The URL can be used to link to this page

Home My WebLink AboutPermit Building 1996-01-04SPFINGFIELD RESIDENTIAI, PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAEETY Page 1 ilob Number: 951855 225 North Fifth street Springfield, OR 97477 tocation of ProPosed Work: 2854 VILLA WAY Assessors ttap #: L7032332 Lot: Block: Office: Inspection Line: 726 -37 59 726 -37 69 Tax Lot #: 01700 Subdivision: ONEGON Owner: DOROTHY ZIEBERT Address: 2854 VILLA WAY Describe Work: DETACHED GARAGE Phone #: 747-8452 city/state/zip: SPRTNGFTELD, OREGNO 97477 NEW Contractor General Oi^INER Electrical: OWNER Const. Contractor #Expires Phone 747 -7243 QUAD AREA: 5RNW ZONING CODE: LDR VN SQ FOOTAGE: 896 -- OFFICE USE -- LAND USE: 1111 OCCY GROUP: M # OF BLDGS: 1 CONSTR. TYPE: To requeEts an inepection, cal-1 the 24 howr recording at 725-3769. A11 inspections reguesUed 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. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FRN{ING - Prior to cover. STORM SEWER LINE - Prior to filling trench. FINAL BUILDING - When all required inspections have been approved and the building is compleEe. Lot Faces: N Solar Approved: Y Garage Total Height: 18 Lot Type: INTERIOR SetbacksswE 5 Setbk From NPL: 12 N L2 IEem Main Garage Total Vafue Building Permit Fee Surcharge/eOmin TOTAL FEE --- BUITDING PERMIT --- Square Feet x 896 $/Sguare Feet L4.t (A) ' VaIue 0.00 L2 , 634 .0O 1,2 ,534 . OO 128.50 1,0.29 138.79 --- SYSTEITTS DEVEI,OPIIENT CHARGE (SDC) (B)343.10 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban GrowEh Boundry which are being improved. Item Storm Sewer Fee 25.00 --- PLI'MBING PER}IIT --- SPRI]t'GF!ELD ilob Number: 951866 CITY OF ONEGON Page 2 Plumbing Permit Surcharge/admin TOTAI, CIIARGE (c) 25.00 2.OO 27.00 -- - MISCEI,LATiIEOUS PERMITS Surcharge/admin Curb Cut ELECTRICAL PERMIT (E) 0.00 1,2 .7 0 58.32 7L.02 (Excluding Electrical) unlesg otsherwiEe noted --- TOTAL AMOI'NT DUE --- (A, B, C, D, and E combined)57 9 .9L --- BUILDING VALUE, PLA}iI CHECK AI{D BUII,DING PERMIT This permit is granted on the express condition that the said construction shalL, in all respects, conform Lo the ordinance adopted by the City of Springfield, j-ncluding the Development Code, regulating the constructj-on and use of buildings, and may be suspended or revoked aE any time upon violation of any provisions of said ordinances. PIan Check Fee: 83.53 Date Paid: Received By: PLans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER Receipt Number: ]-9756 --- ADDITIONAL COMMENTS --- THIS STRUCTURE CANNOT EXCEED THE HEIGHT OF THE EXISTING RESIDENCE STX FOOT SETBACK REQ'D AT W. PROP. LINE (5' EASEMENT) SEPARATE ELECT. PERMTT IS REQUIRED FOR ELECTRICAL INSTALLATIONS OR EXTENSIONS DRIVEWAY REQUIRED TO BE PAVED By Eignature, I etatse and agree, that f have carefully examined the completed apptication 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 wi]I be made of any structure without permission of Ehe Community Services Division, Building Safety. I further certify thaE 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 reguested at the proper Lime, that each address is readable from the street, that the permit card is focated at Ehe front of the property, and the approved set of pJ-ans wilL remain on Lhe siEe at all times during construction. t2/06/es o!/03/e6 llrt*a 1;z--- DateSignature TOTAT MISCEIII.ANEOUS PERITIITS SPRINGF!ELD 'Job Number: 951855 CITY OF SPruNGFIELD, ONEGON Page 3 Receipt Number: Dat,e Paid: Amount Received: Received By: --- VALIDATION --- )6,( ,)/z>^'(\ CITY OF OFEGO'I' ^l SPFII{GFIELl, h, 225 FIPTE STREET SPRINGFIEIJ, OREGON INSPE TION REQTIEST: OPPICE: 726-3759 1.OP PTION t C)C:rr r( ir9B BLECTRICAL PERHIT o b Nunber 5/ 8C 3 COHPI,,ETE FEE SCHEDULE BELOV A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dvelling Service or Feeder s 8s.00 $ 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less L-' 201 amps to 400 amPs - 40L amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect OnlY c. D. 97 477 7 ON \Sum( DESCRIFTION 6.a<,UZ- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONIRACTOR INSTALI..ATION ONLY Electrical Contractor Address city- Phone Supervisor License Number Expiration Date Cons tr contr. Number Expiration Date Signature of Supervising Electrician Ovners Address Ci ty Phone OVNER ALIl\TION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. omers signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 over 4bL to 600 amps - $ 80.00 over 600 amps or lbOO voTts see uBu a6ffi Branch Ci rcui ts ; .- Nev, Alteration or Extension Per Panel B -5.?' - s s0.00 s 50.00 s100.00 $130.00 s300.00 $ 40.00 one Circuit $ gs.OO - Each Additional Circuit or vith Service or Feeder Permi t i?- S 2'OO ^*.: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Lighting- Limi ted EnergY/Res - Limited EnergY/Comm $ 40.00 $ 40.00 $ 20.00 $ 35.00 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL aL RBCEIVED 5 L Page 1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: DOROTHY ZIEBERT Location:. 2854 VILLA WAY Developement Tlpe: R Building Size: Job No. : 951855 Lot Size:Sq Ft ].. STORM DR,AINAGE Impervious Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs (see Page 2) 3. TR,N,{SPORTATION Number Of Units 5. ADMINISTF,A,TTVE FEES Base Charge (Subtotal Above) 1556 X 0.210 Per Sq Ft = X 43.43 Per PFU = X Trip Rate X Cost Per Trip 0 $326.75 $o. o0 $o. oo $o. oo $o. oo $o. oo s326 .7 6 $16.34 Transportation Total 4. SANITARY SEWER - MIIIMC Number Of PFUs o MWMC CREDIT If Applicable (see Page 2) TOTAL _ MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) Per PFU + MWMC Admin Fee 18.750 x x x 0.50 TOTAI.' SDC Revj-ewed By: TROY MCALLISTER Date: L2/12/95 $343. L0 .Tob Number: 951866 Page 2 FIXTURE I'NIT CALCULATION TABLE Fixture Tlpe Number of New Fixture Unit Equivalent Fixture Units Bathtub Drinking Fountain Floor Drain rnterceptors For Grease/oi1/sofids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/ Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/Utc Receptor for Commercial sink/Dishwasher,/Etc Shower, Single Stal-l- Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal, Stall/WaI1 Wash Basin/LavaLory, Single Water C]oset, PubIic Installation Water Closet, Private MiscelLaneous TOTAL F]XTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation daLe, credits are calculated separately (calculations are by $l-000) Year Annexed: Credit For Parcel Or Land Only ff Applicable: Improvement (if after annexation date): 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 ) 3 6 ) 6 1 3 2 2 a 1 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0.00 = 0 x 0.00 = 0.00 0.00 CREDIT TOTAT =$0.00 (If land value is multiplied by 1 then the parcel/1and credit is not accurate.) sPtr]lNGFa€LO P U B LI C IYONKS D EPA RTA'{ E N T 4Dhlttl'JtSl liAI l()N f l(G /ir'f f /i/rr/(; 0/ I4S/O/V h1,Alf'i I El'!Ar\CE *(,225 t-trltt stt. :;t)t;tt.,tcf tF LD ( )ti :t APPLlCAtlOl.l FOR A $ECOND DR|VEWAY / OVER\ /tprH pRrVElryAY , oarE:___]Z:12-95 APPUCANT (PROPERTY O At +,t* ADDRESS OF PR.PERTY FOR DRIVEWAY PERh4lT: % *taqp N*,r U 0 APPLICAT.,IT'S TELEPHONE t'IUIIB 1- Please skelch the proposed driv'ervay. Include the following appticable ilems: house or building. proposed driveway. existing driveway. and slreel narnes. lnclude dirnensions and measuremenls lo properly lines. road intersections and bordering driveways. (See altachment for an example.) fuL ALL APPUCATTONS OUTSIDE TIJE CITY U,'4ITS OF SPRlNcFtEL, TIIAT ARE t\rlTlllN Tl{E URBAN GROWII{ aOU|'IDARY REOUIRE n Ln I'lE CoUl{TY PERhllT. Nole: The Cily of Springfield will nol granl a second driveway permil on an ArleriaJ or Colleclot Strebl. ADtt4tttttSlRAtlON/ENGtt\tEER|NG (503) 726 3753 IAX (!t03) 726 3639 s 1. Property type: Singte Family Reside n . / Duplex 2- The ptoposed driveway will take access ftorn wltich stteet Curbcul / Drivervav Permil Fee PROPERTY OWNER'S SIGNATURE' APPROVED BY ORAFFIC DIVISION BUILDING PERIIIT NO TRA 9.1 ATTACI{l'/tENT: Vision Clearance. Example #l I\ c" 3. Tlra dis(ance trorrr tlre edge ol llre driveway lo lho ncarcsl Cottrcr (rneasured to 41n rcet. / .(. The second driveway will givo access lo garage v! carporl- side yard- 5. The dislance from t]re Pfoperty line lo llre garage. carporl. fence. wall. or otlrer. (vrltere lhe velricle is to be parked) is 4 [eet. e curb telurn)is Appficant hereby agrees to install Ure requested drivewey to City o( sprindretd standards- Tlrc applicant lurtlrer agr€es lo have 6- o[ concrete in lhe sidewalk area (adiacent to ftre driveway). and to pave lhe area behind the b:ck edge o( Ure sidewaltq or driveway apron, with a minimum depth o( 3- asphahic concrete of 6- o( portbnd cemen{ concrete. The area behind (he sidewalk stratt be paved a minimum d( 18 leel The applicant agrees drat il ttelshe does not pave tlte area behind Ure sidewalk within 30 days o[ cudng lhe curb opening. the city of Springrfield has (he aultrority to close the drivewzy acc€ss by removal of tlre curb ctr{' A[ incurred costs shall ue assumed by tlre applicant and i( unpaid, said cost shall become a l'en ol tfe property' 6. \Atill tlre propbsed parl..ing / slorage area creale a.vision obstruciion lo adjacenl properly driveways or. lo any vehiculat movemenl on a pubt'c street? (See vision clearance atta When this appfication is approved by the City. the applicant musl oblain a curbcuUdriveway perrnit (rom the Pub{ic Works Department. Engineering Division- tB {eek Other--_ DA N€w ar@ S rza9 rE /?-tr-?{ a. on.an improved slreet (exisling curb): slo-oo plus S.15 pef lineal foot of cu(b ct't. b. On an unimproved street (no curb): S12.00 c- On curren(ly unimproved s(reets lhat are under construction: S12'00 4 Permit #:96 Address: .29 Issued by:Date Statem€ht: lnformation Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered 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 registration 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 I and2, and either box 3.{ or 3B: X 1. I 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. 3,A.. 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. 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 thatthe above informationis correct and thatl have read and dounderstand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. a//4 of permit applicant) (White copy to issuing agency permit file, pink copy to applicant) OR (s ignature (Date) (',i ( _t Ft 38' I will be my own general contractor' Information Notice to Property Owners .- AboutConstruction Responsibilities -' .. {.arai This Information Notice to. P.roperty Owners qbout Construction Responsibilities' "'was developed by the Constructiitn'tofiractors Board. in rsccordance 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 concern. EMPLOYER RESPONSI BI LITIES: 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 ruted to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregnn'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 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 infoimatrion, call the Oregon Employment Division at the Departmen(of Human Resources at378-3524.'.'.,,. Workers'compensation insurance: As an employer, you are subject to the Oregon Workers'Compensation Law, andniuct obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you.rftly besubjecttopenaltiesandwillbeliablefoiallclaimcostsifoneofyouremployeesisinjuredonthejob. Formoreinformatibqi call the Workers' Compensation Division at the Department of Consumer and Business Services at 945-7888 U.S. Intcrnal Revenue fiervice: 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 more information, call the Internal Revenue Service at 1-80G.829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requiremgnt; 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 overspray, water darnage from pipe punctures, fire, or work that must be re-done. fime to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box L[l4l,Salem, OR 97309-5052, 5031378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1t94