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Home My WebLink AboutPermit Building 2007-3-19 I CONT-RACTOR INFORMATION I \V~. U\\'t" , ,-- eCO'(\ \0(' Contractor Type Contr~"c;tOl;.',,,e O~, " Ie set 0 License Electrical JIK~J:,~&~EJ:,~.f!JU~~ ~ 9'6~:~c \ 142466 Manuf Home 1!'~t.~.\'1 \ ~ _ ,,-F~rr:H~R:\~::SOI~.~,'pF' ~R~.G0N'I..NC 100726 ~~\\o\!'l \~~~ c.e~':O()\~ \'~~Q\"'I' 'o'u"ItIDiNp:iNFORMA nON I o'i.,\\C'3 ":J~.r;j:) 0'0\'311'\ N.o\~'. ~': , ~O"\"- # of Units: " Op..~ 9 Il ~a.':l o;I\C\' \1 o;Ilj\I\I~j ,!tt!'f.Stories: Primary OccuRan~y, di6up.:,~ Ce O~3~~". ",':)'2:"'z:Height of Structure: "'\J~ ,'-("'. \.' ~.... ~ a~~~ Secondary Occupancy,6ro'IP:; ,,\~ ..".\.u Type of Heat: Primary Constructi~n\typ'eC' "e(\',ell'VB Water Type: nv' ) Secondary Construction Type: Range Type: # of Bedrooms: 2 Energy Path: Spriokled B:il.~i~r;\O IN\)?~ nla tl DEVELOPMFJNFINF.ORMA:rION I ~O\\C ~\-fI\'\ sr\t'~\ 'W,\-:, , '~t.\) \-\\1' ..nlOO\'t. "~~e~la dllst:\)\) i't'. "\lI\l~V 1'-. t:o- tM'~;\v Ct.\) I/)Strel!,l.Jrees Rqd: 25.0~.fI\-fIt.~ Jt!It~\D~ive Rqd: 3S!b~" '\ <oil \) r>,'l% of Lot Coverage: 21~~' ' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1696 HARBOR DR ASSESSOR'S PARCEL NO.: 1803023203700 Springfield PROJECT DESCRIPTION: Replace manufactured home Owner: FLORENCE F SUMMERS FAMILY TRUST Address: 2511 ROSE BLOSSOM DR SPRINGFIELD OR 97477 Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: 6CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00184 ISSUED: 03/19/2007 APPLIED: 02/08/2007 EXPIRES: 09/19/2007 VALUE: $ 9,500.00 TYPE OF WORK: Maoufactured Home on Private Lot TYPE OF USE: New Residential Expiration Date 04/24/2008 06/29/2007 Phone 541-784-1533 541-689-5090 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: Electric Floodplain 2 Yes 18.00 REQUIRED PARKING Total: 2 Haedicapped: Compact: Sidewalk Type: DowospoutslDrains: Notes: Relocated manufactured home on septic system, (Owner to obtain aoylaIl necessary docs or apps from Lane County & provide to Building Division). SDC's charged on net sq/ft change in impervious area.JLP 2/27/07 Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phooe 541-726-3676 Fax 541-726-3769 Inspection Line Descrintion Tvpe of Construction Foundation Onlv Use Bid Amount Fee Description Plan Review Residential + 10% Administrativ~ Fee + 5% Technology Fee + 8% State Surcharge Foundation Permit Manuf Home State Issuance Manufactured Home Conn - Plmb Mauufactured Home Placement Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amouot Paid Initial Review Plan nine Review 02/10/2007 02/10/2007 . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 9,500.00 Total Value of Project Fpp<. P'\ilIJ Amount Paid Date Paid $90.09 $35.74 $23.47 $28.59 $107.40 $30.00 $45.00 $160.00 $112.00 $8.93 $178.55 $45.00 2/8/07 3119/07 3/19/07 3/19/07 3/19/07 3/19/07 3/19/07 3/19/07 3/19/07 3/19/07 3/19/07 3/19/07 $864.77 I Plan Reviews I 02/10/2007 03/02/2007 APP NJM APP EMM Paee 2 of3 . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00I84 ISSUED: 03/19/2007 APPLIED: 02/08/2007 EXPIRES: 09/19/2007 VALUE: $ 9,500.00 Value Date Calculated $9,500.00 $9,500.00 03/16/2007 Receipt Number 1200700000000000133 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 1200700000000000295 Replaced submitted plot plan with approved plot plan from Flood Plain Development Review SHR2006-00004. THIS LOCA nON ON THE APPROVED PLOT PLAN MUST BE USED FOR PLACEMENT. Also enclosed ,conditions of the land use decision. Bottom of the lowest floor must be elevated 18" above the Base Flood Elevation 447.7 and a copy of the FEMA Elevation Certificate verifying this information along witb the correct required venting must be submitted to Planning before occupancy is issued. No disturbance beyond the Greenway Setback line j, permitted. . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00184 ISSUED: 03/19/2007 APPLIED: 02/08/2007 EXPIRES: 09/19/2007 VALUE: $ 9,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 02110/2007 02127/2007 APP JLP Relocated manufactured home on septic system, (Owner to obtain anylall necessary docs or apps from Lane County & provide to Building Division). SDC's charged on net sq/fl change in impervious area.JLP 2/27/07 See documents for Plan review comments. Structural Review 02110/2007 03/16/2007 APP DLM 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, L.Reouired Insnectio~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Manuf Home Set Up: When installation of all piers or stands is complete. Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. bave been installed. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Lioe: Prior to filling trench. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blockiog, setup and plumbiog iospections have been approved and the home is connected to the panel. MH Service: Approval required prior to utility company eoergizing service. By signature, 1 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. 1 further certify that only contractors and employees who are io compliaoce with ORS 701.005 will be used on this project. I further agree to ensure that all required iospections 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:Ji=~2~~ ,I Owner or Contractors Signature ~ _ I q.- -0 7 Date Pa2e 3 of3 (fJ. . . \. ../ "., ,,- . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phooe: 503-378-4621 Web Address: www.ccb.state.or.us G'7-~ Address: \loC\LP \-~'OC5Y \)( Issued by: \ ~S ~ Date: ~ ......l q -0 1 Permit #: 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 appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: o o 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ~A. My general contractor is WtL e.r -r ~ S (Name) \D011.lo (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will be my own general contractor. IfI 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 tbat tbe above information is correct and tbat I bave read and do understand tbe Information Notice to Property Owners about Construction Responsibilities on the reverse sIde of this form. ~._:}~'.. ..-~ ;; (Signatufe of permit applicant) '2,-/1-07 (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowoer.doc 06-01-04 , A~[nll1l~ ~~) ~llnIrQWll1l <Gell1lelnllll C'll1l[Ir~~[~Ir'l . .' ". II - II . INFORi\IlA TION 'NOTICE TO PROPERTY OWNERS ABOUT C;;ONSTRUCTION RESPONSIBiliTIES , . , J........ '. 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. Empnoyer lRespOllllsnbinWes 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 tbe employer, yon must comply witb tbe following: Oregon's Witbbolding 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 ihe 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.dor.state.or.us/formsnav.htmI1 for the appropriate forms. r ' . !. 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 Departinent 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 their web site at www.irs.l!ov. - Othell" lResponsibinities and! Areas of COllllcems 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~hrough 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: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skillsto act as your own general contractor, 'to ~oordi~ate the work of rough-in and finish trades, and to notify building officials as the apI" VI" ;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. ,. PropertLowner.doc 06-01-04 , , CITY OF SaG FIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2007-00184 NAME OR COMPANY: f10rence Summers Trust LOCA llON: 1969 Harbor Drive TAX LOT NUMBER: 1803023203700 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): L STORM DRAINAGE o I'" I~ ,0 u ~ ~ en o ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. ,I COST PER S.F. CHARGE I I 532.00 I $0.336 I = I $178.55 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS liMPER VIOUS S.F. I , I COST PER S.F. I x I DISCOUNT RATE I I , 0.00 I I $0.336 I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $178.55 ~ -2, SANITARY SEWER - nTY DISCOUNT $0.00 $178.55 11070 , A. REIMBURSEMENT COST: I NUMBER OF DFU's I , , 0 , B. IMPROVEMENT COST: I NUMBEROOF DFU's 1 x $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $26.03 so.oo 11091 I $0.00 11092 = , $0.00 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE 1 " I NUMBER OF UNITS 1 x I COST PER TRIP , I NEW TRIP F ACTORI I 9.57 I 0 I I $19.81 1.00 I SO.OO 11093 B. IMPROVEMENT COST: I ADTTRIPRATE 1 , I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI I 9.57 I 0 I I $87.39 I 1.00 I SO.OO 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 4 SANITARY SEWER - MWMC l A. REIMBURSEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I 0 I I $91.61 = 50.00 11054 B. IMPROVEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I 0 I 1 $961.52 = SO.OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054 MWMC ADMINISTRATIVE FEE SO.OO 1056 ITEM 4 TOTAL - MWMC SANITARV SEWER SDC ~ , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5178.55 5. ADMINISTRAT'VF EE~ I SUBTOTAL , I ADM. FEE RATE 1= CHARGE I $178.55 5% $8.93 TOTAL SANITARY ADMINISTRATION FEE: 8,93 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 i 1078 Jeff Prociw 2/27/2007 TOTAL SDC CHARGES = , $187.48 PREPARED BY DATE . . , - DRAINAGE FIX'!'URE UNIT (OFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUlV ALENT - DRAINAGE FIXTIJRE UNITS II (NOTE: FOR REMODELS. CALCUlATE ONLY THE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER I MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION I ETe. 0 0 1 = 0 IRECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0 WHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAuRESIDENllAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6, = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 I -EDU (Equivalent Dwelling Unit) is a dischar~ eQuivalent to a sinp:le familv dwellinp: unit (20 Oms) set at 167 ~lIons per day 'I MWMC CREDIT CALCULA TlON TABLE: BASED ON COUNTY ASSESSED VALUE CREDITRATE/$I,OOO J ASSESSED VALUE $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 YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 'I I I IS LAND ELGIBLE FOR ANNEXATION CREDIT'! (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT'! (Eiller I for Yes, 2 for No) BASE YEAR 2 2 1979 ,CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 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 'SpringfieJd, Oregon 97477 541-726-3759 Pbone . ca of Springfield Official Receipt _elopment Services Department Public Works Department Joh/Journal Number COM2007-00184 COM2007-00184 COM2007-00 184 COM2007-00 184 COM2007-00 184 COM2007-00184 COM2007-00 184 COM2007-00 184 COM2007-00l84 COM2007-00 184 COM2007-00 184 Payments: Type of Payment Check cReceint I IIItf~'~,;~, ~- -" A..'....~ ...... f .-~-_. RECEIPT #: 1200700000000000295 Date: 03/19/2007 Description Storm Drainage Impervious Area SDC SanitarylStorm Admin Plan Review Minor - Planning Foundation Penn it Manufactured Home Placement Manuf Home State Issuance Manufactured Home Conn - Plmb Storm Sewer - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By FLORENCE SUMMERS Item Total: l:heck Number Authorization Received By Batch Number Number How Received lIh 6124 In Person Payment Total: Page I of I 10:57:26AM Amount Due 178.55 8.93 112.00 107.40 160.00 30.00 45.00 45.00 23.47 28.59 35.74 $774.68 Amount Paid $774.68 $774.68 3/19/2007