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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$uring registered with DEQ please do so. Notes: Paee 1 of3 \E3 LUI\ lt(ALruK rNr(ryJ ($\e- l-rl, Y lrlJlrrlvrllN r rN lrjlryJ 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