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Home My WebLink AboutPermit Building 2005-8-3 Status Issued Lll i' OF SPRI1'itd<H.,LD' Building/Combination Permit PERMIT NO: COM2005-00974 ISSUED: 08/03/2005 APPLIED: 07/2612005 EXPIRES: 02/0312006 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 575 CITY VIEW BLVD ASSESSOR'S PARCEL NO.: 1703341404300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: , Addition Residential PROJECT DESCRIPTION: Porch entry. Owner: KIERAN MARGARET E Address: 575 CITY VIEW BLVD SPRINGFIELD OR 97477 NOTiCE.: Expf~~'\~l"l\,!!!b.e~'i1R'S41-746-9621 1\-1\S PERM\1 S~~~~ !\-IIS PERM\! IS NOI ~\iT\-\OR\ZED U . ._ .",..,nnNm FOR rnH,MFNL;tU un IV ,.-. I CONTRACTOKINFORMATWNJI,OD. 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: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION I REOUlRED PARKING ~JTENTION: Oregon law requires you to Overlay o'r'fg rules adDpted by the Oregon lmltlJ # Stree! WIIi:(M i1~ Center. Those rules are ~ltPpped: Paved. Ve' ~?-001-001 0 through OAR 9~t: % OfL~~OOeYoteh,ay obtain copies of the rules by ,,~llinn thp. center. (Note: the telephone I PUBLIC IMPR(l)VI!lMEN. :rS;f OregDn utility NOllllcauutl Wo_ is 1-800-332-2344). F II I d Sidewalk Type: u V mprove Yes DownspoutslDrains: Curb and Gutter. . Street Improvements: Storm Sewer Available: Special Instruction: Notes: Imperious porch concrete SDC added 7/29/2005 CAS I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Pal!elof3 Status Issued CITY VI' ~rRINGFIELD . Building/Combination Permit PERMIT NO: COM2005-00974 ISSUED: 08/03/2005 APPLIED: 07/26/2005 EXPIRES: 02/03/2006 VALUE: $ 10,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 10,000.00 $10,000.00 $10,000.00 07/26/2005 Total Value of Project Fpp< P~irl I Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Amount Paid Date Paid $69.81 $10.74 $7.52 $107.40 $3.88 $77.52 7/26/05 8/3/05 8/3/05 8/3/05 8/3/05 8/3/05 Receipt Number 2200500000000000980 2200500000000001039 2200500000000001039 2200500000000001039 2200500000000001039 2200500000000001039 Total Amount Paid $276.87 I Plan Reviews I Initial Review Plannine Review Public Works Review Structural Review 07/27/2005 07/28/2005 07/28/2005 07/28/2005 07/28/2005 08/01/2005 07/29/2005 08/0112005 APP LLH APP T AJ APP CAS APP JB No Planning review required. SDC fee for impervious concrete Approved as noted on plans 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. ~n~np,..til,...n{"J Footing: After trenches are excavated. Foundation: After forms are erected hut prior to coucrete placemeut. Post and Beam: Prior to 1100r insulation or decking. Framing Inspection: Prior to cover and after all rough in iuspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Paee 2 of3 Status Issued CITY OF SPRJrlivl'1J!.LD- Building/Combination Permit PERMIT NO: COM2005-00974 ISSUED: 08/03/2005 APPLIED: 07/26/2005 EXPIRES: 02/03/2006 VALUE: $ 10,000.00 225 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 ofthe Community Services Division, Building Safety. I further certify that only contractors and employees who are in comilliance 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. rn'(J~ . ~~/~ A -( Owner or Con\)1actors Signature q!31e>~ / Date Pa!!e 3 of3 e. . . . . . . "', ..' '. ..' Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phoue: 503-378-4621 Web Address: www.ccb.state.or.us Permit#: ('}':)IC, 1'1 . Address: ~ fj ~ ~~ \Ji-M Issued bY:1:ft 0 P ~ "\ate: 1: - 3-t:f3 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construct(on 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 befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ I own, reside in, or will reside in the completed structure. D 2. I understand that I must become licensed as a construction contractor if the 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 . censed with the Construction Contractors Board. OR ~. I ill be my own general contractor. In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. Ifl 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 to Property Owners about Construction Responsibilities on the reverse side of this form. -<};A.-u/t. /6AA;' 7-y& -OS (Si~e ofpennft\pplicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owuer.doc 06-01-04 . '-1 , Acting a~ '\O~i": OWHR General Contra\Ctor? 1- ..- I- . J j : -',INF-.ORMATION NOTICE TO PROPERTY OWNERS -- , , , '( ~, .'... ABO,~:r\GQ!"ISTRUCTION RESPONSIBILITIES -: ' \ __. ,I. 1 j ....., . NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance wfth 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 subs!JlIltial 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 wiII 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 improvemen~ of a residential structure, As the employer, you must comply with the following: . . . .. ' Oregon's Withholding Tax Law: As an employer, you must withhold' income taXes froinemployee wages at the time employees are paid. You will be liable for the tax payments even.ifyou 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, 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 Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsuav.htmlI 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 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 Consumer and Business Scrvices 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 FederalEIN number, call the IRS at 1-800-829-4933 or visit their web site at.www.irs.Qov. '.' ,. : Other. Responsibilities ao'd1 Area~ofConcerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that l1}ay be brought to your attention through inspections. , ' '.' ~.. ..: ~". ,-. . . .. '. . , . . Liability and Property Diilnagetnsurance: Contact your -insurance agent 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 yo~ have the skills to aci.as'y6ur o~gerierat contractor, to coordi~ate the work of rough-in and finish trades, and to notifY building officials as the al'l"VI',;ate 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 14140, Salem, OR 97309-5052. Property_owner.doc 06-01-04 DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x 1 COST PER S.F. . 1 CHARGE I 1 240.00 I $0.323 I = 1 $77.52 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I 1 I 0.00 1 $0.323 I I 50% ~ 1 ITEM I TOTAL - STORM DRAINAGE SDC $77.52 ~ . . JOURNAL OR lOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 I 8. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I CITY OF S~i!'~GFIELD SYSTEMS DEVELOPMEN. .)RKSHEET Com2005-00974 Mcg Kieran 575 City View 1703341404300 SINGLE F AMIL Y RESIDENCE o BUILDING SIZE (SF' LOT SIZE (SF): o ICIl .W 10 10 u I..: w I- CIl - o ~ 240 DISCOUNT $0.00 $77.52 I 1070 COST PER DFU $25.07 $0.00 1091 $19.07 $0.00 1 t092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRlP RATE I x I NUMBER OF UNITS 1 x 1 COST PER TRIP x INEW TRIP FACTORI I 9.57 I I 0 I I $19.09 I 1.00 . 1 $0.00 1093 .8. IMPROVEMENT COST: I I ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRlP FACTORI 9.57 I I 0 I I $84.19 I 1.00 I $0.00 I 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC ~ , $0.00 J 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER ~F FEU's 1 x ICOST PER FEU I $82.03 = $0.00 1054 B. IMPROVEMENT COST: IN UMBER OF FEU's I x ICOST PER FEU I 0 I $865.3 I = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 !I t054 MWMC ADMINISTRA TTVE FEE $0.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~, $77.52 j 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ CHARGE I $77.52 I 5% 1 $3.88 TOTAL SANITARY ADMINISTRATION FEE: 3.88 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 Cheryl Slaymaker 7/29/2005 TOTAL SDC CHARGES =, $81.40 PREPARED BY DATE . ,.- -.-.-- --~"---_._----- ---. .... D~INAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONt Y THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES . UNIT FIXTURE TYPE NEW OLD Eourv ALENT [BATHTUB 0 0 3 = IDRINKING FOUNTAIN 0 0 1 = I FLOOR DRAIN 0 0 3 = I fNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = I LAUNDRY llJB 0 0 2 = ICLOTHESWASHER / MOP SINK 0 0 3 = ICLOTIIESWASHER - 3 OR MORE (EA) 0 0 6 = IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = I RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = ISHOWER. SINGLE STALL 0 0 2 = I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = ISINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = I SINK: SINGLE LA V A TORY !RESIDENTIAL BAR 0 0 1 = I URINAL, STALL / WALL 0 0 5 = ITOlLET, PUBLIC INSTALLATION 0 0 6 = ITOILET. PRIVATE INSTALLATION 0 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS *EDU (Equivalent Dwelling Unit) is a discharge cquivatent to a single family dwelling unit (20 DFU's) set at 167 gallons per day DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o o o MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE Ii I 1 I I I I I I I I I I I I I I I I I CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $529. $5019 $5.12 $4.98" $4.80'. $;('6'3Ifl" $4AO $4.07 $3:67,,(., $3.22 $2.73 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 , :;r::~ ;,i~.i':::l,j- $1.59 $1.45 $1'.25 $1.09 $0.92 $0.72 $0:48 $0.28 $0.09 $O,!)? IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enler I 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 .--11 o I o 1979 ~ , $0.00 o = $0.00 2iSFifth Street, .' , . Springfiefd, Oregon 97477 541-726-3759 Phone Job/Journal Nnmber COM2005-00974 . COM2005-00974 COM2005-00974 COM2005-00974 COM2005-00974 P~yments: Type of Payment Check :. ., 8/3/2005 G~~.~NQf'l.~. _ '..: Ilk...., . . .. ; .......---.'.- qty of Springfield Official Receipt ~velopment Services Department Public Works Department RECEIPT #: 2200500000000001039 Date: 08/03/2005 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By MEG KIERAN Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 123 In Person Payment Total: Page I of I l1:SS:l1AM Amount Due 77.52 3.88 107.40 7.52 10.74 $207.06 . Amount Paid $207.06 $207.06