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Home My WebLink AboutPermit Building 2004-2-27 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00090 ISSUED: 02/27/2004 APPLIED: 01122/2004 EXPIRES: 08/27/2004 VALUE: $ 221,370.60 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4366 Forsythia Dr 4368 ASSESSOR'S PARCEL NO.: 1802052101900 Springfield TYPE OF WORK: Duplex TYPE OF USE: PROJECT DESCRIPTION: Duplex 4366 & 4368 Forsythia, Lot 25, Ravenwood New Residential Owner: HOUSER STEVEN B & DENISE A Address: 1164 OLYMPIC ST SPRINGFIELD OR 97477 Phone Number: 541-747-8034 I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 6 # of Stories: 2 Height of Structure 24.50 Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: Path 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 1,194 1,034 2 R-3 U-l VN 638 SETBACKS I DEVELOPMENT INFORMATION I Yes 23.20 REQUIRED PARKING Total: 4 Handicapped: Compact: Notes: Front yard Setback: 32.00 Overlay Dist: Side 1 Setback: 9.00 t. 'N__eet Trees Rqd: Side 2 Setback:Cc. II ~~t>\\W. w :\ \S t\~d Drive Rqd: Rearyar~~~ J~WI\\ S\-\~ ER \~&E~E.O rOWo of Lot Coverage: Solar Setl\~'Rl: .o\lEQ \J~Q (' ~~~V4DOr. . \:-n..$\D ,_ ,,$ b " CO~~E~~~ ~t.~\O\). , 1 PUBLIC IMPROVEMENTS' lLtJ.\J '\ co.O .., .I.pP&'._\LQV to Street Impr~llme'rits: F II I d NTION'Oregon lav$l(fbwalK"'ryp,e"I't u y mprove ATTE' a Oregon Uti I Y Yes $olloW rules adopted by tBownsPDuts~aro'~ I t Those rUles (ire \!otification Cen ~~j 0 through OAR 952-00 n OAR 952-001- t~in topies.of the rules l 0090. You may ob (Note: the telephone . .rll.:;-,3, ,hI'> f"'pnter. on U1\lny l~ul(,;",.:.:i8"" I ll~er for the ur~ ) Valuat1mr 'ves.crmtjon ~Q()(V382-2344. 6 Storm Sewer Available: Special Instruction: Curbside 5' Curb and Gutter Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DweUine:s Garae:e V Wood Frame Garae:e $92.40 $24.30 Total Value of Project ~ CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00090 ISSUED: 02127/2004 APPLIED: 01/22/2004 EXPIRES: 08/27/2004 VALUE: $ 221,370.60 2,228.00 638.00 $205,867.20 $15,503.40 $221,370.60 01/23/2004 01/23/2004 Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $5.00 1/22/04 1200400000000000090 + 7% State Surcharge $3.50 1/22/04 1200400000000000090 Plan Review Residential $616.95 1/22/04 2200400000000000052 Temp Power 200 amps or less $50.00 1/22/04 1200400000000000090 -Mechanical Issuance Fee- $10.00 2/27/04 1200400000000000249 + 10% Administrative Fee $154.82 2/27/04 1200400000000000249 + 7% State Surcharge $108.37 2/27/04 1200400000000000249 2 Baths One or Two Family $508.00 2/27/04 1200400000000000249 Addressing Assignment $62.00 2/27/04 1200400000000000249 Annexed 1979 or Before $-84.28 2/27/04 1200400000000000249 Building Permit $962.15 2/27/04 1200400000000000249 Curbcut Permit $75.00 2/27/04 1200400000000000249 Dryer Vent $12.00 2/27/04 1200400000000000249 Exhaust Hoods $18.00 2/27/04 1200400000000000249 Furnace - up to 100,000 btu $24.00 2/27/04 1200400000000000249 Plan Review - Planning $71.00 2/27/04 1200400000000000249 Plan Review Residential $8.45 2/27/04 1200400000000000249 PW Mult Disc - 2nd Permit $-30.00 2/27/04 1200400000000000249 Sanitary Sewer - Improvement $585.14 2/27/04 1200400000000000249 Sanitary Sewer - Reimbursement $769.76 2/27/04 1200400000000000249 SDC MWMC Administration $10.00 2/27/04 120040000000000024~ SDC MWMC Improvement $428.46 2/27/04 1200400000000000249 SDC MWMC Reimbursement $629.26 2/27/04 1200400000000000249 SDC Sanitary/Storm Admin $134.47 2/27/04 1200400000000000249 SDC Transpo Admin $111.52 2/27/04 1200400000000000249 SDC Transpo Improvement $1,454.83 2/27/04 1200400000000000249 SDC Transpo Reimbursement $329.78 2/27/04 1200400000000000249 Sidewalk Permit $75.00 2/27/04 1200400000000000249 Storm Drainage Impervious Area $796.92 2/27/04 1200400000000000249 Vent Fan $24.00 2/27/04 1200400000000000249 Willamalane Attached (duplex) $1,848,00 2/27/04 1200400000000000249 Total Amount Paid $9,772.10 I Plan Reviews I Pae:e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00090 225 Fifth Street, Springfield, OR ISSUED: 02/27/2004 541-726-3753 Phone APPLIED: 01122/2004 541-726-3676 Fax EXPIRES: 08/27/2004 541-726-3769 Inspection Line VALUE: $ 221,370.60 Initial Review 01/23/2004 01/23/2004 APP LLH When plans were submitted, wrong square footage "per square foot" chart was used to calculate value. I changed the value of the project based on the current "per square foot" charges and added the appropriate additional plan review fee ($8.45) Planninl?: Review 01/23/2004 02/20/2004 APP TAJ Public Works Review 01/23/2004 02/02/2004 WE VRJ Contacted Mr Steven Houser, cell 513-7712, 2/1/04 9:20 am. Have requested revised site plan. Proposed structure sited with PVE. Have also requested new site plan show scale, driveway dimension (if overwidth, apply for overwidth permit), and storm sewer location and outfall. Public Works Review 02/02/2004 02/02/2004 WE VRJ Applicant is resubmitting building and site plans. Public Works Review 02/04/2004 02/08/2004 APP VRJ Applicant resubmitted building and site plan. Applicant is approved for a 24' max. driveway throat. Structural Review 02/26/2004 08/26/2004 APP RJB Structural Review 01/23/2004 02/04/2004 10 TCM Plans on hold, waiting for redesign to meet solar setback. 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, !nspections requested after 7:00 a.m. will be made the following work day. ~eouiredJnsnections I 1 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 3 Erosion/Grading Inspection: After all erosion measures are in place. 4 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Firewall: Located and constructed according to plans. 15 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Pal?:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00090 ISSUED: 02/27/2004 APPLIED: 0112212004 EXPIRES: 08/27/2004 VALUE: $ 221,370.60 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 16 Final Building: After aU required inspections have been requested and approved and the building is complete. 17 Underfloor Plumbing: Prior to insulation or decking. 18 Underfloor Drain: Prior to cover or placement of concrete. 19 Rough Plumbing: Prior to cover and including required testing. 20 Water Line: Prior to filling trench and including required testing. 21 Sanitary Sewer Line: Prior to filling trench and including required testing. 22 Storm Sewer Line: Prior to filling trench. 23 Final Plumbing: When all plumbing work is complete. 24 Underfloor Mechanical. Prior to insulation or decking and including required testing. 25 Rough Mechanical: Prior to Cover 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 30 Final Electric: When aU electrical work is complete. By signature, I state and agree, that I have carefuUy 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 aU required inspections are requested at the proper time, that each address is readable from the street, that t permit card is located at the front of the property, and the approved set of plans will remain on the site at aU t~es dur; 1/ ::~,tr~ct/) 1,/,/ ~tJl/J. "- A."-7n V 1!J~ if-A7/0cr Ow"r-or Contractors Signat:r:' Date / / Paee 4 of 4 " . 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 #: c..O/IVI Z.CH - 00090 Address: Y'3bb ''-I3b cg-~5A~I.~ ~G Date: C) z,...;/z.. 7/all 7. / . 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 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 I 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, IfI 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 ofthe contractor. I hereby certify!.Bthe above information is correct and that I have read and do unde.rstand the Information Notice to propen~~ners about Constructio~.o/sponsibilities on the reverse side of 'is form. , /: ~^>-B 4(;t)~ Z--/:J-i!t:;c! ';>G1Signature of p . applicabt) / ~te) / (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner,doc 03/11/03 Acting as Your Own General Contractor? INfORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSiBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed 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 improvement to an existing structure, you can prevent many problems 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 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 the employer, you must comply with the 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 a State Business ill number, call the Business Information Center at 503-986-2200. 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. 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 be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, can the Workers' Compensation Division at the Department 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' 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 866-816-2065 or fax them at 801-620-7115. Other Responsibilities and Areas of Concerns Code 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. 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 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 03/11/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 COM2004-00090 Payments: Type of Payment Check ;. .;. Receipt #: 1200400000000000249 Description Sidewalk Permit Curb cut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer --Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1979 or Before Plan Review - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee~ + 7% State Surcharge + 10% Administrative Fee Plan Review Residential Addressing Assignment Willamalane Attached (duplex) Paid By STEVEN HAUSER Received By djb Check Number Batch Number Authorization Number 9578 City of Springfield Official Receipt Development Services Department'- Public Works Department, Date: 02/27/2004 2:19:45PM Amount Paid 75.00 75,00 (30.00) 796.92 769,76 585,14 329.78 1,454.83 629,26 428.46 10.00 134.47 111.52 (84.28) 71.00 962,15 508,00 24.00 24,00 18,00 12,00 10,00 108.37 154,82 8.45 62,00 1,848,00 $9,096.65 Item Total: How Received In Person Payment Total: Amount Paid $9,096,65 $9,096.65 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENl .~ORKSHEET JOURNAL OR JOB NUMBER: Com2004-00090 NAME OR COMPANY: Steven Houser LOCATION: 4366 & 4368 Frosythia Drive TAX LOT NUMBER: 18020521 tll900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 2 BUILDING SIZE (SF: 2754 LOT SIZE (SF): I, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S,F, x COST PER S,F. CHARGE 2748,00 $0,290 = I $796,92 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, x, COST PER S,F, I x I DISCOUNT RATE I DISCOUNT I 0,00 I $0.290 I I 50% = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $796.92 2, SANITARY SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 34 $22,64 B. IMPROVEMENT COST: I NUMBER OF DFU's' x COST PER DFU I 34 $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 7841 r:r.J ~ Cl o U 0::: ~ E-< r./J ...... c;l ~ $796.92 1070 $769.76 1091 $585.14 1092 $1,354.90 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x COST PER TRIP I 9,57 2 $17,23 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP I 9,57 2 I $76,01 ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,784.61 4, SANITARY SEWER - MWMC A, REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU 2 $314,63 ! x INEW TRIP FACTOR I I 1.00 , $329.78 1093 x NEW TRIP FACTOR 1.00 $1,454.83 1094 i $629.26 1054 B, IMPROVEMENT COST: INUMBER OF FEU's I 2 x ICOST PER FEU , $214,23 Virginia Jurasevich PREPARED BY 2/8/2004 = $428.46 1055 ($84.28) 1054 $10.00 1056 $983.44 $4,919,87 CHARGE $245,99 134.4 7 11079 $111.52 1078 , TOTAL SDC CHARGES $5,165.86 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I $4,919,87 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: DATE DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 2 0 3 = 6 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME P ARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 4 0 1 = 4 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 4 0 3 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FIXTURE UNITS 34 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$I ,000 ANNEXED ASSESSED VALUE BEFORE 1979 $5,04 1979 $5,04 I' 1980 $4,95 1981 $4,88 1982 $4,75 1983 $4,58 1984 $4.41 1985 $4,20 1986 $3,88 1987 $3,50 1988 $3,07 1989 $2,60 1990 $2,14 1991 $1.71 1992 $ 1.52 1993 '$1.38 1994 $1.19 1995 $1.03 1996 $0,87 1997 $0,68 1998 $0.46 1999 $0,27 2000 $0,09 2001 $0,04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 0 (Enter 1 for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $16,72 x $5,04 = , $84,28 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5,04 0 TOTAL MWMC CREDIT = $84,28 -----'