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Home My WebLink AboutPermit Building 2005-1-20 (3) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY lll' ~r'1<Jl'jljJ<1.t,LD . Building/Combination Permit PERMIT NO: COM2004-01587 ISSUED: 01120/2005 APPLIED: 12/28/2004 EXPIRES: 07120/2005 VALUE: $ 4,000.00 f'b ^.' ,~1V. ~,~ t' D ~ f', ,_: ~1__ \OIlJ'" H '.. \l ~ SITE ADDRESS: 453 PIONEER PARKWAY WEST SPRlNGFIETYPE OF WORK: Foundation ASSESSOR'S PARCEL NO.: 1703352307800 PROJECT DESCRIPTION: Foundation for moved house TYPE OF USE: New Residential Owner: FOUMAL MICHAEL W & LAURA A Address: 1750 WASHINGTON ST EUGENE OR 97401 A~~I"'I"o.I. ?reS9R 18'$/ rSf8IMtres ) 3bt :_ follow r~=.~_L...:U._ v F_ 14ir N l'f t,rCQNTRJ\1.:1UR'INFURMN NIl o I lca 11_ _ _!.!! .,,~!! !,t _... ,...f ~ ..,4,. ,,!.{ "1' ContractJn.OAR 952-001-0010 through OA~tM;I. OWNER 'b'o90. You may obtain copies of the rules by ALERT EL~t~~~_~~:~;~,~~);~~t~~:~~~. rdlllJ.lLDlNG-INti'eRMA nON Contractor Type General Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: R-3 # of Stories: Height of Structure Type of Heat: Baseboard Elect Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a ~l. ~co 41'5\ ~ Expiration Date Phone OS/22/2005 541-747-2213 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: l.runLn': IMPROVEMENTS' Fully Improved Yes Sidewalk Type: Downspoutsmrains: Setback 5' Curb and Gutter Paee I of 4 Notes: Storm drainage piped to curb face 1/5/2005 CAS Encroachment permit for sanitary hook-up to existing tap VN 2 NDTICII'DEVELOPMENT INFORMATION' THIS PERMIT SHALL EXPIRE IF THE WORK .L24:000RIZED Uf0YfflaylnijtPERMIT IS NOT Historic Ci~!~!MENCED C~{s,tre.e.Ij'l!~~~K,I}l\?a FOR ANY 180 DAY P!'Il,y~~p'rive Rqd: Yes 10.00 % of Lot Coverage: 26.70 0.00 ~~' .~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundation Onlv. Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Encroachment Permit Foundation Permit Moved Structure Plumbing Conn Plan Review Major - Planning Plan ReviewlResidentlal Hourly Sanitary Sewer - 1st 50 Feet Service Reconnect Storm Sewer - 1st 50 Feet Water Line - 1st 50 Feet Total Amount Paid Plannine Review Public Works Review . 01/0312005 01/03/2005 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01587 ISSUED: 01120/2005 APPLIED: 12/28/2004 EXPIRES: 07/20/2005 VALUE: $ 4,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 4,000.00 Value Date Calculated Total Value of Project $4,000.00 $4,000.00 . 12128/2004 Fpp< p"W Amount Paid Date Paid Receipt Number $39.39 $31.76 $22.23 $27.00 $31.00 $120.00 $60.60 $45.00 $103.00 $67.50 $45.00 $50.00 $45.00 $45.00 12/28/04 1/20105 1/20/05 1/20/05 1/20/05 1/20105 1/20/05 1/20/05 1/20/05 1/20/05 1/20105 1/20/05 1/20/05 1/20/05 2200400000000001551 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 . 1200500000000000084 1200500000000000084 1200500000000000084 1200500000000000084 $732.48 I Plan Reviews I 01/19/2005 APP TAJ DRC2004-00027 approval by Historic Review Board finaled 7/10/04. Storm drainage piped to curb face, encroachment permit for Sanitary hook-up to existing laderial1/5/2005 CAS 01/0512005 APP CAS Paee20f4 . CITY OF ~rKll~GFl.t,L1J' Building/Combination Permit PERMIT NO: COM2004-01587 ISSUED: 01120/2005 APPLIED: . 12/28/2004 EXPIRES: 07/20/2005 VALUE: $ 4,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 01/03/2005 01/04/2005 WE DLM Structural Review 01/1312005 01/20/2005 APP DLM Structural questions on existing bldg. for applicant. Modifications may be needed for cell jstslrafter support & Interior footings. Contacted applicant and dcsigner. 1/3/05 dim Talked to applicant and designer by phone 1/4/05. Met wi designer at counter to discuss the problems with teh upper level. He agreed to add foundation support for the interior bearing wall. Upstairs areas reo habitable spaces to be resolved later. Revised foundation plan & cross section submitted 1/13/05 dim Foundation only - See documents for plan review comments. 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. ~prtin"iJ 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. Post and Beam: Prior to Door Insulation or decking. Floor Insulation: Prior to decking. Final Building: After all required inspections have been requested and approved and the building is complete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. UnderDoor Plumbing: Prior to insulation or decking. UnderDoor Drain: Prior to cover or placement of concrete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee30f4 -Wli:G ~~'!'I,.:Q,_I!I,,~' .. . . '. . .. ..... . . CITY OF SrKmui<mLD . Building/Combination Permit PERMIT NO: COM2004-01587 ISSUED: 01120/2005 APPLIED: 12/28/2004 EXPIRES: 07/20/2005 VALUE: $ 4,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 re,quested 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. ~-2;-rN~ \ /'60 Jo 5 Owner or Contractors Signature Date Paee 4 of 4 c Cll~ OF SaG FIELD SYSTEMS DEVELOPMENARKSHEET JOURNAL OR JOB NUMBER: C0M2004-O 1587 1"-----' NAME OR COMPANY: Laura F oumal en tJ.1 LOCATION: 453 Pioneer P!<y W. Cl TAX LOT NUMBER: 1703352307800 0 U DEVELOPMENT TYPE: P<: NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): 0 !:: 1. STORM DRAINAGE en - 0 DIRECT RUNOFF TO CITY STORM SYSTEM ~ I IMPERVIOUS S,F. x I COST PER S.F. I = I CHARGE I 0.00 I $0.310 $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 : DISCOUNT RATE : = I DISCOUNT I 0.00 I I $0.310 50% $0.00 ITEM t TOTAL - STORM DRAINAGE SDC SO.OO $0.00 , 1070 , 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 0 I $24.04 = , SO.OO 1091 B. IMPROVEMENT COST: I I NUMBEROOFDFU'S 1 x $18,28 $0.00 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO I 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI 9.57 I I 0 I $18.30 I 1.00 I SO.OO 11093 B. IMPROVEMENT COST: I I ADTTRIPRATE I x I NUMBER OOF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI I 9.57 I i $80.72 I 1.00 I SO.OO 1 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I SO.OO I 4 SANITARY SEWER - MWMr I A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $82.03 = SO.OO 1 1054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU , 0 I $865.31 = SO.OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054 MWMC ADMINISTRATIVE FEE SO.OO 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SO.OO I SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , SO.OO I 5. ADMINISTRATIVE FEE: I I SUBTOTAL x I ADM. FEE RATE 1= CHARGE $0.00 5% $0.00 TOTAL SANITARY ADMINISTRATION FEE: #DIV/O! 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: #DlV 10! '11078 Cheryl Slaymaker 1/512005 TOTAL SDC CHARGES =, $0.00 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS II (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 1 3 = 0 I IDRINKING FOUNTAIN 0 0 1 = 0 1 IFLOOR DRAIN 0 0 3 = 0 l' I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESWASHER - 3 OR MORE lEA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 iSINK: COMMERCWJRESIDENTIAL KITCHEN 1 1 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 1 1 = 0 (URINAL. STALL! WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 1 1 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 ..*EDU (Equivalent Dwelling Unit) is 8 discharge equivalent to a single fami1~ ~~Iling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r-- YEAR L ANNEXED I BEFORE 1979 I 1979 l 1980 r 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 I II CREDIT RATE/$I,OOO ASSESSED V AWE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 ~ 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 1979 2 2 CREDIT FOR LAND (IF APPLICABLE) VALUE/1000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT -' \, ../ ", " . Con'struction 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...... z.o'- 01 ::;- 8'" 7 Issued by: i.{)3 ?{(M<=fL ::fK:W'l I '::::i, is Date: ( - z.o.- o~ Address: 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 "1'1"VI',;ate blanks and initial boxes I and 2, and either box 3A or 3B: m 1. ~ 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 herehy certify that the above information is correct and that I have read and do understand the Information Notice to, Property Owners about Construction Responsibilities 00 the reverse side of this form. ~~ \'7/~<3/0<+- (Signature of permit applicant) . - I (Datej (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 ^ ~o '. ~ fl~l1nnn~ 1al~ 'If @11llIr IUIwnn J INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES . -'!" CG~nn~Ir1alll C@nn~Ir1al~~@Ir'? 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. . II If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you ca~ prevent many problems by being aware of the following responsibilities and concerns. JEmjplloyer lRe~jponn~nlb>nlln~ne~ 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 ,I construction or improvement of a residential structure. As tbe employer, you must comply witb tbe following: Oregon's Witbbolding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employecs 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 D~I'~ ~uent of Revenue at 503-378-4988. r Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages ofall 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/fonnsoav.htmJl for the appropriate forms. Wor/{ers' Com'pensation Iosurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtail1 workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you d~uld 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 Depi1rtment of Consumer and Business Services a( 503-947-7815. U.S. Intemal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. YOl! will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN nwnber, call the IRS at 1-800-82&-4933 or visit their web site at www.irs.l!Ov. I, <(JJfr!lllen- lFS.e~jpl1)nn~fi!hlfillfifrfie!l t<lnnrdl AJre21~ 11)11' <Cl1)llllG:eJrllll~ 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 (ools, paint over spray, water damage from pipe punctures, fire or work that must be redone. II Time: Make st"Te you have sufficient time to supervise your employees. IEx;>eiiise: M~ke sure you have the slalls to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the al'l"UI',;ate times so they can perform the required inspections, If you have additional questions call the Construction Contractors Board (503-378-4621) or writ:: the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 225 Fifth Street 'SlJl"ingi1eld, Oregon 97477 541-726-3759 Phone . ii:~ IllliiJ,ty of Springfield Official Receipt .velopment Services Department . Public Works Department Job/Journal Number , COM2004-01587 COM2004-0 1587 COM2004-01587 COM2004-01587 COM2004-0 1587 COM2004-0 1587 COM2004-0 1587 COM2004-0 1587 COM2004-01587 COM2004-0 1587 COM2004-01587 COM2004-0 1587 COM2004-0 1587 Payments: Type or Payment C;heck 1120/2005 RECEIPT #: 1200500000000000084 Date: 01120/2005 Descripllon Encroachment Permit Plan Review Major - Planning Foundation Permit Addressing Assignment Sanitary Sewer - 1st 50 Feet Water Line - 1 st 50 Feet Storm Sewer - 1 st 50 Feet Moved Structure Plumbing Conn Service Reconnect Add, Alter, Extend Circ Ea Add Plan Review/Residential Hourly + 7% State Surcharge + 10% Administrative Fee Paid By NATION CHRISTIAN ORGANIZATION Item Total: Check Number Authorization Received By Bntch Number Number How Received djb 1203 In Person Payment Total: Page 1 of I 1l:48:54AM Amount Due 120.00 103.00 60.60 31.00 45.00 45.00 45.00 45.00 50.00 27.00 67,50 22,23 31.76 $693.09 Amount Pnld $693,09 $693.09