HomeMy WebLinkAboutPermit Building 2006-4-7
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00179
ISSUED: 04/07/2006
APPLIED: 02110/2006
EXPIRES: 10/07/2006
VALUE: $ 16,644.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 535 S 49TH PL
ASSESSOR'S PARCEL NO.: 1702333302006
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Garage conversion
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
IOU \0 Phone Number: 541-747-8768
eClU\,es \j 0'\\W\.'l
. ,\,.,~I 1 O,eOO(\ ~\Ol\n
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.I, CONTRACTORJJ~(FJ)RI\'U,l;IQN~.
" n\J IV ,e,:> ~ (\\IU'~
',') ," Q\ ,v b' CO? w\e,;", On ..
. ,I:,,,, ~'O.'l 0'01.'0.'(\ ~~O\e" :~e~~~n~e\' Expiration Date Phone
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Owner: JOSHUA MANNIER
Address: 535 S 49TH PL
SPRINGFIELD OR 97478
. ,c.:. \
nljIBUIIcQJ;N6 INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I ~
uc. 'N VIRED PARKING
\r "\ D\- \\\0
Overlay Dist: 't..'f....\'\~t.. ~\"\ \'2:> TOtal:
# Stre~~qdk S\-\~\..\.. \\-\\<2> \''t..\'\ x.\) \(Jl1andicapped:
pave~~~~~\ 'U~\)t.~ ~~~\)(J~ Compact:
% of L~'r'CO~ffl\~\) C)~ \<2> ~
~'U~~~~t.~~t.~ ~t.~\(J\).
I PUBLIC IMPIi~~f~ I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No SDC fees interior remodel only 2/16/2006 CAS
Pal!e 1 of 3
_ SPAINGFJaa.,D .W,\j",i"~ Ii
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i
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00179
ISSUED: 04/07/2006
APPLIED: 02/1 0/2006
EXPIRES: 10/07/2006
VALUE: $ 16,644.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Garal!e Conver. Garal!e
$ Per Sq Ft
or multiplier
$73.00
Square Footage
or Bid Amount
228.00
Value
Date Calculated
Description Type of Construction
Total Value of Project
$16,644.00
$16,644.00
02/10/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $105.30 2/10/06 1200600000000000148
+ 10% Administrative Fee $16.20 4/7/06 1200600000000000439
+ 8% State Surcharge $12.96 4/7/06 1200600000000000439
Building Permit $162.00 4/7/06 1200600000000000439
Total Amount Paid $296.46
I Plan Reviews I
Initial Review 02/13/2006 02/1312006 APP SKG
Planninl! Review 02/13/2006 02/16/2006 APP TAJ No Planning issues.
Public Works Review 02/13/2006 02/16/2006 APP CAS No SDC fees apply interior remodel
only 2/16/2006 CAS
Structural Review 02/13/2006 03/27/2006 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.
~eouiredJnsnections I
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00179
ISSUED: 04/07/2006
APPLIED: 02110/2006
EXPIRES: 10/07/2006
VALUE: $ 16,644.00
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 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.
{
4/9/tJl/J
! I
Date
Pal!e 3 of 3
CITY OF ~~INGFIELD SYSTEMS DEVELOPMErfJ'1\tORKSHEET
JOURNAL OR JOB NUMBER: COM2006-00179
NAME OR COMPANY: Mannier
LOCATION: 535 S 49th Place
TAX LOT NUMBER: 1702333302006
DEVELOPMENT TYPE: SINGLE F AMlL Y RESIDENCE
NEW DWELLING UNITS 0 ' BUILDING SIZE (SF: 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
0.00 I $0.323 = $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I DISCOUNT
'0.00 $0.323 I 50% = I $0.00
ITEM 1 TOTAL-STORMDRAINAGESDC 1 $0.00
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
0,
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
, 0
COST PER DFU
$25.07
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
$0.00
3. TRANSPORTATION.
A. REIMBURSEMENT COST:
I ADT TRIP RATE . x
I 9.57
I NUMBER OF UNITS' x
I 0
COST PER TRIP
$19.09
B. IMPROVEMENT COST:
I ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP
I 9.57 I 0 I $84.19
ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00
x 'NEW TRIP FACTOR'
1.00
x INEW TRIP FACTOR
I 1.00
o
$0.00
$0.00
, $0.00
$0.00
$0.00
fZJ
i:L1
~
o
u
I~
I~
......
o
~
1092
1093
1094
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 0 $82.03
B. IMPROVEMENT COST:
NUMBER OF FEU's x
o
ICOST PER FEU
I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, ' $0.00
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $0.00
5. ADMINISTRATIVE FEE:
=
$0.00
1054
1055
1054
1056
$0.00
$0.00
$0.00
I
I
I SUBTOTAL x ADM. FEE RATE
I $0.00 5%
TOTAL SANITARY ADMlNlSTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$0.00
#DIV/O!
#DIV/O!
Cheryl Slaymaker
2/16/2006
1079
11078
PREPARED BY
DATE
TOTAL SDC CHARGES
=1
$0.00
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 0 0 3 = 0
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOORDRAlN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (J PER TRAILER) 0 0 12 = 0
RECEPTOR FORREFRlG / WATER STATION /ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET7 PRlV ATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$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 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
2
2
1979
$0.00
o
$0.00
Consttuction 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
Address:
Permit #: COtN\ z...~ 0b -00 I 7 9
49./'" IL
Date: 'i!7/o fa
I /
S-3 S s..
~t!
Issued by:
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 ConstructiQn 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 wil/b~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.
, D 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
E5r' 3B. I will be my own general contractor.
If! 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.
lhereby certify that the above information is correct and that! have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
I 1 4 /~ / ()U
ature of permit applicant) , / (D'ate) ,
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner. doc 06-01-04
Acting as Your,Own GeneralContractor?
'-INFORMATION NOTICE TO ,PROPERTY OWNERS
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 iUlp.ov:ement 'to an existing
structure, you can prevent many problems by being aware of the' following responsibilities andconcems.
You will, in most jnstances, be ruled to be an "employer" and the contractors you contract with will b~ "employees" if
you use contractors not li~~nsed with the Con,struction Contrl;lctors Board:!odo laborln cons~cti!lg or to a~sist in the
construction or impro,-;ement ofa res,i~~tial structure. _As, t~e ,.employe~, you, must comp.y w1t~' the following:
~ ." . '. ~ . . ;.! .
. ". .
Oregon's Withholding Tax Law: As an employer; you mu~t withhold income taxes from employee wages at the time
employees are paid. You will be liable for the tax payments ~ven if you don't actually withhold the tax from your
employees. For more information, call the Department of-Revenue at 503-378-4988. . .,: ' "
Employer Responsibilities
~ . . ~ . . .f '..
Unemployment Insurance Tax: As an employer, you.arerequired to pay a tax for unem.ployinent 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 cOI!\Qined n~ber for. both Oregon Wi~hholding and
" -. ..
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.html1 for the
appropriate 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 b~ subjectto penalties and be liable for all ciaiin costs if one of your employees is injured on the
job. For more information, call the Workers' Compensation DivIsion at the Depiu-tment- of Consumer and Business
Services at 503-947-7815. '
U.S. Internal Revenue Service: As an employer, you m.ust 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,atl-800-82949330r'visit their web site at www.irs.!!Ov. "
, Othe,~'Responsibilities and 'Areas of -t~'nce~~~
, ,
Code Compliance: As the permit holder for this project, you are responsible for resolvinganyfaililie' to meet code
requir~ments that TIJ.~y be b.rought to your attention through ~nspections.
. . . .
Liability and Prop'~rt'y na'Iriag'e In~urance~' Contact your insurance agent to' see if you have adequ~te i~surimce
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;"
, '
-0 1:" . . '. . . . .
Expertise: Make s~re you have the skills t'o ~ct as your owrt general contract<>r, 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.
"I; , ~. . ,-'" . "',' "
Property _ owner. doc 06-01-04
. '
'(~tO~.86
'EASEMENT
~,l
y ,
---------
THIS INDENTURE HAPE and entered into this 24 day of ~r...-u{r,
by' and between S::rt~'lvlJ4=\clG" (~l9t.\<:t-!Vl.-S.t-\0^-.1 C-o.
19 75-:-
I.
. nel.-einafter referred to' as the Grantors,,' ~nd TI-IE CITY OF SPRIHGFIELD", a ' '~-:-'--
mu:nicipal corporation, in Lane County', Oregon:, hereinafter 'l:cfcrred to as
, the Grantee.' ' . . :
, '~ITNESSETH: In consideration of the. acceptance by grantee and the use or
'holding of said caser,lcnt. for present 01: future public use by grantee,
. gruntors, hereby grant, bargain, sell and.convey unto the Grnntec, a per-
petual easement /4- . feet i,nwidth, together with the :eight to go upon
said easement area hereinafter .'described, for purpose o~ c!onst:::ucting re-.,
constructing.. maintaining and using, a ~~SI1/lJifArl-/\ sewer which may
"hereafter be, installed on the following described prop~r/tYJ' to~wit:'
:.' . . .' , )\ '
Beginnfng at the Sout hwest oot-ner of Lot 18, Block 4, SECON.D ADDITION TO GATEWAY
PARK, as platted'and recorded in Book 66, Page 26, Lane County Oregpn Plat ae~,
cords; thence 'North 83 0 44' 00" East 87.93 feet; thence North, 850 00' 20" East
156.32t:eet to the Southwest corner of Lot 19, Block 4; thence North 830 07' 00"
East 81:59 feet to the Westerly margin of 51st Place cul-de-sac; thence along
said lliargin on a '46.00 foot ~adius curve left (the, chord of which ,bears South. .-
50 35" 00" West 14.33 feet) a distance of 14.39 feet; thencie leaving said .
Westerly margin South 830 07' {)O" West 78. 50 fe~t; thence South 8$0 00' 20", '
We'st-156'.4'l feet; thence.South83044' 00" West 9.5.91 feet to the Easterly margin
of 49th Place cul~e-sac; thence ?long said margin on a 46.00 feot. radiu~C
curY..e. lef~ (the' chord of which bears North 230 26' 30" East 16.12 feet) a
. distance of 16~20 feet to the'Point of Beginning, in Lane County, Oregon.
,',
TO HAVE AND TO EOLD the above easement to the said G=antee.. its successors
and ~ssig~s .forever.
.
.
IN ADDITION THERETO, The Grantors do hereby give and grant unto the City
of Springfield, a construction easement of feet in width along
and abutting the .. side and for the full length of
the aforementioned and described perpetual easement for the purpose of giv-
ing a work area duripg the construction' of a storm. and/or sanitary se~ver
within the perpetual easeme,~t. ' -,...,
TO HAVE AND TO HOLD said construct~n easement unto the said City of Spring-
field ~nd t~ its successors and ~ss~gns.. during the construction of the
storm and/or sanitary sewer. Upon the construction of the storm and/or
sanitary sewer and its acceptance for usel the con~truction easement here-,
in named sqall becoffi~ void.
IN WITNESS WHEREOF1 ~ne Grantors above named have hereunto set their hands
and, s~_t..~~s_.,,;. ~ay of 7' ,I 19
4~~ xCc--r;/ (SEAL)' · , (~EAL~
~~ ~{,.,,/4v:Z/. /(SEAL) ":;;'.,.i.~.;.,.:. (SEAl.)
\ ,r. ,.'i'Ii"'''.~''1''.'''f~" .
.----./ , " ,~I ,. ,....;,
STATE OF OREGON 1 County of - L--,AIV ~ ' 1 S5 Personally ap'p~~~?ti~:lo>:~-:.
above named and ackpowledged the foregoing ins trument to be' / ~~'j~ (~J.~ .>~. "'-:,
volu:'j,tary act and deed. Before me: . ',= r.::J: ," - I{,;/ t;:':
" . .': c:::: " I c;y · (/i :
/) / ':;L ..~~, -~?:0~/t.-:~~~ ~tjHJ~.. r
l:'-p-z''?<--rx-'? (c.!G.$.:) . ^ ':?,.p;1(2,c<,9~< -) '/
Nota.ry P\.lplJ.c for....fr.r~Qn...:,,$"~,..'. .
.'~~..~J.r'!r~, ,
Dated
h.::11 24
A.D. 19 -LCS
f/-2,rJ-. 7C~
'.y Co~~ission Expires:
~
..
.. "
: I';
~
13 S5 '.
. .
225 Fifth Street
Springfield, Oregon 97477
.~
541-726:'3759 Phone
Job/Journal Number
COM2006-00 179
COM2006-00 179
COM2006-00 179
Payments:
Type of Payment
CreditCard
cReceint I
.<
RECEIPT #:
Description
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JENNIFER MANNIER
C' of Springfield Official Receipt
L ~ , elopmeot Services Department
Public Works Department
1200600000000000439
Date: 04/07/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
61700B In Person
Payment Total:
Page I of I
2:51 :24PM
Amount Due
162.00
12.96
16.20
$191.16
Amount Paid
$191.16
$191.16
4/7/2006