HomeMy WebLinkAboutPermit Building 2006-8-21
.
~ll i' OF ~rKll'll>t<lELD
Building/Combination Permit
PERMIT NO: cOM2006-00863
ISSUED: 08/21/2006
APPLIED: 07/11!2006
EXPIRES: 02/21/2007
VALUE: $ 7,020.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PROJECT DESCRIPTION: Garage addition
Springfield TYPE OF WO!,K: <6'IJ.~~~ yoU to
~~~: ':-. N ,. f),~~~n L /_~ ":-,o.o,on Utility
p, ~:, ,. Typ,ILO,FcUSE: " '~~~dl.tl,~nset lorth Residential
I" . ,.' ","'O"e ru.~5 a 00'-
. "'''r "uO '00952' I
tl-' ,- ,.~.'. :;11 '...A...' ..... . ugh 01\1\
',' ~-'.. n "I'\i.11[)10thrc "~n ,,,1"5 b\f
\0 Lil'"....--- . C01l1v..;J...... - .
0090. '(ou may obtain NJ:~0~~;.N.uinbe-,.:nf54l-729-l074
'I' 9 the center. ( . 'I't" Notilicatlon
ca, In 0 90n Uti I ,
I'\umber lor the ;e 01'\11.::\32-2344).
SITE ADDRESS: 3854 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061412300
Owner: JOE MEYERS
Address: 3854 JASPER RD
SPRINGFIELD OR 97478
lIt:\ll......' ....
, CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories: ' Lot Size:
Height of Structure 10.75 Sq Ft 1st Floor:
TyfJe of Heat: Sq Ft. 2~~ f~~?~:,(
Water Type~.. ~. Ir,S,9\l!t B~~~W\I
Range Type;! \ \1:.... "11 Slii\\..\.. I:'/..? c:S~\~W,arage/Carport 270
Energy Path:\" ?I:\\'" , """c\\ "ilil-sq(F:\!.Other.:\\
,,," ICI) u"u<- ^l'" 1''-'' .
Sprinkled Building?,1 <- , Ot!1/aj i\B" 0ccupant Load:
Pl,Ul'..........\("(:f\ f'1 _
I DEVELOPMENT1NF6RtViATION'~'fuL"
n" REQUIRED PARKING
VN
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dist:
# StreefTrees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
0.00
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes DownspoutslDrains:
Storm drain to tie into existing and then to curb and gutter
Sidewalk Type:
Curb and Gutter
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of3
.
~ITY OF SPRIN\il'lJi.LD '
Building/Combination Permit
PERMIT NO: cOM2006-00863
ISSUED: 08/21/2006
APPLIED: 07/11/2006
EXPIRES: 02/21/2007
VALUE: $ 7,020.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Gara2e
Gara2e
$26.00
270.00
$7,020.00
$7,020.00
07/11/2006
, Total Value of Project
~
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid Date Paid Receipt Number
$59.67 7/11/06 1200600000000001054
$10.53 8/21106 2200600000000001168
$7.34 8/21/06 2200600000000001168
$91.80 8/21106 2200600000000001168
$13.50. 8/21106 2200600000000001168
$5.17 8/21106 2200600000000001168
$103.37 8/21106 2200600000000001168
Total Amount Paid
$291.38
I Plan Reviews I
Initial Review
Plan nine: Review
Public Works Review
07/12/2006
07/12/2006
07/1212006
07/12/2006
07/21/2006
07/12/2006
APP LLH
APP TAJ
APP MS
Structural Review
Structural Review
07/12/2006
08/17/2006
08/14/2006
08/17/2006
WE RWC
APP RWC
No Planning Issues
7/12/06 - Storm drainage to tie into
existing house drainage system and
them weep hole to cnrb and gutter
per telephone conversation with the
applicant on 7/12/06. - MS
faxed RFI 8/14/2006
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 R~"..;rA..l In.nA~t;nn. .
111~
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pa2e 2 of3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541 :726-3676 Fax
54l-726-37691nspection Line
.
.CITY OF ~rKlI'Il.t'U.LD
Building/Combination Permit
PERMIT NO: cOM2006-00863
ISSUED: 08/21/2006
APPLIED: 07/11/2006
EXPIRES: 02/21/2007
VALUE: $ 7,020.00
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU 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 aU required inspections are requested at the proper time, that each address is readable from the
street, that he permit card is located at the front of the property, and the approved set of plans will remain on the site at aU
times durO g const cron.
o
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Paee 3 of 3
rj ~f}J-Q0
Date
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Construction Contractors 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#CcJyy,1_~ - 000'03
Address:.:SD:::>i- ~ fI.o--
IssuedbY:!\_,I'-t,ko..., Date: It)-;;;.., /eJc
.
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 appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
~l.
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.
o 3A. My genera! 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! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. Ifl 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 propf onrs, abJut Construction Responsibili~ies on the reverse side of this form.
I~ ---- " n-,~{-dO
Slgf1afuTe 0 permit applicant) (Date)
/J (Whi copy to issuing agency permit file, pink copy to applicant.)
p,_","':.I'~owner.doc 06-01-04
AdnlID~ 2l~ ~unJio'i((J)WIID GtelIDtelI'21ll CC!~lI'21(C~((DlI'?
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.
lEmlPnoycll" Responllsnbmtnes
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 Ccmstruction 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.or.usIformsoav.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 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 at www.irs.f!OV.
Odner lResjpoll1lsibmtnes all1l<<JI Areas olf COIllCell'lI1IS
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
CITY OF StiNG FIELD SYSTEMS DEVELOPMEN.ORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
COM2006-00863
Joe and Carol Meyers
3854 Jas~er Road
18020614 TL 12300
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF:
270
o
I
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10
18
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f-o
en
o
gj
I. STORM DRAINAGI;;
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 308.00 I $0.336 I = I $103.37 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I $0.336 'I I 50"10 I = I
ITEM 1 TOTAL- STORM DRAINAGE SDC 5103.37 I
2, SANITARV SEWER - r.JTY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 0
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 0 $19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$26.03
= I
J TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 9.57
B. IMPROVEMENT COST:
I ADTTRlPRATE I x I NUMBER OF UNITS I x I
9.57 I 0 I I
ITEM 3 TOTAL - TRANSPORT AnON SDC = I
I NUMBER OF UNITS I x I
I 0 I I
4, SANITARV SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER ~FFEU'S I x
B. IMPROVEMENT COST:
INUMBER OOF FEU's I x ICOST PER FEU
I 5865.3 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
ICOST PER FEU
I $82,03
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
~. AnMINISTR<\TIVE FEE:
I SUBTOTAL J x I ADM. FEE RATE 1=
I $103.37 1 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
LOT SIZE (SF):
DISCOUNT
$0.00
5103.37
$0.00
50.00
50.00
COST PER TRIP
$19,81
x INEW TRIP F ACTORI
I 1.00 I
$0.00
COST PER TRIP
$87.39
$0.00
x INEW TRIP FACTORI
I 1.00 I
$0.00
=
50.00
Matt Stouder
7/12/2006
PREPARED BY
DATE
1070
11091
I
'1092
I
11093
I
11094
I
I
1054
. .
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS II
(NOTE, FOR REMODELS. CALCULATE ONLY TIJE NET ADDmONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
[LAUNDRY TUB 0 0 2 = 0
ICLOTIlESW ASHER / MOP SINK 0 0 3 = 0
ICLOTIlESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0 I
SHOWER. GANG ~BER OF HEADSl. 0 0 2 = 0
SINK: COMMERCIAlJRESIDENTlAL KITCHEN 0 0 3 = 0 I
I SINK: COMMERCIAL BAR 0 0 2 = 0 [
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 [
I SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 0 0 1 = 0 I
IURlNAL. STALL / WALL 0 0 5 = 0 I
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 I
ITOILET. PRIVATE INST ALLA TlON 0 0 3 = 0 [
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S j
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling Wlit (20 DFU's) set at 167 ~Ions per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATfJ$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5,29 (Enler I for Yes, 2 for No)
1979 $5,29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT'? 2
1980 $5.19 (Enter I for Yes, 2 for No)
1981 $5.12 BASE YEAR 1979
1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE /1000 CREDIT RATE
198.5 $4,40 $0.00 x $5,29 ~ , $0,00
1986 $4.07
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3,22 VALUE /1000 CREDIT RATE
1989 $2.73 $0,00 x $5,29 0
1990 $2,25 .1
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00 I
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
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WiL
c.f Springfield Official Receipt
~opment Services Department
Public Works,Department
225 Fifth Street
Spri.ngfield, Oregon 97477
34 i -726-3759 Phone
Job/Journal Number
COM2006-00863
COM2006-00863
COM2006-00863
COM2006-00863
COM2006-00863
COM2006-00863
Payments:
Type of Payment
Cred itCard
cRcceiotl
RECEIPT #:
Date: 08/21/2006
2:12:37PM
2200600000000001168
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
SDC Sanitary/Stonn Admin
Building Permit
+ 8% State Surcharge
+ ] 0% Administrative Fee
Amount Due
]3.50
]03.37
5,17
91.80
7,34
10.53
$231.71
Paid By
JOE E. MYERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 40] ] 05 In Person
Payment Total:
$231.71
$231.71
Amount Paid
Page I of I
8/2 ]/2006