HomeMy WebLinkAboutPermit Building 2003-06-05Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2003-00379ISSUED: 06/05/2003
APPLIED: 05/1512003
EXPIRESz 1210512003VALUE: $ 4,704.00
SITE ADDRESS: 619 S 34th St
ASSESSOR'S PARCEL NO.: 1702313403903
PROJECTDESCRIPTION: Garage
OWNCT: BILL BAUMGARTNER
Address: 619 S 34TH ST SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Garage
TYPE OF USE: New Residential
PhoneNumber: 541-953-8329
PhoneNumber: 541-343-6595
Contractor Type
General
Owner
Plumbing
Contractor
OWNER
BILL BAUMGARTNER
OWNER
License Expiration Date Phone
s4l-953-8329
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
\$
Iype:
Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
#
R-3
u-1
65.00
6.00
11.00
240
REQUIRED PARKING
Total: 2
Handicapped:
Compact:Yes
s.00
0.00
Sidewalk Type:
Downspouts/Drains: Drywell - Provide
Storm to go to existing drywell. Applicant gave dimensions of 6 x 6 x 5. If dry0dlhnlliftt$uring
registered with DEQ please do so.
Notes:
Paee 1 of3
\E3
LUI\ lt(ALruK rNr(ryJ
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Building/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: COM2003-00379ISSUED: 06/05/2003APPLIED: 05/1512003
EXPIRESz 1210512003VALUE: $ 4,704.00
Description
Garage
Tvpe of Construction
Garage
$ Per Sq Ft
$19.60
Square Footage
240.00
Value
$4,704.00
$4,704.00
Date Calculated
05/15/2003
Fee Description
Plan Review Residential
+ l0oh Administrative Fee
+ 7Yo State Surcharge
Building Permit
Plan Review - Planning
Refund - SDC Storm
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$44.46
$11.34
$7.94
$68.40
$59.00
$-43.43
$2.17
$86.86
$45.00
s281.74
Receipt Number
120020000000001224
1200200000000001454
1200200000000001454
12002000000000014s4
r2002000000000014s4
12002000000000014s4
1200200000000001454
1200200000000001454
1200200000000001454
5/15/03
6tst03
6tst03
6tst03
6t5t03
6t5t03
6t5t03
6lst03
6tst03
tr'ees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
0sn6t2003
0st20t2003
05t22t2003
05t20t2003
05t22t2003
06/03/2003
APP
APP
APP
LLH
AJI)
VRJ
05t20t2003 0610212003 APP DLM
Storm to go to existing drywell.
Applicant gave dimensions of 6 x 6 x
5. If drywell has not been registered
with DEQ please do so.
See documents for plan review
comments
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 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Paee 2 of3
Renrrired Insnecfions
Valuation Descrintion I
Status 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: COM2003-00379ISSUED: 06/05/2003APPLIED: 05/1512003
EXPIRESz 1210512003VALUE: $ 4,704.00
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 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
times during construction.
at the front of the property, and the approved set of plans will remain on the site at all
u) ,4"{_cz
Owner or Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Oflicial Receipt
Receipt #: 1200200000000001454 Date:06/0s/2003
Jotfloun.l Number I]c$rtption
cdMroo5{or?r...........G]i
COM2O03-00379 Buildi4Permit 68.40
COM2O034O379 Storm Sewer - lst 50 Fe€t 45.00
COM200340379 + 7% State Surcharce 7.94
COM2OO34O3?9 + 10% AdmiDistrative Fe" 1l3o
COM2OO3-00379 Storrn Drainage knpervious Area 86.86
CoM2oo3-00379 Rfftnd-sDcstom @3.43)
coM2003-00379 SDC Sanitary/Storm Admin 2.17
Item Total:$237.28
Check w G BAUMG;\RTNER djb In P€rson 237.28
Payment Total:$237.28
6/512003 2:47:3lPM Page I of I cRcccipt.rpt
**tffim*
(
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN T WORKSHEET
aslaoUilHFv)
E]&
I 070
l09l
1092
l 093
1094
I 054
I 055
I 056
t079
1078
0
JOURNAL OR JOB NUMBER: com2003-00370
NAME OR COMPANY Bill baumgartner
TAX LOTNUMBER:17023134 tl3903
NEW DWELLING UNITS 0
LOCATION 619 S 34th Street
BUTLDTNG SIZE (SFl 0 LoT SIZE (SF):
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
COST PER S.F
$0.282
CHARGE
$86.86
IMPERVIOUS S.F
308.00
COST PER S.F
$0.282
DISCOUNTRATE
50%
DISCOUNT
($43.43
$43.43ITEM 1 TOTAL - STORM DRAINAGE SDC
x x
$43.43
f TMPERVIoLTs s-F.
| :os.oo
AND CONSTRUCTED TO CIry STANDARDSRLINOFF ROUTED TO DRYWELL DESIGNED
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
NUMBER OF DFU's
0
COST PER DFU
s22.09
NUMBER OF DFU's
0
COST PER DFU
s 16.79
$0.00
B. IMPROVEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
x l-$0.-0-6-
x
2. SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
NUMBER OF UNITS
0
COST PER TRIP
s I 6.81
NEW TRIP FACTOR
r.00
ADT TRIP RATE
9.57
NTA4BER OF UNITS
0
COST PER TRIP
s74.17
NEW TRIP FACTOR
r.00
$0.00
B. IMPROVEMENT COST:
ITEM 3 TOTAL - TRANSPORTATION SDC
xxx
xxx
3. TRANSPORTATION
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =$0.00
COST PER FEU
s332.86
COST PER FEU
s34.83
B. IMPROVEMENT COST:
x
= | $0.00
: I $o.oo
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
SUBTOTAL (ADD ITEMS 7,2,3, & 4)$43.43
SUBTOTAL
s43.43
ADM. FEE RATE
5%
CHARGE
s2.17
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
5. ADMINISTRATIVE FEE:
x
I
TOTAL SDC CHARGESVirginia Jurasevich
PREPARED BY
6t2t2003
DATE
l-$e-66-
: I $o.oo
x
: I $o.oo
lT
L
DRAINAGE FIXTURE UNIT CALCULATION TABLEI.,Il U
NUMBER OF NEW FIXTI-IRES x LNIT EQUIVALENT: DRAINAGE FIXTURE UMTS
DRAINAGE
FIXTURE
UNITS
NO. OF FIXTURES
FIXTURE ryPE NEW OLD
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FXTURES)
LINIT
EQUIVALENT
BATHTUB 0 0 3 0
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRYTUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK:COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY n 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL / WALL 0 0 5 0
TOILET, PUB LIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
0
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
20 0
TOTAL DRAINAGE FIXTURE UNITS
*EDU lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$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/ IOOO CREDITRATE
$0.00 x 54.92 = I s0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $4.92
TOTAL MWMC CREDIT
BEFORE I979 $4.92
1979 $4,92
1980 $4.83
l98l $4.77
I 982 $4.64
1983 $4.47
1984 $4.30
I 985 $4.09
1986 $3.78
t987 $3.41
I 988 $2.98
l 989 $2.52
1990 s2.06
199 l s1.64
t992 $r.45
I 993 $1.31
1994 s1.13
1995 $0.97
1996 s0.82
1997 $0.63
1998 $0.41
t999 $0.22
2000 $0.04
l--Ed:d'6-
City of Springfield
225 Fifth Street, Springfield, OR97477
541-126-3759 Phone
541-726-3676Fax
December 02,2003
BAIIMGARTNEtsILL
619 S 34TH ST
SPRINGFIELD oR 97478
Job Number:
Location:
coM2003-00379
619 S 34th St
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 wthin 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 619 S 34th St which is set to expire on
t2ll2l2}O3. Our records indicate that you have not reguested 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 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 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
Construction Contractbrs Board Permit #: (Ovt Z-Cv--go3: )
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
Web Address: www.ccb.state.or.us
Lrz s 3#lAddress
Issued by:\s Date: 6 _r ,o
Statement: lnformation Notice to Property Owners
About Construction 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 and,2, and either box 3A or 38:
X
-k
1. I own, reside in, or will reside in the completed structure.
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.
tr 3A. My general contractor is
(Narne)(ccB #)
I will instruct my general contactor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
3B. 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 information is correct and that I have read and do understand the Information
N,to about Construction Responsibilities on the reverse of this form.
-1
ofpermit applicant)(Date)
ffiite copy to issuing agency permitfile, pink copy to applicant.)
Property_owner. doc 03/ I I /03
A
A*timg ns Your Own Gexreral Contractor?
$NFCIRMATI*N TqSTIfiE TO PMSPBRTY #WNER$
ABOUT SOH$TKUCTISN RH$PSNSIffiXI-ITIffiS
i{OfS: Iltis fnfor*:a*ion Noflee fo Properfy Owners abouf t**sfruc#nn Resp**sr*ilrfre$ was deuefap*d *y f*e
Corsfr*c#cn Confracfors Soard i* acc*rdanc* with Otr.S f0{.05${$}, passed by ttre 1989 Aregan legisfafure"
If ycu are acting a"5 yonr own contractor t* csnstruct a new hrme cr make a substa*tial improvem*ni t* an *xisti;:g
strusturs" yo* cafi prevent many pr*blems by b*ing awar* of the fl*Il*rvi*g rcsp*nsibilities ar:d c*nc*rns.
E mployer Sl.espon si bi lities
You will, in most instanccs. be ruled to be an o'employsr" and the eontractors y<tu conkact with will be "ercployees" if
you use c*ntractors not licensed with the Construction Coniractors So*rd r* do labor in c*nskucting or to assist in the
c*n$trll*lisn or imprnvement r:f a residential $trusture. As th* *rnployer, you milst comply with the following:
Oregon's'trffithholding Tax Law: As an employer, you must withhold income taxes trom employee wages at the time
employees are paid. You will tre iiable far the tax payment$ eve$ if you don't actually withhold the tax from your
employees. For a $tate I*usiness ID number, call the Business Information Center at 503-986-2200.
trinemployment Insurnnce Tax: As an empl*yer, you are required lo pay a tax for unersplalrnent insuran*e purpose$
on the wages of ail employees. For more information, call the ()regon Emplayment Department at 503-94?-i488.
lVorkersl Compensati*x Insurance: As a* employer! ysu are sub.ject to the OregaR Workers' Compensation Law,
and must obtain workers' campensation insurance for your empl*yees. If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for ali ciairn costs if one af your employees is injured on the
job. For more information, c*ll the Workers' Compensation Dir4sion at the Department of Consumer and Business
Services at 503-947-7{ii5.
U.S. Internal Revenue Ser.vice: As an ernployer, 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 the
IRS at 866-816-2065 or fax them at 801*620-7115.
Other lLesponsibiliti*s and Aren$ sf Concerns
Code Complianc*; As the permit holder fcr this pro3ect, you are respcnsible for resoiving any failure to meet *ode
req*irernents that may he brought to your attention through inspecti*:nx"
tiability *xd Property ilam*ge fnsurance: Contact your insurance agent t$ see if y*u have adeqr.rate rnsurance
covsrage for accidents and omissians such as falling toois, paint over $pray, water damage fiom pipe purctures, ftre or
work that must be redone.
Time: Make sure you have sufficient time to supervise your emplayees.
Xxpertise: Make sure you have the skills to act as your own gereral 'cexlraetor, tr> coordinate the w*rk *f raugh-in
and finish kades, and to notit/ buiiding officials as the appropnate tirnes so they can perform the required inspeetions"
If you hal-e additional questions call the Construction Confractors Bnard {503-3784621) or write the agency at P0
Box 14140, $alem,(}R 97309-505?.
Properfy*ovrner.dr:c S3lt I 103