HomeMy WebLinkAboutPermit Building 2006-3-31
.
.CITY OF ~n(INGFIELD
Building/Combination Permit
Status
In Review
.
PERMIT NO: COM2006-00383
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/31/2006
10/24/2006
$ 24,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6401 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344300600
Springfield TYPE OF WORK: Garage
Contractor Type
General
Plumbing
Contractor
OWNER
GARY ALAN MUSTIN
TYPE OF USE: New
, es 'IOU to
~. n' '11 \ I,a"! re~~~nnn Utility
u OJ' ~l..... - -.p' ton\ I
. .', re [\"p,hone\Nilml:ier: 541-736-5793
,8'- 11\O~ h O",R 952-UU 1-
, ",' ~,,;D.o.~~:i~r~~~s olthe r~\:;~'J
nr;':, \C'J lIi'lY ...... _~ ,"lotO', tilt:: lV''''',r: 'on
I CONTRACTORJNFORMATION'I ~n Utilit'J Notl\icat\
m\J8[ 101 '''v, - ~OO_332-2344).
nU e'I.Iicen'SJ- Expiration Date
Residential
PROJECT DESCRIPTION: 3 car garage
Owner:
Address:
DAVID MACKERACHER
6401 MAIN ST
SPRINGFIELD OR 97478
129990
06/24/2006
Phone
616-455-2223
541-463-7568
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft .Qtlier:
.- \N\J\ ,.
n/a ," IOccnpant'Load:
.ne.. ,'{ '...... ,c.:;,NV'
I DEVELOPMEN:f,INFORMATlON""~ ?'t.W~~ \-C)'i'-.
.c..v' . \'\:."'~\,. -U'<A\)t.D' \>.'<A\)C)~ REQUIRED PARKING
,1\\" \It\) \S \>.'0
Overlay Dist:?\ r ,,\ C)\\ Total:
,,1.,,- .rvv QIC)\)
# Street-TreesIRqd:' ~ ot:'" . Handicapped:
-r~\\'\'" \, l
Paved Drive Rqd:\Jr> Compact:
.';-J \--
% of LohGoverage:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
960
VN
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
29.00
12,00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspontslDrains:
Notes:
Paee I of3
.
.CITY OF ~rK1J'\il..I'IELD .
Building/Combination Permit
Status
In Review
PERMIT NO: COM2006-00383
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/31/2006
10/24/2006
$ 24,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion J
Garaee
Tvpe of Construction
Garaee
$ Per Sq Ft
or multiplier
$26.00
Square Footage
or Bid Amount
960.00
Value
Date Calculated
Description
Total Valne of Project
$24,960.00
$24,960.00
03/3112006
l..Fpp< Pii!U
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $145.86 3/31106 2200600000000000411
+ 10% Administrative Fee $5.90 4/18/06 1200600000000000492
+ 8% State Surcharge $4.72 4/18/06 1200600000000000492
Water Line - 1st 50 Feet $45.00 4/18/06 1200600000000000492
Water Line - Each Addtll00' $14.00 4/18/06 1200600000000000492
+ 10% Administrative Fee $5.90 4/25/06 2200600000000000506
+ 8% State Surcharge $4.72 4/25/06 2200600000000000506
Sanitary Sewer - 1st 50 Feet $45.00 4/25/06 2200600000000000506
Sanitary Sewer Each Addtl 100' $14.00 4/25/06 2200600000000000506
Total Amount Paid $285.10
I Plan Reviews I
Initial Review 03/3112006 03/3112006 APP SKG
Plan nine Review 03/3112006 04/1 0/2006 APP TAJ No Planning issues.
Public Works Review 03/3112006 04/03/2006 APP CAS Storm drainage piped to curb face
4/3/2006 CAS
Structnral Review 03/3112006 04/24/2006 APP RWC
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.
Il?p~
Water Line: Prior to filling trench and including reqnired testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Paee 2 of3
_~.'..!3~~". ....
1ItIt' ,
L' I
~ . . f i
,
< <.,- ./
.. --
.
Status
In Review
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
. CITY OF SPRINl..J'l)!;LD
Building/Combination Permit
PERMIT NO: COM2006-00383
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03/31/2006
10/24/2006
$ 24,960.00
By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 nsed 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
time7J:Jct~_ M&v~
Owner or Contractors Signature
Paee 3 of 3
4)~06
I
Date t
225 Fifth St;reet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00383
COM2006-00383
COM2006-00383
COM2006-00383
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
.
~~~~~
Ilk.
(jAof Springfield Official Receipt
~Iopment Services Department
Public Works Department
2200600000000000506
Date: 04/25/2006
Description
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
DA VID MACKERACHER
Item Totat:
Check Number Authorization
Received By Batch Number Number How Received
njm 083666 In Person
Payment Total:
Page I of I
11 :09:53AM
Amount Due
45,00
14,00
4,72
5,90
$69.62
Amount Paid
$69,62
$69.62
4/25/2006
'/~~"l~& !!>~vJ~ L.IIJ~ F{l.ollV\. ~
'\. t+-T, bL
'"
~Jt.O)
-a \1-\0 H. .
l:JN l.-L S \ )<.3
/
· .... ~J9
, tt '\l
1J.7'l . ~
<0 I
~ \11;~
2':lJ1_ .
~111
~'()
" .
I
1
.,
~
. '
"
'./
.l
,
, ,
, It 08 ',0'8 ; ".~
~
,..--. C ~_..-
..
. '
. .
,~
o
'"
~
-./
.
c: IT)! (VV\-\ tV
'" - ~
. _# !,O)
//
,~
+
0 , ?R.o PO~G::O
.~ ,-
S c:.w ~ t-I tJ e::-
t>rPP{U) Xl MA-n...E)'
10DI
"
,
-
- Ul V. '/J\N-\L.€f2..A et+ER.
~ '-
..t:- o: Co LtO \ M~l~ ~T.
" i
0 S P ~ tJC:::-R ELi) I 0 f<-
A~_
- q"4-7~
; ,
~ .::fD8>"'to M '2DO!d>oD '3>'07
I:)
-
--
'~IJ
)>~
, 0
}\l\J
~,Q
'~ lrl
1m
I\1d
I '
,-
"
\-trz "
> >
, "ZI .
I
N
..0
"""-
Ii'
'0..,/
-().
I
.'
, ' ~ rz.N3::>1,~W &>
Lf~$-~ Co-Y\~-eo~8"--s
Gf!.~:1& ,aL~_ ..,...,....
-WIt"""'."..... ~,
. . .. .'
.... -- -..- "
, -;
.
Status
Issued
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00383
ISSUED: 05/02/2006
APPLIED: 03/31/2006
EXPIRES: 11102/2006
VALUE: $ 24,960.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6401 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344300600
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 3 car garage
Owner:
Address:
DA VID MACKERACHER
6401 MAIN ST
SPRINGFIELD OR 97478
, OU to Phone Number:
equlres Y
C" : C)[1IEl'i'! r [1 Uti\'lty
" ',., b" tl'le Orego tli
.(1. ',';[1, ...M""etlor
'-"Ol,r. \ [1U"" '-"-~'QC\52-0U\-
I CONTRACTOR1INRORMATION-lules by
I" 1._." -- may obtain cu\-"v~h:' Ip.leplione
Contractor OO~(), YGu Ii center. \NotELi,censeli\ica,~_~piration Date
OWNER callIng t e Ii Oregon UtilIty NO
GARY ALAN MUSTINjmber;~~:,,;iS l_BOO.3i'i999044). 06/24/2006
BUILDING INFORMATION'
541-736-5793
Contractor Type
General
Plumhing
Phone
616-455-2223
541-463-7568
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
960
VN
n/a
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Sethacks:
29.00
12.00
I DEVELOPMENT INFORMATION I ~"
11"1=' DC II' lr\E. ~1l];QUIRED PARKING
"0 \; -' ul\ll E.Xf'loc. It:' 1\101
Overlay. Dist:pr.R\\~\1 S" lr\1S f'E.RMII 'Total:
# Slreet\We'es(Rqd:~O UNOr.R B^"OO"E.O I'Ct'i'andicapped:
~'IIr.V'''~ IS ^ 1'\" "
Paved Drive Rqd:,CcO OR 1'\ Compact:
"nhhl\Ji\'." L 00
% of Lot-QoverageO' 1\'1 f'r.RI .
I\N'I1\iu
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of 3
-~
.
. CITY OF SPRI~l..1' IJ<.LD
Building/Combination Permit
PERMIT NO: COM2006-00383
ISSUED: 05/02/2006
APPLIED: 03/31/2006
EXPIRES: 11/02/2006
VALUE: $ 24,960.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuati?n Descriotion I
Description
Garaee
Tvpe of Construction
Garaee
$ Per Sq Ft
or multiplier
$26.00
Square Footage
or Bid Amount
960.00
Value
Date Calculated
Total Valne of Project
$24,960.00
$24,960.00
03/3112006
l.Fpp< pqiaJ
Fee Description Amount Paid Date Paid Receipt Numher
Plan Review Residential $145.86 3/31106 2200600000000000411
+ 10% Administrative Fee $5.90 4/18/06 1200600000000000492
+ 8% State Snrcharge $4.72 4/18/06 1200600000000000492
Water Line - 1st 50 Feet $45.00 4/18/06 1200600000000000492
Water Line - Each Addll 100' $14.00 4/18/06 1200600000000000492
+ 10% Administrative Fee $5.90 4/25/06 2200600000000000506
+ 8% State Surcharge $4.72 4/25/06 2200600000000000506
Sanitary Sewer - 1st 50 Feet $45.00 4/25/06 2200600000000000506
Sanitary Sewer Each AddtlIOO' $14.00 4/25/06 2200600000000000506
+ 10% Administrative Fee $26.94 5/2106 1200600000000000583
+ 8% State Surcharge $21.55 5/2106 1200600000000000583
Garage/Carport $224.40 5/2/06 1200600000000000583
SDC Sanitary/Storm Admin $21.94 512/06 1200600000000000583
Storm Drainage Impervious Area $438.71 5/2/06 1200600000000000583
Storm Sewer - 1st 50 Feet $45.00 5/2/06 1200600000000000583
Total Amount Paid $1,063.64
I Plan Reviews ,
Initial Review 03/31/2006 03/3112006 APP SKG
Plan nine Review 03/31/2006 04/1 012006 APP TAJ No Planning issues.
Public Works Review ,03/31/2006 04/03/2006 APP CAS Storm drainage piped to curb face
4/3/2006 CAS
Structnral Review 03/3 I 12006 04/24/2006 APP RWC
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.
l....iIwllir1f'lrllnsnections I
Water Line: Prior to filling trench and inclnding required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Paee 2 of 3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00383
ISSUED: 05/02/2006
APPLIED: 03/31/2006
EXPIRES: 11102/2006
VALUE: $ 24,960.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been reqnested and approved and the huilding is complete.
Storm Sewer Line: Prior to filling trench.
Ceiling Insulation: Prior to cover.
Floor Insulation: Prior to decking.
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 strncture 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 he 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.
4'J 12.I'1~y~
Owner or Contractors Signature
~J.l.lo~
I t
Date
Paee 3 of 3
/<
.. . Pennit#: CCW1~o_- 00 S lJ3
'I'
i
Construction Contractors Board
700 Summer St NE Suite 300 Address: bC(o / m;+fl!/ 51
PO BOI 14140 s-j ~/o b
- Salem OR 97309-5052 Issued by: ?\~ Date:
' ,
\, ../ Phone: 503-378-4621
". ,." Web Address: www.ccb.state.or.us
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 app.vp.;ate blanks and initial boxes 1 and 2, and either box 3A or 3B:
~l.
~2.
I own, reside iy., 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.
IfI 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 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.
OJ /2. M{r~v~ ~Jz-Jofo
(Signature of permit applicant) . . / (bate)
(White copy to issuing agency permit file. pink copy to applicant.)
P__r__:J~owner.doc 06-01-04
Adnll1l~ fJ1~ <<UTIlt (Q)wrrn CGlell1lleIl"~n C!1l:Il"~~1l:@Il"?
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
,
v.
'. ~,
\
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 of the following responsibilities and concerns,
lEmjplloyer lRe!ljpoH1l!lnlMmne!l
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 more information, call the Department of Revenue at 503-378-4988.
Unemployment Insurauce 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.dor.state.or.us/formsnav.htmll for the
app' vp' ;ate forms.
Workers' Compensation Insurauce: 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 Conswner 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 1-800-829-4933 or visit their web site at www,irs.l!ov.
Otlb1er lRe!ljpoH1l!lilbinlities alllldl Areas of COH1lCell"llllS
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 r~do.rie. \ '. " \
' . \ ~ \". \ .
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 06-01-04