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),
. ,
, .
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, "
.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