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Home My WebLink AboutPermit Building 1999-04-159PRIlilcFlELD RESTDENTIAL PERMIT APPLICATION CTTY OF SPRTNGFIELD COMMI'NTTY SERVICES DIVTSION BUILDING SAFETY a Page 1 ilob Nr:rnber: 990375 225 North Fifth Street Springfield, OR 97477 tocation of Proposed Vitork: 520 34TH ST Assessors Map #: L7023124 Lot: Block: Office: Inspection Line: 725-3759 7 26 -37 59 Tax Lot #: 08800 Subdivision: SPilNGFIEIT', Owner: EDfTH SLINGER Address: 520 34TH STREET Phone #: 747-7440 Citylstate/zip: SpRTNGFTELD, OREGON s7478 ADDTTIONDescribe Work: ADD SITNROOM QUAD AREA: 3RNC -- OFFICE USE -- LAND USE: 1111 SQ FOOTAGE: 342 To request an inspect,ion,call the 24 howr recording aL 726-3769. A11 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. --- REQUTRED TNSPECTTONS ___ FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior Lo concrete placement. POST AND BEAM - prior to floor insulation or decking. rNsuLATroN - Floor; prior to decking wall_/cei_1ing; prior to cover ROUGH ELECTRICAL - prior to cover. SHEAR WALIJ NAILTNG - Before covering sheathing wi-th finish material-s. FRAIT{ING - Prior to cover. rNsuLATroN - Floor; prior to decking wa1l/Ceiling; prior to cover DRYWALL - Prior to taping. FrNAL Er,EcrRrcAL - when all el-ectrical- work i-s complete. FrNAL BUTLDTNG - when all required inspect.ions have been approved andthe building 1s complete. Lot Type: fNTERfOR N Setbacks SW House E 34 Item Main Garage ADDTTION Total- Value Building Permit Fee Surcharge/Admin TOTAL FEE BUTLDING PERMIT --- Square Feet x $/Square Feet 342 69 .54 VaIue 0.00 0.00 23,817 .OO 23 ,81,7 .00 L64 l-3 50 L7 (A)L77.67 --- MISCELLANEOUS PERMITS --- Surcharge/admin CITY SDC 0.00 90.10 (E)90.10TOTAI. UISCELLATiIEOUS PERMITS !iPFI]ilGFIELD ilob Nurnber: 990375 Page 2 (Excluding Electrical ) unless otherwise noted --- TOTAT AMOI'NT DUE --- (A, B, C, D, and E combined)267.77 --- BUILDING VALUE, PIAN CHECK AND BUTLDING PERMIT --- This permit is granted on the express condition that t.he said construction sha11, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 106.93 Date Paid: Received By: Plans Reviewed By: AL WARD Date: Building Site Revj-ewed By: LISA HOPPER 03/22/ee 04/]_3/ee Receipt Number: 33224 --- ADDITIONAI, COM}{ENTS --- A SEPERATE ELECTRICAL PERMIT IS REQUIRED By signature, I suaue and agree, that f have carefully examined the completed appli-cation and do hereby certify that a1l- information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance wi-th Ehe Ordinances of the City of Springfleld, and the Laws of the State of Oregon pertaining to the work described herein, and Lhat NO OCCUPANCY will be made of any structure without permission of the Community Services Divi-sion, Building Safety. I further certify that 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 requested at the proper Lime, 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 in on the site at all t.imes dur ing construction. si ture Date --- VAIJIDATION --- Receipt Number Date Paid Amount Received Received By: 7ZT)t7---7-7-?- L) -/f'?? (-/+?7, -'--7 9PRI]IIGFIELD Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: EDITH SLINGER .fob No. : 990375 Mail Address: 520 34TH STREET SPRINGFIELD, OREGON 97478 Phone #: 747-7440 Tax Lot #: L7023L2408800 Project Address: 520 34TH ST Subdivisi-on: Lot : B1k: Eng. Rev. No. : Book Street 520 34TH ST Exi-sting Curbcut: Y Width: CommEnLs: SIDEWALK CURB AND APRON EXIST EXTSTING IMPROVEMENTS Grawel Ac Mat Curb Fu11 Imp SW Width Curbside Y 5 FEET 12 :1 FLAIRS Setback Ft Flairs FI SPilNGFIEIT', Additional Right of Way: N Improvement Agreement: N Easements: N SAIiIITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344 Available: Y Stubbed Out To Property Line: Y Depth: 4-6 Size of Line: 8 In. Tee: 5 In. Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT MaKe ConnecLion: CONNECTION EXISTS - NO CHANGE Comments: LOCATE AND PROTECT SEWER LATERAL DURING CONSTRUCTION Ft STORM SEWER Availabl-e: Y Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER Pipe Parking Lot Drainage To: N/A CommenTs: MAY CONNECT TO EXISTING ROOF DRAIN SYSTEM IF IN GOOD CONDIT]ON SIDEWALK A}iID DRTVEWAY INFORMATION STANDARDNew Curbcut Appr.: N Sidewal-k Permit: N Curbcut Permit: N Commenls: FTELD CHECK FOR A.D.A. COMPLTANCE ENCROACHMENT AI{D ASSESSMENT Encroachment Permj-t Requj-red: N Sanitary Sewer In Lieu Of Assessment.: N SPECIAI, NOTES AI{D REQUIREMENTS AI1 work within t.he pubJ-ic right of way sha1l be in conformance with the City of Springfiel-d standard specifications for consLrucLion. AI1 existing unused curbcuts or portions thereof sha11 be restored to fu11 curb height as directed by the City. The owner/developer is responsible to relocate any utilj-ties and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNfS ERNST Date: o4/02/99 SEE DR,AWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTAI{T INFORMATION ENGINEERING REQUIREMENTS C,'TY OF SPR"UGFIELD, OFEGO'V Multi-Family Service Inclu SPFlr.- uFIELO pe de the tollowing prolect as submitted has the following ,r.,,i,g -"no",ioei not require specilic land use LDRapproval Zoning 225 FIFTE STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: OFPICE: 726-3759 A72g!r3769lnature 1 ALLATION JOB DESCRIPTION -utlQ V Permits are non-transferable and expire if vork is not started vithin 1B0 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTAILATION ONLY Electrical Contractor Address City- Phone, Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician 0vners Name Address {; O 3/'/t A Ci Phone "4-l-7440 ALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Signature: DATE: EI.,ECTRICAI PERHIT Ci ty Job Nunber 3. COI{PLETE FEE SCffiDTIIJ BELOV A. Nev Residential-Single or APPLICATION ??os7-r r dvelling uni t. d:Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Sertice or Feeder $ 8s.00 s 1s.00 $ 40.00 $ s0.00 s 60.00 $100.00 s130.00 $300.00 s 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less L/' 201 amps to 400 amps - 40L amps to 600 amps - 601 amps to 1000 amPs- Over L000 amPs/volts - Reconnect 0n1Y Temporary Services or Feeders Insta1laiion, Alteration or Relocation 200 amps"or less $ 40'00 over 4b1 to 600 am-ps - $ 80.00 0ver 600 amps or 1000 voTts see ifB* above Branch Circuits Nev, A)-teration or Extension Per Panel One Circuit S 35'00 Each Additional Circuit or vith Service or Feeder Permit L $ 2'00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation -- Sign/Out1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL fo -C D $ s $ $ 40.00 40.00 20.00 36.00 C. RECEIVED 5 LEGAL DESCKTFTIONhgz st zy' eeee Permit #: Address: Issued by 9 o't fzo 3 & Date Statement: lnformation Notice to Property Owners About Construction Responsibilities Note; Oregon Lav,, ORS 70 t .05 5 (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 38 l. 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. 3A. 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. OR 38. I will be my own general contractor 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 certiff that the above information is correct and that I have read and do understand the Information about Construction Responsibilities on the reverse side of this form. Iicant) (lVhite copy to issuing agency permit file, pink copy to applicant) M K w Notice to (s (Date il/t/qq /-/ -/ur/. /- /??,? a\ c" '*, i; \'.r' (., . -:.y' \U{or*amnRotice to Property Owners \. \ Abo-1$=ponstruction Responsibilities \Q.'t.t".,'\". '.*\*J*\ \ty'f,rle.' Tlzis tnformution Notice to Properry Ow,ners about C*nstruction Respon,tiltilitit:s wcs der-elolted by the Construction Con*actors Boarul in accordance with ORS 701.055{5). Code compliance: As th* permir holder for this project, you are respansible for resolving any failure to nreet code that may be brcught to yo:lr attention through inspections. lf you are acting irs )'our own contractor to construct a new home or make a substantial improvement to an exisfing structurr:, you can prcv*,rt nrxny pr*blems by being aware o{ the l'ollowi*g respunsibilities and aieas *j corcer*" lf you hiro persons not registered with the Construction Co*tractors Board to do labor in conslructing or :rssisting in the construction or improvement of a residential structure, you will, in most in$hnces, be ruled to be an employer and tlre people you hire will be employees. As the.employer, you must comply with the following: Oregon's withholdiag tax law: As an employer, you must withhold incorne taxes fiorn employee wage$ at tlw lirne employees are paid" Y.ou will be liable for the tax payments even if you don't actually withhold {he tax {'ron: your employees. For more intbnrration, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance taxl As an employer, you are requi:r:d to pay a tax for unemploymen, insurance purposes on the wages of all employees. For more infomration, call the Oregon Empioyment Departrnent at 3?8-3524 ,; , r, t\ Worker's compensation insurance: As an employer, you are subject to the Oregon Workers' Ccmpensation l-aw, and must ohain workers' compensation insurance for your employees. It you fail to obtain workers' compensation insurance, you ri4y be subject to penalties and will be liable for all claim cosls if one of your employees is injured on the job. For more infor:nratiqti,r call the Workers' Compensation Division at the Department of Consumer and Business Services tt 945-7{i88. U.S.Intemal Revenue Service: As aa employer, you must withhold f'ederal income tax from employees'wages.You will be Iiable for the iax payment even if you didn't actually withrhold the tax. For mclre information, call rhe Internal Revenue Service ar 1-800-829-1040. OTHER RESPON$IBILITIES AND AREAS OT CONCEHN: Liability and property damage insurance: Contact your insurance agent to see if you have adequale insururce coverage tbr accidents and omissions such as falling tocls, paint overspray, water damage from pipe punctures, flre, or work that must be re-done. Tirne to supervise employees: Make sure you have sufficient time to supen ise our ernployees. Expertise: Make s-ure yclu have the expertise to act as yeur own general contractor, to coordinate the work of rough-in md fiEi$h trades, and to notify building officials x the appropriale times so they can perform the reqirired inspectionS. -' '*t'".". ".. "'l ''... \If you have additiimal qulstibns, wrire or call the Construction cC.dr"ciok:Bo*A Oo d$t 14140,'Snh, oR 9?30-5052, 5A3B7e-M2l). The Board is iocated at 700 Summer St. NE Suite 300, in SaLm prop-owa.prn4 sP-001 JOURNAI OR JOB NO. lQO<7< ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:Eo, LOCATION n a 4 lreeaT DEVELOPMENT TYPE:1r-t Q.*rta . ldOO t7t ar-,l FtBUILDING SIZE: 1. ST0RM DRAINAGE {ea>&..6 tEr z\ = 378 iMPERVIOUS SQ. FT 378 2. SANITARY SEWER-CITY SIZ x $0 .227 PER SQ. FT. $ R5. 8, NO. OF PFU'S X $47.14 PER PFU $6 (See Revense Side) 3. TRANSPORTATION 4. SANITARY SEWER-MI^IMC A. REIMBURSEMENT COST: NO OF UNITS X TRIP RATE X COST PER TRIP x $475.32 x $475.32 X X $e- $ NO. OF FEU'S X PER FEU B. IMPROVEMENT COST: NO. OF FEU'S X PER FEU I'4I^IMC CREDIT iF APPLICABLE (SEE REVERSE) Mt^jMC ADMINISTRATIVE FEE 5. ADMINISTRATIVE FEES BASE SDC Coordinator ATTACH'A.l^lPD $ <$ $1 .00 TOTAL-MI,(MC SDC $* SUBTOTAL (ADD ITEMS 1,2,3 & 4)$6 r,8 t SUBTOTAL ABOVE) X .05 $ 4,zq Date:4 -z-?? TOTAL SDC $ Qo,to $ FIXTURE UNIT CALCULA:flON TABLE: Number of New Fixtu^ X Unit Equivalent = Fixture units (NOTE: For remodels, calculate only FIXTURE TYPE . NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS Bathtub. Drinking Fountain.... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More........... Mobile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11.....r........... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen.... Urinal, StalUWall.. Wash Basin/Lavatory, Single... Toilet, Public lnstallation...... Toilet, Private........ Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits se arates X$ 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 /Head Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 't980 1 981 1 982 1 983 't984 1 985 1 986 1 987 1 988 $4.27 4.1 8 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1 989 1 990 1 991 1992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1.15 0.96 o.83 o.67 o.52 o.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential. Commerica1............... lndustrial... Governmental............. o.4 o.9 o5 o.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Permit #:??o 3 75 Address 520 3qu Issued by Date: 3' Z z- 7V Statement: lnformation Notice to Property Owners About Gonstruction 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 lhe 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 stotement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and2, and either box 3,{ or 38 A l. I own, reside in, or will reside in the completed structure. Y 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3A,. 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. OR 38. I willbe my own general contractor 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 that the a formation is correct and that I have read and do understand the Information utC n ilities on the reverse side of this form. of ) (White copy to issuing agency permit file, pink copy to appltcant) Y Notice to Property (Date) iEl lnformation Notiee to Property Owners AboUf .Construction Responslbilities Nota: ?'his lnJbrmatiott Notic'e to Property Ov'ners about {lonstructiort kespon.r'ibilitit:s x'us doelojte.d by the Crsnstrztttion Conrru:tors lloud in rtcorduttt:e wilh GKS 74t.fi33(5;. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing $illtcture, you can prevent nrany pxrhlenx by being aware of the following responsibilities and areas oi concenr. TMPLOYER HTSPON$IBILITIH$: if you hire persons not registered with the Construcfion Contractcrrs Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon'swithhotding &rx lawl As an ernployeq you must withhold income taores from employee wages at the tilrre employees zre paid. You will be liable for the tax payments even if'you don't actually withhold the tax from your ernployees. Iror more intbrmation, call the Oregon Dept. of Revenue at 945-8091. Unemployment insurance tax: As an employer, you are rcquin:d to pay a tax for unemployment insurance purposes on the wages of all employees. For rnore information, call the Oregon Ernployment Department at 378-3524. Worker's compensatior insurance: As an employer, you arc subject to rhe Oregon Workers' Compensation [.aw, and must obtain workers'compensation insurance for your employees. If you fail to obtair: workers' compensation insurance, you may be subject to pnalties and will be liable i'or all claim costs if one of your employees is injured on the job. For more hrfbrnratirin, call the Workers' Ceimpensation Division at &e Dspartment of Consurner and lSusiness Services at 945-7{188. U.S.Interaal Revenue Service: As an employer, you must withhold federal income tax from employees'wages.\bu will be liable for the &x payment even if yur didn't aetually withhold the tax. For more information, call the lnternal Revenue Service ar l-800-829-tM0. Code cornpliaree: As the pennit holder for this project, you are responsible for resolving any failure to meet crxle that may be braught to yoilr attention thn:ugh inspections. resuirenrents,,/ Liability and proprly damage insurance: Contact your insurance agent to se* i[ you have adequzrte insurimce coverage f'or accidents and omissions such as falling tools, paint overspray, water dam::g* from pipe punctures, fire, *r work th;r{ inxsl he re-done. Tirne to supervise employees: M*ke sure you have sufficient time to supervise our employees Expertise: Malie sule yru have the expertise to act as yfir own general conk&ctor, to coordirate the work of rough-in and finkh trades, and 1o notify building officials at the appropriale fimes so they can prfornr the required inslxctions. If you have additional qr:esticns, write or call the Constrlction Contractors B.oard @ Box 14140, Salem, OR 97309-5052, 5A3fi78-621). The Board is located at 700 Summer St. NE Suite 300, in Salem prop-cwn.pnr4 1t94 sP-001