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Home My WebLink AboutPermit Building 2005-6-30 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2003-00435 ISSUED: 06/3012003 APPLIED: 06/02/2003 EXPIRES: 12/30/2003 VALUE: $ 7,626.40 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1455 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252200600 Springfield TYPE OF WORK: Storage Building TYPE OF USE: New Residential PROJECT DESCRIPTION: Storage building Owner: WILLEY JAMES L & NEOLA Address: 1455 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Owner Contractor OWNER WILLEY JAMES L & NEOLA BUILDING INFORMATION I License Expiration Date Phone # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Height of Structure Type of Heat:~ Water T~&J~ (\ Ran~~!~~ W~~{\.Nfl' ~~~tQy'-~ <-~ y.~~ .: : .l~'; l~~ ~\J-'DE.W!:Le(lMENT INFORMATION I ~\fU~' # \~v- f:l ",e REQUIRED PARKING ~'i;) ~'O <?Y.-~1.y.-~ \) ~~ ~~~Verlay Dist: ,,'lO',)J~i!!lI:, '\~ ~y..\S <-~rv~ ~ ~<() # Street Trees Rqd: eo.',)\\eJ 0'" Ul!a!;!,dicapped: 'i'~ l'\~~B1o~ Paved Drive Rqd: \'O-'<ll \ 0\0g 0 sC;;o~pact: rv".,~\~ 0'" ,);\0 ,,~\ ~'<:J?; 'Q. 'i'~0.00 %ofLotCoverage: .0\er!!, o'Q'l16.~!I,e Ol>-~ ',)\0" . '\O~' o~\eJ ,<;\0,,0 0.'<;\ \,<;\0 \ 0",0 ~"'\\ 0.(:> ,~ ._,o>:i~ _ 0\ .nO'(" ...0'" I PUBLIC IMPROVEMENl:Sf~=()()\\.: ~ c,0~::.\'<;\0 \'~o'i.\\\,r w', \co." ~N) cs~'~w~~~" .,.~\)-'l ':JI:.I:." FuUy Improved ~\O\\~ ~ 9'3 ~'O-'l ",'-"" Oo\TY~'?li:rz; \~ Ol" .10',) c,'?, ~,P.~ r.'" . No \'" ()." ~e D,8wns!'8!ltslDrams: ()()~ ~'i.\"Q, \0\ \'r' ,\'=> \ c, '100\ ,,\0 "'',)~ Ce , U-I 13.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 384 VN Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' Curb and Gutter Notes: Paee 1 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Garaee Tvpe of Construction Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review - Planning Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Plan nine Review Puhllc Works Review Structural Review . . CITY OF SPRI~ul'lJ!.,LU Building/Combination Permit PERMIT NO: COM2003-00435 ISSUED: 06/30/2003 APPLIED: 06/02/2003 EXPIRES: 12/30/2003 VALUE: $ 7,626.40 I Valuation.Descriotion I $ Per Sq Ft or multiplier $19.60 Square Footage or Bid Amount 384.00 Value Date Calculated Total Value of Project $7,526.40 $7,526.40 06/27/2003 Fppo P'\ilLI Amount Paid Date Paid Receipt Number 1200200000000001388 1200200000000001668 1200200000000001668 1200200000000001668 1200200000000001668 1200200000000001668 1200200000000001668 1200200000000001668 1200200000000001668 $29.25 $13.68 $9.58 $91.80 $59.00 $30.42 $5.41 $108.29 $45.00 6/2103 6/30/03 6/30/03 6/30/03 6/30/03 6/30/03 6/30/03 6/30/03 6/30/03 $392.43 I Plan Reviews I 06/03/2003 06/03/2003 06/12/2003 06/03/2003 06/03/2003 06/13/2003 06/16/2003 06/27/2003 APP LLH APP AID APP DJW APP DLM for plan review comments see documents. 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. IRpnll~ 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Framing Inspection: Prior to cover and after all rough In Inspections have been approved. 4 Final Building: After all required Inspections have been requested and approved and the building Is complete. 5 Storm Sewer Line: Prior to filling trench. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00435 ISSUED: 06/30/2003 APPLIED: 06/02/2003 EXPIRES: 12/30/2003 VALUE: $ 7,626.40 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU information hereon is true and correct, and I further certify that any and aU work performed shaU 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 orany 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 aU 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 aU times during construction. (2AJA~ / ~~.&:_ b-~C5 ~05 ;l:..:~ or Contract~rs Signat~V Date Palre 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .~~"'._,c,.,,_... __ Wi,,'......."".."... '-,...",'...... " . "......." ; t-, , ". I ..._.;0>,..."....... .r ....-...... '" City of Springfield Official Receipt Development Services Department ' Public Works Department. Date: 06/30/2003 1l:12:32AM Receipt #: 1200200000000001668 Job/Journal Number COM2003-00435 COM2003-00435 COM2003-00435 COM2003-00435 COM2003-00435 COM2003-00435 COM2003-00435 COM2003-00435 Description Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Residential Building Permit Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Amount Paid Item Total: 59.00 108.29 5.41 30.42 91.80 45.00 9.58 13.68 $363.18 . Payments: Type of Payment Check Paid By JAMES WILLEY Received By djb l..:heck Number Batch Number . Authorization Number How Received In Person Payment Total: Amount Paid $363.18 $363.18 . Construction ContracA 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 I), , , . , , , , , . ... ", ." Permit #: ()l)-M ~-j'5" Address: --1-45'5 HAI/I)f}.) &LMe ~,? J f Issued by: -1) 12 Date: 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 requiredfor 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 a}'}'.v}'riate blanks and initial boxes I and 2, and either box 3A or 3B: ]a I. Qi 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 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 hereby certify that the above information is correct and that I bave read and do understand tbe Information Notice 0 Property Owners about Construction Responsibilities on tbe reverse side of tbis form. '4A4.,f2d 7,gg &'-36 - 03 (Signature ~tapplicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) ..)( prop-own.doc OS/22/00 . . AdulThg' ~~ )( mlllr ((J)WIID G~nn~Ir~n CC@nn~Ir~(C1t@Ir1 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. JEmjpllloyeJr Re!lJlllonn!lfij]}fillfi~fie!l You will, in most instances. be ruled to be an "employer" and the contractors your 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 improveme{lt of a residential structure. As the employer, you must comply with the foHowing: Oregon's Withholding 'fax Law: As an employer, you must withhold income taxes from employee wages at thc 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 ID number, call the Business Information Center at 503-986-2222. 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 503-378-3524. 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 \vorkers' 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 503-947-7810. 'U.S. Internal Revenue Service: As an employer. you must ""ithhold federal income tax from employees' wages. You will be liable for the tax paytnent even if you didn't actually withhuld the tax, For a Federal EII\ number, fax the IRS at 810-620-71 15 or write to them at IRS, Mail Stop 6271, PO. Box 9941, Ogden, UT 84409. OtllneJr Re!ljplonn!ifij]}nlln~fie!i 3lnndl AJre31!i of Corrncerrrn!i 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 coveragc for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be re-done. As any employer, you may be responsible for injuries sustained by your employees, 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 of rough-in and finish trades, and to notify building officials as the appropriate times so they-can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621 ex!. 4900) or write the agency at PO Box 14140, Salem, OR 97309-5052, prop-O\Vh,doc OS/22/00 . . . . CITY OF StiNG FIELD SYSTEMS DEVELOPMEAoRKSHEET JOURNAL OR JOB NUMBER: COM2003-00435 NAME OR COMPANY: James I & Neola Wille~ LOCATION: 1455 Ha~den Brid~e Rd, TAX LOT NUMBER: 17032522TLO0600 DEVELOPMENT TYPE: NEW DWELLING UNITS 0 BUILDING SIZE (SF) 0 LOT SIZE (SF): I. SmRM DRAINAGE DlRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. ,I COST PER S,F, I I CHARGE I 384.00 I $0.282 = I $108,29 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUcrED TO CITY STANDARDS I IMPERVIOUS S.F, I ,I COST PER S,F, I' I DISCOUNT RATE I I DISCOUNT I 0.00 I $0.282 I 50% I = $0,00 ITEM I TOTAL - STORM DRAINAGE SDC $108.29 2, SANITARY SEWER. CITY o $108.29 CIl W Cl o U ~ ~ CIl G ~ 11070 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW AXTURES x UNIT EQUIV AIBIT = DRAINAGE AXTURE UNITS "",ONAG'l (NOTE, RJR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES) NO, OF FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS TBATHTUB 0 0 3 - 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE lOlL / SOLIDS I ETC. 0 0 3 = 0 I IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER I MOP SINK 0 0 3 = 0 I ICLOTHESW ASHER. 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I IRECEPTOR FOR REFRIG/ WATER STATION / ETC. 0 0 1 = 0 ,I IRECEPTOR FOR COM, SINK / DISHWASHER / ETC,I 0 0 3 = 0 , ISHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAV ATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 I IURINAL. STALL/WALL 0 I 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 I 0 6 = 0 I ITOILET. PRIV ATE INSTALLATION 0 I 0 3 = . 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 I , TOTAL DRAINAGE FIXTURE UNITS , 0 I , *EDU <&E.valenl Dwellin~ Unit) is a dischar~e equivalent 10 a sin,gle familv dwellinR unit (20 DRJ's) set al 167 ~l1ons per day I ----- '. MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TEJ$I.ooO ASSESSED V AlOE $4,92 $4,92 $4,83 $4,77 $4,64 $4.47 $4.30 $4,09 $3.78 $3.41 $2,98 $2,52 $2,06 $1.64 $1.45 $1.31 $1.13 $0,97 $0,82 $0,63 $0,41 $0,22 $0,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes. 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enler I for Yes. 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE/IOOQ CREDIT RATE $0,00 x $4,92 = , $0,00 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE II ()()() CREDIT RATE $0,00 x $4,92 o TOTAL MWMC CREDIT = $0,00