The URL can be used to link to this page

Home My WebLink AboutPermit Building 2003-7-25 . CITY OF ~rK11'Oj\jnJ<.,L1J Building/Combination Permit PERMIT NO: COM2003-00559 ISSUED: 07/25/2003 APPLIED: 06/27/2003 EXPIRES: 01125/2004 VALUE: $ 2,500.00 . Status '* Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726.3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1051 LOCHA VEN AVE ASSESSOR'S PARCEL NO.: 1703272207527 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Garage conversion Owner: LEE RUSSELL JOE SR & J I Address: 1051 LOCKHA VEN AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Contractor OWNER OWNER I CONTRACTOR INFORMATION I License BUILDING INFORMATION I # of Buildings: # of Stories: \0 Primary Occupancy Group: R-3 Height of sg~~~\'l Secondary Occupancy Group: T~~-l'i~O(\ U~ \Q(\ Primary Construction Type VN 0(\ \ t~(!lypF! (8 '08\ $;)0' Secondary Construction Type: ~,Ol8g 0 \WI g~J~jje~ ~ g':J'l; !> \. # of Bedrooms: ~i\O 009\8 ...~'n!Y~aTh'f' IU\'9 ~~ ~8S ~ I \. 'ov.~" ~ \,,8 0(\8 ~J~~'ll '~.f c~~~~,O~:~^o\8~.~: .9\~~:?..\\0(\ ~\o\\\\c:. 9~'l;.(("])E/v.ElEOEME~TdNFO]\MA TION I \' 0'""<' ~ ~.., (\,V' ~ - ?;.::r' \(\ ().~O ~e c8 ()I~~ .?J?J?:' O'i:J~ ~\v;'lQ, ~ 01 \,,8 :~\eI'l1i9 Dist: . c ~'oel 'Ce(\\el Vi Street Trees Rqd: (\~ Paved Drive Rqd: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Alteration Residential Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: . Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Ol\Ct' . Ii It 1HE WORK ~H\S PERM\1 S~"~~R,\~\~ IS N01 A\.I1HORIIEO \.I: IS A6ANDONtti fOR , ~~~~i~~~~ PERlOO. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paeelof3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541.726.37691nspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Furnace - up to 100,000 htu Minimum/Adjustment Mechanical . Minimum/Adjustment Plumbing Total Amount Paid . . CITY OF iSrJ:Ol~lJ1'lJ!,L1J Building/Combination Permit PERMIT NO: COM2003-00559 ISSUED: 07/25/2003 APPLIED: 06/27/2003 EXPIRES: 01125/2004 VALUE: $ 2,500.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,500.00 Value Date Calculated Total Value of Project $2,500.00 $2,500.00 06/2712003 ~ F",,< tiWU Amount Paid Date Paid Receipt Number $34.32 $19.18 $13.43 $43.00 $6.00 $52.80 $14.00 $12.00 $33.00 $31.00 6/27/03 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 7/25/03 2200200000000001141 1200200000000001825 1200200000000001825 1200200000000001825 1200200000000001825 1200200000000001825 1200200000000001825 1200200000000001825 1200200000000001825 1200200000000001825 $258.73 I Plan Reviews I Initial Review 06/30/2003 06/30/2003 APP LLH Plannine Review 06/30/2003 07/01/2003 DON TAJ zoning and setback confirmed: may not be converted to another unit. Public Works Review 06/30/2003 07/01/2003 APP DJW Structural Review 06/30/2003 07/17/2003 APP TCM 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 Foundation: After forms are erected but prior to concrete placement. 2 Post and Beam: Prior to floor insulation or decking. 3 Floor Insulation: Prior to decking. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Walllnsulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 7 Drywall: Prior to taping. 8 Final Building: After all required inspections have been requested and approved and the building is complete. 9 Rough Electric: Prior to Cover Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . 10 Final Electric: When all electrical work is complete. 11 Rough Plumbing: Prior to cover and including required testing. 12 Final Plumbing: When all plumbing work is complete. \3 Rough Mechanical: Prior to Cover 14 Final Mechanical: When all mechanical work is complete. . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00559 ISSUED: 07125/2003 APPLIED: 06/27/2003 EXPIRES: 01/25/2004 VALUE: $ 2,500.00 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. 1 further agree to ensure thai 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. ow~f ~ntYA'Signature Paee30f3 717.s;f,rL <- Date ;' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003.00559 COM200~-00559 COM2003-00559 COM2003-00559 COM2003-00559 COM2003-00559 COM2003.00559 COM2003-00559 COM2003-00559 Payments: Type of Payment Check Wi~~;e","e"''''''''''''',_e'.~.,'; " ''c.""".'" i . , , , . . , ., ......;..f .J Receipt #: 1200200000000001825 Description Building Permit Furnace. up to 100,000 btu 'Minimum/Adjustment Mechanical Fixture Minimum/Adjustment Plumbing Add, Alter, Extend Circ Ea Add Add, Alter, Extend Circ + 7% State Surcharge + 10% Administrative Fee Paid By RUSSELL LEE Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department " I (J Date: 07/25/2003 2:08:27PM Amount Paid Item Total: 52,80 12,00 33,00 14,00 31.00 6,00 43,00 13.43 19,18 $224.41 How Received In Person Payment Total: Amount Paid $224.41 $224,4] . . .) :i CITY OF ttlNGFIELD SYSTEMS DEVELOPME&ORKSHEET JOURNAL OR JOB NUMBER: Com2oo3.00559 NAME OR COMPANY: Russell Lee LOCATION: 1051 Lochaven Avenue TAX LOT NUMBER: 17032722TL07527 DEVELOPMENT TYPE: DUPLEX NEW DWELLING UNITS 0 BUILDING SIZE (SF) 0 LOT SIZE (SF): 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I I 0,00 $0,282 I = r $0,00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I x I COST PER S,F, I x 1 DISCOUNT RATE I 1 DISCOUNT I 0,00 $0,282 I 50% = 1 $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 I 2, SANITARY SEWER. CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 COST PER DFU I 0 1 $22,09 B.IMPROVEMENTCOST: I NUMBER OF DFU's I x COST PER DFU I 0 $16,79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $0.00 o $0.00 lri' I~ 10 '8 I~ I~ --'OIl - CI ~ ~ 1070 ~ $0.00 11091 I = = $0,00 11092 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I 1 9,57 1 0 1 B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBEROOFUNITSI I 9.57 1 ITEM 3 TOTAL - TRANSPORTATION SDC x COST PER TRIP x I NEW TRIP FACTOR I $]6,81 1 1.00 I = x I COST PER TRIP x 1 NEW TRIP FACfORI 1 $74,17 I 1.00 I = = I $0.00 4, SANITARY SEWER. MWMC A, REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU o I $332,86 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 0 I $34,83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM4TOTAL-MWMCSANlTARYSEWERSDC = , $0.00 SUBTOTAL (ADD ITEMS 1.2.3, &'4) = , $0.00 ,\, ADMINISTRATIVE FEE: = = = $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 11093 1094 1054 1055 !11054 1056 1 SUBTOTAL I x 1 ADM, FEE RATE 1= I $0,00 I 5% 1 TOTAL SANITARY ADMINISTRATION FEE: CHARGE $0,00 , ---1 = , , TOTAL TRANSPORTATION ADMINISTRATION FEE: \~ Virginia Jurasevich 7/1/2003 'PREPARED BY DATE , TOTAL SDC CHARGES #DlV 10! #DIV/O! $0.00 1079 1078 . . " . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW AXTURES , UNIT EQUIVAlENT = DRAINAGE AXTURE UNITS (NOTE: RlR REMODELS, CALCUlATE ONLY THE NET ADDITIONAL AXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLooR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 !CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER. 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG/WATER STATION /ETe. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC, I 0 0 3 = 0 I SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LA V ATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL/WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = .0 ITOlLET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a dischar}l:e equivalent 10 a simde family dwe_lIin~ unit (20 DAJ's) set at 167 ~lIons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$1.ooo ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 BEFORE 1979 $4,92 (Enter I for Yes. 2 for No) 1979 $4,92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 1980 $4,83 (Enter I for Yes. 2 for No) 1981 $4,77 BASE YEAR 1979 1982 $4,64 1983 $4,47 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4,30 VALUE/looo CREDIT RATE I 1985 $4,09 $O,()() X $4,92 = , $O,()() I I 1986 $3,78 I I 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $2,98 VALUE/looo CREDIT RATE I 1989 $2.52 $0,00 X $4,92 0 I I 1990 $2,06 ,I I 1991 $1.64 I 1992 $1.45 TOTAL MWMC CREDIT = $O,()() 1993 $UI I 1994 $1.13 I 1995 $0,97 I 1996 $0,82 I 1997 $0,63 I 1998 $0.41 I 1999 $0,22 L- 2000 $0,04 I). , , \, ,/ " " , " . Construction Contractors Board 700 Summer St NE Suite 300 PO BOI 14140 Salem OR 97309-5052 Phone: 503-378-4621 Weh Address: www.ceb.state.or.us Date: . ., pennit#:~J) -COS'5"l Address: I OS"( Lc>c-L..Av~ "':Dg Issued by: A.; 7/z~/O:? 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 app.vp.;ate blanks and initial boxes I and 2, and either box 3A or 3B: )il. ){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. D 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, X3B. OR 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 issuing this building permit of the name of the contractor. I bereby certify tbat tbe above information is correct and tbat I bave read and do understand tbe Information NotiM:::;'e~ers abont Construction Responsibilities on tbe reverse s; X;j ;;. v (Signature of permit applicant) f . (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 03/1 I/03 .. . ActiJ:lg, 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 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" 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 a State Business ill number, call the Business Information Center at 503.986-2200, 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, 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 morc information, call the Workers' Compensation Division at the Department of Consllmer 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 866.816-2065 or fax them at 801-620.7115, 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 falling tools, paint over spray, water damage from pipe punctures. fire or work that must be redone. Time: M k ""~\ 1, "f'fir., , I a e sure you ..<lve su. clent bme to supervIse your emp oyees, \ ' \ . 1\1 -"!;, ~ \\.,,\\ . " " , '" " 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 a's the appropriate"tirhes so they can perform the required inspections, Ifyoll 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 03/11/03