HomeMy WebLinkAboutPermit Building 2003-10-1
.
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. CITY OF ~nul~Gl'l.J<.,L1J
Building/Combination Permit
PERMIT NO: COM2003-00851
ISSUED: 10/0112003
APPLIED: 09/04/2003
EXPIRES: 04/0112004
VALUE: $ 18,278.00
Status
Issued
SITE ADDRESS: 4318 JASPER RD
ASSESSOR'S PARCEL NO.: 1802052406600
Springfield TYPE OF WORK: Accessory Building
TYPE OF VSE:
New
Residential
PROJECT DESCRIPTION: Barn
Owner: TOVEY LESTER M & JENNIFER J
Address: 4318 JASPER ROAD SPRINGFIELD OR 97478
Phone Number: 541-988-3314
Contractor Type
General
Plumbing
Contractor
OWNER
OWNER
I CONTRACTOR INFORMATION'
License
Expiration Date Phone
BUILDING INFORMATION'
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
2 Lot Size:
19.75 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
768
V-I
SETBACKS
I DEVELOPMENT INFORMATION'
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
2.40
20.00
I PVBLlC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
SpeciallliiffUiitloriON:Oregon law reqUires you lu
follow rules adopted by the Oregon Utility
Notes'Jotification Center. Those rules are set for
\ OAR 952-001-0010 through OAfl952-00
0090. You may obtain copies of the rules i
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Pace I of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Garaee
Tvpe of Construction
Garaee
Fee Description
Plan Review Residentiat
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Total Amount Paid
Initial Review
Initial Review
09/05/2003
09/11/2003
Plannine Review
09/05/2003
Public Works Review
09/05/2003
Pubtic Works Review
09/16/2003
Structural Review
09/0512003
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$23.80
Square Footage
or Bid Amount
768.00
Total Value of Project
Fpp<, V"W
Amount Paid
Date Paid
$115.44
$22.26
$15.58
$177.60
$59.00
$5.57
$11 1.36
$45.00
9/4/03
10/2/03
10/2103
10/2/03
10/2/03
10/2103
10/2/03
10/2/03
$551.81
I Plan Reviews I
09/05/2003
09/1612003
APP LLH
APP LLH
09/26/2003
APP TAJ
09/05/2003
WE VRJ
09/1812003
APP MS
09/26/2003 APP DLM
Paee 2 00
. Loll i' OF SPRlr~uNJ'.,L1J
Building/Combination Permit
PERMIT NO: COM2003-00851
ISSUED: 10/01/2003
APPLIED: 09/04/2003
EXPIRES: 04/01/2004
VALUE: $ 18,278.00
Value
Date Calculated
$18,278.40
$18,278.40
09/0412003
Receipt Number
1200200000000002055
1200200000000002255
1200200000000002255
1200200000000002255
1200200000000002255
1200200000000002255
1200200000000002255
1200200000000002255
Delay in initial review due to out of
office meeting and illness.
Height of barn cannot exceed that of
house. A tree felling permit is
required iffell 5 or more 5" dbh or
greater trees.
Contacted applicant regarding
storm drainage 9/5/2003. Applicant
has decided to more building to a
different location, applicant will be
submitting a revised siteplan and
new foundation plan early next
week. PLEASE HOLD OFF ON
ANY REVIEW OF EXISTING
PLANS. Applicant is targeting
revised site plan submittal for
9/9/2003. I have requested applicaot
show location of proposed drywell.
9/18/03 - Contacted applicant and
informed them that drywell needs to
be at least 10 feet from proposed
building. -MS
.
. \...111 OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00851
ISSUED: 10/0112003
APPLIED: 09/04/2003
EXPIRES: 04/0112004
VALUE: $ 18,278.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection 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 Reouired Insneetiom I
1 Footing: After trenches are excavated.
2 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Final Building: After all required inspections have been requested and approved and the building is complete.
5 Storm Sewer Line: Prior to filling trench.
6 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on liIe.
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
thai 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 sile at all
times during construction.
~-
/1)/0.3'
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0085I
COM2003-0085I
COM2003-0085I
COM2003-0085I
COM2003-0085I
COM2003-0085I
COM2003-0085I
Payments:
Type or Payment
CreditCard
~.......,
~;r--':-='= '.',,"','.." 'j
f"~- -~, J
r :
'..- ,..-.." _.-~.. -.-'
Receipt#: 1200200000000002255'
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
Storm Sewer - Isl 50 Feel
+ 7% Slate Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Received By
dIm
Check Number
Batch Number Authorization Number
Paid By
LESTER TOVEY
000185 002776
City of Springfield Offici'al Receipt
Development Services Department '
Public Works Department
Date: 10/0212003 I :05:42PM
Amount Paid
Item Total:
111.36
5.57
177,60
45,00
15.58
22.26
59,00
$436.37
How Received
In Person
Payment Total:
Amount Paid
$436.37
$436.37
.
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: C0M2003-00851
NAME OR COMPANY: Lester Tovev
LOCATION: 4318 JasverRoad
TAX WT NUMBER: 18020524- Tax Lot 06600
DEVELOPMENT TYPE: BARN
NEW DWELLING UNITS 0
,
.....
.
'~-
LOT SIZE_(~~):_______~___.__~ ~
o
~
1. STORM DRAINAGE
BUll.DING SIZE (SF)
768
DIRECT RUNOFF TO CITY STORM SYSTEM
, IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
'0,00 I $0.290 = $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
, IMPERVIOUS S.F, I x I COST PER S.F. I x I DISCOUNT RATE I ' DISCOUNT
'768.00 $0.290 50% = I ($111.36)
ITEM 1 TOTAL - STORM DRAINAGE SDC Sl11.36
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBERO OF DFU's l x I COS;~~ DFU
B. IMPROVEMENT COST:
I NUMBEROOF DFU's I x I COST PER DFU
S17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
, ADT TRIP RATE I x I NUMBER OF UNITS l x I
'9,57 0 I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9.57 0 I
ITEM 3 TOTAL-TRANSPORTATION SDC = I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
o S332.86
B. IMPROVEMENT COST:
lNUMBER OF FEU's I x ICOST PER FEU
o S34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM4TOTAL-MWMCSANITARYSEWERSD< = I
SUBTOTAL (ADD ITEMS 1. 2. 3. & 4) = ,
5_ ADMINtSTRA (IVI"'. rr~E:
$111,36
SO.OO
=
SO.OO
SO,OO
COST PER TRIP
$17.23
x lNEWTRIP FACTORl
, 1.00 =
SO,OO
COST PER TRIP
$76.01
SO,OO
x lNEWTRIPFACTOR.1
I 1.00 ~ =
SO.OO
=
SO,OO
=
SO.OO
SO.OO
SO.OO
=
=
SO,OO
Sl11.36
CHARGE
$5.57
TOTAL SDC CHARGES
, 5.57
j $0.00
= I $116.93
1070
.._.1
1091
1092
=
1093
1094
=
1054
11055
11054
11056
=
11079
~1078
. ..... . .
>,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
,-- NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIX11.lRE UNITS i
(NO'ffi: FOR REMODELS, CALCULATE ONLY mE NET ADDmONAL FIX11.lRES) I
NO. OF FIXTURES DRAINAGE r
UNIT FIX11JRE
FIX11JRE TYPE NEW OLD EQillVALENT UNITS
BAl.1'11Un 0 0 3 = 0
lDRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND 1 AlTfO WASH 1 ETC. 0 0 6 = 0
ILAUNDRYTIJB 0 0 2 = 0
,CLOTHESWASHER 1 MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE iEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
'ISHOWER, GANGJ!~Y~ER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVA TORYIRESIDENTIAL BAR 0 0 1 = 0
IURlNAL. STALL 1 WALL 0 0 5 = 0
ITOILET. PUBUC INSTALLATION 0 0 6 = 0
ITOILET. PRNATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 I
'EDU (EquMlcn1 Dwelling Unit) is . diJcbargc equivaIcnt 10 . oingI, fianiIy _ unit (20 DFU'.) oct .,167 ...nom per day I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATF1$I.000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
BEFORE 1979 $4.92 (Enter 1 for Yes. 2 for No)
1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1910 $4.83 (Enter 1 for Yes. 2 for No)
1981 $4.77 BASE YEAR 1979
1912 $4.64
1983 $4.47 .CREDIT FOR LAND (IF APPUCABLE1
1984 $4.30 VALUE 11000 CREDIT RATE
1985 $4.09 $0.00 X $4.92 ~ I $0.00
1986 $3.78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $298 VALUE 1 1000 CREDIT RATE
1989 $2.52 $0.00 X $4,92 0
1990 $2.06
I 1991 $1.64
I 1992 $1.45 TOTAL MWMC CREDIT = $0.00
I 1993 $1.31
1994 $\.13 J
1995 $0.97
I 1996 $0.82
I 1997 $0.63
I 1998 $0.41
L___ 1999 $0.22
2000 $0,04 ~
-.
, ,
\ /
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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
Permil #: CO 1M '2..6.- 00 8' ~ ,
Address: '"'I 31 8
J'ks P e-<l.
RD
Issued by:
Dale:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701,055(4) requires residential constrnction permit applicants who are not
licensed with the Constrnction 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:
-SrI.
.{SJ 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 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,
--a
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 tbat I bave read and do understand tbe Information
Notice to Property Owners about Construction Responsibilities on tbe reverse side of tbis form.
~ ~ -wi/ 9/;;;)5
- (Signature <!'permit applicant) I I (Date)
rwfite copy to issuing agency permit file, pink copy to applicant.)
F'_r_';Lowner,doc 03/11/03
. .
Acting as Your Own 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 consbuct a new home or make a substantial improvement 10 an existing
sbucture, 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 consbucting or 10 assisl in the
consbuclion or improvemenl of a residential sbucture. 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 lax from your
employees. For a State Business ill number, call the Business Infonnation Center at 503-986-2290.
Unemployment Insurance Tax: As an employer, you are required 10 pay a tax for unemployment insurance purposes
on the wages of all employees, For more infonnation, call the Oregon Employment Department at 503-947-1488,
Workers' Compensation Insurance: As an employer, you are subject 10 the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for your employees. If you fail to oblain workers' compensation
insurance, you could be subjecl 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 musl withhold federal income tax from employees' wages,
You will be liable for the tax payment even if you didn't actually wilhhold the tax, For a Federal EIN number. call the
IRS aI866-816-2065 or fax Ihem at 801-620-7115.
,
Other Responsibilities and Areas of Concerns
. ,
Code Compliance: As the pennit 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 10 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 su'fficient 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 notil}> building officials as Ihe appropriale times so they can perfonn the required inspeclions,
If you have additional queslions call the Construction Contraclors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052,
Property_owner. doc 03/11/03