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Home My WebLink AboutPermit Building 2005-7-22 Status: Issued 225 Flftb Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line . SITE ADDRESS: 1485 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252200400 PROJECT DESCRIPTION: Detached garage Owner: DON COLE Address: PO BOX 70142 EUGENE OR 97401 , Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: !CONTRACTOR INFO~b~ION' ~\~ff!> 'I ~i~$'e _ \~:0\0~~~ '00:' nO"- -'''~E..JiMff)ON'S '01 ~~ t! !~'djj 0,'$14 :r-.of\0 "~\(f4l ..o\Qt\ ~~~r.c.o9\eS $\0 \e\e~\~~o~ ~ .~~~~::'';;'R~ ~'. ~o'S 18.00 ~o"iS ~Q. ~ _~e~~ \)\~~^AA" vN\ 01" '-c~ ~;.~'6r:..~'[iT" ~~\~f:'~~d..~' ~Kti.: Sprinkled . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00832 ISSUED: 07/22/2005 APPLIED: 06/30/2005 EXPIRES: 01/22/2006 VALUE: $ 30,000.00 Springfield TYPE OF Garage TYPE OF USE: Addition Residential The following project al'kGJniINll/ijljeP~ ,~i7'~1-0444 , and does not require speCifiC Ian zonIng aprHoval Expiration Date Phone n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,200 I DEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: 5.00 0.00 Urban Fringe REQUIRED PARKING Total: Handicapped: Compact: '0,?--'f.. .,(.~ ."" \'-(" \~ \. yi,.\'\'?--\\:.'?--*" <;;'0'?-- Sidewalk:\fYp'e:~\:.\) C<t;, ~ S\\r;<.,?-- \' '. ~\)\J ..\1'\,\\\ Go.*\ ,DownsP.CfutSlDrains \'v \'\.-" \) v' \~ f' \'0\S '0'0,?--\1..\\) '0'?-- ,?--\'0'0. \,-'0\~*\:.~\\,-'{ \,S cS>,.J \~l:,) IPUBLIC IMPROVEMENTS I Partiallv Improved No Notes: UGB drywell required notified owner 7/6/2005 CAS Description Tvpe of Construction Drywell - Provide Drywell Engineering I Valuation DescriDti~n I' $ Per Sq Ft or muItipUer Square Footage or Bid Amount Value Date Calculated 1 of 3 Status: Issued , 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeclion Line Gara!!e Gara!!e .. Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Garage/Carport SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet, UGH Plan Rev MjlMin - Planning Total Amount Initial Review Plannin!! Review Public Works Review Structural Review . . CITYOFSrKll''<IlOI'IELD Building/Combination Permit, PERMIT NO: COM2005-00832 ISSUED: 07/22/2005 APPLIED: 06/30/2005 EXPIRES: 01/22/2006 VALUE: $ 30,000.00 525.00 1,200.00 Total Value of Project 530,000.00. 530,000.00 06/3012005 F'rp.~ Paid I Amount Paid Date Paid 6/30/05 7/22105 7122/05 7122/05 7/22105 7/22/05 7/22/05 7/22/05 Receipt Number 1200500000000000923 1200500000000001062 1200500000000001062 1200500000000001062 1200500000000001062 1200500000000001062 1200500000000001062 1200500000000001062 5164.87 529.87 520.91 5253.65 59.69 5193.80 545.00 5156.00 5873.79 I Plan Reviews I 07/0512005 07/05/2005 07/05/2005 07/15/2005 APP SKG APP TAJ structure can't be larger or taller than the house. 07/05/2005 A tree felling permit Is required if fell more than 5 trees 5" dbh or greater. Drywell will be used for storm water . per owner 7/612005 CAS Approved as noted on plans 07/06/2005 APP CAS 07/0512005 07/08/2005 APP RJB To Request an inspection caD 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. wiD be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Footing: After trenches are excavated, Slab: To be made after all inslab building sei-vlce equipment, conduit piping and other equipment items are in place but prior to concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 of 3 . . CITYOFSPRlNGFIELD Building/Combination Permit PERMIT NO: COM2005-00832 ISSUED: 07/22/2005 APPLIED: 06/30/2005 EXPIRES: 01122/2006 VALUE: $ 30,000.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 building is complete. Drywell: Engineered Drywellls Required. Provide the City with a copy of the DEQ application to keep on file. . 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 m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem, and that NO OCCUPANCY wiD 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 wiD remain on the site atalltioj~~../ 22 ~Iv 200<:- / Owner or Contractors Signature Date '. 3 of 3 I). . . \ 1 .... .... ". .." . 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 . . pennit#:COwt~-OO <6'3" Z Address: 14 g-~ /-/-tt--/dffk L?1l- R-d. Issued by: ~ Date: 7-22-6j 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: Ci;rl. ~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 ~ 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. Ifl 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 have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. a;/ ~a 22 (:h;(v.2~os - (SignaturC?ji'Permit applicant) (Dafe) (#hite copy to issuing agency permit file, pink copy to applicant.) Property-owner .doc 06-01-04 '., - . " A-tet'lllmg 3l~ )~i1ilflf': (Q)'willl CGeillleJl"allll CC([J)illltJl"alltet([J)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 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. EmpHoyer lResjpollllsibilities 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 the employer, you must comply with the fonowing: 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 nwnber for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.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 number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.gov. Ott:Ilnen- JResJlllollllsulbnnD.tt:nes ~!lIllldl AJreas of COllllcerlllls 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 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 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 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 . ~ITY OF StiNG FIELD SYSTEMS DEVELOPME~ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2005-00832 Davis Cote 1485 Hayden Bridge Rd 1703252200400 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF: 1200 LOT SIZE (SF): 40813 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 0.00 $0.323 = I $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 1200.00 I $0.323 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC I $193.80 , 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 I DISCOUNT $193,80 $193.80 COST PER DFU S25,07 SO.OO B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I $19.07 $0.00 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 1 0 I 1 S19.09 I 100 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x !NEW TRIP FACTORI I 9.57 I 0 I $84,19 I 100 ITEM 3 TOTAL-TRANSPORTATION SDC = , SO.OO 4, SANITARY SEWER - MWMC SO.OO 1093 SO.OO 1094 A. REIMBURSEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I I S82.03 = SO.OO 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I 0 I $865.31 = SO.OO 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO , 1054 MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SO.OO 11056 I -.--- ----I SO.OO = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEE: ~ , $193.80 I SUBTOTAL x I ADM. FEE RATE I~ I $193,80 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $9.69 9,69 $0.00 Cheryl Slaymaker =, $203.49 7/6/2005 TOTAL SDC CHARGES PREPARED BY DATE I~ ICl 10 I~ I~ rn (3 ;;j I 1070 I 11091 I 1092 1079 11078 I . . DRAINAGE FIXTURE UNI~(DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES UNIT , FIXTURE TYPE NEW OLD EQUIVALENT I BATHTUB -- 0 0 3 = iDRINKING FOUNTAIN 0 0 1 = iFLOOR DRAIN 0 0 3 = iINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = I LAUNDRY TIJB 0 0 2 = ICLOTHESW ASHER / MOP SINK 0 0 3 = ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = WECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = I SHOWER. SINGLE STALL 0 0 2 = SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = ISINK: COMMERCiAURESIDENTIAL KITCHEN 0 0 3 = ISINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = I URINAL. STALL/WALL 0 0 .5 = ITOILET. PUBLIC INSTALLATION 0 0 6 = ITOILET. PRJVATE INSTALLATION 0 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS .EDU (EQuivalent Dwel1in~ Unit) is a discharge equivalent to a sinl?:le family dwellinl?: unit (20 DFU's) set at 167 n1lons per day - . . DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o o o o o o I , JI MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE , YEAR CREDIT RATE/$I,OOO I ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 r BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 fDrNo) I 1981 $5,12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE 11000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~ I $0.00 I 1986 $4.07 I 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AITER ANNEXATION) 1988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1,.59 TOTAL MWMC CREDIT = $0.00 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 .. 225 Fifth Street . Springfiel~, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00832 COM2005-00832 COM2005-00832 COM2005-00832 COM2005-00832 COM2005-00832 COM2005-00832 Payments: TWe of Payment \peck , " :1 f 7/2212005 . a"~AI"CII'IJlU>" ,.'.'" n ! Wit, , ,. > ... f , , ., ; ....-kity of Springfield Official Receipt .evelopment Services Department Public Works Department RECEIPT #: 1200500000000001062 Date: 07122/2005 De.crlption Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin Garage/Carport Stonn Sewer - 1 st 50 Feet UGH Plan Rev MjlMin - Planning + 7% State Surcharge + 10% Administrative Fee Paid By DAVID COLE Received By djb I of I Item Total: LnecK rlumoer AutnonzaUon Batch Number Number How Received 1022 In Person Payment Total: 1:06:18PM Amount Due 193.80 9.69 253.65 45.00 156.00 20.91 29.87 $708.92 Amount Paid $708.92 $7U8.92