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Home My WebLink AboutPermit Building 2007-4-26 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: COM2007-00267 ISSUED: 04/26/2007 APPLIED: 02/21/2007 EXPIRES: 10/26/2007 VALUE: $ 11,440.00 SITE ADDRESS: 6090 MICA ST ASSESSOR'S PARCEL NO.: 1802033400147 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Patio cover Owner: DAMIEN NAULT Address: 6090 MICA ST SPRINGFIELD OR 97478 Contractor Type General Plumbing Phone Number: 541-746-9172 I CONTRACTOR INFORMATION. Contractor OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: License Expiration Date Phone BUILDING INFORMATION I # of Stories: U Height of Structure: Type of Heat: VB Water Type: Range Type: Energy Path: NOlT!CIE~Sprinkled Building: n/a Tl110 ~J~a~~~.fTi&N 'W/UHK A~t?-~LB;._~ ~ -~nrvJlI J~f\loT COMMENCED OR~S.L\BANDONED FOR ANY 180 r~~f;~r{ft~~, Rqd: Paved Drive Rqd: 24.00 % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 572 Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: F II lii:r:T~1ilON:Oregon law requires ~~~Ik Type: u V lUll 111 h 0 On....Utllt~, Storm Sewer Available: follow Mdes adopted by t e rag. UOffcmoutsillrains: Special Instruction: \lotification Center. Those rules are se 0 f In OAR 952-001-001 0 thro~gh OAR 952-001 Notes: Storm H20 to curb & gutter'oooo.~!1maJl@kJtQ\l1Ili:eJ:\le$oqtJfi1~''PW.~fp 3/22/07 calling the center. (Note: the teleplio~e number for the Oregon Utility Notification . _._:~ -l .olin-~12-2344). Curbside 5' Curb and Gutter Pa2e 1 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 Use Bid Amount Patio/Porch Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Planninl! Review Public Works Review Public Works Review Structural Review ~ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00267 ISSUED: 04/26/2007 APPLIED: 02/21/2007 EXPIRES: 10/26/2007 VALUE: $ 11,440.00 I Valuation Description I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 11,440.00 Value Date Calculated Total Value of Project ~ Amount Paid Date Paid $11,440.00 $11,440.00 02/21/2007 $79.95 $16.80 $8.40 $13.44 $123.00 $9.60 $191.97 $45.00 2/21/07 4/26/07 4/26/07 4/26/07 4/26/07 4/26/07 4/26/07 4/26/07 Receipt Number 1200700000000000188 2200700000000000590 2200700000000000590 2200700000000000590 2200700000000000590 2200700000000000590 2200700000000000590 2200700000000000590 No Planning issues Rcvd 2/23/2007---Waiting in order PW rcvd for rvw.JLP Storm H20 to curb & gutter. (in an effort to expedite, no need to pull maps).JLP 3/22/07 Contacted applicant by phone regarding missing information. He will get back to me. 3/6/07dlm He called today with the needed info. 3/7/07dlm. To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. $488.16 I Plan Reviews I APP NJM APP TAJ WI JLP APP JLP APP DLM Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 02/22/2007 02/22/2007 02/22/2007 03/26/2007 02/23/2007 03/22/2007 03/22/2007 02/22/2007 03/08/2007 l..R((ouiredJnsnections I Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00267 ISSUED: 04/26/2007 APPLIED: 02/21/2007 EXPIRES: 10/26/2007 VALUE: $ 11,440.00 225 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. 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 dUj\g ,"ustrue~ou. vz< \ Il~~ \ '\ ~) /G~ .. Y - 'I ( ~ - r) .-7 owner~tractors signalure \J . Date Paj!e 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 r. ( 'Ii -1 :2.. .. Permit #: '-I {~L -'...- t7j , t, Address: ( /) () ~ () m LCCl; -. .. I Issued by: T\dtnf'.Y\ h"-- Date: . I . f L;-2io ,/01 i \ i I 1 j Statement: InfO. mation Notice to PfO'perty Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residentialconstruct~on permit applicants whoare not . licensed with the C;onstruction Contractors Board to sign the following statement before a building permit can be issued. !his statement is required for residential building, electrical,. mechanical and .plumbing permits. Licimsed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. . . Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~L 02. I own, reside in, or will reside in the compl~ted structure. 1 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 . 3B. I ~il~ be my own~eneral c~ntr~ctor. . .. . . . 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 theCCB and will immediately notify the office issuing this bu~lding.permit of the .. name of the contractor. I hereby c J;1ify that the above information is correct and that I have read and do understand the Information Notice toroperty Owners about Construction Responsibilities on the reverse side of this form. \.r ... ~.. Pi I ,kU ~ L-f-2to-D!. (Sigtlature of.permit applicant) . (Date) (White copy to issuing agency permit file, pink copy to applicant.) " ./ "---"'" Property _ owner. doc 06-01-04 Acti~g a.s ~ our General C'ontractor? INFORMATION NOTICE TO PROPI;RTY OWNERS .'-h ABpUT CO~STRUCTION 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 impr()vement to an existing structure, you can prevent many problems by being aware of following responsibilities and concerns. Employer Responsibilities 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 \?lith the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. you must comply with the following: Oregon's Tax L~w: As an elii.ploye~, you income taxes from employee wages at the time employees are paid. You will be liable for the tax. payments even you don't actually withhold the tax from your more information, call the Departmerit. of Revenue at 503-3784988. Tax: As anemployei;you.are required to pay a ta", for unemployment insurance purposes. on wages of all employees. For more information, call Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is. a "number fQr. both Oregon Withholding and Unemployment Insurance Tax. To file for a BrN, call 503-945-8091 or \vww.dor.state.or.us/formspav.htmH for the appropriate forms. ~ ~ ! Worken' Compensation Insurance: As an employer, you are to the Oregon Workers' Compensation Law, and must obtain workers' cumpensation insurance for your employees. If you fail to obtain workers' eV1llpensation insuranc~, you c~uld b~ 'subjecno.peri~1tiesahd be liable for aHc1aim co.sis if one of your employees is injured on the job. For more mformation, call the Workers' CoinpensatioriDhrision at the Department of Con'sumer and Business Services at 503-947-7815. U.S. Internal Revenue Service:. As an employer, you must You will be liable for the tax payment even if you didn't IRS at 1:...800-829-4933' or:visit'their web site at \'l\V\v.irs.gQY. federal income tax from employees' wages. the tax. For a Federal Ern number, call the Other. Responsilhilities of Concerns Code As the permit holder for this project, you requirements that may be brought to your attention through responsible for resolving any failure to meet code and Damage' insurance: . Contact for accidents and omissions such as falling tools, work that must bl; \ insurance agent to see if YOlt have adequate insurance over spray, water damage from pipe punctures, fire or I . \ , J . /.., , , " I Time: Make sure you have sufficient time to supervise Make sure you have the skills to act as your ovv11 trades, to notify building officiBJS . contractor~ to .cootditulte work of rough-in times so they can perfonn the required inspections. questions can the Construction 97309-5052. (503-3784621) or write the agency at PO Property- owner.doc 06-01-04 . ' ' CITY OF S~GFIELD SYSTEMS DEVELOPMEN'1 JOURNAL OR JOB NUMBER: C0M2007-00267 NAME OR COMPANY: Damien Nault LOCATION: 6090 Mica St TAX LOT NUMBER: 1802033400147 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 572 JRKSHEET LOT SIZE (SF): o rJJ ~ Ci o u ~ ~ f-< rJJ >-< Cl ~ ~. -..- ---., 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I '572.00 ,I $0.336 I = $191.97 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE I I 0.00 I $0.336 I 50% I = I ITEM 1 TOTAL - STORM DRAINAGE SDC $191.97 I DISCOUNT $0.00 $191.97 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 0 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 0 COST PER DFU $26.03 $0.00 11091 $19.79 $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $0.00 -" 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS I x I COST PER TRIP x !NEWTRIP FACTORI 9.57 I 0 I I $19.81 , 1.00 I $0.00 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x NEW TRIP F ACTOR I 1 9.57 I 0 I $87.39 1.00 I $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 0 I $91.61 ::; $0.00 1054 B. IMPROVEMENT COST: NUMBER OF FEU's x ICOST PER FEU 0 I $961.52 ::; , $0.00 I 1055 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) =1 $0.00 11054 MWMC ADMINISTRATIVE FEE = I $0.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $0.00 .. -' SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $191.97 ..' -- 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE CHARGE 1 $191.97 I 5% $9.60 TOTAL SANITARY ADMINISTRATION FEE: 9.60 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 --. -- Jeff Prociw 3/22/2007 TOTAL SDC CHARGES =1 $201.57 i PREPARED BY DATE I -' - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2 CREDIT RATE/$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 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = 2 1979 $0.00 o $0.00 225 Fifth,Street Springfield, Oregon 97477 541-726-3759 Phone Cjf., of Springfield Official Receipt l Jopment Services Department Public Works Department Job/Journal Number COM2007-00267 COM2007-00267 COM2007 -00267 COM2007-00267 COM2007-00267 COM2007 -00267 COM2007 -00267 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000000590 Date: 04/26/2007 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - 1st 50 Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DAMIEN NAULT CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received 133 In Person nJm Payment Total: Page I of 1 .10:26:23AM Amount Due 191. 97 9.60 123.00 45.00 8.40 13.44 16.80 $408.21 Amount Paid $408.21 $408.21 4/26/2007