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HomeMy WebLinkAboutPermit Building 2008-1-31 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2008-00108 ISSUED: 01/31/2008 APPLIED: 01/25/2008 EXPIRES: 07/31/2008 VALUE: $ 50,400.00 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5580 Franklin Blvd ASSESSOR'S PARCEL NO.: 1803101000200 Eugene TYPE OF WORK: Shop TYPE OF USE: New Residential PROJECT DESCRIPTION: Shop Owner: FRANK BREWER Address: 5690 BARGER RD EUGENE OR 97402 Phone Nnmber: 541-461-0935 r CONTRACTOR INFORMA TION I Contractor Type General . Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy.Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: .V!!....."f.~__.b. n/a :::~1~~:~,ORMATIO.N I Frontyard Setback: In OAR 952.qQtr.D910thr~gll. :JW!1- Side 1 Setback: 0090. You ~~taln cople .'t g~llqd: Side 2 Setback: calling the ~!l1er. (Note~'1 el ~ :l'la'lOl\qd: Rearyard Setback: number ~~lt.!1P.l&regon U k~orroverage: 9.00 Solar Sethacks: CIll1f~5.lftJ 1-800-33 - . REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: To Culvert - Provide Drainage Plan Notes: storm drains into previously approved existing system into d.Ni~~h that borders 1-IJlS, F.THE WORK THIS PERMIT SHAll EXP HE I . . "lij'HORIZI:U UNUttt I MI;) rCnlVii. il. IJ3-;' I Valuation DescriDtion1v1MENCED OR IS ABANDONED FOR Sq ua.'~~~oWPe DAY PERI~?:ue or Bid Amonnt .. Type of Construction $ Per Sq Ft or multiplier Date Calculated Description Pa2e 1 of 3 CITY OF ~rf(l]\otJNJ!,LD . Building/Combination Permit PERMIT NO: cOM2008-00108 ISSUED: 01/31/2008 APPLIED:. 01/25/2008' EXPIRES: 07/31/2008 VALUE: $ 50,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Gara2e Gara2e $28.00 1,800.00 Total Value of Project ~ Fee Descriotion Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Fire SF Fee - Residential Garage/Carport Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Amount Paid Date Paid $268.21 $55.26 $55.52 $28.93 $90.00 $412.63 $116.00 $31.14 $622.84 $50.00 1/30/08 1/31/08 1/31/08 1/31/08 1/31/08 1/31/08 1/31/08 1/31/08 1/31/08 1/31/08 . Total Amount Paid $1,730.53 I Plan Reviews I Planninl!. Review 01/30/2008 APP EMM 01/30/2008 Public Works Review 01/3012008 01/30/2008 APP LKW Structural Review 01/31/2008 01/31/2008 APP DLM '" $50,400.00 $50,400.00 01/25/2008 Receipt Number 3200800000000000070 2200800000000000134 2200800000000000134 2200800000000000134 2200800000000000134 2200800000000000134 2200800000000000134 2200800000000000134 2200800000000000134 2200800000000000134 l)property is Zoned LOR but designated LMI. It is OK to remain residential until urban services are available and annexation occurs per Greg Mott. 2) Preserve the trees along the Franklin Blvd. frontage in lieu of required street trees. 3) A Tree Felling Permit is required if more than 5 trees 5" dbh or greater are felled. 4) The shop must not be any taller than the house. Owner claims it will be 4" shorter, although bouse plan to shop plan does not indicate this. INSPECTOR TO VERIFY IN FIELD. storm drains into previously approved existing system into drainage ditch Approved as noted on the submitted documents. 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. Pa2e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00108 ISSUED: 01/31/2008 APPLIED: 01/25/2008 EXPIRES: 07/31/2008 VALUE: $ 50,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insnections I Fonndation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the bnilding is complete. Storm Sewer Line: Prior to filling trench. By signature, I state and agree, that I have carefnlly 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 strncture withont 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 allreqnired inspections are requested at the propel' 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. \ \kAA 1', E:\ mAM / Owner o~ontractors Signature i Q 1 )J-.OO'1 Date Paee3 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.ccb.state.or.us Permit#: ~2ozJ2, -00/021 Address: 5'5ff,,/0 ~/tJ /Jj.y-~ ~ Issued by: 'j)t!. Date: /~ YI-oJ? 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 b~ilding 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 I and 2, and either box 3A or 3B: .1:1 1. ~ 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor jf the structure is sold or offered for sale before or OIfcompletion. 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. Iff hire subcontractors, I will hire only subcontr~tors licensed with the Construction Contractors Board. If I change lI!y 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 constrnction Responsibilities on the reverse side of this form. )< ~~j!?/~ l/$g/z;P 'l ~ture of~applicant) . I {i;ate) (White copy to issuing agency permit file, pink copy to applicant) Property_owner.doc 06-01-04 o Actifi'g~ as Your :ewn General Contractor? ,~,"'~\ ~...........,~ ....:-:::.t .-.....""';.,-,..,.....). , ,,"'-' .,_.<v-"INFORMATION-NOTICE TO PROPERTY OWNERS ' --...-. " " ~. ~ ''>-, '~J - '! -' ABOUiT CONSTRUCTION RESPONSIBILITIES . :--. ~ I 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 contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent.many problems:b~y'being aware of the. following responsibilities and concerns. . Employer Responsibilities . " . . _' . , . f ,", \ You will; in most ,in,stances, be ruled. to be. ;m.:'employer" and the c,ontractors you c~ntract 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 ~ ' ' . '. , . ., . . >" construciion or inwrovelllent of a.residel1iial'structure. ,As the ~mpIoyer, you must comply with thefoIIowing: , . . . ~ '". . " - . - '. . . . - .- . Oregon's Withltoltiin~ Tax Law: As an eri\ployer, you must Withhold income taxes from employec wages at t11e time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your " - .' , . - ~ -' . - - - employees. Formore 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 purpos;~_ 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 numbe.r for; both Oregon WitjJ.ho(ding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmil for the aVl.IJ Vp.l~ate fonns. "1 . .' . '. . .,~ . :' . .' , j '. ' , Workers' C~nipensation Insnrance: As an employer, 'yo~ a~e subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you f;lil to obtain workers' compensation . '\ "; " '. .,'" '.",' "'. " " ~-, .. . .. . insuranc'e, you' could be subject to penalties and be liable for ,all claim' costs if one 'of your employees is injured on the job. For mor~ information, call the Workers' Compensaiiorl Division at the Department of CoilStimer'and' Business Services at 503-947-7815. . " . U.S. Internal Revenue Service: As an employer, you must withhold federal income..taJi'o from employees'. 'wag,es. .. 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'theit web site at v,wwji-S.20V.'. J : L .', "" ", '. - .. . ' ,. '. .. ~. . . - ~ .. . \,.' Gtber ResponsibjIiJies)flndl Are~s of <;oll1~erns Code Compliance: As the permit holder for this project, you are responsible for resolving a;'y failure to meet code requirements that may be brou~Jt to your attention thro~gh i?spe~~ons: . Liability and Property Daina'ge Insurance: - Contact yourinsuran6e 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 red~I?e: . \ --.. . \ ' ~' " ! .,-_.~~,~. ;::.',)-"}.....-~'\.-'~.~_. ---", '...".".... Time: Make sure you havi: sufficient time to supervise your employees: .: '.7P " . . Expertise: 'Make sure you ha~e thb skills to a~l as your own g~ne;'~1 cOiltractor,'to l:'i)6~dinate the work of rough-in 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 ConstJUction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. ..c .'" " Property _ owneLdoc 06-0 I -04 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE COM2008-00108/Sto~e Shed Frank Brewer 5580 Franklin 1803101000208 Sin,gle Family Residence o BUILDING SIZE (SF: I 1 if] ICI 10 u I'~ 11= [/J G ~ 1800 LOT SIZE (SF): 30928 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE 1 1800.00 I $0.346 I = I $622.84 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I [ I 0.00 I I $0.346 I 50% I ~ 1 DISCOUNT $0.00 ITEM I TOTAL- STORM DRAINAGE SDC 2 SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I. x I 0 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I $622.84 S622.84 1070 COST PER DFU . $26.83 $0.00 1091 I SO.OO J 1092 $0.00 I COST PER DFU S20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , 3. TRANSPORTATION A REIMBURSEMENT COST: 1 ADT TRIP RATE I x. I 9.57 [ 1 NUMBER OF UNITS 1 x 1 I o' 1 1 x [NEW TRIP FACTORI 1 1.00 I 1093 COST PER TRIP 20.43 $0.00 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I 9.57 I I 0 I i $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC = I So.OO x INEW TRIP FACTOR I I 1.00 1 ~ I 1094 $0.00 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU o . I I $95.35 = SO.OO 11054 B. IMPROVEMENT COST: :i INUMBER OF FEU's I x ICOST PER FEU I I 0 I I $990.39 = SO.OO 1 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054 MWMC ADMINlSTRA TIVE FEE SO.OO 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I SO.OO SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $622.84 I 5. ADMIl'JISTRATIVE "F.E: , I SUBTOTAL x I ADM. FEE RATE I~ CHARGE I $622.84 I 5% I $31.14 TOTAL SANITARY ADMINISTRATION FEE: 31.14 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078 Kaye Wilson 1/30/2008 TOTAL SDC CHARGES =, $653.98 PREPARED BY DATE II I I II MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ,CREDIT RA ID$ i ;000 ASSESSED VALUE YEAR ANNEXED I I I 'I I I I I 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 f!l:::~:::j:'.j;~~~~~,~~,~c~,~ ii!::lj::[:!!; , ",.....,-,......-.. 1m&j _$~5,~19 $SJ2 u ..98 ,,~, .80".' - u:>'l.63 . -,c$4:40 _. ;(':;::;Ht.~i,l;; ~_$2.73 k~_;:H::J~i::;.~'-:~$7~?5 It:i;.,,;~,1:I1;HMH:;-$. "'1"";;"8-"'0'" '."I"~. :"!'\'[ ,~; IS LAND ELGlBLE FOR ANNEXA nON CREDIT? (Enter I 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 11000 CREDIT RATE $0.00 x $5.29 ~ , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE. $0.00 x $5.29 ~ I TOTAL MWMC CREDIT = 1979 $0.00 $0.00 2 2 o I I I I I I I I I 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 I 08 COM2008-00108 COM2008-00 I 08 . COM2008-00 1 08 COM2008-00 1 08 COM2008-00 I 08 COM2008-00 I 08 COM2008-00 I 08 COM2008-00108 Payments: Type of Payment Cash Change Job/Journal Number COM2008-00 I 08 COM2008-00 I 08 COM2008-00 I 08 COM2008-00108 COM2008-00 1 08 COM2008-00 I 08 COM2008-00 1 08 COM2008-00 I 08 COM2008-00 I 08 Payments: Type of Payment Cash Change cReceintl RECEIPT #: 2200800000000000134 Date: 01131/2008 Description Plan Review Minor - Planning Storm Drainage Impervious Area SDCSanitary/Stonn Admin Garage/Carport Storm Sewer - 1st 50 Feet Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JULIE ELAM JULIE ELAM Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person djb In Person Payment Total: Description Plan Review Minor - Planning Storm Drainage Impervious Area .SDC Sanitary/Storm Admin Garage/Carport Storm Sewer - 1 st 50 Feet Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JULIE ELAM JULIE ELAM l:heck Number ~ecei~e((B~ .. Batch Number djb djb Item Total: Authorization Number How Received In Person In Person Payment Total: Page I of I 11:34:12AM Amount Due 116.00 . 622.84 31.14 412.63 50.00 90.00 28.93 55.52 55.26 $1,462.32 Amount Paid $1,480.32 ($18.00) $1,462.32 Amount Due 116.00 . 622.84 31.14 412.63 50.00 90.00 28.93 55.52 55.26 $1,462.32 Amount Paid $1,480.32 ($18.00) $1,462.32 1/31/2008