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Home My WebLink AboutPermit Building 2005-3-1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00122 ISSUED: 03/0112005 APPLIED: 02/0112005 EXPIRES: 09/0112005 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2795 CASTLE DR ASSESSOR'S PARCEL NO.: 1703233306000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing garage Owner: JOHN VOGT Address: 2795 CASTLE DR SPRINGFIELD OR 97477 Phone Number: 541-747-9614 I CONTRACTOR INFORMATION. Contractor Type General Electrical Plumbing . Contractor OWNER OWNER OWNER ,", '.:,.' . . License . . "Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN TBmf~ 1~~~~iI~~ fo. . . - ~.or\tAr. Those rules are set forth . Notlftca)#QlJ Mttttl!S: ugh OAR 952-001J.,ot Size: . U in OAR il1i~rQ~AWP . f the rules b~q Ft 1st Floor: 0090. ~~n caples 0 tq Ft 2nd Floor: . caliinWb~wr. (Note: thetel~~ho~e Sq Ft Basement: num~416Detl\y:pQregon Utility Notification Sq Ft Garage/Carport EI6~'I-80()-332-2344). Sq Ft Other: Sprinkled Building: ,n/a Occupant Load: 320 I DEVELOPMENT INFORMATION. 18.00 Urban Fringe REQUIRED PARKING Total: 2 Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yes NO~\{itot coverage~ EXPIRE IF 1HE WORK. :'~~~~ Dt:PM\~ ~~~~u i~;Q ~r:.~..)t-AIT IS; NOl . I PUl!vmWRROVE~F;~~SJlNDONED fOR . M"ntNlvtu G.. ,~ . . C'p' lVl 0100 Sidewalk Type. Partially Improve~'{ 180 Df\'{ PEn . - . Yes Downspouts/Drains: 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Curb and Gutter Notes: Storm drainage to existing system 2/4/2005 CAS Paee 1 of3 . _~..A.....I.~G..r.~.~.LD~....~.. . 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Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00122 ISSUED: 03/0112005 APPLIED: 02/0112005 EXPIRES: 09/0112005 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Garal!e Tvpe of Construction Garal!e $ Per Sq Ft or multiplier $25.00 Square Footage or Bid Amount 320.00 Value Date Calculated Description Total Value of Project $8,000.00 $8,000.00 02/01/2005 ~ F(~e Description Amount Paid Date Paid Receipt Number Plan Review Residential $59.67 2/1/05 1200500000000000128 + 10% Administrative Fee $27.48 3/1/05 1200500000000000274 + 7% State Surcharge $19.24 3/1/05 1200500000000000274 Add, Alter, Extend Circ Ea Add $12.00 3/1/05 1200500000000000274 Building Permit $91.80 3/1/05 1200500000000000274 Perm Serv/Fdr 200 amps or less $126.00 3/1/05 1200500000000000274 SDC Sanitary/Storm Admin $2.48 3/1/05 1200500000000000274 Storm Drainage Impervious Area $49.60 3/1/05 1200500000000000274 Storm Sewer - 1st 50 Feet $45.00 3/1/05 1200500000000000274 UGB Plan Rev Mj/Min - Planning $156.00 3/1/05 1200500000000000274 Total Amount Paid $589.27 I Plan Reviews I Initial Review 02/02/2005 02/02/2005 APP SKG Planninl! Review 02/02/2005 02/24/2005 APP TAJ Garage setback from front property line must be at least 18' on average. Public Works Review 02/02/2005 02/04/2005 APP CAS Storm drainage to existing system 2/4/2005 CAS Structural Review 02/02/2005 03/01/2005 APP DLM for Jason Bush 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Shear Wall Nailing: Before covering sheathing with finish materials. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Pal!e 2 of 3 . .~.liPFUN. G .F..'iE,.wp .!.......iij...... ...... ......... WiLJI& · -. - '. ,- , _ __.... _. ~_., ...dO _ _,-.,_. _~. Status Issued CITY OF SPRINGFIELD' Building/Com~ination Permit PERMIT NO: COM2005-00122 ISSUED: 03/01/2005 APPLIED: 02/01/2005 EXPIRES: 09/01/2005 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 thfIrermit card is located at the front ofthe property, and the approved set of plans will remain on the site at all tlme'd~~., r3/t/O ~/ Own,r Cnntraet.;, Sign~ nate Pae:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone r:ty of Springfield Official Receipt velopment Services Department Public Works Department ./ Job/Journal Number COM200S-00122 COM200S-00 122 COM200S-00 122 COM200S-00122 COM200S-00122 COM200S-00 122 COM200S-00 122 COM200S-00122 COM200S-00122 Payments: Type of Payment CreditCard 3/1/200S RECEIPT #: 1200500000000000274 Date: 03/0112005 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area SDC Sanitary/Storm Admin UGB Plan Rev Mj/Min - Planning B~g Permit ~tlJ\iUIl., ~ Storm Sewer - 1st S'lJFeet--l5 + 7% State Surcharge + 10% Administrative Fee Paid By JOHN VOGT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 096741 In Person Payment Total: Page 1 of 1 2:07:16PM Amount Due 126.00 12.00 49.60 2.48 lS6.00 91.80 4S.00 19.24 27.48 $529.60 Amount Paid $S29.60 $529.60 .. 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 #: Ct::> IN\Zo(..,~ ~ - - 001 z.. 7... Address: 2-79) .~.~ c~ It- c ~fl 3/!~ r I / Issued by: Date: 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 iss~ed. 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 e:ither box 3A or 3B: Z 1. .1 own, reside in, or will reside in the completed struc~e. ~ 2. J understand that I must become licensed as a construction contractor if the structure is sold or offer~d for sale before or on completion. o 3A. My general contractor is (N~e) (CCB #) I will instruct my generai contractor that all s,ub<;qntractors who 'work on the structure must be licensed with the Construction.Contractors Board.' OR /~Q( 3B. I will pe my owp. general contractor. ,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 CC~ 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 thitt I have read and do understand the Information Notice to p,roperiY Owners. about Construction Responsibilities on the reverse side of this form. I '. I~.~.a l~~ . -:51/0-- ( (SIgnature of~FrmIt applIcant) .... I oi~e) . \. (White Mopy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 , ;.. . Acting as ): ont"'Own General Contractor? . . ~ .... .~ INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION '.RESPONSIBILlTIES 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 Legislature. If you are acting as your own c~ntractor to construct a new home or make a substantial improvement to an existing structure, you can prevent mariy problems by being aware of the foHowing responsibilities and i:)oncems. Employer Responsibilities You wiI.!, in most instances, be ruled to be aJ!. "employer" and the contractors you contract with wiH be "employees" if you use contractors n011icensed with the, Construction Contractors Board to do fabor in constructing or to assist in the construction or improvemeJ;1t of a residential structure. As tbe employer, you must comply witb the following: Oregon's Withholding Tax Law: As an employer, you must withhold iric'ome taxes HUUl 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 lmmrance Tax: As an employer, you are required to pay a tax for unemployment insurance purpo;;S., 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 and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fonnsnav.htmll for the appropriate 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' compensation insurance, you CQuld be subject to penalties'imdbeliab!efor all claim costs if one of your employees is injured on the job. For more information, can the Workers' Compensation Division at the Deparln1ent of Consumer 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, can the IRS at 1-'800-829-4933-.or visit their web 81teat www.irs.lwv. , Other Responsibilities Areas of Concerns As permit holder for this project, you are responsible for resolVing any failure to meet code requiremen~~ ~hat may be brought to your attention through inspections. Uam'age Insurance: Contact your insurance agent to see if youhaye adeqtlate'insurance omissions such as falling tools, paint over spray, water damage from pipe puqctures, fire or have sufficient time to supervise your employees. ',/ sure you have the skins to act as your o\vn to notify building officials as the appropriate contractor, to coordinate the work of so they can the inspections. questions call the Construction Salem, OR 97309-5052. 06-01-04 (503-378-4621) or write at JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAlNAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 160.00 I $0.310 = I $49.601 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I 0.00 I $0.310 50% ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x . I 0 "I' , B. IMPROVEMENT COST: NUMBER OF DFU's x o CITY OF S~NGFIELD SYSTEMS DEVELOPMEN~i~~RKSHEET COM2005-00122 John Vogt . 2795 Castle Dr . 1703233306000 . SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF' LOT SIZE (SF): 10890 V'J ~ Cl o U ~ ~ E-< V'J >-< o gz 160 DISCOUNT $0.00 $49.60 $49.60 1070 I COST PER DFU $24.04 $0.00 1091 $18:28 $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS . x I 9.57 0 B. IMPROVEMENT COST: I.' ADT TRIP RATE ,x NUMBER OF UNITS . x I F 9.57 0 i ITEM 3 TOTAL -TRANSPORTATION SDC = f 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I. x I 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADM1N1STRATIVE FEE ITEM 4 TOTAL -MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE $49.60 I 5% TOTAL SANITARY ADMlNlSTRATIONFEE: B. IMPROVEMENT COST: 'NUMBER OF FEU's o = , , $0.00 COST PER TRIP $18.30 x /NEW TRIP FACTOR I 1.00 = I 11093 $0:00 COST PERTRIP $80.72 $0.00 I. x INEW TRIP FACTOR . . - I l.00 = , I' ,11094 $0.00 COST PER FEU $82.03 $0.00 1054 = x ICOST PER FEU I $865.31 = , $0.00 1055 = l $0.00 1054 = , $0.00 1056 $0.00 $49.60 . CHARGE $2.48 2/4/2005 2.48 11079 , $0.00 11078 =1 $52.08 'j II ~ TOTAL TRANSPORTATION ADM1N1STRATION FEE: Cheryl Slaymaker PREPARED BY TOTAL SDC CHARGES DATE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = . . 2 2 1979 $0.00 o $0.00 225 FIFTH STREET. SPRINGFIELD, OR 97477 0 PH:(541)726-3753 · FAX: (5'4 ~::-9(i~9 C- 6'.s i" Q> ELEla 1<ICAL PERMIT APPLICATION '" &/f; ~<"OI)I 1)0/ ;:.s ,s1/6 Vtl I)a., ~ 6'9. '?;>Ii. City Job Number (j:)J,M ZOOS- -0 0 I 2...L. Date FCrZ - -<..->0 1/1/'$ /$0- ~C' "Q>,s Service Included 1000 sq. ft. orless . i. L Each additional 500 sq. ft. or A))~ Z StA \? ~c/~ Lfc..dLc..vCJ~ portion thereof Permits are non-transferable and expir/if work is Each Manufact'd Home or /' not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 1. LEGAL DESCRIPTION /703. Z3~-~ b booo JOB DESCRIPTION 2. Electrical Contractor Address .#" h/ /'~ / City Phone Supervisor License Number Expiration Date Constr. Contr. N~rber ,. Expiration Da~" . Signature of Supervising Electrician Owners Name _1/') h yt\/;.,M" - I - Address :J 'J 7'5 C tft- f.q-/ e !j) h v 0 City S -t1 y. IV-, t, e IJ Phone tlf 7 -96/4- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 071.T~/ ',t u Ins~ction Request: 726-3769 3. $ 19.00 $50.00 B. (' ',r--,.. 20~AttipSl9f,}.e~ .2. $ 63.00 ,20rJ\ri1ps:t~<1POr~~ I $ 75.00 "u'l,n~ aW re "40.1fillips-.J9i6p\!r~~Yth QUirJ:3,... $125.00 C'~'~'J..).q't~Ariips(jQtJ?Ao Rm~ rue, OregO~Y~~ to $163.00 -. ,-, I P. . DtYt(J t' ,es IlIly l'n',9.Y:7~ lOOO/~sl. 6'lWDUgh 0 ar~'): fl $375.00 17urn!J.ir:41n"%ttf4pJfa.m COPies 'AA g~ _ u11/)$ 50.00 tjr ,Or Ih ( . (No . Of the -VU1. C. - 32-23 lfieatio Installation, Alteration or ~Iocation/J 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 D. (zb $ 50.00 $ 69.00 $100.00 / C~-e~1 tl~~ation or Extension Per Panel ":/One f;i{ctiRlq t" / '/ 0 fE~<?h 'Addi~o!l'al'tik'l;1# w: with f f.f':S~i:v.' i6&ol'i Iieed~f'ter-rriit In!) L' i ,'ji~//) '.' VI /()~ "'. ., r-1:" I rr, -.J.' I. -., $ 43.00 $ 3.00 ,2. u E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 7% State Surcharge 10% Administrative Fee /38' q t.' 1 ~f) r / 10 L ~~ TOTAL Shared Drive(T:)/Building Fanus/Electrical Permit Application I-03.doc