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Home My WebLink AboutPermit Building 2005-4-29 ~1IIi::~eIC",~,~.,,~~I!!:-E.f ".' ~.<,.....-".." 'jlf ;,\ , ,', I'." ':. ,", j ~ -' - g '.. '., -'...;7- ,,"0 J '''''''''~,,""T.iXt~~~~::;,~_~~r .,~., . Status Issued ,~ 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ... <l. , ,CITY OF SPRINGFIELD' Building/Combination ,Permit PERMIT NO: COM2005-00236, ISSUED: 04/29/2005 APPLIED: 02/25/2005 EXPIRES: 10/29/2005 VALUE: $ 5,760.00 SITE ADDRESS: 801 Shady Creek Dr ASSESSOR'S PARCEL NO.: 1802061113300 PROJECT DESCRIPTION: Carport Owner: VINCENT GRACE Address: 801 SHADY CREEK DR SPRINGFIELD OR 97478 ,; Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ',) Front yard Setback: Side 1 Setback: , Side 2 Setback: r Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 24.00 9.00 10.00 0.00 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential Phone Number: 541-746-3531 I CONTRACTOR INFORMATION. License Expiration,Date Phone U BUILDING INFORMATION. 1"\ I I 1-111 1 IVI'l. vrt::!:JulIli:1w"'equires you to ff#l\)}\StWfe~ adopted by the Oregon Ut"~ize: NCIli~\i~u'~antmre Those rull?G.ooe S€$~st Floor: in ~ 8fiaa1-001 0 through OAR 958ttl'G~nd Floor: OO\l<a.tMoll)/JOOY obtain copies of the ru~ l3VBasement: &t;)igJg~center. (Note: the teleph6~Eft Garage/Carport fim1tgyr lfetIthe Oregon Utility Notifica'tfbfit Other: Sprin~~~aOO-332-2Stw). Occupant Load: I DEVELOPMENT INFORMATION . 320 VN REQUIRED PARKING, Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 23.30 IH ,., '9' I fU- I'lli......, .".Dl I PUBLIC IMrfm.~l5~~N-T~,.I\LL EXPIRE IF AUTHORIZED S'deWalk:r.T~~ WORK Fully Improved UNDER I~II" itRI~~I'IS NOT Curbside 5' Yes COMMENCED OR IS flJOCc;wp]@f~~ews: Curb and Gutter ANY 180 DAY PERIOD. Notes: Storm drainage piped to curb face 3/4/2005 CAS Description, Type of Construction I Valuation Description I $ Per Sq Ft or multiplier Square Footage 9r Bid Amount Value Date Calculated Pa~e 1 of3 ~~l1!Il!1'~!f..!,~~1' " ,.,~"",,,,,_., j \ ~ ~ t.'!,.. ;;- ) Status Issued 225 Fifth Street, Springfield, OR 541-726':'3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Carport Carport Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge i Garage/Carport Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review 03/01/2005 Planninl! Review 03/04/2005 Public Works Review 03/04/2005 " Structural Review 03/04/2005 Structural Review 03/11/2005 Structural Review 04/25/2005 CITY OF SPRINGFIELD, Building/Combination Permit PERMIT NO: COM2005-00236 ISSUED: 04/29/2005 APPLIED: 02/25/2005 EXPIRES: ,10/29/2005 VALUE: $ 5,760.00 $18.00 320.00 Total Value of Project $5,760~00 $5,760.00 02/25/2005 ~ Amount Paid Date Paid Receipt Number $49.53 2/25/05 2200500000000000222 $12.12 ' 4/29/05 1200500000000000535 $8.48 4/29/05 1200500000000000535 $76.20 4/29/05 1200500000000000535 $59.00 4/29/05 1200500000000000535 $2.06 4/29/05 1200500000000000535 $41.12 4/29/05 1200500000000000535 $45.00 4/29/05 1200500000000000535 $293.51 I Plan Reviews I 03/04/2005 APP LLH 04/01/2005 APP TAJ 03/04/2005 APP CAS 03/11/2005 10 LLH 03/13/2005 WE JB Storm drainage piped to curb face 3/4/2005 CAS. Drywell approved 4/29/05 CAS Plans forwarded to Jason Bush for review Contacted owner for additional information. The carport is large and has oversized beams. Engineering is required. The plan is on hold until information is received. Received engineering required to complete plan review. 04/25/2005 APP JB 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. Site Inspection: To be made after excavation but prior to setting forms. Footing: After trenches are excavated. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pal!e 2 of 3 .), "::-~~~tN~~',!~) " t '1~ Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-00236 ISSUED: 04/29/2005 APPLIED: 02/25/2005 EXPIRES: 10/29/2005 VALUE: $ 5,760.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. 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. IkfJ~ v Owner or Contractors Signature 41z..CJ/05 Date Paee 3 of 3 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#: ~-z.o-\"" ;.)"- 60Z-~b S; h ~ 1.y uer=Lc 8'01 )G Date: If-z.. 1:-' 0 r Address: Issued by: Statement: Information Notice t~ 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: ~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. D 3A. My general contractor is (Name) (CCB #) 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. -1 hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ~~. '1h'i/oS (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) ~. Pmperty_ owner. doc 06-01-04 \ ' /' \ -.... ,- .. ^ctitrg' as--)(~our'Own ~eneraJ ,Contractor?" " \ " , -- . , ' -'; ) -:> \ ' " :_, INlFORMATIO'N NOT~CIE TO PROPERTY OWNERS' , ': ABOUT ,CONSTRUCTiON' RESPONSIBiliTIES , ~ ) ~ '" - - -- .-- .,-.----- --.. --- -,~_.- NOTE: This Information No tice to Property Owners about constru~~ionResponSibilities was developed by the ",.1 Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. t . . - -- - , . . ." . ... 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. Employer Responsibnit,ie~ . You wiU, in most instances, be ruled to be an "employer" ~d 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 o.r improvement of a, residential st;ructure. As the employer, you mustcomply with tbe following: " , '. ", . '. ' r Oregon's Witbholding 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, 'call the Department' of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment ins:urance 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 num~r for both Oregon Withholding and' Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appropriate forms. Workell's','Compensation Insurance: As an employer, you are subject to the Oregon Workers' CVH1};1ensation Law, and must obtain workt:;:rs' compensation insurance for your employees. If you fail to obtain workers' compensation " '. t. . .-' .' , 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 more information, call the Workers' Compensation DiVIsion at the Departrrient of Consumer and Business Services at 503-947-7815. , - .,', " U.S. lI)[lItemal R.evenue Service: As an employer, you must withholdfedetaJ 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 at 1-800-829-4933 or visit their web site at w\vw.irs.l!ov. ' , ~.~i. Other Responsibilities and ,Areas of Concerns,' Code Compliance: As the permit holder for this project, you are responsible for resoi~ng arlY failure to meet code requirements that..may' be brought to your attention through inspections. - 't; .. .. . ," ".'. . 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 work that must be.redpne. . : \ "." \ ..: . ,. ; ~ " Time: Make sure youhave sufficient. time to supervise your employees, 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 06-01-04 ~ CITY OF Sfl~GFIELD SYSTEMS DEVELOPME~~RKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x COST PER S,F, CHARGE I 0,00 $0.3 10 = I $0,00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S,F, x COST PER S,F, x I DISCOUNT RATE I 265.30 $0.3 10 , 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$41.12' COM2005-00236 Vincent Grace 80 I Shady Creek Dr 1802061 I 13300 SINGLE F AMIL Y RESIDENCE o BUILDING SIZE (SF: 265 LOT SIZE (SF): 8342 VJ ~ Q o U ~ ~ f-< VJ ....... o ~ 1070 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 0 B. IMPROVEMENT COST: NUMBER OF DFU's I o I COST PER DFU $24,04 x ITEM 2 TOTAL - CITY SANITARY SEWER SDC $18,28 DISCOUNT $41,12 $41.12 $0.00 $0.00 = , $0.00 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I 9,57 B. IMPROVEMENT COST: ADT TRIP RATE x 9,57 I NUMBER OF UNITS x I I 0 I I NUMBER OF UNITS I x I 0 I ITEM 3 TOTAL - TRANSPORTATION SDC COST PER TRIP $18,30 x NEW TRIP FACTOR 1.00 $0.00 = I COST PER TRIP $80,72 $0.00 x INEW TRIP FACTOR I 1.00 $0.00 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER ~F FEU's I x B, IMPROVEMENT COST: INUMBER OF FEU's x I 0 ICOST PER FEU , $82,03 COST PER FEU $865.3 1 = $0.00 = $0.00 $0.00 $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE' ITEM 4 TOTAL'- MWMC SANITARY SEWER SDC = I $0.00 SUBTOTAL (ADD ITEMS 1; 2, 3, & 4) = I $41.12 5, ADMINISTRATIVE FEE: 1091 1092 1093 1094 " , 1054 I, 1055 11054 1056 SUBTOTAL x I ADM,FEERATE 1= $41.12 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 4/29/2005 PREPARED BY DATE I 2,06 11079 $0,00 11078 =1 $43.18 CHARGE $2,06 TOTAL SDC CHARGES --- -- - ."-- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 iDRINKING FOUNTAIN 0 0 1 = 0 iFLOORDRAlN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 0 0 3 = 0 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = 0 I SHOWER SINGLE STALL 0 0 2 = 0 I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORY/RESlDENTIAL BAR 0 0 1 = 0 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE r-- BEFORE 1979 $5.29 1979 $5,29 1980 $5,19 1981 $5,12 1982 $4,98 1983 $4,80 1984 $4,63 1985 $4.40 1986 $4,07 1987 $3,67 1988 $3,22 1989 $2,73 1990 $2,25 1991 $1,80 1992 $1,59 1993 $1,45 1994 $1.25 1995 $1,09 1996 $0,92 1997 $0,72 I 1998 $0.48 I 1999 $0,28 .I 2000 $0,09 2001 $0,05 IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 2 (Enter I for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $5.29 = , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5,29 0 TOTAL MWMC CREDIT $0,00 = 225 Fifth Street . ' Sp.ringfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00236 COM2005-00236 COM2005-00236 COM2005-00236 COM2005-00236 COM2005-00236 COM2005-00236 Payments: Type of Payment Check :( '\ 4/29/2005 rity of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200500000000000535 Date: 04/29/2005 9:S1:22AM Description Plan Review Minor - Planning Garage/Carport Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Storm Drainage Impervious Area SDC Sanitary/Storm Admin Amount Due 59,00 76,20 45,00 8.48 12.12 41.12 2.06 $243.98 Paid By VINCENT GRACE Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1226 In Person Payment Total: $243,98 $243.98 Amount Paid Page I of 1