HomeMy WebLinkAboutPermit Building 2008-4-16
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: COM2008-00370
ISSUED: 04/16/2008
APPLIED: 03/18/2008
EXPIRES: 10/16/2008
VALUE: $ 35,560.00
SITE ADDRESS: 2620 31ST ST
ASSESSOR'S PARCEL NO.: 1702193200600
Springfield TYPE OF WORK: Garage
PROJECT DESCRIPTION: Garage addition
TYPE OF USE: Addition
Residential
Owner: JIM BRANCH
Address: 310 5TH ST
SPRINGFIELD OR 97477
Contractor Type
General
I CONTRACTOR INFORMATION I
Contractor
OWNER
License
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
BUILDING INFORMATION'
1 # of Stories: 2
U Height of Structure 48.00
ATTE Type of Heat:
V~ . NTIOM'~~~'P~'
,J/low rUle . n ~aw r
.NotlflcatlOn SRi~ f~~Ji th equfres you to
In OAR 95 CEn~gYjft: e Oregon Utililv.r
O~~~', YO~~~~~~ ~rO~~~~~~~:~fO~';
nUm 'V~(1XB1\'I &R~
Center is ;~on Utility NotiC o~e
overray'hia2-2a44). ~an Fringe
11.90 # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
30.00
I PUBLIC IMPROVEMENTS I
Phone Number: 541-746-0637
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 1,270
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
No
Sidewalk Type:
Downspouts/Drains: Drywell- Provide
Drywell Engineering
Tvpe of ConstructIOn
Storm water routed to approved drywell. NOTICE:
nll~ PJ:RMJ1 SHAll EXPIRE IF THE WOR~
AU UKI'tIJ ER THIS PERMII I~ NV I
Valuati IS ABANDONED FOR
$ Per Sq !ANY 180 AA".Pe~\QIJte
or multiplier or Bid Amount
Paee 1 of 3
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Gara!!e
Gara!!e
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
Initial Review
Public Works Review
Public Works Review
Plannin!! Review
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00370
ISSUED: 04/16/2008
APPLIED: 03/18/2008
EXPIRES: 10/16/2008
VALUE: $ 35,560.00
$28.00
1,270.00
03/1812008
Total Value of Project
$35,560.00
$35,560.00
~
Amount Paid
Date Paid
Receipt Number
$206.82
$38.17
$38.18
$21.71
$318.18
$63.50
$116.00
$17.76
$355.28
3/18/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
4/16/08
1200800000000000248
1200800000000000360
1200800000000000360
1200800000000000360
1200800000000000360
1200800000000000360
1200800000000000360
1200800000000000360
1200800000000000360
$1,175.60
I Plan Reviews I
03/1812008
03/18/2008
APP NJM
03/18/2008
03/21/2008
WE Need information on pervious
pavers specifications and
engineering also new drywell going
into system will need engineering lefl
message with Jim Branch on
3/21/2008. Received drywell
calculations on 3-24-2008. Received
paving on 4-1-2008
04/0212008
04/02/2008
APP LKW
Storm water routed to approved
drywell.
03/18/2008
04/03/2008
APP T AJ
Considered an attached garage
based on attached breezeway to the
house.
Not approved for an additional
dwelling unit.
Outside 100 yr floodplain
03/18/2008
04/14/2008
OK
RWC
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.
Pa!!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00370
ISSUED: 04/1612008
APPLIED: 03/18/2008
EXPIRES: 10/1612008
VALUE: $ 35,560.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Reouired Insoections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
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
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.
d ~ 'tl-/b-OtJ
Date
Pa2e 3 of 3
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
Perrmt #.
COtMZ-~og-- 60 37()
ZbZ-O s I 5~ S +-;
~(? Date: c(/;'~f
I I
-.--
Address.
Issued by'
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires reszdential constructzon permzt applzcants who are not
lzcensed with the Constructzon Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residentzal buzldzng, electrical, mechanical and
plumbzng permits. Licensed architect and engineer applicants, exempt from licenszng under
ORS 701.010(7), need not submit thzs statement. This statement wzll be filed with the permzt.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
Hi.
~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
3B. I will be my own general contractor.
If I 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 issumg 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.
v~ d. ~
,",,(Signature of permit applicant)
...-- -
(White copy to zssuzng agency permzt file, pznk copy to applicant.)
7'~ /,6 -0 (]
(Date)
PropertLowner.doc 06-01-04
_.Acting ',as YO,-u~ ~Own General Contra~tor?
.., ,
. INFORMATION NOTICE TO 'PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
,
,
,<'
I NOTE. This Information Notice to prop-erty Owners about Construction ResP~~S~bilitleS wa~ 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 Im}Jlovement 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 hcensed WIth the Construction Contractors Board to do labor In constructIng or to assist In the
constructIon or improvement of a resIdentIal stru~ture. As the employer, you ~ust comply with the foUowing:
- '
Oregon's Withholding Tax Law: As an employer, you must WIthhold mcome taxes from employee wages at the tIme
employees are paId. You wIll be hable for the tax payment~ 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 an employees. For more informatIOn, can the Oregon Employment Department at 503-947-1488. ~
-'
...~.......
The Oregon BUSIness TdentJficatIOn Number (BIN) IS a combIned number for both, Oregon. Wlthholdmg and
Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or w\vw.dor.state.or.us/formsoav.html1 for the
appropnate forms.
Workers' Compensation. Insurance: As an employer, you are subject to the Oregon Workers' CompensatIOn Law,
and must obtaIn workers' compensatl9n)nsurance for your employees. If you fall to obtam workers' compensatIOn
msurance, you could be subject to penalties and be hable'for all clmft1 costs if one of your empioyees 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 thelr web site at ww.w.lls.gov.
'-
, .
Other Re~pon~ibiillitie8 and AJrea~ of COll1lceJrns
.
Code Compliance: As the permit holder for thiS project, you are responSible for resolvmg any faIlure to meet code
reqUIrements that may be brought to your attentIOn ~hrough mspectJons
Liability and Property Damage haSlllIrance: Contact your msurance agent to see if you have adequate Insurance
coverage for accidents and omISSIOns such as fal1mg tools, pamt over spray, water damage from pipe punctures, fire or
work that must be redone.
\
Time: Make sure yoti have suffiCient time to supervIse your employees
Expertise: Make sure you have the slalls' to act as your own' general contractor, to coordmate the work of rough-m
and fimsh trades, and to notIfy bUlldmg officials as the appropnate times so they can perform the reqUIred mspectIOns.
If you have addItIOnal questions call the Cons1:!UctlOn Contractors Board (503-378-4621) or wnte the agency at PO
Box 14140, Salem, OR 97309-5052.J
Property_owner doc 06-01-04
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00370
NAME OR COMPANY Jim & Vlrgmia Branch
LOCATION 2620 31st Street
TAX LOT NUMBER 170219320602
DEVELOPMENT TYPE Smgle FamIly Residence
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 1270 LOT SIZE (SF)
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS SF x COST PER SF CHARGE
30000 $0346 = $10381
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSlRUCTED TO CITY STANDARDS
IMPERVIOUS SF I x I COST PER S F I x I DISCOUNT RATE I
145350 $0346 I 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC I $355.28
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's I x
I 0 I
B IMPROVEMENT COST
I NUMBER OF DFU's x
I 0 '
COST PER DFU
$26 83
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT TRIP RATE I x
I 957 I
B IMPROVEMENT COST
I ADT TRIP RATE x
I 957
I NUMBER OF UNITS 1 x
I 0 I
I NUMBER OF UNITS x
I 0
ITEM 3 TOTAL - TRANSPORT A nON SDC
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
NUMBER ~F FEU's I
B IMPROVEMENT COST
INUMBER OF FEU's I
I 0 I
x
ICOST PER FEU
I $9535
x
. COST PER FEU
$990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5 ADMINISTRATIVE FEE
I SUBTOTAL x ADM FEE RATE
I $355 28 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
68389
f/)
~
Cl
o
u
~
I~
If/)
>-<
o
~
DISCOUNT
$251 47
$355.28
1070
$0.00
1091
$0.00
1092
= I
$0.00
COST PER TRIP
2043
x NEW TRIP FACTOR
100
$0.00
1093
=1
COST PER TRIP
$90 10
$0.00
x I NEW TRIP FACTOR
I 100
1094
$0.00
=
$0.00
I
11054
= $0.00 1055
$0.00 1054
$0.00 1056
$0.00
$355.28 II
CHARGE
$1776
1776 11079
$000
.--~ ---. - 1078
-_.,- ,._-
TOTAL SDC CHARGES =l $373.04
Kaye Wilson
PREPARED BY
4/2/2008
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG/WATER STATION /ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Eqwvalent Dwelhng Urnt) IS a discharge eqwvalent to a smgle fanuly dwelhng urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
]989
1990
1991
1992
1993
1994
1995
1996
]997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$480
$463
$440
$407
$367
$322
$273
$225
$180
$159
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
= ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=
225 Fift,. Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00370
COM2008-00370
COM2008-00370
COM2008-00370
COM2008-00370
COM2008-00370
COM2008-00370
COM2008-00370
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000360
Date: 04/16/2008
Description
Fire SF Fee - Resldenttal
Storm Drainage ImpervIous Area
SDC Sanitary/Storm Admin
Plan Revtew Minor - Planning
Building Permit
+ 5% Technology Fee
+ ] 2% State Surcharge
+ ] 0% Administrative Fee
Paid By
JAMES BRANCH
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 62728B ]n Person
Payment Total:
Page] of]
11:22:11AM
Amount Due
6350
35528
] 776
]]600
3]8 ]8
2] 7]
38 ] 8
38 ] 7
$968.78
Amount Paid
$968 78
$968.78
4/] 6/2008