HomeMy WebLinkAboutPermit Building 2005-10-25Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspe ction Line
CITY F
Building/Combination Permit
PERMIT NO: COM2005-01292ISSUED: 1012512005
APPLIEDz 09122/2005E)PIRESz 0412512006VALUE: $ 15,600.00
SITE ADDRESS: 3234 VIRGINIA A\rf,
ASSESSOR'S PARCEL NO.: 1702313402812
PROJECTDESCRIPTION: Garage
Springfield TYPE OF
TYPEOF USE:
Garage
New Residential
Phone
541-566-7788
s03-s66-7788
0wner:
Address:
ZACII KALAMS
3234 VIRGINIA A\rE
SPRINGFIELD OR 97478
Phone Number: 541-7 47-8256
Contractor Tvpe
General
Contractor
WEST COAST METAL BUILDINGS INC
WEST COAST METAL BUILDINGS INC
License
161581
161581
Expiration Date
09t28t2006
09128t2006
)RMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
Frontyard Setback
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
cati#ofiffiEs;tho se rules are Lot Size:
Uin OAR g&&Dtm1C throug h OAR Sq Ft lst Floor:
0090 YoUxnaPtHtin coPte s of the Sq Ft 2nd Floor:
VN the telePhono Sq Ft Basement:
num tility Notificatton Sq Ft Garage/Carport
33 2'2344't.
fol
Notiti 1
16.50
Utility
nla
624
Sq Ft Other:
Occupant Load:
34.00
s.00
27.50
10.00
Fully Improved
Yes
Overlay Dist:
# Street Trees
Paved Drive Rqd:
oh of Lot Coverage:
Yes
Sidewalk Type:
Downspouts/Drains
REQUIRED PAR]ilNG
Total: 2
Handicapped:
Compact:
Setback 5'
Curb and Gutter
wwm,
PUBLIC IMPROVEMENTS
Notes: Storm to existing system 10/11/2005 CAS
1of 3
'IYrDl\ I lI\.r(rruYtAll(rl\ |
!
GFIELD
Buildin g/Co mbinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 Inspe ction Line
PERMIT NO: COM2005-01292ISSUED: 1012512005
APPLIED z 0912212005E)?IREST 0412512006VALUE: $ 15,600.00
Description
Garage
Type of Construction
Garage
$ Per Sq Ft Square Footage
or multiplier or Bftl Amount
$25.00 624.00
Total Value of Project
Amount Paid Date Paid
Value
$15,600.00
$15,600.00
Date Calculated
0912212005
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Garage/Carport
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount
$100.23
$19.92
$13.94
$154.20
$85.00
$3.92
$78.49
$4s.00
$500.70
9t22t05
10t25t05
t0tzstos
10t25t05
10t25t05
10t25t05
t0t25l0s
10t25t05
Receipt Number
1200500000000001382
r200500000000001598
1200500000000001598
1200s00000000001s98
1200500000000001s98
1200s00000000001s98
1200500000000001598
1200500000000001598
. Initial Review
Planning Review
Public Works Review
09t2312005
t0mt2005
09t23t2005
09t23t2005
10n7t2005
10/r112005
APP
APP
APP
LLH
TAJ
CAS Storm drainage piped into existing
system f0/11/2005 CAS
Structural Review 09t23t200s 09128t2005 0K RJB
To Request an irspection call the24 hour recording at 726-3769. AII 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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
red Insnections
2of3
Valuation Description I
r ees rato I
GFIELD
Building/Combinatio n Permit
Status: Issued
225 Fifth Street, Springfield, OR
541:7263753 Phone
541-726-3676Fax
541:7 2647 69 I nspe ction Line
PERMIT NO: COM2005-01292ISSUED: 101251200s
APPLIEDT 09122/2005E)?IRES: 0412512006VALUE: $ 15,600.00
By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that alt
information hereon is true and correct, and I further certi$ 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 certiff 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 will remain on the site
at
/6rf
Owner or Contractors Signature Date
3 of 3
;
I
THIS INDENfURE I',IADE and entered into thi s ?7 day of
between wILLIAM E. WILLIAMS 6 ALIE ME WILLI
8()14635
LD, a mun ci pa corpo rat'i on ,
ere i
in L
19 ao , by and
nafF-referred to
ane County,
SEAL)
v
)
Oregon, here'inaft'er referred to as the Grantee.
l^JITNESSETH
In consideratjon of the acceptance by Grantee and the use or ho1ding of said_easement for
present or future-pubii. ,t.'by Graniee, Granto_rs hereby.gfan!, barga'in: le'!l and convey
unto the Grantee, a perpetua'l Easement 7 'o - feet 'in rvidth, tog_ether wjth.the right to go
upon sa.id easement area'hereinafter desEIl66d'for the purpose of. constructing, reconstruct-
ing, mainta.in.ing ina ,iing pub'lic uti j'ities whi ch may hereafter be instal'led on the follow-
i ng described property, to-wi t: 7 . o Foor P . u. E .
BEGINNING AT THE SOUTHEAST CORNER OF LOT 7, GERRY, AS PLATTED AND RECORDED
IN BOoK 7L, PAGE 26, LANE COUNTY OREGON PLAT RECORDS; THENCE RUN NoRTH 89"
39r38" WEST ALONG THE SOUTH LINE OF SAID LOT 7 A DISTANCE OF 5.0 FEET; THENCE
sourH ooo13, wEST 121.0 FEET To rHE TRUE POiNT 0F BEGINNING oF THE HEREIN
DESCRIBED EASEMENT; THENCE NORTH OOo 13'EAST 7 .O FEET; THENCE NORTH 89o 39i
38't WEST PARALLEL wITH THE CENTERLINE OF VIRGINIA AVE. A DISTANCE OF L32.43
FEET; THENCE sourH ooo13r WEST 7,o FEET; THENCE sourH 89"39'38" EAST ALONG
THE NORTHERLY RIGHT OF WAY OF VIRGINIA STREET I32.43 FEET TO THE TRUE POINT
OF BEGINNING IN SPRINGFIELD, LANE COUNTY ' OREGON'
rO u[vt-ANo fO HOt-o ihe above easement to the said Grantee, its heirs and assigns forever.
IN WITNESS WHERE0F, the Grantors above named have hereunto set thejr hands and seals this
27 day of FEBRUARY 19 80
as the Grantors, an
,E ( sEAL )
( sEAL )
srATE oF OREGON )
County of_-UaU-e- )
SS
BE IT REMEMBERED, that on this zz day of
undersigned, a Notary Public in and for said
w:ithi n named'identi cal i n
to me that
FtrR RTJ A PV 'eounty and-State,
nan o execu d CW
l9 o^ , before me, the
perffi-a11y aPPeared the
known to me to be the
L 3 * tt:S15$l
( sEAL )
000()1.9i'
M WIL nl nstrument an d acknowledged'lv ua es cri be
THE
IN TESTIM0t'lY l^lHERE0F, I have hereunto
and year last above written.
executed the same f reely and vol urrtari 1Y.
set my lrancl and af fi xed my of f ici a1 seal the day
I
omm SS on xpl res
c/s ED #54-'l
\\o
E z>/?l/':J Jz -34
Pub 1C
E zz4*
PUBLJ-C UTILiTY EASEMENT
a'i, '.. -1..''..,./l
NUMBER:
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
])EVELOPMENT TYPE
NEW DWELLING UNITS
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
I rMPERvrot s sr. xI z+r.oo
COST PER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$ 19.07
NUMBER OF TINITS
0
NUMBEROFUNITS
0
ADM. FEE RATE
5%
CHARGE
$78.49
DISCOUNTRATE
50%
$78.49
CITY OF I {NGFIELD SYSTEMS DEVELOPME} JORKSHEET
r292
Zach Kalams
3234 Ave
t7023134028t2
SINGLE FAMILY RESIDENCE
BUILDING SIZE LOT SrZE (SF):0
1. STORM DRAINAGE
DIRECT RTNOFF TO CIry STORM SYSTEM
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x
x
x
x
x
x DISCOLTNT
$0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A. REIMBURSEMENTCOST:
)
i
ITEM 2 TOTAL. CITY SAMTARY SEWER SDC
A,. REIMBURSEMENT COST:
$0.00
COST PER TRIP
$19.09
COST PER TRIP
$84. l9
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
li.
ADT TRIP RATE
9.57
1}. IMPROVEMENT COST:
ADT TRIP RATE
9.57
xx
xx
B.
ITEM 3 TOTAL - TRANSPORTATION SDC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
COST:
x
SUBTOTAL
$78.49
YWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
iTEM 4 TOTAL - MWMC SANITARY SEWER SDC
SusroTlr (ADD ITEMS l, z, 3, & 4)
$0.00
$78.49
CHARGE
$3.92
x
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE
CherylSlaymaker t0/25t2005
COST PER FEU
$82.03
$0.00
$0.00
$0.00
$0.00
3.92
$82.41
1070
1091
1092
1093
1094
I 055
I 054
I 056
079
aHoo(-)
&HFa
o
E]&
NUMBER OF FEU's
0
COST PER FEU
s865.31
PREPARED BY DATE
TOTAL SDC CHARGES
I
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OFNEW FD(TURES X UNIT EQUIVALENT = DRAINACE FXTURE LINTIS
FOR CAI,CI.JLATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NTIMBER OF EDU'S
TOTAL DRAINAGE FIXTT]RE UNITS
toa unil set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
0
0
1979
BEFORE 1979
t979
1980
l98l
t982
I 983
1984
1985
1986
1987
1988
1989
I 990
l99l
t992
1993
t994
1995
t996
1997
I 998
t999
$1.59
$1.45
$1.25
$1.0e
$0.92
$0.72
$0.48
$0.28
$0.09
$0.0s
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND OF APPLICABLE)
0
VALUE/ IOOO
$0.00
CREDITRATE
$5.29x
CREDITFOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMC CREDIT
BATHTUB 0 0 3 0
DRINKING FOI.JNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH/ ETC.0 0 6 0
LATINDRYTUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER. SINGLE STALL 0 0 2 0
SHOWER, GANG (NT]MBER OF HEADS)0 0 2 0
iINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
|INK: COMMERCIALBAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
IINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
2000
2001
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
Construction Contractors Board
700 Summer St ltE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
Web Address: !Erwg$l31!9.4g
pennit x. CafLt - u'-. O 1Za L
Address: 3L3Y l/tr7,'*iA *,f
Issued by:De Date:/O -ZT-CIf
ID zs
Statement: lnformation Notice to Property Owners
About Gonstruction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign thefollowing 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 appropriate blanks and initial boxes I and 2, and either box 3A or 38:
EI- t. I own, reside in, or will reside in the completed structure.
N 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.
E rO Mygeneral contractoris r i6(s8(N
(Name)(ccB #)
I will instruct my general contractor that all subcontractors who work on the strrcture must be
licensed with the Constrrction Contactors Board.
OR
tr 38. I will be my own ge,neral contractor.
If I 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 notiff 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-h_(r=
(Signature of permit applicant)
(White copy to issuing agency permitfile, pink copy to applicant.)
@ate)
Property_owner.doc 06-0 I -04
65
fi1ct^(, Fr \ /*\
Acting as lYur Own General Cirtracto r?
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT.CONSTRUCTION RESPONSIBILITIES
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 bein$ aware of the following responsibilities and ooncerns.
Employer Responsibilities
You will, ra moqt instances, be ruled to be an "employetr" and the coatractors you contract.with wi.1l be *employees" if :
you q{9 confiactors not licensed with the Construction Contractors Board to do iabor in constnrcting.gr to assist in the
construction or improvement of a residential stnrcture. As the employer, you must comply with the follawing:
i
Oregon's Withholding Tax Law: As an employer, you must withhbld income taxes from employee wages at the time
emplayees are paid. You wili be liable for the tax payments even if you don't actually withhold the tax from your
employees. For more information, call the Departrnent of Revenue at 503-3784988:
Unemployment ksurance Tax: As an employer, you are:required to pay ataxfor unemploynrent iuswan"e putpot"i*t
on the wages of all ernployees. For more information, call the Oregc* Employment Deparmetlt at 503-947-1488.
{_-
The Oregon Business Identification Number Gf$ is a combined number for.both Oregon Withholding and
Unemp1oymerrtInsuranceTax'Tofi1eforaBIN,call503.945-809lorrforthe
approplial$forms. I \ \ j\: --{:
i
ation fnsurance: As an employer, you aie subject to the Oregon Workers' Cornpeirsation Law,\Yorkers' Compensation fnsurance: As
and must qbtain workers' compensation insurance for your employees. If you fail to obtain worksrs' compensation
insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the
job. For more information, c*11 the Workers' Comperisatiori Division at tfr'O'Department of Co,nsumer and Business
Services at 503-947-78 I 5.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from ernployees' wage$.
You will be liable flrr the tax payment even if you didn't actually withhold the tax" For a Federal EIN number, call the
IRS at'1-800-8294933 orvisit their web site at ynuurrs#gy
Code Complianca; As the per-:nit holder for this project, you are responsible for resolvrng any failure ta meet code
requir*ments that may be br*ught to your attention through inspections.
LiabiHfy antl Property T)amage fnsurancer Contact your insurance agent t$ see if you have adequate insurance
coverage for accidents and omissions such as falling to*ls, paint over spray, water damage frorn pipe puncfures, fire or
work ghat rnust b* redone.
Time: Make sure you have sufficient time to supervise your employees. - | ,:i 'ijl.lti ,:
Expertlse: Make sure you havii'ihe siiilis'to act as yo* oo* gendrdi' contractor, to'dobrdinaie the work of rough-in
and linish trades, and to notiiy building officials as the apprapriate times so they can perform the required inspections"
If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO
Box 14140, salem' oR 97309-5052' i ., :r..,, r::i .ril
Property_oumer.doc 06-0 I -04
NATE: This lnformation Notice to Property Owners about Construction Responsibiliti'es was
Construction Contractars Eoard in accordance with ORS 701.055(5), passed by the 1989 Aregon Legislature.
developed by the
225 Fifth Street
Springfield, Oregon 97 477
541-72G3759 Phone
City of Springfield Official Receipt
evelopment Services D epartment
Public Works Department
RECEIPT#: 1200500000000001598 Date: 1012512005 8:05:45AM
Job/Journal Number
coM2005-01292
coM200s-01292
coM2005-01292
coM2005-01292
coM2005-01292
coM200s-01292
coM2005-01292
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Garage/Carport
Storm Sewer - lst 50 Feet
+ 7o/o State Surcharge
+ l0% Administrative Fee
Amount Due
78.49
3.92
85.00
154.20
45.00
13.94
19.92
$400.47
Payments:
Type of Payment Paid By Received By
uheck NumDer
Batch Number
Aumorlzatlon
Number How Received Amount Paid
Check ZACH KALAMS djb I 56s In Person
Payment Total:
$400.47
-$Ao-077'
'1
10125/2005 lofl
lmn
(
Item Total:
CitY of SPringfield
225 Fifth Street, Springfield, OR97477
541-726-3759 Phone
541-726-3676Fa,x
June 12,2006
KALAMS ZACH
3234 VIRGINIA AVE
SPRINGFIELD oR 97478
#
Job Number:
Location:
coM2005-01292
3234 VIRGINIA AVE
Project:Garage
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin within 180 days of the date
of issuance, and an inspection must be requested at least every 180 days.
According to our records, you obtained a permit for a project at3234 ViRGINIA AVE which is set to
expire on71312006. Our records indicate that you have not requested an inspection within the past five
(5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are
ready to request an inspection for your project, please phone the inspection line at 541-726-3769. lf
you do not request an inspection prior to the expiration date, your permit(s) will expire and additional
permit fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 54L-726-3790
Sincerely,
Lisa Hopper
Building Safety Supervisor