The URL can be used to link to this page

Home My WebLink AboutPermit Building 2006-8-25 .' . 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.cl.springfield.or.us ' , DEVELOPMENT SERVICES DEPARTMENT August 25, 2006" Corky Brown 553 Edgemont Way Springfield, Oregon 97477 Enclosed is a form from the,State of Oregon Construction Contractors Board that we neglected to have you complete and 'sign when you obtained your permits on August 24th, 2006 forthe improvements to your residence at 553 Edgemont Way, Springfield, Oregon. Please fill in the appropriate' "boxes" and sign and date the form. Please keep the pink copy for your records and return the white original form to me in the enclosed self stamped envelope at your earliest convenience. Thank you, and if you have any questions, please feel free to phone me at 726-3753. Sincerely, G;;trJ~~ Nancy Ma h do Communit ervices Division Enc!. ' , T~ii."..,. war., -'r : . . , . '-~'-." _. '. ~ . . CITY OF SPRINlJ....t:LD Building/Combination Permit PERMIT NO: COM2006-00817 ISSUED: 08/24/2006 APPLIED: 06/29/2006 EXPIRES: 02/24/2007 VALUE: $ 27,126.00 ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 553 EDGEMONT WAY ASSESSOR'S PARCEL NO.: 1703341300500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: CORKY BROWN Address: 553 EDGEMONT WAY SPRINGFIELD OR 97477 Phone Number: 541-968-3220 ,\.\'<'~ .r I CONTRACTOR INFORMATION I (.~ \'~'\ '\--~, Contractor Type Contractor <<:-v ~<<:-"" ~ \\) License Expiration Date Phone General OWNER '<.,.f? ,~'X ~~~ Mechanical OWNER -x..,?-'v'v <(.. '\~ ~~'\j ,0 Plumbing Q~)'IF;R.S ,"''V~r. 'y.'<: ,I';':> ,:'..~'I ,'<'0 , ~~" '~'X,<-~~,<-<:J.~ '0<<: ~'I BUILDING INFORMATlONi}" Vc,e"u~\)'\'A ,'>:>.S ,,,'V~ >",'c: \~ O'~ ,e. ,S" ," '\~' ~~' x.~ ,.. '" .'0 ,. # of Units: ",\::' .~> # of Stories: r0''li.:::;'f- ,1,.G' <.' J,~' LOt,~ize: Primary Occupancy Group:"~ R-3 Height ofStructure\ e \' ^-,CI3.00 Sq,Ftlst Floor: 274 {V'I'- () {"~ (" c" '. "- Secondary Occupancy Group: Type of Heat:;. c>orced i\ir'Electric - Sq Ft 2nd Floor: .. . -':l... ~r::: ' v,. ~' -"- , Primary ConstruclJon Type VN Water"TYl'e: J .0\' ~ "- " ,\.' ," Sq Fl Basement: . .."'" r tF r;J '\: c..; ,'. . .'.' Secondary Construction Type: Range Type:,..' rOc "'. '- , "Sq Ft Garage/Carport ~ v ~'\). ~) h.' - . _ \":-' '- v # of Bedrooms: 1.'_ ~Energy,Path::" c' '- ,Path I Sq Ft Other: '{; ,0.' :'\~..:C'\.... ..\ ,r.,' -' ~ ~prin,,~lel!',Buit~ing, (" \ . n/a Occupant Load: .., (~~ ... I.- . ..... Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 7.90 I DEVELOPMENT INFORMATION I 'V.... c.:i. _ ,.' ,:".... ,.' Overlay Dist: Hillside # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 28.10 REQUIRED PARKING Total: Handicapped: Compact: 13.00 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 5' Curb and Gutter Notes: Paee 1 00 , :-Wl:l~.I~~~.~ . ,- " ! ' - , . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00817 ISSUED: 08/24/2006 APPLIED: 06/29/2006 EXPIRES: 02/24/2007 VALUE: $ 27,126.00 \~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I V Wood Frame $ Per Sq Ft or multiplier $99.00 Square Footage or Bid Amount 274.00 Value Date Calculated Description Dwellines Tvpe of Construction Total Value of Project $27,126.00 $27,126.00 06/29/2006 L..,tl,,< PqirIJ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $157.27 6/29/06 1200600000000000997 -Mecbanical Issuance Fee- $10.00 8/24/06 2200600000000001193 + 10% Administrative Fee $34.57 8/24/06 2200600000000001193 + 8% State Surcbarge $26.56 8/24/06 2200600000000001193 Building Permit $241.95 . 8/24/06 2200600000000001193 Fire SF Fee - Residential $13.70 8/24/06 2200600000000001193 Minimum/Adjustment Mechanical $45.00 8/24/06 2200600000000001193 Plan Review Minor - Planning $11 2.00 8/24/06 2200600000000001193 SDC Sanitary/Storm Admin $3.97 8/24/06 2200600000000001193 Storm Drainage Impervious Area $79.46 8/24/06 2200600000000001193 Storm Sewer - 1st 50 Feet $45.00 8/24/06 2200600000000001193 Total Amount Paid $769.48 I Plan Reviews I Initial Review 06/30/2006 06/30/2006 APP LLH Plan nine: Review 06/30/2006 07/20/2006 APP TAJ Public Works Review 06/30/2006 07/17/2006 APP SB SDCs for impervious surface added. LDAP not required. Structural Review 06/30/2006 08/04/2006 OK RJB 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. l....IeouireCUnsnections _ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insulation or decking. Floor Insulation: Prior to decking. Paee 2 of 3 . . CITY OF ~rKH~\.:r..IELD Building/Combination Permit PERMIT NO: COM2006-00817 ISSUED: 08/24/2006 APPLIED: 06/29/2006 EXPIRES: 02/24/2007 VALUE: $ 27,126.00 \1 .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rougb Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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, tbat 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. ~:;Cct~ 8/l.4/0" Date Pa2e 3 of3 CITY OF SINGFIELD SYSTEMS DEVELOPMEN.ORKSHEET ------ JOURNAL OR JOB NUMBER: COM2006-00817 '.' NAME OR COMPANY: Corky & Sue Brown LOCATION: 553 EdJOemont Way TAX LOT NUMBER: 1703 34 13 00500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 330 . ' LOT SIZE (SF): o II U) I~ o u ~ ~ U) 6 ~ L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I I CHARGE I I 246.00 I $0.323 = $79,46 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF I x I COST PER S,F, I x I DISCOUNT RATE I I 0,00 I $0.323 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC ,S79.46 ~ 2, SANITARY SEWER - CITY DISCOUNT $0,00 S79.46 11070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $25.07 $0.00 11091 I $0.00 1092 = ~ $0.00 l TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I 0 $19,09 I 1.00 I B. IMPROVEMENT COST: I ADTTRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I 0 $84,19 I 1.00 I ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 - - 4, SANITARY SEWER - MWMC $0.00 1 1093 I $0.00 1 1094 I A. REIMBURSEMENT COST: !NUMBER OF FEU's I x I 0 B. IMPROVEMENT COST: INUMBER OOF FEU's I x ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU I $82,03 = SO.OO 1054 MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5, ADMINISTRATIVE FEli I SUBTOTAL x I ADM. FEE RATE I~ I $79.46 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Steve Bames 7/1 7/2006 PREPARED BY DATE 225 Fiftlr-8treet Springfield, Oregon 97477 541-726-3759 Phone , Job/Journal Number COM2006-00817 COM2006-00817 COM2006-00817 COM2006-008] 7 COM2006-008] 7 COM2006-008] 7 COM2006-008] 7 COM2006-00817 COM2006-00817 COM2006-00817 Payments: Type of Payment Check cReceinl1 . 8P]:Q~;~ Wit, Caof Springfield Official Receipt _Iopment Services Department Public Works Department RECEIPT #: 2200600000000001193 Date: 08/24/2006 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Storm Sewer - ]st 50 Feet -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 8% State Surcharge + 10% Administrative Fee Paid By DELA YNE L. BROWN Item Total: Check Number Authorization Received By Batch Number Number How Received jmp 1117 In Person Payment Total: Page I of I 1:58:45PM Amount Due ]3,70 79.46 3.97 112.00 241.95 45.00 10.00 45.00 26,56 34,57 $612.21 Amount Paid $6] 2.2] $612.21 8/24/2006 (I). . . , . . ' , . o. " . .' . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Pbone: 503-378-4621 Web Address: www.ccb.state.or.us . pennit#Cr:rn:l<rDCt> - oa8/1 Address: 5 S -5 5'DC:rt?(YU:rNI Issued by: Date: 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 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 be filed with the permit. Fill in the app'VI,,;ate blanks and initial boxes I and 2, and either box 3A or 3B: )&11. o 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. 'flJ 3A. Mygeneralcontractoris(}/lAirf..."fI1~, ufhlW/ t~f (Name) ';&5~4- (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will be my own general contractor. IfI 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 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. -4- (s:",,"': of """""ppli=l) . "/ Z'/~:';,) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 . Acting as Your Own General C~ntractor? 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. 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 by being aware of the following responsibilities and concerns. Employer Responsibilities You wilI, in most 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 employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, 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, 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.oLus/formsoav,htmll 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 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 Iiablc 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.l!OV. Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: 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 you have the skills to act as your own general contractor, to coordinate 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 Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner,doc 06-01-04