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Home My WebLink AboutPermit Building 2006-11-3 . aITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01055 ISSUED: 11/03/2006 APPLIED: 08/16/2006 EXPIRES: 05/03/2007 VALUE: $ 130,832.00 Status Issued 225 Fifth Street, Springfield, OR 541,726,3753 Phone 54 I ,726,3676 Fax 54 I ,726,3 769 Inspection Line SITE ADDRESS: 3751 GEM AVE ASSESSOR'S PARCEL NO.: 1702314207500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: THOMAS MCGINNIS Address: 1840 5TH ST SPRINGFIELD OR 97477 Phone Number: 541,744,0640 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License 08699 Expiration Date Phone 12/18/2006 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORMATION I to , es'IOU # ?~,S,~~1ii;~S,alN te~U~ On lltiliW}. R'3. \ '-"'I \ ,u,Helght ofStrl!cturet 9 5et28:OO I"" . -'~D''''.l,.u' laS ata . U tUle;; Typ':..~f.m.'l!ie tU f\ 952-00 I V.N\\elN t' on OVater -Typ.e:tou9\1 Ot>. tulaS b) t'\'\Ca\" ,~".,,\I' 't\1e NO \ 52-(Kang~-T~\?,ei;opie5 o. booe '\n Ot>.f\ 9 nEnergjitpath: 'e' '\18 telep Path-t, '(eU ..;~, 'N'" .' "\\r.~UV.' 0090. t",Sprijll{Jcd' Building:ity No.1 iIla "- __\linn 'I~'" _...,."nO('\U~.' _....AA.\ Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 1,248 280 O""DE'VEJ:OP.MEN~INFORMA TION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 7.70 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: WOI\e\:: ,." C'iPIRE. It' 1 \-IE. ~OR~ -.."" '. ,,\,t-- _ nE.RMI \ '" 1i~. I p~t:lCmPKOVEI\:lE\'lTI\'t r fOR Gr":~~~~';CiOOR IS ,,:B": OO~Fd~walk Type: ~'I180 0":'1 ?E.RIOO. DownspoutslDrains: Total: Handicapped: Compact: 64.11 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Drywell ' Provide Drywell Engineering Notes: Rcvd Approved Drywell calcs 10/03/06JLP Hold until rcv drywell calcs(t1kd wlowner 8/30). All otber approved as currently submilled.JLP Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Garaee V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 10% Administrative Fee + 50/0 Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Fixture MinimumlAdjustment Mechanical Plan Review Minor - Planning Sanitary Sewer, 1st 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan Water Line - 1st 50 Feet Total Amount Paid . &:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-0I055 ISSUED: 11103/2006 APPLIED: 08/16/2006 EXPIRES: 05/03/2007 VALUE: $ 130,832.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,248.00 280.00 Value Date Calculated Total Value of Project $123,552.00 $7,280.00 $130,832.00 08/16/2006 08/16/2006 VPP\,,~ Amount Paid Date Paid Receipt Number $433.16 $10.00 $103.48 $47.92 $76.67 $666.40 $76.40 $112.00 $33.00 $112.00 $45.00 $336.44 $442.45 $42.81 $77.28 $45.00 $12.00 $45.00 8/16/06 11/3106 11/3/06 11/3/06 11/3106 11/3/06 11/3/06 11/3/06 11/3/06 11/3/06 11/3106 11/3/06 11/3/06 11/3/06 11/3106 I 1/3/06 1113/06 11/3/06 2200600000000001149 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 1200600000000001600 $2,717.01 I Plan Reviews I Initial Review 08/17/2006 08/17/2006 APP LLH Plan nine Review 08/17/2006 09/2512006 APP TAJ Public Works Review 08/17/2006 08/2912006 WE JLP Hold until rcv drywell calcs(t1kd wlowner 8/30). All other approved as currently submitted.JLP Public Works Review 09/25/2006 09(25/2006 WE JLP Lft msg wlperson @ McGinnis home 744-0640 -Need drywell calcs before PW can release.JLP Paee 2 of 4 . &:ITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2006-01055 ISSUED: 11103/2006 APPLIED: 08/16/2006 EXPIRES: 05/03/2007 VALUE: $ 130,832.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726,3676 Fax 541-726-3769 Inspection Line Public Works Review 09/26/2006 09126i2006 WE JLP Rcvd drywell calcs. They did NOT pass Matt's rvw. I called the geotech. explained we need "high water table" issues detailed in his narrative on the drywell calcs. Called and tlkd with Mrs. & explained process is waiting on geotech.JLP Received revised drywell calcs, approved by Matt S. SDC Worksheet recalculated to include drywell.JLP Puhlic Works Review 10/03/2006 10/03/2006 APP JLP Structural Review 08/17/2006 09/20/2006 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. ErosionlGrading Inspection: Prior to ground disturhance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to tloor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have heen requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed hut prior to hackfill. Undertloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Line to Septic Tank: Prior to filling trench and required testing. Paee 3 of 4 . &:ITY OF I)rJ{Jl~l""IJ!,LD Building/Combination Permit PERMIT NO: COM2006-01055 ISSUED: 11/03/2006 APPLIED: 08/16/2006 EXPIRES: 05/03/2007 VALUE: $ 130,832.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726,3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. ' Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work 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 berein, 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 t: d::71:;~c--r: " I r - <] - ot ~~ju( v Owner or Contractors Signature Date Page 4 of 4 . ' -. . . . ' . .' ". ,.' . 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 Permit#: C::O",^7~<S- C/05'S- Address: '37 S I btvv\' A,j ~ Date: II/J'/ob I I Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential constroction permit applicants who are not licensed with the Constroction 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 be filed with the permit. FilI in the al'l"V},,;ate blanks and initial boxes I and 2, and either box 3A or 3B: hI. M' 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! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I wilI 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 prope7 Owners about constr:ction Responsibilities on the reverse side of this form. ri/J ~~ -_ /(-3-01 . ~gnature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06,01,04 , , '. A~~n1ID~- 'till~ '~1lllrr ((J)w~ Gennerr~ll (C!n~rrtill~~([Drr? t " . "INFORMATION NOTICE TO PROPERTY OWNERS ABOI)J:PONSTRUCTION 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 rnake a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities ~nd concerns. JEmjplnoyer ReSjplOIIllsill>illitJies You will, in most instances, be ruled to be an "ernployer" 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 t~e 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 Unernployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsDav.htmll for the appropriate 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' c~.u...~usation 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 Consurner'and Business Services at 503,947,7815. . U.s. Internal Revenne Service: As an employer, you must withhold federal income tax from employees' wag~ 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."ov. Otlhler ReSjplOIIllSnbiiIitftes 311HD. AJl"eas of COIllcerllllS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to rneet 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 bc redone. ~ , Time: Make sure you have sufficient tirne to supervise your employees. ' Expertise: Make sure you have the skills to act as your own general contraCior, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the rcquired 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 _ owner.doc 06,01,04 . ' CITY OF SaGFIELD SYSTEMS DEVELOPMEN'-ORKSHEET JOURNAL OR JOB NUMBER: COM2006-OlO55 NAME OR COMPANY: Thomas McGinnis LOCATION: 3751 Gem Ave TAX LOT NUMBER: 1702314207500 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 414 LOT SIZE (SF): L STORM DRAINAGE = o 'I I'" w 10 10 U :>: I!: '''' 10 ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER S,F. I CHARGE 0.00 I $0.336 = I $0.00 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. 1 x I COST PER S,F. I x I DISCOUNT RATE I I 460,50 I I $0,336 I 50% I = I ITEM 1 TOTAL, STORM DRAINAGE SDC $77.28 DISCOUNT $77.28 $77.28 1070 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS II (NOlE FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES) I NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EDliN ALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 !CLOTIlESW ASHER 1 MOP SINK 0 0 3 = 0 ICLOTIlESW ASHER, 3 OR MORE (EAt 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION 1 ETC. 0 0 1 = 0 IRECEPTOR FOR COM, SINK 1 DISHWASHER I ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG INUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAuRESIDENTIAL KITCHEN 0 0 3 = 0 :1 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 I I URINAL. STALL 1 WALL 0 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 I IT01LET. PRIVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE , NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 17 . .EDU (EQuivalent DwellinR Unit) is a disc~ eQuivalent to a sioRle family dweJlinR unit (20 DFU's) set at 167 gallons per day 'I MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I I J YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 19% 1997 1998 1999 2000 2001 CREDIT RATEI$I,~ ASSESSED V AWE I $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? (En1er I for Yes. 2 for No) BASE YEAR 2 2 1979 .CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0,00 x $5,29 ~ , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0,00 x $5,29 o TOTAL MWMC CREDIT = $0,00 . . . . 225 Fifth Street Springfield, Oregon 97477 541-'726-3759 Phone . Lj:Q,~;~ MiL", Cla>f Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006,O I 055 COM2006,O I 055 COM2006,O I 055 COM2006-0 I 055 COM2006,O I 055 COM2006,O I 055 COM2006,O I 055 COM2006,Ol055 COM2006,O I 055 COM2006,O I 055 COM2006,O I 055 COM2006,O I 055 COM2006-0 I 055 COM2006-0 I 055 COM2006,O I 055 COM2006-0 I 055 COM2006,O I 055 Payments: Type of Payment CreditCard cReceinll RECEIPT #: 1200600000000001600 Date: 11/03/2006 Description Fire SF Fee, Residential Sanitary Sewer, Reimbursement Sanitary Sewer - Improvement Building Permit Fixture Water Line, 1st 50 Feet Sanitary Sewer - 1st 50 Feet Storm Sewer, 1st 50 Feet Vent Fan -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Plan Review Minor, Planning Storm Drainage Impervious Area SDC SanitarylStorm Admin Paid By TMICHAEL MCGINNIS Item Total: L'heck Number Authorization Received By Batch Number Number How Received djb 09291 B In Person Payment Total: Page I of 1 9:27:41AM Amount Due 76.40 442.45 336.44 666.40 112,00 45.00 45,00 45,00 12.00 10,00 33,00 47,92 76,67 103.48 112.00 77,28 42,81 $2,283.85 Amount Paid $2,283,85 $2,283.85 11/312006