HomeMy WebLinkAboutPermit Building 2006-3-27
, Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
. 541-726-3769 Inspection Line
.
.' CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00140
ISSUED: 03/27/2006
APPLIED: 02106/2006
EXPIRES: 09/27/2006
VALUE: $ 21,215.00
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~ SITE ADDRESS: 2815 MANOR DR
ASSESSOR'S PARCEL NO,: 1703233201300
Springfield TYPE OF WORK: Garage
PROJECT DESCRIPTION: New 3-car garage
TYPE OF USE: New
Residential
Owner: LOBDELL ROBIN
Address: 1210 WILLAGILLESPIE RD
EUGENE OR 97401
Contractor Type
General
Electrical
, Plumbing
I CONTRACTOR INFORMATION I
Contractor
OWNER
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
~ Solar Sethacks:
Street Improvements:
License
BUILDING 1NFORMA nON I
# of Stories:
U Height of Structure
Type of Heat:~
VB Water Type:
Range Type: 'S 'Iou \0
Ener~ oEallt:lC\Ulle \)\111\'1
S ...rkl' "'.. . ~,.~nOn ...'"
101'1' G prlD ed ~!!UdlDg:' set 10' n/a
_....r:t..rt '. _~"'or\ O~ 1....1:' ~te ..,n"\_
f'\' . ..... 'A"~' 0" .~.... ....' ~ ........, _
101l0'i'JIIDEVEL@P.MENT.INFORMI\TIONtf
l'Io\\liCa.'9,v~2.00~.O\J '':'; co?ieS 0' "'I~?hone
@p.\'I" ~h'a.I" the \e ",~(\
111;00 'Iou ('fI<@v~t~y ~i!it:~""\\,,,l'Io\\lil:Jrban Fringe
710030,. 'he#;S,treet Trees.Rqd:." ')
IIIn9 ,,, r y"'''v' ~ 2."...... .
C3 loJ>aved Dnye'Rqd:' Yes
('fIoel' . ~ ,.'nv~
nu Ce'Y.o<of,l.ot Coverage:
I PUBLIC IMPROVEMENTS I
Expiration Date' Phone
616-455-2223
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor: '
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Curb and Gutter
Partially Improved
Yes
Storm Sewer Available:
Special Instruction:
I rJ;' Ir 1HE WOR\<.
Notes: Storm drainage piped to curb face; curbcut from Lane ~1~~/9/20~~rt\. EXPIRE \1 IS N01
1H\S peRMI eR ,HIS PeRM
f\Ul'HOR\ZeO u~~ IS Mlf\NOONto rOR
~~~~~~~\~ PeRIOD,
Downspouts/Drains:
Pal!elof3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00140
ISSUED: 03/27/2006
APPLIED: 02/06/2006
EXPIRES: 09/27/2006
VALUE: $ 21,215.00
Status
Issued
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Garaee
Tvpe of Construction
Garaee
$ Per Sq Ft
or multiplier
$26,00
Square Footage
or Bid Amount
816.00
Value
Date Calculated
Total Value of Project
$21,216.00
$21,216,00
02/06/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $130.65 2/6/06 2200600000000000171
+ 10% Administrative Fee $24.60 3/27/06 1200600000000000343
+ 8% State Surcharge $19.68 3/27/06 1200600000000000343
Building Permit $201.00 3/27/06 1200600000000000343
- Plan Review Minor - Planning $85.00 3/27/06 1200600000000000343
SDC Sanitary/Storm Admin $13.18 3/27/06 1200600000000000343
Storm Drainage Impervious Area $263.57 3/27/06 1200600000000000343
Storm Sewer - 1st 50 Feet 545.00 3/27/06 1200600000000000343
Total Amount Paid $782.68
I Plan Reviews I
Initial Review 02/08/2006 02/08/2006 APP SKG
Plan nine Review 02/08/2006 03/20/2006 APP TAJ
Public Works Review 02/08/2006 02/09/2006 APP CAS Storm drainage piped to curb face;
curbcut from Lane County 2/9/2006
CAS
Structural Review 02/08/2006 03/03/2006 OK RJB
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.
IRp~
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection,
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in Inspections have been approved,
Final Building: After all required Inspections have been requested and approved and the building is complete,
Storm Sewer Line: Prior to mling trench.
Paee 2 of3
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Status
Issued
Building/Combination Perm if
PERMIT NO: COM2006-00140
ISSUED: 03/27/2006
APPLIED: 02/06/2006
EXPIRES: 09/27/2006
VALUE: $ 21,215.00
225 Fiftb Street, Springfield, OR
'541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete,
Rough Electric: Prior to Cover
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 nf the City of Springfield and the Laws nf 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 tbat 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 readahle from the
. street, that the permit card is),/; d at the front of the property, and tbe approved set of plans will remain on tbe site at all
times during cQnstruction, 1/
.' ",/II ~, 3-77- Orb
Owner or &rJactOrb-S' nature ' Date
Paee 3 of3
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, CITY OF SaGFIELD SYSTEMS DEVELOPMEN&RKSHEET
JOURNAL OR JOB NUMBER: COM2006-00140
NAME OR COMPANY: Robin Lobdell
LOCATION: 2815 Manor Dr
TAX LOT NUMBER: 1703233201300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 816 LOT SIZE (SF):
L STORM DRAINAGF,
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE
I 816.00 I $0.323 = I $263.57 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I !
0.00 I I $0.323 I 50% I ~ I
ITEM 1 TOTAL - STORM DRAINAGE SDC $263,57
11340
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W
Cl
18
P::
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E-<
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a
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DISCOUNT
$0.00
$263,57
2 SANITARY SEWER - CITY
1070
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 0 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 0 I
COST PER DFU
$25.07
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , SO.OO
J, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 o I I $19.09 I 1.00 I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 o I I $84,19 I 1.00 I
ITEM 3 TOTAL- TRANSPORTATION SDC = , $0,00
SO.OO
$0.00
4, SANITARY SEWER ~ MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I x
I 0
ICOST PER FEU
$82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I 0 I
ICOST PER FEU
$865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS t, 2, 3, & 4) = ,
~,ADMINISTRATIVE FEE:
ISUBTOTAL x I ADM. FEE RATE I~
I $263.57 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
- -
1091
I
1092
SO.OO 1093
$0.00 1094
=
$0,00
Cheryl Slaymaker
2/9/2006
PREPARED BY
DATE
1054
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DRAINAGE FIX!URE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE 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 I OIL I SOLIDS I ETe. 0 0 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER I MOP SINK O. 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG I WATER STATION I ETe. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0
I SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADSl.. 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIOOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORYlRESIDENTIAL BAR 0 0 1 = 0
I URINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
.EDU (Eou:ival~ Dwellinll. Uni~ dischar~e equivalent to a sinsde familv dwellinll unit (20 DFU's) set at 167 ~lIons oer day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
[ YEAR CREDIT RATFJSI,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
I BEFORE 1979 $5.29 (Enter I fnr Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Enter I for Yes, 2 for No)
I 1981 $5.12 BASE YEAR 1979
I 1982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE I 1000 CREDIT RATE
I 1985 $4.40 SO.OO x S5.29 ~, SO.OO
I 1986 $4.07
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.22 VALUE I 1000 CREDIT RATE
I 1989 $2.73 $0.00 x $5.29 0
I 1990 $2,25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = SO.OO
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0,05
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Construction Contractors Board
700 Summer St NE Suite 300
PO BO:ll4140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
."
Perrnit#: COWlZO_ -OOIQO
Address: t?8/S /JA01101" Dr.. .'5?FIf). OK'.
Issued by: ))Lf Date: yz:..7.kb
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 befiled with the permit,
Fill in the al'l',vl',:ate blanks and initial boxes I and 2, and either box 3A or 3B:
~r 1.
)g: 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
(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
~ 3B, I will be my own general contractor.
If! hire subcontractors, I will hire only subcontraclors 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 ir: ~bO:t :nstruction Responsibilities on the reverse side of this form.
X~~L..eY 1-.27-t2?,
. ((.Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
L_.....,:.-owner,doc 06-01-04
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A~1l:nrnig ~~ -!unIf ((J)wnn <Gennell"~n C!nn1l:Il"~~1l:@Il"?
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
~
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NOTE: This Information Notica to Proparty Owners about Construction Responsibilities was daveloped 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,
lEm][>lloyer lRes][>ollD.sibilities
" ,
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You will, in most instances, be ruled to be an "employer" and the contractors you contract with wiII be "employees" if, .
you use contractqrs not licensed with the Construction Contractors Board to do labor in constructing or to assist in the ':
:i
construction or improvement of a residential structure, As the employer, you must comply wi~h the following:
Oregon's Withholding Tax Law: As an employer, you ~ust wiihhold 'i~come taxes from employee' Wages'at the time
employees are paid, You wiII be liable for the tax payments even if you don,'t actually withhold the tax from your
employees, For more information, call the Department of Revenue at 503-378-4988,' .
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,
The Oregon Business Identification Number (BIN) is a combined nwnber for both Oregon' Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.doLstate.or.us/fonnsnav.htmIJ. for the
appropriate forms,
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 cosis 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 -78 I 5.
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 1-800-829-4933 or visit their web site at www.irS,l!Ov.
Other ~eslPonsibmties aIlD.dl Areas of Concems '
Code Compliance: As the permit holder for this project, you are responsible for resolving aily failure to meet code
requirements that maybe brought to your atteiItion 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 [rom pipe punctures, fire or
work that must be redone, '
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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 apI" VI" ;ate 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 06-01-04
2'25.Fifth Street
. Springfield, Oregon 97477
541-726-3.759 Phone
. Job/Journal Number
'COM2006-00140
:COM2006-00 140
COM2006-00 140
COM2006-00 140
COM2006-00 140
,
.COM2006-00140
.COM2006-00140
I
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: Payments:
:,:'1pe of Payment
Check
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3/27/2006
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RECEIPT #:
1200600000000000343
Description
Plan Review Minor - Planning
Storm Dminage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
Storm Sewer - 1st 50 Feet
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ROBIN LOBDELL
Received By
djb
Page 1 of I
....ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Date: 03/27/2006
Item Total:
CheCk Number Authorization
Batch Number Number How Received
2712 In Person
Payment Total:
10:18:11AM
Amount Due
85,00
263.57
13.18
201.00
45.00
19,68
24.60
$652,03
Amount Paid
$652.03
$652,U3