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Home My WebLink AboutPermit Building 2003-5-27 Status Issued - ~....CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2003-00325 ISSUED: OS/27/2003 APPLIED: 05/0112003 EXPIRES: 11/27/2003 VAL UE: $ 8,624.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 313 W CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703274401801 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Garage Owner: JERRY FAILS Address: 313 W CENTENNIAL BLVD SPRINGFIELD OR 97477 Phone Number: 541-726-0524 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Plumbing Contractor JERRY FAILS OWNER JERRY FAILS OWNER License Expiration Date Phone 541-726-0524 I BUILDING INF~IM~TION I \~ \'(\e S ~ \ # of Buildings: _ .~~~~'\\ '\ ~ Primary Occupancy Group: R-3 ~\. ~'''1H' 1ff(6r:&.~tft<ri)re Secondary Occupancy Group: \~~.U-~ Sy..~ x..~ ~ ~~~at: Primary Construction TYI\\\)'\ ~~~ '0~\> S r Type: Secondary Construction T~~~~S \> c>~\1.~\) \) \)~ '\ ~pge Type: # of Bedrooms: ~'\J\'0 x..~\;~ ~ \>~~'tiiergy Path: \;\)*~ COI0 \)~ II ~~' I DEVELOPMENT INFORMATION I 12.00 ' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 440 Street Improvements: Storm Sewer Available: Special Instruction: Overlay Dist: OU \\IIotal: # Street Trees Rqd: u\~eS i U,\'Wd~~icapped: Paved Drive Rqd: \'0.\1'1 ~e~,,~o\\ e~ompact: 9P'\\ ne vS" ~e S 00\' % of Lot Coverag~,,0~e 0 'O'1~' 3lbQ95 ~ ~ 9<::J~~ '0'1 _",', ~\'-\ \ ~~s 'O.o~~:e ~'(\~S~~Q\\ ~~\\\e ~~~~e , I PUBLIC IM~(JV.i:!Ni$~'GO'\ \)\~ ~o~\~~;e \e\e~\\~'3-\\O~ ....'0\\"'" 9 (..-'" O'O\~'d~\o\?' :.~,' ~o~ Fullv Improved '~O~~ u {(''O.'1 ....\6.1. ,w~ ~\f.\)'P~~~~l' \\\ ~O Ce\' 0.0.0 ().?", Y es t"\rI~O.. 0. \\\e "'-e ~oWnsu6lits!Drains: Curb and Gutter D t 'I d't' I' t,Vt-\~\{\.t!-~\\' d}f"\)II'td'lltk d' ue 0 SOl con I IOns app lcan IS no cgomg 0 pursue 'a~ ifywe , ms ea WI a e storm ram age to "~e' ~p,' ,,,, street. Applicant has been approved (~u(lilley ~~ess:;for garage 4/29/03. 102.00 24.00 5.00 REQUIRED PARKING 2 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10,00 0.00 Notes: Pae:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00325 ISSUED: OS/27/2003 APPLIED: 05/01/2003 EXPIRES: 11/27/2003 VALUE: $ 8,624.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Garal!e Tvpe of Construction Garal!e $ Per Sq Ft $19.60 SQuare Footal!e 440.00 Value $8,624.00 $8,624.00 Date Calculated 05/01/2003 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $64.74 5/1/03 1200200000000001112 + 10% Administrative Fee $20.46 5/27/03 1200200000000001324 + 7% State Surcharge $14.32 5/27/03 1200200000000001324 Add, Alter, Extend Circ $43.00 5/27/03 1200200000000001324 Add, Alter, Extend Circ Ea Add $3.00 5/27/03 \. 1200200000000001324 Building Permit $99.60 5/27/03 1200200000000001324 Plan Review - Planning $59.00 5/27/03 1200200000000001324 SDC Sanitary/Storm Admin $7.45 5/27/03 1200200000000001324 Storm Drainage Impervious Area $148.90 5/27/03 1200200000000001324 Storm Sewer - Ist 50 Feet $45.00 5/27/03 1200200000000001324 Storm Sewer Each Addt1100' $14.00 5/27/03 1200200000000001324 Total Amount Paid $519.47 Initial Review Planninl! Review Public Works Review I Plan Reviews I 05/02/2003 05/02/2003 APP LLH 05/02/2003 05/12/2003 APP AID 05/13/2003 OS/20/2003 APP VRJ Due to soil conditions applicant is not going to pursue a drywell, instead will take storm drainage to street. Applicant has been approved for alley access for garage 4/29/03. 05/02/2003 OS/23/2003 APP RJB Structural Review 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. ~eouirerUnSDections I 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Shear Wall Nailing: Before covering sheathing with finish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00325 ISSUED: OS/27/2003 APPLIED: 05/0112003 EXPIRES: 11/2712003 VALUE: $ 8,624.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 6 Drywall: Prior to taping. 7 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 8 Final Building: After all required inspections have been requested and approved and the building is complete. 9 Storm Sewer Line: Prior to filling trench. 10 Rough Electric: Prior to Cover 11 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 construction. a . ~~ 5-2-;'.o~ - ~ ~r or Contractors Signature Date Pal!e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 COM2003-00325 Payments: Type of Payment Check 5/27/2003 City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001324 Description Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - 1st 50 Feet Storm Sewer Each Addt1100' Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By JERRY FAILS 1O:42:19AM Received By djb Date: OS/27/2003 Item Total: Amount Paid 59.00 148,90 7.45 99,60 45,00 14.00 43.00 3,00 14,32 20.46 $454.73 Check Number Confirm No Amount Paid How Received In Person Payment Total: 454,73 $454.73 Page I of I cRcccipt.rpt 3. submitted has the following r,;i AiQes..(lo~~equire specific land use . F~n(S{,}l Zb::.j()lS'J approva. It;>r2-- I .,/ Zomng. O~ S 2- ~ () "] ~. 6 ,-at /./".. ., L.iate ..,.' c:Du.J COMPLETE F'E.AU$~.cmI~Y1.hL()lV 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAL PERlUIT APPLICATION City Job Number COM zco3 -roJ Z S- Date 1. LOCATION OF INSTALLA110N ~.-k~"'l A- ( J/3 w LEGAL DESCRIPTION 170'JZ7 L{l{ JOB DESCRIPTION A~0 z ~Jvj () l?O ( ..... C-,~c.Y'~1 TS Permits are non-transferable and expire if work is not stal"ted within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number f{L- ~Jf5 ~' 7J V' Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician A. New Residcntial- 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 $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1 000 Amps/..'6dl'ts~ Reconnect f],Q.\W' 'I 0\~\\'l~. \e~ 0'" ~ \Of:), ~ " ~ 4en . \e.~ 'C5 ' ,..:i.v ':1.00. S0'\ (\\0 '{\0 '{v: 0 _ .~ \. ,0 '(>.oO'Q InS,tallatioh?JAlte'r'hti~~'OP'\);Ycation ",';;' ~0S r-\0\' 'Q~'-i .r.\eS" \0'11. 'C:t.~ 1(>.\ N'\i "V: 00 ,eJ~O.~mW~0r l.e~~.0 0\\\'11. $ 50.00 \0\\0. ",~,o'0 ~~\ 2(H'~\~ . ~t~~I}l~.J, S,~,. $ 69.00 ..rt'J. S?:' "I v" R~ \'1(\\ (PV; ~O'\.\\'~<(>. 9 <(\\~~4g~mn~~tO'6R,Q,':h~Bs $100.00 .~or --to\,). eV ()'{6 (\~,,~'- \: ~~~ . r-CJJ ~ 8~S(60Q,Wmps or 1000 Volts see "B" above. (j C~\\,^0~W ^'lB'n~ch Circuits . \,).~\J Ce'> . '(\ New Alteration or Extension Per Panel One Circuit I $ 43.00 l( ') Each Additional Circuit or with I "\J,(\~I(.. Service or Feeder Pelmit -\'~ ~~.J\a;. '3 X \ \. S \~\) E. Miscellaneous (SeJ:Vic~/f,"~i~x~~~'ili\~~aCh Installation r~~' S\\~\;~\\\\'O \J~{tj PuInJt~;.\~~a~\\ ,\~\)\:.~ f\.~~~\) $ 50.00 ,.> .(' "'\.. .'1(.\) \) \';) l" Sign/qll:tl~n\\tr&QUn~\) \)~ ':\\)\), $ 50.00 Limite~E~[~~~~~~i~\l\ $ 25.00 Limited R1~~.!f\~~lerCial $ 45.00 Minimum Elect~c Permit Inspection Fee is $45.00 + Surcharges Address ':)ea~7" 3/3 W sPF~ ,--- ~~ Le-<A ~V'-,-;:[ Owners Name City Phone OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .~~r;;k-~ V ' Inspection Request: 726-3769 4. SUBTOTAL OF ABOl'E L(b 32Z L{60 $53~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T: )lBuilding FonTIs/Electrical Pel1l1it Application 1-03.doc , Construction Contract..... s Board 700 S1;lmmer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us' r- Permit #: (...>..0 0 J Address: 3/) W,. (b1,'h':f1V\ ('A- J J"ued by, . 1>.6 Dat, . S;k r{n ,Statement: Information Notice to Property Owners Ab9utConstruction. Responsibilities Note: Oregon Law, ORS701.055(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 s~6~it this statement. This statement will be filed with the permit. Fill in the appropriate bl~s and initial boxes 1 and 2; and eitherbcix 3A or 3B: ~l ~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 o'ffered for sale before or on completion. D 3A. My general contractor is ,:::::Jr~~ 9-~ V P (Name) S--I-~ (CCB #) I will instruct,my general contractor that ali subcontractors who work on the structure must be lic.ensed with the Construction Contractors Board.' , OR f: 3B. J will be my OwD .genera! contractor. , If I hire subcontractors,. I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a g~neral cont~actor, I will contract with a contractor who is licensed ,,:,ith the-CCB and will immediately notify the office issuing this'building permit of the name ofthe 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. , ~-/ ~~ ' ,- " . S-/~-"3 ~ (Signature of perm-it applicant) (Date) (White copy to issuing agency permit file, Rink copy to applicant.) prop-own. doc OS/22/00 I"L ..-.. _.,-----........--....~.-. --...'...... _.~.. -.". "- \. . - '.. ~ .. . w " - \ ~- ;- ( ~ '"\ ." ~ . ''') ..-....,. .......- .'-J.~.r~.~~:r. . '., ~.. .'\-~ . , , \ , ~, '.f,',,~ .I'<~ Notice to Property Owners about ConstnJction Responsibilities was developed by the Board in passed by the 1989 Oregon Legistature. as your own:'contractOr.ct~:PO~lstr!Jcta .new many problems by . a'ware' make a suhst4ntialimprovement to an existing responsibilities and' concems. ,. .> (. ' \. --~\: - ~..~. . . t _ . .. . .,1 ., ~ , ' - ....., '" 'youicontract wit.h wl11 be "~r.nployees" dolabor~in' constfu'ctingor to assist in ,~o.u' !;~mply ~it~t'~e"f4n~wiug: ,\ ( . ~'''.' . . IVIed to b~ 'wlththe of a residential '';'.' .l Law: As an employer, be 'liable' for tax ID number, the income taxes from employee wages at the time , even if 't!ort"t=aetual1y withholOthe tax fr.6m-yoUr Center at 503-986-2222. As an employer, you For more information, , . pay a for uriemployment insiri:ance purpose~ ' Employment Department at 503-378-3524. on 'I'n'sttraiick:: compensati~n you to penalties and be for job. more information,,:.ca.11 !!1~ \yot;kers' ,Coml?en~~t.{on Setvicesat-50J~947-78.10. ' '~: ,-,- - ': -, -- <:: --> . ~_..:7,l.-"i, r~...--"',"'''_~~' l_t.......:.....'.1~.. ."._.....,. . '1 .\ OrBg6ri 'W~rketS 'Compensation La\v, . Tail~ to~o5ttdfl 'compensation costs if one ofyol.lr employees is injured on the at the Department of Consumer ~~l~sin~ss ow' .. '. .,' ~ - "... ..- !.. ':J:f: federal income tax fromemployees'~vages. v'Zithr..old. the Ja.'i:~' c,f,or. a ;f~4et;a1E1N: , fax the , Ogpcn,UT ,844Q~', ", ;'<). As an for the tax paYJnent ,6,.\'eo 15 or WTikto them at IRS, As theperrnit holder for thisprl?5ect, you are responsible~.f6t iesQlving)a:p.yfailuH~'td c<?de' may be brought to your attention . "L . ..; \~~j~. ) . " '; :.l' , , ~ ." .;.... .. . ,- .;"".' I. l~ls.;n:a~H~e: omjsSi()~S~lCil as . :. 1, ' '__~ ...., ~ ,.', . . As any employer, you agenda ;f.ce if yqu ha ve ad~.quate insurance , wqt~r.'d~mage frQm; p~l?e'punctun;;s, or injuries sustap1~d. r~y ~YO\lt e11lpJQye~s, ..... . .'. ., - . have sufficient time to , , 'F~' ~', yoti' h'a~e' the 'sKills and to notifv buildincr ~~ ~ ._:'~ . .; ;. _ b ',' .c_ ". - . ....:k.' jf;' i. ~'~-~". .- ~: . .'1" --""'-T.... cbri:traetor, to codrdiiHite the\vork-ofrough2iu' so they can perform"t'he required ipsl;ections.. ,_ w . _, _.~:_~. -" .-..., -'- . additiOliillqutsW:ms call the Construction at PO Box 14140, 97JQ9-,50;52", ,_.. ~... -.. Bo~td(;S03r3;18..:462 r ext.;4900}of tvrite agency .! \. \,\,- .-:->:.:~: t~... -< . . ~."f \ . ~ .' i' : prop-own. doc -, f'~_ .. CITY OF S~iNGFIELD SYSTEMS DEVELOPMEN1~ORKSHEET JOURNAL OR JOB NUMBER: Com2003-00325 NAME OR COMPANY: Jerry Fails LOCATION: 313 West Centennial TAX LOT NUMBER: 17032744 t] 180 I DEVELOPMENT TYPE: SFD Garage Addition NEW DWELLING UNITS . 0 BUILDING SIZE (SF: o LOT SIZE (SF): o CIl ~ Q o U ~ ~ E-< CIl >-< Cl ~ I, STORM DRAINAGE DiRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE I 528.00 $0,282 I = $148.90 . RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS \ IMPERVIOUS S.F. x COST PER S.F. x DiSCOUNT RATE I I DiSCOUNT I 0.00 $0.282 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $148.90 . I $148.90 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x I COST PER DFU 0 I $22.09 $0.00 1091 B. IMPROVEMENT COST: 'I I NUMBER OF DFU's x I COST PER DFU I 0 I $16.79 . ' $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $0.00 ' 3, TRANSPORTATION. A. REIMBURSEMENT COST: ADT TRiP RATE x . NUMBER OF UNITS x COST PER TRIP x INEW TRIP FACTOR 9.57 0 $16.81 I 1.00 ,I $0.00 1093 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x COST PER TRiP x NEW TRiP FACTOR 9.57 0 $74.17 1.00 , $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $332.86 = $0.00 1054 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU 0 $34,83 = $0.00 1055 , MWMC CREDiT IF APPLICABLE (SEE REVERSE) $0.00 I 1054 MWMC ADMINISTRATIVE FEE $0.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $0.00 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $148.90 5, ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE 1= CHARGE I $148.90 5% I $7.45 TOTAL SANITARY ADMINISTRATION FEE: 7.45 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 1078 Virginia Jurasevich 5/20/2003 TOTAL SDC CHARGES = J $156.35 PREPARED BY DATE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 \979 1980 198\ 1982 1983 , 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 \997 1998 1999 2000 CREDIT RA TE/$I ,000 ASSESSED VALUE $4:92 $4,92 $4,83 $4,77 $4,64 $4.47 $4,30 $4,09 $3,78 $3.41 $2,98 $2,52 $2,06 $1.64 $1.45 . $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? ' (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for )'10) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $4.92 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $4.92 =1 TOTAL MWMC CREDIT = - . . ,jr,. ,0' o ,1979 $0,00 o $0,00