HomeMy WebLinkAboutPermit 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 	q,,,1r",-;;;.;,:t,,
Otlier -ftesgro*sibiliā¬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 rrisuranDā¬ 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