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Home My WebLink AboutPermit Building 2004-02-13Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00096ISSUED: 0211312004APPLIED: 0112312004EXPIRES: 08/1312004VALUE: $ 11,372.00 SITE ADDRESS: 445 S 46TH ST ASSESSOR'S PARCEL NO.: 1702324306001 PROJECTDESCRIPTION: Garage Owner: SHANE MARTIN Address: 445 S 46TH ST SPRINGFIELD OR 97478 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PhoneNumber: 541-741-1787 License Expiration Date PhoneContractor Type General Electrical Plumbing Contractor OWNER OWNER OWNER CONTRACTOR INFORMATION TILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: u-1 24.00 6.00 13.00 VN 468 REQUIRED PARJflNG Total: 2 Handicapped: Compact: Rearyard Setback: Solar Setbacks: 17.10 0.00 Street Improvements: AC Mat Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Special Instruction: Intrusion offootings, eaves or any other portion ofthe proposed structure into easement area is - ATTENTTON:OEBbihifa* requrres you to Notes: tolio* rules adopteo oy the oregon Utility N0TlcE: .lotification Center' Those rules are set for n oAR e52_001-0010 throush oAB e52-oo irrii'prrir"rT 'HALL EXPIRE lF THE w,RK c090. you may obtain copies of the rules i nUiHgRiZiD UND'R TH1S PERMTT lS NgT ca*ing the center. (Note: the tetephone iOrtrUf ruCf O 9l lS ABANDoNED FoR number for the Oregon Utility Notification ANY 180 DAY PERIOD' r\, *+^f :^ .r Qoo_QQc-2344\. Page 1 of 3 DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS ,SPEI,H6FITftr Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00096ISSUED: 0211312004APPLIED: 0112312004EXPIRES: 08/1312004VALUE: $ 11,372.00 Description Garage $ Per Sq Ft Square Footage or multiplier or Bid Amount $24.30 468.00 Total Value of Project Amount Paid Date Paid Value $11,372.40 $11,372.40 Date Calculated 0u23t2004 Fee Description Plan Review Residential + l0o/o Administrative Fee + 7%o State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Perm Serv/Fdr 200 amps or less Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $79.9s $24.60 $17.22 $15.00 $123.00 $63.00 $s9.00 $7.83 $156.60 $45.00 $591.20 u23t04 2fi3104 2n3t04 2n3t04 2l13t04 2n3t04 2n3t04 2n3t04 2fi3t04 2n3t04 Receipt Number 1200400000000000097 120040000000000020s 120040000000000020s 1200400000000000205 120040000000000020s 120040000000000020s 1200400000000000205 120040000000000020s 1200400000000000205 120040000000000020s tr'pps Peid Plan Reviews Initial Review Planning Review Public Works Review 0U26t2004 0U26t2004 0U26t2004 0u26t2004 02n2t2004 02t05t2004 APP APP APP LLH TAJ VRJ Site plan building foot print line represents outside of building eave. Intrusion of footings, eaves or any other portion ofthe proposed structure into easement area is prohibited. Storm drainage to existing and can go to existing as long as applicant uses and connects to existing downspouts for roof drainage. When applicant decides to pave driveway, contact PW Maintenance (#7 26-37 6l\ or Engineering (#726-3753) for permits to work in ROW. APP RJBStructural Review 0u26t2004 02t06t2004 Paee 2 of3 Tvpe of Construction Garage Valuation Descrintion I F PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00096ISSUED: 0211312004 APPLIEDz 0112312004EXPIRES: 08/1312004VALUE: $ 11,372.00 To Request an inspection call the24 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. 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 4 Shear Wall Nailing: Before covering sheathing with {inish materials. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Final Building: After all required inspections have been requested and approved and the building is complete. 7 Storm Sewer Line: Prior to filling trench. 8 Rough Electric: Prior to Cover 9 Electric Seryice: Approval required prior to utility company energizing service. 10 Final Electric: When all electrical work is complete. Reouired Insnections 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 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 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 will remain on the site at all times during construction. n 4 s-/30q Owner or Contractors Signature Date Pase 3 of 3 225 FIFTHSTREET . SPRINGFIELD, OR97477 c PH:(547)726-3753 o fe*F (s4DryZULg 689ct a s s ubmi tted has the r o il ow i n gz;ring and doss not require specific land useELECTKICALPERMITAPPLICATION Z {ZCityJobNumber Crsyytzpc>q- 000?6 Date J. Ll t-/s = 41,1L sf- approval. Zoning 1. LEGALDESCNPTION 1)oz 32q,3 o600 JOB DESCRIPTION Service Included i000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dweiling Service or Feeder 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect OnlY o<> Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Contractor Address Phone Supervisor License Number ExpirationDate ConsE. Contr. Number 0 Expiration Date Signature of Supervising Electrician Owners Name Address 9 c^at^t5 ?or',t'rrl,!, pho,. f-91 /Jl] ')' Installation, Alteration or Relocation 201 Amps to 400 AmPs $ 69.00 401 Amps to 600 AmPs $100'00 Over 600 or 1000 Volts see "B" above. A. B. C. D E. s106.00 s 19.00 s50.00 b3 City $ 63.00 s 75.00 s125.00 s 163.00 s375.00 $ 50.00 New Alteration or Extension Per Panel One Circuit $ 43'00 Each Additional Circuit or with f s :.OO Serv'ice or Feeder Permit 2 o /{ A City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent' Owners Limited EnergY,&.esidential $ 2s.00 Limited EnergY/Commercial S 45'00 Minimum Electric Permit Inspection Fee is $45'00 * Surcharges 76 5'16 7% State Surcharge 10% Administrative Fee 795 7/79_ TOTAL Shated Dnv e(T')i Building Pump or irrigation Sig::/Outline Lighting $ 50.00 $ s0.00 lns uest: '126'3169 4 Forms/Electrical Pernit App\ication l-03'dw t - *\ Qq q,s rll AfT',l CITY OF SPRINGF!ELD SYSTEMS DEVELOPMENTWORKSHEET JOURNAL OR JOB NUMBER: Com2004-00096 NAME OR COMPANY Shane Martin LOCATION 445 S 46th Street TAX LOTNUMBER 17023243 tl 6001 DEVELOPMENT TYPE:Addition NEW DWELLING UNITS 0 I. STORMDRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM BUILDING SIZE (SF) O LOT SIZE (SF) CHARGE $156.60 V) ElooQ &lrlFa r!d IMPERVIOUS S.F 0.00 NUMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU'S 0 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SUBTOTAL $ I 56.60 COST PER S.F s0.290 COST PER S.F s0.290 COST PER DFU s22.64 COST PER DFU $r7.21 NUMBER OF UNITS 0 NUMBER OF UNITS 0 ADM. FEE RATE 5% DISCOUNTRATE 50% $r s6.60 DISCOLINT $0.00 I rMPERVrous sr. xI s+o.oo RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS x x x x x x x x ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: l 070 1091 1092 I 093 1094 I 054 1 055 1 054 1 056 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 3. TRANSPORTATION A. REIMBURSEMENTCOST: xxCOST PER TRIP s17.23 COST PER TRIP $76.01 $0.00 NEW TRIP FACTOR 1.00 xx ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 x B. IMPROVEMENT COST: NI]MBER OF FEU'S 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( : SUBTOTAL (ADD ITEMS t,2,3, & 4\ 5. ADMINISTRATIVE FEE: $0.00 $ I56.60 CHARGE $7.83 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTA ADMINISTRATION FEE; Virginia Jurasevich 2tst2004 56.60 $0.00 $0.00 $0.00 $164.43 TRIP 1.00 COST PER FEU s314.63 COST PER FEU s214.23 PREPARED BY DATE TOTAL SDC CHARGES 079 DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES X T)NIT EQUIVAIENT = DRA]NAGE FXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD MISCELLANEOUS DFU ryPE NUMBER OF EDU'S 20 TOTAL DRAINAGE FIXTURE UNITS lSa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIXTURE UNITS 0 iEDU 0 0 3 0BATHTUB 0 0 1 0DRINKING FOLNTAIN FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 0 0 o 0CLoTHESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 0SHOWER, GANG (NUMBER OF HEADS)0 0 2 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK:COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 URINAL, STALL IWALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 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 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / lOOO $0.00 CREDITRATE s5.04x I so.oo CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO $o.oo CREDIT RATE x $5.04 :t 0 TOTAL MWMC CREDIT BEFORE 1979 $5.04 t979 $5.04 1980 $4.95 l98l $4.88 1982 $4.75 I 983 $4.58 I 984 s4.41 I 985 $4.20 1986 $3.88 1987 $3.50 l 988 $3.07 1989 $2.60 l 990 $2.14 l99l $1.71 1992 $1.52 1993 $1.38 t994 $ l.l9 1995 $1.03 1996 $0.87 1997 $0.68 r998 $0.46 I 999 $0.27 2000 $0.09 2001 $0.04 t-$u-db- 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt " Development Services Department Public Works Department z Receipt #: 1200400000000000205 Date: 0211312004 11:20:47AM coM2004-00096 coM2004-00096 coM2004-00096 coM2004-00096 coM2004-00096 coM2004-00096 coM2004-00096 coM2004-00096 coM2004-00096 Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Planning Building Permit Storm Sewer - lst 50 Feet Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7o/o State Surcharge + l0o/o Adminiskative Fee 156.60 1.83 59.00 123.00 45.00 63.00 15.00 17.22 24.60 Item Total:$5r 1.2s Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid CreditCard RACHEL LEE BURCH dlm 000299 112234 In Person Payment Total: $5 l 1.2s $5r 1.25 eas#l*{J} ( Construction Contractors Board Permit #: CO4?-c<1'{-O<) A ? 6 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Address: q Lt f S. '/6fl^ Issued by:Date: 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, exemptfrom 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 and2, and either box 3A or 38 K l. I own, reside in, or will reside in the completed structure. tr 2. I understand that I must become licensed as a construction contactor if the structure is sold or offered for sale before or on completion. tr 3A. My general contractor is (Name)(ccB #) I will instruct my ge,neral contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general 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 Responsibilities on the reverse side of this form. J'--tI -//-0/ (Signature of applicant)(Date) w E Property_owner.doc 03/ I I /03 copy to issuing agency permitfile, pink copy to applicant.) Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPON$IBILITIE$ N0ffi This lnformation Notice to Property Owners abaut Canstruction Responsibitities was developed by the Qonstruction Contractars Baard in accardance with ORS 7A1.A55(5J, passed by the 1989 Oregan Legislature. If you are acting as your own coikactor to con$truct a new home or make'a substantial irnprovement to an existing structure, you can prevent many problems by being aware of the follorving responsibilities and concerns. Employer Responsibilities 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 rvith the Conskuction Conhactors 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 following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes foom employee wages at t}le 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 503-986-2200 Unemployment Insurance Tax; As an ernployer, you are required to pay a tax for unernployrrent insurance purposss on the wages of all employees. For more information, call the Oregon Ernployment Department et 5A3-947-1488" 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 thejob. For more information, cail the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-78 I 5. 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 &e IRS at 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirerments that rhay be brouglrt to your attention through inspections. Liability and Property Damage fnsnrance: 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 shlls to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notiS 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) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 03ll I /03