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Home My WebLink AboutPermit Building 1998-4-14 , ~ .< . . /:tl'~ SPRINOFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980349 Page 1 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 745 DORRIS ST Assessors Map #: 18030213 Lot: Block: Tax Lot #: 00800 Subdivision: Owner: ED/SHELLEY GABERT Address: 745 DORRIS STREET Phone #: 746-0326 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: BDRM/BATH/FAMILY RM ADDIT ADDITION Contractor Canst. Contractor # Expires General: OWNER Plumbing: OWNER Mechanical: OWNER Electrical: OWNER QUAD AREA: 5RSW ZONING CODE: LDR VN INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 OCCY GROUP: R3 # OF BLDGS: 1 CONSTR. TYPE: SQ FOOTAGE: 914 To request an inspection, call the 24 hour recording at 726-3769. Phone 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover STORM SEWER LINE - Prior to filling trench. ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Total Height: 21.5 Lot Type: INTERIOR Setbk From NPL: 100 Solar Approved: Y Item Main Garage BUILDING PERMIT --- Square Feet x 914 $/Square Feet 64.66 ~8~i!Z -<;::-IcnO ~;:::I:-c~ ~mOmo o~~~m )>-< m:" gJo=l -cOccn m::oz:I: ::0 0)> Ocnmr- ::or- !=')> m ~i!~ zcn::o 8-cm z!iJ:;; ~~~ OW:;E ::OZO 0::0 -I;>:: Value 59,099.00 0.00 , . SPRINQFIELD Job Number: 980349 Page 3 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. ~i~~ M AJuLJ &at(/f: ?(? --- VALIDATION Date Paid: c2&t16:J-- 1./- /1-7" df, 7/3. ..., ( , -=t<uJ Receipt Number: Amount Received: Received By: SPAINOFIELD . Job Number: 980349 Page 2 Total Value 59,099.00 Building Permit Fee Surcharge/Admin 313.00 25.04 TOTAL FEE (A) 338.04 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 Vent Fan MECHANICAL PERMIT --- 3 9.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin SDC 0.00 128 . 14 TOTAL MISCELLANEOUS PERMITS (E) 128.14 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) -6-6-:> . .1. 0 -r ~/'i:6h-.c IH_ 7/3.7Y: --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Received By: Plans Reviewed By: TOM Building Site Reviewed 203.45 Date Paid: 03/24/98 Receipt Number: 29188 MARX Date: 04/14/98 By: LISA HOPPER ADDITIONAL COMMENTS --- ELECTRICAL PERMIT REQUIRED 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 701.055 will be used on this project. 'r .'" , ,ye;, ""'",,;"'.;~ Ib'\j'"'.''<''''''''"'''''''''1l''''' "",,",".,,,.,--J08,'NO;. q.p,t'0.349 . . . '. .,'. ."yn~A"TI" "A'. 'C.'~H' 'M".t'E'l'mNT" "';lA: {~~~t'(;;,;,;~_.,,; . '.,,,.. ".i; ,., '8' '-:J~;" .. .~,',. ~';".:f;~'{.'L':;~:' <;., . .,1;~ ~:~~_~::,~-;c;'~,,<,~..: - ~t.::,.:..;._>-..... .~..., '~'. -. .-.. CITY OF SPRINGFIEtD~'SYSTEMS: DEVELO NT CHARGE.r . WORKSHEET NAME OR COMPANY: ED ~ .c;~u..EY ~A551<T LOCATION 74 C) /),.,QIZIC, .::;... . DEVELOPMENT TYPE: ADnd,a_ J r:, -;F=~ BUILDING SIZE LOT SIZE 50. Ft. 1. STORM f)RAHltGE NQU/ /<,,'F - /8)C 30::= 540 ~F. IMPERVIOUS SO. FT. S~C> X $0,226 PER SO. FT. $ I 2...'2_. 04- 2. SANITARY SE~ER,CITY Pit, v<>7'c S'tSpr>c- NO. OF PFU'S (See Reverse Side) X $46.86 PER PFU $ -e 3, TRANSPORTATION .NO OF UNITS X TRIP RATE X COST PER TRIP X X $472. 49 $ -G-- X X $472. 49 $ X X $472.49 $ 4. 5ANITARY SEWER-MWMG NO, OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC Sf)C $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $' z. '2-.04- 5. ADMINISTRATIVE FEFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ ~.JO IE Date: 3-30-Qr SDC Coordinator TOTAL Sf)C $ 12Ji 14- . rl^ I vn~ unll. \",ML\""rULM IIVI" I MDL~. Numoer or New rlxtures x.unat Equivalent--~="Fixt(lre"lJiiits (NOTE: For-remodels, calculate onl~e NET additional fixtures) . '. "':~.:<; i!,-1~~ ;'..;0. ... .:\.'" '. . NUMBER OF -UNIT ...:~:-i;';' FIXTURE.: ,1..~::;y' FIXTURE TYPE . NEW FIXTURES EQUIVALENTJ UNITS . " . Bathtub..................................................................... . Drinking. Fountain. ... ......................... .... ... .... .... ......... Floor Drain.......:........................................................ Interceptors For Grease/OiI/Solids/Etc................. Interceptors For SandlAuto Wash/Etc.................. Laundry Tub/Clotheswasher........ .... ..... ... ... ... ...... ... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap' (1 Per Trailer).................. Receptor For RefrigeraJpr/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL................. ............................... Shower, Gang.......................................................... Sink: Bar. CommerCial. Residential Kitchen........................ Urinal, Stall/WaiL... ............................... ............ ........ Wash Basin/Lavatory, Single.................................. Toilet, Pubiic Installation............. ........................... Toilet, Private..................................... .... ........ ...... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983. 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Credit for Parcel Dr Land Only If Applicable X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAiNAGE (For Estimating Purposes Only) hesidenri31. ..:. ......... ........ ..... 0.4 CommericaL........................ 0.9 Industria!............................ 05 GovernmentaL..................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT '1 Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 Permit #: Gj'<ln 3'-f-Q Address: ~L/-<\ -pnyy'/--. S;'/ypgj- Issued by: K,;J Date: 4-/-/--qq Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Conslruclion Contraclors Board to sign the following slatement 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 registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box,3A or 3B: ~ pB 2. o 1. 1 own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR ~' 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered 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. ~~'l~_~ rf\ .~~,~ ~nature of permit applicant) Y;/Y-fg (Date) (White copy to issuing agency permit file, pink copy to applicanl) .. i;~~__6' .,,;yo 6; "" ~ is) '" ,"*" 0 ' ~_ .,:!'!..... ..,,,,...CI:1:,, .\.:h"C~ .0 Y-fiOL"'e'"!J \PJYJe"~ ":"-,,,. ,6 """"-",,,.?, _..t.'""", "31",,,, "C'l1"<'> ,-,.., n:,.;""S H......U\\.l)\l.1l.-711J. .~.... ""-_IO.I;,JI. _ ,,'......Wl~V ""v~.....J~.t..v SOle: This Information Notice to Property Owners ahol/l Construction Responsihiliti<,s was developed hy the Construction Contractors Board in accordance with ORS 70/.055(5). If you arc acting as your o\vn contractor to construct a ncw home or make a substantial improvcment to an existing structure. you can prevent many problems by being aware of the following responsibilitics and areas of concern. i;;,j:::>;"'OVEP. RE5POl\;S~3ILiTIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement ofa residential structure. you will. in most instanccs. be ruled to be an employer and thc pcoplc you hire will bc employees. As thc cmployer, you must comply with the following: Oregon'swithholding .ax law: Asan employer. you must withhold income taxes Irom employee wagcs atthetimc employccs are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more inlonnation. call the Orcgon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an employer, you are requircd to pay a tax for unemployment insurance purposes on the wages of all employees. For more infonnation. call the Oregon Employmcnt Department at 378-3524. Workers' cOC1:>~nset;on insurancc: Asan employer. you are subjecttothe Oregon Workers' Compensation La",. and must obtain workcrs' compcnsation insurancc for your employees. If you fail to obtain workers' compcnsation insurance, you may be subjccttopenaltiesand '" ill be liable for all claim costs ifoneofyouremployees is injured on thejob. For more information. call thc Workers' Compensation Division at thc Department of Consumer and Business Services at 945-7888. :l.S. :nterna! Revellue Sen'ice: As an employer, you must", ithhold fedcral income tax from employees' wages. You will be liable forthe tax payment evcn if you didn't actually withhold the tax. Formore information. call the Intcrnal Rcvenue Service at 1-800-829-1040. OTi-;E1 RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder forthis project. you are responsible for resolving any failuretomcctcode rcquirements that may be brought to your attcntion through inspections. Liability and property damage insurance: Contact your insurance agentto see if you have adcquate insurance coverage lor accidents and omissions such as falling tools, paint overs pray, watcr damage from pipe punctures. fire. or wor).. that must be re-done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough- in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions. write or call the Construction Contractors Board (PO Box 14140, Salem. OR 97309-5052, 503/378-4621). The Board is located at 700 Summcr St. NE Suite 300, in Salem. prop-own.pm4 tl94