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Home My WebLink AboutPermit Building 2006-12-13 :-.,.'7~~~"~ . if -. . '\', Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectionLine . . CITY OF SPRINGFIELD' I Building/Combination Permit PERMIT NO: COM2006-01433 ISSUED: 12/13/2006 APPLIED: 11/08/2006 EXPIRES: 06/13/2007 VALUE: $ 48,708.00 SITE ADDRESS: 4652 HAILEY CT ASSESSOR'S PARCEL NO.: 1802051210100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to residence. Owner: KAUFFMAN TRENT K Address: 4652 HAILEY CRT SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: . Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VB Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: 5.60 Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: i CONTRACTOR INFORMATION I Lic.ense , 'vo l'~ ~e~ 4u); ;SO P.:<; .' Co. 'Yo. 19-0 A. '4fA. ~/>~ rr. BUILDING INFORM'AJ;I~ij~~~U u~;.<{t.t.1:.. - U4y OJ? <"-9 r :,f-pl,-? , # of Stories: ,.of:' 'tIS Lo6,~ize:tl/.' Height of Structure 2I~WO 4~t'I~~!0Ji;~ TYP"l?f...Heat: . Sq~!Jd'F;~rlp-a 11)Va~r f<Y'Jl,C:. Electric Sq Ft j({~enil' M 1S'.t Ii, 'R\i-2~a;~~t:'olV. Electric Sq Ft Gara~ar~h a <il.~eOO/&atI\; '" : 0" Path I Sq Ft Other: l?.9~p~li!s'eri'Qgi]ii~:&.90Ii. n/a Occupant Load: "'_ . J..:.. ~n. .'/}~_ tA..v I~. - ~'" .~- '''z _. . .... ...... I DEl:\>EC0P,M~;r'lNF.~RMA1..(;)~1..1(.l11: ~r" ~-c. -ul. V(~ ''''IJ '"'r, 6,so C 01'1,1, 61);: ~/i, 1bGl"~ &go Yo(.l ~at'pjf.~t. (1\1, CO.lll [9~ Q ~ <il'& 'I) ~h.to # Street>-Y~~q'di1. 6,soOf ~1y.9. ,soI9t" ~~ Paved Dri~;fli~~.t-?& Ii I~& (S'.?, 011'; % of Lot Covei1!gs:~~ t\t, &1e.ll/:"Ie,so'OO, '~~_-O%, 01). ..~ ~) t'~... 6 I PUBLIC IMPROVEMENTS I 'v-'J Expiration Date Phone 492 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspoutsmrains: Fully Improved Yes Curbside 5' Curb and Gutter Notes: Storm drainage must be tied to existing sytem ending @ curb & gutter.JLP Paee I of3 . . L11 r Ol? ~rKING"u'LD' Building/Combination Permit PERMIT NO: COM2006-01433 ISSUED: 12/13/2006 APPLIED: 11/08/2006 EXPIRES: 06/13/2007 VALUE: $ 48,708.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Value Date Calculated Total Value of Project L.Fpp< PiilU Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $237.12 11/8/06 2200600000000001562 -Mechanical Issuance Fee- $10.00 12113/06 2200600000000001695 + 10% Administrative Fee $49.34 12113/06 2200600000000001695 + 5% Technology Fee $23.44 12/13/06 2200600000000001695 + 80/0 State Surcharge $37,50 12/13/06 2200600000000001695 Buildiug Permit $364.80 12113/06 2200600000000001695 Fire SF Fee - Residential $24.60 12113/06 2200600000000001695 Fixture $14.00 12113/06 2200600000000001695 Miscellaneous Mechanical $45.00 12113/06 2200600000000001695 Plan Review Minor - Planniug $112.00 12113/06 2200600000000001695 Sanitary Sewer - Improvement $118.74 12113/06 2200600000000001695 Sanitary Sewer - Reimbursement $156.16 12/13/06 2200600000000001695 SDC Sanitary/Storm Admin $23.91 12/13/06 2200600000000001695 Storm Drainage Impervious Area $203,38 12/13/06 2200600000000001695 Storm Sewer - 1st 50 Feet $45,00 12/13/06 2200600000000001695 Total Amount Paid $1,464.99 I Plan Reviews I Initial Review 11115/2006 11/1512006 APP LLH Plan nine Review 11/15/2006 12/11/2006 APP TAJ Public Works Review 11/15/2006 12/08/2006 APP JLP Storm drainage must be tied to existing sytem ending @ curb & gutter.JLP Structural Review 11/15/2006 12/01/2006 APP DLM See documents for Plan review comments 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. UelllliretUnsnections I Footing: After trenches are excavated. Paee 2 of3 . . CITY OF SPRIN&t< l~LJ) Building/Combination Permit PERMIT NO: COM2006-01433 ISSUED: 12/13/2006 APPLIED: 11/08/2006 EXPIRES: 06/13/2007 VALUE: $ 48,708.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insnlation 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. ;.valllnsnlation: Prior to cover. Ceiling Insnlation: 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 been requested and approved and the bnilding is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rongh Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 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 IIsedon 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 th front of the property, and the approved set of plans will remain on the site at all times during cODstructio . ~ v v Owner or Contractors Signature Ie )( ~ / Crc"\ l I Date Paee 3 00 -. \ } ". ,,' '. .' . . . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Pbone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit #: C<1M~- O/l{! J 1"6 S 2. /fat'kl/ Co... v f ':'r\(( Date: Il-(J-(;j' Address: Issued by: 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 statemenr 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. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. p1 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. OR 9'f 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I 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 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. ~ ~ L, Y2.14 II. ~ . z-a?6 (SignaturcYofPe~~t) (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 06-01-04 , ... -- . A~tnrrn'g ~~ 1{ @UllJl" ([))wrrn CGerrneJl"~ll <C@rrntJl"~~t@Jl"? 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 Legis/ature, If you are acting as your own cqntractor 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 llnd concerns, JEmpnoyer Responsibilities You wilI, 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, yo~ 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.doT.state.or.us/fonnsnav.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' 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 numbeT, call the IRS at 1-800-829-4933 or visit their web site at www.irs.l!ov. Other ResjponsibJimJies alIlldl Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible fOT 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 wOTk that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work ofrough-in and finish trades, and to notify building officials as the a",-"v",;ate times so they can perform the required inspections. If you 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 06-01.04 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT"" DRAINAGE FIXTURE UNITS 'I (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NEf AODmONAL FIXTURES) NO. OF FIXTURES DRAINAGE I UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 0 0 3 = 0 iDRINKING FOUNTAIN 0 0 1 = 0 iFLOOR DRAIN 0 0 3 = 0 iINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTIffiSW ASHER / MOP SINK 0 0 3 = 0 ICLOTIffiSW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 ISHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG ~ER OF HEADSl. 0 0 2 = 0 I SINK: COMMERCIALlRESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 0 0 1 = 0 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, 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 6 ~u (Equivalent Dwellin~ un.!!} is a disc~ eQuivalent to a single family d'M:Ilioll. unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE L YEAR CREDIT RATElSI,~ I ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXA nON CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I t979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE / 1000 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.Z2 VALUE /1000 CREDIT RATE 1989 $Z.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 CITY OF SpAFIELD SYSTEMS DEVELOPMENT AKSHEET C0M2006-01433 Trent Kaufman 4652 Hailey Ct 1802051210100 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF: JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRft Tl'oI AGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. 'x I COST PER S.F. I CHARGE I I. 606.00 $0.336 = I $203,38 RUNOFF ROlITED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I $0.336 I 50% ~ 1 ITEM 1 TOTAL - STORM DRAINAGE SDC I 5203.38 2. SANITARY SEWER - CITY 1-"" 486 LOT SIZE (SF): DISCOUNT $0.00 9059 5203.38 A REIMBURSEMENT COST: I NUMBER OF DFU's I x 6 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x 6 I 519.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $26.03 = r 5274.90 3 TRANSPORTATION A REIMBURSEMENT COST: I ADT~RATE : x INUMBEROOFUNlTSI x : B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBERoOF UNITS I x I I 9.57 I I ITEM 3 TOTAL - TRANSPORT A nON SDC = I COST PER TRIP 519.81 x /NEW TRIP F ACTORI I 1.00 I COST PER TRIP 587.39 50.00 x INEWTRIPFACTORI I 1.00 I 4, SANITARY SEWER - MWMC A REIMBURSEMENT COST: 'NUMBER OF FEU's I x o I B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU o I 5961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU 591.61 MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SURTOT AL (ADD ITEMS 1, 2, 3, & 4) ~ I 5. ADMil'fISTIl A TlVF FEE: I SUBTOTAL x I ADM. FEE RATE I~ 5478.28 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: so.OO 5478.28 CHARGE 523.91 Jeff Prociw 12/812006 TOTAL SDC CHARGES PREPARED BY DATE 5156.16 5118.74 50.00 50.00 = so.OO = so.OO so.OO so.OO 23.91 50.00 =, $502.19 ~ ~ o o u I~ 'rJ) - o ~ 1070 11091 I 11092 I 1093 1094 1054 1055 1054 I 1056 _I 1079 J 1078 225 Fifth Street Sp-ringfield, Oregon 97477 541-726-375~ Phone . ~B'C"..,'.!I'-!!!~L...C.'..... ItIrc '. , ".'.T,'... .'. , }i ", I .. .. "''''''."" .- ... of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-0 1433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 COM2006-01433 Payments: Type of Payment Check cReceintl RECEIPT #: 2200600000000001695 Date: 12/13/2006 Description Fire SF Fee - Residential Building Permit Fixture Storm Sewer - 1st 50 Feet -Mechanical Issuance Fee- Miscellaneous Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Reyiew Minor - Planning Paid By TRENT KAUFFMAN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10 lOin Person Payment Total: Page I of I 1l :06:59AM Amount Due 24.60 364.80 14.00 45.00 10.00 45.00 23.44 37.50 49.34 203.38 156.16 118.74 23.91 112.00 $1,227.87 Amount Paid $1,227.87 $1,227.87 12/13/2006