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Home My WebLink AboutPermit Building 2003-10-2 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: COM2003-00848 ISSUED: 10/02/2003 APPLIED: 09/03/2003 EXPIRES: 04/02/2004 VALUE: $ 5,712.00 SITE ADDRESS: 1041 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703264110004 PROJECT DESCRIPTION: Shed Springfield TYPE OF WORK: Accessory Building TYPE OF USE: New Residential Owner: ARD JEFF W Address: 1041 OLYMPIC ST SPRINGFIELD OR 97477 Contractor Type General Plumbing Contractor OWNER OWNER # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-741-8062 I CONTRACTOR INFORMATION' License Expiration Date Phone U-I BUILDING INFORMATION I ':10\)\0 o,\l\tes \)\\\\\':1 # of Stories: ~ \a."" te otet1).'Ors~'t:1et\. Height of Struct~lQteCi\Oo "o1'4."5b ~Gssq<Fr~J..Ehlor: Type of l!~\0 . 009\0 ~y\oSe tU ~ d\l:jlF~2~.fur: Watpl\'FYfi\\)vase: ~et. \Y\to\l~ iiIlB~"5tl/llnt: Ran~!l\~ei\ol' Ca ,\.oO'\~ Co9\GS !II.~.Ar'-I{\lOOarport En~\I'&ti\~~z..oO O'O\a.'I' ~O\a.. 1l.tf.)~er: '~j~ ~o~ :~~e~~!>~ol' ~~~. ~10us Surface Area: I DEVELOprJEN;r~.INFaRMA'n:ON\.,()1J "II '" I'\)'<l'"'. C~~'" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 240 VN REQUIRED PARKING Total: Handicapped: Compact: % of Lot Coverage: -I I'" \IIIO?''' I PUBLIC IMPROV~M~.Il/TS I ~\.\. ~'j,\>\?e ~~~\1 \S ~\)\ ~~I~ ?e?\-1I\\ S\.l~~~Jk\I~:e~e\) to?' \fl" nIle\) Ie. h,~~~ . ~\.I\\-\Gfl C~O OWOWh~poutslDrams: CG\-1I~~~ \)~'1 \>~?\G\). ~~'1 '\'O\) Page I of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Planninl! Review 09/04/2003 09/05/2003 Public Works Review 09/05/2003 Structural Review 09/05/2003 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,712.00 Total Value of Project L.I?PP< PiWU Amount Paid Date Paid $49.53 $12.12 $8.48 $76.20 $3.48 $69.60 $45.00 9/3/03 10/2/03 10/2103 10/2103 10/2/03 10/2103 10/2103 $264.41 I Plan Reviews I 09/05/2003 09/17/2003 APP LLH APP TAJ 09/08/2003 APP MS 09/29/2003 APP DLM Pal!e 2 of3 . Lt1 f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00848 ISSUED: 10/02/2003 APPLIED: 09/0312003 EXPIRES: 04/0212004 VALUE: $ 5,712.00 Value Date Calculated $5,712.00 $5,712.00 09/03/2003 Receipt Number 1200200000000002050 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002249 1200200000000002249 Height of shed cannot exceed height of house. 9/11/03 - Contacted applicant and they informed me they plan to take storm drainage to the street. -MS High ground water table and soils conditions (SDC: 32-coburg-Land Complex at 100%) do not facilitate a drywell. PW's will not approve drywell. Contacted applicant 9:30 9/8/2003. Applicant plans to contact Steve Graham regarding reclaimation of water. I have told applicant that PW would like them to go to the street. Waiting for information from Steve and applicant. PW has been passed onto Matt. See documents for plan review comments. . . Lil l' OF SPRINGNJ<..LD Building/Combination Permit PERMIT NO: COM2003-00848 ISSUED: 10/0212003 APPLIED: 09/03/2003 EXPIRES: 04/0212004 VALUE: $ 5,712.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. I R'~l1uirr.d In.nr.ctions I nl.1 ......... I Foundation, After forms arc erected but prior to concrete placement. 2 Framing Inspection, Prior to cover and after all rough in inspections have been approved. 3 Final Building: After all required inspections have been requested and approved and the building is complete. 4 Storm Sewer Line, Prior to filling trench. 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 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 used on this project. I further agree to ensure that all required inspections arc 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.duringCOnst~ ~"" ""'.... D':' 0 I d 0 S Paee 3 of3 e. . . . . \ / ". .' ", " . .. ,', . ' " Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ecb.state.or.us Permit #:f'M2t7'6aars Address: /D4L/'l/'UW.nr. .07'/ - - /. -" Issued by: >- ~ Date: 10 -02-0 '1 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 appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ L ~ 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 I 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 t? Property orners Jout Construction Responsibilities on the reverse side of this form. y --l"M rA !' t olLI O~ / '- oy U ~ignature 0 'permit applicant) I (Date) (White copy to issuing agency permit file, pink copy to applicant.} Property _ owner.doc 03/11/03 Adnllli':is',~Gn 1r\~WIl1l iGelll ewmn iC ~ twm d~ w? ,\\' ':, .' , Y~F'6~~~TI6~'~'C>TICE 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. a 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 concems. IEmpRoyer RespOJr1lsillJiBfities You will, in m(jst instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contra~tors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction orimprovement 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 are1paid. 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 mor~ 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 jfyou 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 Responsibinitfies and Areas of Concems Code Compli~lDce: 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. I 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 I work that must be redone. , I Time: Make ,sure you have sufficient time to supervise your employees. i/ 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 I/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00848 COM2003-00848 COM2003-00848 COM2003-00848 COM2003-00848 COM2003-00848 Payments: Type of Payment CreditCard Paid By JEFF ARD -.J;..'C _..'!U'......~ '. ~,.. : ' j I ..~, i _..1 ~,_."><'...._"" .__,.f _. Receipt #: 1200200000000002249 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Received By djb <':heck Number Batch Number Authorization Number 000185 105322 City of Springfield Official Receipt. Development Services Department . Public Works Department. . Date: 10/02/2003 8:40:47AM .' Amount Paid Item Total: 69.60 3.48 76.20 45.00 8.48 12.12 $214.88 How Received In Person Payment Total: Amount Paid $214.88 $214.88 . . ".. . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENfI!IORKSHEET JOURNAL OR JOB NUMBER: COM2003.00848 NAME OR COMPANY: Jeff Ard LOCATION: 1041 Olvrnoic Street TAX LOT NUMBER: 0 DEVELOPMENT TYPE: Shed NEW DWELLING UNITS 0 BUILDING SIZE (SF; . 240 LOT SIZE (SF): I. STORM DRAINAGE o I 1[2 10 o U IX t.tJ I- m G ~ DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER S.F. CHARGE 1 240.00 $0.290 \ = I $69.60 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I 0.00 I $0.290 I 1 50% 1 = $0.00 ITEM I TOTAL - STORM DRAINAGE SDC S69.60 $69.60 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 0 1 S22.64 SO.OO 109t B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU 1 0 1 S17.21 SO.OO 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO ). TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE 1 x I NUMBER OF UNITS 1 x 1 COST PER TRIP x INEWTRIPFACTORI I 9.57 I o I I S17.23 1.00 1 SO.OO 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP x INEWTRIPFACTORI 1 9.57 1 o 1 1 S76.oI 1.00 1 SO.OO 1094 ITEM 3 TOTAL - TRANSPORT AnON SDC = , SO.OO 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOSTPERFEU I 0 I S332.86 = SO.OO IOl4 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I S34.83 = , so.oo lOll MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , SO.oo I tOl4 MWMC ADMINISTRATIVE FEE = , SO.OO I tOl6 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , SO.OO SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , $69.60 I 5. ADMINISTRATIVE FEE: I SUBTOTAL 1 x I ADM. FEE RATE 1= CHARGE I S69.60 I 5% I $3.48 TOTAL SANITARY ADMINISTRATION FEE: 3.48 t079 TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO 11078 Matt Stouder 9/1 1/2003 TOTAL SDC CHARGES = , $73.08 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT - DRAINAGE FIXTURE UNITS 'j (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 -I IDRINKING FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 I ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FORREFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FORCOM. SINK / DISHWASHER / ETe. 0 0 3 = 0 ISHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 Oflfs) set at 167 aallons per day J MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE II ., YEAR CREDITRATE/$I,OOO II ANNEXED ASSESSED V AWE BEFORE 19~ - $4,92 -; 1979 $4.92 1980 $4,83 1981 $4.77 1982 $4.64 1983 $4.47 1984 $4.30 1985 $4.09 1986 13.78 1987 $3.41 1988 12.98 1989 12.52 1990 $2.06 1991 $1.64 1992 $1.45 1993 $1.3 I 1994 $1.13 1995 $0.97 1996 $0.82 1997 $0.63 1998 $OAt 1999 $0.22 2000 $0.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 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