The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-8-20 r.' ~ f.\ ,;;0,.,:0 '., ~.... , I !\ . ... \ .'---, ,( ~ '~, '"",.. Sfatus IsslIcd 225 Fift'~ Street, Springlicld, OR 541-726,,'753 Phone 541-726-.'1176 Fax 541-726-.\ 769 Inspection Line CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2004-00951 ISSUED: 08/20/2004 APPLIED: 08/02/2004 EXPIRES: 02120/2005 VALUE: $ 17,496.00 SITE AnDRESS: 6511ST ST ASSESS~)R'S PARCEL NO.: 1703352300700 FAlRFIELD JOHN A .uQl'CE~ L EVP\RE 'F lHE WORK 651 W 1ST SPRINGFI~ffl~MI17SHAL ^ RM'T \S NOT -t[0 ~III~Q THIS PE - - - AUlnJf.l.~r "" ~!ln()NtU run COMM~!19U\ INFORMATION' ANY 18 ff[~ . Contractor License OWNER OWNER OWNER ])RO.JECT DESCRIPTrON: garage Owner: Address: Contrrdor Typc General Electric:,! PlumbinL: # of Uni',: PriJl1ar~ r)ccupanc~' Group: Secondar~' Occupancy Group: Primar~' ~:onstruction Type -Seconda "V Const rnction Type: # of Bedrooms: Frontyar" Setback: Side 1 St"'lack: Side 2 Sid hack: Hearya":' Setback: Solar St':"acks: 18.00 6.00 10.00 0.00 Strcet rp'pnlvemcnts: Storm ~''''\er Available: Special Instruction: Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential Phone Number: 541-747-1579 Expiration nate Phone 'I BUI"LgING INFORMATION I U-l # of Stories: 1 Lot Size: Height of Structure 15.00 Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range TtP.e: TION: Oregon taw req8tre~'e/Carport Energy.Fhtijf..N d by the ~gem:l4t\"Jy SprinkOOj\D'Mlru~ adopte was rul~~(l\tmftt: " t Z'+;fi,..~tinn Center. T e_ ~ n S(3 '}t\4_ , . ~ ~.1imrOU\:l11 ..,hI' I DEVELOP~1'i~0R.WfA . iesoftheru'esbY ,~ 009U. YOU IUOJ ,(N:.thetelep~@UIRED PARKING Overlay i9AA\ing the =~~~gon utiuty Notii~ ;;, # Street 1i~~~?r 1 r 1$1-80()..332..2344)' Handicapped: Paved Drive Rq~n e Compact: 'X, of Lot Coverage: 720 VN I PUBLlC!-MPROVEMENTS .' Sidewalk Type: Downspouts/Drains: Yes Storm to weep hole in cnrb Notes: Curb and Gutter Page 1 of 3 ~ ~' 0I1.'r;';> , ' - " 'u"_., ~ 'l... \;. Status Issued 225 Jliffh Street, Springfield, OR 5.t 1-72()-J 753 Phone 5-11-72()-,~()76 Fax 541-720-.\ 769 I nspection Line Descrinl;on Tvoe of Construction Gara12e Ganll!e Fee Oesc"iotion Plan R('\iew Residential + 10'1., :\r1ministrative Fee + 7% S!ate Surcharge BlIildillt: Permit Plan Re'iew Minor - Planning SOC Sa"itary/Storm Admin Storm :1rainagc Impervious Area Storm ~l'wer - 1 st 50 Jleet Total AmOllnt Paid Initial 'h'view Plannip(C Review 08/03/2004 08/04/2004 Plannil1[~ Review 08/13/2004 Puhlic "'(Irks Review Strllctp"al Review 08/04/2004 08/04/2004 I_yaluation Description I $ Per Sq Ft or multiplier $24.30 Square Footage or Bid Amount 720.00 Total Value of Project U~C~ Amount Paid Date Paid $110.37 $21.48 $15.04 $169.80 $59.00 $12.90 $257.92 $45.00 8/2/04 8/20/04 8/20/04 8/20/04 8/20/04 8/20/04 8/20/04 8/20/04 $691.51 I_.:~'ln Reviews ~ 08/04/2004 APP 08/06/2004 WE 08/13/2004 APP 08/04/2004 08/19/2004 APP MS APP DLM Pa2e 2 of3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00951 ISSUED: 08/20/2004 APPLIED: 08/02/2004 EXPIRES: 02/20/2005 VALUE: $ 17,496.00 Value Date Calculated $17,496.00 $17,496.00 08/02/2004 Receipt Number 2200400000000000999 1200400000000001246 1200400000000001246 1200400000000001246 1200400000000001246 1200400000000001246 1200400000000001246 1200400000000001246 LLH TAJ The owner needs to record a deed restriction to tie both tax lot 600 and 700 together as a single development site or he can shift the garage 2' toward 1st Street to maintain a minimum rear setback of 10'. Contact Liz Miller 726-2301 regarding this. The property is zoned and designated HDR. No Site Plan Review is required per exception in Article 31. Called John Fairfield and left message on 8/6/04. LM Site plan revised to reflect 10' rear setback for garage. tara 8/19/04 Owner has decided to move garage forward 2 feet. EMM .:: "'';1\ .~' ~lJO ~- ---'~-,\ \ ,;-... - ""."l Status IsslIed 225 Fifth Street, Springfield, OR 5<-11-726-.\ 753 })hone 541-726-.\676 F:n 541-726..\ 769 } nspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00951 ISSUED: 0812012004 APPLIED: 08/0212004 EXPIRES: 02/2012005 VALUE: $ 17,496.00 To Re(~~lest an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wm be "'lade the same \vorking day, inspections requested after 7:00 a.m. will be made the following work day. '..Ji.<aluired Insoections I I 'fer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or fOllndation inspection. Foundation: After forms are erected but prior to concrete placement. Fnllning Inspection: Prior to cover and after all rough in inspections have been approved. Fillal Building: After all required inspections have been requested and approved and the building is complete. ~tnrl11 Sewer Line: Prior to filling trench. Jl old Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Ihilding Inspector. B~' sigm1ture,} state and agree, that I have carefully examined the completed application and do hereby certify that all informal ion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the On!jpa nces of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and th at NO OCCU PAN CY will be made of any structu re without permission of the Community Services Division, Building Safety. } fnrthcr 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. ~~ Owner n'" Contractors Signature 7\~ Page 3 of 3 g / 2--0 /1J t/- D~e r' 225 Fifth Street SpJ;ingi"iclcr, Oregon 97477 54J -726-3759 Phone Job/Journal i\ umher COiVl2004,00951 COM2004,0095I COM2004,0095 I COM2004-0095 \ ' COM2004c0095 I C0fV12004-0095I COM2004-0095 I Payments: Type of Payment Check 8120/2004 RECEIPT #: ""~ty of Springfield Official Receipt t'elopment Services Department Public Works Department 1200400000000001246 Date: 08/20/2004 2:43:24PM Description Storm Drainage Impervious Area S DC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By ROXANN DOWNES Amount Due 257.92 12.90 59.00 169.80 45.00 15.04 21.48 $581.14 Item Total: Check Number Authorization Rcceived By Batch Number Number How Received Amount Paid djb 508 In Person , Payment Total: $581.14 $581.14 ~ , ' ....' . " . -'. l~ .....>q Page 1 of 1 CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN";;f~ORKSHEET JOURNAL OR JOB NUMBER: C0M2004-00951 NAME OR COMPANY: John Fairfield' LOCATION: 651 1st Street TAX LOT NUMBER: 17033523 Tax Lot 00200 DEVELOPMENT TYPE: Garage NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 832.00 '$0.310 I = I $257.92 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. x I COST PER S.F. x I DISCOUNT RATE I 0.00 I $0.310 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$257.92 6970 VJ P-1 Q o u ~ P-1 E-< , VJ , ...... .0 ga DISCOUNT $0.00 $257.92 11070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBERO OFDFU's I x B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $24.04 $0.00 1091 $18.28 $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR I 9.57 I , .0 $18.30 1.00 $0.00 1093 B. IMPROVEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 9.57 i 0 I $80.72 I 1.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =, $0.00 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: ' INUMBER OF FEU's x ICOST PER FEU I I 0 I $82.03 I = $0.00 IOS4 B. IMPROVEMENT COST: lNUMBER OF FEU's x 'COST PER FEU I 0 $865.31 = $0.00 lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 IOS4 MWMC ADMINISTRATIVE FEE $0.00 Ilos6 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 ' $0.00 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $257.92 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE CHARGE I $257.92 5% $12.90 , TOTAL SANITARY ADMINISTRATION FEE: 12,90 1079 I TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 Matt Stouder 8/4/2004 TOTAL SDC CHARGES = J $270.82 Ii PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 /INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER SINGLE STALL 0 0 2 = 0 SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY /RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,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 1 for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = . ' Permit #: (bW\ U" \..F-l_CO ~ S- ( / "<"'( '} sr-. , ..;. \ Address: e::;, ~ ..J 'I Issued by: ~ cr., Date:r5! ZO /OL{ I I 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 Statemer:'~: Inforl!lation 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: Z"l. ~2. I o'Yn, reside, in, or will reside in the completed structure. ' 1 . I understand that.! must become licensed as a construction contractor if the structure is sold or offered fof sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instrUct'iny general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR , ~B. I will be my own g;el}eral contractor. In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. In change mymind and hire a general contractor, I willcontract with a contractor who is, licensed with the 'CCBand will immediately notify the office issuing this building permit of the name of tlie contractor.' . .' , I hereby certify that the above information is correct and that I have read and do understand the Information Notice to P~?!!i5ruCtiOO Respoosibilities 00 tbe r~verse Sid~:~or~. ~ 6 i I (Signature'fpermit applicant) (Date) , (W!zite copy to, i~suing agency permit file, pink copy, to applicant.) Property _ owner.doc 12-09-03 \ - I Acting 'as )r our Own General Contractor? . , INFORMATION NOTICE TQ PROPERTY OWNERS ABO,UT 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 il!1plovement to an existing structure, you can prevent manyproblems by being aware of the following responsibilities and concerns. Employer .Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors YQU contract with will be "employees" if you use contractors not licensed, with the Construct~on Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you mu~t comply with the fol~owing: , 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, cail the Department of Revenue at 503-378-4988. . , Unemployment Insurance Tax: As an employer, you are reg'uired 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 w,,\'-w.dor.state.oLuslformsoav.html1 for the appropriate forms. ~ . ~ -',;... _. v " " l. . 'Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for y~ur employees. If you fail to obtain workers' compensation insLlra~ce, you could be subject to penalties and be liable for all claim costs ifone OfYOUT employees is injured on the 'job. For more information, call the Workers' Compensation Division at the Departin~nt of Conswner and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal inc(}me tax from employee~"wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number. caB the IRS at 866-816-2065 or fax them at 801-620-71'15. . d.. : ~ ;:1 . ~': Other Responsibilities ~nd ~:reas of Concerns . , ~ 1 . '. . , Cod.e 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. Liahility and Property Damage Insurance: Contact your insurance agent to see if you have adequate in~urance coverage for accidents and omissions such' as falling tools, paint over spray, water damage from pipe punctures, fIre or work th'at must be red;one" '. ' \ , , Time: Make sure yoti have sufIicient time to supervise your employees, I " Expertise: Make sure you have the skills to act as your OVv11 general contractor, to coordinate the work Of rough-in and finish trades, and to notify building ofIicials 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 12-09-03