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Home My WebLink AboutPermit Building 2006-3-20 , " 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: COM2005-01779 ISSUED: 03/20/2006 APPLIED: 12/28/2005 EXPIRES: 09/20/2006 VALUE: $ 110,880.00 SITE ADDRESS: 2655 HAYDEN BRIDGE RD , ASSESSOR'S PARCEL NO.: 1703244100100 Springfield TYPE OF Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential ~'. Owner: KIM RUTLEDGE Address: 2655 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-736-1269 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone 616-455-2223 VN I BUILDING INFORMATION. ", '. "IV: Ur '. ,"/ ru/c~' '" egon /a .' # ofStoTl~s:'1 ' .' QQOP'ed ,Vlt2reqJ;ot Size: Hei'ght))fR '~;:n Center. I 'h~i6!OQ' Or Sq'1<i'tlls.t ~oor: 560 Typel6fJHeat~2 -001-00 1Wo all~H't1at/es E'w. qO'FQnd Floor: 560 "01/ H..' ~ B" "/IY- Wat~r::lTY:He: may Obt . Electrric) 0'1\ s~ F.tiRgs~ent: '-'''I'ilJ th am -, "!' ,,0 <"10Iln Rang~.,.Type: e cente Elec,tl:'lcOf ':sqJF.p-001 'Iff ,eu r. (N .~" th Energy Pa'tli~r the Or ' Olt~thl~ .gqLJ.'~~~Her: SprinkledCenter is 1.egon LY!Ht te/~f).i.;f:-~a~ Load: ann,., _ Y Nnt,,t:.. I DEVELOPMENT INFORMATI~'N12344). '~qI/On REQUIRED PARKING # of Units: Primary Occupancy Group: . . Secondary Occupancy ; Yrimary Construction Type Secondary Construction # of Bedrooms: 1 R-3 '.r~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 37.00 5.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: Floodplain Total: Handicapped: Compact: 105.00 0.00 IPUBLIC '.Y[EMENTSI Street AC Mat THIS PERMIT SHAll EX~mEiFIT 'fype: Stor~ Sewer A~ailable: No AUTHORIZED UNDER TH1fF~ MF~ SpeCial Instruction: COMMENCED OR IS ABANOf\Nt=R NUf ANY 180 DAY P~R \J E~ HJA Notes: UGB - provide authorization from Lane County for septic aPJfl'(j~P,'additional bedroom and bath. Called owner 12/29/2005 CAS I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 4 CITY OF SPRINGFIELD Building/Combination Permi~' PERMIT NO: COM2005-01779 ISSUED: 03/20/2006 APPLIED: 12/28/2005 EXPIRES: 09/20/2006 VALUE: $ 110,880.00 Status: Issued , 225 Fifth Street, Springfield, OR 541-726-3753 Phone "'541-726-3676 Fax "541-726-3769 Inspection Line Dwellines V Wood Frame $99.00 1,120.00 Total Value of Project L Fees Paid I $110,880.00 $110,880.00 03/20/2006 ..: Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $240.92 12/28/05 1200500000000001865 -Mechanical Issuance Fee- $10.00 3/20/06 1200600000000000319 + 10% Administrative Fee $71.64 3/20/06 1200600000000000319 + 8% State Surcharge $57.31 3/20/06 1200600000000000319 Building Permit $601.40 3/20/06 1200600000000000319 Dryer Vent $6.00 3/20/06 1200600000000000319 Fixture $70.00 3/20/06 1200600000000000319 .' Minimum/Adjustment Mechanical $33.00 3/20/06 1200600000000000319 " Plan Review Minor - Planning $85.00 3/20/06 1200600000000000319 Plan Review Residential $149.99 3/20/06 1200600000000000319 Plan ReviewIResidential Hourly $45.00 3/20/06 1200600000000000319 SDC Sanitary/Storm Admin $9.16 3/20/06 1200600000000000319 Storm Drainage Impervious Area $183.14 3/20/06 1200600000000000319 Vent Fan $6.00 3/20/06 1200600000000000319 Total Amount $1,568.56 I Plan Reviews I Initial Review Plannine Review 12/29/2005 12/29/2005 12/29/2005 APP SKG WE " Plannin2 Review 03/16/2006 03/16/2006 APP T AJ Public Works Review 12/29/2005 01/17/2006 APP CAS Structural Review Structural Review 12/29/2005 03/20/2006 02/07/2006 03/20/2006 OK RJB APP RJB 2 of 4 Property is in 100 year Floodplain. . Must get Floodplain Overlay approval before issuing building permit. I called today and left a message on the Rutledge's voicemail. 1/03/06 See SHR2006-00001 for Floodplain approval. The elevation of the lowest floor must be l' above the BFE. A FEMA Elevation Certificatl is required documenting this prior to occupancy. Approval from Lane County received today 1/17/06 CAS Called owner to notify requirement for authorization from Lane County for septic approval, only able to leave message 12/29/2005 CAS revisions approved Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: COM2005-01779 ISSUED: 03/20/2006 APPLIED: 12/28/2005 EXPIRES: 09/20/2006 VALUE: $ 110,880.00 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Masonry: Wall Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. 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. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 3 of 4 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: COM2005-01779 ISSUED: 03/20/2006 APPLIED: 12/28/2005 EXPIRES: 09/20/2006 VALUE: $ 110,880.00 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 wiD 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, t~at the permit card is located at the front of the property, and the approved set of plans will remain on the site at (11 ~ during cons~ction. ~~/IMLlf1 uJ, ;e!L1 ~ 4#/ 2- Z~J , Ct./' Owner or Cont(;lctorsiignature Date 4 of 4 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS 1 (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS 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 I CLOTHESW ASHER / MOP SINK 0 0 3 = 0 I CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 0 ISHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 0 SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 0 0 1 0 IURINAL, 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/$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 I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 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 o TOTAL MWMC CREDIT = $0.00 CITY OF SPR..~~FIELD SYSTEMS DEVELOPMENT 'hvKKSHEET JOURNAL OR JOB NUMBER: COM2005-01779 NAME OR COMPANY: Terry Rutledge LOCATION: 2655 Hayden Bridge Rd TAX LOT NUMBER: 1703244100100 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): o 1--' C/) ~ Ci o u ~ ~ E-< C/) ...... c.J ~ 1. STOR1vl DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE 1 567.00 $0.323 = $183.14 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x 1 COST PER S.F. x I DISCOUNT RATE I I 1 0.00 I I $0.323 I 50% I = 1 ITEM 1 TOTAL - STORM DRAINAGE SDC I $183.14 I DISCOUNT $0.00 $183.14 1070 I 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $25.07 $0.00 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's' x I 0 $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $0.00 $0.00 r' x I NEW TRIP FACTOR' I 1.00 L $0.00 1093 x INEW TRIP FACTORI I 1.00 I $0.00 \ 1094 r , -. 3. TRANSPORTATION A REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 I B. IMPROVEMENT COST: I ADTTRlPRATE I 9.57 I NUMBER OF UNITS I x I I 0 I I COST PER TRIP $19.09 x NUMBER OF UNITS x I o I = 1 COST PER TRIP $84.19 $0.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's x I 0 ICOST PER FEU I $82.03 = $0.00 1054 B. IMPROVEMENT COST: NUMBER OF FEU's I x COST PER FEU o I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATNE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE $183.14 1 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 12/29/2005 PREPARED BY DATE 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 Pennit #: co v1It l:-C- -' s- - 0 J 77 0, 'Z b s-s- ~d(rl1-i ~~ K IL ~.~ 3/zo~ t-. / I . ' . Address: Issued by: Date: 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 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 #) 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 I 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 ofthe name of the contractor. I 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 ofthis form. / - ~Auh t1i07Vo/ / fii~ure of permit aPplicant) 3-2tJ r16 (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 Acting' as 'lour wn eneral Contractor? , I' f .1- . INFORMATfON NOTICE TO PROPERTY OWNERS A~OUT CONSTRUCTION RESPONSIBILITIES t . .' [ NO;E: This Information Notice to Property Owners about Construction Responsibilities was d~veloped by t~~1 Gonstr~ct~ Contractors Board in accor~~~~~~th ?R_~_~~1.~~5(5), pas~~~ by the 1989 Oregon Legislature. 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 bybeirig aware of the 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 with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As t.he employer, you must comply with tbe following: 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, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required 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, can 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appropriate forms. Workers' Compensation Insnrance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for yo:-rr employees. If you fail to obtain workers' cvmpensation insurance, you could he subject to penalties and be liahle for an claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Departmi::mt of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wage~ You wiU 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'....w,irs.l!ov. . Other Responsibilities and.t\reas of Concerns " Code Compliance: As the pennit 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 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. '.; ", . , . . \ " ,-.... " .. ., Expertise: Make sure you have the skins to ad 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 Vlfite the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owneLdoc 06-01-04 225 Fifth Street .SprIngfield, Oregon 97477 541-726-3759 Phone , ~~ f)ty of Springfield Official Receipt ~velopment Services Department Public Works Department J Job/Journal Number COM2005-0 1779 COM2005-0 1 779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1779 COM2005-0 1 779 COM2005-01779 COM2005-01779 CbM2005-0 1779 COM2005-01779 ~ Payments: Type of Payment Check \ ~! :.1 iL :1 ,~ \ !""I 'p, ,I ;' 'L ,j t.~ 3/20/2006 RECEIPT #: 1200600000000000319 Date: 03/20/2006 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Dryer Vent Plan Review Minor - Planning Plan ReviewIResidential Hourly Building Permit Fixture Vent Fan Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Plan Review Residential Paid By TERRY RUTLEDGE Item Total: l:heck Number Authorization Received By Batch Number Number How Received djb 1964 In Person Payment Total: 1 of I 3:09:43PM Amount Due 183.14 9.16 6.00 85.00 45.00 601.40 70.00 6.00 33.00 10.00 57.31 71.64 149.99 $1,327.64 Amount Paid $1,327.64 $1,327.64