HomeMy WebLinkAboutPermit Building 2006-9-21
~iZ....
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541 - 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6810 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344106611
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01057
ISSUED: 09/21/2006
APPLIED: 08/16/2006
EXPIRES: 03/21/2007
VALUE: $ 14,976.00
~
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Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Engineered steel garage
Owner: EDWIN BAKER
Address: 6810 MAIN ST
SPRINGFIELD OR 97478
Contractor Type
Gencral
Electrical
Plumbing
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 Setbacks:
48.00
16.00
10.00
0.00
Street Improvements:
Storm Sewer Available:
Speeiallnstruction:
Phone Number: 541-746-3449
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AU I HUHlltU UNUI:R THIS PERMIT IS NOT
I CONTRACT~ll\l'mRMAliIDUBANDONED FOR
ANY 180 DALfc~~~QD. Expiration Date
Phone
I BUILDING INFORMATION I
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
576
VN
1 Lot Size:
11.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
I DEvE~+lf,J~o~J!iON..");~g~~ Utility
'~:'7.. '.- .c' \' Those rules are setfortlREQUlRED PARKING
Notification en er.
ini~f"'~!PJs!iJ1'OO1 0 through OAR 952-001 Total:
o 9U~"fbo~m'9!!:;ain caples 01 the rules bllandicapped:
a$vIlrPJiY\'a'BL~illllr. (Note: the tslephonill Compact:
'tt.'Mff~} \b<'r\'f3~regon Utility Notification
Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Fully Improved
Yes
Curbside 5'
To Storm Sewer
Notes: Storm drainage to existing storm sewer sytem per owner.lnspector to field verify.
Paee 1 of3
.
a:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006..01057
ISSUED: 09/21/2006
APPLIED: 08/16/2006
EXPIRES: 03/21/2007
VALUE: $ 14,976.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Garaee
Tvpe of Construction
Garaee
$ Per Sq Ft
or multiplier
$26.00
Square Footage
or Bid Amount
576.00
Value
Date Calculated
Description
Total Value of Project
$14,976.00
$14,976.00
08/16/2006
Fpp<. ~
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Plan Review Mioor - Planning
Storm Sewer - 1st 50 Feet
Amount Paid
Date Paid
$95.16
$22.02
$9.57
$15.31
$146.40
$28.80
$112.00
$45.00
8/16/06
9/21/06
9/21/06
9/21/06
9/21/06
9/21/06
9/21/06
9/21/06
Receipt Number
2200600000000001152
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
2200600000000001328
Total Amount Paid
$474.26
, Plan Reviews I
Initial Review
Plannine Review
Public Works Review
08/17/2006
08/17/2006
08/17/2006
08/17/2006
09/15/2006
08/30/2006
APP LLH
APP TAJ
APP JLP
Shop to built 00 existing impervious
area, 00 SDC's required. Storm
drainage to existing storm sewer
sytem per owner.lnspector to field
verify.
Structural Review
08/17/2006
09/14/2006
APP RJB
To Request an inspection call the 24 hour recording at 726..3769. All inspection requested berore 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the rollowing work
day.
~rpti In\".np,..tinn~J
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footiog and/or
foundation inspection.
Footing: Arter trenches are excavated.
Slab: To be made arter all inslab building service equipment, conduit pipiog and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Pa2e 2 of 3
~~.1i
.
.ITY OF ~rKlI~tJl;lJ'.,LD
Building/Combination Permit
PERMIT NO: COM2006-01057
ISSUED: 09/21/2006
APPLIED: 08/16/2006
EXPIRES: 03/21/2007
VALUE: $ 14,976.00
Status
Issued
225 Fifth Street, Springfield, OR
54] -726-3753 Phone
54] -726-3676 Fa.
54] -726-3769 Inspection Line
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Special Inspection: High Strength Bolting Inspection: To be done during construction by a State Certified Special
Inspector with approval from the City of Springfield. Copies of inspection results sball be provided to the City of
Springfield.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully e.amined tbe completed application and do hereby certify that all
information hereon is true and correct, and J 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 witb 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
li~; ~ WZ' 5(/ C) c;
~
Owner or Contractors Signature
,
Date
Paee 3 of 3
.,
(I).
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. .
" "
". .'
" .'
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Construction Contractors Board
700 Summer St NE Suite 300
PO Dos 14140
Salem OR 97309..5052
Pbone: 503..378-4621
Web Address: www.ecb.state.or.us
Pennit#: COlMzoott 0(0':)'
Address: {;,g,o ,;V{ I/-I"r
1SSUedbY:~' mtUh~
'S.T
Date:
~ J'21 la<c
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.
Fill in the "PJ-uvp,;ate blanks and initial boxes I and 2, and either box 3A or 3B:
~ 1.
:gJ. 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 ror sale before or on completion.
o 3A. My general contractor is
(Name)
(CCB #)
1 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.
In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. Ifl 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 or the
name of the contractor.
I hereby certiry 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 or this rorm.
dr...~;;;e ~ cr; '~f)"
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06-01-04
AdiiIID~ a~ 'G)HlllIr ([J)WIID CGeIIDeIrail ~IID~Ira~~@Ir?
INFORMATION NOTICE 1"0 PROPERTY OINNERS
ABOUT CONSTRUCTION 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 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 or the following responsibilities and concerns.
lEIIll1llPn~yer Re~IP~lID.~n.lbn.nn.1bie~
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 'faJ( Law: As an employer, you must withhold income taxes rrom employee wages at the time
employees are paid. You will be liable ror the tax payments even ir you don't actually withhold the tax from your
employees. For more inrormation, call the Department of Revenue at 503-378-4988.
Unemployment Insurance Tax: As an employer, you are required to pay a tax ror unemployment insurance purposes .
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. v
The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding ana
Unemployment Insurance Tax. To file ror a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll ror the
. appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' c~",...~usation 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. InternallRevenue Service: As an employer, you must withhold rederal 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 wVlw.irs.l!Ov.
((J)1llner lResjponnsnlblm1ne!> annidl Area!> oll" Conncernn!>
Code Compliance: As the permit holder ror this project, you are responsible for resolving any railure to meet code
requirements that may be brought to your attention through inspections.
Liability and Property Damage ][nsUrllnce: Contact your insurance agent to see if you have adequate insurance
coverage ror accidents and omissions such as railing tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone.
Time: Make sure you have ~uffi~ient time to supervise your employees.
Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work ofrough-in
and finish trades, and to notify building officials as the a....... v.... ;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
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2006-01057
NAME OR COMPANY:. Edwin Baker
LOCATION: 6810 Main St
TAX LOT NUMBER: 1702344106611
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 576 LOT SIZE (SF):
I. STORM DRA~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 0.00 I S0.336 I = I $0.00 . 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 DlSCOUNTRATE I !
0.00 1 1 S0.336 I I 50% 1 = 1
ITEM I TOTAL - STORM DRAINAGE SDC 'SO.OO
o
I~
I~
I~
E-
ell
6
~
~
DISCOUNT
$0.00
SO.OO
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 0 S26.03 SO.OO 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 0 I S19.79 SO.OO 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO I
3 TRANSPORT~ I
A. REIMBURSEMENT COST:
I ADTTRIP RATE 1 x I NUMBER OF UNITS 1 x 1 COST PER TRIP x INEWTRIP FACTORI
I 9.57 I I 0 I I $19.81 I 1.00 SO.OO 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x 1 COST PER TRIP x INEW TRIP FACTORI
I 9.57 1 0 I I S87.39 I 1.00 SO.OO 1094
ITEM 3 TOTAL- TRANSPORTATION SDC = , SO.OO
4 SANTT ARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I S91.61 = SO.OO 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I 0 I S961.52 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE SO.OO 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 SO.OO
x
SUBTOTAL (ADD ITEMS 1, 2. 3, & 4) = , SO.OO
:; ADMINISTRATIVE FEE,
ISUBTOTAL x 1 ADM. FEE RATE 1= CHARGE
I SO.OO I 5% SO.OO
TOTAL SANITARY ADMINISTRATION FEE: #DlV/O! 11079
IOTAL TRANSPORTATION ADMINISTRATION FEE: #DlV/O! 11078
Jeff Prociw 8/31/2006 TOTAL SDC CHARGES $0.00
PREPARED BY DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIX11IRES x UNIT EQUN ALENT ~ DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIX11IRES)
NO. OF FIXTIJRES
FIXTIJRE TYPE
BA TI/TUB
DRINKlNG FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe.
INTERCEPTORS FOR SAND 1 AUTO WASH / ETC.
LAUNDRY TUB
CLOTHESW ASHER / MOP SINK
CLOTHESW ASHER. 3 OR MORE (EAl
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlG / WATER STATION / ETe.
RECEPTOR FOR COM. SINK 1 DISHWASHER / ETC.
SHOWER SINGLE STALL
SHOWER GANG ~ER OF HEADSt
SINK: COMMERClAURESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLE LAVATORYIRESIDENTlAL BAR
URINAL. STALL / WALL
TOILET. PUBLIC INSTALLATION
TOILET. PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
NEW
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
UNIT
OLD EOUlV ALENT
o 3
o 1
o 3
o 3
o 6
o 2
o 3
o 6
o 12
o 1
o 3
o 2
o 2
o 3
o 2
o 2
o 1
o 5
o 6
o 3
20
:EDU (EQuivalent DwellinJ!: Unit) is a disc~ eQuivalent to a single fnmily d~lling unit (20 DFU's) set at 167 Wlllons per day
=
DRAINAGE
FIXTIJRE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
=
o
o
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
" ,
II
I
II
r
I
I
I
I
I
I
I
II
I
I
I
I
I
~
l YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXA nON CREDIT? 2
r BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for Nn)
I 1979 $5.29 IS IMPROVEMENT ELGlBLE 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 11000 CREDIT RATE
i 1985 $4.40 SO.OO x S5.29 ~ I SO.OO
i 1986 $4.07
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.22 VALUE /1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 ~ I 0
1990 $2.25
I 1991 $1.80
I 1992 $1.59 TOTAL MWMC CREDIT = SO.OO
I 1993 $1.45
I 1994 $1.25
I 1995 $1.09
~ 1996 $0.92
1997 $0.72
I 1998 $0.48
I 1999 $0.28
I 2000 $0.09
I 2001 $0.05
22~ Fifth Street
Springfield, Oregon 97477
541- 726-3759 Phone
. .j7A~~
WiL
Ci,,- Springfield Official Receipt
D.opment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 057
COM2006-0 I 057
COM2006-0 I 057
COM2006-0 I 057
COM2006-0 I 057
COM2006-0 I 057
COM2006-0 I 057
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001328
Date: 09/21/2006
Description
Fire SF Fee - Residential
Building Permit
Storm Sewer - 1 st 50 Feet
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Minor - Planning
Paid By
EDWIN L BAKER
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
njm 038630 In Person
Payment Total:
Page I of I
1:03:23PM
Amount Due
28.80
146.40
45.00
9.57
15.31
22.02
112.00
$379.10
Amount Paid
$379.10
$379.IU
9/21/2006