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HomeMy WebLinkAboutPermit Building 1997-7-29 SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970729 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4488 GLACIER ST Assessors Map #: 18020512 Lot: 94 Block: Tax Lot #: 03600 Subdivision: LUCERNE MEADOW OWner: MARSHALL WATERMAN Address: 85368 RIDGETOP Phone #: 302-6237 City/State/Zip: EUGENE, OREGON 97405 Describe Work: S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: OWNER Plumbing: OWNER c<?-~ ~~~ ~O-<" ~~ ~\ro ~~~ r.:-<?-~ fc.0<?- . ~fi. ~rof? C~~~ ~Q'\\~~~""-<"~',)~~~:,?-~'?-~~ OFF1C&<USi;:~1-'(,. 00'(" ~O~' ~\:~O'i~ f?~~ ZONIN&1 c~~':'r# # OF BIil!il1_~,~ RANGE: E,?-'" # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: SGC Mechanical: OWNER Electrical: OWNER QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E SQ FOOTAGE: 1596 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor, prior to decking Wall/Ceiling, Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor, prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping, CURB CUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved,and the building is complete. SPRINGFIELD Job Number: 970729 Page. 2 Lot Faces: S Setbk From NPL: 75 Lot Sq. Ft.: 9600 Solar Approved: Y Total Height: 17 Lot Type: INTERIOR House Garage N 58 Setbacks S W 29 10 19 E 22 22 Item Main Garage Total Value BUILDING PERMIT Square Feet x 1210 386 $/Square Feet 64.66 16.27 = Value 78,239.00 6,280,00 84,519,00 Building Permit Fee Surcharge/Admin 388,00 31,04 TOTAL FEE (A) 419.04 --- SYSTEMS DIlVELOPMENT CHARGE (SDC) --- (B) 2,319.06 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 MECHANICAL PERMIT - -- Exhaust Hood Vent Fan Dryer Vent 2 4.50 6.00 3.00 Mechanical Permit Issuance SurCharge/Admin 15.00 10.00 1.20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC ELECTRICAL PERMIT 0.00 22.00 13.90 60.00 1,000.00 124.20 TOTAL MISCELLANEOUS PERMITS (E) 1,220.10 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUll (A, B, C, D, and E combined) 4,157.20 .' ",". -'. SPRINGFIELD Job Number: 970729 Page 3 .--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: DON MOORE Date: 05/13/97 Building Site Reviewed By: LISA HOPPER -- - ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED 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 701.055 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 1S located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~cJ~7 / -() ct.-cr.7 Signature Date Date Paid: ~~t\'1 VALIDATION f\.?~Or) u:\'0\.w rn~ Receipt Number: Amount Received: Received By: I ' . . . . CITY OP SPRINGPIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: MARSHALL WATERMAN Location: 4488 GLACIER ST Developement Type: R Building Size: Job No.: 970729 Lot Size: 1- STORM DRAINAGE Impervious Sq Ft 2402 X 0.216 Per Sq Ft = 2. SANITARY SBWIlR - CITY Number Of PFUs 20 X 44.75 Per PFU = (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 451. 26 = $455.77 Transportation Total 4. SANITARY SBWIlR - MWMC Number Of PFUs 20 X X Per PFU + MWMC Admin Fee 20.690 + 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items I, 2, 3 << 4) 5. ADMINISTRATIVE PEES Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 05/19/97 Page 1 Sq Ft $518.83 $895.00 $455.77 $423.80 $84.77 $339.03 $2,208.63 $UO.43 $2,319.06 i ., . Job Number: 970729 . Page 2 FIXTURB UNIT CALCULATION TABLB Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/Etc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal, Stall/Wall Wash Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS = Number of New Fixture Unit Fixture Equivalent Units 2 4 1 0 2 0 3 0 6 0 2 4 6 0 1 0 3 0 2 0 0 , 2 2 2 0 1 2 6 0 4 8 0 20 2 o o o o 2 o o o o o 1 o 2 o 2 o CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1979 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date).: 24,430 3.47 X 84.77 o X 3.47 = 0.00 CRBDIT TOTAL a $84.77 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) ~ehe following project es submitted ho.s tho 101!0\'I. ~,.. Willa:l~~;~~:~"'"" . ...~~ Park & Recr;.,,%?,t\\tRJg~ifJt~ir<5t 11M Job. No. .. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAMeS\t\~~ ~ \ l,(\\Ojl1\(\ f\ ADDRE~S: ~53\o~ l ~\l STATE:~ZIP: Ol4fr) LOCATION OF PROPOSED BUILDING SITE: \t-. Street Addres: AA~~ (\"'\\~) .Jlkoo1 -- Tax Lot Number: ~<6~\?-D?'M[f) ~\~1~C\ PHONE:~ Plat Name: 1. DEVELPPMENT TVPJ=: (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinolp.-F8milv Dp.t8r.hp.Q \ Single Family home NO. OF UNITS t Manufactured home not in a park X $1,000 per unit = $ JIflJ ,cP. B. ~inaIA-Familv War.hed. NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactllrp.rl Homp. Paris WILLAMAlANE SDC $ $ \toO ,CD ff NO. OF UNITS X $699 per unit = 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. $ 3. TOTAL WlllAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \~~ ~~ .I Development Servide~ Department City of Springfield $ \ on () r') /!),. q / 11 Date OD . . Permit #: ex\ H1 K~ Address: 44~C6 (;\tl~~1 ~~ ~ Issued by: ~ Date: f\ .1g qr ) Statement: Information Notice to Property Owners About Construction Responsibilities Nole: Oregon Law, ORS 701.055(4), requires residential construclion permit appli- canis who are not registered with the Construction COnlraClors Board to sign the following statement before a building permit can be issued. This slatement is required for residential building, electrical, mechanical, and plumbing permits. Licensed archilect and engineer applicanls, exemplfrom registration under ORS 701.010(7), need not submit this statement. This statement will be filed wilh the permit, propriate blanks and initial boxes I and 2, and either box 3A or 3B: o:a" r own, reside in, or will reside in the completed structure. ~ 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. D 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR ~ I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered 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 10 Property Owners about Construction Responsibilities on the reverse side of this form. ~C.J6J1~ (Signature of permit applicant) "7 -:P-9-9? (Date) (White copy 10 issuing agency permit file, pink copy to applicanl) . . , '/ nn1ormilltio~ Notice to Pro'perty Owners About Construction Responsibilities Note: This biformalioll Notice to Property Owners about Construction Responsibilities was-developed by the Construction Contractors Board in accordance with ORS 701.055(5). 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 areas of concer\l. EMPLOYER RESPONSIBILITIES: . If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure. you will, in most instances, be ruled to be an employer and the people you hire will be employees, As the employer, you must comply wi.th the following: Oregon's withholding tax law: Asan employer. you must withhold income taxes from en\ployee 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 Oregon Dept. of Revenue at 945-8091. 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 <\t 378-3524, 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 may be subjectto penalties and will 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 945-7888, . U,S, Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable forthe tax payment even if you didn't actually withhold the tax. For moreinformatioiJ. call the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holderforthis project. you are responsible for resolving any failureto meet code requirements that may be brought to your attention through inspections. , to. Liability and property damage insurance: Contact your insurance agentto see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures. tirc, or work that must be re-done. Time to supervise employees: M,!ke sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coord inate the work of rough-in and finish trades, and to notify building officials tit the appropriate times so they can perforni the required inspections. . If you have ~ddit~onal questiol!.s,-~vrite or call the Construction Contractors Bolifd"("PO Box 14140, Salem. QR 97309-5052, 5031378-4621-).'rhe Boarp is ',-!cated at 700 Summer St. NE Suite 300, in Salem.~', ,'\..,: . _,.~ - prop-own.pm4 t/94