HomeMy WebLinkAboutPermit Building 2007-11-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01677
ISSUED: 11/14/2007
APPLIED: 11/14/2007
EXPIRES: 05/1412008
VALUE: $ 7,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 476 S 39TH PL
ASSESSOR'S PARCEL NO.: 1702314401618
Springfield TYPE OF WORK: Garage
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing garage
Owner: RICHARD DUGAN
Address: 476 S 39TH PL
SPRINGFIELD OR 97478
Phone Number: 541-914-6089
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# Of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VB
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
46.00
11.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
32.00
24.30
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Fully Improved
Storm Sewer Available: Yes
Special Instructi.9p.; 0 law requires you to
AI I cNT10N. regon. . ,
\ rl ote.cl by the Oregon Utility
Notesfoll~~'M>> 91i ~n9fie mt8~x~i8~ iMtsDttMtWm drain
Notification 'Center. Tn ~~
;" :;t.t 3f: 2'11 QQ.int"'r~A~ 952=~0:.~
0090. You may obtain copies of the r .... -'. .
calling the center. (Note:,t,he tel~~ olfetluatlOn Descn
number for the Oregon Utility NOtlflc
DOt' CemoLl~ 1-Sl.nn-~~?2~4). $ Per Sq Ft Square Footage
escnp Ion Ill'f'IJe"OI ~uns'l'I"UttTirIi , , ,
. or multIplIer or Bid Amount
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
CClvlivl~i~~~" un I\) 1\D1\IIIUUllltU tUI1
ANY 180 DAY PERIOD.
Curb and Gutter
Value
Date Calculated
Pa2e 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01677
ISSUED: 11/14/2007
APPLIED: 11/14/2007
EXPIRES: 05/14/2008
VALUE: $ 7,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Garae:e
Garae:e
$27.00
294.00
$7,938.00
$7,938,00
11/14/2007
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid Date Paid Receipt Number
$10.15 11/14/07 1200700000000001401
$5.07 11/14/07 1200700000000001401
$8.12 11/14/07 1200700000000001401
$101.48 11/14/07 1200700000000001401
$65.96 11/14/07 1200700000000001397
$5.09 11/14/07 1200700000000001401
$101.73 11/14/07 1200700000000001401
Total Amount Paid
$297.60
I Plan Reviews I
Plannine: Review
Public Works Review
11/14/2007
11/14/2007
11/14/2007
11/14/2007
APP T AJ
APP LKW
No Planning issues
addition will tie into existing gutter
to storm drain
Slab poured earlier, detailed photos
submitted. Epoxy anchors require
special inspection. Approved as
noted on plans.
Structural Review
11/14/2007
11/14/2007
APP DLM
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 I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Bolts Installed in Concrete: ~o1fdgC;:~ (. ~rt'~ ,,'ltI-li.~J"""~u"" :\.6..4fkHMp""'lt... ~...~, . "t'v,~" ~v
City Building Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector, Provide Inspection results to City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete,
Pae:e 2 of3
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2007-01677
ISSUED: 11/14/2007
APPLIED: 11/14/2007
EXPIRES: 05/14/2008
VALUE: $ 7,938.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
(lj () /
. --
II //~/CJ7
Owner or Contractors Signature
Date
Pae:e 3 of3
JOURNAL OR JOB NUMBER: .
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER: .
DEVELOPMENT TYPE:
NEW DWELLING UNlTS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
294.00 I $0.346 = I $101.73
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
0.00 $0.346 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$101.73
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU'sx
o
B. IMPROVEMENT COST:
NUMBER OF DFU's I x
o I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
Com2007-01677/ Garage Addition
Richard Dugan
476 S. 39th Street
o
Single Family Residence
o BUILDING SIZE (SF'
6970
r.rJ
D.l
Q
o
u
I~
IE--<
r.rJ
.......
c:;
ga
294
LOT SIZE (SF):
DISCOUNT
$0.00
$101.73
1070
COST PER DFU
$26.83
$0.00
1091
COST PER DFU
$20.40
$0,00
1092
=,
. ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$0.00
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 - TRANSPORTATION SDC = , $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 0
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x
9.57
B. IMPROVEMENT COST:
NUMBER OF FEU's .
o
NUMBER OF.UNITS I x
o I
x NEW TRIP FACTOR'
1.00
COST PER TRIP
20.43
$0.00
1093
x INEWTRIPFACTOR
I 1.00
I
1094
$0:00
ICOST PER FEU
I $95.35
$0.00
1054
=
x ICOST PER FEU
. I $990.39
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:
SUBTOTAL x I ADM. FEE RATE
$101.73 5%
TOTAL SANITARY ADMINISTRATION FEE:' .
TOTAL TRANSPORTATION ADMINISTRATION FEE:
. Kaye Wilson
11/8/2007
PREPARED BY
DATE. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 0 0 3 = 0
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
\ SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
'TOILET. PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlI's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
]979
1980
1981
1982
1983
1984
1985
1986
1987
]988
1989
1990
]991
]992
]993
1994
]995
]996
1997
]998
1999
2000
200]
CREDIT RATE/$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
= I
$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 #:
Ct/)# 2a:J7-0 I ~ 77
47~ ~), 3q7!J ./JL.J
Address:
ISsued by:
Date:
Statement: Infollljation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701,055(4) requires residential construction permit applicants whoare 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 bejiled with the permit,
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
r&:1.
% 2.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor ifthe structure is sold or
offered for sale before or on completion,
D 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
~ 3B. 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 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 thereverse side of this form.
~ M.~' JI//4/0 7
v (SigOatlde of permit applicant) . (D"ate)
(White copy to issuing agency permit file, pink copy to applicant.)
Property _ owner. doc 06-01-04
Acting as Your Own General Contractor?
INFORMATION NOTICE TO PROPERTY OWNERS'
ABOUT CONSTRUCTION RESPONSIBILITIES
..,. .'-' ~
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.
. i " -';-.. .
If you are acting as your own contractor to construct a new home or make'a substni.tial improvement to an existing
structure, you can prevent many problems by being aware of theJollowingrt~sponsibilities ~md' concerns,
Employer Responsibilities
You will, in mo~t instances, be ruled to be an "employer" and the contractors you contract with will 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 the ~mployer, you n:au~t comply with the followi~g:
, '
Oregon's Witbb~lding Tax Law: As an employcl-; 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 503-378-4988, .
Unemployment Insurance Tax: As an employer, youaretequired 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 Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Cvutpensation Law,
and must obtain workers' compensation insurance for your ,;..wployees, If you fail to obtain workers' compensation.
insurance, you could be subject to penalties and be liable for ail claim'costs if one otyoUr 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. 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, call the
IRS at 1-800-829-4933 or visit their web site.at www-irs.IIOV. . .
- Other ~~sponsibilities and Areas ofCQncerns
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requ~~ements th~t may be brought to your attention throug~ inspectio~s,
Liability and Property Damage Insurance: : Contact y~ui ins~ranceagent to see 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.
\
\
.. Time: Make sure you have sufficient time to supervise your employees.. .
.~
Expertise: Make sure you have th~ skills to act as yo~r own 'geiiera(co~ttactor, t~(coordlnaie the work of rm.igh-iri
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 (503-378-4621) or write the agency at PO
Box 1,4140, Salem, OR 97309-5052.
.... ,
. '. .. ~ .:..
Property- owner.doc 06-01-04
Lase 11: LUlVUUU"/-Ulb'l"l Y:55:25AM
476 39TH PL
541-726-3753 Phone DUGAN RICHARD
541-726-3676 Fax
Trans Revenue Date Calculated By Original Amount
Description Code Account Number Calculated Amount Due
Plan Review Residential 1061 224-00000-425602 11/14/2007 DJB 65.96 0.00
Stann Drainage Impervious Area 1178 440-00000-448028 11/14/2007 LKW 101.73 101.73
SDC Sanitary/Stonn Admin 1190 719-00000-426604 11/14/2007 LKW 5.09 5.09
Building Permit 1002 224-00000-425602 11/14/2007 DLM 10 1.48 101.48
+ 5% Technology Fee 2099 100-00000-425605 11/14/2007 DLM 5.07 5.07
+ 8% State Surcharge 1099 821-00000-215004 11/14/2007 DLM 8.12 8.12
+ 10% Administrative Fee 1098 224-00000-426605 11/14/2007 DLM 10.15 10.15
Total Due: $231.64