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Home My WebLink AboutPermit Building 2005-3-22 , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01301 ISSUED: 03/22/2005 APPLIED: 10/21/2004 EXPIRES: 09/22/2005 VALUE: $ 63,756.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2661 D ST ASSESSOR'S PARCEL NO.: 1703361412000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing sfr Owner: Address: BRAD MCCAULEY 2661 D ST SPRINGFIELD OR 974~TTENTION' O' f ~ .." . I eO()n ''''IA' .- _ '~:'~VV I Ules adODtAN h" ..L ~;;;"''''':;;;j yoU to .NOtltiCati~J,Uf:,..U1.f{ INFOWWAtvIe I mOAR95 - 01-0010th ! '~''"'''c:tr~set orth ContracttJt90. You may obt. rough OAR ~~dlnl4> . am copie f ""'"V',... OWNER callmg the center. (N S 0 the rules by OWNER number for the Or~ 0 ote:. ~he telephone PACIFIC AIR COMf1$iIff8:. n UtilIty NotifiBf1li0'h RS PLUMBING CONTRACT1WB-332-2344). 103816 Expiration Date Phone Contractor Type General Electrical Mechanical Plumbing 03/25/2006 01/04/2006 541-672-9510 541-461-4714 ,~ BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 690 R-3 n/a Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~r, ",,>;..=1 DEVELOPMENT INFORMATION I &<. lJ: i,' L c~ r~: T'-'Q i'''-'''' I d ~ j- l: i~~" 'T ~ 1(i)~rlaYvDist:.. I r. '_, f\~ -. '.,,' " ~- L"_ : 1- .,,": YI-Jr:-.~ \ll!(....!"'I..A ,-41;00..':'., " 1 "H; Street Trees Rqd:.- . ..'1 C",.;:,\ I .' Paved Dri~e Rqd:'.! J' /\41,.00, ,;, I ,% of Lot Coverage: .' : 21.30 0.00 ' I REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Storm drain pipe to curb face Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Pae:e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01301 ISSUED: 03/22/2005 APPLIED: 10/21/2004 EXPIRES: 09/22/2005 VALUE: $ 63,756.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellines Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 690.00 Value Date Calculated Description Total Value of Project $63,756.00 $63,756.00 10/21/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $276.41 10/21/04 1200400000000001492 -Mechanical Issuance Fee- $10.00 3/22/05 1200500000000000355 + 10% Administrative Fee $56.83 3/22/05 1200500000000000355 + 7% State Surcharge $39.78 3/22/05 1200500000000000355 Building Permit $425.25 3/22/05 1200500000000000355 Fixture $98.00 3/22/05 1200500000000000355 Miscellaneous Mechanical $45.00 3/22/05 1200500000000000355 Plan Review Minor - Planning $59.00 3/22/05 1200500000000000355 SDC Sanitary/Storm Admin $12.01 3/22/05 1200500000000000355 Storm Drainage Impervious Area $240.25 3/22/05 1200500000000000355 Total Amount Paid $1,262.53 I Plan Reviews I Initial Review 10/22/2004 10/22/2004 APP SKG Plan nine Review 10/22/2004 10/29/2004 APP TAJ Public Works Review 10/22/2004 10/25/2004 APP CAS Structural Review 10/22/2004 11/05/2004 WE TCM Structural Review 11/08/2004 APP TCM Storm drainage piped to curb face Left phone message for Brandon on 11-5 requesting additional information on bathroom relocation, and if floor system is rim joist. Information received from David Bowlsby on restroom relocation. 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. Paee 2 of3 $P.RJNGJ!l'Ja.o. --il ." J 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: COM2004-01301 ISSUED: 03/22/2005 APPLIED: 10/21/2004 EXPIRES: 09/22/2005 VALUE: $ 63,756.00 Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all reqnired inspections have been requested and approved and the building is complete. UnderfIoor Plumbing: Prior to insulation or decking. UnderfIoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. 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. 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, thateach 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 ~:lmazon. Owner or C~nJ~etors Signature Paee 3 of 3 cJ5/zzK I I Date Construction Contra'ctors Board 700 Summer St NE Suite 300 PO Box 14140 Sal~m OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: CO/lV\ -z...Ov.- 4. - C) I 3 0 f Address: 7-bb( .b ~.(~ s.t- . Issued by: Date: -s/vz/o ,~ I' Statement: Info. ~ation Notmce to Property O~ners About Construction !Responsibilities . , . Note: Oregon Law, ORS701.055(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 statemef.lt. This statement will be filed. with the per.mit. Fill in the appropriate blanks and initial boxes 1 and.2, and either bo~ 3A.or 3B: ;K[l. "~2. I own, reside in, or will reside in the completed structure. I Understand that I mu~tbecoine licensed as a construction contractor if the structure is sold or offered for sale before or on completion. . . o 3A. My general contractor is " . (Name) (CCB #) I will instruct, my general contractor th~t all subcontract~rs who work on the structure must be licensed with th~ Construction Contractors Board. OR ~ 3B.. Twill be my own general contractor. If I hire subcontractors, I will hire only subcontracto~s 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'issl,ling this building permit of the name oftpe confractor. <.' I hereby certify that the above-information is correct and thafI have read and do understand the Information N o.tice to Property <?wners about Construction Responsibilities on the reverse side of this form. ~p /ljJ&iA;;J;-'LL' (~ignatureof ;e';;it ;;~ant) , 1/ //CP /C) c,/ (Dat~) , . ' . (White copy to issuing agency permitfile, pink copy to applicimt.) Property _ owner.doc06~0 1-04 . Acting as }:.outOwnGeneral ContJlactor? . . '- ',' '\ 1- , ." " . INFORMATION NOTICE TO PROPERTY OWNER'S . ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in aCCOrdan~~::ith_~RS 701.055(5), passed by the 1989 Oregon Legis/at~~=. J 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 Iollowing responsibilities and concerns. Employer Responsibiliti~s You will, in most instances, be ruled to be an "employer" and the contractors you contrac:t 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 orilUjJlovement of a residential structure. As tbe employer, you must coml~ly witb 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 more infonnation, 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 infonnation, can the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined numb~r for both Oregon. Withholding and Unemployment Insurance Tax. To file for a BIN, can 503-945-8091 or www.dor.state.or.us/fonmmav.html1 for the appropriate forms. 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 an claim costs if one 'of your 'employees is injured on the job. For more information, call 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' wage~'< You win 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 www.irs.lwv. Other Responsibilities ane::l Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for r~s6lving any failure to meet code requirements that. m,,!,y be b~ought to your attention through inspections. Liability and Damage Insurance: Contact your insurance agent to ~ee if you 'have adequate insurance coverage for accidents and omissions such as falling tools, paint over water damag{: from pipe punctures, fire or that must pc ! " , " Time: Make sure you 'have sufficient time to supervise your employees. t ~ . . . Make sure you have the ski11s to act as your own and finish trades, and to notify building officials as 'conti-actor,to cooidinate the work of rough~in tiIT,lcs so they can perfonn the required inspections. If you Box 14 additional questions call the Construction OR 97309-5052. (503-378-4621) or write the agency at PO 06-01-04 CITY OF SP~~GFIELD SYSTEMS DEVELOPMEN~.~RKSHEET JOURNAL OR JOB NUMBER: COM2004-01301 NAME OR COMPANY: Brad McCauley LOCATION: 2661 D St TAX LOT NUMBER: 1703361412000 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF; 690 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE '775.00 I $0.3] 0 = $240.25 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE DISCOUNT I 0.00 I $0.310 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: . NUMBER OF DFU's x o B. IMPROVEMENT COST: I NUMBER OF DFU's' x , 0 COST PER DFU $24.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $]8.28 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP.RATE I x 'I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE x I 9.57 I NUMBER OF UNITS I x I 0 , I NUMBER OF UNITS x I 0 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 I B. IMPROVEMENT COST: INUMBER OF FEU's I x I 0 I ICOST PER FEU I $82.03 ICOST PER FEU I $865.3] 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.FEERATE 1= I $240.25 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker PREPARED BY 10/25/2004 . DATE o r:/) ~ Q o u ~ ~ E-< r:/) >-< d ~ $240.25 $240.25 1070 = I $0.00 1091 = I $0.00 1092 = I $0.00 COST PER TRIP $18.30 x NEW TRIP FACTOR 1.00 1093 $0.00 = I COST PER TRIP $80.72 $0.00 x INEW TRIP FACTOR I 1.00 1094 $0.00 = $0.00 1054 = $0.00 1055 $0.00 \1054 $0.00 1056 $0.00 $240.25 CHARGE $12.01 . 12.01 1079 $0.00 11078 ' TOTAL SDC CHARGES =1 $252.26 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLl~ NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 2 3 = 0 DRlNKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRYTUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 2 1 = 0 IURlNAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 2 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day -- _ ,k_ .. MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 ]996 1997 1998 1999 2000 2001 CREDIT RATE/$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 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 YEAR ANNEXED 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 = J $0.00 CREDIT FOR IMPROVEMENT (IF AFTER A.NNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT = $0.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C.ity of Springfield Official Receipt ;velopment Services Department Public Works Department Job/Journal Number COM2004-0 1301 COM2004-01301 COM2004-0 130 1 COM2004-01301 COM2004-01301 COM2004-01301 COM2004-0 130 1 COM2004-01301 COM2004-01301 Payments: Type of Payment Check 3/22/2005 RECEIPT #: 1200500000000000355 Date: 03/22/2005 Description Storm Drainage Impervious Area SDC SanitarylStorm Admin Plan Review Minor - Planning Building Permit Miscellaneous Mechanical -Mechanical Issuance Fee- Fixture + 7% State Surcharge + 10% Administrative Fee Paid By BRANDON JARED HUFFMAN CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1053 In Person Payment Total: Page I of 1 10:17:04AM Amount Due 240.25 12.01 59.00 425.25 45.00 10.00 98.00 39.78 56.83 $986.12 Amount Paid $986.12 $986.12