.l.!ance f?r your employees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for al1"c1aim 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 503-947-7815.
U.S. In.temal Revenue As an employer, you must withhold federal inc'ome tax from empioyees' wages.
You wiB be liable the tax payment even if you didn't actually withhold the tax. For a Federal EIN call the
IRS at 1-800-829-4933 or visit their web site at \vww.irs.l!ov.
Other Responsibilities and Areas of Coricer~s
Code As the permit holder for this project, you are responsible for resolving any
requirements that may be brought to your attention through inspections.
. 'j . '. '
to'meet code
Property Contact your insurance agent to. see if you have adequate
accidents and omissions such as falling tools, paint over spray, water damage frompipe punctures, or
re~~. .
sure you have sufficient time to supervise your employees.
sure you the skills to act as your own general contractor, to coordinate the
to notify building officials as the times so they can perform the
questions can the Construction
14140, Salem, OR 97309-5052.
06-01-04
Board (503-378-4621) or
at
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~""'''''''''''_~;>1'Il"''_'''~''f'. ~i """,J"
225 Fifth'SJreet
Springfield, Oregon 97477
541~7i6-3759 Phone
Job/Journal Number
COM2004-01319
COM2004-01319
COM2004-013J9
COM2004-0 1319
COM2004-01319
COM2004-0 1319
COM2004-0 1319
COM2004-0 1319
COM2004-01319
COM2004-0 1319
Payments:
Type of Payment
CreditCard
11/23/2004
r:ty of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #:
1200400000000001648
Date: 11/23/2004
12:12:46PM
Description
Plan Review Minor - Planning
Building Permit
Storm Sewer - 1st 50 Feet
Not Covered Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review/Residential Hourly
Storm Drainage Impervious Area
sbc Sanitary/Storm Admin
. Amount Due
59.00
236.10
45.00
45.00
10.00
22.83
32.61
67.50
191.22
9.56
$718.82
Paid By
STEVE KLOPP
Item Total:
Check Number Authorization
Received By Batch Number Number. How Received
djb 010895 In Person
Payment,Total:
$718.82
$718.82
Amount Paid
" . "
.....j;
Page 1 of 1
CITY OF SPklNGFIELD SYSTEMS DEVELOPMENl .JRKSHEET
COM2004-0 1319
Steve Klopp
538 Cascade Dr
1802022206900
SINGLE F AMIL Y RESIDENCE
o . BUILDING SIZE (SF:
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 COST PER S.F. CHARGE
I 616.85 $0.310 = I $191.22
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I I
I 0.00 $0.310 I 50% I = I
ITEM I TOTAL - STORM DRAINAGE SDC '$191.22 I
617
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 0
B. IMPROVEMENT COST: .
NUMBER OF DFU's x
o
COST PER DFU
$24.04
$18.28
LOT SIZE (SF):
DISCOUNT
$0.00
o
$191.22
$0.00
$0.00
rrJ
~
Cl
o
u
~
~
f-<
rrJ
......
o
~
1070
1091
1092
. ~
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKlNG FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL, STALL I WALL .0 0 5 = 0
ITOILET, PUBLIC INSTALLATION :0 0 6 = 0
ITOILET, PRlVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
]983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 I 1000 CREDIT RATE
$0.00 x $5.29
=,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=