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Home My WebLink AboutPermit Building 2008-7-3 ~iiir' .', CITY OF SPRIN\J'l'1J'..Lu Building/Combination Permit PERMIT NO: COM2008-00731 ISSUED. 07/03/2008 APPLIED: OS/22/2008 EXPIRES: 01/03/2009 VALUE: $ 42,900.00 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 6690 MAIN ST ASSESSOR'S PARCEL NO 1702344107002 Spnngfield TYPE OF WORK Garage TYPE OF USE AdditIOn Res.dentlal PROJECT DESCRIPTION Office add.l1on to eXlstmg garage Owner FARRIS BYRON S Address 6690 MAIN ST SPRINGFIELD OR 97478 Phone Number 360-521-5952 I CONTRACTOR INFORMATION I Contractor Type General MechanIcal Plumbmg Contractor OWNER OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I # of UnIts Pnmary Occnpancy Group Secondary Occupancy Gronp Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms VB # of Stones Height of Structnre Type of Heat Water Type. Range Type Energy Path Spnnkled BUlldmg I 12 00 Wall Heat Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 10,890 550 R-3 Path 1 n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback Side I Setback Side 2 Setback Rearyard Setback Solal Setbacks 2000 11 00 11 00 500 Total Handicapped Compact ATTENTION Oregon law reqUIres v~~ to I' ... ""M,tOrl hv the OISa'lI' :Jllllty I PUBLIC IMPROVEME~ .,cat10n Center Those rUhleos a~e 9';2-~O;'~ tlR 95,?-001-001 0 thrcug f" ~O~O Yoti',~~J"I'!I!lffi):pe Jples of the rules by . on~ 'Note the telephone callmg DWwnsp rlItsIDrains'llY Notl~urJNtnd Gutter number for the regon UUI ' "- Center IS 1_800-332-2344) Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Street ImprovemltfCtnCE: Storm Sewer Av"/\-!lt'JepERMIT SHALL EXPIRE IF THE WORK Special Instruct.o,/\ AUTHORIZED UNDER THIS PERMIT IS NOT Notes Storm ~[;,M"t1f~{I\lgCl~sl~m~BANDONED FOR ANY 180 DAY PERIOD Page 1 of 4 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme DescnDtlOu TVDe of ConstructIOn Garaee Conver Garaee Fee DescnDtlOn Plan ReVIew ReSIdential -Mechamcal Issuancc Fee- + 10% Admlmstratlve Fee + 12% State Surcharge + 5% Technology Fce BUlldmg PermIt FIre SF Fee - Res,dentlal Fixture Mlmmum/AdJustment Mechdmcal Plan Revlcw Mmor - Planmng Samtary Sewer - Improvement Samtary Sewcr - ReImbursement SDC Samtary/Storm Admm Storm Dramage ImpervIOus Area Storm Sewer - 1st 50 Feet Vent Fan Total Amount PaId Imtldl ReView OS/23/2008 PublIc Works ReVIew OS/23/2008 PublIc Works ReVieW 06/02/2008 Structural ReVIew OS/23/2008 Planume: ReView OS/23/2008 I ValuatIon DescrlOtIon I $ Per Sq Ft or multiplIer $78 00 Square Footage or BId Amount 550 00 Total Value of Project Fpp<. PqulJ Amount PaId $236 12 $20 00 $57 08 $65 19 $32 96 $363 26 $27 50 $80 00 $43 00 $11600 $61 21 $80 50 $1830 $224 22 $50 00 $700 $1,482 34 Date PaId 5/22/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 7/3/08 I Plan ReVIews I OS/23/2008 OS/28/2008 06/02/2008 06/1 7/2008 06/24/2008 APP LLH CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00731 ISSUED: 07/0312008 APPLIED' OS/22/2008 EXPIRES. 01/0312009 VALUE $ 42,900.00 Value Date Calculated $42,900 00 $42,900 00 OS/22/2008 ReCeipt Number 1200800000000000547 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 2200800000000001021 WE Called on 5-28-2008 requestmg mformatlOn Called agam on 6-2-2008 and the wrong phone nnmber IS lIsted Waltmg for owner to call us Thanks APP LKW APP DLM APP TAJ Paee 2 of 4 Storm to eXlstmg system See documents for Plan review comments Not approved as an addItIOnal dwellIng umt No cookmg faCIlIties allowed -~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00731 ISSUED' 07/03/2008 APPLIED' OS/22/2008 EXPIRES: 0110312009 VALUE: $ 42,900.00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspechon Lme To Request an mspectlOn call the 24 hour recording at 726-3769. All inspectIOns requested before 7:00 a m will be made the same workmg day, inspectIOns requested after 7:00 a.m will be made the followmg work day. IR",,~ Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn m conJunctJon With footmg and/or foundatIOn mspechon Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete placement Post and Beam Pnor to 1100r msulahon or deckmg Floor InsulatJon Pnor to deckmg Shear Wall Nadmg' Before covermg sheathmg WIth finIsh matenal; Frammg InspectIOn Pnor to cover and after all rough m mspectlOns have been approved Wall InsuldtJon Pnor to cover Cedmg InsulatIOn Pnor to cover Drywall Pnor to tapmg Fmal BUlldmg After all reqUIred mspectJons have been requested and dpproved and the buddmg IS complete Underl100r Plumbmg Pnor to msnlatlOn or deckmg Undert100r Dram Pnor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Water Lme PI lOr to filling trench and mcludmg reqUIred testmg SanItary Sewer Lme Pnor to filling trench and mcludmg reqUIred testmg Storm Sewer Lme PrIOr to fillmg trench Fmal Plumbmg When all plumbmg work IS complete Rough MechanIcal Pnor to Cover Fmal MechanIcal When all mechamcal work IS complete Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete Pa!!e 3 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00731 ISSUED 07/03/2008 APPLIED 0512212008 EXPIRES. 01103/2009 VALUE: $ 42,90000 By signature, I state and agree, that I have carefully exammed the completed applicatIOn and do hereby certIfy that all mformatlOn hereon IS trne and correct, and I further certIfy that any and all work performed shall be done m accordance With the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descrlhed herem, and that NO OCCUPANCY WIll be made of any structnre wlthont permissIOn ofthe Commnnlty ServIces DIVISIOn, Blllldmg Safety I further cerl1fy that only contractors and employees who are III compliance WIth ORS 701 005 will be used on thiS project I further agree to ensnre that all requlI ed mspectlOns are reqnested at the proper lIme, 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 remam on the site at all times dUrIng constructIOn f3qAffi ;;tJ7/lf L- OW?! or Contractors Slgnatnre Page 4 of 4 7/2 / uP I V Date DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF N~ W FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS II (NOTE FOR REMODELS CALCULATE ONLY TIIE NET ADDITIONAL FIXTlJR.bS) I NO OF FIXTIJRES DRAINAGE UNIT FIXTURI: FlXTURI: TYPE NEW OLD EQUIVALENT UNITS IBAfHTUB 0 0 3 = 0 I DRINKING fOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASC lOlL 1 SOLIDS 1 ETC 0 0 3 = 0 I INTERCFPTORS FOR SAND 1 AUl 0 WASH 1 ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I I CLOTHESW ASHER 1 MOP SINK 0 0 3 = 0 I I CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEP roR fOR REf RIG I WATER STATION 1 ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK 1 DISHWASHER 1 ETC 1 0 3 = 3 'I SHOWER SINGLE STALL 0 0 2 = 0 I ISHOWER, GANG (NUMBER OF HCADS) 0 0 2 = 0 I I SINK COMMERCIALIRESIDEN fLAL KITCHEN 0 0 3 = 0 I ISINK COMMERCIAL BAR 0 0 2 0 I I SINK WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 :1 ISINK SINGLE LAVAroRY/RESIDENTIAL BAR 0 0 1 = 0 I URINAL, S fALL 1 WALL 0 0 5 = 0 I ITOILCT, PUBLIC INSTALLAfION 0 0 6 = 0 I ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 3 *EDU (EQuivalent Dwelhng Umt) IS a dlschar,ge equivalent to a smgle f~llv dwelling umt (20 DFU's) "et at 167 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATC/$l,OOO ] ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $529 (Enter I for Yes, 2 for No) , 1979 $529 IS IMPROVEMENT ELGlBLE FOR ANNCX CREDIT? 2 Ii 1980 $519 (Enter I for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 i ]982 $498 I I ]983 $480 CREDIT FOR LAND (IF APPLICABLE) 1984 $463 VALUE 11000 CREDIT RATE 1985 $440 $000 x $529 ~ , $000 ;1 I 1986 $407 I 1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $322 VALUE 1 1000 CREDIT RATE I 1989 $273 $000 x $529 ~ , 0 I 1990 $225 I 199\ $180 I 1992 $159 TOTAL MWMC CREDIT = $000 I 1993 $145 I 1994 $125 I 1995 $109 I 1996 $092 I ]997 $072 I 1998 $048 Ii ]999 $028 2000 $009 2001 $005 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOrNUMBER DEVELOPMENT TYPE NEW DWELLING UNITS COM2008- BY!'on Fams 6690 Mam Street 1702344107002 Smgle Family Residence o BUILDING SIZE (SF 550 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x 1 COST PER S F I I CHARGE I 648 00 I $0 346 = $224 22 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F I x I COST PER S F I x 1 DISCOUNT RA 1 E I I 1 0 00 1 $0 346 ! 1 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC $22422 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's I x I 3 I B IMPROVEMENT COST I NUMBER OF DFU's I x I 3 I COST PER DFU $26 83 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE I I 957 I B IMPROVEMENT COST 1 ADT TRJP RATE I 1 957 x I NUMBER OF UNITS I x I I 0 1 I x I NUMBER OF UNlTS 1 x I I 0 1 I ITEM 3 TOTAL - TRANSPORT A nON SDC ~ , 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's I x I 0 I B IMPROVEMENT COST INUMBER OF FEU's I x I 0 1 ICOST PER FEU I $95 35 ICOST PER FEU 1 $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWER SDC = I $14171 COST PER I RIP 2043 COST PER TRJP $9010 $000 $000 DISCOUNT $000 62218 $224 22 11- m pc) '" o u ~ 1 pc) -I~ 5 pc) ~ 11070 x INEW TRIP FACTORI I 100 x INEW TRIP r ACTORI 1 100 $80 50 $6121 $000 $000 = $000 11091 I 1'1092 I, I 1093 11094 I I 11054 I 1055 1054 1056 SUBTOTAL (ADD ITEMS 1,2, 3, & 4) ~ I $365 93 = $000 $000 $000 5 ADMINISTRATIVE FEE 1 SUBTOTAL x I ADM FEE RATE I~ I $365 93 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMJN]STRATION FEE - Kaye Wilson PREPARED BY CHARGE $1830 1830 $000 '1079 11078 TOTAL SDC CHARGES ~ $384 23 I II 6/2/2008 DATE Construction Contractors Board Pemnt# Cae-f2./lClf!. - 0073 I 700 Summer St NE SUIte 300 Address c..,(p 9 0 P1 ~/AJ S:r- PO Box 14140 , / Salem OR 97309-5052 Is -;t./V Date -;".:$.--() r;- Phoue. 503-378-4621 Y I Web Address' www ccb.state or us Statement: Information Noti~operty Owners About Construction Responsibilities _ ~ Note Oregon Law, ORS 701 055(4) requires reSidential constructzon permit applicants who are not lzcensed with the Construction Contractors Board to sign the followzng statement before a bUIldzng permit can be Issued This statement IS reqUired for reSidential buddzng, electrical, mechanzcal and plumbzng permits Licensed architect and engzneer applzcants, exempt from lzcenszng under ORS 701010(7), need not submit thiS statement This statement will befiled with the permit FIll In the appwpuate blanks and InItIal boxes I and 2, and eIther box 3A or 3B ;a: I ~2 I own, reSIde In, or wIll reSIde In the completed structure I understand that I must become lIcensed as a constructIOn contractor If the structure IS sold or offered for sale before or on completIOn o 3A My general contractor IS JL3B (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 I wIll be my own general contractor If! lure subcontractors, I wIll hIre only subcontractors lIcensed wIth the ConstructIOn Contractors Board Ifl change my mInd and lure a general contractor, I WIll contract WIth a contractor who IS lIcensed wIth the CCB and wlllunmedJately notIfY the office ISSUIng tlus bUIldIng permIt of the name of the contractor I hereby certIfy that the above mformatIOn 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. xo/~s,$~m') . 7A~! f/ (WhIte copy to Issuzng agency permit file, pznk copy to applicant) Property_owner doc 06-01-04 ActIng' ~fs -y o'ur- Own General Contractor? '- \-"INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CON!?TRUCTION RESPONSIBILITIES NOTE ThIs Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board In accordance with ORS 701 055(5), passed by the 1989 Oregon LegIslature If you are actmg as your own contractor to construct a new home or make a substantial Improvement to an eXlstmg structure, you can prevent many problems by bemg aware of the followmg responsIbIlItIes and conccms Employer Responsibilities , , , You WIll, In mosJ Instances, be ruled to be an "employer" apd the contractors you contract WIth wIll be "employees" If you use contractors not hcensed Wlth the ConstructIOn Contractors Board to do labor 10 constructmg or to assIst In the constructIOn or Improvement of a resIdential structlJfe As the employer, you must comply with the following: , ,- \ ,,\ .. . - .\.. I \ Oregon's WIthholdmg Tax Law. As an employer, you must WIthhold mcome taxes from employee wages at the tIme employees are paId You wIll be hable Jor the tax payments even ,If you don't actually WIthhold the tax from your employees For more mformatlOn, call tlfe Depiirtment of Revenue at 503-378-4988 Unemployment Insurance Tax: As an employer, you are reqUIred to pay-a tax for unemployment msurance purposeS':.,~ on the wages of all employees For more mformahon, call the Oregon Employment Department at 503-947-1488 L " The Oregon Busmess Idenhfication Number (BIN) IS a combmed number fore both, Oregon Wlthholdmg and \ Unemployment Insurance Tax To file for a BIN, call 503-945-8091 or WViW dor state or usfformsuav htmll for the appropnate forms Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CompensatIOn Law, and must obtam workers' cgmpensallOn Insurance for your employees If you faIl to obtam workers' compensatIOn msurance, you'could be subject to penalties and be !table'for all'clalm costs Ifonc of your employees IS mJured on the Job For more mformatlon, call the Workers' Cvu.""..satlOn DIVISIon at the Department of Consumer and Busmess Semces at 503-947-7815 US Internal Revenue ServIce. As an cmployer, you must WIthhold federal mcome tax from employees' wag~s', You WIll be hable for the tax payment even If you dIdn't actually WIthhold the tax For a Federal EIN number, call the IRS at 1-800-829-4933 or vmt theIr web sIte at ww" 11 S QOV , , . c Other Responsibmties~allUlI Areas of,Concems Code ComplIance As the penmt holder for thIS project, you are responsIble for r~solving any failure 10 meet code reqUlrell)ents that may be brought to yo~1' att~ntlon through mspechons , UabilIty and Property Damage Insurance' Contact your lOsurance' agent to see If you have adequate msunince coverage for aCCIdents and omISSIons such as faIlIng tools, pamt over spray, water damage from pIpe punctures, fire or work that must be redone', ..', ,- - \. , , ( " " '. ~ ~ - I Time' Make sure you have suffiCIent hme to supervIse your employees . " '\ I ' ExpertIse Make sure you have the slaHs to act as your own general contractor, to coordmate the work ofrough-m and fimsh trades, and to notlfy bUlldmg offiCIals as the appropnate tImes so they can perform the reqUIred mspectlOns If you have addItIOnal questIOns call the ConstructIOn Contractors Board (503-378-4621) or wnte the agency at PO Box 14140, Salem, OR 97309-5052 ~ , Property_owner doc 06-01-04 225 FIfth Street SprIngfield, Oregon 97477 541-726-3759 Phone "".. _omaQ~ fa.. a.: -' - CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department Public Works Department Job/Journal Number COM2008-00731 COM2008-0073 I COM2008-0073 I COM2008-0073 I COM2008-0073I COM2008-0073 I COM2008-0073I COM2008-0073 I COM2008-0073I COM2008-0073I COM2008-0073I COM2008-00731 COM2008-0073I cOM2008-0073I cOM2008-0073I Payments Type of Payment CredltCard cReLemtl RECEIPT # 2200800000000001021 Date: 07/03/2008 DeSCription Fire SF Fee - ReSidential Stann Dramage ImpervIOUs Area Samtary Sewer - ReImbursement Samtary Sewer - Improvement SDC Samtary/Storm Admin BUilding Perm,t FIxture Vent Fan Mlmmum/AdJustment Mechamcal -Mechamcallssuance Fee- Plan ReVIeW Minor - Planning Storm Sewer - 1st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee PaId By BYRON FARRIS Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received NJM 01536b In Person Payment Total Page I of I 12 15 04PM Amount Due 2750 224 22 8050 6121 1830 363 26 8000 700 4300 2000 11600 5000 3296 6519 5708 $1,24622 Amount Paid $1,24622 $1,246 22 7/3/2008 Fees Associated With 6/30/2008 Case #: COM2008-00731 848 19AM 6690 MAIN ST 541-726-3753 Phone FARRIS BYRON S 541-726-3676 Fax Trans Revenue Date Calculated Ongmal Amount DOlL! IptlOll Code Account Number Calculated By Amount Due Plan ReView ResldentlJI 1061 224-00000-425602 5/22/2008 DJB 23612 000 Fire SF Fee - ResidentIal 9111 100-00000-424005 5123/2008 LLH 2750 2750 Storm Dramage ImpervIOus Area 1178 440-00000-448028 6/2/2008 LKW 224 22 224 22 SanItary Sewel - Reimbursement 1183 442-00000-448024 6/2/2008 LKW 8050 8050 Samtary Sewer - Improvement 1184 443-00000-448025 6/2/2008 LKW 6121 6121 SDC Sal1ltary/Slorm Adnun 1190 7 I 9-00000-426604 6/2/2008 LKW 1830 1830 BuIidmg Pel nut 1002 224-00000-425602 6/18/2008 DLM 363 26 363 26 flXlUlt.. 1005 224-00000-425603 6/18/2008 DLM 8000 8000 Vent Fan 1006 224-00000-425604 6/18/2008 DLM 700 700 MUlll1lumlAdjustment Mechal1lcal 1006 224-00000-425604 6/18/2008 DLM 4300 4300 --Mechamcal Issuance Fee- 1087 224-00000-425604 6/18/2008 DLM 2000 2000 Plan ReVieW Mmor - Planmng 1231 100-00000-425002 6/24/2008 TAj 11600 11600 Storm Sewer - 1st 50 Feet 1005 224-00000-425603 6/30/2008 DJB 5000 5000 + 5% Technology Fee 2099 100-00000-425605 6/30/2008 DJB 3296 3296 + 12% State SUI charge 1099 821-00000-215004 6/30/2008 DJB 6519 6519 + ] 0% Acimmlstrattve Fee 1098 224-00000-426605 6/30/2008 DJB 5708 5708 Total Due $1,24622 s 111dcmalklfOlmslcasefeesl rpt Page 1 of 1