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®on 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
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Actifi'g~ as Your :ewn General Contractor?
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, ,,"'-' .,_.<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 .
.' .
'. .
.,~ .
:' .
.'
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,
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