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Home My WebLink AboutPermit Building 2006-2-17 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00022 ISSUED: 02117/2006 APPLIED: 01/05/2006 EXPIRES: 08/17/2006 VALUE: $ 20,075.00 , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1041 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703264110004 Springfield TYPE OF WORK: Garage Conversion PROJECT DESCRIPTION: Carport conversion TYPE OF USE: Alteration . '0 , ,. " n~,I. OrMon 1[",\~J re~1 nrf'~ ,,'ou. /' ' '" '.', , . , .' .... n,;,,:' ".:", .1r.cJ bl' tllC Grcnon Utility , Thos~ rules ....rC' S"l F~llll No: . t:~tIOil Ccr'ler. ~'<<'Ph'one Number: in GAli 852-001-0010 through OAH ~:Jr.-LJu 1- 0090. You may obtain cop:.3~ of the rules by . '''l_~_. J......... t,..."nnhf"\n~ l,jctlllll~ ~I'.... ...."", '-.:" ,- _ I I"-i . N iflcution I CONTRA0TOR INFORMJ\ TION..lity ot .. ~.2344). Vt;;ll~"'" ''''' . ....- ~ -- License Expiration Date Residential Owner: Address: ARD JEFF W 1041 OLYMPIC ST SPRINGFIELD OR 97477 541-221-8472 Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER ARPS PLUMBING CO INC fir}.;: 38113 01/24/2008 - .. .!I. I BUILDING INIieKMA T10N I AUT - If.., "d'All EXPIRWF # of Sto~'lJS.~~~~RIZED UNDER THIS tif: WORK Height 0 "Stftl'i!fJJt;ED OR IS ABAN 1ls1:FIl;6tT Type of ';ft:1BO DAY PERIOD D '~iililffloor: Water Type: . Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Phone 541-484-7246 - . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 275 VN , I DEVELOPMENT INFORMATION' Frontyard Setback: . Side I Setback: Side 2 Setback: : Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVE]\<JI!." 1;' I Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: Downspoutsffirains: Setback 5' Curb and Gutter Notes: Interior remodel fixtures only for SDC 1/10/2006 CAS Pa2elof3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garaee Conver. Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00022 ISSUED: 02/17/2006 APPLIED: 01105/2006 EXPIRES: 08/17/2006 VALUE: $ 20,075.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $73.00 Square Footage or Bid Amount 275.00 Value Date Calculated Total Value of Project $20,075.00 $20,075.00 01/0512006 )?pp<. PlIiILI Amount Paid Date Paid Receipt Number 1200600000000000012 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 2200600000000000224 $125.58 $10.00 $28.32 $22,66 $193.20 $42.00 $39.00 $3,00 $114.42 $150.42 $13.24 $6.00 1/5/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 2/17/06 $747.84 I Plan Reviews I Initial Review 01/06/2006 01/10/2006 APP LLH Plan nine Review 01/10/2006 01/26/2006 APP TAJ No Planning issues. Public Works Review 01/10/2006 01/10/2006 APP CAS Interior remodel fixtures only for SDC 1/10/2006 CAS Structural Review 01/10/2006 02/08/2006 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. Rpnll~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to noor iosulation or decking. Floor Insulation: Prior to decking. Paee 2 of3 . . CITY OF SPRINGFIELD- Building/Combination Permif PERMIT NO: COM2006-00022 ISSUED: 02/17/2006 APPLIED: 01105/2006 EXPIRES: 08/17/2006 VALUE: $ 20,075.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building Is complete. UnderfIoor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 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 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 11ated at the front of the property, and the approved set of plans will remain on the site at all ::ling constr;z~ J 2-1 (( lOb , Owner or~to;; Signature Date Paee 3 of 3 CITY OF SiNG FIELD SYSTEMS DEVELOPME~ORKSHEET JOURNAL OR JOB NUMBER: COM2006-00022 NAME OR COMPANY: Jeff Ard LOCATION: 1041 Ol~eic TAX LOT NUMBER: 1703264110004 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM DRAINAGE o tIl ~ Cl o u e>:: ~ tIl t3 ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 0.00 I SO.323 I = I $0.00 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 I I 0.00 I I S0.323 I I 50% = I DISCOUNT $0.00 ITEM I TOTAL - STORM DRAINAGE SDC SO.OO SO.OO 1070 2. SANITARY SEWER - !CITY A. REIMBURSEMENT COST: I NUMBER6 OF DFU's 1 x COST PER DFU S25.07 = S150.42 t09t B. IMPROVEMENT COST: I I NUMBER6 OF DFU's 1 x S19.Q7 S114.42 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , S264.84 I 3. TRANSPORTATION I A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBEROOF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I i $19.09 I 1.00 I = SO.OO t093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OOF UNITS 1 x I COST PER TRIP x INEWTRIP FACfORI I 9.57 I I S84.19 I 1.00 I SO.OO 1 t094 ITEM 3 TOTAL - TRANSPORT A nON SDC = I SO.OO 1 J 4. SANITARY SEWER - MWMC I A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I. I S82.03 = So.OO 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 , I S865.31 = SO.OO ! 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 11054 MWMC ADMlNISTRA TIVE FEE SO.OO I t056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SO.OO I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , S264.84 I 5. ADMINISTRATIVE FEE: I I SUBTOTAL x I ADM. FEE RATE 1= I CHARGE I S264.84 I 5% S13.24 TOTAL SANITARY ADMINISTRATION FEE: 13.24 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO 11078 Cheryl Slaymaker I I] 012006 TOTAL SDC CHARGES = $278.08 II PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX1URES , UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTIJRE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAuRESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 IURlNAL. STALL/WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INST ALLA nON 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 .EDU (Equivalent Dwelling Unit) is a djsc~ eQuivalent to a single family dwellin~ unit (20 DFU's) set at 16~lIons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Enter I fnrYes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Entcr I fnrYcs, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE 11000 CREDIT RATE 1985 $4.40 SO.OO x S5.29 ~ , SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = SO.OO 1993 $1.45 1994 $1.25 1995 $1.09 199. $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 ,. II I I I I I I I I I I il I . . . . . 6 - - . - -.- - . . . . 32SS42.04 -. . . \" ,/ ". ." . .' 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 #: C.O/M z..,OO b -000 z Z Address: JOY I 0/ y"",- P IC_ "s,. 1- Issued bll.f1J21i;vfO Date: ~)7 / ()~ 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"VI',;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: .8-r. ~ 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 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 Own/h about Construction Responsibilities on the reverse side of this form. ~b.f"""'it ....=1) t/ r;; I L(rO ~ I I (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 ---00... . . . . . ... . . . . t . . . . . AdnIffig ~:s\ 1(@umf ([J)WlTIl cGelTIlell"~ll C@lTIlrrll"~terr([j)ll"? ! ' INFORMATION NOTICE TO PROPERTY OWNERS ABOUJ CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Propefty 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. Emplloyer lRe~poun~fi]l}mrrne~ You will, in most ins~ces, 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 fonowing: , . Oregon's Withholding 'fax 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. I I Unemployment Insurance 'fall: 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 number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.hlmll for the up..,... up. :ate 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 bb subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more informition, 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' wage'S>- 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 W\'.>w.irs.l!Ov. '1(()~llneIl" lRe!il]jllOIlllSi.j!)i.ni.~i.es 2lIlll.llJl AIl"e21s OJ[ COIlll.ll:eIrllllS I Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may ~e brought to your attention through inspections. Liability and PropertY Damage Insurance: Contact your irtsurance 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. I. Expertise: Make sure iyou 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 .....io- 225 Fifth Street Springfield, Oregon 97477 5.11-726-3759 Phone . .P~IYI\I!Q!I~. "_~_>._ I.. 1Ii:' , , ._~-- .~ .{:ity of Springfield Official Receipt "evelopment Services Department Public Works Department Job/Journal Number COM2006-00022 COM2006-00022 COM2006-00022 COM2006-00022 COM2006.00022 COM2006-00022 COM2006-00022 COM2006-00022 COM2006-00022 COM2006-00022 COM2006-00022 Payments: Type of paymeot CreditCard I:t. :< :< :c. :C :, 1'(. '( 'c. :, 2/1712006 II RECEIPT #: 2200600000000000224 Date: 02117/2006 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Minimum/Adjustment Plumbing Vent Fan -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 8% State Surcharge + 10% Administrative Fee Paid By JEFF ARD Item Total: Check Number Authorization Received By Batch Number Number How Received 162640 In Person Payment Total: Page I of I 9:17:19AM Amount Due 150.42 114.42 13.24 193.20 42.00 3.00 6.00 10.00 39.00 22.66 28.32 $622.26 Amount Paid. $622.26 $622.26