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HomeMy WebLinkAboutPermit Building 2003-11-19 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01064 ISSUED: 11/19/2003 APPLIED: 10/17/2003 EXPIRES: 05/19/2004 VALUE: $ 34,790.00 Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541-726.3676 Fax 541-726.3769 Inspection Line SITE ADDRESS: 2326 ERMA CT ASSESSOR'S PARCEL NO.: 1703272101200 Springfield TYPE OF WORK: Family Room TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Family room addition Owner: BITTLER RICHARD D Address: 830 N 19TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Mechanical Plumbing Contractor OWNER EUGENE HEATING & COOLING, OWNER License Expiration Date Phone 149452 .10/22/2005 541-726-7654 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: ' # of Bedrooms: VN # of Stories: I Height of Structure 13.00 Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: Path I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 384 R-3 I DEY.ELORMFlNl'(!NFeRMATlON I SETBACKS ATTENTION:O,o."d b the Oregon uu"'y I II w rules adopte y 'M or~,c;<!t 1011 Front yard Setback: 0 o. nler ThOse 0verla)' Dlst;, nQ tTcatlOn Ce" . "^R 0<;,- S~de I Setback: , '10 II . c7i~~010 thrOLI!JStreet,!~~e~;~.9(JI: SIde 2 Setback: In OAR 95~,O, btain cop~aved DHvelRqd: 0090 you may 0 , 'h" lelenhone Rearyard Setback: ilin the center. (Not€,,!o,ofLoM1?ca~~j!\: 23.70 Solar Setbacks: ca g O.OOOregon Utility N nllmberlor \I 'v _~~ n.,.,_?~44\. REQUIRED PARKING Total: Handicapped: Compact: r,""'":~':" ,-. . I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes NOTICE: Downspouts/Drain~ Curb and Gutter Applicant plans to take storm drainag!'.1<pjtreet\T SHALL EXPIRE IF THt WORK ~'UTHOR;ZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 160 DAY PERIOD. Sidewalk Type: Notes: Paee I of3 . Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541.726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Dwellings Fee Description' Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Plumbing Miscellaneous Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review 10/20/2003 Planning Review Public Works Review 10/20/2003 10/20/2003 Structural Review 10/20/2003 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-0T064 ISSUED: II/19/2003 APPLIED: 10/17/2003 EXPIRES: 05/19/2004 VALUE: $ 34,790.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $90.60 Square Footage or Bid Amount 384.00 Value Date Calculated $34,790.40 $34,790.40 10/17/2003 Total Value of Project FPPf p~itl I Amount Paid $183.89 $10.00 $37.29 $26.10 $282.90 $14.00 $31.00 $45.00 $59.00 $6.96 $139.20 $835.34 Date Paid Receipt Number 2200200000000001671 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 1200200000000002493 10/17/03 11119/03 11119/03 11119/03 11/19/03 11119/03 11/19/03 11119/03 11/19/03 11119/03 11/19/03 Plan Reviews I 10/20/2003 10/30/2003 10/21/2003 11104/2003 APP LLH The general contractor listed is currently not active with the Construction Contractors Board. This permit CANNOT be issued with current contractor with their current status with the State. The contractor either must ~ring their license current with the State, or the general contractor must be changed. The contractor listed is Bryan A White, License Number 128374. License is Suspended. Insurance Problem. See printout in job liIe. APP TAJ APP VRJ Roof drainage to street as per phone conversation with Mr. Bittler. 2:30pm, 10/21/2003. APP TCM Page 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01064 ISSUED: 11/19/2003 APPLIED: 10/17/2003 EXPIRES: 05/19/2004 VALUE: $ 34,790.00 Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line 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. I Renuired Tnsnections I I Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Post and Beam: Prior to tloor insulation or decking. 4 Floor Insulation: Prior to decking. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Walllnsulation: Prior to cover. 7 Ceiling Insulation: Prior to cover, 8 Drywall: Prior to taping. 9 Final Building: After all required inspections have been requested and approved and the building is complete. 10 Undertloor Plumbing: Prior to insulation or decking. 11 Rough Plumbing: Prior to cover and including required testing. 12 Final Plumbing: When all plumbing work is complete, 13 Undertloor Mechanical. Prior to insulation or decking and including required testing. 14 Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that 1 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, 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. . EB:.~E:. J::!: Date Paee30f3 I), . , , . \" ./ o. ,. , " .construc~ion contracts 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 Pennit#: c.".....z.o.-O/OE)Y' Issued by: 232(; cflMA- ').,.f! c....r Date:#LVoJ . Address: 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 befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ I. --ls:J 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 Construction Contractors Board. OR ~3B. I will be my own general contractor. If I 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. ~'( (11\ t7J;-('-~__ '6 ~~. -- / I /1 z:s !c) ~ ,,- (Signature of permit applicant) I (Date) ~ (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 03/11/03 \' j")I'..J'. ." ,) . -Acti-PR a~ y 9ur 9wn General Contractor? 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 will, 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, YOI1 must wit~hold 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 a State Business ID number, call the Business Infonnation Center at 503-986.2200. 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 503~94 7 - I 488, 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 infonnation, 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 fro~ employees' wages. 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 866-816-2065 or fax them at 801-620-7115. " " .Y-... 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:. ~ake sure you have' sufficient time to supervise your employees. , , ' Expertise: Make sure you have the skills to act as your own general contraci~r, to coordinate the work of rough-in and finish trades, and to notify building officials as the a'......w...,;ate times so they can perfonn 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. PropertLowner.doc 03/11/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JobfJournal Number COM2003-0 1 064 COM2003-0 1 064 COM2003-0 1 064 COM2003-0 1 064 COM2003.0 1 064 COM2003-0 1064 COM2003-0 1064 COM2003-0 1064 COM2003-0 1 064 COM2003-0 1 064 Payments: Type of Payment CreditCard if_1 Receipt #: 1200200000000002493 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Planning Building Permit Fixture Minimum/Adjustment Plumbing -Mechanical Issuance Fee- Miscellaneous Mechanical + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By RICHARD BITTLER 000224 133538 ~'City of Springfield Official R~ceipt Development Services Department Public Works DepartmcJlt Date: 11/19/2003 1:34:27PM Amount Paid Item Total: 139.20 6.96 59.00 282.90 14,00 31.00 10.00 45,00 26.10 37.29 $651.45 . . How Received In Person Payment Total: Amount Paid $651.45 $651.45 . .' CITY OF S!NGFIELD SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: 2003-01064 NAME OR COMPANY: Rick Bittler LOCATION: 2326 Erma Court TAX LOT NUMBER: 17032721 UI200 DEVELOPMENT TYPE: SFD - Addition NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): I, STORM DRAINAGE Ii o u ~ ~ Ul - \:) gj o DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, 'I COST PER S.F, CHARGE I 480,00 $0,290 I = I $139,20 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, 1 'I COST PER S,F, I, I DISCOUNT RATE I I DISCOUNT I 0,00 $0,290 I I 50% I = I $0,00 ITEM I TOTAL. STORM DRAINAGE SDC $139.20 $139.20 1 I 1070 2, SANITARY SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's 1 ' I COST PER DFU I 0 $22,64 $0,00 1091 B. IMPROVEMENT COST: : NUMBERO OF DFU's I ' I COST PER DFU $17,21 SO.OO 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO ], TRANSPORTATION A, REIMBURSEMENT COST: I ADTTRIP RATE I , I NUMBER OF UNITS I , I COST PER TRIP , INEW TRIP FACTOR I I 9,57 I o I I $17,23 I 1.00 SO.OO 1093 B. IMPROVEMENT COST: I ADTTRIP RATE I ' I NUMBER OOF UNITS I ' I COST PER TRIP , INEW TRIP FACTORI I 9,57 I I $76,01 I 1.00 SO.OO 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0,00 4, SANITARV SEWER - MWMC A, REIMBURSEMENT COST: 11054 INUMBER OF FEU's I , ICOST PER FEU I 0 I I $314,63 = SO.OO B, IMPROVEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I 0 I $214,23 = SO.OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054 MWMC ADMINISTRATIVE FEE SO,OO 1056 ITEM 4 TOTAL. MWMC SANITARY SEWER SD( = , $0,00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $139.20 5, ADMINISTRATIVE FEE: ISUBTOTAL I ' I ADM, FEE RATE 1= CHARGE I $ 139,20 I 5% $6,96 TOTAL SANITARY ADMINISTRATION FEE: 6,96 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 1.1078 I Virginia Jurasevich 10/21/2003 TOTAL SDC CHARGES = , $146.16 , PREPARED BY DATE . ' ,. . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FUTURES x UNIT EQUIVALENT ..: DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 1 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/ MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC 0 0 3 = 0 I SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAURESlDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 II ISINK: SINGLE LA V ATORY/RESlDENTIAL BAR 0 0 1 = 0 IURINAL, STALL / WALL 0 0 5 = 0 1 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 1 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 1 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 -EDU (Equivalent Dwellin,g Unit) is a dischar~ equivalent 10 a sinlde family dwellin,:!; unit (20 ORJ's) set at 167 J.!:allons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ,I -I ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 BEFORE 1979 $4,92 I (Enter I for Yes, 2 for No) 1979 $4,92 1 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 1980 $4.83 1 (Enter I for Yes, 2 for No) 1981 $4.77 1 BASE YEAR 1979 1982 $4,64 I' 1983 $4.47 I CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 I VALUE / 1000 CREDIT RATE 1985 $4,09 $0,00 x $4,92 ~ , $0,00 1986 $3,78 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2.98 V AWE / 1000 CREDIT RATE 1989 $2.52 $0.00 x $4,92 ~ , 0 1990 $2,06 1991 $1.64 1992 $1045 TOTAL MWMC CREDIT = $0,00 1993 $UI 1994 $1.13 1995 $0.97 1996 $0,82 1997 $0,63 1998 $0041 1999 $0,22 2000 $0,04