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Home My WebLink AboutPermit Building 2005-10-24 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line *: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-01445 ISSUED: 10/2412005 APPLIED: 10/1412005 EXPIRES: 04/2412006 VALUE: $ 25,200.00 , SITE ADDRESS: 782 LAKSONEN LP ASSESSOR'S PARCEL NO.: 1702352202600 Springfield TYPE OF "I Garage TYPE OF USE: New Residential NOTICE: THI~ PI=RMIT ~HAI Lm1Bf..!f.JHE WORK AUTHORIZED UNDER THleh9figmTn~t!0541-543-<i207 COMMENCED OR IS ABANDONED FOR . ANY 160 DAY PERIOD. ..... I CONTRACTOR INFORMATION ~ License PROJECT DESCRIPTION: Garage - Owner: JIM MEADOR ,Address: 377 69TH PL SPRINGFIELD OR 97478 Contractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER Expiration Date Phone I BUILDING INFORMATION~ 1 Lot Size: ATTENnD?~: orilbf;t'~~lA?j\l'fr~s you to follow rule!' adopJl~!ttt'1.?IlIIJPJ.t~on Utility oS -D3semen : h Notification Centers FPGi.f~ ,&(<!re S?l fort 1,008: in OAR 952-001-0('S~)F~0'Ih<;1~ up.'WlJ'::,~-001- 0090. YOlO/Slay obOcc.lplnitib'!d~e rules by .........lli........ the. ,,"ontor (t\lntA" thp tplAnhone I DEVELOPMENT INFORMA 'FION ~)r the Oregon Utility Notification "tOnter is 1-800-3REQUiRED PARKING #ofUnits: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heal: Water Type: Range Type: Energy Path: Sprinkled 1 U VN Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 Overlay Dist: # Slreet Trees Paved Drive Rqd: % of Lot Coverage: 15.00 0.00 Total: Handicapped: Compact: 25.00 Street IpUBLIC IMPROVEMENTS~ Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: Downspouts/Drains Setback 5' To Storm Sewer ,{ Notes: Storm drainage piped into 12' STM south property line per Greg Ferschweiler 10/19/2005 CAS '. t 1 of 3 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ." Description Garaee Type of Construction Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Encroachment Permit Garage/Carport Plan Review Minor - Planning , SDC Sanitary/Storm Admin l Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Total Amount Initial Review Plannine Review Public Works Review Structural Review . . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-01445 ISSUED: 10/24/2005 APPLIED: 10/14/2005 EXPIRES: 04/24/2006 VALUE: $ 25,200.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $25.00 Square Footage or Bid Amount 1,008.00 Value Date Calculated Total Value of Project $25,200,00 $25,200.00 10/14/2005 Fees P,aid I Amount Paid Date Paid Receipt Number 1200500000000001524 1200500000000001591 1200500000000001591 1200500000000001591 1200500000000001591 1200500000000001591 1200500000000001591 1200500000000001591 1200500000000001591 $149.66 $27.53 $19.27 $130.00 $230.25 $85.00 $16.28 $325.58 $45.00 10/14/05 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 10/24/05 $1,028.57 I Plan Reviews I 10/18/2005 10/18/2005 APP SKG 10/18/2005 10/2112005 APP TAJ 10/18/2005 10/1912005 APP CAS Storm drainage piped to 12' STM south property line; Encroachment permit required included form in permit packet 10/19/2005 CAS 10/18/2005 10/24/2005 APP RJB 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 I nsnectinns I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Encroachment: After item(s) have been removed to inspect condition of public right of way. 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. 2 of 3 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2005-01445 ISSUED: 10/24/2005 APPLIED: 10/14/2005 EXPIRES: 04/24/2006 VALUE: $ 25,200.00 . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54~-726-3769 Inspection Line Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Rough Electric, Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined Ihe compIeled application and do hereby certify that all . information hereon is true and correct, and I further certity 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 10 the work described herein, and that NO OCCUPANCY wiD be made of any structure without permission of Ihe Community Services Division, Building Safety. I further certity that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree 10 ensure that all required inspections are requested at the proper time, that each address is readable from the stree hut the permit card is located at the front ofthe property, and the approved set of plans wiD remain on the site at all' during constructiolL 244L/ ~...;"'~ Oc r 2- V -CJ ~ er or Contractors Signature Date 3 of 3 e. . . ;, i \; ,,' " " . - . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.cch.state.or.us Petmit #: C'....Dm w_ - () 1+6 Address: ~2.. Lt'v/<SOVl-e/'\ yo. Issued by: ~ Date: /O/;J'tjry:;- 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 a!-,!-,<vl,,;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: JZ) 1. ~ 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 ISEl' 3B. I will be my own general contractor. If) hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If) 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. , (Si~~cant) CJcr zy-os (Date) (White copy to issuing agency permit file. pink copy to applicant.) Property_owner.doc 06-01-04 Adn.rni~t~~ ~i1n'Jr"O'wnn Gennelrali C!lIDtJr'till~~~Jr'i . ',,-r ..... .\.1', \ r, j INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES ,. c --i - ~ '\ \ \).... \ '. \ '. \ \ " 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 bdng aware of the following responsibilities and concerns. JEmplloyer RellpolIllllJilbilitnell 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, 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.us/formsnav.htmll for the applVJ-'I.~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 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.l!Ov. Otllner Respilmsnlbftllfitftell amI! AJreall olf COlIllcerlIlls 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 re:done.. - , " ,~:' " ....... . .... Time: Make sure you have sufficient time to supervise your employees: Expertise: Make sure you have the skills to act as your own general contr~ctor, 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 havc additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owneLdoc 06-01-04 ~. . ' CITY OF ANGFIELD SYSTEMS DEVELOPMEaORKSHEET JOURNAL OR JOB NUMBER: COM2005-01445 NAME OR COMPANY: Jim Meador LOCATION: 782 Laksonen Lp TAX LOT NUMBER: 1702352202600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 1008 LOT SIZE (SF): 9870 I~' 10 I~ '" {3 ~ - - L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ! IMPERVIOUS S.F. x, COST PER S.F. I' CHARGE I I 1008.00 'S0.323 = , $325.58 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS , IMPERVIOUS S.F.' x , COST PER S.F. I x, DISCOUNT RATE I ' , 0.00 , , S0.323 " 50% ~ , ITEM I TOTAL- STORM DRAINAGE SDC I 5325.58 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: , NUMBER OF DFU's I x , 0 I DISCOUNT $0.00 5325.58 11070 COST PER DFU S25.07 so.oo 1091 B. IMPROVEMENT COST: , NUMBER OF DFU's' x , 0 , SI9.Q7 SO.OO 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , so.oo 3, TRANSPORTATION A. REIMBURSEMENT COST: , ADTTRlPRATE I x I 9.57 I , NUMBER OF UNITS' x , , 0 " COST PER TRIP $19.09 x 'NEW TRIP FACTORJ , 1.00 I so.oo 1093 B. IMPROVEMENT COST: , ADT TRIP RATE , x I NUMBER OF UNITS I x I COST PER TRIP , 9.57 I , 0 'I S84.19 ITEM 3 TOTAL-TRANSPORTATION SDC = , SO.OO x 1 NEW TRIP FACTOR' I 1.00 , SO.OO I 11094 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's' x o 1 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU o I I S865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU I S82.03 = so.oo 1054 ~ = SO.OO 1055 SO.OO 1054 SO.OO 11056 SO.OO I 5325.58 I CHARGE S16.28 16.28 11079 SO.OO 1078 TOTAL SDC CHARGES =, $341.86 u__ MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ J 5. ADMINISTRATIVE FEE: 'SUBTOTAL I x , ADM. FEE RATE 1= I S325.58 I , 5% , TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 10/19/2005 PREPARED BY DATE . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAlNAGE 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 / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TUB . 0 0 2 = 0 CLOTHESWASHER / MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE rEAl 0 0 6 = 0 IMOBILE I.IOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 fRECEPTOR FOR REFR1G / WATER STATION / ETe. 0 0 1 = 0 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 I SINK: COMMERCiAURESIDENllAL KITCHEN 0 0 3 = 0 I I SINK: COMMERCIAL BAR 0 0 2 = 0 I ISINK: WASH BAS1NIDOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 I URINAL. STALL / WALL 0 0 5 = 0 I :rOlLET. PUBLIC INSTALLATION 0 0 6 = 0 I TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 :1 .EDU (Equivalent Dwelling Unit) is a discl1arRe equivalent 10 a single familv dwellin~ unit (20 DRJ's) set at 167 ~lons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RATE/SI,OOO l . ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE 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/lOOO CREDIT RATE 1985 $4.40 SO.OO x S5.29 ~ , SO.OO 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 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = SO.OO 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 $0.05 225 F,ifth Street Springfield, Oregon 97477 541-726-3759 Phone . 8?~~1~.9~~'__ .". , Wir". I j,' ( '.~ j -"'I.ity of Springfield Official Receipt "velopment Services Department Public Works Department Job/Joornal Number COM2005-0 1445 COM2005-0 1445 COM2005-0 1445 COM2005-0 1445 COM2005-0 1445 COM2005-01445 COM2005-0 1445 COM2005-01445 P~yments: T)pe o~ Payment Check ;, . . ~~ ;i .. , 10/24/2005 RECEIPT #: 1200500000000001591 Date: 10/24/2005 Description + 7% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Encroachment Permit Plan Review Minor - Planning Garage/Carport Storm Sewer - Isl50 Feel Paid By nM MEADOR. Item Total: Check Number Authorization Batch Number Number How Received 91810195 In Person Payment Total: Recei ved By ddk I, I of I 11:13:49AM Amoont Due 19.27 27.53 325.58 16.28 130.00 85.00 230.25 45.00 $878.91 Amount Paid $878.91 $878.91