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HomeMy WebLinkAboutPermit Septic Tank 2003-6-26 , _G.II~I!IJ-..o} , . . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 723 Crest Lane ASSESSOR'S PARCEL NO.: 1703341407300 PROJECT DESCRIPTION: SFR . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 09/28/2003 VALUE: $ 139,461.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: KOIVULA MICHAEL G Address: 743 CREST LN SPRINGFIELD OR 97477 \)~'f.. \VlX, ~~ ":\~\ BUILDING INFORMATI. ~~~\\ ~\)~ ~\, 't. ~f~<< ~x,~ # o[~~ries' S~~ 'fc.~ '\ ~\)'V 2 Lot Size: ~\!fd'g'6~~(~~~~~ f.) ~fQ~ 29.50 Sq Ft 1st Floor: ::r.~~r~~. ~c~'b~ Elect Sq Ft 2nd Floor: W~~'r\c.r)(;fJ\:.~ <<\:.~ Electric Sq Ft Basement: R~ne~ ~ \)'t:f. Electric Sq Ft Garage/Carport En~~ : Path 1 Sq Ft Other: ~ Impervious ~urface Area: J\'\! I DEVELOPMENT IN FORMA TION I ~\'(0S 'i U~'\~~(\ ~ '(0~ ~~O~Q~ftti.]j'D PARKING \~ 0 0 f}0 c..;.w, Overlay Dist: ~oil~ilfP ~efib ~cnltr: ~-e'h 2 # Street Trees Rqd: ~9'\.0 ~(])6 '{j Ofi{;G ~ ~ 0; ~&it~lied: Paved Drive Rqd:,-i\\O "'OO~ d "\~ 'Vl~rtJ~r(fj n. iO om~rct:.i\O{\ i(;.~ ~ 19' ..,&,~'\' ',~es ~Q'G> \'&' .~,C~ % of Lot C~~6.~\C~ <<::lll.... ~~~,()io'1ti r&'~~ ~O\'\ ,\0\\0. ~~O'\\oi:P.~, (jJ'fg\~ ~rtJ"" 'U\\~~~br6r'" J'Ii..\C ,.,~Clo'\' ,~~ ,,@\~. ...'f\ -0"" I PUBLIC IMPRO~~~ ;'0 ~~~ O'(~~()()':"~ 00 ~~~ '~'rl.. "~1k T . Partially Improved C~ t:'''Oe' C~~~ ype. Yes '{\~ fiownspoutslDrains: Curb and Gutter As per Don Branch 10/15/02, no sidewalks, driveway approach to be build to city standards for future curbside sidewalks. Storm water to be pumped to Crest Street as per applicant. Sanitary to connect to 6-inch line off Level Lane. Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN 2 SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 21.00 6.00 23.00 48.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-746-1805 I CONTRACTOR INFORMATION' License Expiration Date Phone 1,200 409 562 Paee 1 of 5 .s- 2- ~ 7,6 V _ - ~ ~.t?1 . Description Tvpe of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount Dwellings V Wood Frame $74.60 1,200.00 Dwellings V Wood Frame $74.60 562.00 Garaee Garaee $19.60 409.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Total Value of Project ~ . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 09/28/2003 VALUE: $ 139,461.00 Value Date Calculated $89,520.00 $41,925.20 $8,016.40 $139,461.60 OS/23/2003 06/20/2003 OS/23/2003 Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $362.60 5/23/03 1200200000000001309 -Mechanical Issuance Fee- $10.00 6/26/03 1200200000000001651 + 10% Administrative Fee $93.57 6/26/03 1200200000000001651 + 7% State Surcharge $65.50 6/26/03 1200200000000001651 1 Bath One & Two Family $145.00 6/26/03 1200200000000001651 Addressing Assignment $8.00 6/26/03 1200200000000001651 Annexed 1979 or Before $-158.67 6/26/03 1200200000000001651 Building Permit $695.65 6/26/03 1200200000000001651 Curbcut Permit $75.00 6/26/03 1200200000000001651 Dryer Vent $6.00 6/26/03 1200200000000001651 Exhaust Hoods $9.00 6/26/03 1200200000000001651 Furnace - up to 100,000 btu $12.00 6/26/03 1200200000000001651 Minimum/Adjustment Mechanical $12.00 6/26/03 1200200000000001651 Plan Review - Planning $59.00 6/26/03 1200200000000001651 Plan Review Residential $89.57 6/26/03 1200200000000001651 Sanitary Sewer - Improvement $268.64 6/26/03 1200200000000001651 Sanitary Sewer - Reimbursement $353.44 6/26/03 1200200000000001651 SDC MWMC Administration $10.00 6/26/03 1200200000000001651 SDC MWMC Improvement $34.83 6/26/03 1200200000000001651 SDC MWMC Reimbursement $332.86 6/26/03 1200200000000001651 SDC Sanitary/Storm Admin $71.87 6/26/03 1200200000000001651 SDC Transpo Admin $47.91 6/26/03 1200200000000001651 SDC Transpo Improvement $709.81 6/26/03 1200200000000001651 SDC Transpo Reimbursement $160.87 6/26/03 1200200000000001651 Storm Drainage Impervious Area $683.85 6/26/03 1200200000000001651 Temp Power 200 amps or less $50.00 6/26/03 1200200000000001651 Vent Fan $6.00 6/26/03 1200200000000001651 WiIlamalane Single Family $1,000.00 6/26/03 1200200000000001651 Plan ReviewIResidential Hourly $90.00 9/30/03 1200200000000002234 Sanitary Sewer - Improvement $103.26 9/30/03 1200200000000002234 Sanitary Sewer - Reimbursement $135.84 9/30/03 1200200000000002234 SDC Sanitary/Storm Admin $11.96 9/30/03 1200200000000002234 Total Amount Paid $5,555.36 Page 2 of 5 . . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 09/28/2003 VALUE: $ 139,461.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews , Initial Review OS/27/2003 OS/27/2003 APP LLH Plan nine: Review OS/27/2003 06/04/2003 APP AID Tree felling permit required if more than 5 trees (5"dbh) are removed because lots 6 and 7 of Emerald Heights are in common ownership. Public Works Review 06/03/2003 06/05/2003 WE VRJ Contacted applicant 6/5/03, site plan does not show connection for sanitary and storm sewer. Spoke with Sue asked for re-submittal site plan with sanitary and storm sewer clearly marked on plans, also if either private line crossed another parcel a private easement is required prior to building permit approval or issuance. Applicant has been made aware of this and that their permit is on hold waiting for external information from them. Public Works Review 06/13/2003 06/13/2003 WI VRJ As per Don Branch 10/15/02, no sidewalks, driveway approach to be . build to city standards for future curbside sidewalks. Storm water to be pumped to Crest Street as per applicant. Sanitary to connect to 6-inch line off Level Lane. Applicant submitted information regarding sewer connection from Level Lane. PW Engineering is waiting to hear from PW Maintenance regarding sewer line, expectation is for a call on 6/1612003, PW review and fees have been completed, waiting for information from PW Maintenance. Public Works Review 06/16/2003 06/16/2003 APP VRJ As per Don Branch 10/15/02, no sidewalks, driveway approach to be build to city standards for future curbside sidewalks. Storm water to be pumped to Crest Street as per applicant. Sanitary to connect to 6-inch line off Level Lane. Please coordinate with Keith Miyata, Sewel Supervisor, Public Works Maintenance, #726-3761, to have line TV'ed once exposed at the property line. Pae:e 3 of 5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 09/28/2003 VALUE: $ 139,461.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 09/25/2003 09/25/2003 APP VRJ Revised Plans Received/Ro 06/17/2003 APP LLH SDC's calculated for bathroom added after first review. Revised plot plan brought to office 6/6/2003. Received on 6/10/2003 because I was out of the office Plot plan received as requested by Virginia J. Revised Plan Review - Pu 06/10/2003 06/17/2003 APP VRJ Structural Review Structural Review OS/27/2003 09/19/2003 06/17/2003 09/29/2003 APP APP RJB DLM Changing garage to one-car & adding additional bath and library in deleted garage area. To Request an inspection call the 24 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 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Site Inspection: To be made after excavation but prior to setting forms. 3 Erosion/Grading Inspection: After all erosion measures are in place. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 9 . Floor Insulation: Prior to decking. 10 Shear Wall Nailing: Before covering sheathing with finish materials. 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 12 Wall Insulation: Prior to cover. 13 Ceiling Insulation: Prior to cover. 14 Drywall: Prior to taping. 15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 16 Final Building: After all required inspections have been requested and approved and the building is complete. 17 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 Underfloor Plumbing: Prior to insulation or decking. 19 Underfloor Drain: Prior to cover or placement of concrete. 20 Rough Plumbing: Prior to cover and including required testing. 21 Water Line: Prior to filling trench and including required testing. 22 Sanitary Sewer Line: Prior to filling trench and including required testing. 23 Storm Sewer Line: Prior to filling trench. 24 Final Plumbing: When all plumbing work is complete. 25 Rough Mechanical: Prior to Cover 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Pa\Ze 4 of 5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00402 ISSUED: 06/26/2003 APPLIED: OS/23/2003 EXPIRES: 09/28/2003 VALUE: $ 139,461.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. 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 ofthe 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. btJ dlaJJ;1A 1-~()-()3 ~ ~ Owner or Contractors Signature Date Pae:e 5 of5 .' . . . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: CO M 'Z.CO.""" DOY C 'z:. Issued by: 723 C(~+ )) is:. Date: LA-Ne 9-10- c 3 Address: Statement: Information 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 the following statement before a building permit can be issued. This statement is required for 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 be filed with the permit. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ~ 3A. My general contractor is W A--rt-{L ~~T fteYl-S::. (Name) Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: )il ft 2. I own, reside in, or will reside in the completed structure. / I <g 5'-1S- (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR D 3B. I will be my own general contractor. Ifl hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify 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. ~ Sti//t ' (Signature o'fpermit applicant) 1.-30-03 (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 03/11/03 . . . Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . . NOTE: This Information Notice to Properly 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 acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ill number, call the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, 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 Responsibilities and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 03/1 1103 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department- Public Works Department' Receipt #: 1200200000000002234 Date: 09/30/2003 11:49:01AM . Amount Paid 90.00 135.84 103.26 11.96 $341.06 Job/Journal Number COM2003-00402 COM2003-00402 COM2003-00402 COM2003-00402 Description . Plan Review/Residential Hourly Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Item Total: Payments: Type of Payment , Check Paid By SUE MANDEVTT IP, Received By djb Check Number Batch Number Authorization Number How Received In Person Payment Total: Amount Paid $341.06 $341.06 . . . . . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS , 6 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$I ,000 ASSESSED VALUE $4,92 $4,92 $4.83 $4.77 $4,64 $4.47 $4.30 $4,09 $3,78 $3.41 $2,98 $2,52 $2.06 $1.64 $1.45 $1.31 $1.13 $0,97 $0,82 $0,63 $0,41 $0.22 $0,04 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 o o 1979 CREDIT FOR LAND (IF APPLICABLE) V ALUE I 1000 CREDIT RATE $0.00 x $4,92 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $4.92 = , o TOTAL MWMC CREDIT , $0.00 = "