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Home My WebLink AboutPermit Building 2007-3-13 . Status Issued * .CITY-OF ~r-luNGFIELD . Building/Combination Permit PERMIT NO: COM2007-00I65 ISSUED: 03/13/2007 APPLIED: 02/02/2007 EXPIRES: 09/1312007 VALUE: $ 12,960.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 849 Kelly Blvd ASSESSOR'S PARCEL NO.: 1703352211600 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residenthil PROJECT DESCRIPTION: New 2-car garage Owner: WARD ALFORD DON Address: 541 WILLAMETTE ST STE 214 EUGENE OR 97401 Phone Numher: 541-954-5169 Phone Numher: 541-683-3290 I CONTRACTOR INFORMATION I Contractor Type General Electrical Plumhing Contractor OWNER C PERKINS ELECTRIC INC OWNER License Expiration Date Phone 159537 04/15/2008 541-895-4466 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I Lot Size: 15.00 Sq Ftlst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: nla Occupant Load: 480 VB I DEVELOPMENT INFORMATION I Frontyard Sethack: Side I Setback: Side 2 Sethack: Rearyard Set hack: Solar Sethacks: 18.00 10.00 5.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 17.20 I PUBLIC IMPROVEMENTS I Street Improvements,: EI'! IIUI\I:Ulegoi . kilN '''4UIl tl~ yoU.lO Sidewalk Type: f"\, . I dopted by the Oregon Utl~ ty Storm Sewer Avall~lihi: ~1I es a _ I re set forI DownspoutslDrains: Speciallnstruct!'!JIlficatlOn Center. Those ru es a . in OAR 952.001.001~ IhrO~ghOA~ 9:2-00 NOTICE: Notes: Per D88~!)'.PM!!~@I!':\5pm\t3I2/07~ISfof'~:H2'~~'J!fll, 10 existing operaMfg'~nfM'1nN~L'fr~KPMexl~tTIiE WOR~ house, e~cW.Mt ~1',tb\...I$g!l!\Cr\ob)I<MIY1Blv'd!~P\'i~07 t . numb:r!orthe Or~gon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOl Cenlaris 1-800-332-2344). COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garaee Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fii'e SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - Ist 50 Feet Total Amount Paid Initial Review Plan nine Review Public Works Review . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00165 ISSUED: 0311312007 APPLIED: 0210212007 EXPIRES: 0911312007 VALUE: $ 12,960.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $27.00 Square Footage or Bid Amount 480.00 0210212007 Value Date Calculated Total Value of Project $12,960.00 $12,960.00 Fpp< P~itl I Amount Paid Date Paid Receipt Number 3200700000000000080 2200700000000000337 2200700000000000337 2200700000000000337 2200700000000000337 2200700000000000337 2200700000000000337 2200700000000000337 2200700000000000337 2200700000000000337 $85.02 $19.98 $8.79 $14.06 $130.80 $24.00 $112.00 $11.28 $225.53 $45.00 2/2107 3/13/07 3/13/07 3/13/07 3/13/07 3/13/07 3/13/07 3/13/07 3/13/07 3/13/07 $676.46 02107/2007 02107/2007 I Plan Reviews I OK NJM APP TAJ No rear setback required for garage off an alley per SDC 16.050(I)(b). Waiting in order PW rcvd for rvw.JLP 03/12/2007 02107/2007 02107/2007 WI JLP Paee 2 of4 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Puhlic Works Review 02/2112007 Structural Review 02/0712007 03/02/2007 02/15/2007 APP JLP . CITY OF ~rK11~t.NI'.,LD Building/Combination Permit PERMIT NO: COM2007-00165 ISSUED: 03/13/2007 APPLIED: . 02/02/2007 EXPIRES: 09/13/2007 VALUE: $ 12,960.00 Spoke wlDon @ counter-- tld him I rcvd his file on 2/7/07.JLP 2/16/07. ... Rcvd voicemail from Don. I cld him hack. He expressed concerns over our current rvw proceedures. He asked for Les, & Ken's phone number. I provided both numbers to him.JLP 2/21/07 ... Storm H20 plan missing from site plan. I cld owner@ number given, 954-5169, 1ft msg he can fax info in, bring in, or write in on current site pion. Msg Ift@ 3:10pm 2/27/07 JLP 2/27/07 ... Rcvd vcmail, cld Don hack @ 1:15pm on 2/3/07. Per Don via phone@ 1:15pm 3/2/07. Don stated the storm H20 to tie to existing operational system on NE corner of existing house, ending at curb & gutter on Kelly Blvd.JLP 3/2/0 Approved as submitted. APP DLM To Request an inspection call the 24 hour recording at 726-3769. 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. UeonirerUnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Page 3 of4 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2007-00165 ISSUED: 03113/2007 APPLIED: 0210212007 EXPIRES: 09113/2007 VALUE: $ 12,960.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he 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 he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahle from lhe 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. ~d~~ f1 ~ t1IaMI '?/;~/J7 Owner or Contractors Signature Date Pa!!e 4 of 4 e. . . \. ./ " " " .' . . . Coflstruction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Permit #: O/7~ Address: p,~ \(PH Vi fi \ YL Issued by: \ i 'Sf1 _ a Date: ~, I 6.e:n 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 I and 2, and either box 3A or 3B: ;WI. 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 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 'r 3B. I will be my own general contractor. IfI hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. IfI 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. ;JG :j;~/ rY7 (Signature of permit applicant) v v (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 . I . Acting as rour'Own General Contractor? . I d. INFORMATION NOTICE' TO PROPERTY OWNERS ABOU:r CONS;rRUCTIO.~ RESPONSIBILITIES .r:.^lr (. ),... r=:'-- '_ .. '. NOTE: This Information Notice to Properly 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" ~d 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, yoti 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.usfformsnav.htmll for the a...p"Vt'l~ate 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 feoeral 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.l!ov. 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 faIling tools, paint ov,er spray, water damage from pipe p.unctures, 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 generai contractor, to coordinate the work of rough-in and fmish 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. _. ,r Property_owner.doc 06-01-04 . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2007-00165 NAME OR COMPANY: Don Ward LOCATION: 849 Kelly Blvd TAX LOT NUMBER: 1703352211600 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: o LOT SIZE (SF): o 'r-- I~ 10 10 I~ I~ 'v! 6 ~ ... . . ... I. STORM nRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM , IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 672.00 I 50.336 I = I $225.53 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 0.00 I 50.336 I I 50% = I ITEM I TOTAL- STORM DRAINAGE SDC 5225.53 ~ 2. SANITARY SEWER - CITY DISCOUNT $0.00 5225.53 1070 A. REIMBURSEMENT COST: I NUMBERO OF DFU's I x B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU 526.03 SO.OO 1091 519.79 = , SO.OO 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OOF UNITS I x I COST PER TRIP x !NEW TRIP FACTORI I 9.57 I I 519.81 I 1.00 . SO.OO 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OOF UNI:S I x I COST PER TRIP x INEW TRIP F ACTORI I 9.57 I I 587.39 I 1.00 I SO.OO j 1094 ITEM 3 TOTAL ;TRANSPORT A TION SDC = I SO.OO 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 I ICOST PER FEU I 591.61 B. IMPROVEMENT COST: INUMBER OF FEU's I x I 0 I ICOST PER FEU I 5961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SURTOT AL (ADD ITEMS I, 2, 3, & 4) ~ , 5 AnMINISTRA TIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ 5225.53 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw 31212007 PREPARED BY DATE . . . T . DRAINAGE F~TURE UNI'!.(DFU) CALCULATIONJABLE -' NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / Ere. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY l1JB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHES WASHER . 3 OR MORE (EAl 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / Ere. 0 0 3 = 0 ISHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG ~ER OF HEADSl 0 0 2. = 0 ISINK: COMMERCWJRESIDENTlAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL/WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (EQuivalent DwellinR. Unit) is a disc~ equivalent to a simde familv dwellinR. unit (20 DRJ's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$ I ,000 ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ , so.oo . CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 o , TOTAL MWMC CREDIT = $0.00 . ~8P a~~~:.".~.'. -. ...1.. _. . I. '" " ~ J ., n. .c . .1 '-~'~r - .Of Springfield Official R~ceipt Development Services -Department Public Works Department 225 Fif:~' Street Spring'!:', Q}:egon 97477 541-726- 759 Phone Job/Journal Number COM2007-00165 COM2007-00165 COM2007-00 165 COM2007-00165 COM2007-00 165 COM2007-00165 COM2007-00 165 COM2007-00 165 COM2007-00 165 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000337 Date: 03/13/2007 Description Fire SF Fee - Residential Building Permit Storm Sewer - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning Paid By AL WARD Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 1387 In Person Payment Total: Page I of I 1:17:53PM Amount Due 24.00 130.80 45.00 8.79 14.06 19.98 225.53 11.28 112.00 $591.44 Amount Paid $591.44 $591.44 3/13/2007