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Home My WebLink AboutPermit Building 2008-2-1 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2007-01721 ISSUED: 02/01/2008 APPLIED: 11/21/2007 EXPIRES: 08/01/2008 VALUE: $ 10,500.00 225 Fiftb Street, Springfield, OR 541-726-3753,Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2725 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703254401900 Springfield TYPE OF WORK: Garage TYPE OF USE: Addition PROJECT DESCRIPTION: BWOP owner has bnilt new garage with shop space behind garage (Replaces demolished 14'x24' carport). Residential. Owner: ANDERSON JACK E Address: 915 SHERWOOD PL EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone - . BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occnpancy Gl'Onp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: R3 Lot Size: Sq Ft 1st Floor: '. .., ,. Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: No Occnpant Load: . -- t_... ........,1l1roC! "(\IIJn I DEVELOPMENTiNEli~MAJ~ai\bitdbY the Oregon Utility Notification Gent'el. Those rules arE\ff!tlC~D PARKING .I~ OAR 952-001-0010 through OAR 952-. . Overlay D.." btain copies of thifrol\ls by # Street Tr~~md10Uthmay Oter (Note: the telltjJl1utlaJpped: D. ""ll lng e cen . . . ~aved five :':\iiher for the Oregon Utility NolilroaliOft: Yo of Lot C01'~ge. Center is 1-800-332-2344). # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I VNSpr 390 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: NOTICE' Storm Sewer Available: THIS PER" , Special Instruction: AUTH MIT SHALL EXPIRE IFTH ,., ORIZED UNDER THI E WORK Notes: Stormwater r~iI9;JI~li&~{j\rn~~~ ABA S PERMIT IS NOT !\NY 180 ntlV Dr:n~~ NDONED FOR I Valuation DescriDtion I Sidewalk Type: Downsponts/Drains: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated Pa2e I of 3 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Gara2e Gara2e Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Bnilding Permit Fire SF Fee - Residential Penalty Fee - BWOP Building SOC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Public Works Review Plan nine R~view Structural Review CITY OF SPKmlJ1<lJ<..LD . Building/Combination Permit PERMIT NO: cOM2007-01721 ISSUED: 02101/2008 APPLIED: 11/21/2007 EXPIRES: 08/01/2008 VALUE: $ 10,500.00 $27.00 390.00 Total Value of Project $ I 0,530.00 $10,530.00 12/18/2007 Fee.. P~i,lIJ Amount Paid Date Paid Receipt Number $82.69 $27.39 $15.27 $12.72 $127.22 $19.50 $127.22 $1.04 $20.76 12/18/07 2/1/08 2/1/08 2/1/08 2/1/08 2/1/08 2/1/08 . 2/1/08 2/1/08 1200700000000001508 1200800000000000092 1200800000000000092 1200800000000000092 1200800000000000092 1200800000000000092 1200800000000000092 1200800000000000092 1200800000000000092 $433.81 Plan Reviews 1 12/1912007 12/19/2007 APP LLH 12/19/2007 12/20/2007 APP TSS Stormwater ronted to splash blocks. 12/1912007 01/23/2008 APP TAJ No Planning issues. 12/19/2007 01/25/2008 APP DLM Met with owner on 12/22/07 to determine add'l. information needed dIm. Received additional drawings and information I/I0/08dlm. See documents for Plan review comments 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. ~ In~np('tion~ I Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 0001' insulation or decking. Framing Inspection: Prior to covel' and after all rongh in inspections have been approved. Final Building: After all reqnired inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Pa2e 2 of3 _~~~,I!;I!lI!IlII\\.IJi'" "'~,o!Il1~" I, " CITY OF ~n(IN\.d'lJ!,LD Status Issued Building/Combination Permit PERMIT NO: cOM2007-01721 ISSUED: 02/01/2008 APPLIED: 11/21/2007 EXPIRES: 08/01/2008 VALUE: $ 10,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Covel' Final Electric: When all electrical work is complete. Drywall: Prior to taping. By signature, [ 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 he made of any structure withont permission of the Community Services Division, Building Safety. [ 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 propel' time, that each address is readable from the street, ~Iat the permit c~~ is 10)C ,ted at the front of the property, and the approved set of plans will remain on the site at all timesd~~i_~ .2\ -z-' 1 ' 65 ow8ntrac7,Signatu.~V Date Pa2e 3 00 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2007-0172I NAME OR COMPANY: Jack Anderson LOCATION: 2725 Centennial Blvd TAX LOT NUMBER: 17-03-25-44-01900 DEVELOPMENT TYPE: SINGLE FAMILY RESiDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I~ I~ o U p<: ~ rJ) (5 gj I. STORM DRAINAGE o DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER SF CHARGE I 60.00 I $0.346 I = I $20.76 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I $0.346 I I 50% I ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $20.76 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $26.83 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $20.40 ITEM 2 TOTAL- CITY SANITARY SEWER SDC DISCOUNT $0.00 $20.76 1070 $0.00 1091 $0.00 1092 ~ , $0.00 3. TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x I I 0 I I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9.57 I 0 I I ITEM 3 TOTAL - TRANSPORT A nON SDC = I COST PER TRIP 20.43 x INEWTRlPFACTORI I 1.00 I $0.00 11093 COST PER TRIP $90.10 $0.00 x INEWTRIPFACTORI I 1.00 I :1 11094 I I $0.00 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 I ICOSTPERFEU i $95.35 B. IMPROVEMENT COST: INUMBER OF FEU's I I 0 I x ICOST PER FEU I $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMlNlSTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, = SO.OO 11054 = SO.OO 1055 $0.00 1054 $0.00 1056 SO.OO $20.76 J CHARGE I, $1.04 1.04 11079 $0.00 :11078 TOTAL SDC CHARGES =, $21.80 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ I 5. ADMINISTRATIVE FEE' I SUBTOTAL x I ADM. FEE RATE I~ I $20.76 I I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 12/20/2007 Todd Singleton PREPAREDB'?""'" DATE DRAINAGE ..Ud LTRE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONI... Y THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT . FIXTURE FIXTURE TYPE NEW OLD EQUN ALENT UNITS IBAllITUB Q ---0 3 ~ Q 'I DRINKING FOUNTAIN Q Q 1 ~ Q 1 FLOOR DRAIN Q Q 3 ~ Q 1 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC Q 0 3 ~ 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 ~ 0 I LAUNDRY TUB 0 0 2 ~ 0 1 CLOlliESWASHER/MOP SINK 0 0 3 ~ 0 1 CLOTIffiSW ASHER - 3 OR MORE (EA) 0 0 6 ~ 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 ~ Q I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 .0 1 ~ 0 .1 RECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 ~ 0 I SHOWER. SINGLE STALL 0 0 2 ~ 0 1 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 ~ 0 I I SINK: COMMERClALiRESIDENTIAL KITCHEN 0 0 3 ~ 0 I SINK: COMMERClAL BAR 0 0 2 ~ 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 0 I SINK: SINGLE LA V A TORY/RESIDENTlAL BAR 0 0 1 ~ 0 IURlNAL. STALL I WALL 0 0 5 ~ 0 ITOILET. PUBLIC INSTALLATION 0 0 6 ~ 0 ITOILET. PRlV ATE INSTALLATION 0 0 3 ~ 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 ~ 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFLrs) set at 167 gallons Per day MWMC CREDITCALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 2-1 I r I I I I I 1 1 1 1 I I I 1 1 1 I 1 I 1 I I 1 I YEAR ANNEXED BEFORE 1979 1979 1980 198] 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 .1994 1995 ]996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE 5 9 IS LAND ELGlBLE FOR ANNEXATION CREDIT'? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 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 ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -.,"*":'..~O..":"'..'.'..!"-"'.ii ,..iL.......... ...'....... ~... t _ ., f', " Y ~ '~ ~., """."._'."~__._'.'_ .." .." '"".......ci" -,- City of Springfield Official Receipt Development Services Department Public Works Departmc'nt Job/Journal Number CO M2007 -01721 COM2007-01721 COM2007-01721 COM2007-01721 COM2007-01721 COM2007-01721 COM2007-0172! COM2007-0172 I Payments: Type of Payment CreditCard cReceint I RECEIPT #: 1200800000000000092 Date: 02/0112008 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Penally Fee - BWOP Building + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By JACK E. ANDERSON Item Total; Check Number Authorization Received By Batch Number Number How Received njm 044217 In Person Payment Total: Page 1 of 1 2:42:40PM Amount Due 19.50 20.76 1.04 127.22 127.22 12.72 15.27 27.39 $351.12 Amount Paid $351.12 $351.12 2/1/2008 -. . . . . . . . . . .' .... ." . . Construction Contractors Board Pennit#:. C7 -/7 LJ 700 Summer StNE Suite 300 "'7Z.S~ /"""'-,T_p~.n' / -- ~- ... . Address: '" ~/ ~_.I~.... n7~'" PO Box 14140 ~ Salem OR 97309-5052 Phone, 503-378-4621 Issued by: 'lP7f /2IC..- Datec:? - / - cJ ( Web Address, www.cch.state.or.us Statement: Information NotiC:to pUerty 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 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: )8(1. ;&.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 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 Construclion Contractors Board. OR X 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 oflhe contractor. x I hereby certify that the above information is correct and that 1 have read and do understand the Information Notice toroperty Own rs about Construction Responsibilities on the reverse side of this form. y ;J (~ Signa~o 'ZPlicant) (Date) 4zite copy to issuing agency permit file, pink copy to applicant.) z. /. Dj Property _ owner. doc 06-01-04 " - - "-.- ,"~ ~Acti~g ,~~S!Ou!~~wnGeneral C~ntractor? ,~'...~ :,,)t-~~i~ORMA~ION'NOTICE TO PROPERTY OWNERS < . .. ' A~OUT ~ONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS701.055(5), passed by the 1989 Oregon Legislature. ~ ," "- If you are acting as your oWn contr~ctor to co~struct a new home or make a substantial improvement to ~ existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities ~r': ,~' " \.:'" - 1 '"". ' ". _" . ~', Youwill,in most instances, be ruled to be an.~'employer" and the contractors yo,u CO,lltract with wili' be "eVlployees" if you use contractors not licensed with the Construction Contractors Board to do 'labor in constructing or to assist in the , -'". . '.,' ''I . , '. ... . '. construction.or improvement of a residential structuTe.' As the employer, you must comply with the following: " " " . ,_ .~ " I "' " ' " "f'" . '. . Oregon's Withholding Tax Law: As an employer, you must withhold income takes' from employee wages'at the time employccs are paid. You will be Hable for the.tax.payments even if you don't actually withhold thc tax from your employees. For more information;:call the Depanment <if Revenue at 503-378-4988. :. .. .... - . " . Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purpOSj:8<, 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 nwnber for both. Oregon Withholding a{;d , Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fonnsnav.htmll for the aJ-'J-'.I.uJ-'.I.~ate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must ob41in ,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 e1aim costs if one of your employee.s 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' wage~.1 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 atwww:irs:l!ov. . . " '. . .'~': Other ResponsibiUtiesand OAreaso( C~'n:cerns Code Compliance: As the permit holder for this project, you are responsible for resolving imy'failiire to meet code requirements that .~ay b.~ brol}ght to your attention throu~ inspections. . .' .... Liability and Propeity' Damage Insurance: /'Contact your insiir~nce 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. '. V ,/,\ . 'I - Time: Make sure you-hlive sufficient time to supervise your employees. - . . ":'.r.' ( '. \.", '~ ," , , . . , ..' '.' .. \ ' . ". Expertise: Make sure you have the' skills 'to ad as' your own' gel1erill contt'actor, 'to coordinate the work of rOligh-in and finish trades, and to notifY building officials as the app' vp' ;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. +, J r.~. 't:> ". Property_owner.doc 06-01-04