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Home My WebLink AboutPermit Building 2003-05-22Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00301ISSUED: 0512212003 APPLIED,, O4I24I2OO3 EXPIRESz 1112212003VALUE: $ 10,349.00 SITE ADDRESS: 412 12TH ST ASSESSOR'S PARCEL NO.: 1703351412000 PROJECT DESCRIPTION: Garage Owner: STEVEN SHIRTCLIFF Address: 2487 DALE AVE EUGENE OR 97408 Contractor Springfield TYPE OF WORK: Garage TYPE OF USE: New \o \) Residential Contractor Type General Owner STEVEN STEVEN Expiration Date Phone 541-344-2738 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: lmpervious Surface Area: \S REQUIRED PARKING Total: 4 Handicapped: Compact: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I 12.00 of Heat: Type: Range Type: Energy Path: 528 25.00 Yes 11.00 17.00 29.00 1t0 Fuily Improved Sidewalk rype: setback 5' Yes Downspouts/Drains: Curb and Gutter Applicant is planning to use existing curbcut and has already paved back first 18 ft. Square Footage t0s 5.00 Description Type of Construction $ Per Sq Ft Page I of3 Value Date Calculated r$ Valuation Description I 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: COM2003-00301ISSUED: 0512212003 APPLIEDz 0412412003 EXPIRESz 1112212003VALUE: $ 10,349.00 Garage Garage Fee Description Plan Review Residential + l0oh Administrative Fee + 77o State Surcharge Building Permit Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $19.60 s28.00 Total Value of Project Date Paid Receipt Number 1200200000000001066 1200200000000001306 1200200000000001306 1200200000000001306 1200200000000001306 1200200000000001306 1200200000000001306 1200200000000001306 $10,348.80 $10,348.80 04t24t2003 Amount Paid $74.88 $16.02 $11.21 $115.20 $59.00 $9.s3 $190.63 $45.00 $521.47 4t24t03 st22t03 5t22t03 st22t03 st22t03 5t22t03 5t22t03 5t22t03 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 04t2512003 04t29t2003 05/08/2003 0412912003 04t29t2003 05/08/2003 05/09/2003 0sn4t2003 APP APP APP APP LLH EMM VRJ TCM Standard parking space size is 9x18. No public works permits, SDC's for impervious surface only. 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 Shear Wall Nailing: Before covering sheathing with finish materials. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Final Building: After all required inspections have been requested and approved and the building is complete. 6 Storm Sewer Line: Prior to filling trench. Reauired Insnections Paee 2 of3 Hees Prirl I 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: COM2003-00301ISSUED: 0512212003 APPLIEDT 0412412003 EXPIRESz 1112212003VALUE: $ 10,349.00 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 Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\ICY 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. EI 3a-o'3 Owner or Contractors Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt " Receipt #: 1200200000000001306 D*et ost22t2oo3 coM2003-00301 coM2003-00301 coM2003-00301 coM2003-00301 coM2003-00301 coM2003-00301 coM2003-00301 Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - lst 50 Feet + lYo State Surcharge + l0o/o Administrative Fec 59.00 190.63 9.53 115.20 45.00 tt.2t 16.02 Item Total:$446.59 Check FRANCES HART djb 446.59In Person Payment Total:$446.s9 s/2212003 l:35:35PM Page I of 1 cReccipt.rpt Construction Contract- - s Board permit *, AilUZr;C Address: L'l lL OO3(, I tZ+L- SF700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Issued by:Date Statement: lnformation Notice to Property Owners About Gonstruction Responsibi lities 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 and2, and either box 3A or 38 d l. I own, reside in, or will reside in the completed structure. H 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. 3,A.. 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 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 notii/ 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. -O (Signature of permit )(Date) prop-own.doc 05122100 filrhite copy to issuing agency permit file, pink copy to applicant.) v v Actimg as Your $wm G*mex"*l Comtractor? ,r,, .r,'+-'-:":'!trl'a INFORMATION NOT|CE.TO pR{]PEftTY OWNERS -' '' 1, i. i-:,f Anour eoN$TRUensN ffirsp&t{srgrLrn'i:*:-.'i': i;r' ' ry=;i If you are acting as your.ow&Fnkrytrq{ to eossmct{h-.ryS._fr,---utprra{pp substt&lgqpfqement to an existing struclure, you can prevenl manl'problems by hiing:rnare ol-the folloi,ving responsibilities aird concerns. i',,:'.1:, , , EmployerRespon*ibllitie$ , : :._. ,,.,1 Oreg*n's Withholding'Fax Larv: As an empl*yer: ysu rnxst r*ithlt*ld income taxes from employee wages at the time employees are paid. You wrll b6lia$Ie for the |ax'$*yi:ne*ti'e+en if you dont act{liflli wltirtrUAtne t* tU* Viirif employees" F*r a State Business tr-D number, call the B*sir:ess Inf*rmation Center at 5il3-986-2222 on th* wage$ of'all ernpioircr:s. I,or more informalion, *a11th* *regrm Emplayrnent Department at 503-3?8-3524 t; \u's-,rll{,t';;'Comperitxtion r-nlurance; As 1tn rmplover. }'{}rr;:rr suhjeci to thc Ctrcgon Workers''Con\pensation La*, a:ld rrLrst *btarn wr.'rlil,i\' ;t)mprnsatior, insur*n*g fq11 r,6t1.rT'e;:rpl*y*es. 'If you failkr,bbtairr werrkCrs'cbmpcnsation insurance, you c'ould be subject to penaltles anci be liable fr:r allclaim costs rf one ol l.our employees is injured on thejob. For more infbrmation. cail the Workers' C-'omirc;isation *ivision at the llepartment of Consumer and BUsiness Serr.i;es at 503-947-7810. 1"'l' ;,'i '':, ir:J';' t.,. . i't1 A': .,r t t' -'r(1); ,.lii/j IJ"S. internal Revenue Servicc: As an employer, you rrlust wilhhold lbderal income tax from employees' wages. You .;tjff be,tiabte for the t*ix praynnour even rl.you di&'t actually:ri.i*rhold.r&e tdx:*ona,fipderdrElhBiiunber, fax the IRSatBi0-620-7115orrrrite rorhemat[RS,Mail srop'62?.i;,toEq&rg*l,ogden UT &#9q,,,1r",-;;;.;,:t,, Otlier -ftesgro*sibili€ie,i x{a* &r*;{s *f Concerns \,i Caile {-rtfilpliance: '1 s iir, p,:rrrit iroidcr irr rhrr 1..)er:i ',{rd a1f r**ponsible fOrreSOlvi6gralqpfat'ftile'tci rneet codb, requirem::tls ti:ili lii,v irr.. l-';,-rpglil to yerir altet'liroir tirrcugh i;:spe,:i:orl.;" \ ,,i:.::,";i;l : ) ,. -j.. i' .;r.i .,:\..:.",,.1 :,,,Liability and l}ro.pert.y Uamage Insqrancc: Con*cr ),r>*r rrisuranD€ agcnt iq sce jf yqq,hayjladequ&te rnsurance eoYer;1gq iOtr accidr:nts aiiij oint$srons such as friling tocis, p:3i1;1 et,{:r, sHraJ{; \,r"qts,r Jarnagg frugq pJpg pw',ctures, flire or flis*e: tllk-. liurc )otl iiavr suil'rr;i*nt tinre irr suiltr'",isfl ;,*ur e urpl*ye*s :.. - .: : ! I'lprrr'{itr:; \{ir^r- .irir,, r,.-, h:}\','ilrg'.t( 11- to act rl v(}ltr o\\'n ltcneral contrartor..tgcoordinhte the Wglk oftrough-in *nrl finirirh fa<Ies, and.qtr.riuirl\'hr-riiding o1f*ials as thr.: *;:pr*priat* iimcs s* rh*y can ferfonn the rr:quirdlinspections. llya;s ita",,'* arlrJilrcnh:l'quesiir:ns cai j thc {l*nslr*r,tl** fl$ntl'act*rir Soard {503-3?S4621 ext,4g00) or write the agency at ilC lior 14.l.+0 5airm" Ol{ 97J09-5052. NOIF: Tttis lnformation Natice to Properly Awners abau! ea*struction Fesponsibilities was developed by the wit?tConstructiontfiBoard ihe 1 989bstdlpassed7At prop-crrm.do c A5 I 22 I 00 GITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00301 NAME OR COMPANY Steven Shirtcliff LOCATION:412 l2th Street TAX LOTNUMBER:17033514 tl 12000 DEVELOPMENT TYPE: Duplex - Garage Addition NEW DWELLING I.INITS 0 BUILDING SIZE (SF, O LOT SIZE (SF)0 aHn O &HFv) o rrl& 1070 l09l 1092 I 093 1094 I 054 1055 1054 1056 1079 1078 I. STORM DRAINAGE DIRECT RUNOFF TO CIry STORM SYSTEM t TMPERVIoT.JS s-F' xI ozo.oo COST PER S.F, $0.282 CHARGE $190.63 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 x COST PER S.F s0.282 x DISCOUNT RATE 50% DISCOUNT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $190.63 $190.63 2. SANITARY SEWER - CIry A. REIMBURSEMENT COST: NUMBER OF DFU's 0 x COST PER DFU s22.09 : I $o.oo B. IMPROVEMENT COST: NUMBER OF DFU's 0 x COST PER DFU s I 6.79 $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE 9.5'7 x NUMBER OF UNITS 0 x COST PER TRIP $16.81 NEWTRIP FACTOR 1.00 : I $o.oo B. IMPROVEMENT COST: ADT TRIP RATE 9.57 NUMBER OF UNITS 0 x COST PER TRIP s74.17 x NEWTRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC $0.00 A. REIMBURSEMENT COST: NUMBER OF FEU's 0 x = I $0.00 B. IMPROVEMENT COST: NUMBER OF FEU's 0 x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWERSD( = : I $o.oo COST PER FEU $332.86 COST PER FEU s34.83 SUBTOTAL (ADD ITEMS 1,2,3, & 4\$190.63 5. ADMINISTRATIVE FEE: SUBTOTAL s 190.63 x ADM. FEE RATE 5% CHARGE $9.53 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: I e.53 Virginia Jurasevich st8t2003 PREPARED BY DATE TOTAL SDC CHARGES ITEM 2 TOTAL - CITY SANITARY SEWER SDC x DRAINAGE FIXTURE UNIT CALCULATION TABLEDTU NUMBER OF NEW FIXTURES X LTNIT EQUIVALENT : DRAINAGE FXTURE T]NITS DRAINAGE FIXTURE UNITS NO. OF FIXTURES FIXTURE TYPE NEW OLD (NOTE: FORREMODELS, CALCULATE ONLY TI{E NET ADDITIONAI FXTURES) I.-rNIT EQUIVALENT 0003BATHTUB 0 1 00DRINKING FOUNTAIN 0 0 3 0FLOORDRAIN 0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 6 00INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 2 0LAUNDRY TUB 0003CLOTHESWASHER / MOP SINK 0 6 00CLoTHESWASHER - 3 OR MORE (EA) 0 0 12 0MOBILE HOME PARK TRAP (1 PER TRAILER) 0001RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 3 00RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 2 0SHOWER, SINGLE STALL 0002SHOWER, GANG (NUMBER OF HEADS) 0 3 00SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 2 0SINK: COMMERCIAL BAR 0002SINK: WASH BASIN/DOUBLE LAVATORY 0 0 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 5 0URINAL, STALL / WALL 0 6 00TOILET, PUBLIC INSTALLATION 0 0 3 0TOILET, PRIVATE INSTALLATION toa set at 167 0 unit MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS *EDU lsa MWMC CREDIT CALCULATION TABLE: B,A.SED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / IOOO s0.00 CREDIT RATE s4.92x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $4.92 :l 0 TOTAL MWMC CREDIT BEFORI 1979 $4.92 1979 $4.92 1980 $4.83 198 1 $4.77 1982 $.1.64 1983 s4.4',7 I 984 $4.30 1985 $4.09 I 986 $3.78 1987 $3.41 1988 $2.98 l 989 $2.52 1990 s2.06 1991 s1.64 1992 $1.45 1993 s1.31 1994 $1.r3 1995 $0.97 I 996 $0.82 1997 $0.63 1998 $0.41 t999 $0.22 2000 $0.04 20 l-so'-o-o- I so.oo CitY of SPringfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676Fax May 06,2004 SHIRTCLIFF STEVEN 2487 DALE AVE EUGENE OR Job Number: Location: 97408 coM2003-00301 4I2I?THST 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 at 412 L2TH ST which is set to expire on 613012004. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff 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. If you do not request an inipection 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 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor